1 | 1 | | H.B. No. 281 |
---|
2 | 2 | | |
---|
3 | 3 | | |
---|
4 | 4 | | AN ACT |
---|
5 | 5 | | relating to grants for school-based health centers and reports |
---|
6 | 6 | | submitted by those centers. |
---|
7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
8 | 8 | | SECTION 1. Section 38.063, Education Code, is amended by |
---|
9 | 9 | | amending Subsections (a), (b), (d), (e), (f), and (g) and adding |
---|
10 | 10 | | Subsections (e-1) and (e-2) to read as follows: |
---|
11 | 11 | | (a) Subject to the availability of federal or state |
---|
12 | 12 | | appropriated funds, the commissioner of state [public] health |
---|
13 | 13 | | services shall administer a program under which grants are awarded |
---|
14 | 14 | | to assist school districts and local health departments, hospitals, |
---|
15 | 15 | | health care systems, universities, or nonprofit organizations that |
---|
16 | 16 | | contract with school districts with the costs of [operating] |
---|
17 | 17 | | school-based health centers in accordance with this section. |
---|
18 | 18 | | (b) The commissioner of state [public] health services, by |
---|
19 | 19 | | rules adopted in accordance with this section, shall establish |
---|
20 | 20 | | procedures for awarding grants. The rules must provide that: |
---|
21 | 21 | | (1) grants are awarded annually [to school districts |
---|
22 | 22 | | on an annual basis] through a competitive process to: |
---|
23 | 23 | | (A) school districts; and |
---|
24 | 24 | | (B) local health departments, hospitals, health |
---|
25 | 25 | | care systems, universities, or nonprofit organizations that have |
---|
26 | 26 | | contracted with school districts to establish and operate |
---|
27 | 27 | | school-based health centers; |
---|
28 | 28 | | (2) subject to the availability of federal or state |
---|
29 | 29 | | appropriated funds, each grant is for a term of five years; and |
---|
30 | 30 | | (3) a preference is given to school-based health |
---|
31 | 31 | | centers in school districts that are located in rural areas or that |
---|
32 | 32 | | have low property wealth per student. |
---|
33 | 33 | | (d) A school district, local health department, hospital, |
---|
34 | 34 | | health care system, university, or nonprofit organization may not |
---|
35 | 35 | | receive more than $250,000 per state fiscal biennium through grants |
---|
36 | 36 | | awarded under this section. |
---|
37 | 37 | | (e) To be eligible to receive a grant, a school district, |
---|
38 | 38 | | local health department, hospital, health care system, university, |
---|
39 | 39 | | or nonprofit organization must provide matching funds in accordance |
---|
40 | 40 | | with rules adopted under Subsection (b). The matching funds may be |
---|
41 | 41 | | obtained from any source available to the district, local health |
---|
42 | 42 | | department, hospital, health care system, university, or nonprofit |
---|
43 | 43 | | organization, including in-kind contributions, community or |
---|
44 | 44 | | foundation grants, individual contributions, and local |
---|
45 | 45 | | governmental agency operating funds. |
---|
46 | 46 | | (e-1) A grant under this section may not be given to a |
---|
47 | 47 | | nonprofit organization that offers reproductive services, |
---|
48 | 48 | | contraceptive services, counseling, or referrals, or any other |
---|
49 | 49 | | services that require a license under Chapter 245, Health and |
---|
50 | 50 | | Safety Code, or that is affiliated with a nonprofit organization |
---|
51 | 51 | | that is licensed under Chapter 245, Health and Safety Code. |
---|
52 | 52 | | (e-2) A school district, local health department, hospital, |
---|
53 | 53 | | health care system, university, or nonprofit organization |
---|
54 | 54 | | receiving a grant under this section may use the grant funds to: |
---|
55 | 55 | | (1) establish a new school-based health center; |
---|
56 | 56 | | (2) expand an existing school-based health center; or |
---|
57 | 57 | | (3) operate a school-based health center. |
---|
58 | 58 | | (f) The commissioner of state [public] health services |
---|
59 | 59 | | shall adopt rules establishing standards for health care centers |
---|
60 | 60 | | funded through grants that place primary emphasis on delivery of |
---|
61 | 61 | | health services and secondary emphasis on population-based models |
---|
62 | 62 | | that prevent emerging health threats. |
---|
63 | 63 | | (g) The commissioner of state [public] health services |
---|
64 | 64 | | shall require client surveys to be conducted in school-based health |
---|
65 | 65 | | centers funded through grants awarded under this section[, and the |
---|
66 | 66 | | results of those surveys must be included in the annual report |
---|
67 | 67 | | required under Section 38.064]. |
---|
68 | 68 | | SECTION 2. Section 38.064, Education Code, is amended to |
---|
69 | 69 | | read as follows: |
---|
70 | 70 | | Sec. 38.064. REPORT TO LEGISLATURE. (a) Based on |
---|
71 | 71 | | statistics obtained from every school-based health center in this |
---|
72 | 72 | | state that receives funding through the Department of State Health |
---|
73 | 73 | | Services, the Department of State Health Services [commissioner of |
---|
74 | 74 | | public health] shall issue a biennial [an annual] report to the |
---|
75 | 75 | | legislature about the relative efficacy of services delivered by |
---|
76 | 76 | | the [school-based health] centers during the preceding two years |
---|
77 | 77 | | and any increased academic success of students at campuses served |
---|
78 | 78 | | by those centers, with special emphasis on any: |
---|
79 | 79 | | (1) increased attendance, including attendance |
---|
80 | 80 | | information regarding students with chronic illnesses; |
---|
81 | 81 | | (2) decreased drop-out rates; |
---|
82 | 82 | | (3) improved student health; [and] |
---|
83 | 83 | | (4) increased student immunization rates; |
---|
84 | 84 | | (5) increased student participation in preventive |
---|
85 | 85 | | health measures, including routine physical examinations and |
---|
86 | 86 | | checkups conducted in accordance with the Texas Health Steps |
---|
87 | 87 | | program; and |
---|
88 | 88 | | (6) improved performance on student assessment |
---|
89 | 89 | | instruments administered under Subchapter B, Chapter 39. |
---|
90 | 90 | | (b) The Department of State Health Services may modify any |
---|
91 | 91 | | requirement imposed by Subsection (a) if necessary to comply with |
---|
92 | 92 | | federal law regarding confidentiality of student medical or |
---|
93 | 93 | | educational information, including the Health Insurance |
---|
94 | 94 | | Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d |
---|
95 | 95 | | et seq.) and the Family Educational Rights and Privacy Act of 1974 |
---|
96 | 96 | | (20 U.S.C. Section 1232g) [In obtaining statistics for preparation |
---|
97 | 97 | | of the report required by this section, the commissioner of public |
---|
98 | 98 | | health shall ensure that data is collected for each county and |
---|
99 | 99 | | aggregated appropriately according to geographical region]. |
---|
100 | 100 | | SECTION 3. This Act takes effect immediately if it receives |
---|
101 | 101 | | a vote of two-thirds of all the members elected to each house, as |
---|
102 | 102 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
103 | 103 | | Act does not receive the vote necessary for immediate effect, this |
---|
104 | 104 | | Act takes effect September 1, 2009. |
---|
105 | 105 | | ______________________________ ______________________________ |
---|
106 | 106 | | President of the Senate Speaker of the House |
---|
107 | 107 | | I certify that H.B. No. 281 was passed by the House on April |
---|
108 | 108 | | 24, 2009, by the following vote: Yeas 95, Nays 41, 1 present, not |
---|
109 | 109 | | voting; and that the House concurred in Senate amendments to H.B. |
---|
110 | 110 | | No. 281 on May 29, 2009, by the following vote: Yeas 138, Nays 2, 1 |
---|
111 | 111 | | present, not voting. |
---|
112 | 112 | | ______________________________ |
---|
113 | 113 | | Chief Clerk of the House |
---|
114 | 114 | | I certify that H.B. No. 281 was passed by the Senate, with |
---|
115 | 115 | | amendments, on May 27, 2009, by the following vote: Yeas 30, Nays |
---|
116 | 116 | | 0. |
---|
117 | 117 | | ______________________________ |
---|
118 | 118 | | Secretary of the Senate |
---|
119 | 119 | | APPROVED: __________________ |
---|
120 | 120 | | Date |
---|
121 | 121 | | __________________ |
---|
122 | 122 | | Governor |
---|