Reading, Writing, and Medical Check-ups? Schools as Health Care Providers

1. Reading, Writing, and Medical Check-ups? Schools as Health Care Providers Elisabeth Wright Burak 72nd Annual Education Writers Association National Seminar Reporting at the Crossroads of Education and Health Pre-Conference Workshop May 5, 2019

2. Good Health Helps Kids Reach Their Full Potential

3. Growing Awareness of the Nexis • Every Student Succeeds Act (ESSA) emphasis on safe and healthy students, chronic absenteeism • Federal regulatory changes now allow states to help schools bill Medicaid directly for services to more eligible children • Importance of social-emotional learning/mental health and their role in academic success

4. Education and Health • All schools play a role in the health of their students – nutrition, school nurse services • Many schools provide health screenings AND services to students • Growing interest and reach of school-based health centers (SBHCs) • Medicaid is a key financing source

5. School-based Health Center Movement Source: School Based Health Alliance: https://www.sbh4all.org/school-health-care/national-census-of-school-based-health-centers/

6. Expanding SBHCs

7. How are Children Covered? Source: J. Alker and O. Pham, “Nation’s Progress on Children’s Coverage Reverses Course” (Washington: Georgetown University Center for Children and Families, November 2018), available at https://ccf.georgetown.edu/2018/11/21/nations-progress-on-childrens-health-coverage-reverses-course/.

8. Medicaid Serves Millions of Children Medicaid 36.9 million CHIP 9.5 million Marketplace 1 million Sources: Georgetown CCF analysis of SEDS FY 2017 Ever-Enrolled in Medicaid/CHIP. CMS state-level public use data as of 4/17.

9. Medicaid Helps Kids Succeed in Life Source: Georgetown University Center for Children and Families. “Medicaid is a Smart Investment in Children.” March 13, 2017.

10. Many Schools Receive Medicaid Dollars Directly U.S. schools receive $4B - $5B in Medicaid annually for: • Staff- school nurses, social workers, mental health professionals • Health services and supports -preventive screenings, learning aides for students with disabilities, service referrals, etc. Medicaid-funded screenings and services can help schools meet IDEA requirements http://aasa.org/uploadedFiles/Policy_and_Advocacy/Resources/medicaid.pdf https://www.cbpp.org/research/health/medicaid-helps-schools-help-children https://www.cbpp.org/blog/medicaid-continues-to-help-schools-help-children

11. Opportunities: Medicaid and Schools • Ensure every eligible student has health coverage. • Help schools support and prioritize the comprehensive health needs of students as a pivotal factor in learning. • Increase access to school-based or school-linked preventive health care. • Help schools serve as resource “hubs” for families and caregivers especially in underserved or remote areas. https://ccf.georgetown.edu/2019/04/24/how-medicaid-and-chip-can-support-student-success-through-schools/

12. Additional Resources • Sign up for our newsletter! ccf.georgetown.edu • State Coverage Data: https://ccf.georgetown.edu/state-childrens-health-facts/ • Medicaid/CHIP by school district: https://ccf.georgetown.edu/medicaidchip-coverage-by-school-districts/ • Series: Future of Children’s Health Coverage: https://ccf.georgetown.edu/2016/08/09/the-future-of-childrens-health-coverage/ Twitter: @GeorgetownCCF @ewburak @candancewebbCCF