What’s Happening with School-Based Health Centers? Brenda Barron, Director of Field Operations

1. What’s Happening with School-Based Health Centers? Brenda Barron, Director of Field Operations School Health Initiatives Midwestern Regional Conference July 23, 2008

2. National Assembly on School-Based Health Care • National advocacy voice for over 1,700 SBHCs • Training and technical assistance • Evaluation and quality • Funded by cooperative agreements with MCHB, BPHC, and CDC; foundation grants; donors, and members

3. NASBHC Principles • Supports the School • Responds to the Community • Advances Health Promotion Activities • Implements Effective Systems • Focuses on the Student • Delivers Comprehensive Care • Provides Leadership in Adolescent and Child Health

4. Where are SBHCs Located? N = 1709

5. Growing State Support • Michigan: $1million budget increase & mental health services reimbursement • Illinois: 3% cost of doing business • Ohio: Legislative site visits • Arizona: $200,000 budget increase • Washington: Establishing state program office

6. Mental health services • Fastest growing component of SBHCs • First priority for program funding • Mental Health Planning and Evaluation Template (MHPET) • School Mental Health Capacity Building Partnership • State policies

7. * P<.01

8. community type

9. Reproductive health services • Origins • “Under the radar” strategy • Response: services reflect the community needs • Revised national policy statement • Message development and Congressional education • Expertise and training on state adolescent health care laws

10. The School-Based Health Clinic Establishment Act • Introduced in the Senate on February 14, 2007 Introduced in the House on November 17 • Authorize a federal SBHC program • Provide competitive grants to SBHCs Outcomes • Senate: Resulted in a SBHC cost effectiveness study by the General Accounting Office (GAO) in the CHC reauthorization • House: Received a hearing on December 4, 2007

11. Healthy Schools Act of 2007 • Ensure procedures for payment under Medicaid and SCHIP for services provided by SBHCs • Define primary health services Outcomes • SBHCs included in final SCHIP bill with language that did not prohibit states from reimbursing SBHCs. • President vetoed twice

12. Primary reasons for success State leadership & Member action

13. What to look for in 2008-2009? • SCHIP: SBHC inclusion at national and state level • Reintroduce SBHC authorization • Integrate SBHCs in federal and state health care reform efforts/dialogue • Address health inequities and quality of care

14. Contact Information Brenda Barron Director of Field Operations 666 11th St NW, Suite 735 Washington, DC 20001 202-638-5872 ext 213 bbarron@nasbhc.org www.nasbhc.org