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  H.B. No. 281
 
 
 
 
AN ACT
  relating to grants for school-based health centers and reports
  submitted by those centers.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 38.063, Education Code, is amended by
  amending Subsections (a), (b), (d), (e), (f), and (g) and adding
  Subsections (e-1) and (e-2) to read as follows:
         (a)  Subject to the availability of federal or state
  appropriated funds, the commissioner of state [public] health
  services shall administer a program under which grants are awarded
  to assist school districts and local health departments, hospitals,
  health care systems, universities, or nonprofit organizations that
  contract with school districts with the costs of [operating]
  school-based health centers in accordance with this section.
         (b)  The commissioner of state [public] health services, by
  rules adopted in accordance with this section, shall establish
  procedures for awarding grants. The rules must provide that:
               (1)  grants are awarded annually [to school districts
  on an annual basis] through a competitive process to:
                     (A)  school districts; and
                     (B)  local health departments, hospitals, health
  care systems, universities, or nonprofit organizations that have
  contracted with school districts to establish and operate
  school-based health centers;
               (2)  subject to the availability of federal or state
  appropriated funds, each grant is for a term of five years; and
               (3)  a preference is given to school-based health
  centers in school districts that are located in rural areas or that
  have low property wealth per student.
         (d)  A school district, local health department, hospital,
  health care system, university, or nonprofit organization may not
  receive more than $250,000 per state fiscal biennium through grants
  awarded under this section.
         (e)  To be eligible to receive a grant, a school district,
  local health department, hospital, health care system, university,
  or nonprofit organization must provide matching funds in accordance
  with rules adopted under Subsection (b). The matching funds may be
  obtained from any source available to the district, local health
  department, hospital, health care system, university, or nonprofit
  organization, including in-kind contributions, community or
  foundation grants, individual contributions, and local
  governmental agency operating funds.
         (e-1)  A grant under this section may not be given to a
  nonprofit organization that offers reproductive services,
  contraceptive services, counseling, or referrals, or any other
  services that require a license under Chapter 245, Health and
  Safety Code, or that is affiliated with a nonprofit organization
  that is licensed under Chapter 245, Health and Safety Code.
         (e-2)  A school district, local health department, hospital,
  health care system, university, or nonprofit organization
  receiving a grant under this section may use the grant funds to:
               (1)  establish a new school-based health center;
               (2)  expand an existing school-based health center; or
               (3)  operate a school-based health center.
         (f)  The commissioner of state [public] health services
  shall adopt rules establishing standards for health care centers
  funded through grants that place primary emphasis on delivery of
  health services and secondary emphasis on population-based models
  that prevent emerging health threats.
         (g)  The commissioner of state [public] health services
  shall require client surveys to be conducted in school-based health
  centers funded through grants awarded under this section[, and the
  results of those surveys must be included in the annual report
  required under Section 38.064].
         SECTION 2.  Section 38.064, Education Code, is amended to
  read as follows:
         Sec. 38.064.  REPORT TO LEGISLATURE. (a) Based on
  statistics obtained from every school-based health center in this
  state that receives funding through the Department of State Health
  Services, the Department of State Health Services [commissioner of
  public health] shall issue a biennial [an annual] report to the
  legislature about the relative efficacy of services delivered by
  the [school-based health] centers during the preceding two years
  and any increased academic success of students at campuses served
  by those centers, with special emphasis on any:
               (1)  increased attendance, including attendance
  information regarding students with chronic illnesses;
               (2)  decreased drop-out rates;
               (3)  improved student health; [and]
               (4)  increased student immunization rates;
               (5)  increased student participation in preventive
  health measures, including routine physical examinations and
  checkups conducted in accordance with the Texas Health Steps
  program; and  
               (6)  improved performance on student assessment
  instruments administered under Subchapter B, Chapter 39.
         (b)  The Department of State Health Services may modify any
  requirement imposed by Subsection (a) if necessary to comply with
  federal law regarding confidentiality of student medical or
  educational information, including the Health Insurance
  Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d
  et seq.) and the Family Educational Rights and Privacy Act of 1974
  (20 U.S.C. Section 1232g) [In obtaining statistics for preparation
  of the report required by this section, the commissioner of public
  health shall ensure that data is collected for each county and
  aggregated appropriately according to geographical region].
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2009.
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
 
         I certify that H.B. No. 281 was passed by the House on April
  24, 2009, by the following vote:  Yeas 95, Nays 41, 1 present, not
  voting; and that the House concurred in Senate amendments to H.B.
  No. 281 on May 29, 2009, by the following vote:  Yeas 138, Nays 2, 1
  present, not voting.
 
  ______________________________
  Chief Clerk of the House   
 
         I certify that H.B. No. 281 was passed by the Senate, with
  amendments, on May 27, 2009, by the following vote:  Yeas 30, Nays
  0.
 
  ______________________________
  Secretary of the Senate   
  APPROVED: __________________
                  Date       
   
           __________________
                Governor