BILL ANALYSIS Ó
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THIRD READING
Bill No: AJR 10
Author: Brownley (D), et al.
Amended: 5/2/11 in Assembly
Vote: 21
SENATE EDUCATION COMMITTEE : 9-0, 6/22/11
AYES: Lowenthal, Alquist, Blakeslee, Hancock, Huff, Liu,
Price, Simitian, Vargas
NO VOTE RECORDED: Runner, Vacancy
ASSEMBLY FLOOR : 48-23, 5/2/11 - See last page for vote
SUBJECT : School-based health centers
SOURCE : California School Health Centers Association
DIGEST : This joint resolution (1) memorializes the
Legislatures support of the school-based health center
program authorized by the federal Patient Protection and
Affordable Care Act, (2) supports an appropriation by the
United States Congress to fund the school-based health
center program, and, (3) supports the inclusion of
school-based health centers in the reauthorization of the
federal Elementary and Secondary Education Act as an
important strategy for ensuring that pupils are physically
and mentally healthy.
ANALYSIS :
Existing law:
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1. Requires the Department of Public Health, in cooperation
with the California Department of Education, to
establish a Public School Health Center Support Program
(PSHCSP) to perform specified functions relating to the
establishment, retention, or expansion of school health
centers in California.
2. Defines, for purposes of the PSHCSP, a "school health
center" to mean a center or program that provides
age-appropriate health care services at the program site
or through referrals, and may be located on or at a
local educational agency.
This joint resolution makes various findings and
declarations, including but not limited to:
1. School health centers, which operate in 176 schools
across California, are an integral part of the state's
health care delivery system, providing preventative and
treatment services to pupils who may otherwise have no
or limited access to health care.
2. School health centers improve academic achievement by
increasing the physical and mental health status of
pupils, thereby raising attendance rates, reducing
dropout rates, and improving classroom attention and
behavior.
3. There is still a high level of unmet need for school
health centers because many California children do not
have access to high-quality, affordable health care.
4. The Legislature has already demonstrated its strong
support for school health centers through the passage of
important pieces of state legislation, including the
Healthy Start Support Services for Children Act and the
PSHCSP.
5. The United States Congress authorized a school-based
health center program in the federal Patient Protection
and Affordable Care Act, but did not appropriate money
to fund it.
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Comments
Federal Patient Protection and Affordable Care Act of 2010 .
Made grant funds available that will support school-based
health center efforts to expand capacity to provide primary
healthcare services to school-aged children. This
competitive funding opportunity will be available to new
and existing school-based health centers to address
significant and pressing capital improvement needs,
including: construction, repair, renovation, and the
purchase of equipment. Approximately $50 million is made
available for federal fiscal year 2011, which is
anticipated to fund approximately 350 2-year grant awards.
This joint resolution seeks to urge Congress to include an
appropriation to fund school-based health centers in the
reauthorization of the federal Elementary and Secondary
Education Act (ESEA).
School based health centers . There are approximately 176
school health centers and are typically located on school
campuses. They encompass a variety of models - from large
secondary school clinics with full-time medical and mental
health staff to smaller part-time clinics offering a
limited set of services. "School linked" health centers
are located off campus but have formal operating agreements
with one or more schools. Of the 176 school health centers
- 27 percent are in elementary schools, 10 percent are in
middle schools, 38 percent are in high schools, 10 percent
are on mixed-grade campuses, and 15 percent are "school
linked" or mobile vans. The majority of communities served
are low-income areas where many children lack health
coverage.
FISCAL EFFECT : Fiscal Com.: No
SUPPORT : (Per Senate Education Committee)
California School Health Centers Association (source)
California Academy of Family Physicians
California Pan-Ethnic Health Network
California School Boards Association
California School Nurses Association
OPPOSITION : (Per Senate Education Committee)
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California Right to Life, Inc.
ARGUMENTS IN SUPPORT : According to the author's office,
a major development in education policy is coming when
Congress takes up reauthorization of the ESEA. This is a
significant opportunity to advocate for the inclusion of
school health and support services. Further, according to
California School Health Centers Association, the sponsor
of this resolution, more than 1.5 million California
students lack health insurance, and one in five lack dental
insurance - unfortunately these students tend to be from
underrepresented and low-income families. School health
centers provide access and services for students.
Typically these services include: screenings,
immunizations, physicals, and assessments.
ASSEMBLY FLOOR : 48-23, 5/2/11
AYES: Alejo, Allen, Ammiano, Atkins, Beall, Block,
Blumenfield, Bonilla, Bradford, Brownley, Buchanan,
Butler, Campos, Carter, Chesbro, Davis, Dickinson, Eng,
Feuer, Fletcher, Fong, Fuentes, Furutani, Gatto, Gordon,
Hall, Hayashi, Roger Hernández, Hill, Huber, Hueso,
Huffman, Lara, Bonnie Lowenthal, Ma, Monning, Pan, Perea,
V. Manuel Pérez, Portantino, Skinner, Solorio, Swanson,
Torres, Wieckowski, Williams, Yamada, John A. Pérez
NOES: Achadjian, Conway, Cook, Donnelly, Garrick, Grove,
Halderman, Harkey, Jeffries, Jones, Knight, Logue,
Mansoor, Miller, Morrell, Nestande, Nielsen, Norby,
Olsen, Silva, Smyth, Valadao, Wagner
NO VOTE RECORDED: Bill Berryhill, Charles Calderon,
Cedillo, Galgiani, Gorell, Hagman, Mendoza, Mitchell,
Vacancy
CPM:kc 6/22/11 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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