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School-based Health Centers, Bureaucracies, Funding, Support

Posted April 3, 2017

Below, you will find a list of organizations promoting School-based Health Centers, info about funding, supporters,  etc.

 In an Atlantic article, School, Birth Control, and Parent Consent, Sept. 2015

we read,

 “There is something amazing and different about seeing students on their home turf,” said Sonja O’Leary, a Colorado-based SBHC pediatrician. “Students will divulge things that they usually wouldn’t if they were sitting in a doctor’s office, even if their parents are outside in the waiting room [at school].”

[Some SBHCs] offer long-acting reversible contraception, such as intrauterine devices and injections, or LARCs, which tend to be especially contentious because they’re longer-lasting and more physically invasive than, say, the pill. The issue appears to be particularly fraught in the 21 states where minors are allowed to have IUDs implanted without parental consent. Most of those states do not distinguish by age in granting youth autonomous birth-control rights, which means kids as young as 11 could be given access

In Washington State, which gives minors autonomous birth-control rights, a long-standing state-based Medicaid program called Take Charge is tasked with helping low-income women and teens seek family planning services, even if they don’t have parental consent. The program has seen a dramatic increase of student IUDs in recent years. In 2010, the first year LARCs were available to Seattle-area students, Neighborcare Health (which operates six SBHCs in the city), placed approximately 10 devices. By 2015, more than 500 students had received an implant or an IUD from Neighborcare 9.  i.e. 5000% increase

This expansion has also caused concern. Over the summer, a spate of headlines pointed out the irony that a Seattle sixth-grader could theoretically use her lunch break to get an IUD but not a soda or candy bar from a vending machine. (On top of the federal Healthy Hunger-Free Kids Act, Seattle has one of the nation’s toughest in-school junk-food bans.) But advocates say that both types of school policies—stringent food guidelines and accessible IUDs—stem from a holistic, prevention-based strategy that encourages students to make healthy choices for their long-term well-being.

https://www.theatlantic.com/education/archive/2015/09/student-health-centers-schools-contraception/403954/

School-Based Health Awareness Month, http://www.sbh4all.org/school-health-care/awareness-month/

School-Based Health Centers in Washington, Seattle, King County

http://www.wa-k20.net/docs/SBHCpresentation.pdf

Foundations that may assist SBHC

Foundations have or may support school-based health care in Spokane: •Bill & Melinda Gates Foundation •Empire Health Foundation •HumanLinks Foundation •Group Health Community Foundation • •W.K. Kellogg  Foundation •McKesson Foundation

Federal Grants: •BPHC/FQHC (Section 330 of the Public Health Service Act) •Title X of the Public Health Service Act: Family Planning •HRSA New Access Point & SBHC Equipment Grants

As of 2-17-17 there are  38 SBHCs in WA state including 2 in Jefferson County (Port Townsend and  Chimacum.

Robert Wood Johnson Foundation

Culture of Health Leaders, Release Date: January 4, 2017

Purpose

The Culture of Health Leaders program provides cross-sector leadership development based on evidence, informed by experience, and grounded in principles of equity and social justice. These principles inform all aspects of the program design, tools, recruitment, implementation, evaluation, and dissemination—and more importantly, they guide how the program will be in relationship with participants.

http://www.rwjf.org/en/library/funding-opportunities/2017/culture-of-health-leaders.html

Reorganizing health care for adolescents: The experience of The School Based Adolescent Health Care Program, History of SBHCs.

http://www.jahonline.org/article/1054-139X(91)90022-P/abstract

 

Advocates for Youth

Legal Issues for School Based Health Centers

http://www.advocatesforyouth.org/publications/publications-a-z/542-legal-issues-and-school-based-and-school-linked-health-centers

WA State Health Care Authority, Application for Family Planning Services

https://www.plannedparenthood.org/files/9014/0242/6127/PPGNW_English_TC_App_Oct_2013.pdf

 

Washington State Health Care Authority: Provider eligibility

School-based health care services must be delivered by health care providers who meet state licensure and certification requirements according to Washington State law (WAC 182-537-0350).

School districts can confirm provider qualifications on the Department of Health’s website. All providers must apply for a National Provider Identification (NPI) number through National Plan and Provider Enumeration System (NPPES). Providers must be enrolled as a servicing provider under the school district’s billing NPI number.

 

https://www.hca.wa.gov/billers-providers/programs-and-services/school-based-health-care-services-sbhs

http://www.hca.wa.gov/

WA Medicaid also provides Transgender Service, not through SBHCs, I think.

https://www.hca.wa.gov/billers-providers/programs-and-services/transgender-health-services-program

Center for School, Health, and Education

Children’s Health Insurance Program Reauthorization Act

The Children’s Health Insurance Program Reauthorization Act (CHIPRA.pdf) defines and recognizes SBHCs as a potential provider of services, for the first time establishing a legal basis for being reimbursed for their services.

Achieving recognition of SBHCs in CHIPRA was precedent setting–no federal insurance program had ever before included a definition of a SBHC. Based on language provided by the National Assembly on School-Based Health Care and its state partners in the SBHCPP, the Act stipulates that a state may “…provide child health assistance for covered items and services that are furnished through SBHCs,” a provision that allows SBHCs to seek status as a provider eligible to receive reimbursement from their states’ Children’s Health Insurance Programs(CHIP).1 The provision also enables SBHCs to negotiate with managed care plans that participate in CHIP for reimbursement for the services they provide and to help SBHCs obtain provider status under Medicaid in those states where the CHIP program is part of the Medicaid program.

Patient Protection and Affordable Care Act

In March, 2010, advocates for school-based health centers experienced an unprecedented legislative victory: a SBHC grant program was established in the historic health reform legislation, the Patient Protection and Affordable Care Act (PPACA.pdf). A detailed account of the legislation’s provisions for SBHCs can be found here..

 

http://www.schoolbasedhealthcare.org/index.php/victories/

February 13, 2017

Comprehensive School-based Health Care Legislation Would Increase Children and Adolescent Access to Primary and Mental Health Care Services

WASHINGTON, DC—On Monday, February 13, Senators Debbie Stabenow (MI), Gary Peters (MI), Sherrod Brown (OH), and Al Franken (MN), along with House Representatives John Sarbanes (MD), Debbie Dingell (MI), Eric Swalwell (CA), Rosa Delauro (CT), and John Larson (CT) re-introduced the Hallways to Health Act (S.356/H.R.1027), legislation that would provide federal support for high-quality comprehensive health care and mental health services to students at school-based health centers (SBHCs) across the country. This legislation was originally introduced last year in the 114th Congress, and the re-introduction of the bill comes during National School-Based Health Care Awareness Month, which is celebrated every February. –

“At the heart of The Hallways to Health Act is the incontestable fact that healthy students are better learners. And what better time than now, in this uncertain health care landscape, for Congress to acknowledge school-based health centers. They represent a key strategy for ensuring our most vulnerable children and adolescents receive high-quality primary and mental health care services in a location that is safe, convenient, and accessible,” said John Schlitt, president of the School-Based Health Alliance.

http://www.sbh4all.org/2017/02/hallways-health-act-re-introduced/

School-Based Health Alliance,  General Public Policy Priorities

Advance federal and state policies that develop, enhance, and support the role of SBHCs as safety net providers for children and adolescents

More Information

Because of the vital role they play in serving low-income and medically underserved populations, SBHCs are an important part of the nation’s health care safety net for children and adolescents. We advocate for a federal appropriation of the current authorization that funds SBHCs under the federal safety net and provides protections of the Public Health Service Act, including cost-based reimbursement, access to low-cost drugs, and tort protection. In addition, we support the inclusion of SBHCs as essential community providers in federal and state health insurance exchanges and the removal of barriers to Medicaid reimbursement, including prior authorization requirements.

We also strongly support passage of The Hallways to Health Act (H.R. 4621/S. 2590). Introduced in the 114th Congress, this legislation would increase access to health care through SBHCs, incorporate community health workers and telehealth services in the SBHC model, and provide technical assistance to improve care in medically underserved areas. In addition, the bill would ensure that all public health insurance programs reimburse SBHC providers for services covered by Medicaid and the Children’s Health Insurance Program (CHIP) to ensure the long-term financial stability of these important centers.

Integrate school-based health centers into federal policies that improve student success

More Information

Improving student health is integral to education reform. As reauthorization of the Elementary and Secondary Education Act (ESEA) moves forward, the School-Based Health Alliance will work with our education partners to promote the services provided by SBHCs to best achieve academic success. We seek the inclusion of SBHCs as eligible entities for evidence-based strategies that support children’s academic success, safety, health, and wellbeing.

Support state and local efforts to integrate and elevate SBHCs within health care reform

http://www.sbh4all.org/advocacy/policy-priorities/#sthash.Vn2jQ6cf.dpuf

Washington School-Based Health Alliance

The new legislation, known as Every Student Succeeds Act, provides improvements to several areas, including state accountability, strengthening teacher quality, supporting at-risk populations and expanding early childhood education. In addition, the bill includes robust supports for student health and safety. Local education agencies will be able to partner with public or private entities in the community to develop, implement, and evaluate comprehensive programs to address issues such as substance abuse, mental health, bullying, violence, healthy relationships, nutrition, and physical activity.  To ensure that school-based health center (SBHC) providers will be considered eligible entities to deliver these programs, the School-Based Health Alliance successfully advocated for the inclusion of nurse practitioners as eligible providers.

The compromise bill also revises a provision in the House-passed version regarding SBHCs and reproductive health services. The House-approved H.R. 5 contained a provision that would have barred funding from the bill to school districts who partner with school-based health centers, unless the SBHC could certify that they would neither perform abortions nor provide information or referrals regarding abortion. The Alliance worked closely with Senate HELP Committee Ranking Member Patty Murray (D-WA) to successfully strike the ban on providing information and referrals from the compromise bill. We also worked to highlight that current law (the Affordable Care Act) already prohibits SBHCs from performing abortions.

We are grateful to Ranking Member Murray  [WA] and her staff for their support of school-based health care professionals to provide full, accurate, and unbiased information to adolescents to prepare them for healthy and successful futures.

http://schoolhealthcare.org/index.php/news/

In WA State, SBHCs may provide the following:

Offers a comprehensive scope of health services to youth and adolescents including:
– Asthma care
– Immunizations
– Treatment of simple illnesses and injuries
– Referral and follow-up for serious illness and emergencies
– Family planning
– Physical exams
– Health education

Dental screening and services provided at some sites through portable dental equipment.
In addition to addressing health care concerns, they also promote good health for a lifetime through good nutrition education, supportive relationships, and reinforcement of positive self-images.
School-Based Health Centers (SBHCs) are operated by a system of community health care partners and agencies to deliver health services to schools in King County.
Must be a student at the school where clinic is located.
Targets adolescents who are uninsured and underinsured; those who have nowhere else to obtain medical care.
Also serves young people with insurance, but who want confidential care and advice.
Washington state law does not require parental consent for family planning services such as birth control, pregnancy testing and STD testing and treatment services.
Complete registration form for most services.
Under state and federal law, minors can provide their own consent for family planning, mental health and alcohol/drug services.
Parent consent and registration are strongly encouraged for these services.
For other services, parent consent form and registration are needed.

https://www.hca.wa.gov/billers-providers/programs-and-services/school-based-health-care-services-sbhs#covered-services

WA

School Based Health Center Planning and Community Engagement Grant

The Family Health Center (FHC) has partnered with Longview Public Schools (LPS) on a School Based Health Center Planning and Community Engagement Grant from Kaiser Permanente Northwest.  Over the course of 18 months, FHC and LPS will perform outreach and engagement with families and community members to educate and inform about School Based Health Centers.

http://cowlitzfamilyhealth.org/school-based-health-centers/

Additional bureaucracies and org follow”

Partnership for Adolescent Sexual Health (Cannot find anything about this org. in Google search)

And what is this “Partnership for Adolescent Sexual Health”is part of this alliance. Why is the CDC partnering with this group?  My gosh!  How many organizations does there have to be to be involved with this stuff?

The Alliance will partner with several national organizations on this initiative, including: Advocates for Youth, the National Association of County and City Health Officials, and the National Coalition of STD Directors. Additional information about how the Alliance will help achieve the aforementioned goals is forthcoming. – See more

 

at: http://www.sbh4all.org/current_initiatives/adolescent-sexual-health-partnership/#sthash.JMCL4gkv.dpuf

 

The  National Coalition of STD Directors is also about influencing policy…

http://www.ncsddc.org/who-we-are

NCSD is the only national organization that directly represents STD directors and as such, our members are in a unique position to influence policies and programs that serve every population affected by STDs in the United States.

In September 2016, the School-Based Health Alliance was awarded a two-year cooperative agreement from the Centers for Disease Control and Prevention (CDC), Division of Adolescent and School Health to: (1) increase collaboration between CDC and national education and public health partners to promote efforts to reduce HIV, other STDs, and unintended pregnancy, as well as reduce behaviors that contribute to health risks among adolescents that reflect the CDC-developed approach to school-based programs; (2) increase community capacity to implement the CDC-developed school-based approaches for sexual health education, key sexual health services, and safe and supportive environments for reducing HIV infection and other STDs among adolescents; and (3) increase dissemination of CDC-develop school-based approaches for sexual health education, sexual health services, and safe supportive environments. The Alliance will partner with several national organizations on this initiative, including: Advocates for Youth, the National Association of County and City Health Officials, and the National Coalition of STD Directors. Additional information about how the Alliance will help achieve the aforementioned goals is forthcoming. – See more at:

http://www.sbh4all.org/current_initiatives/adolescent-sexual-health-partnership/#sthash.8MiBni5y.dpuf

 

Take Charge provider directory Linked from CNS story about Seattle School-based health centers

http://www.hca.wa.gov/free-or-low-cost-health-care/apple-health-medicaid-coverage/take-charge-provider-directory

School-Based Health Center Improvement Project (SHCIP)

The SchoolBased Health Center Improvement Project (SHCIP) Final Report … of Albuquerque, AcademyHealth of Washington, DC, and Parametrix Group of … and ability of adolescents to take charge of their own health care as they mature.

YEHS Youth Engagement Health Surveys, etc.

https://www.colorado.gov/pacific/hcpf/school-based-health-center-improvement-project-shcip

We can help you lie to your parents, (Planned Parenthood to teens)

July 29, 2015 (LiveActionNews) — Planned Parenthood has always wanted to work with minors. They have created a market for themselves by linking up with the sex ed programs in high schools across the country. And they have worked hard to create a young, modern image across social media. They have also put a great deal of effort into driving a wedge between children and their parents.

They recently advertised their Take Charge program, a Medicaid plan to help low income women get access to birth control. The program is funded on both federal and state levels and provides family planning services including well woman exams, the morning-after pill, STD testing, and birth control.

While income requirements must be met, a child can get access to Take Charge and free birth control without her parents ever knowing, even if the child is on her parents’ health insurance.

On their website, Planned Parenthood of the Great Northwest writes to teens:

If you do not want your parents to know you’re using birth control and keep the services you receive confidential, you may apply for Take Charge. Your parents’ insurance will not be billed.

https://www.lifesitenews.com/pulse/planned-parenthood-helps-teens-lie-to-parents

 

Birth control from any device

If you are located in Washington state, you can have a video visit with a provider to discuss your birth control options including the IUD, implant, pill, patch, or ring. If you choose the pill, patch, or ring you can have it delivered in the mail. Discreet, secure, and conveniently available. Have health insurance? Your cost of care may be covered. Watch our video to see how it works. – See more at

https://www.plannedparenthood.org/get-care/birth-control-online/birth-control-online-in-washington

 

Take Charge of Your Sexual Health

http://nationalcoalitionforsexualhealth.org/tools/communicating-to-the-public/document/SexualHealthGuide-FINAL.pdf

Teen Guide to Sexual and Reproductive Health

https://www.plannedparenthood.org/files/7114/0042/4153/Taking_Care_of_You_2010_with_hyperlinks.pdf,

Washingteen Health, a program Within reach

http://washingteenhelp.org/your-health/pills-condoms-etc      

WA School Based Health Alliance: Policy and Resource Development

Our policy efforts include:

  • Working with state and local health officials to explore opportunities for government funding for school-based health care.
  • Creating new partnerships with other health and public organizations to garner their support for school-based health care and leverage resources.
  • Working with foundations, businesses, government entities, individuals and other funders to gain support, create funding opportunities and build financial sustainability for school-based health centers.
  • Collaborating with third party payers to set up billing systems so that school-based health centers can be reimbursed for the services they provide.

http://schoolhealthcare.org/index.php/our-work/policy-and-resource-development/

http://schoolhealthcare.org/

Development of Washington State Medicaid Transformation Projects List – December 2015

Prevent Unintended and Adolescent Pregnancies

Interventions:

  1. Establish a cross-sector committee to oversee implementation of this project. PHSKC is already establishing a Family Planning Access and Quality Committee to coordinate efforts, leverage existing resources and elevate practices as embodied in the King County Health and Human Services Transformation Plan this is an effort to shift away from providers in silos and crisis-oriented responses and toward a coordinated focus on prevention. 2. Expand existing local provider LARC training programs, for example, PPGNHI program could be expanded with adding additional staff capacity to reach more providers. In addition, some training needs can be leveraged utilizing the UCSF Bixby Center evidence-based training resources. 3. Develop a health education and outreach campaign tailored to the target population to increase accurate reproductive health knowledge, positive norms and access to contraceptive services.

 Potential partners, systems, and organizations: King County Family Planning Committee (PHSKC, all 6 FQHC Community Health Centers, Planned Parenthood and School-Based Health Centers); Dr. Sarah Prager (UW Dept. of OB/GYN and FP Div./Fellowship), Dr. Anne-Marie Amies Oelschlager (UW Dept. of OB/GYN); Dr. Leslie Walker (Seattle Children’s Div. of Adolescent Medicine and UW Leadership of Education in Adolescent Health), Valerie Tarico, PhD, Katharine Harkins, CNM, MPH, North Sound ACH, Jefferson County Public Health, DOH and MCO

https://www.hca.wa.gov/assets/program/waiver_tpprop_p56_011516.pdf

http://news.medicine.iu.edu/releases/2017/02/increased-access-to-reversible-contraception-decrease-unintended-pregnancies.shtml

https://www.hca.wa.gov/billers-providers/programs-and-services/school-based-health-care-services-sbhs

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Check out Olympic Resource Protection Council.


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RNC passes Resolution in Support of Western States Taking Back Public Lands


“Would it not be better to simplify the system of taxation rather than to spread it over such a variety of subjects and pass through so many new hands.” ~Thomas Jefferson

“Everyone wants to live at the expense of the state. They forget that the state lives at the expense of everyone.” ~Frederic Bastiat

“Guard with jealous attention the public liberty. Suspect every one who approaches that jewel. Unfortunately, nothing will preserve it but downright force. Whenever you give up that force, you are inevitably ruined.” ~Patrick Henry


 

The County Convention delegates, who represented you, did an great job of passing an excellent county platform and Resolutions. Our thanks to those who spent the day in hard work to get it done!


Central Committee

passes Resolution opposing and urging Clallam County Commissioners to rescind their support of the Wild Olympics

Click here to Read the Resolution and info.


Central Committee

passes Resolution to demand that Clallam County withdraw from ICLEI – Local Govts for Sustainability –

which promotes UN Agenda 21.

Click here to Read the Resolution and info.