An Act amending the act of March 10, 1949 (P.L.30, No.14), known as the Public School Code of 1949, in school health services, providing for school-based health centers.

PRINTER'S NO. 1880
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No. 1411
Session of
2026
INTRODUCED BY STREET, PICOZZI, HUGHES, HAYWOOD, COMITTA, COSTA,
MILLER, KANE AND SCHWANK, JULY 9, 2026
REFERRED TO EDUCATION, JULY 9, 2026
AN ACT
Amending the act of March 10, 1949 (P.L.30, No.14), entitled "An
act relating to the public school system, including certain
provisions applicable as well to private and parochial
schools; amending, revising, consolidating and changing the
laws relating thereto," in school health services, providing
for school-based health centers.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of March 10, 1949 (P.L.30, No.14), known
as the Public School Code of 1949, is amended by adding a
section to read:
Section 1402.1. School-Based Health Centers.--(a) A school-
based health center shall comply with the following standards:
(1) A school-based health center:
(i) Shall be open and staffed during the regular hours of
the school facility in which the school-based health center is
located or which is near the school-based health center.
(ii) May not turn away a student due to an inability to pay.
(iii) May not decline care to a student due to insurance
status, health status or existence of a current primary health
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care provider of a student. If the student:
(A) Has a primary health care provider, the school-based
health center shall make every effort to coordinate services
with the student's primary health care provider to avoid any
duplication of services.
(B) Is covered under an insurance policy, the school-based
health center may seek reimbursement under the student's
insurance.
(2) A school-based health center shall make a complete range
of health care services available to any student who enrolls if
the student obtained parental consent, is eighteen (18) years of
age or is otherwise able to provide consent based on the laws of
this Commonwealth.
(3) When providing services by referral, a health care
provider shall minimize financial, geographical and other
barriers to the greatest extent possible.
(4) A school-based health center shall make consent forms
available to each enrolling student to obtain informed written
consent of the parent or legal guardian of the student as
required under the laws of this Commonwealth. Consent forms
shall include a complete list of the specific services provided
at the school-based health center.
(b) A health care provider, through cooperation with a
participating school, shall make written information about
school-based health center services available to parents and
legal guardians of students, including:
(1) The scope of services offered.
(2) Opt-in instructions.
(3) The ability of the school-based health center to serve
as the designated primary health care provider or provide
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services in collaboration with the student's primary health care
provider.
(4) Staffing patterns.
(c) Services provided by a school-based health center shall
be determined by, in the case of a public school, the school
board of the district or, in the case of a private school or
parochial school, the private governing body. The school board
of the school district or the private governing body shall
consider conducting an assessment of a participating school
district's, private school's or parochial school's student
population needs and shall be sensitive to:
(1) The age of students served.
(2) The racial demographics and ethnic backgrounds of
students.
(3) The availability, use and access to other school and
community resources.
(4) The size of the enrolled population of the school-based
health center.
(d) If a school establishes a school-based health center,
the school-based health center shall be integrated into the
school environment and plans and shall coordinate health care
services with school administration, teachers, the certified
school nurse, support or other school personnel and other
community providers at the school.
(e) A school-based health center, in partnership with a
participating school and other service providers at the school,
shall develop policies and systems to ensure confidentiality in
the sharing of medical information in accordance with the Health
Insurance Portability and Accountability Act of 1996 (Public Law
104-191, 110 Stat. 1936).
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(f) Except as provided in paragraph (2), the department may
promulgate regulations regarding school-based health centers to
meet the requirements of this section according to the
following:
(1) The department shall solicit input from the advisory
council and stakeholders in developing regulations under this
section.
(2) The department may not require a school district,
private school or parochial school to offer services in a
school-based health center which the school district or
governing body of the private school or parochial school has not
itself approved.
(g) The department shall establish a school-based health
center liaison position within the department who shall
facilitate communication with school-based health centers.
(h) A Statewide school-based health advisory council is
established within the department and in accordance with the
following:
(1) The advisory council shall consist of the following
members, which shall be appointed by the Governor unless
otherwise stated:
(i) Two department representatives, appointed by the
Secretary of Health.
(ii) The school-based health center liaison, established
under subsection (g).
(iii) Three experts in the field of school-based health
centers.
(iv) Two students who attend a school that established a
school-based health center.
(v) Two parents of a child of school age at a school that
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established a school-based health center.
(vi) One member of the administration of a school district
that established a school-based health center.
(vii) Two certified school nurses.
(viii) One member of the administration of a private school
or parochial school that established a school-based health
center.
(ix) Two community members of communities where a school-
based health center was established.
(x) Two health care providers who work in a school-based
health center.
(2) Members of the advisory council shall serve two-year
terms.
(3) The advisory council shall:
(i) Provide guidance on the operation and community
integration of school-based health centers.
(ii) Encourage school-based health centers to convene
advisory groups at the school level to gain nuanced insight on
each school.
(iii) Participate in the planning and development of school-
based health center policies.
(iv) Participate in the identification of emerging health
issues and appropriate interventions.
(v) Provide advocacy for the availability of school-based
health centers.
(i) (1) The department shall collect and track outcome
data, including:
(i) School-based health center utilization by:
(A) Number of students served.
(B) Visits and type of visits.
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(C) Racial and ethnic demographics of students served.
(D) Visit billing information.
(ii) Racial, ethnic and socioeconomic health disparity data.
(iii) Expansion of health insurance coverage.
(iv) Efforts to raise public and health care provider
awareness of racial and ethnic disparities in health care.
(v) Causes and interventions to reduce health disparities.
(vi) Health and academic outcomes of students.
(2) The department shall report the data collected under
paragraph (1) to the General Assembly and post the data on its
publicly accessible Internet website.
(j) As used in this section, the following words and phrases
shall have the meanings given to them in this subsection unless
the context clearly indicates otherwise:
"Advisory council." The school-based health advisory council
established under subsection (h).
"Certified school nurse." An educator holding a valid
certificate as a school nurse that is qualified to provide
information and services in school health-related areas,
including assessing, documenting and managing the health care
needs of students in pre-kindergarten through grade twelve,
including students with disabilities, and recognizing symptoms
and consequences of safety and environmental factors related to
student health.
"Complete range of services." Services permissible under law
and specifically approved by a school board of the district, in
the case of public schools, or a private governing body, in the
case of private schools and parochial schools.
"Department." The Department of Health of the Commonwealth.
"Health care provider." A person, corporation, facility,
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institution or other entity licensed, certified or approved by
the Commonwealth to provide health care or professional medical
services. The term includes a physician, podiatrist,
optometrist, psychologist, psychiatrist, physical therapist,
certified nurse practitioner, nurse midwife, physicians
assistant, chiropractor, dentist, pharmacist or an individual
accredited or certified to provide behavioral health services.
"School." A public school, private school or parochial
school.
"School-based health center." A health clinic that:
(1) Is located in or near a school facility.
(2) Is organized through school and health care provider
relationships.
(3) Provides, through licensed professionals, primary health
services to students, which may include:
(i) Social services.
(ii) Health education.
(iii) Comprehensive health assessments, including diagnosis
and treatment of minor, acute and chronic medical conditions,
immunizations and physical exams.
(iv) Referrals to and follow-up for specialty care and oral
and vision health services, mental health and substance use
disorder assessments.
(v) Crisis intervention, counseling, treatment and referral
to a continuum of mental health and substance use disorder
services, including emergency psychiatric care, risk behavior
services, community support programs, inpatient care and
outpatient programs.
Section 2. This act shall take effect in 60 days.
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