Protect School Health Center Coverage

What's happening

Why it matters

1. 1

   Protects direct access to school-based health services. By keeping these services outside managed care, students on Medicaid can continue to receive care at school without new administrative hurdles or prior authorizations that managed care often introduces.

2. 2

   Helps ensure continuity of care for vulnerable students. School-based health centers often serve students in low-income or high-need communities. This bill prevents potential disruptions that could arise if these services were folded into managed care networks, which may have narrower provider panels or restrictive rules.

3. 3

   Could stabilize funding and operations for school-based health centers. By maintaining a fee-for-service payment structure, the bill may help these centers avoid payment delays or denials that sometimes occur under managed care, supporting their ability to stay open and serve students effectively.

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