,i #aac? ,,congress #a/ ,session ,h4 ,r4 #aheg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #g1 #bjac ,mrs4 ,mc,carthy ( ,new ,york introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,education & ! ,work=ce1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to make demon/ration grants to eligible local educational ag5cies = ! purpose ( r$uc+ ! /ud5t-to-s*ool nurse ratio 9 public elem5t>y s*ools & second>y s*ools4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/ud5t-to-,s*ool ,nurse ,ratio ,improvem5t ,act ( #bjac4 #b4 ,f9d+s ,! ,congress f9ds ! foll[+3 7#a7 ,! ,am]ican ,academy ( ,p$iatrics emphasizes ! crucial role ( s*ool nurses 9 ! seamless provision ( compreh5sive heal? s]vices to *ildr5 & y\?1 z well z 9 ! developm5t ( a coord9at$ s*ool heal? program4 7#b7 ,! s*ool nurse functions z a lead] & ! coord9ator ( ! s*ool heal? s]vices team1 facilitat+ access to a m$ical home = ea* *ild & support+ academic a*ievem5t4 7#c7 ,s*ool nurses promote wellness & disease prev5tion to improve heal? outcomes = our ,nation's *ildr54 ,9 addition1 s*ool nurses p]=m e>ly int]v5tion s]vices su* z p]iodic assessm5ts = vision1 he>+1 & d5tal problems1 9 an ef=t to remove b>ri]s to le>n+4 7#d7 ,rec5t national data indicates #de p]c5t ( public s*ools h a s*ool nurse all day1 e day1 :ile ano!r #cj p]c5t ( s*ools h a s*ool nurse :o works "p "t 9 "o or m s*ools4 7#e7 ,! ,am]ican ,nurses ,association has report$ t :5 !re is no regi/]$ nurse on ! s*ool premises1 ! responsibility to adm9i/] ! necess>y m$ications & treatm5ts1 & appropriate monitor+ ( ! *ildr5 falls on ! %\ld]s ( adm9i/rators1 educators1 & /aff :o are ill-prep>$ to p]=m ^! tasks4 7#f7 ,/ati/ics f ! ,national ,c5t] = ,educational ,/ati/ics indicate t ( ! #eb1jjj1jjj /ud5ts :o curr5tly sp5d _! day 9 s*ools1 #ae to #ah p]c5t ( *ildr5 & adolesc5ts h a *ronic heal? condition4 7#g7 ,a rec5t /udy indicat$ t f #bjjb to #bjjh1 ! p]c5tage ( *ildr5 9 special education ) heal? impairm5ts1 due to *ronic or acute heal? problems1 increas$ #fj p]c5t4 ,s*ool nurses use _! specializ$ k1 assessm5t skills1 & judgm5t to manage *ildr5's increas+ly complex m$ical conditions & *ronic heal? illnesses4 7#h7 ,among adolesc5ts ag$ #ab to #ai ye>s old1 ! preval5ce ( pre-diabetes & diabetes increas$ f #i p]c5t to #bc p]c5t betwe5 #aiii & #bjjh4 ,m ?an #cj p]c5t ( *ildr5 ag$ #b to #ai ye>s old are obese or ov]weight 7#he? p]c5tile74 ,9 #bjjh1 m ?an #aj million *ildr5 9 ! ,unit$ ,/ates _h a/hma4 ,! preval5ce ( food all]gies among *ildr5 "u ! age ( #ah increas$ #ai p]c5t f #aiig to #bjjg4 7#i7 ,accord+ to ! ,am]ican ,academy ( ,p$iatrics1 /ud5ts today face increas$ social & emotional issues1 :i* enhance ! ne$ = prev5tive s]vices & int]v5tions = acute & *ronic heal? issues4 ,s*ool nurses are actively engag$ memb]s ( s*ool-bas$ m5tal heal? teams & sp5d ne>ly #cb p]c5t ( _! "t provid+ m5tal heal? s]vices1 includ+ univ]sal & t>get$ int]v5tions1 scre5+s to id5tify e>ly w>n+ signs & ref]rals to m$ical provid]s1 & crisis plann+4 7#aj7 ,9 #bjaa1 ! ,bureau ( ! ,c5sus report$ #i4g p]c5t ( *ildr5 "u ! age ( #ai1 :i* equals #g4f million *ildr5 "u ! age ( #ai1 7 )\t heal? insurance4 ,data %[s t un9sur$ *ildr5 a*ieve l[] educational outcomes ?an ^? ) heal? cov]age4 ,*ildr5 :o _c af=d to see a m$ical provid] miss m days ( s*ool1 exp]i5ce increas$ sev]ity ( illness1 & suff] f disp>ities 9 heal?4 7#aa7 ,m ?an #a4f million *ildr5 exp]i5ce homelessness ea* ye> 9 ! ,unit$ ,/ates4 ,homeless *ildr5 develop increas$ rates ( acute & *ronic heal? conditions1 & ! /ress ( _! liv+ situation c negatively affect _! developm5t & ability to le>n4 ,z a result1 s*ools h become ! prim>y access to heal? c>e = _m *ildr5 & adolesc5ts4 ,s*ool nurses s]ve on ! frontl9es z a safety net = ! ,nation's mo/ vuln]able *ildr54 7#ab7 ,communicable & infecti\s diseases acc\nt = millions ( s*ool days lo/ ea* ye>4 ,data illu/rate t :5 /ud5ts h access to a regi/]$ nurse 9 s*ool1 immunization rates increase4 7#ac7 ,a #bjaa /udy %[$ t a s*ool nurse 9 ! build+ saves pr9cipals1 tea*]s1 & cl]ical /aff a consid]able am\nt ( "t t !y w\ld h sp5t address+ heal? conc]ns ( /ud5ts1 includ+ sav+ pr9cipals almo/ an h\r a day2 sav+ tea*]s almo/ #bj m9utes a day2 & sav+ cl]ical /aff m ?an #de m9utes a day4 ,?is w\ld am\nt to a sav+s ( ab\t #ac h\rs p] day 9 ! aggregate = su* s*ool p]sonnel4 7#ad7 ,us+ a =mula-bas$ approa*1 tak+ into consid]ation ! ov]all heal? acuity ( ! /ud5t body & ! workload ( s*ool nurses1 = det]m9+ a balanc$ /ud5t-to-s*ool nurse ratio (f]s a reasonable means = a*iev+ bett] /ud5t outcomes4 #c4 ,r$uc+ /ud5t-to-s*ool nurse ratios 7a7 ,demon/ration grants 7#a7 ,9 g5]al ,! ,secret>y ( ,education1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may make demon/ration grants to eligible local educational ag5cies = ! purpose ( r$uc+ ! /ud5t-to-s*ool nurse ratio 9 public elem5t>y s*ools & second>y s*ools4 7#b7 ,application ,to receive a grant "u ?is section1 an eligible local educational ag5cy %all submit to ! ,secret>y ( ,education an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 :i* %all include in=mation ) respect to ! curr5t ratios ( /ud5ts-to-s*ool nurses1 /ud5t heal? acuity levels1 & workloads ( s*ool nurses 9 ea* ( ! public elem5t>y s*ools & second>y s*ools s]v$ by ! ag5cy4 7#c7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y ( ,education %all give priority to applications submitt$ by high-ne$ local educational ag5cies t demon/rate ! greate/ ne$ = new or additional nurs+ s]vices among /ud5ts 9 ! public elem5t>y second>y & second>y s*ools s]v$ by ! ag5cy4 7#d7 ,mat*+ funds ,! ,secret>y ( ,education may require recipi5ts ( grants "u ?is section to provide mat*+ funds f non-,f$]al s\rces1 & %all p]mit ! recipi5ts to mat* funds 9 :ole or 9 "p ) 9-k9d contributions4 7b7 ,report ,n lat] ?an #bd mon?s aft] ! date on :i* a grant is fir/ made to a local educational ag5cy "u ?is section1 ! ,secret>y ( ,education %all submit to ! ,congress a report on ! results ( ! demon/ration grant program c>ri$ out "u ?is section1 includ+ an evaluation-- 7#a7 ( ! effectiv5ess ( ! program 9 r$uc+ ! /ud5t-to-s*ool nurse ratios describ$ 9 subsection 7a77#a72 & 7#b7 ( ! impact ( any result+ enhanc$ heal? ( /ud5ts on le>n+1 su* z academic a*ievem5t1 att5dance1 & classroom "t4 7c7 ,def9itions ,= purposes ( ?is section3 7#a7 ,,esea t]ms ,! t]ms elem5t>y s*ool1 local educational ag5cy1 pov]ty l9e1 & second>y s*ool h ! mean+s giv5 to ^? t]ms 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#b7 ,acuity ,! t]m acuity1 :5 us$ ) respect to a level1 means ! level ( a pati5t's sickness1 su* z a *ronic condition1 :i* influ5ces ! ne$ = nurs+ c>e4 7#c7 ,workload ,! t]m workload1 :5 us$ ) respect to a nurse1 means ! am\nt ( "t ! nurse takes to provide c>e & complete ! o!r tasks = :i* ! nurse may be responsible4 7#d7 ,eligible local educational ag5cy ,! t]m eligible local educational ag5cy means a local educational ag5cy 9 :i* ! /ud5t-to-s*ool nurse ratio 9 ea* public elem5t>y & second>y s*ool s]v$ by ! ag5cy is #gej or m /ud5ts to #a s*ool nurse4 7#e7 ,high-ne$ local educational ag5cy ,! t]m high-ne$ local educational ag5cy means a local educational ag5cy-- 7,a7 t s]ves n few] ?an #aj1jjj *ildr5 f families ) incomes bel[ ! pov]ty l9e2 or 7,b7 = :i* n less ?an #bj p]c5t ( ! *ildr5 s]v$ by ! ag5cy are f families ) incomes bel[ ! pov]ty l9e4 7#f7 ,nurse ,! t]m nurse means a lic5s$ nurse1 z def9$ "u ,/ate law4 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is section = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4