,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bbig  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #g1 #bjad ,mr4    
,te/] introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to make demon/ration grants 
to eligible local educational ag5cies or
 consortia ( 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 !  
,nurses = ,"u-,res\rc$ ,s*ools ,ev]y:]e 
,act or ! ,,nurse ,act4  #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$ications &         
treatm5ts1 & appropriate monitor+ ( !   
*ildr51 falls on ! %\ld]s (             
adm9i/rators1 educators1 & /aff :o are  
ill-prep>$ to p]=m ^! tasks4  7#f7      
,/ati/ics f ! ,national ,c5t] =         
,education ,/ati/ics indicate t #ae to  
#ah p]c5t ( ! #eb1jjj1jjj /ud5ts :o     
curr5tly sp5d _! day 9 s*ool 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$ by #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 ( pr$iabetes & diabetes       
increas$ 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 7def9$ z hav+ a body mass     
index ( great] ?an ! #he? p]c5tile74 ,9 
#bjjh1 m ?an #aj1jjj1jjj *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 & provide 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 #g1fjj1jjj *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 #a1fjj1jjj *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 ! front l9es 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 day1 sav+ tea*]s almo/ #bj m9utes 
a day1 & 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 ,det]m9+ a   
balanc$ /ud5t-to-s*ool nurse ratio by   
us+ a =mula-bas$ approa*1 tak+ into     
consid]ation ! ov]all heal? acuity ( !  
/ud5t body & ! workload ( s*ool nurses1 
(f]s a reasonable means = a*iev+ bett]  
/ud5t outcomes4  #c4  ,r$uc+            
/ud5t-to-s*ool nurse ratios  7a7        
,def9itions  ,9 ?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 ,eligible entity 
,! t]m eligible entity means-- 7,a7 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   
nurse2 or  7,b7 a consortium ( local    
educational ag5cies describ$ 9          
subp>agraph 7,a74  7#d7  ,high-ne$ local
 educational ag5cy  ,! t]m high-ne$     
local educational ag5cy means a local   
educational ag5cy describ$ 9 p>agraph   
7#c77;,a7--  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#e7 ,nurse ,! t]m nurse means a  
lic5s$ nurse1 z def9$ "u ,/ate law4     
7#f7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,education4  7#g7  ,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 is responsible4  7b7       
,demon/ration grant program au?oriz$ ,f 
am\nts appropriat$ to c>ry out ?is      
section1 ! ,secret>y ( ,education1 9    
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices & ! ,director ( ! ,c5t]s
 = ,disease ,control & ,prev5tion1 %all 
aw>d demon/ration grants1 on a          
competitive basis1 to eligible entities 
to pay ! ,f$]al %>e ( ! co/s ( r$uc+ !  
/ud5t-to-s*ool nurse ratios 9 ! public  
elem5t>y s*ools & second>y s*ools s]v$  
by ! eligible entity1 :i* may include   
hir+ a s*ool nurse to s]ve s*ools 9     
multiple s*ool di/ricts4  7c7           
,applications  7#a7 ,9 g5]al ,an        
eligible entity desir+ a grant "u ?is   
section %all submit to ! ,secret>y an   

application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7#b7 ,cont5ts ,ea* application
 submitt$ "u p>agraph 7#a7 %all include 
in=mation ) respect to ! curr5t 7z ( !  
date ( application7 /ud5t-to-s*ool nurse
 ratio1 /ud5t heal? acuity levels1 &    
workload ( s*ool nurses 9 ea* ( ! public
 elem5t>y s*ools & second>y s*ools s]v$ 
by ! eligible entity4  7d7  ,priority   
,9 aw>d+ grants "u ?is section1 !       
,secret>y %all give priority to ea*     
application submitt$ by an eligible     
entity t-- 7#a7 is a high-ne$ local     
educational ag5cy or a consortium       
compos$ ( high-ne$ local educational    
ag5cies2 &  7#b7 demon/rates-- 7,a7 !   
greate/ ne$ = new or additional nurs+   
s]vices among /ud5ts 9 ! public elem5t>y
 s*ools & second>y s*ools s]v$ by !     
ag5cy or consortium2 or  7,b7 t !       
eligible entity does n h a s*ool nurse 9
 any ( ! public elem5t>y s*ools &       
second>y s*ools s]v$ by ! eligible      
entity4  7e7 ,f$]al ,%>e2 non-,f$]al    

,%>e  7#a7 ,f$]al ,%>e ,! ,f$]al %>e ( a
 grant "u ?is section-- 7,a7 %all n     
exce$ #ge p]c5t = ea* ye> ( ! grant2 &  
7,b7 9 ! case ( a multi-ye> grant1 %all 
decrease = ea* succe$+ ye> ( ! grant1 9 
ord] to ensure ! cont9uity ( ! increas$ 
hir+ level ( s*ool nurses us+ ,/ate or  
local s\rces ( fund+ foll[+ ! conclusion
 ( ! grant4  7#b7 ,non-,f$]al ,%>e ,!   
non-,f$]al %>e ( a grant "u ?is section 
may be 9 ca% or 9-k9d1 & may be provid$ 
f ,/ate res\rces1 local res\rces1       
contributions f private organizations1  
or a comb9ation !re(4  7#c7 ,waiv] ,!   
,secret>y may waive or r$uce !          
non-,f$]al %>e ( an eligible entity     
receiv+ a grant "u ?is section if !     
eligible entity demon/rates an economic 
h>d%ip4  7f7  ,report  ,n lat] ?an #b   
ye>s aft] ! date on :i* a grant is fir/ 
made to a local educational ag5cy "u ?is
 section1 ! ,secret>y %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 7b77#a72 &  7#b7 ! impact ( 
any result+ enhanc$ heal? ( /ud5ts on   
le>n+1 su* z academic a*ievem5t1        
att5dance1 & classroom "t4  7g7         
,au?orization ( appropriations  ,!re are
 au?oriz$ to be appropriat$ to c>ry out 
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjae ?r\gh #bjai4