,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #acfb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #h1 #bjai,mr4     
,te/] 7= himself & ,mr4 ,m]kley7        
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 ( increas+ ! numb]s 
( s*ool nurses 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 ,! ,national            
,association ( ,s*ool ,nurses id5tifies 
s*ools z prim>y locations to address    
/ud5t heal? issues1 s9ce a s*ool nurse  
is ! heal? c>e provid] t _m /ud5ts see  
on ! mo/ regul> basis4  7#b7 ,! ,am]ican
 ,academy ( ,p$iatrics has recogniz$ !  
crucial role t s*ool nurses play 9      
*ildr5's heal? & has call$ = hav+ a     

full-"t s*ool nurse e day & 9 e s*ool   
build+4  7#c7 ,! s*ool nurse functions z
 ! lead] & coord9ator ( ! s*ool heal?   
s]vices team1 includ+ by c>ry+ out      
*ronic disease managem5t & heal?        
promotion z well z facilitat+ access to 
a m$ical home = ea* *ild & support+     
academic a*ievem5t4  7#d7 ,s*ool nurses 
promote wellness & disease prev5tion to 
improve heal? outcomes = our ,nation's  
*ildr54 ,9 addition1 s*ool nurses p]=m  
e>ly int]v5tion s]vices su* z p]iodic   
assessm5ts = vision1 he>+1 & d5tal      
problems1 9 an ef=t to remove b>ri]s to 
le>n+4  7#e7 ,! ,am]ican ,f$]ation (    
,tea*]s has call$ = a nurse 9 e s*ool1 z
 nurses are front-l9e work]s t address  
an array ( heal? ne$s & _! pres5ce 9 a  
s*ool c help to improve /ud5t le>n+4    
7#f7 ,accord+ to #bjag data f !         
,national ,association ( ,s*ool ,nurses1
 only #ci4c p]c5t ( s*ools employ a     
full-"t s*ool nurse1 :ile #ce4e p]c5t ( 
s*ools employ a s*ool nurse only "p-"t1 
& #be4b p]c5t d n h a s*ool nurse at    

all4  7#g7 ,! ,national ,association (  
,s*ool ,nurses has report$ t m$ication  
adm9i/ration to /ud5ts is "o ( ! mo/    
common heal?-relat$ activities p]=m$ 9  
s*ool4 ,z m *ronically ill & m$ically   
un/able *ildr5 ent] ! s*ool sy/em ea*   
ye>1 ! m$ical factors t promote &       
support _! academic success increase1   
includ+ ! ne$ = m$ications t enhance    
ov]all heal? or /abilize *ronic         
conditions4  7#h7 ,national data        
indicate t betwe5 #ae & #bj p]c5t (     
*ildr5 :o sp5d _! day 9 s*ool h a *ronic
 heal? condition4  7#i7 ,accord+ to !   
,am]ican ,academy ( ,p$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 ,accord+ to ! ,dep>tm5t (
 ,education1 dur+ ! #bjac-bjad s*ool    
ye>1 #a1cfj1gdg *ildr5 enroll$ 9 public 
s*ools exp]i5c$ homelessness4 ,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#aa7 ,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  #c4
 ,increas+ ! numb] ( s*ool nurses  7a7  
,def9itions ,9 ?is section3 7#a7 ,,esea 
t]ms ,! t]ms elem5t>y s*ool1 local      
educational ag5cy1 second>y s*ool1 &    
,/ate educational ag5cy h ! mean+s giv5 
to ! t]ms 9 section #haja ( ! ,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* n less ?an
 #bj p]c5t ( ! *ildr5 are eligible to   
p>ticipate 9 ! s*ool lun* program       
e/abli%$ "u ! ,ri*>d ,b4 ,russell       
,national ,s*ool ,lun* ,act 7#db        
,u4,s4,c4 #agea et seq472  7,b7 a       
consortium ( local educational ag5cies  
describ$ 9 subp>agraph 7,a72 or  7,c7 a 
,/ate educational ag5cy 9 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    
#ae1jjj *ildr5 :o are eligible to       
p>ticipate 9 ! program describ$ 9 su*   
p>agraph2 or  7,b7 = :i* n less ?an #dj 
p]c5t ( ! *ildr5 s]v$ by ! ag5cy are    
eligible to p>ticipate 9 ! program      

describ$ 9 su* p>agraph4  7#e7 ,nurse ,!
 t]m nurse means a regi/]$ 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$    
7#a7 ,9 g5]al ,f am\nts appropriat$ to  
c>ry out ?is section1 ! ,secret>y (     
,education %all aw>d demon/ration       
grants1 on a competitive basis1 to      
eligible entities to pay ! ,f$]al %>e ( 
! co/s ( increas+ ! numb] ( s*ool nurses
 9 ! public elem5t>y s*ools & second>y  
s*ools s]v$ by ! eligible entity1 :i*   
may include hir+ a s*ool nurse to s]ve  
s*ools 9 multiple s*ool di/ricts4  7#b7 
,s,e,as ,9 ! case ( an eligible entity  
describ$ 9 subsection 7a77#c77;,c7 t    
receives a grant "u p>agraph 7#a71 su*  
entity %all use am\nts receiv$ "u !     
grant to aw>d subgrants to ! local      

educational ag5cies t are memb]s ( !    
entity1 & res]ve n m ?an #aj p]c5t ( su*
 grant funds to support /atewide        
activities to meet a v>iety ( heal?     
ne$s1 :i* may include hir+ a nurse to   
provide tra9+ & te*nical assi/ance to   
s*ools /atewide t meet ! crit]ia        
e/abli%$ 9 subsection 7d77#b77;,a74  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 numb] ( s*ool       
nurses1 /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 ag5cy1 

a consortium compos$ ( high-ne$ local   
educational ag5cies1 or a ,/ate         
educational ag5cy 9 consortium )        
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 ! local educational ag5cy or !       
consortium-memb] local educational      
ag5cies4  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 multiye> 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       
increas+ ! numb] ( s*ool nurses2 &  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 #bjbj ?r\gh
 #bjbd4