BP 5141.6 — SCHOOL HEALTH SERVICES

Students BP 5141.6(a)

SCHOOL HEALTH SERVICES

The Board of Education recognizes that good physical and mental health is critical to a
student's ability to learn and believes that all students should have access to
comprehensive health services. The District may provide access to health services at or
near District schools through the establishment of a school health center and/or mobile
van(s) that serve multiple campuses.

The Board and the Superintendent or designee shall collaborate with local and state
agencies and health care providers to assess the health needs of students in District
schools and the community. Based on the results of this needs assessment and the
availability of resources, the Superintendent or designee shall recommend for Board
approval the types of health services to be provided by the District.

(cf. 1400 - Relations Between Other Governmental Agencies and the Schools)
(cf. 5131.6 - Alcohol and Other Drugs)
(cf. 5131.61 - Drug Testing)
(cf. 5131.62 - Tobacco)
(cf. 5131.63 - Steroids)
(cf. 5141 - Health Care and Emergencies)
(cf. 5141.21 - Administering Medication and Monitoring Health Conditions)
(cf. 5141.22 - Infectious Diseases)
(cf. 5141.23 - Asthma Management)
(cf. 5141.24 - Specialized Health Care Services)
(cf. 5141.26 - Tuberculosis Testing)
(cf. 5141.3 - Health Examinations)
(cf. 5141.31 - Immunizations)
(cf. 5141.32 - Health Screening for School Entry)
(cf. 5141.33 - Head Lice)
(cf. 5141.4 - Child Abuse Prevention and Reporting)
(cf. 5141.52 - Suicide Prevention)
(cf. 6145.2 - Athletic Competition)
(cf. 6159 - Individualized Education Program)
(cf. 6164.6 - Identification and Education under Section 504)

Board approval shall be required for any proposed use of District resources and facilities
to support school health services. The Superintendent or designee shall identify funding
opportunities available through grant programs, private foundations, and partnerships
with local agencies and organizations.
(cf. 1260 - Educational Foundation)
(cf. 1330.1 - Joint Use Agreement)
(cf. 3100 - Budget)
(cf. 7000 - Facilities Master Plan)

The Board may prioritize school health services to schools serving students with the
greatest need, including schools with medically underserved populations and/or a high
percentage of low-income and uninsured children and youth.
 BP 5141.6(b)
SCHOOL HEALTH SERVICES (cont.)

School health services shall be provided under the supervision of a licensed health care
professional. The Board may employ or contract with health care professionals or partner
with community health centers to provide the services under the terms of a written
contract or memorandum of understanding.

(cf. 3312 - Contracts)

The Superintendent or designee shall coordinate the provision of school health services
with other student wellness initiatives, including health education, nutrition and physical
fitness programs, and other activities designed to create a healthy school environment.
The Superintendent or designee shall encourage joint planning and regular
communications among health services staff, District administrators, teachers,
counselors, other staff, and parents/guardians.

(cf. 3550 - Food Service/Child Nutrition Program)
(cf. 5030 - Student Wellness)
(cf. 6142.7 - Physical Education)
(cf. 6142.8 - Comprehensive Health Education)
(cf. 6164.2 - Counseling/Guidance Services)

Consent and Confidentiality

The Superintendent or designee shall obtain written parent/guardian consent prior to
providing services to a student, except when the student is authorized to consent to the
service pursuant to Family Code 6920-6929, Health & Safety Code 124260, or other
applicable laws.

The Superintendent or designee shall maintain the confidentiality of student health
records in accordance with law.
(cf. 5125 - Student Records)

Payment/Reimbursement for Services

The Board desires that costs not be a barrier to student access to services.

The Superintendent or designee may bill public and private insurance programs and other
applicable programs for reimbursement of services as appropriate. Services may be
provided free of charge or on a sliding scale in accordance with law.
(cf. 5143 - Insurance)

The District shall serve as a Medi-Cal provider to the extent feasible, comply with all
related legal requirements, and seek reimbursement of costs to the extent allowed by
law.
 BP 5141.6(c)
SCHOOL HEALTH SERVICES (cont.)

To further encourage student access to health care services, the Superintendent or
designee shall develop and implement outreach strategies to increase enrollment of
eligible students from low-to-moderate income families in affordable, comprehensive
state or federal health coverage programs and local health initiatives. Such strategies
may include, but not be limited to, providing information about the Medi-Cal program on
the application for free and reduced-price meals in accordance with law and providing
students and parents/guardians with information about the low-cost Healthy Families
insurance program.

(cf. 3553 - Free and Reduced Price Meals)

Program Evaluation

In order to continuously improve school health services, the Board shall evaluate the
effectiveness of such services and the extent to which they continue to meet student
needs.

The Superintendent or designee shall provide the Board with periodic reports that may
include, but not necessarily be limited to, rates of participation in school health services;
changes in student outcomes such as school attendance or achievement; measures of
school climate; feedback from staff and participants regarding program accessibility and
operations, including accessibility to low-income and linguistically and culturally diverse
students and families; and program costs and revenues.

(cf. 0500 - Accountability)

Legal Reference:
EDUCATION CODE
49073-49079 Privacy of student records
49423.5 Specialized physical health care services
49557.2-49558 Eligibility for free and reduced-price meals; sharing information with Medi-Cal
FAMILY CODE
6920-6929 Consent by minor for medical treatment
GOVERNMENT CODE
95020 Individualized family service plan
HEALTH AND SAFETY CODE
104830-104865 School-based application of fluoride or other tooth decay-inhibiting agent
121020 HIV/AIDS testing and treatment; parental consent for minor under age 12
123110 Minor's right to access health records
123115 Limitation on parent/guardian access to minor's health records
123800-123995 California Children's Services Act
124025-124110 Child Health and Disability Prevention Program
124172-124174.6 Public School Health Center Support Program
124260 Mental health services; consent by minors age 12 and older
130300-130317 Health Insurance Portability and Accountability Act (HIPAA)
WELFARE AND INSTITUTIONS CODE
14059.5 Definition of "medically necessary"
 BP 5141.6(d)
SCHOOL HEALTH SERVICES (cont.)
14100.2 Confidentiality of Medi-Cal information
14115 Medi-Cal claims process
14115.8 LEA Medi-Cal Billing Option, program guide
14124.90 Third-party health coverage
14132.06 Covered benefits; health services provided by local educational agencies
14132.47 Administrative claiming process and targeted case management
CODE OF REGULATIONS, TITLE 17
2951 Testing standards for hearing tests
6800-6874 Child Health and Disability Prevention Program
CODE OF REGULATIONS, TITLE 22
51009 Confidentiality
51050-51192 Definitions of Medi-Cal providers and services
51200 Requirements for providers
51231.2 Wheelchair van requirements
51270 Local educational agency provider; conditions for participation
51304 Limitations on specified benefits
51309 Psychology, physical therapy, occupational therapy, speech pathology, audiological services
51323 Medical transportation services
51351 Targeted case management services
51360 Local educational agency; types of services
51491 Local educational agency eligibility for payment
51535.5 Reimbursement to local educational agency providers
UNITED STATES CODE, TITLE 20
1232g Family Educational Rights and Privacy Act (FERPA)
UNITED STATES CODE, TITLE 42
1320c-9 Prohibition against disclosure of records
1397aa-1397mm State Children's Health Insurance Program
CODE OF FEDERAL REGULATIONS, TITLE 42
431.300 Use and disclosure of information on Medicaid applicants and recipients
CODE OF FEDERAL REGULATIONS, TITLE 45
164.500-164.534 Health Insurance Portability and Accountability Act (HIPAA)

Management Resources:
CALIFORNIA SCHOOL BOARDS ASSOCIATIONS PUBLICATIONS
Expanding Access to School Health Services: Policy Considerations for Governing Boards, Policy Brief,
November 2008
Promoting Oral Health for California's Students: New Role, New Opportunities for Schools, Policy Brief,
November 2008
CALIFORNIA DEPARTMENT OF EDUCATION PUBLICATIONS
Health Framework for California Public Schools, Kindergarten Through Grade Twelve
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES PUBLICATIONS
California School-Based Medi-Cal Administrative Activities Manual
LEA Medi-Cal Provider Manual
CALIFORNIA SCHOOL-BASED HEALTH ALLIANCE PUBLICATIONS
How to Fund Health Services in Your School District, September 2014
Documenting the Link Between School-Based Health Centers and Academic Success, May 2014
NATIONAL CENTER FOR YOUTH LAW PUBLICATIONS
Confidential Medical Release: Frequently Asked Questions from Schools and Districts, November 2015
WEBSITES
California School Boards Associations: www.csba.org
 BP 5141.6(e)
SCHOOL HEALTH SERVICES (cont.)
California School Boards Associations, Practi-Cal Program:
www.csba.org/ProductsAndServices/AllServices/PractiCal
California County Superintendents Educational Services Association: www.ccsesa.org
California Department of Education, Health Services and School Nursing: www.cde.ca.gov/ls/he/hn
California Department of Health Care Services: www.dhcs.ca.gov
California Department of Public Health: www.cdph.ca.gov
California School-Based Health Alliance: www.schoolhealthcenters.org
California School Nurses Organization: www.csno.org
Center for Health and Health Care in Schools: www.healthinschools.org
Centers for Disease Control and Prevention, School Health Policies and Programs (SHPPS) Study:
www.cdc.gov/HealthyYouth/shpps
Centers for Medicare and Medicaid Services: www.cms.hhs.gov
National Center for Youth Law: www.youthlaw.org

Chino Valley Unified School District
Policy adopted: August 20, 2009
Revised: April 7, 2016
Revised: April 16, 2020