2019 Policy Priorities
Develop new funding and partnership opportunities for SBHCs through collaboration with state leadership and state health and education agencies.
CSHA will work with state agencies and new state leadership to strengthen internal capacity and support for school-based health services, including hiring new staff, collaborating across agencies, improving communication to schools, and expanding current programs. Specifically, we will advocate for the state to fully implement the federal government’s change to the free care rule and to support Local Education Agencies (LEAs) as they increase reimbursement for non-special education health services. We will support ongoing collaboration between DHCS and CDE to maximize support for school health services, specifically School Medicaid. And we will continue to advocate for state funding for these agencies (i.e. funding for staff positions and/or expansion grants) to support SBHCs.
Increase resources for and reduce barriers to implementing school-based behavioral health services.
CSHA will continue to develop expertise and accessible resources about various strategies for providing and financing school behavioral health, inclusive of substance use prevention, trauma-informed, and early intervention practices as well as school climate work to address vicarious trauma. We will advocate for more funding and better utilization of existing funding that supports trauma-informed, youth-empowering, and multi-tiered school behavioral health services. We will advocate for decreasing barriers to accessing behavioral health services, including increasing flexibility of funding and services and decreasing enrollment and access requirements. We will advocate for Prop 63 and Prop 64 funding to prioritize school-based interventions and partnerships.
Integrate SBHCs and schools into health system transformations and financing.
The unique preventive, outreach, navigation, and support services that SBHCs provide are exactly the type of patient-centered services emphasized as part of health care reform. We will continue to advocate for the integration of the school-based health model into a broader health delivery system, including funding for school-based health as part of the delivery system. We will advocate for the inclusion of SBHCs in efforts to address social determinants of health, preventive screenings (i.e. asthma and trauma/adverse childhood experiences), value-based contracting, and strengthen relationships between SBHCs, health plans, and hospitals.
Advocate for school and health care settings that protect immigrant students and families.
Attacks on immigrant communities have a negative impact on students, whether documented or not. Schools and SBHCs can play a significant role in protecting students and ensuring they experience schools and SBHCs as safe-havens. CSHA staff will work with partners to ensure schools and SBHCs implement policies to protect vulnerable students and their families. We will ensure our field has the tools and resources to respond to changing policies impacting immigrant patients and students. We will also increase the advocacy capacity of our statewide school-based health field to protect and advance safe-haven/sanctuary policies in schools.