APPENDIX F
Federal Funding Streams for Comprehensive School Health Programs

Provided by Kristine McCoy

Interagency Committee on School Health, Office of Disease Prevention and Health Promotion, U.S. Public Health Service, December 1995

Federal Programs Providing Funds Available to School Health Programs

Compiled by the Health Services Subcommittee of the Interagency Committee on School Health

This table offers basic descriptive information on federal programs providing funds for school-based or school-linked health programs. Available funding sources for training of school health professionals are also listed on this chart. In general, information on the dollar amount specifically targeted for school health programs was not available. The fixed year (FY) 1993 budget reported is for the entire program and not exclusively for the school health component.

NATIONAL COORDINATING COMMITTEE ON SCHOOL HEALTH

Member Organizations

American Academy of Family Physicians

American Academy of Pediatrics

American Alliance for Health, Physical Education, Recreation and Dance

American Association of Colleges for Teacher Education

American Association of School Administrators



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School & Health: Our Nation's Investment APPENDIX F Federal Funding Streams for Comprehensive School Health Programs Provided by Kristine McCoy Interagency Committee on School Health, Office of Disease Prevention and Health Promotion, U.S. Public Health Service, December 1995 Federal Programs Providing Funds Available to School Health Programs Compiled by the Health Services Subcommittee of the Interagency Committee on School Health This table offers basic descriptive information on federal programs providing funds for school-based or school-linked health programs. Available funding sources for training of school health professionals are also listed on this chart. In general, information on the dollar amount specifically targeted for school health programs was not available. The fixed year (FY) 1993 budget reported is for the entire program and not exclusively for the school health component. NATIONAL COORDINATING COMMITTEE ON SCHOOL HEALTH Member Organizations American Academy of Family Physicians American Academy of Pediatrics American Alliance for Health, Physical Education, Recreation and Dance American Association of Colleges for Teacher Education American Association of School Administrators

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School & Health: Our Nation's Investment American Cancer Society American College Health Association American Dental Association American Federation of School Administrators American Federation of Teachers American Heart Association American Indian Health Care Association American Lung Association American Medical Association American Nurses Association American Psychological Association American Public Health Association American Public Welfare Association American School Counselor Association American School Food Service Association American School Health Association Association of Maternal and Child Health Programs Association of State and Territorial Health Officials Council of Chief State School Officers The Council of the Great City Schools National Alliance of Black School Educators National Association for Asian and Pacific American Education National Association of City and County Health Officials National Association of Community Health Centers National Association of Elementary School Principals National Association of School Nurses National Association of Secondary School Principals National Association of School Psychologists National Association of Social Workers National Association of State Boards of Education National Coalition of Hispanic Health and Human Services Organizations National Conference of State Legislators National Education Association National Governors Association National Mental Health Association National Parents/Teachers Association National School Boards Association National School Health Education Coalition Society for Nutrition Education

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School & Health: Our Nation's Investment Title of Program Lead Agency Medicaid (Title XIX), including Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT) DHHS, HCFA, MB Family Planning Program (Title X) DHHS, OASH, OPA Adolescent Family Life (Title XX) DHHS, OASH, OPA Indian Health Service Clinical Services DHHS, IHS Critical Populations Program Adolescent Track DHHS, SAMHSA, CSAT Community Partnership Demonstration Grant Program DHHS, SAMHSA, CSAP High Risk Youth Demonstration Grant Program DHHS, SAMHSA, CSAP

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School & Health: Our Nation's Investment Brief Description Medicaid pays for health services provided to low-income individuals who meet eligibility criteria. There is a defined list of clinical services provided, including general health screenings, vision, dental, and hearing services and other medically necessary health services EPSDT is a comprehensive preventive health program for Medicaid-eligible children under age 21. Through EPSDT, Medicaid-eligible children receive periodic health screenings, as well as medically necessary diagnostic and treatment services for conditions found through the screenings FY 1994 expenditures: $979,836,854 (total Medicaid state and federal spending for children under age 21) (FY 1995 expenditures expected in May 1996) Family planning services, personnel training, and service delivery research are all supported by this program. The health services include health education, some clinical services, and family planning counseling FY 1995 Budget: $193,000,000 Provides communities with useful models of pregnancy prevention programs that promote abstinence for unmarried adolescents and deliver comprehensive care for pregnant adolescents to reduce negative outcomes. Counseling, health education, and clinical services are provided FY 1995 Budget: $6,700,000 Comprehensive health services for Native Americans in areas serviced by the Indian Health Service. Services include counseling, health education, and clinical services FY 1995 Budget: $1,800,000,000 Services for youth that use drugs. Services include counseling, health education, and limited clinical services FY 1995 Budget: $23,600,000 (for all critical populations) This program encourages the formation of community-based, public and private sector partnerships involving schools, business, industry, professional organizations, and others who will jointly sponsor long-term, comprehensive substance abuse prevention programs FY 1995 Budget: $105,000,000 Demonstration grants for innovative and effective models to prevent substance abuse. The program targets most age groups as well as parents, health education is the major health service provided FY 1995 Budget: $49,000,000

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School & Health: Our Nation's Investment Title of Program Lead Agency Youth Violence Prevention Demonstration Grant Program DHHS, SAMHSA, CSAP Adolescent Females DHHS, SAMHSA, CSAP Child/Adolescent Planning and System Development Program (formerly the Child and Adolescent Service System Program [CASSP] DHHS, SAMHSA, CMHS Center for Mental Health Services Research Project DHHS, SAMHSA, CMHS Community and Migrant Health Centers DHHS, HRSA, BPHC Healthy Schools Healthy Communities DHHS, HRSA, BPHC and MCHB Maternal and Child Health State Block Grants DHHS, HRSA, MCHB

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School & Health: Our Nation's Investment Brief Description Demonstration grants for innovative and effective models to prevent youth violence. The program targets most age groups as well as parents, health education is the major health service provided FY 1995 Budget: $2,000,000 Demonstration grants for innovative and effective models to prevent alcohol, tobacco, and other drug use and gang activity among adolescent females. The program targets most age groups as well as parents, health education is the major health service provided FY 1995 Budget: $8,200,000 Helps states and communities develop the infrastructure to provide comprehensive addressing physical, emotional, social, and educational needs), coordinated, (community-based services to children and adolescents with serious emotional disturbances FY 1995 Budget: $12,100,000 Funds treatment services for children with serious emotional disturbances where there is an infrastructure to support coordinated and comprehensive service delivery for them and their families FY 1995 Budget: $60,000,000 Comprehensive health services are provided to low-income children through community-based primary care providers. Many programs have a school-based or school-linked component. Services include counseling, health education, and clinical services FY 1995 Budget: Section 329 $65,000,000; Section 330 $616,555,000; Section 340 $5,272,000 Funds school-based health services programs, health education or promotion programs, and school health staff development programs for extremely disadvantaged communities FY 1995 Budget: $6,166,293 Ensures access to health care services for children, promotes the health of children by providing preventive and primary care services, and facilitates the development of community-based systems of services for children with special health care needs FY 1995 Budget: $572,000,000

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School & Health: Our Nation's Investment Title of Program Lead Agency Advanced Nurse Education DHHS, HRSA, BHP Nurse Practitioner/Nurse-Midwifery DHHS, HRSA, BHP Nursing Special Projects Grant Program DHHS, HRSA, BHP HIV Education Program DHHS, CDC, DASH Comprehensive School Health Program DHHS, CDC, DASH Food Labeling Education Program DHHS, FDA, FSIS Drug-Free Schools and Communities Act DOEd, OESE Elementary and Secondary Education Act (Chapter 1) DOEd, OESE Individuals with Disabilities Education Act DOEd, OSERS

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School & Health: Our Nation's Investment Brief Description Supports the development and expansion of graduate programs in nursing. Programs that have a school health focus are eligible FY 1995 Budget: $12,253,000 Provides support for educational programs that prepare nurse practitioners and nurse-midwives FY 1995 Budget: $16,943,000 Supports continuing education for nursing, including nurses that work in school health. This program also provides funds for nurse managed clinics. These funds may be used for salary, support staff, equipment, and facilities FY 1995 Budget: $10,410,000 Provides funding for all state departments of education, as well as for 18 large city departments of education, 25 national organizations, 4 city health departments, and 5 universities to help improve HIV education programs FY 1995 Budget: $38,000,000 Funds demonstration programs in 10 states to implement comprehensive school health programs FY 1995 Budget: $10,500,000 A major education campaign to help consumers use the new food label in planning a healthy diet. The federal government and public and private sector groups are producing educational materials and conducting research to help consumers understand the new food label FY 1995 Budget: school health portion not reported Provides state, local, and discretionary grants for drug abuse prevention, education, counseling, and referral services FY 1995 Budget: $502,000,000 Provides formula grants to states for compensatory education programs. Many programs support integrated service delivery, including health education and services FY 1995 Budget: $7,200,000,000 Provides health and education services at school to children with disabilities FY 1995 Budget: $3,300,000,000

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School & Health: Our Nation's Investment Title of Program Lead Agency Nutrition Education and Training USDA, FNS, NTSD Special Supplemental Food Program for Women, Infants and Children (WIC) USDA, FNS School Breakfast Program USDA, FNS National School Lunch Program USDA, FNS NOTE: BHP = Board of Health Promotion; BPHC = Board of Primary Health Care; CDC = Centers for Disease Control and Prevention; CMHS = Center for Mental Health Services; CSAT = Center for Substance Abuse Treatment; DASH = Division of Adolescent and School Health; DHHS = U.S. Department of U.S. Health and Human Services; DOEd = U.S. Department of Education; FDA = Food and Drug Administration; FNS = Food and Nutrition Services; FSIS = Food Safety and Inspection Service; HCFA = Health Care Financing Administration; HIV = human immunodeficiency virus; HRSA = Health Resources and Services Administration; IHS = Indian Health Service; MCHB = Maternal and Child Health Bureau; NTSD = Nutrition Technical Services Division; OASH = Office of the Assistant Secretary for Health; OESE = Office of Elementary and Secondary Education; OPA = Office of Population Affairs; OSERS = Office of Special Education and Rehabilitative Services; SAMHSA = Substance Abuse and Mental Health Services Administration; USDA = U.S. Department of Agriculture.

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School & Health: Our Nation's Investment Brief Description Promotes healthy eating habits for children in schools and child care facilities. Projects include in-service training and development of nutrition curricula guides FY 1995 Budget: $10,200,000 Provides supplemental foods, nutrition education, and health care referrals at no cost to low-income pregnant women, non-breastfeeding postpartum women, infants and children up to 5 years old FY 1995 Budget: $3,600,000,000 Provides low-cost and free breakfast to children in grades K-12 FY 1995 Budget: $1,000,000,000 Provides low-cost and free lunches to children in grades K-12 FY 1995 Budget: 4,500,000,000

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School & Health: Our Nation's Investment TABLE F-1 Target Population, Provided Services, and FY 1995 Budget Data of Federal Programs Providing Funds Available to School Health Programs Program Title Title XIX Title X Title XX Clinical Svcs Critical Poplns Cmnty Ptnsp Hi-Risk Yth Yth Violence Adlst Female CASSP CMHS Svcs C/MHC Agency HCFA/MB OASH/OPA OASH/OPA IHS/OHP SAM-HSA/CSAT SAM-HSA/CSAP SAM-HSA/CSAP SAM-HSA/CSAP SAM-HSA/CSAP SAM-HSA/CMHS SAM-HSA/CMHS HRSA/BPHC Target Pop. preschool X     X   X X     X   X elem. schl X     X   X X X   X X X junior high X   X X X X X X   X   X high schl X X X X X X X   X X   X college stud. X X   X   X X     X     stud.w/sp.nds X X   X               X high risk yth X X X X X X X X X X X X out of schl yth X X X X X   X         X faculty/staff   X     X             X parents   X X X X             X community   X   X X             X other X X     X     X X X X   Hith Svcs. Counseling X X X X X X X X X X X X Hith Guidance X X X X X X X X X X   X Screening X     X               X Immunizations X     X               X First Aid X     X               X Physical Exam X X X X               X Diag and Refer X X X X X X X X X X X X Diag, Trtmnt, F/u X X X X X X X X X X X X Dental X     X               X Other X X         X   X X   X Health Ed. small group   X X   X             X classroom   X X X X             X Training faculty/staff                       X Funding FY 95 Budget                         In dollars ($) 980 M* 193 M 6.7 M 1.8 B 23 M 105.0 M 49.0 M 2.0 M 8.2 M 12.1 M 60.0M N/A * Denotes FY 94 expenditures; FY 95 expenditures expected May 1996.

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School & Health: Our Nation's Investment Program Title HSHC MCH Bik Grts Adv. Nurse Ed. NP/Mid-wifery Nursing Proj. HIV Ed. CSHP Food Label Drug-Free Schls Chap 1 IDEA Agency HRSA HRSA/MCHB HRSA/BHP HRSA/BHP HRSA/BHP CDC/DASH CDC/DASH FDA/FSIS DOEd/OESE DOEd/OEsE DOEd/OSERS Target Pop preschool   X               X   elem. schl X X       X X X X X X junior high X X       X X X X X X high schl X X       X X X X X X college stud.           X           stud.w/sp.nds   X       X X   X X X high risk yth X X       X X   X X   out of schl yth   X       X X         faculty/staff           X X         parents           X X X       community           X X         other X                     Hith Svcs Counseling X X             X     Hith Guidance X X               X   Screening X X                   Immunizations X X                   First Aid X X                   Physical Exam X X                   Diag./Ref. X X             X     Diag/Trt/FU X X                   Dental X X                   other X X                   Health Ed. small group X                     classroom X         X X   X     Training faculty/staff X X X X X X X   X X   Funding FY 95 Budget                       in dollars ($) 6.2 M 572 M 12.3 M 16.9 M 10.4 M 38 M 10.5 M N/A 502.0 M 7.2 B 3.3 B

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School & Health: Our Nation's Investment Program Title NET WIC Schl Break Schl Lunch Agency USDA/FNS USDA/FNS USDA/FNS USDA/FNS Target Pop preschool X X     elem. schl X   X X junior high X X X X high schl X X X X college stud.   X     stud.w/sp.nds   X X X high risk yth         out of schl yth         faculty/staff X       parents   X     community         other         Hith Svcs Counseling         Hith Guidance   X     Screening         Immunizations         First Aid         Physical Exam         Diag./Ref.         Diag/Trt/FU         Dental         other         Health Ed. small group   X     classroom X       Training faculty/staff         Funding FY 95 Budget         in dollars ($) 10.2 M 3.6 B 1.0 B 4.5 B