I
112th CONGRESS
1st Session
H. R. 2229
IN THE HOUSE OF REPRESENTATIVES
June 16, 2011
Mrs. McCarthy of New York (for herself, Mrs. Capps, Mr. Farr, Ms. Norton, Mr. Jackson of Illinois, Ms. Bordallo, Ms. Moore, Mr. Hinchey, Mr. Pascrell, and Mr. Holt) introduced the following bill; which was referred to the Committee on Education and the Workforce, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
A BILL
To make demonstration grants to eligible local educational agencies for the purpose of reducing the student-to-school nurse ratio in public elementary schools and secondary schools.
Short title
This Act may be cited as the
Student-to-School Nurse Ratio
Improvement Act of 2011
.
Findings
The Congress finds the following:
The American Academy of Pediatrics emphasizes the crucial role school nurses have in the seamless provision of comprehensive health services to children and youth, as well as in the development of a coordinated school health program.
The school nurse functions as a leader and the coordinator of the school health services team, facilitating access to a medical home for each child and supporting school achievement.
Recent national data indicates 45 percent of public schools have a school nurse all day, every day, while another 30 percent of schools have a school nurse who works part time in 1 or more schools.
The American Nurses Association has reported that when there is no registered nurse on the school premises, the responsibility to administer the necessary medications and treatments, and appropriate monitoring of the children falls on the shoulders of administrators, educators, and staff who are ill-prepared to perform these tasks.
Statistics from the National Center for Educational Statistics indicate that of the 52,000,000 children who currently spend their day in schools, 16 percent have chronic physical, emotional, or other health problems.
A recent study indicated that from 2002 to 2008, the percentage of children in special education with health impairments, due to chronic or acute health problems, increased 60 percent. Within this group, the rate of autism has doubled since 2002.
A 40-percent increase in asthma has been seen in the past 10 years, along with nearly 50-percent increase in the incidence of diabetes in the same time period.
According to the American Academy of Pediatrics, students today face increased social issues as well as the need for preventative services and interventions for acute and chronic health issues.
The Centers for Disease Control and Prevention report that the percentage of children without health insurance was 8.9 percent in 2008, and with over 1,300,000 homeless children in the United States, schools have become the only source of health care for many children and adolescents.
Communicable and infectious diseases account for millions of school days lost each year. There is reported evidence that school nurses have a positive impact on immunization rates, with fewer parent requested exemptions.
A recent study showed that students with health concerns attended to by school nurses were able to return to class 95 percent of time, while students attended to by nonlicensed staff were only able to return to class 82 percent of the time.
Using a formula-based approach for determining a balanced student-to-school nurse ratio offers a reasonable means for achieving better student outcomes.
Reducing student-to-school nurse ratios
Demonstration grants
In general
The Secretary of Education, in consultation with the Secretary of Health and Human Services and the Director of the Centers for Disease Control and Prevention, may make demonstration grants to eligible local educational agencies for the purpose of reducing the student-to-school nurse ratio in public elementary schools and secondary schools.
Application
To receive a grant under this section, an eligible local educational agency shall submit to the Secretary of Education an application at such time, in such manner, and containing such information as the Secretary of Education may require, which shall include information with respect to the current ratios of students-to-school nurses in each of the public elementary secondary and secondary schools served by the agency.
Priority
In awarding grants under this section, the Secretary of Education shall give priority to applications submitted by high-need local educational agencies that demonstrate the greatest need for new or additional nursing services among students in the public elementary secondary and secondary schools served by the agency.
Matching funds
The Secretary of Education may require recipients of grants under this section to provide matching funds from non-Federal sources, and shall permit the recipients to match funds in whole or in part with in-kind contributions.
Report
Not later than 24 months after the date on which a grant is first made to a local educational agency under this section, the Secretary of Education shall submit to the Congress a report on the results of the demonstration grant program carried out under this section, including an evaluation—
of the effectiveness of the program in reducing the student-to-school nurse ratios described in subsection (a)(1); and
of the impact of any resulting enhanced health of students on learning.
Definitions
For purposes of this section:
The terms elementary school, local educational agency, poverty line, and secondary school have the meanings given to those terms in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).
The term eligible local educational agency means a local educational agency in which the student-to-school nurse ratio in each public elementary and secondary school served by the agency is 750 or more students to 1 school nurse.
The term high-need local educational agency means a local educational agency—
that serves not fewer than 10,000 children from families with incomes below the poverty line; or
for which not less than 20 percent of the children served by the agency are from families with incomes below the poverty line.
The term nurse means a licensed nurse, as defined under State law.
Authorization of appropriations
There are authorized to be appropriated such sums as may be necessary to carry out this section for each of the fiscal years 2012 through 2016.