title: Key issues affecting school-based health centers and Medicaid.
abstract: Public support for establishing school-based health centers has outstripped understanding of how to pay for them in the long term. As a result, a large number of school-based health centers have been started without a clear notion of how they will be sustained. Since 1990, the number of school-based health centers has grown from an estimated 200 to almost 700. A substantial portion of these centers face staffing and service cuts if stable funding mechanisms to support school-based health centers are not put into place. This article addresses issues raised as state governments and the centers consider the possibility of patient care revenue as a component of a long-term funding strategy.
authors.affiliation: Making the Grade: State and Local Partnerships to Establish School-Based Health Centers, Washington, DC 20036, USA.
authors.forename: J G
authors.initials: JG
authors.lastname: Lear
authors.forename: L L
authors.initials: LL
authors.lastname: Montgomery
authors.forename: J J
authors.initials: JJ
authors.lastname: Schlitt
authors.forename: K D
authors.initials: KD
authors.lastname: Rickett
mesh_terms: D005380:Financing, Government / Q000191:economics / Q000458:organization & administration / Q000639:trends; D008484:Medicaid / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D012572:School Health Services / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D014481:United States