text: SECTION 1. SHORT TITLE.
  
       This Act may be cited as the ``Student Medical Access Raising Test 
  Scores Health Act'', or the ``SMARTS Health Act''.
  
  SEC. 2. FINDINGS.
  
       The Congress finds as follows:
              (1) The Journal of the American Medical Association reports 
          that protecting children's health requires two key elements, 
          which are (A) that a caring adult is engaged in the life of the 
          child, and (B) that there is a connection between the child and 
          his or her school.
              (2) Schools offer the most natural community setting in 
          which individuals live, work, and play. Schools are a respected 
          element of community infrastructure and are recognized as the 
          most valuable element in creating connection and support for 
          children, families, and communities.
              (3) Primary care and behavioral health services are among 
          the most important elements of a comprehensive approach to 
          promoting health and education and preventing illness in 
          children and youth.
              (4) School safety and violence prevention are critical to 
          the well-being of each student, and early intervention and 
          mental health care significantly reduce school discipline 
          problems.
              (5) Good health is a prerequisite for optimal learning, and 
          schools can help students achieve academic success by 
          participating in efforts that promote good health, including 
          access to regular medical and mental health care.
              (6) Children are experiencing increasing rates of 
          behavioral and physical illness, such as attention deficit 
          hyperactivity disorder (ADHD) and asthma and diabetes, and are 
          experiencing increasing rates of obesity that portend 
          increasing rates of diabetes, heart disease, and cancer later 
          in life.
              (7) In order to be effective, new strategies for prevention 
          must be built on community-based, community-designed, and 
          community-implemented strategies.
              (8) Effective behavioral and physical health services can 
          be provided in a school-based setting in such a way as to 
          prevent later disease.
              (9) Schools are ideal settings in which to provide care for 
          children, especially those who would otherwise have inadequate 
          access to health services. Limited access contributes directly 
          to the growing rates of disease among children. Prevention 
          strategies should be joined with treatment to develop an 
          understanding of what types of prevention can reduce rates of 
          illness, and therefore the need for treatment. Higher rates of 
          disease, even with adequate access to health services, portend 
          loss of vitality and higher complications from disease.
              (10) School-based health programs should focus on improving 
          behavioral and physical health, including with respect to 
          obesity.
              (11) By reducing the incidence of disease, effective 
          community-based prevention programs (whether through school-
          based approaches or otherwise) result in significant savings to 
          the Federal Government and to the States by reducing 
          expenditures in Federal and State health services programs. 
          Such savings should be dedicated to further prevention efforts, 
          which in turn will result in further savings. Savings that 
          result from prevention programs should not be redirected to 
          unrelated purposes, and prevention programs that achieve 
          savings should not be penalized by having their funding levels 
          reduced.
  
  SEC. 3. DEMONSTRATION GRANTS FOR EXPANSION OF SCHOOL-BASED HEALTH 
                PROGRAMS.
  
      (a) In General.--
              (1) Program of grants.--The Secretary of Health and Human 
          Services may make demonstration grants to eligible entities for 
          the purpose of expanding school-based health programs that are 
  operated by such entities.
              (2) Consultation.--The Secretary shall coordinate the 
          program under this section with the program under title XIX of 
          the Social Security Act (relating to Medicaid); the program 
          under title XXI of such Act (relating to the State children's 
          health insurance program); programs of the Substance Abuse and 
          Mental Health Services Administration; programs of the Health 
          Resources and Services Administration; programs of the Centers 
          for Disease Control and Prevention; programs of the Agency for 
          Healthcare Research and Quality; programs of the National 
          Institutes of Health; and the National Center on Minority 
          Health and Health Disparities.
      (b) Eligible Entities.--An entity is an eligible entity for 
  purposes of this Act if--
              (1) the entity is a public or nonprofit private institution 
          of higher education or a local educational agency;
              (2) the entity operates a school-based health program;
              (3) the health services provided by such program include 
          preventive health services and behavioral health services, 
          including with respect to nutrition, physical activity, and 
          otherwise preventing or treating obesity; and
              (4) such program is carried out in coordination with public 
          and nonprofit private entities in the community involved that 
          provide health, education, or social services to children.
      (c) Certain Programs.--Grants under subsection (a) shall be made 
  only to the following entities (subject to the submission of an 
  application in accordance with subsection (d) demonstrating status as 
  an eligible entity), and for the following purposes:
              (1) To the University of Maryland for expanding the school-
          based health program operated by such University in the 
          vicinity of Baltimore, in the State of Maryland.
              (2) To the local educational agency that operates a school-
          based health program in an independent school district in the 
          vicinity of Dallas, in the State of Texas, for expanding such 
          program.
              (3) To the University of New Mexico for expanding the 
          school-based health program operated by such University in the 
          State of New Mexico.
              (4) To the University of California, Los Angeles, for 
          expanding the school-based health program operated by such 
          University in the vicinity of Los Angeles, in the State of 
          California.
              (5) To the Child Study Center Outpatient Clinic, Yale 
          University, for expanding the school-based health program 
          operated by such Center in the vicinity of New Haven, in the 
          State of Connecticut.
              (6) To the University of Illinois at Chicago, for expanding 
          the school-based health program operated by such University in 
          the vicinity of Chicago, in the State of Illinois.
      (d) Application for Grant.--A grant may be made under subsection 
  (a) only if an application for the grant is submitted to the Secretary 
  and the application is in such form, is made in such manner, and 
  contains such agreements, assurances, and information as the secretary 
  determines to be necessary to carry out this section.
      (e) Outcome Goals.--In making a grant under subsection (a) for a 
  school-based health program, the Secretary shall establish goals for 
  the program in terms of health outcomes for the children served by the 
  program. Such goals shall be based on the objectives established by the 
  Secretary as part of the initiative known as Healthy People 2010, or on 
  other measures determined by the Secretary to be appropriate.
      (f) Evaluations; Report.--
              (1) Evaluations.--The Secretary, directly or through grants 
          or contracts, shall provide for evaluations of the school-based 
          programs for which grants under subsection (a) are made. Such 
          evaluations shall determine whether the programs have met the 
          applicable goals under subsection (e), and shall determine the 
          extent to which the programs have increased the access of the 
          children involved to health services, have enhanced the overall 
          health status of the children, and have reduced disease rates.
              (2) Report.--Not later than December 31, 2004, the 
          Secretary shall submit to the Congress a report that describes 
          the findings made through evaluations under paragraph (1) and 
          that provides the recommendations of the Secretary for a 
          comprehensive national program to provide grants for the 
          establishment and operation of school-based health programs, 
          including a recommendation on the amount of funds that should 
          be made available for the comprehensive national program, 
          taking into account the savings that can be achieved in Federal 
          and State health services programs by reducing the incidence of 
          disease in the populations served by the program.
      (g) Definitions.--
              (1) The term ``institution of higher education'' has the 
          meaning given such term in section 101(a) of the Higher 
          Education Act of 1965.
              (2) The term ``local educational agency'' has the meaning 
          given such term in section 9101(26) of the Elementary and 
          Secondary Education Act of 1965.
              (3) The term ``Secretary'' means the Secretary of Health 
          and Human Services.
      (h) Authorization of Appropriations.--For the purpose of carrying 
  out this section, there are authorized to be appropriated such sums as 
  may be necessary for each of the fiscal years 2003 through 2008.
target: Student Medical Access Raising Test Scores Health Act - SMARTS Health Act - Authorizes the Secretary of Health and Human Services to make demonstration grants to expand school-based health programs.Directs the Secretary to coordinate such grants program with other specified health programs.Limits the making of such grants to the following eligible entities, for expansion of the following school-based health programs: (1) the University of Maryland, for its program in the Baltimore, Maryland, vicinity; (2) the local educational agency for its program in an independent school district in the Dallas, Texas, vicinity; (3) the University of New Mexico for its program in New Mexico; (4) the University of California, Los Angeles, for its program in the Los Angeles, California, vicinity; (5) the Child Study Center Outpatient Clinic, Yale University, for its program in the New Haven, Connecticut, vicinity; and (6) the University of Illinois at Chicago, for its program in the Chicago, Illinois, vicinity.Directs the Secretary, in making such a grant, to establish goals for the program in terms of health outcomes for the children served.
feat_title: To authorize the Secretary of Health and Human Services to make demonstration grants to promote the well-being and educational achievement of children through school-based health programs.