H.R. 1214: To repeal mandatory funding for school-based health center construction

H.R. 1214

To repeal mandatory funding for school-based health center construction

Date
May 3, 2011 (112th Congress, 1st Session)

Staff Contact
Communications

Floor Situation

On Tuesday, May 3, 2011, the House is scheduled to consider H.R. 1214, an Act to repeal the mandatory funding provided in the Patient Protections and Affordable Care Act for school-based health center construction.  The rule provides for one hour of debate equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce.  Additionally, the rule makes in order amendments submitted for printing in the Congressional Record on May 2, 2011, and provides for one motion to recommit with or without instructions.  The amendments printed in the Congressional Record are summarized below.   H.R. 1214 was introduced by Rep. Michael Burgess (R-TX) on March 29, 2011, and was referred to the House Committee on Energy and Commerce.

Bill Summary

H.R. 1214 would repeal section 4101(a) of the Patient Protection and Affordable Care Act, a provision appropriating funds to the Secretary of Health and Human Services for the purpose of providing grants to eligible entities to establish health centers in school-based settings.  The bill would also rescind any unobligated balances made available under the provision.

Background

According to the report from Energy and Commerce committee, section 4101(a) of the PPACA provides $50 million a year through 2014 for construction, land acquisition and other capital costs for School-Based Health Centers (SHBCs).  However, there is an express prohibition in the law on using these funds for personnel or providing health care services.  Section 4101(b) of PPACA authorized a separate discretionary grant program to provide care at these clinics.  This program was not provided mandatory funding and the President’s budget did not request any money for the grant program that actually provides care.  Providing funds for construction without funds to staff these clinics and provide health services is an incoherent policy.  H.R. 1214 would ensure that federal dollars are not wasted to build centers that may never provide care.

Cost

According to Congressional Budget Office (CBO) estimates, the bill would decrease direct spending by $100 million over the 2012-2021 period.

Amendments

Amendment No. 1—Rep. Jackson-Lee (D-TX): The amendment would direct the Secretary of Health and Human Services to post on the Department’s website a public notice of the rescission of unobligated balances under Section 4101(a) of the PPACA and the amount rescinded.

Amendment No. 2—Rep. Capps (D-CA): The amendment would require, within one year after the date of enactment, that the GAO submit to Congress a report to determine the school districts in the United States most in need of constructing or renovating school-based health centers.

Amendment No. 3—Rep. Capps (D-CA): The amendment would direct that the GAO conduct a study to determine the school districts in the United States most in need of the funding made available under section 4101(a) of PPACA if such funding were not repealed or rescinded.  The amendment would also require, within one year after the date of enactment, that the GAO submit to Congress a report setting forth the results and conclusions of the study.

Amendment No. 4—Rep. Waters (D-CA): The amendment would prevent the act from taking effect if the Secretary of Health and Human Services certifies that a significant number of public school children do not have health insurance.

Amendment No. 5—Rep. Waters (D-CA): The amendment would prevent the act from taking effect if the Secretary of Health and Human Services certifies that a significant number of public school children do not have access to primary health care facilities or services outside of school.

Amendment No. 6—Rep. Waters (D-CA): The amendment would prevent the act from taking effect if the Secretary of Health and Human Services certifies that existing school-based health centers have a demonstrable and positive impact on the educational performance or development of students.

Amendment No. 7—Rep. Waters (D-CA): The amendment would require that not later than six months after the date of the enactment of this Act, the Secretary of Health and Human Services submit to Congress a report on the number of children in public schools who do not have health insurance.

Amendment No. 8—Rep. Waters (D-CA): The amendment would require that not later than six months after the date of the enactment of this Act, the Secretary of Health and Human Services submit to Congress a report on the extent to which children in public schools are able to access primary health care facilities and services in the communities in which they live.

Amendment No. 9—Rep. Waters (D-CA): The amendment would require that not later than six months after the date of the enactment of this Act, the Secretary of Health and Human Services submit to Congress a report on the impact of school-based health centers on student achievement.

Amendment No. 10—Rep. Pallone (D-NJ): The amendment would direct the Secretary of Health and Human Services to post on the Department’s website a public notice of the rescission of unobligated balances under Section 4101(a) of the PPACA and the amount rescinded.

Amendment No. 11—Rep. Pallone (D-NJ): The amendment would prevent the act from taking effect until 100 percent of individuals in the United States who are under the age of 17 have a specified source of ongoing health care.