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brief was produced with generous support from the Association of State and Territorial Health Officials, Kaiser Permanente, School Health Corporation and the William and Flora Hewlett Foundation. The views expressed here were developed independently and do not necessarily reflect the views of these funders.  \nThe Healthy Students, Promising Futures Learning Collaborative informed the development of this brief. Healthy Schools Campaign convenes the Learning Collaborative with the goal of creating healthier students by increasing Medicaid services in schools and promoting safe and supportive school environments. Fifteen cross-sector state teams currently participate in the Learning Collaborative; members include representatives from state education agencies, state Medicaid agencies, school districts, public health agencies, and state and local advocates.  \nAuthors  \nAlex Mays, Healthy Schools Campaign  \nLena O’Rourke, on behalf of Healthy Schools Campaign  \nEditors  \nChristine Cupaiuolo, on behalf of Healthy Schools Campaign  \nDesigner  \nAnne Moertel, on behalf of Healthy Schools Campaign  \nHealthy Schools Campaign  \nHealthy Schools Campaign (HSC) works to ensure that all students have access to healthy school environments, including nutritious food, physical activity and essential health services, so they can learn and thrive.  \nThis report was prepared by Healthy Schools Campaign, which is solely responsible for the views expressed. This work is licensed under a Creative Commons Attribution 4.0 International License.  \nPhotos by Allison Shelley for American Education: Images of Teachers and Students inAction  \nNOTE FROM THE AUTHORS  \nOur research on the delivery of school-based health services during the COVID-19 pandemic has led to an indisputable conclusion: The country is failing students in lowincome communities who depend on their local schools for physical, behavioral and mental healthcare.  \nThe current patchwork delivery structure causes access disparities both among and within states. Some school districts have resources but are restrained by rules. Other districts lack funds and guidance to address the increased health needs of students in their homes. Many are unable to ensure that students who are medically frail can safely return when buildings reopen.  \nWe believe that the strategies we have identified and the recommendations that follow can improve healthcare access and outcomes. Yet we also acknowledge that neither is achievable unless state and federal policymakers treat this as a public health emergency. Immediate action is needed to address funding and regulatory barriers that make it difficult, if not impossible, for schools to meet student health needs. And in those places where the flexibility already exists, our recommendations lean on policymakers to make the choice to accelerate best practices.  \nSchools are in the midst of a crisis with no clear end. Reopening school buildings places increased demand on school health professionals, especially given the role they are expected to play to mitigate the effects of the pandemic. Many school districts historically have lacked adequate staffing to meet basic student health needs—at least half of all public schools don’t have a dedicated school nurse or counselor, let alone the number of providers needed to address health issues related to isolation, decreased family income and COVID-related family illness or death.  \nThis makes it more urgent than ever for states to leverage education, Medicaid and public health funding to ensure schools have an adequate number of health providers in place. Counties and states also need to develop a coordinated approach that maximizes available funding and resources.  \nWithout a national plan for safely reopening schools, states and school districts are managing the best they can with the resources they have. Th","cbCaidWZtmvAZHmm","https://ap.wps.com/l/cbCaidWZtmvAZHmm","pdf",991623,22,"English","# Note from the Authors\n# Introduction\n# Federal and State-Level Responses to COVID-19","[{\"question\":\"What problem does the brief identify about school-based health services during school closures?\",\"answer\":\"The brief finds that the country is failing students in low-income communities who rely on schools for physical, behavioral, and mental healthcare, with disrupted delivery during COVID-19 and uneven recovery during reopening.\"},{\"question\":\"How did policymakers enable remote delivery of school health services?\",\"answer\":\"State and federal decision-makers issued policy and regulatory adjustments allowing school-based providers to deliver services remotely and ensuring payment systems, including Medicaid, supported reimbursement.\"},{\"question\":\"What is the brief’s main call for action?\",\"answer\":\"It urges immediate action to address funding and regulatory barriers so schools can secure adequate health providers, and it asks policymakers to accelerate best practices where flexibility already exists.\"}]","PROVIDING HEALTH SERVICES DURING SCHOOL CLOSURES - Lessons Learned + Recommendations for Action | PDF",1792051807,55]