Affordable Care Act Case Study

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operational costs have been allocated through the Affordable Care Act (ACA), the initial appropriation of $200 million for the building and renovation of SBHCs should be an incentive to increase the number of SBHCs in public schools. Since funding has been capped at the initial appropriation level, SBHCs will have to sustain their services overtime by diligently billing
Medicaid or private insurance. However, these forms of payment often need sophisticated billing processes that can be costly to initiate. Medicaid and private insurance also prevent certain students from receiving services from SBHCs. These students include those whose parents are working for themselves or in seasonal jobs and may not be able to afford health
insurance
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Ms. Piper Largent from the National Association of School Nurses explained how nurses are often the first individuals to pick up on various health conditions within schools. While nurses are more common within schools than SBHCs, these centers are able to offer more comprehensive services such as physicals, the dispensing and prescribing of medications, and the ability to follow and monitor children with chronic illnesses. Dr. Krishna Upadyha, Assistant
Professor of Pediatrics at Johns Hopkins School of Medicine, echoed Ms. Largent and discussed how chronic illnesses such as asthma, obesity, and high blood pressure can often cause children and their parents to frequently miss school and work.4 SBHCs therefore provide an effective way for children to stay in school while still receiving the health services that they need. These centers also create a comfortable environment allowing students to feel connected to their