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Sustain school health centers with continued county operational funding alongside new billing initiatives

Design · All designs
Evidence · 1 claim (1 for) · 1 study (1 design), q2 · 0 of 1 report an effect size · 1 claim rests on one study

Description

The report concludes that new billing revenues cannot by themselves sustain school health centers: "New funding through the CYBHI's Fee Schedule and CalAIM's ECM benefit do not offer an obvious pathway to replace the county's investment in SHCs with operational funds." County operational funds play a critical role in sustaining SHC staffing models, and most county-funded personnel have little or no billing pathway. The report recommends that Healthy Schools and Communities identify other sustainability strategies, new partners, or expanded county funds to maintain operations.

Design Implications

Context

Requirements

  • Continued county operational grants or alternative sustainability strategies and new partners to maintain current SHC capacity

Constraints

  • Lead agencies face workforce shortages and are navigating multiple reforms simultaneously; SHCs cannot adopt state initiatives without support and buy-in from lead agency decision-makers

Target Learners

  • Children and youth served by Alameda County school health centers

Learning Goals

  • Sustained access to school-based health and behavioral health services supporting student well-being and attendance

Claims

Examples

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Key Sources

  • Eisenberg, L., Sabalburo, E., & Ford, J. (2025). Navigating a sea of reforms: Sustaining school health centers through statewide initiatives. Alameda County Health, Healthy Schools and Communities. https://WestEd.org
Page metadata
Field Value
type design
id sustain-shcs-county-base-alongside-billing-initiatives
title Sustain school health centers with continued county operational funding alongside new billing initiatives
description The report concludes that new billing revenues cannot by themselves sustain school health centers: "New funding through the CYBHI's Fee Schedule and CalAIM's ECM benefit do not offer an obvious pathway to replace the...
status review
generated by process:settle-candidates on 2026-10-09
trust unverified — no one has confirmed this page's content
sources 1 — eisenberg-2025

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