SB 135 Summary

• Establishes framework for School Based Health Centers (SBHCs) to bill private insurance before Medicaid for covered services, as required by federal government mandate.

• Requires insurance contracts to reimburse SBHCs for covered services at the average rate paid to in-network providers for identical services in Delaware.

• Prohibits SBHCs from charging co-pays or out-of-pocket fees to students, except as required by Division of Public Health regulations.

• Requires Delaware Division of Public Health to issue regulations ensuring SBHCs are integrated into the state's health care system, including rules on primary care provider reporting, vaccination promotion, and student medical information privacy.

• Takes effect six months from enactment, except for regulatory provisions which take effect immediately.