Federal Policies


Many federal agencies including the Department of Education, the Centers for Medicare and Medicaid Services (CMS), the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Disease Control and Prevention (CDC) are supporting the expansion of Medicaid services in schools and the creation of safe and supportive school environments. Federal agencies support this work through several mechanisms, including providing direct funding to local and state agencies, funding research and disseminating evidence, creating guidance documents, establishing learning networks, and through other technical assistance opportunities.

Federal policies and programs can also support states and localities in building the cross-sector infrastructure needed to implement evidence-based programs and practices–including professional development and workforce solutions. 

For more information on federal financing opportunities or the free care policy reversal, see the Financing and Free Care Policy topic pages.

Federal Policy Resources

resources Leveraging the Every Student Succeeds Act to Support Student Health and Wellness in Tennessee
2020 Tennessee

This case study highlights Tennessee’s work to leverage the nation’s education law, the Every Student Succeeds Act (ESSA), to support the critical connection between health and learning. Tennessee’s inclusion of health and wellness in its ESSA plan and the guidance developed to support district-level implementation provide best practices and lessons learned for states striving to support student health and wellness through education policy and practice.

resources Opportunities in Medicaid to Improve Access to Behavioral Health Care for Children and Youth
July 16, 2019 Presentation PDF

Kirsten Beronio, Centers for Medicare and Medicaid Services

resources Understanding the Role of Random Moment Time Study in School Based Medicaid Programs
July 16, 2019 Presentation PDF

Melinda Hollinshead, Public Consulting Group

resources PS18-1807 Program Guidance: Guidance for School-Based HIV/STD Prevention

This guidance is based on scientific literature and expert input about what is most likely to be effective in reducing risk for HIV infection and other STDs among adolescents and is intended for use by funded local education agencies and organizations.

resources Additional CMS Data and Oversight Needed to Help Ensure Children Receive Health Care Services

GAO was asked to examine the extent to which Medicaid beneficiaries aged 20 and under receive health care services under the EPSDT benefit. The report offers six recommendations to CMS for improving oversight of beneficiaries’ receipt of necessary services and screenings.

resources Pain in the Nation Update

The brief includes state-specific data and federal, state and local policy actions to prevent deaths from alcohol, drugs, and suicide.

resources Health in All Policies: Exploring the Role of Three Federal Departments in Influencing Health

This report explores how three executive branch departments-the U.S. Department of Education, U.S. Department of Treasury, and U.S. Department of Labor-currently implement a Health in All Policies approach. The report includes recommendations around increasing access to school health providers.

resources Expanding Substance Use Prevention and Early Intervention in Schools: A Toolkit

This toolkit provides information and resources to mobilize communities to expand school-based services for substance use prevention and early intervention.

resources Examining Chronic Absence through a Student Health Lens

This policy update highlights actions state education decision-makers can take to address the health-related causes of chronic absence.

resources Understanding Medicaid Reimbursement in the School Setting

"Presentation delivered by CMS for the Healthy Students, Promising Futures Learning Collaborative providing an overview of Medicaid reimbursement in the school setting. The presentation addresses issues including the free care policy, certified public expenditures and telehealth.