Pennsylvania’s school health funding system is outdated and inequitable. We cannot continue to operate under a reimbursement structure designed in the 90s while expecting schools to meet the health challenges of the 21st century.

The reimbursement formula’s share of actual costs has declined by approximately 30%. Due to the outdated Act 25 non-categorical reimbursement structure (a flat $9.70 per average daily membership or ADM), traditional public schools struggle to meet student medical needs, and this also allows for most cyber charter schools to receive more in reimbursement than they spend on health services. These inequities need to be addressed.

While the true funding erosion since 1991 is likely far greater than 30%, my legislation takes a responsible, data-driven step forward by increasing the non-categorical reimbursement rate by 30% from $9.70 to $12.61 per ADM. This adjustment reflects documented cost growth and begins correcting decades of underfunding. But funding reform alone is not enough.

Schools are facing a worsening nurse shortage at the very moment student health needs are more complex than ever — including chronic conditions, mental health crises, and medically fragile students who require daily care.

This legislation establishes a staffing ratio of one certified school nurse for every 750 students, ensuring that every child has meaningful access to qualified medical support during the school day.

This is about student safety.This is about meeting our legal and moral obligation to protect children.

I urge you to join me in co-sponsoring this critical legislation to modernize school health funding and ensure every student has access to the care they deserve.