EXECUTIVE ORDER MJF 96-74

School Based Health Clinic Task Force


WHEREAS: the school based health care program, known as the adolescent school health initiative, operates under the direction of the Office of Public Health within the Department of Health and Hospitals, pursuant to R.S. 40:31.3;

WHEREAS: school based health clinics (hereafter "SBHC") were created under this program;

WHEREAS: the number of SBHC have expanded from the three clinics in two parishes in 1987, to 15 clinics in 10 parishes in 1996, each of which is overseen by a local advisory council that consists of parents, medical professionals, and community members;

WHEREAS: the Louisiana Legislature has provided $2.65 million in funding for SBHC in its 1996-97 fiscal budget; and

WHEREAS: some members of the Louisiana Legislature and the public-at-large have questioned whether the medical services provided by SBHC are an unnecessary duplication of the services already available to low-income families who are Medicaid eligible or an unnecessary service for middle income families, and whether there are negative aspects of the program which could be eliminated without detrimentally affecting the effectiveness of SBHC;

NOW THEREFORE I, M.J. "MIKE" FOSTER, JR., Governor of the State of Louisiana, by virtue of the Constitution and laws of the State of Louisiana, do hereby order and direct as follows:

SECTION 1: An advisory task force known as the School Based Health Clinic Task Force (hereafter "task force") shall be created and established within the Executive Department, Office of the Governor.

SECTION 2: The primary objectives and duties of the Task Force are to develop and recommend a uniform parental consent form which takes into consideration public mores, the concerns of the community, and the needs of adolescent students to have appropriate medical attention or counseling; and to evaluate the types of services offered by SBHC, advise whether the services offered by SBHC adequately meet the needs of the adolescent students they serve, recommend whether any services offered by the SBHC should be limited or eliminated, and evaluate whether any services offered by SBHC are unnecessary because they duplicate other public services. As an additional primary objective and duty, the task force shall make recommendations regarding the type of counseling which may be provided to adolescent students at SBHC, giving due consideration to the needs of the students and the parameters placed on school curricula by R.S. 17:281(A)(3) and (4) which promote and encourage sexual abstinence between unmarried persons.

SECTION 3: The secondary objectives and duties of the task force shall be to propose Adolescent School Health Initiative Program guidelines relative to the staffing and conduct of personnel employed at SBHC; and to recommend whether SBHC should be licensed and, if so, propose licensing criteria and guidelines.

SECTION 4: The task force shall prepare and submit a report to the governor on the progress and/or fulfillment of its primary objectives and duties, no later than March 15, 1997, and on the progress and/or fulfillment of its secondary objectives and duties, no later than May 15, 1997.

SECTION 5: The members of the advisory task force shall be appointed by and serve at the pleasure of the governor. The membership of the task force shall be selected from the following:

  • A. the secretary of the Department of Health and Hospitals, or the secretary's designee;

  • B. the assistant secretary, Office of Public Health, Department of Health and Hospitals, or the assistant secretary's designee;

  • C. the director of Adolescent and School Health, Office of Public Health, Department of Health and Hospitals, or the director's designee;

  • D. the president of the Senate, or the president's designee selected from the membership of the Senate;

  • E. the speaker of the House of Representatives, or the speaker's designee selected from the membership of the House;

  • F. a member of a school board in a school system which has at least one SBHC;

  • G. a member of a school board in a school system which applied for acceptance to the School Based Health Center program, but voluntarily withdrew its application after investigating the program or conducting public meetings on the issue;

  • H. a physician who practices at a SBHC;

  • I. four at-large members who are residents of the State of Louisiana;

  • J. a representative from the membership of a SBHC volunteer advisory board; and

  • K. the governor, or the governor's designee selected from his executive staff.
  • SECTION 6: The governor shall select the chair of the task force from its membership.

    SECTION 7: Support staff for the task force and facilities for its meetings shall be provided by the Department of Health and Hospitals.

    SECTION 8: Task force members shall not receive compensation or a per diem, but may receive reimbursement for actual travel expenses, in accordance with state guidelines and procedures, contingent upon the availability of funds, and the approval of the commissioner of administration.

    SECTION 9: All departments, commissions, boards, agencies, and officers of the state, or any political subdivision thereof, are authorized and directed to cooperate with the Department of Health and Hospitals and the task force in implementing the provisions of this order.

    SECTION 10: The provisions of this order are effective upon signature and shall remain in effect until amended, modified, terminated, or rescinded by the governor, or terminated by operation of law.

    IN WITNESS WHEREOF, I have set my hand officially and caused to be affixed the Great Seal of the State of Louisiana, at the Capitol, in the City of Baton Rouge, on this 16th day of December, 1996.

    M.J. "Mike" Foster, Jr.
    Governor

    ATTEST BY
    THE GOVERNOR
    Fox McKeithen
    Secretary of State