(12) "School-based health center (SBHC)" means a health center that:

• (a) Is located on school grounds;
• (b) Provides on-site primary and preventive health care, referrals, and follow-up services;
• (c) Could provide on-site dental care or behavioral health care, referrals, and follow-up services; and
• (d) Has been approved by the Maryland State Department of Education (MSDE).

A. General requirements for participation in the Program are that a provider shall meet the:

• (1) Conditions for participation as set forth in COMAR 10.09.36.03; and
• (2) General requirements for participation as a free-standing clinic as set forth in COMAR 10.09.08.03B.

B. Specific requirements for participation in the Program as an SBHC are that a provider shall:

• (1) Be approved by the Maryland State Department of Education (MSDE) as an SBHC;
• (2) Have a written agreement with one of the following enrolled sponsoring agencies:
• (a) Local health department as defined in 45 CFR § 164.501 (Public Health);
• (b) Federally qualified health center as defined in 42 CFR § 405.2400(b); or
• (c) General clinic as defined in 42 CFR § 440.90;
• (3) Provide somatic health care services through health professionals who:
• (a) Are trained and experienced in community health and providing health care services to school-aged children;
• (b) Have knowledge of health promotion and illness prevention strategies for children and adolescents; and
• (c) Are EPSDT certified;
• (4) Ensure staff is assigned responsibilities consistent with the staffs education and experience and within the staffs scope of practice;
• (5) Designate an individual to be responsible for overall management of the SBHC;
• (6) Whenever comprehensive primary health services are being delivered, maintain a staffing pattern that includes at least one of the following on-site:
• (a) A physician;
• (b) A nurse practitioner; or
• (c) A physician assistant;
• (7) Maintain policies and procedures that ensure confidentiality of services and records which are practiced consistently, in accordance with Health-General Article, § 4-301, Annotated Code of Maryland;
• (8) Maintain data collection and storage capabilities adequate to maintain medical records and standard demographic data;
• (9) Require any physician assistant employed by the provider to have a delegation agreement with the supervising physician in accordance with COMAR 10.09.55.02 and .03; and
• (10) Transmit a health visit report:
• (a) To the students MCO and PCP within 3 business days of the health visit, as designated by the Department, for inclusion in the student-participants medical record; and
• (b) If follow-up care with the PCP within 1 week of the health visit is required and the health visit report is mailed, to the students MCO and PCP by telephone, email, or fax on the day of the SBHC visit.

C. Specific requirements for participation in the Program as a dentist or dental hygienist in an SBHC are that a provider shall meet the conditions for participation as set forth in COMAR 10.09.05.03AE.

A. All certificated school personnel who have direct contact with students on a regular basis shall complete training on or before December 1 of each year, by a method determined by each county board, in the skills required to:

• (1) Understand and respond to youth suicide risk;
• (2) Understand and respond to student mental health, student trauma, student safety and other topics related to student social and emotional well-being; and
• (3) Identify professional resources to help students in crisis.

(a) In general. -- On or before September 1, 2018, each local school system shall appoint a mental health services coordinator.

(b) Duties. -- Each mental health services coordinator shall:

• (1) Coordinate existing mental health services and referral procedures for mental health services within the local school system;
• (2) Working in collaboration with the local health department, the local department of social services, and other local entities that provide mental health services, ensure that a student who is referred for mental health services obtains the necessary services;
• (3) Maximize external funding for mental health and wraparound services; and
• (4) Develop plans for delivering behavioral health and wraparound services to students who exhibit behaviors of concern.

(c) Grants. --

• (1) The Subcabinet may provide grants from the Fund to local school systems to develop plans for delivering behavioral health and wraparound services to students who exhibit behaviors of concern.
• (2) In applying for a grant under this subsection, a local school system shall provide evidence of how external funding will be maximized to provide students with behavioral health and wraparound services, including through the submission of claims to health insurance plans, if applicable, for any covered health services.

(d) Regulations. -- The Subcabinet shall adopt regulations to carry out this section.

(a)  In general. -- Each county board shall develop and disseminate to each public school within the county board's jurisdiction a community resources list.

(b)  Contents. -- The community resources list may include the name and contact information of local and statewide social services and nonprofit health care providers that provide nondiscriminatory services to children and families in need of assistance.

(b) (1) The Maryland Department of Health, in conjunction with the Department, shall recommend best practices for county boards of education to provide to students:

• (i) Behavioral needs assessments; and
• (ii) Individualized or group behavioral health counseling services with a health care provider through a school-based health center or through community partnered school-based behavioral health services.

(1) The Department shall adopt regulations that set eligibility guidelines for State funding of Youth Suicide Prevention School Programs under this subtitle. (2) The regulations shall:

• (i) Establish procedures for developing local programs, in cooperation with local education agencies, youth service bureaus, and community mental health centers; and
• (ii) Establish Standard and policies for programs to offer:
• 1. Individual, family, and group counseling related to youth suicide prevention;
• 2. Referral, crisis intervention, and information for students, parents, and school personnel; and
• 3. Training for school personnel, and others responsible for counseling or supervising student activities.