Since 1985, Oregon's School-Based Health Center (SBHC) program has benefited from support by the Oregon Health Authority and the Oregon Legislature. What began as an initial commitment of $212,000 to partially fund five SBHCs, has grown to a commitment of about $18.5 million to support both physical and mental health services in 77 certified SBHCs and a team of 9 at the SBHC State Program Office. (SPO)
SBHCs are required to provide services to all students regardless of the student's ability to pay. Given the gap between available funds from insurance payments and the required services and population to be served, the Oregon Legislature has provided funding to supplement and sustain SBHC services. State funding is intended to supplement other funding sources, both public and private, at the local level.
SBHC Base Funding
As per OAR 333-028-0260, each county that has a state-certified SBHC is eligible for state dollars through their local public health authority (LPHA). The LPHA is provided funds to support SBHCs and SBHC systems based on the number of state certified SBHCs in the county and the availability of legislatively approved dollars. The specific expenditure of the funds is a local level decision between the LPHA and local partners. Since the State Program Office funds are limited, funds for new SBHCs are awarded from time-to-time through a Planning Grant process.
The current funding formula for the 2017-2019 biennium is:
- Counties with only one certified SBHC receive $60,000/yr.
- Counties with > 1 certified SBHC receive $56,000/yr for each center.
For more details on the establishment of the funding model, please visit the SBHC Funding Formula Report 2009.