AASA Pushes for Policy to Address Providing Healthcare Services in Small & Rural Districts

Alexandria, Va. – As school districts are faced with a growing number of students with critical health and mental healthcare needs, AASA, The School Superintendents Association, is seeking a solution to enable more communities to participate in the Medicaid program. 

Today, AASA is releasing Structural Inefficiencies in the School-Based Medicaid Program Disadvantage Small and Rural Districts and Students, a report that describes how immediate congressional action could ensure school districts of all sizes deliver healthcare services more efficiently and to a greater number of students.   

“School administrators have a responsibility to ensure strong academic performance by every student. Equally as important, they must also ensure that students have adequate needs for social and emotional development. That’s why we must make certain that children, especially those living in impoverished conditions, have access to proper healthcare and mental health services,” said Daniel A. Domenech, executive director, AASA. “Our report shows how we can address the uphill battle of delivering healthcare and mental health services to students whose needs are going unmet.” 

According to the report, the 750 school leaders in 41 states who are participating in the school-based Medicaid program found the complex administrative and paperwork requirements necessary to obtain Medicaid reimbursement significantly hindered district participation in the program. The report outlines how Congress and the administration must work together to provide states with the flexibility to reduce the administrative burdens that unfairly diminish the amount of reimbursement school districts receive.   

“At a time when we have an uptick in children who lack health insurance coverage and a surge in children coming to school with unaddressed mental health needs, there is an urgency to improve the reimbursement stream for school-based Medicaid programs so schools can deliver more services to more students,” observed the report.

The passage of federal legislation, “The Improving Medicaid in Schools Act,” would allow states to implement a uniform, cost-based reimbursement methodology that would ensure districts of all sizes can be reimbursed by Medicaid for meeting the healthcare needs of their students regardless of their administrative capacity and student population. 

The proposal leverages an existing and proven process for Medicaid claiming that ensures strong accountability measures are still in place but will simultaneously reduce the burden on State Medicaid Agencies and insurance companies to manage and respond to a high volume of Medicaid transactions from districts.

Click here to access a copy of Structural Inefficiencies in the School-Based Medicaid Program Disadvantage Small and Rural Districts and Students.

Featured

  • LAN, Inc. Opens Office in College Station, Texas

    Lockwood, Andrews & Newnam, Inc. (LAN) recently announced the opening of a new office in College Station, Texas, to support its regional client base, according to a news release. The organization provides engineering, design, and program management services for water, wastewater, transportation, stormwater, and education clients in the Brazos Valley.

  • DFW-Area District Opens New Replacement Middle School

    The Eagle Mountain-Saginaw Independent School District near Fort Worth, Texas, recently held a ribbon-cutting ceremony for a new replacement middle school campus, according to a news release. The new facility for Wayside Middle School, originally established in 1964, was built on the site of the former district administration building and funded through Bond Proposition A in 2023.

  • Doerr School of Sustainability Accelerator

    From Concrete Warehouse to Innovation Hub: Accelerating Sustainability at Stanford

    The transformation of a once windowless, concrete publishing warehouse into a sun-drenched center for global innovation began with a single, fundamental challenge: how to turn an industrial storage shell into a space built for human connection.

  • Spaces4Learning Launches 2026 Education Design Showcase Awards

    Spaces4Learning has opened submissions for the 2026 Education Design Showcase! The awards program launched in 1999 with the goal of celebrating innovative, practical solutions in the planning, design, and construction of K–12 and higher-education facilities. EDS recognizes new developments that help achieve optimal learning environments, as well as the architecture firms that brought the ideas to life.