• Contact Us

    Texas School Health Program
    P.O. Box 149347, MC 1945
    Austin, TX 78714-9347
    1100 West 49th Street
    Austin, Texas 78756

    Phone: 512-776-7279
    Fax: 512-776-7555


    Email comments or questions to SchoolHealth@dshs.texas.gov

SBHC History and DSHS Program

School-Based Health Center History

School-based health centers started in the 1970s with the first centers opening in Dallas, Texas and St. Paul, Minnesota. According to the most recent SBHC census report (School-Based Health Alliance Census), there are approximately 1,930 centers across the country located in 46 states, the District of Columbia, Puerto Rico, Virgin Islands, and the Marshall Islands. State funding has been a leading factor in the growth of school-based health centers over the past decade primarily through state general funds and the Maternal and Child Health Block Grant under Title V of the Social Security Act. In recent years, states have tapped into other resources such as tobacco taxes and funds from tobacco settlement dollars to fund school-based health centers.

For more information on school-based health centers in the United States, please visit the School-Based Health Alliance website.

School-Based Health Centers in Texas

Today, there are almost 90 school-based health centers serving the children of Texas as reported by the Texas Association of School-Based Health Centers. Most of these centers are located in a permanent facility on a school campus. The centers all offer primary care; other services vary by location and may include oral health, mental health, nutrition counseling, prevention, and asthma management, in addition to a variety of others.

DSHS Involvement in SBHCs

The role of the Texas Department of State Health Services (DSHS) is to provide funding, as available, and offer technical assistance to Texas school-based health centers. Similarly to SBHCs across the nation, school-based health centers in Texas are funded through multiple sources including state and/or federal funds, private foundation, and third-party revenues.
DSHS funding opportunities are expected to be posted on an annual basis, but are contingent upon availability. Recently, funding has shifted from supporting the establishment of new SBHCs to the expansion of services within existing centers. Funds for expanding services are expected to have a 12-month budget period with 4 one-year renewal periods available at the sole discretion of DSHS. Funding may vary and is subject to change. When available, current SBHC funding opportunities can be found on the HHS Business and Contracting Opportunities site with other DSHS funding opportunities. Please see the sample RFA for an example of the application component of this competitive process.

School-Based Health Center Reports

In addition, each biennium DSHS is charged with creating a report to the legislature of the DSHS-funded centers during the previous two years; this report intends to provide insight into general operations, populations served, and services provided with an increasing focus on student outcome measures. The most current report is available below.

School-Based Health Centers Biennial Report 2016-2017

School-Based Health Centers Biennial Report 2014-2015

School-Based Health Centers Biennial Report 2012-2013


Return to the School-Based Health Centers page. 

Last updated December 4, 2018