District leaders expect school health services to be hit hard. Children are greater than six times more likely to access health care at school than anywhere else, making school the primary place where many kids receive health care. In the last decade, more states have been making school-based health care available by opting in to Medicaid’s School Health Services program. Increased access to health care at school has helped to narrow health disparities and improve student attendance and academic success. Although it will reduce federal Medicaid spending by 15 percent over the next decade, it doesn’t call for direct cuts to school Medicaid.