The Honorable Arne Duncan August 2, 2010 Secretary of Education U.S. Department of Education 400 Maryland Avenue, SW Washington, D.C. 20202

Dear Secretary Duncan:

The undersigned organizations, representing a broad national coalition of public health, disability, education, hospital, organized labor, health care providers, and others write to request you to remove the 2006 IDEIA regulation at § 300.154(d) (iv) (A), which requires that school districts obtain parental consent, consistent with § 300.9, each time that access to a student’s Medicaid benefits is sought.

Obtaining parental consent to bill Medicaid as mandated by the new regulation has proven to be exceptionally problematic for school districts. Many parents are mistakenly concerned that giving consent will result in out-of-pocket costs to them or a reduction in Medicaid benefits. The administrative time required of district staff to follow-up with students and parents to get signatures is costly, time-consuming, and ineffective. As a result, some LEAs are withdrawing from the reimbursement program and others have decided not to participate.

Even more significant is the direct loss of reimbursement dollars to schools.

This regulatory action could not have come at a worse time, as school districts across the country struggle with severe budget cuts. This regulation restricts federal reimbursement for services the schools deliver under federal mandate, imposing additional costs for compliance, and lost revenue from reduced parental participation. Losses to school districts across the country as result of this regulation are measured in the millions of dollars. By CMS’s own numbers, reimbursement to schools for the provision of direct services under IDEIA declined nationally between FFY2005 and 2008 by $422 million, a 21% decrease. Whether this is due to parental consent or myriad other factors is a valid debate, but at least a sizable portion of that amount relates directly to the parental consent regulation. Specific district losses are available. As but one example, a large Western estimates a $1.6 million loss between its 2008/2009 reimbursements.

Specific numbers are available from a number of school districts across the country.

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To frame the argument in its simplest terms:

 Schools have operated for more than twenty years without the regulation and with no abuses  The regulation was created and promulgated under the previous administration  The requirement for individual consent before billing Medicaid has had a chilling effect on the ability of school districts to obtain funds that are reimbursement for services they are mandated to provide  As a result of the regulation, school districts have lost millions of reimbursement dollars  In the period between FFY2005 and 2008 Medicaid payments to schools have experienced a decrease of $422 million, or 21%  In a recent meeting, the Centers for Medicare and Medicaid Services indicated the regulation is of no interest to them and is solely a matter for the Department of Education

On behalf of children’s health programs across the country, we respectfully request that you immediately remove the parental consent requirement found at § 300.154(d) (iv) (A) of the current version of the Individuals With Disabilities Education Improvement Act.

Thank you very much for your assistance in this matter

Very truly yours,

The LEAnet Board of Directors c/o Dr. Sherry Purcell 29th Floor Los Angeles Unified School District 333 Beaudry Los Angeles, CA [email protected] cc: Tom Harkin (IA) c/o Bethany Little Michael B. Enzi (WY) c/o Beth Buehlman Chuck Schumer (NY) c/o Meghan Taira Christopher Dodd (CT) c/o Madeline Gitmomer Lamar Alexander (TN) c/o David Cleary George Miller (CA) c/o Denise Forte John Kline, Ranking Member (MN) c/o James Bergeron Dale Kildee, Chairman (MI) c/o Lillian Pace Michael N. Castle, Ranking Member (DE) c/o Jessica Gross

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Signatories [partial list]

Aberdeen School District WA Auburn Union Elementary School Abington School District PA District CA Abington Heights School District PA Aurora Public Schools CO Acld Tillotson School PA Austin District TX Adams Count School District 50 CO Avella Area School District PA Adna School District WA Avon Grove Community School PA Akron Westfield Schools IA Avon Grove School District PA Alameda Unified School District CA Avonworth School District PA Alamogordo Public Schools NM Aware, Inc. MT Albert Gallatin Area Schools PA Bainbridge Island School WA Albuquerque Public Schools NM Bald Eagle Area School District PA Aldine Independent School District TX Baldwin-Whitehall School District PA Aliquippa School District PA Baltimore County Public Schools MD Allegheny Intermediate Unit 3 PA Bangor Area School District PA Allegheny Valley School District PA Bastrop Independent School District TX Allegheny-Clarn Valley School District PA Bastrop Special Education Co-op TX Allentown City School District PA Battle Ground School District WA Alliance For Progress Community Bazelon Center for Mental Health Law DC School PA Beaumont Unified School District CA Almira School District WA Beaver Area Academic Community Alpine School District UT School PA Alternative Billing Consultants CA Beaver Area School District PA Altoona Area School District PA Beaver Valley Intermediate Unit 27 PA Alum Rock Union School District CA Bedford Area School District PA Ambridge Area School District PA Bellefonte Area School District PA American Association of School Bellevue School District WA Administrators DC Bellingham School Dist WA Anacortes School District WA Bellwood-Antis School District PA Anamosa School District IA Belmont Academy Community School PA Annville-Cleona School District PA Belmont Community School PA PA Bennett Valley Union School District CA Apollo-Ridge School District PA Bensalem Twp School District PA Appalachia Intermediate Unit 8 PA Benton Area School District PA Appleseed Legal Justice Center SC Bentworth School District PA Arin Intermediate Unit 28 PA Berks County Intermediate Unit 14 PA Arlington School District WA Berlin Brothrsvly School District PA Armstrong School District PA Bermudian Springs School District PA Aromas-San Juan Unified School Berrien Regional Education Service District CA Agency MI AR-WE-VA IA Berwick Area School District PA Athens Area School District PA Bethel Park School District PA Auburn School District WA Bethel School District WA

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Bethel-Tate Local School District OH Organization Bethlehem Area School District PA Camas School District WA Bethlehem-Center School District PA Cambria Heights School District PA Big Beaver Falls Area School District PA Cambridge City Schools OH Big Spring School District PA Campbell Union ESD CA Blackhawk School District PA Campbell Union HSD CA Blacklick Valley School District PA Camphill Spec School Inc PA Blaine School District WA Canon-Mcmillan School District PA Blairsville-Saltsbrg School District PA Canton Area School District PA Blast IU 17 PA Cape Flattery School District WA Bloomsburg Area School District PA Capital Area IU 15 PA Blue Mountain School District PA Carbonado School District WA Blue Ridge School District PA Carbondale Area School District PA Boistfort School District WA Carbon-Lehigh Intermediate Unit 12 PA Boone-Clinton-North West Hendricks Cardinal School District IA Joint Services IN Carlisle Area School District PA Boyertown Area School District PA Carlynton School District PA Boyertown Area School District PA Carmichaels Area School District PA Bradford Area School District PA Carpinteria Unified School District CA Brandywine Hghts Area School District PA Carrboro City Schools NC Bremerton School District WA Casa Grande Elementary School Brentwood Boro School District PA District AZ Cascade School District Brevard Public Schools FL WA Cashmere School District Bridgeport School District WA WA Castle Rock School District Brinnon School District WA WA Caswell County Schools Bristol Borough School District PA NC Catasauqua Area School District Bristol Township School District PA PA Cedar Rapids Community Schools Bristol Warren Regional School District RI IA Centennial School District Brockway Area School District PA PA Center Area School District Brookville Area School District PA PA Central Bucks School District Brownsville Area School District PA PA Central Cambria School District Bucks County IU 22 PA PA Central Columbia School District Buffalo Public Schools NY PA Central Dauphin School District Burbank Unified School District CA PA Central Decatur School District Burgettstown Area School District PA IA Central Fulton School District Burkeville Independent School District TX PA Central Greene School District PA PA Central Intermediate Unit 10 Butler Area School District PA PA Central Kitsap School Dist Cajon Valley Union School District CA WA Central Susquehanna Intermediate Unit Calaveras Unified School District CA 16 PA Calhoun ISD MI Central Valley School Dist California School Boards Association WA CA Central Valley School District California School Health Centers PA Centralia School Dist WA Association CA Chambersburg Area School District PA California School Nurses CA

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Chapel Hill - Carrboro City Schools NC Conemaugh Twp Area PA Charleroi Area School District PA Conemaugh Valley School District PA Chartiers Valley School District PA Conestoga Valley School District PA Chehalis School District WA Conewago Valley School District PA Cheltenham Township School District PA Conneaut School District PA Chenango Forks Central Schools NY Connellsville Ar School District PA Cheney School District WA Conway School District WA Chester Community Schools PA Cornell School District PA Chester County Intermediate Unit 24 PA Cornwall-Lebanon School District PA Chester-Upland School District PA Corona-Norco Unified School District CA Chestnut Ridge School District PA Corpus Christi Independent School Chewelah School District WA District TX Corry Area School District Chicago Park School District CA PA Cosmopolis School District Chichester School District PA WA Coulee-Hartline School District Children's Coalition of Indiana IN WA Council of Great City Schools Children'S Institute Of PA DC Council of New York Special Children's Trust Fund DC Education Administrators (CNYSEA) Chimacum School District WA NY Council Rock School District Claim Care, Inc. MO PA Coupeville School Dist Clairton City School District PA WA Coventry Public Schools Claremont School District CA RI Cranberry Area School District Clarion Area School District PA PA Crawford Central School District Clarion-Limestone Area School District PA PA Crescent School District Claysburg-Kimmel School District PA WA Creston School District Cle Elum-Roslyn School District WA WA Crestwood School District Clearfield Area School District PA PA Cumberland County Schools Clover Park School Dist WA NC Cumberland Valley School District Coalinga-Huron Unified School District CA PA Cupertino Union School District Coatesville Area School District PA CA Curlew School District PA WA Curwensville Area School District College Place School District WA PA Cusick School District Collegium Community School PA WA Dallas School District Colonial IU20 PA PA Daniel Boone Area School District Colonial School District PA PA Danville Area School District Colton School District WA PA Darrington School Dist Columbia Borough School District PA WA Davenport School Dist Columbia School District 206 Hunters WA WA Davidson School Columbia School District 400 Burbank WA PA Davis JUSD Colville School District WA CA Comm Academy Of Deer Lakes School District PA Community School PA Deer Park School District WA Commodore Perry School District PA Deer Valley Unified School District AZ Compton Unified School District CA Delaware County IU25 PA Commonweallth Academy Community Delaware Valley School District PA School PA Delaware-Chenango BOCES NY

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Delta School PA Ellensburg School Dist WA DePaul Institute PA Ellwood City Area School District PA Derry Area School District PA Elma School District WA Derry Township School District PA Elmwood Park C.U.S.D. #401 IL Devereux Day School PA Elwyn Inc - Phila Ei PA Dexter AOS 904 ME Elwyn-Chester-Upld Mawa PA Dieringer School District WA Emery Unified School District CA Director of Health and Budget Policy, Endicott School District WA Missouri Budget Project MO Entiat School District WA Dixie School District WA Enumclaw School District WA Donegal School District PA Ephrata Area School District PA Downingtown Area School District PA Ephrata School District WA Dr Gertrude A Barber Center PA Erie School District PA Dry Creek Joint ESD CA Escalon Unified School District CA Dubois Area School District PA Espanola Public Schools NM Dunmore School District PA Evaline School District WA Duquesne City School District PA Everett Area School District PA Duval County Public Schools FL Everett School District WA East Allegheny School District PA Evergreen School District 205 WA East Chicago Public Schools IN Exeter Township School District PA East Guernsey Local School District TX Fairview School District PA East Hartford Board of Education CT Fannett-Metal School District PA East Lycoming School District PA Farmington School District MN East Penn School District PA Farrell Area School District PA East Side Union HSD CA Federal Way School Dist WA East Stroudsburg Area School District PA Ferndale Area School District PA Eastbrook Community Schools IN Ferndale School District WA Easter Seal Society of Del Co PA Fife School District WA Easter Seals Of Bucks Co PA Finley School District WA Easter Seals Of Mont Co PA First Focus DC Easter Seals Of Philadelphia PA First Philadelphia Community School for Easter Seals Of Western PA Literacy PA Fleetwood Area School District Eastern Lancaster City School District PA PA Florence County School District Five Eastern Lebanon Co School District PA SC Folk Arts Cltrl Treas Community School Eastern York School District PA PA Forest Area School District Eastmont School District WA PA Forest City Regional School District Easton Area School District PA PA Forest Hills School District Easton School District WA PA Fort Bragg Unified School District Eatonville School Dist WA CA Fort Leboeuf School District Education Center At Dt Watson PA PA Foster Family-based Treatment El Dorado County Office of Education CA Association DC El Paso Consolidated School District 49 TX Fowler Unified School District CA Elizabeth Forward School District PA Fox Chapel Area School District PA Elizabethtown Area School District PA Franklin Area School District PA Elk Lake School District PA

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Franklin City Schools OH Grove City Area School District PA Franklin Mckinley Elementary School Gunnison Watershed School District CO District CA Hacienda La Puente CA Franklin Park School District 84 IL Halifax Area School District PA Franklin Pierce School Dist WA Hamburg Area School District PA Franklin Regional School District PA Hampton Township School District PA Franklin Towne Chs PA Hanover Area School District PA Frazier School District PA Harbor Creek School District PA Freedom Area School District PA Harmony Area School District PA Freeman School District WA Harrington School Dist WA Freeport Area School District PA Harrisburg City School District PA Fresno County Office of Education CA Hartford Central School District NY Galt Joint Union ESD CA Hastings School District MN Garfield School District WA Hatboro-Horsham School District PA Garland Independent School District TX Haverford Twp School District PA Garnet Valley School District PA Hayward Unified School District CA Gateway School District PA Hazleton Area School District PA General Mclane School District PA Hempfield Area School District PA Genesee Intermediate School District MI Hempfield School District PA George Crothers Memorial School PA Hermitage School District PA Gilbert Public Schools IA Highland School District WA Giles County Public Schools VA Highlands School District PA Girard School District PA Highline School District WA Glendale School District PA HMS School For Children with CP PA Global Leadership Academy Community Hollidaysburg Area School District PA School PA Homer-Center School District PA Go Solutions Group, Inc MI Hope Community School PA Golden Valley Unified School District CA Hopewell Area School District PA Goldendale School Dist WA Houston Intermediate School District TX Governor Mifflin School District PA Howard-Winneshiek IA Grand Coulee Dam School District WA Hudson City School District NY Granger School District WA Huntingdon Area School District PA Granite School District UT Imani Educ Circle Community School PA Grapeview School Dist WA Inchelium School District WA Grass Valley Unified School District CA Independence Community School PA Great Valley School District PA Indiana Area School District PA Greater Johnstown Avts PA Indiana Department of Education IN Greater Johnstown School District PA Ingham Intermediate School District MI Greater Latrobe School District PA Interboro School District PA Greater Nanticoke Area PA Intermediate Unit 1 PA Green Bay Area Public School District WI Inver Grove School District MN Green Tree School PA Iroquois School District PA Greenville Area School District PA ISB Education Solutions ID Greenwood School District PA Issaquah School District WA Griffin School District WA Jackson County School District FL

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Jamestown Area School District PA Lawrence County Avts PA Jefferson School District CA Lebanon School District PA Jefferson-Morgan School District PA Lee County Special Education IL Jersey Shore Ar School District PA Leechburg Area School District PA Juniata County School District PA Lewis Central IA Juniata Valley School District PA Lewis Palmer District 38 CO Kahlotus School District WA Lewisburg Area School District PA Kalamazoo RESA MI Leyden Area Special Education Kanner Learning Center PA Cooperative IL Liberty School District Karns City Area School District PA WA Ligonier Valley School District Keller School District WA PA Lincoln IU 12 Kelso School District WA PA Lind School District Kennett Consolidated School District PA WA Linden Unified School District Kennewick School District WA CA Lindsay Healthy Start Kent School District WA CA Line Mountain School District Kettle Falls School District WA PA Little Lake City School District Keystone Central School District PA CA Livermore Valley JUSD Keystone Oaks School District PA CA Livingston Union Elementary Keystone School District PA CA Lodi Unified School District Kingsburg Joint Union School District CA CA Longview School District Kiona-Benton City School WA WA Loon Lake School Dist Kipp Philadelphia Community School PA WA Los Angeles Unified School District Kiski Area School District PA CA Lower Dauphin School District Kittitas School District WA PA Lower Merion School District La Conner School District WA PA Lower Moreland Twp School District Lackawanna Trail School District PA PA Loyalsock Township School District Lacrosse School District WA PA Luzerne IU18 Lake Chelan School District WA PA LV Community School for Performing Lake Stevens School District WA Arts PA Lake Tahoe Unified School District CA Mabton School District WA Lake Washington School District WA Mahanoy Area School District PA Lakeland School District PA Manchester Academic Community Lake-Lehman School District PA School PA Lakeside Union School District CA Manheim Central School District PA Lakeview School District PA Manheim Township School District PA Lakeville School District MN Manning IA Lakewood School District WA Mansfield School Dist WA Lamont School District WA Manteca Unified School District CA Lampetr-Strasbrg School District PA Maquoketa IA Lancaster City Schools OH Mariana Bracetti Acad Community Lancaster School District PA School PA Lancaster-Lebanon IU 13 PA Marion Center Area School District PA LaPorte School Corporation IN Marion Community Schools IN Laurel Highlands School District PA Maritime Academy Chs PA Laurel School District PA Marple Newtown School District PA

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Mars Area School District PA Midd-West School District PA Marshall School District MN Midwestern IU 4 PA Martinsville CUSD #C-3 IL Mifflin County School District PA Mary M Knight School District WA Mifflinburg Area School District PA Mary Walker School District WA Millcreek Twp School District PA Marysville School District WA Millersburg Area School District PA Mason City Community Schools IA Millville Area School District PA Mastery Community School-Pickett Milton Area School District PA Cmps PA Milton-Union EVSD OH Mastery Community School-Shoemaker Minneapolis Public Schools MN Cam PA Mohawk Area School District Mastery Community School-Thomas PA Campus PA Monaca School District PA Math Science & Tech Community Monessen City School District PA School PA Moniteau School District PA McCleary School District WA Monroe School District WA Mcguffey School District PA Montesano School Dist WA Mckeesport Area School District PA Montevideo Area Special Education McSwain Union Elementary CA Service Center MN Mead School District WA Montgomery Area School District PA Mechanicsburg Area School District PA Montgomery County IU 23 PA Mediapolis IA Monticello Central School District NY Medicaid In The Schools Program, Montour School District PA State of Arkansas AR Montoursville Ar School District PA Medical Billing Technologies CA Montrose Area School District PA Medical Lake School Dist WA Moon Area School District PA Mendota Heights MN Moreno Valley Unified School District CA Merced Union High School District CA Morrisville Boro School District PA Mercer Area School District PA Morton School District WA Mercer Island School District WA Moshannon Valley School District PA Meridian School District WA Mossyrock School District WA Mesa Public Schools AZ Mount Adams School District WA Methacton School District PA Mount Baker School District WA Meyersdale Area School District PA Mount Carmel Area School District PA Michigan Association of Intermediate Mount Lebanon School District PA School Administrators MI Mount Pleasant Area School District PA Michigan Association of School Mount Union Area School District PA Administrators MI Mount Vernon School District WA Michigan Association of School Mountain View School District PA Boards MI MSB Educational Solutions NH Michigan City Area Schools IN Muhlenberg School District Michigan Elementary and Middle PA Mukilteo School District 6 WA Schools Principals Association MI Muncy School District PA Mid Valley School District PA Naches Valley School Dist WA Middle Cities Education Association MI Napavine School District WA Middletown Area School District PA

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National Alliance to Advance North Mason School Dist WA Adolescent Health DC North Penn School District PA National Allliance for Medicaid in North Pocono School District PA Education AK North Schooluylkill School District PA National Association for the North Scott IA Education of Young Children DC North Smithfield School Department RI National Association of Private North Star School District PA Special Education Centers DC North Thurston School Dist WA National Association of Secondary Northampton Area School District PA School Principals DC Northeastern Educ IU 19 PA National Education Association DC Northern Bedfrd Cty PA National School Boards Association Northern Cambria School District PA Nazareth Area School District PA Northern Lehigh School District PA Neshaminy School District PA Northern Tioga School District PA Neshannock Township School District PA Northern York Co School District PA Nespelem School District WA Northgate School District PA Nevada City Unified School District CA Northport School Dist WA New Brighton Area School District PA Northshore School Dist WA New Castle Area School District PA Northwest Area School District PA New England Medical Billing NH Northwest Tri-County IU5 PA New Foundations Community School PA Northwestern School District New Hampshire Department of Health PA PA and Human Services NH Oak Grove School District CA New Hope Academy Community School PA Oak Harbor School Dist WA New Hope-Solebry School District PA Oakesdale School Dist WA New Kensington-Arnold School District PA Oakville School District WA New Lexington City Schools OH Oceanside Unified School District CA New Mexico MSBS Advisory Council NM Ocosta School District WA New Philadelphia City Schools OH Octorara Area School District New York City Department of PA Education NY Odessa School District WA Office of Mayor Michael Bloomberg Newport School District WA NY Ohio Department of Education Newport School District PA OH Newton Independent School District TX Oil City Area School District PA Nine Mile Falls School Dist WA Okanogan School District WA Nittany Valley Community School PA Old Forge School District PA Nooksack Valley School Dist WA Oley Valley School District PA Norridge School District 80 IL Olympia School District WA Norristown Area School District PA Omak School District WA North Allegheny School District PA Onalaska School District WA North Beach School Dist WA Onion Creek School Dist WA North Clarion County School District PA Orange County Dept of Ed. CA North East School District PA Orange Grove ISD TX North Franklin School Dist WA Orcas Island School Dist WA North Hills School District PA Orchard Prairie School Dist WA North Kitsap School Dist WA Orient School District WA

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Oroville School District WA Pennsylvania Department of Public Orting School District WA Welfare PA Penn-Trafford School District Oskaloosa School District IA PA Pequea Valley School District Otego-Unadilla Community School NY PA Perkiomen Valley School District Othello School District WA PA Perseus House Community School Of Overbrook School For The Blind PA Excl PA Owego Appalachian Central School Philadelphia Academy Community District NY School PA Owen J Roberts School District PA Philadelphia Electrical & Tech Centers PA Oxford Area School District PA Philadelphia Performing Arts Pa Learner Online Community School PA Community School PA Pace School PA Philadelphia Area School District PA Pacheco Union ESD CA Phlpsbrg-Osceola School District PA Pacifica School District CA Phoenixville Area School District PA Palisades School Dist WA Piedmont Regular Education VA Palisades School District PA Pine Grove Area School District PA Palmerton Area School District PA Pine-Richland School District PA Palmyra Area School District PA Pioneer School District WA Palouse School District WA Piqua City Schools OH Panther Valley School District PA Pittston Area School District PA Paradigm Health Care Systems CA Pleasant Valley School District CA Paramount Unified School CA Pleasant Valley School District PA Parkland School District PA Plum Borough School District PA Partnership for Children and Youth CA Pocono Mountain Community School PA Pasadena Unified School District CA Pocono Mountain School District PA Pasco School District WA Pojoaque Valley School District NM Pateros School District WA Polk County Schools, Columbus, NC NC Pathway School PA Port Angeles School Dist WA Paton-Churdan IA Port Townsend School Dist WA Patterson Unified School District CA Portage Area School District PA Pe Ell School District WA Pottsgrove School District PA Peninsula School Dist WA Pottstown School District PA Penn Cambria School District PA Pottsville Area School District PA Penn Delco School District PA Prescott School District WA Penn Hills School District PA Pressley Ridge School PA Penn Manor School District PA Propel Community School-East PA Penna School For Deaf PA Propel Community School-Homestead PA Penncrest School District PA Propel Community School-Mckeesport PA Pennridge School District PA Propel Community School-Montour PA Penns Manor Area School District PA Prosser School District WA Penns Valley Area School District PA Providence School Department RI Pennsbury School District PA Provo City School District UT Pennsylvania Cyber Community School PA Pullman School District WA Pennsylvania Department of Punxsutawney Area School District PA Education PA Purchase Line School District PA

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Puyallup School District WA Royr-Grvs School Blind PA Quaker Valley School District PA Russell Byers Community School PA Quakertown Comm School District PA S Fayette Twp School District PA Queets-Clearwater School WA Saint Marys Area School District PA Quilcene School District WA Salisbury Township School District PA Quillayute Valley School WA Salisbury-Elk Lick School District PA Quincy School District WA San Antonio Intermediate School Radnor Township School District PA District TX San Joaquin County Office of Education Rainier School District WA CA San Juan Island School Dist Ravenswood City ESD CA WA San Marcos Unified School District Raymond School District WA CA San Mateo-Foster City School District RE-1 Valley School District CO CA San Mateo-Foster City School District PA CA Sandy Valley Local Schools Ready Springs School District CA OH Santa Barbara County Education Office Reardan-Edwall School Dist WA CA Santa Rosa County School District Redbank Valley School District PA FL Renaissance Advantage Community Satsop School District WA School PA Saucon Valley School District PA Renton School District WA School Equity Caucus MI Republic School District WA School For The Blind WA Reynolds School District PA School For The Deaf WA Rhodes School District 84.5 IL School Social Work Association of Richland School District WA America DC Schuylkill IU 29 Richland School District PA PA Schuylkill Valley School District Ridgway Area School District PA PA Scranton School District Ridley School District PA PA Sd Of Pittsburgh Ringgold School District PA PA Seattle School District Ritzville School Dist WA WA Sedro Woolley School Dist River Delta Unified School District CA WA Selah School District Riverdale School District OH WA Selinsgrove Area School District Riverside School District PA PA Selkirk School District Riverside Beaver Cty School District PA WA Selma Unified School District Riverside School Dist WA CA Seneca Highlands Riverside Unified School District CA PA Seneca Valley School District Riverview IU 6 PA PA Sequoia Union HSD Riverview School Dist WA CA Service Employees International Riverview School District PA Union DC Rochester Public Schools NY Shade-Central City PA Rochester School Dist WA Shaler Area School District PA Rochester School District MN Shamokin Area School District PA Rockingham County Schools NC Shanksville-Stonycrk School District PA Rockwood Area School District PA Sharon City School District PA Rosalia School District WA Sharpsville Area School District PA Rose Tree Media School District PA Shelton School District WA Royal School District WA Shenandoah Valley School District PA

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Shenango Area School District PA Sprague School District WA Shikellamy School District PA Spring Cove School District PA Shippensburg Area School District PA Spring Grove Area School District PA Shoreline School District WA Springfield School District PA Sidney School District IA Springfield Township School District PA Sidney City Schools OH Spring-Ford Area School District PA Sierra Unified School District CA St John School District WA Siskiyou County Office of Education CA St. Bernard Parish School Board LA Skykomish School District WA Stanwood Camano School District WA Slippery Rock Area School District PA Starbuck School District WA Smithfield Public Schools RI State College Area School District PA Smithville Intermediate School District TX Steel Valley School District PA Snohomish School District WA Steelton-Highspire School District PA Snoqualmie Valley School District WA Steilacoom Hist School Dist WA So. Williamsport Area School District PA Steptoe School District WA Soap Lake School District WA Sto-Rox School District PA PA Stroudsburg Area School District PA Somerset Area School District PA Sugar Valley Rural Community School PA Souderton Area School District PA Sullivan County School District PA South Allegheny School District PA Sultan School District WA South Bend School District WA Sumner School District WA South Eastern School District PA Sunnyside School Dist WA South Kitsap School District WA SUSD Department of Health Services CA South LaPorte County Special Susquehanna Community School Education Cooperative IN District PA Susquehanna Township School District South Page IA PA Susquenita School District South Park School District PA PA SWWC Central School District South San Francisco CA MN Syracuse Public Schools South Side Area School District PA NY Tacoma School District South St Paul School District MN WA Taholah School District South Western School District PA WA Tahoma School District South Whidbey School Dist WA WA Tamaqua Area School District Southeast Delco School District PA PA Tekoa School District Southern Columbia School District PA WA Tempe Elementary School District Southern Fulton School District PA AZ Southern Oregon Education Service Tenino School District WA District OR Tennessee Justice Center TN Southern Tioga School District PA The Colorado School Medicaid Southern York County School District PA Consortium CO The Melmark Home Inc Southmoreland School District PA PA The People For People Community Southside School Dist WA School PA Special School District of St. Louis The School Board of Broward County County MO FL Spectrum Community School PA The Timothy School PA The Vista School Spokane School District WA PA The Westesn Inst Friendship Academy PA

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The Woods Schools PA Upper Perkiomen School District PA Tioga Central School District NY Upper St Clair School District PA Titusville Area School District PA Ute Pass BOCES-Woodland Park NY Toledo School District WA Valdosta School District GA Tonasket School District WA Valley Day School PA Toppenish School Dist WA Valley School District WA Touchet School District WA Van Wert City School District OH Towanda Area School District PA Vancouver School Dist WA Tredyffrin-Etown School District PA Vanguard School PA Tri-County Special Education IL Vashon Island School Dist WA Trimble Local School District OH Voluisa County Schools FL Trinity Area School District PA W Jefferson Hills School District PA Tri-Valley School District PA W Mifflin Area School District PA Troy Area School District PA W Philadelphia Achievement Truth or Consequences School District NM Community School PA Wahluke School District Tucson Unified School District AZ WA Waitsburg Joint School District Tukwila School District WA WA Walla Walla School District Tulpehocken Area School District PA WA Wallenpaupack Area School District Tumwater School District WA PA Wallngford-Swarthmore School District Tunkhannock Area School District PA PA Wapato School District Turkeyfoot Valley A School District PA WA Warden School District Turlock Unified School District CA WA Warren County School District Tuscarora IU 11 PA PA Warrior Run School District Tuscarora School District PA PA Tussey Mountain School District PA PA Warwick Valley Central School District Twin Rivers Unified School District CA NY Washington School District Twin Valley School District PA PA Washougal School District Tyrone Area School District PA WA Washtucna School District Union Area School District PA WA Wattsburg Area School District Union City Area School District PA PA Wayne County Regional Educational Union Hill School District CA Service Agency Union Ridge School District 86 IL MI Wayne Highlands School District Union School District CA PA Waynesboro Area School District Union School District PA PA Weatherly Area School District Uniontown Area School District PA PA Weaver Union School District Unionvlle-Chadds Ford School District PA CA Wellpinit School District United School District PA WA Wellsboro Area School District University Place School WA PA Wesley Highland School Upper Adams School District PA PA West Allegheny School District Upper Darby School District PA PA West Branch Area School District Upper Dauphin Area School District PA PA West Chester Area School District Upper Dublin School District PA PA West Delaware County Upper Merion Area School District PA IA Upper Moreland Township School West Greene School District PA District PA West Middlesex Area School District PA

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West Oak Lane Community School PA Yonkers Public Schools NY West Perry School District PA York City School District PA West Shore School District PA PA West Side Avts PA Youth Build Philadelphia Community West Valley S.D. Spokane WA School PA Zillah School District West Valley S.D. Yakima WA WA Westerly Public Schools RI Western Beaver Co School District PA Western Dubuque IA Western Pa School Blind Children PA Western Pa School Deaf PA Western Placer Unified School District CA Western Wayne School District PA Westmont Hilltop School District PA Westmoreland IU 7 PA White Pass School Dist WA White River School Dist WA Wilbur School District WA Wilkes-Barre Area School District PA Wilkinsburg Boro School District PA Willapa Valley School Dist WA William Penn School District PA William S. Hart School District CA Williamsburg Comm School District PA Williamsport Area School District PA Willmar School District MN Willows Unified School District CA Wilmington Area School District PA Wilson School District PA Wilson Area School District PA Winchester Public Schools VA Windber Area School District PA Winlock School District WA Winton Elementary School District CA Wishkah Valley School Dist WA Wissahickon Community School PA Wissahickon School District PA Woodland Hills School District PA Woodland School District WA Wyalusing Area School District PA Wyoming Area School District PA Wyoming Valley West School District PA Wyomissing Area School District PA Yakima School District WA Yelm Community Schools WA

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