Louisiana's initiative to assist local communities to develop and operate school-based health centers (SBHCs)is a nationally recognized model. This report details a year of significant service expansion to Louisiana's school children and a renewed commitment to meeting the health care needs of more students in years to come. Section 1 of the report details the program expansion from 4 sites in 1992 to 35 sites in 1999, highlighting the supporting programs and collaborative efforts, including coordinated school health, continuous quality improvement, and intergovernmental cooperation that enable the health centers to provide comprehensive services tailored to the needs of its student population. Section 2 presents data on reasons students seek SBHC services, compares rural and urban sites, identifies the number of student visits by site, and details services provided by SBHCs. This section also indicates the insurance status of patients, and delineates funding sources for SBHCs. Section 3 profiles each of Louisiana's operating SBHCs, including names of community partners, staff, sponsors, and data on the top 10 conditions seen at the SBHC for various types of visits, by category. The report's three appendices contain definitions of the categories of conditions by which SBHC data are coded, the text of the state law creating the program, and the 1998-99 financial statement. (KB)