This document discusses school-based health clinics and the valuable role they can play in meeting the health care needs of children. The barriers that prevent thousands of New York State's children from getting adequate preventive and primary care are discussed. The first chapter details key components of the basic comprehensive school-based health clinic model: location, target population, staffing, range of services, administrative structure, provider relationship, and community relationship. The second chapter describes circumstances that converge to limit children's access to adequate primary and preventive health care in New York State. The third chapter discusses New York State's experience with school-based health clinics, describing first those health services mandated under state education law. The fourth chapter recommends that New York State expand its school-based clinic initiative, beginning by establishing a state-level planning process that would include representation from government and from providers and advocates concerned with school health issues. The fifth and final chapter sets forth a strategy for funding school-based health clinics, recommending that the legislature commit funds for creating clinics in the state's highest-risk schools. (ABL)