Pregnancy Related Services
Pregnancy Related Services (PRS) are support services, including Compensatory Education Home Instruction (CEHI), that a pregnant student receives during the pregnancy prenatal and postpartum periods. The programs are designed to help students adjust academically, mentally, and physically and stay in school. These services are delivered to a student when:
- the student is pregnant and attending classes on a district campus;
- the pregnancy prenatal period prevents the student from attending classes on a district campus; and
- the pregnancy postpartum period prevents the student from attending classes on a district campus.
Texas Education Code §29.081(d), identifies a student at risk of dropping out of school if the student is pregnant or is a parent. The rules for operation of a PRS program can be located in the Texas Administrative Code (TAC) Section 129.1025, Student Attendance Accounting Handbook, Section IX located on the TEA website.
The district may choose to offer both support services components and the CEHI component or only the CEHI component in a PRS program. However, your district may not code any student as PRS in the attendance accounting system unless CEHI is included as one of the services provided by the district’s PRS program.
A district receives 2.41 PRS weighted funding while PRS components are being provided to the student during the prenatal and/or postpartum periods. Documentation by responsible campus officials and medical or nurse practitioners and maintaining certified teacher logs are required to claim PRS eligible days present for funding. (Section 7)
Compensatory Education Home Instruction (CEHI)
CEHI is the mandatory support service component districts offer in a PRS program. CEHI provides academic services to the student at home or hospital bedside when a valid medical necessity for confinement during the pregnancy prenatal or postpartum periods prevents the student from attending classes on a district campus. CEHI must consist of face-to-face contact with a certified teacher of the district providing academic services to the student.
Substitutes can be used to provide CEHI however, the individual selected as the substitute must be a certified teacher. The certified teacher maintains a log to document the actual amount of prenatal and postpartum PRSCEHI each student receives. When students are provided CEHI your district will continue to receive the 2.41 PRS weighted funding (i.e., district personnel should continue to code students in the attendance accounting system as receiving PRS while they are being served at home). Students who do not come to school and who do not receive CEHI and/or SPED homebound must be counted absent in accordance with the charts provided in this Chapter.
Districts may not code students as PRS in the attendance accounting system in order to receive 2.41 PRS weighted funding unless CEHI is included as one of the service components provided by the district’s PRS program.
Support services are the optional components of a PRS program that may be provided to the student during the prenatal period of the pregnancy while the student is pregnant and attending school. In addition, support services may be provided during the prenatal or postpartum periods of pregnancy while the student is confined at home or hospital bedside for a valid medical necessity or recovering from delivery and being served with PRSCEHI. In all cases, support services are provided to support the student and should not interfere with the academic services while she is on the school campus or receiving CEHI at home or hospital bedside. Districts offering support services with CEHI may code students as PRS in the attendance accounting system in order to receive the 2.41 PRS weighted funding beginning on the date support services are provided to pregnant students. Examples of support services that a district may choose to offer are:
- counseling services including the initial session when the student discloses the pregnancy;
- health services including services from the school nurse and certified athletic trainer;
- transportation for the student and/or the student’s child(ren) to school, child care facility, community service agencies, health services, etc.;
- instruction (inside or outside the classroom) related to parenting knowledge and skills, including child development, home and family living, and appropriate job readiness training;
- child care for the student's child(ren);
- schedule modifications (see 9.18 Quality Control); and
- case management and service coordination (assistance in obtaining services from government agencies and community service organizations).
Pregnancy Related Services Rules
PRS rules are located in the Student Accounting Handbook in Section 9.
General State Waivers for PRS CEHI
On-Campus Pregnancy Related Services Compensatory Education Home Instruction (CEHI) Waiver is a waiver of the Texas Administrative Code (TAC) Section 129.1025, Student Attendance Accounting Handbook, Section IX.
View the State Waiver Application
For assistance regarding the waiver process, please contact Waivers@tea.state.tx.us.
The On-Campus Pregnancy Related Services Waiver allows Pregnancy Related Service (PRS) Compensatory Education Home Instruction (CEHI) to be offered on campus for eligible students during their prenatal, postpartum, and extended postpartum recovery periods of pregnancy. Without the waiver, the services must be provided in the home or at the hospital bedside. Based on the information submitted by the district, the waiver is approved for one, two or three school years. Conditions for the waiver are as follows:
- Transportation must be provided as needed.
- Students must be served at home if medically indicated.
- The intent of eye-to-eye individual instruction must be maintained.
- The student to teacher ratio for on campus CEHI instruction shall not exceed a 4:1 ratio.
- Students who were previously working on self-paced computer programs must be provided individual teacher instruction in addition to the computer lessons during the CEHI portion of PRS.
- Doctor’s notes and release to allow prenatal, postpartum, and extended postpartum students to return to school for CEHI must be obtained as prescribed in Chapter 9.12 of the Student Attendance Handbook. NOTE. Expanded requirements for Doctor’s Notes and Releases were added effective August 2006. Please review these provisions carefully to avoid a violation of this waiver.
- The district is expected to evaluate the effects of this waiver in a report to their district board of trustees.
Serving Pregnant Special Education Students
The current version of the Student Attendance Handbook; specifically Chapters 4, Special Education; and Chapter 9, Pregnancy Related Services; contains detailed information on attendance and serving Pregnant Special Education Students (SPED).
View the Pregnancy Services Determination Flow Chart.
For More Information Contact:
Division of Health and Safety
Page last modified on 4/7/2011.