In recent years, increased state interest in school-based health centers has been reflected in greatly expanded financial support for the centers. However, with no apparent new sources of support for continued expansion of the centers and increased competition among community providers for existing public health dollars the further of SBHC is uncertain. This document summarizes the proceedings of a meeting between a small group of federal and state health policy makers and representatives from school-based health centers (SBHC) and managed care plans who reviewed experiences in the development of relationships between SBHC and managed care organizations. Participants considered the implications of this experience for public policies. Three perspectives on building relationships between SBHC and managed care organizations are presented: (1) school-based health center perspectives; (2) state perspectives on SBHC; (3) and a managed care perspective. In attempting to reach consensus on a series of issues fundamental to financing school-based health centers, the following topics were discussed: defining SBHC services, developing a uniform standard, funding stability and preserving the mission of SBHC, a conservative culture, challenges ahead, and critical next steps. Contains nine sources and three appendices: (1) participants roster; (2) local SBHC profiles; and (3) state SBHC profiles. (JBJ)