New Jersey lawmakers are considering bill A4381, a major structural change to how our public school buildings can be used and most parents don’t even know what it allows. The Assembly State and Local Government Committee is hearing this bill on Monday, December 15, 2025, and we need members to vote NO. A4381 lacks transparency, clear guardrails, and public engagement, and it opens the door to changes that could impact student access, safety, and community control of our schools. Parents deserve answers before any bill of this scale moves forward.
New Jersey Senate Bill 3156 passed in the full senate on May 20, 2024. This bill allows schools to lease property to “federally qualified health centers,” bypassing bidding processes. It was introduced and passed through the Senate Education Committee on May 6, 2024 in less than three minutes with NO questions, comments, or discussion. Check out this blog post outlining the bill, the vote and the implications of this bill passing in New Jersey.
This bill quietly authorizes public school districts to lease school property to “Federally Qualified Health Centers” (FQHCs) without any public bidding process. This immediately raises serious questions about transparency and parental rights.
What Does A4381 Actually Do?
In plain language, this bill makes it easier to open medical clinics directly on school property, without transparency or public input. Specifically, A4381 allows for:
- School property to be leased to medical providers.
- No competitive bidding, bypassing local procurement laws and removing competition.
- No requirement for local voter or school board approval.
- No clear limits on the scope of medical services.
- No defined guardrails for parental consent or oversight.
What Are “Federally Qualified Health Centers” (FQHCs)?
FQHCs are federally funded community health centers. While they serve important roles, they are medical facilities, not educational institutions. They are:
- Heavily regulated by federal standards.
- Reimbursed primarily through Medicaid and federal grants.
- Governed by federal policy, not local school boards or NJ parents.
Why is the Non-Bidding Process Allowed?
Public bidding laws exist for transparency, accountability, and the protection of public assets. A4381:
- Bypasses local procurement laws.
- Prevents communities from evaluating alternative uses of school property.
- Locks districts into long-term agreements with federally funded medical providers.
Schools exist to educate children, protect student safety, and respect parental authority—they were never intended to function as healthcare campuses. This bill blurs the line between education and healthcare delivery, raising serious concerns about parental consent, privacy, and oversight.
📢 TAKE ACTION NOW
Once this infrastructure exists and school property is leased, these long-term arrangements will be difficult, if not impossible, to roll back. Parents deserve clarity before policy creates permanence.
1. Contact Your Legislators Immediately
Ask them to OPPOSE A4381 or demand:
- Public bidding requirements.
- Explicit parental consent protections.
- Clear limits on services.
- Local voter or school board approval.
2. Ask These Questions
- Why are medical facilities exempt from public bidding?
- Who governs these centers, NJ or the federal government?
- What protections exist for parents who say no?
3. Share This Information
Most families do not know this bill exists or what it enables. Speak up. Ask questions. Protect schools as places of learning, not medical campuses.
Fill out the form and tell your Assembly representatives “NO” to making it easier for “federally qualified health centers” or school-based healthcare centers to reside on the campuses of NJ schools.
For more details regarding School-Based Health Centers (SBHCs), please refer to our dedicated “battles ahead” page on this subject, available at [https://standforhealthfreedom.com/battles-ahead/school-based-health-centers/].