Impact of CPST–School Setting Draft on Rural Community Services Boards

Rural Community Services Boards operate with limited staffing pools, large geographic service areas, and fewer community-based resources. The current CPST–School Setting draft significantly increases supervision, training, documentation, and coordination requirements without corresponding funding or flexibility. These changes disproportionately impact rural CSBs by reducing direct service capacity, increasing administrative burden, and exacerbating existing workforce shortages. Without adjustments to timelines, reimbursement, and operational expectations, rural providers may struggle to sustain school-based CPST services, limiting access for students in the communities that already face the greatest barriers to care.