The report of the American Academy of Pediatrics' Committee on School Health on the school nurse practitioner which appears in this issue of Pediatrics (p 665) recognizes the innovative approach that school nurse practitioners are making to the problem of delivery of medical services to children in underserved areas and stresses that school nurse practitioners, with supervision, can be used appropriately and effectively in providing improved health care to these children. The Committee notes that utilization of school nurse practitioners has been associated with improved immunization referrals and a decrease in emergency room use by participating children, and indicates that the presence of school nurse practitioners in school settings permits some children to obtain care who previously were not receiving adequate care and services.