This issue brief outlines how telehealth—the use of technology to provide health services at a distance—in schools is emerging as a valuable way to complement and expand the capacity of schools to meet the health care needs of children, particularly those who are low-income and living in medically underserved areas. This brief is a blueprint for action—laying out practical steps—to help California state and community leaders make real the promise of school-based telehealth to improve health outcomes for children.