The School Health Program (PSE) is a Primary Health Care (PHC) program formulated in an intersectoral way, articulating PHC professionals and schools to develop actions aimed at Brazilian schoolchildren. To adhere to the PSE, it is necessary to link PHC health teams with Oral Health teams and the Term of Commitment validated by health and education managers. This study aimed to verify the adherence of Brazilian states to the PSE as a strategic tool for integrating health and education for the development of citizenship and the qualification of Brazilian public policies. Research was carried out through a descriptive analysis of data contained in public databases of the Primary Care Health Information System (SISAPS) and the Brazilian Institute of Geography and Statistics (IBGE). It was observed that for the 2021-2022 Cycle, Piauí showed the highest percentage of adherence considering the number of municipalities, Minas Gerais showed more students benefiting considering absolute numbers and São Paulo is the state with the highest number of students enrolled in elementary education and the number of students benefiting. The PSE showed adherence above 80% in all Brazilian states, presenting itself as a strategic tool for integrating health and education for the development of citizenship and the qualification of Brazilian public policies.