123 
‘‘(d) ELIGIBLE SERVICE PROVIDERS.—To be eligible 
to receive assistance under this section, an entity shall sub-
mit an application to the Secretary at such time, in such 
manner, and containing such information as the Secretary 
may require. Entities that may apply to carry out activi-
ties under this section include— 
‘‘(1) entities operating Head Start programs 
under this subpart; 
‘‘(2) Indian Head Start programs; and 
‘‘(3) other public entities, and nonprofit or for- 
profit private entities, including community-based 
and faith-based organizations, capable of providing 
child and family services that meet the standards for 
participation in programs under this subchapter and 
meet such other appropriate requirements relating to 
the activities under this section as the Secretary may 
establish. 
‘‘(e) SELECTION OF GRANT RECIPIENTS.—From the 
portion specified in section 640(a)(6), the Secretary shall 
award grants under this subsection on a competitive basis 
to applicants meeting the criteria specified in subsection 
(d) (giving priority to entities with a record of providing 
early, continuous, and comprehensive childhood develop-
ment and family services). 
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‘‘(f) DISTRIBUTION.—In awarding grants to eligible 
applicants under this section, the Secretary shall— 
‘‘(1) ensure an equitable national geographic dis-
tribution of the grants; and 
‘‘(2) award grants to applicants proposing to 
serve communities in rural areas and to applicants 
proposing to serve communities in urban areas. 
‘‘(g) MONITORING, TRAINING, TECHNICAL ASSIST-
ANCE, AND EVALUATION.— 
‘‘(1) REQUIREMENT.—To ensure the successful 
operation of programs assisted under this section, the 
Secretary shall use funds from the portion specified in 
section 640(a)(6) to monitor the operation of such 
programs, evaluate their effectiveness, and provide 
training and technical assistance tailored to the par-
ticular needs of such programs. 
‘‘(2) TRAINING AND TECHNICAL ASSISTANCE AC-
COUNT.— 
‘‘(A) IN GENERAL.—Of the amount made 
available to carry out this section for any fiscal 
year, not less than 5 percent and not more than 
10 percent shall be reserved to fund a training 
and technical assistance account. 
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‘‘(B) ACTIVITIES.—Funds in the account 
may be used by the Secretary for purposes in-
cluding— 
‘‘(i) making grants to, and entering 
into contracts with, organizations with spe-
cialized expertise relating to infants, tod-
dlers, and families and the capacity needed 
to provide direction and support to a na-
tional training and technical assistance sys-
tem, in order to provide such direction and 
support; 
‘‘(ii) providing ongoing training and 
technical assistance for regional and pro-
gram staff charged with monitoring and 
overseeing the administration of the pro-
gram carried out under this section; 
‘‘(iii) providing ongoing training and 
technical assistance for existing recipients 
(as of the date of such training or assist-
ance) of grants under subsection (a) and 
support and program planning and imple-
mentation assistance for new recipients of 
such grants; 
‘‘(iv) providing professional develop-
ment and personnel enhancement activities, 
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including the provision of funds to recipi-
ents of grants under subsection (a) for the 
recruitment and retention of qualified staff 
with an appropriate level of education and 
experience; and 
‘‘(v) providing professional develop-
ment designed to increase program partici-
pation for underserved populations of eligi-
ble children. 
‘‘(h) CENTER-BASED STAFF.—The Secretary shall en-
sure that, not later than September 30, 2009, all teachers 
providing direct services to children and families partici-
pating in early Head Start programs located in early Head 
Start centers have a minimum of a child development asso-
ciate credential, and have been trained (or have equivalent 
course work) in early childhood development. 
‘‘(i) STAFF QUALIFICATIONS AND DEVELOPMENT.— 
‘‘(1) HOME
VISITOR
STAFF
STANDARDS.—In 
order to further enhance the quality of home visiting 
services provided to families of children participating 
in home-based, center-based, or combination program 
options under this subchapter, the Secretary shall es-
tablish standards for training, qualifications, and the 
conduct of home visits for home visitor staff in Early 
Head Start programs. 
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‘‘(2) CONTENTS OF STANDARDS.—The standards 
for training, qualifications, and the conduct of home 
visits shall include content related to— 
‘‘(A) structured child-focused home visiting 
that promotes parents’ ability to support the 
child’s cognitive, social, emotional, and physical 
development; 
‘‘(B) effective strengths-based parent edu-
cation, including methods to encourage parents 
as their child’s first teachers; 
‘‘(C) early childhood development with re-
spect to children from birth through age 3; 
‘‘(D) methods to help parents promote emer-
gent literacy in their children from birth through 
age 3; 
‘‘(E) ascertaining what health and develop-
mental services the family receives and working 
with these providers to eliminate gaps in service 
by offering annual health, vision, hearing, and 
developmental screening for children from birth 
to entry into kindergarten, when needed; 
‘‘(F) strategies for helping families coping 
with crisis; and 
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‘‘(G) the relationship of health and well- 
being of pregnant women to prenatal and early 
child development.’’. 
SEC. 14. PARENTAL CONSENT REQUIREMENT FOR HEALTH 
CARE SERVICES. 
The Head Start Act (42 U.S.C. 9831) is amended by 
inserting after section 645A the following: 
‘‘SEC. 
645B. 
PARENTAL 
CONSENT 
REQUIREMENT 
FOR 
HEALTH CARE SERVICES. 
‘‘(a) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘health care service’ includes— 
‘‘(A) any nonemergency intrusive physical 
examination; and 
‘‘(B) any screening, including but not lim-
ited to, a medical, dental, developmental, mental 
health, social, or behavioral screening. 
‘‘(2) The term ‘nonemergency intrusive physical 
examination’ means, with respect to a child, a phys-
ical examination that— 
‘‘(A) is not immediately necessary to protect 
the health or safety of such child, or the health 
or safety of another individual; and 
‘‘(B) includes incision or is otherwise 
invasive, or includes exposure of private body 
parts. 
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‘‘(b) 
REQUIREMENT.—Before 
administering 
any 
health care service to a child (or referring a child to obtain 
such service) in connection with participation in a program 
under this subchapter, a Head Start agency and an entity 
that receives assistance under section 645A shall obtain the 
written consent of a parent of such child indicating consent 
for each specific health care service to be performed. 
‘‘(c) RULE OF CONSTRUCTION.— 
‘‘(1) Nothing in this section shall be construed to 
prohibit a Head Start agency or an entity that re-
ceives assistance under section 645A from using estab-
lished methods for handling cases of suspected or 
known child abuse and neglect, that are in compli-
ance with applicable Federal, State, or tribal law. 
‘‘(2) Nothing in this subchapter shall be con-
strued to permit a Head Start agency, an entity that 
receives assistance under section 645A, or the per-
sonnel of such agency or entity to administer any 
health care service to a child (or to refer a child to 
obtain such service) without the informed written con-
sent of a parent of such child indicating consent for 
each specific health care service to be performed. 
‘‘(3) Nothing in this section shall be construed to 
require a Head Start agency or an entity that re-
ceives assistance under section 645A to provide sepa-
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130 
rate consent forms for each specific health care serv-
ice.’’. 
SEC. 15. APPEALS, NOTICE, AND HEARING. 
Section 646(a)(3) of the Head Start Act (42 U.S.C. 
9841(a)(3)) is amended to read as follows: 
‘‘(3) if financial assistance under this subchapter 
is terminated or reduced, an application for a non-
competing continuation award is denied based on a 
previous failure to comply with terms applicable to 
financial assistance previously provided under this 
subchapter, or suspension of financial assistance is 
continued for more than 30 days, the recipient with 
respect to whom such action is taken shall have the 
opportunity to appeal such action in accordance with 
such procedures, except that no funds made available 
under this subchapter may be used to reimburse any 
such recipient for legal fees and other costs incurred 
in pursuing such an appeal; and’’. 
SEC. 16. RECORDS AND AUDITS. 
Section 647 of the Head Start Act (42 U.S.C. 9842) 
is amended by adding at the end the following: 
‘‘(c) Each recipient of financial assistance under this 
subchapter shall— 
‘‘(1) maintain, and annually submit to the Sec-
retary, a complete accounting of its administrative 
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131 
expenses (including a detailed statement identifying 
the amount of financial assistance provided under 
this subchapter used to pay expenses for salaries and 
compensation and the amount (if any) of other funds 
used to pay such expenses); 
‘‘(2) within 30 days after the completion of an 
audit conducted in the manner and to the extent pro-
vided in chapter 75 of title 31, United States Code 
(commonly known as the ‘Single Audit Act Amend-
ments of 1996’), submit to the Secretary a copy of the 
audit management letter and of any audit findings as 
it relates to the Head Start program; and 
‘‘(3) provide such additional documentation as 
the Secretary may require.’’. 
SEC. 17. TECHNICAL ASSISTANCE AND TRAINING. 
Section 648 of the Head Start Act (42 U.S.C. 9843) 
is amended to read as follows: 
‘‘SEC. 648. TECHNICAL ASSISTANCE AND TRAINING. 
‘‘(a) The Secretary shall provide, directly or through 
grants or other arrangements— 
‘‘(1) technical assistance to communities in de-
veloping, conducting, and administering programs 
under this subchapter; and 
‘‘(2) training for specialized or other personnel 
needed in connection with Head Start programs, in 
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132 
accordance with the process, and the provisions for al-
locating resources, set forth in subsections (b) and (c). 
‘‘(b) The process for determining the technical assist-
ance and training activities to be carried out under this 
section shall— 
‘‘(1) ensure that the needs of local Head Start 
agencies and programs relating to improving pro-
gram quality and to program expansion are ad-
dressed to the maximum extent feasible; 
‘‘(2) incorporate mechanisms to ensure respon-
siveness to local needs, including an ongoing proce-
dure for obtaining input from the individuals and 
agencies carrying out Head Start programs; and 
‘‘(3) ensure the provision of technical assistance 
to assist Head Start agencies, entities carrying out 
other child care and early childhood programs, com-
munities, and States in collaborative efforts to pro-
vide quality full-working-day, full calendar year serv-
ices, including technical assistance related to identi-
fying and assisting in resolving barriers to collabora-
tion. 
‘‘(c) In allocating resources for technical assistance 
and training under this section, the Secretary shall— 
‘‘(1) give priority consideration to— 
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‘‘(A) activities to correct program and man-
agement deficiencies identified through reviews 
carried out pursuant to section 641A(c) (includ-
ing the provision of assistance to local programs 
in the development of quality improvement plans 
under section 641A(d)(2)); and 
‘‘(B) assisting Head Start agencies in— 
‘‘(i) ensuring the school readiness of 
children; and 
‘‘(ii) meeting the educational perform-
ance 
measures 
described 
in 
section 
641A(b)(4); 
‘‘(2) supplement amounts provided under section 
640(a)(3)(C)(ii) in order to address the training and 
career development needs of classroom staff (including 
instruction for providing services to children with 
disabilities), and nonclassroom staff, including home 
visitors and other staff working directly with families, 
including training relating to increasing parent in-
volvement and services designed to increase family lit-
eracy and improve parenting skills; 
‘‘(3) assist Head Start agencies in the develop-
ment of collaborative initiatives with States and other 
entities within the States, to foster effective early 
childhood professional development systems; 
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134 
‘‘(4) provide technical assistance and training, 
either directly or through a grant, contract, or cooper-
ative agreement with an entity that has experience in 
the development and operation of successful family 
literacy services programs, for the purpose of— 
‘‘(A) assisting Head Start agencies pro-
viding family literacy services, in order to im-
prove the quality of such family literacy services; 
and 
‘‘(B) enabling those Head Start agencies 
that demonstrate effective provision of family lit-
eracy services, based on improved outcomes for 
children and their parents, to provide technical 
assistance and training to other Head Start 
agencies and to service providers that work in 
collaboration with such agencies to provide fam-
ily literacy services; 
‘‘(5) assist Head Start agencies and programs in 
conducting and participating in community-wide 
strategic planning and needs assessment, including 
the needs of homeless children and their families; 
‘‘(6) assist Head Start agencies and programs in 
developing and implementing full-working-day and 
full-calendar-year programs where community need is 
clearly identified and making the transition to such 
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135 
programs, with particular attention to involving par-
ents and programming for children throughout the 
day, and assist the agencies and programs in expe-
diting the sharing of information about innovative 
models for providing full-working-day, full calendar 
year services for children; 
‘‘(7) assist Head Start agencies in better serving 
the needs of families with very young children; 
‘‘(8) assist Head Start agencies and programs in 
the development of sound management practices, in-
cluding financial management procedures; 
‘‘(9) assist in efforts to secure and maintain ade-
quate facilities for Head Start programs; 
‘‘(10) assist Head Start agencies in developing 
innovative program models, including mobile and 
home-based programs; 
‘‘(11) provide support for Head Start agencies 
(including policy councils and policy committees) 
that meet the standards described in section 641A(a) 
but that have, as documented by the Secretary 
through reviews conducted pursuant to section 
641A(c), significant programmatic, quality, and fis-
cal issues to address; 
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‘‘(12) assist Head Start agencies and programs 
in increasing program participation of homeless chil-
dren; 
‘‘(13) assist Head Start agencies and Head Start 
programs in improving outreach to, and the quality 
of services available to, limited English proficient 
children and their families, particularly in commu-
nities that have experienced a large percentage in-
crease in the population of limited English proficient 
individuals, as measured by the Bureau of the Cen-
sus; 
‘‘(14) assist Head Start agencies in developing 
appropriate methods and approaches for identifying 
and working with children and families experiencing 
toxic stress; 
‘‘(15) assist programs in improving outreach to 
serve additional children with disabilities, if such 
program’s enrollment opportunities or funded enroll-
ment for children with disabilities is less than 10 per-
cent; and 
‘‘(16) provide assistance to address and remove 
barriers related to recruitment and retention of Head 
Start teachers for rural communities, and remove 
barriers related to outreach efforts to eligible families 
in rural communities. 
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‘‘(d) The Secretary may provide, either directly or 
through grants to public or private nonprofit entities, train-
ing for Head Start personnel in the use of the performing 
and visual arts and interactive programs using electronic 
media to enhance the learning experience of Head Start 
children. Special consideration shall be given to entities 
that have demonstrated effectiveness in educational pro-
gramming for preschool children that includes components 
for parental involvement, care provider training, and devel-
opmentally appropriate related activities. 
‘‘(e) The Secretary shall provide, either directly or 
through grants or other arrangements, funds from programs 
authorized under this subchapter to support an organiza-
tion to administer a centralized child development and na-
tional assessment program leading to recognized credentials 
for personnel working in early childhood development and 
child care programs, training for personnel providing serv-
ices to limited English proficient children (including serv-
ices to promote the acquisition of the English language), 
training for personnel providing services to children deter-
mined to be abused or neglected, training for personnel pro-
viding services to children referred by or receiving child wel-
fare services, training for personnel in helping children cope 
with community violence, resource access projects for per-
sonnel working with disabled children, and training for ap-
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138 
propriate personnel to recognize common health, including 
mental health, problems in children for appropriate refer-
ral. 
‘‘(f) The Secretary shall provide, either directly or 
through grants, or other arrangements, funds for training 
of Head Start personnel in addressing the unique needs of 
migrant and seasonal working families, families with 1 or 
more children with disabilities, families with a limited 
English proficiency, homeless families, and children and 
families experiencing toxic stress. 
‘‘(g) More than 50 percent of funds expended under 
this section shall be used to provide high quality, sustained, 
intensive, and classroom-focused training and technical as-
sistance in order to have a positive and lasting impact on 
classroom instruction. Funds shall be used to carry out ac-
tivities related to any or all of the following: 
‘‘(1) Education and early childhood development. 
‘‘(2) Child health, nutrition, and safety. 
‘‘(3) Family and community partnerships and 
services. 
‘‘(4) Other areas that impact the quality or over-
all effectiveness of Head Start programs. 
‘‘(h) The Secretary shall develop and implement a pro-
gram of outreach to recruit and train minority men to be-
come Head Start teachers in order to reflect the commu-
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139 
nities in which Head Start children live and to increase 
the provision of quality services and instruction to children 
with diverse backgrounds. 
‘‘(i) Funds under this subchapter used for training 
shall be used for needs identified annually by a grant appli-
cant or delegate agency in their program improvement 
plan, except that funds shall not be used for long-distance 
travel expenses for training activities available locally or 
regionally or for training activities substantially similar 
to locally or regionally available training activities. 
‘‘(j) 
Funds 
made 
available 
under 
section 
640(a)(2)(C)(i) shall be used by a Head Start agency for 
any of the following: 
‘‘(1) Activities that ensure that Head Start pro-
grams meet or exceed the program performance stand-
ards described in section 641A(a)(1). 
‘‘(2) Activities that ensure that Head Start pro-
grams have adequate numbers of trained, qualified 
staff who have skills in working with children and 
families, including children and families who are 
limited English proficient and children with disabil-
ities. 
‘‘(3) Activities to pay expenses, including direct 
training for expert consultants working with any 
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140 
staff, to improve the management and implementa-
tion of Head Start services and systems. 
‘‘(4) Activities that help ensure that Head Start 
programs have qualified staff who can promote lan-
guage skills and literacy growth of children and who 
can provide children with a variety of skills that have 
been identified as predictive of later reading achieve-
ment, school success, and the skills, knowledge, abili-
ties, development, and progress described in section 
641A(a)(1)(B)(ii). 
‘‘(5) Activities to improve staff qualifications 
and to assist with the implementation of career devel-
opment programs and to encourage the staff to con-
tinually improve their skills and expertise, including 
developing partnerships with programs that recruit, 
train, place, and support college students in Head 
Start centers to deliver an innovative early learning 
program to preschool children. 
‘‘(6) Activities that help local programs ensure 
that the arrangement, condition, and implementation 
of the learning environments in Head Start programs 
are conducive to providing effective program services 
to children and families. 
‘‘(7) Activities to provide training necessary to 
improve the qualifications of Head Start staff and to 
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141 
support staff training, child counseling, health serv-
ices, and other services necessary to address the needs 
of children enrolled in Head Start programs, includ-
ing children from families in crises, children who ex-
perience chronic violence or homelessness, children 
who experience substance abuse in their families, and 
children under 3 years of age, where applicable. 
‘‘(8) Activities to provide classes or in-service- 
type programs to improve or enhance parenting skills, 
job skills, adult and family literacy, including finan-
cial literacy, or training to become a classroom aide 
or bus driver in a Head Start program. 
‘‘(9) Additional activities deemed appropriate to 
the improvement of Head Start agencies’ programs, 
as determined by the agencies’ technical assistance 
and training plans. 
‘‘(10) Any other activities regarding the use of 
funds as determined by the Secretary. 
‘‘(k) The Secretary shall— 
‘‘(1) work in collaboration with the Head Start 
agencies that carry out Indian Head Start programs, 
the Indian Head Start collaboration director, and 
other appropriate entities, including tribal govern-
ments and the National Indian Head Start Directors 
Association— 
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‘‘(A) to undertake a study or set of studies 
designed to focus on the American Indian and 
Alaska Native Head Start-eligible population, 
with a focus on issues such as curriculum devel-
opment, availability and need for services, ap-
propriate research methodologies and measures 
for these populations, and best practices for 
teaching and educating American Indian and 
Alaska Native Head Start Children; 
‘‘(B) to accurately determine the number of 
children nationwide who are eligible to partici-
pate in Indian Head Start programs each year; 
‘‘(C) to document how many of these chil-
dren are receiving Head Start services each year; 
‘‘(D) to the extent practicable, to ensure 
that access to Indian Head Start programs for 
eligible children is comparable to access to other 
Head Start programs for other eligible children; 
and 
‘‘(E) to make the funding decisions required 
in section 640(a)(2)(A)(iii), after completion of 
the studies required in that section, taking into 
account: 
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‘‘(i) the Federal government’s unique 
trust responsibility to American Indians 
and Alaska Natives; 
‘‘(ii) limitations faced by tribal com-
munities in accessing non-Federal sources of 
funding to supplement Federal funding for 
early childhood programs; and 
‘‘(iii) other factors that uniquely and 
adversely impact children in American In-
dian and Alaska Native communities such 
as highly elevated poverty, unemployment 
and violent crime rates, as well as depressed 
levels of educational achievement and lim-
ited access to non-Federal health, social and 
educational resources; 
‘‘(2) in carrying out paragraph (1), consult with 
the Secretary of Education about the Department of 
Education’s systems for collecting and reporting data 
about, and maintaining records on, American Indian 
and Alaska Native students; 
‘‘(3) not later than 9 months after the effective 
date of this subsection, publish in the Federal Register 
a notice of how the Secretary plans to carry out para-
graph (1) and shall provide a period for public com-
ment. To the extent practicable, the Secretary shall 
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consider comments received before submitting a report 
to the Congress; 
‘‘(4) not later than 1 year after the effective date 
of this subsection, submit a report to the Committee 
on Education and Labor of the House of Representa-
tives and the Committee on Health, Education, 
Labor, and Pensions of the Senate, detailing how the 
Department of Health and Human Services plans to 
carry out paragraph (1); 
‘‘(5) through regulation, ensure the confiden-
tiality of any personally identifiable data, informa-
tion, and records collected or maintained by the Sec-
retary, by Head Start agencies that carry out Indian 
Head Start programs, and by State Directors of 
Head Start Collaboration, by the Indian Head Start 
Collaboration Project Director and by other appro-
priate entities pursuant to this subsection (Such regu-
lations shall provide the policies, protections, and 
rights equivalent to those provided a parent, student, 
or educational agency or institution under section 
444 of the General Education Provisions Act.); and 
‘‘(6) ensure that nothing in this subsection shall 
be construed to authorize the development of a nation-
wide database of personally identifiable information 
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on individuals involved in studies or other collections 
of data under this subsection. 
‘‘(l) The Secretary shall— 
‘‘(1) in order to increase access to Head Start 
services for eligible migrant and seasonal children, 
work in collaboration with migrant and seasonal 
Head Start providers, the Department of Agriculture 
(land grant universities), the Department of Labor, 
the Bureau of Migrant Health, and the Department 
of Education to— 
‘‘(A) establish a system for collecting and 
reporting data on farm workers and their fami-
lies in order to adequately account for the num-
ber of seasonal and migrant children that are el-
igible for Head Start and determine how many 
of these eligible children receive services; 
‘‘(B) identify barriers that prevent eligible 
migrant and seasonal children from accessing 
Head Start services and develop a plan for 
eliminating barriers and increasing enrollment; 
and 
‘‘(C) develop a system through which mi-
grant and seasonal Head Start programs can ef-
fectively track health records and educational 
documents as a child moves from state to state; 
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146 
‘‘(2) not later than 6 months after the effective 
date of this subsection, publish in the Federal Register 
a notice on how the Secretary plans to carry out the 
activities identified in paragraph (1) and shall pro-
vide a period for public comment. To the extent prac-
ticable, the Secretary shall consider comments re-
ceived before implementing any of the activities iden-
tified in paragraph (1); 
‘‘(3) not later than 1 year after the effective date 
of this subsection, submit a report to the Committee 
on Education and Labor of the House of Representa-
tives and the Health, Education, Labor and Pensions 
Committee of the Senate detailing how the Secretary 
plans to carry out the activities identified in (1); 
‘‘(4) submit a report to Congress annually on the 
migrant and seasonal Head Start program including 
a report on the progress made in carrying out the ac-
tivities identified in paragraph (1), the progress made 
in reaching out to and serving eligible migrant and 
seasonal children, and information on states where 
migrant and seasonal children are still underserved; 
‘‘(5) through regulation, ensure the protection of 
the confidentiality of any personally identifiable data, 
information, and records collected or maintained by 
the Secretary, by Head Start agencies that carry out 
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migrant and seasonal Head Start programs, by the 
State director of Head Start Collaboration, by the 
Migrant and Seasonal Farmworker Collaboration 
project Director (Such regulations shall provide the 
policies, protections, and rights equivalent to those 
provided a parent, student, or educational agency or 
institution under section 444 of the General Edu-
cation Provisions Act.); and 
‘‘(6) ensure that nothing in this subsection shall 
be construed to authorize the development of a nation-
wide database of personally identifiable information 
on individuals involved in studies or other collections 
of data under this subsection. 
‘‘(m) For purposes of this section, the term ‘eligible en-
tities’ means an institution of higher education or other en-
tity with expertise in delivering training in early childhood 
development, family support, and other assistance designed 
to improve the delivery of Head Start services. 
‘‘(n) For the purposes of delivering a State-based 
training and technical assistance system, as described in 
section 640(a)(C)(ii), that will meet the needs of local grant-
ees and provide high quality, sustained, and intensive 
training and technical assistance to Head Start programs 
in order to help them meet or exceed the program perform-
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ance standards described in section 641A(a)(1), the Sec-
retary shall— 
‘‘(1) enter into contracts in each State with 1 or 
more entities who have a demonstrated expertise in 
supporting the delivery of high quality early edu-
cation programs, except that bi-State contracts may 
be entered in to if the demographics of proximal 
States make such a system more appropriate; 
‘‘(2) ensure that the entities described in sub-
paragraph (1) determine the types of services to be 
provided through consultation with— 
‘‘(A) local Head Start agencies; 
‘‘(B) the State Head Start collaboration of-
fice; and 
‘‘(C) the State Head Start Association; 
‘‘(3) provide a report, to the Committee on Edu-
cation and Labor of the House of Representatives and 
the Committee on Health, Education, Labor, and 
Pensions of the Senate. no later than 90 days after 
the end of the fiscal year, summarizing the funding 
for such contracts and the activities carried out there-
under; and 
‘‘(4) periodically evaluate the usefulness of the 
delivery of services in each State and their effective-
ness in promoting program quality. 
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