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with disabilities, limited English proficient
children, and children participating in In-
dian Head Start programs and migrant
and seasonal Head Start programs)’’;
(B) in paragraph (8), by inserting ‘‘home-
lessness, children in foster care,’’ after ‘‘ethnic
background,’’;
(C) in paragraph (12), by inserting ‘‘vision
care,’’ after ‘‘dental care,’’;
(D) in paragraph (14)—
(i) by striking ‘‘Alaskan Natives’’ and
inserting ‘‘Alaska Natives’’; and
(ii) by striking ‘‘migrant and’’ and in-
serting ‘‘migrant or’’; and
(E) in the flush matter at the end—
(i) by striking ‘‘Education and the
Workforce’’ and inserting ‘‘Education and
Labor’’; and
(ii) by striking ‘‘Labor and Human
Resources’’ and inserting ‘‘Health, Edu-
cation, Labor, and Pensions’’; and
(2) in subsection (b)—
(A) by striking ‘‘Education and the Work-
force’’ and inserting ‘‘Education and Labor’’;
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(B) by striking ‘‘Labor and Human Re-
sources’’ and inserting ‘‘Health, Education,
Labor, and Pensions’’; and
(C) by striking ‘‘Native Alaskan’’ and in-
serting ‘‘Alaska Native’’.
SEC. 22. COMPARABILITY OF WAGES.
Section 653 of the Head Start Act (42 U.S.C. 9848)
is amended—
(1) by striking ‘‘The Secretary shall take’’ and
inserting ‘‘(a) The Secretary shall take’’; and
(2) by adding at the end the following:
‘‘(b) No Federal funds shall be used to pay the com-
pensation of an individual employed by a Head Start agen-
cy in carrying out programs under this subchapter, either
as direct or indirect costs or any proration of such costs,
in an amount in excess of an amount based on the rate
payable for level II of the Executive Schedule under section
5313 of title 5, United States Code.’’.
SEC. 23. LIMITATION WITH RESPECT TO CERTAIN UNLAW-
FUL ACTIVITIES.
Section 655 of the Head Start Act (42 U.S.C. 9850)
is amended by inserting ‘‘or in’’ after ‘‘assigned by’’.
SEC. 24. POLITICAL ACTIVITIES.
Section 656 of the Head Start Act (42 U.S.C. 9851)
is amended—
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(1) by striking all that precedes ‘‘chapter 15’’
and inserting the following:
‘‘SEC. 656. POLITICAL ACTIVITIES.
‘‘(a) STATE OR LOCAL AGENCY.—For purposes of’’;
and
(2) by striking subsection (b) and inserting the
following:
‘‘(b) RESTRICTIONS.—
‘‘(1) IN GENERAL.—A program assisted under
this subchapter, and any individual employed by, or
assigned to or in, a program assisted under this sub-
chapter (during the hours in which such individual is
working on behalf of such program), shall not engage
in—
‘‘(A) any partisan or nonpartisan political
activity or any other political activity associated
with a candidate, or contending faction or
group, in an election for public or party office;
or
‘‘(B) any activity to provide voters or pro-
spective voters with transportation to the polls or
similar assistance in connection with any such
election.
‘‘(2) RULES AND REGULATIONS.—The Secretary,
after consultation with the Director of the Office of
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Personnel Management, may issue rules and regula-
tions to provide for the enforcement of this section,
which may include provisions for summary suspen-
sion of assistance or other action necessary to permit
enforcement on an emergency basis.’’.
SEC. 25. PARENTAL CONSENT REQUIREMENT FOR HEALTH
SERVICES.
The Head Start Act (42 U.S.C. 9831 et seq.) is amend-
ed by adding at the end the following new section:
‘‘SEC. 657A. PARENTAL CONSENT REQUIREMENT FOR NON-
EMERGENCY INTRUSIVE PHYSICAL EXAMINA-
TIONS.
‘‘(a) DEFINITION.—The term ‘nonemergency intrusive
physical examination’ means, with respect to a child, a
physical examination that—
‘‘(1) is not immediately necessary to protect the
health or safety of the child involved or the health or
safety of another individual; and
‘‘(2) requires incision or is otherwise invasive, or
involves exposure of private body parts.
‘‘(b) REQUIREMENT.—A Head Start agency shall ob-
tain written parental consent before administration of any
nonemergency intrusive physical examination of a child in
connection with participation in a program under this sub-
chapter.
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‘‘(c) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to prohibit agencies from using es-
tablished methods, for handling cases of suspected or known
child abuse and neglect, that are in compliance with appli-
cable Federal, State, or tribal law.’’.
SEC. 26. CONFORMING AMENDMENT.
Section 2501(c)(1)(C) of the Children’s Health Act of
2000 (42 U.S.C. 247b–1 note) is amended by striking
‘‘9840a(h)’’ and inserting ‘‘9840a’’.
SEC. 27. COMPLIANCE WITH THE IMPROPER PAYMENTS IN-
FORMATION ACT OF 2002.
(a) DEFINITIONS.—In this section, the term—
(1) ‘‘appropriate committees’’ means—
(A) the Committee on Health, Education,
Labor, and Pensions of the Senate; and
(B) the Committee on Education and Labor
of the House of Representatives; and
(2) ‘‘improper payment’’ has the meaning given
that term under section 2(d)(2) of the Improper Pay-
ments Information Act of 2002 (31 U.S.C. 3321 note).
(b) REQUIREMENT FOR COMPLIANCE CERTIFICATION
AND REPORT.—The Secretary of Health and Human Serv-
ices shall submit a report to the appropriate committees
that—
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(1) contains a certification that the Department
of Health and Human Services has, for each program
and activity of the Administration for Children and
Families, performed and completed a risk assessment
to determine programs and activities that are at sig-
nificant risk of making improper payments; and
(2) describes the actions to be taken to reduce
improper payments for the programs and activities
determined to be at significant risk of making im-
proper payments.
Attest:
Secretary.