‘‘(C) The Total number of children and families 
served and percent of average monthly enrollment, 
including the percent of eligible children served. 
‘‘(D) The results of the most recent review by 
the Secretary and the financial audit. 
‘‘(E) The percentage of enrolled children that 
received medical and dental exams. 
‘‘(F) Information about parent involvement ac-
tivities. 
‘‘(G) The performance of the agency in pre-
paring children for kindergarten. 
‘‘(H) Any other information that describes the 
activities of the agency. 
‘‘(3) PROCEDURAL CONDUCT.—’’; and 
(2) in subsection (f)(2) 
(A) by redesignating subparagraphs (A) 
through (E) as subparagraphs (B) through (F), 
respectively; and 
(B) by inserting before subparagraph (B), 
as so redesignated, the following: 
‘‘(A) a description of the consultation conducted 
by the Head Start agency with the providers in the 
community demonstrating capacity and capability to 
provide services under this subchapter, and of the 
potential for collaboration with such providers and
the cost effectiveness of such collaboration as op-
posed to the cost effectiveness of the purchase of a 
facility;’’. 
SEC. 13. ELIGIBILITY. 
Section 645(a) of the Head Start Act (42 U.S.C. 
9840) is amended—
(1) in paragraph (1)—
(A) in subparagraph (B)(i)—
(i) by striking ‘‘to a reasonable ex-
tent’’ and inserting ‘‘not to exceed 10 per-
cent of the total enrollment’’; and 
(ii) by striking ‘‘benefit from such 
programs’’ and inserting ‘‘benefit from 
such programs, including children referred 
by child welfare services,’’; and 
(B) by adding at the end the following: 
‘‘A homeless child shall be deemed to meet the low-income 
criteria.’’; and 
(2) by adding at the end the following: 
‘‘(3) The amount of a basic allowance provided under 
section 403 of title 37, United States Code, on behalf of 
an individual who is a member of the uniformed services 
for housing that is acquired or constructed under the au-
thority of subchapter IV of chapter 169 of title 10, United 
States Code, or any other related provision of law, shall
not be considered to be income for purposes of deter-
mining the eligibility of a child of the individual for pro-
grams assisted under this subchapter.’’. 
SEC. 14. EARLY HEAD START PROGRAMS. 
(a) IN GENERAL.—Section 645A(b) of the Head 
Start Act (42 U.S.C. 9640a(b)) is amended—
(1) by amending paragraphs (4) and (5) to 
read as follows: 
‘‘(4) provide services to parents to support their 
role as parents (including parenting skills training 
and training in basic child development) and to help 
the families move toward self-sufficiency (including 
educational and employment services as appro-
priate); 
‘‘(5) coordinate services with services (including 
home-based services) provided by programs in the 
State and programs in the community (including 
programs for infants and toddlers with disabilities) 
to ensure a comprehensive array of services (such as 
health and mental health services, and family sup-
port services);’’; 
(2) by amending paragraph (8) to read as fol-
lows: 
‘‘(8) ensure formal linkages with the agencies 
and entities described in section 644(b) of the Indi-
viduals with Disabilities Education Act (20 U.S.C. 
1444(b)) and providers of early intervention services 
for infants and toddlers with disabilities under the 
Individuals with Disabilities Education Act (20 
U.S.C. 1400 et seq.) and the agency responsible for 
administering the section 106 of the Child Abuse 
Prevention and Treatment Act (42 U.S.C. 5106a);’’. 
(3) by redesignating paragraph (9) as para-
graph (11); and 
(4) by inserting after paragraph (8) the fol-
lowing: 
‘‘(9) develop and implement a systematic proce-
dure for transitioning children and parents from an 
Early Head Start program into a Head Start pro-
gram or another local early childhood education pro-
gram; 
‘‘(10) establish channels of communication be-
tween staff of Early Head Start programs and staff 
of Head Start programs or other local early child-
hood education programs, to facilitate the coordina-
tion of programs; and’’. 
(b) 
MIGRANT
AND
SEASONAL
PROGRAMS; 
COMMUNITY- AND FAITH-BASED ORGANIZATIONS.—Sec-
tion 645A(d) of the Head Start Act (42 U.S.C. 9640a(d)) 
is amended—
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) entities operating Head Start programs 
under this subpart, including migrant and seasonal 
Head Start programs; and’’; and 
(2) in paragraph (2) of the Head Start Act (42 
US.C. 9643(d)(2)) is amended by inserting ‘‘, in-
cluding community- and faith-based organizations’’ 
after ‘‘entities’’ the 2d place it appears. 
(c) TRAINING
AND TECHNICAL ASSISTANCE AC-
COUNT.—Section 645A(g)(2)(B) of the Head Start Act 
(42 U.S.C. 9640a(g)(2)(B)) is amended—
(1) in clause (iii) by striking ‘‘and’’ at the end; 
(2) in clause (iv) by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(v) providing professional develop-
ment designed to increase program partici-
pation for underserved populations of eligi-
ble children.’’. 
(d) CENTER-BASED STAFF.—Section 645A of the 
Head Start Act (42 U.S.C. 9640a) is amended by adding 
at the end the following: 
‘‘(h) CENTER-BASED STAFF.—The Secretary shall 
ensure that, not later than September 30, 2008, all teach-
ers providing direct services to Early Head Start children 
and families in Early Head Start centers have a minimum 
of a child development associate credential or an associate 
degree, and have been trained (or have equivalent course 
work) in early childhood development.’’. 
SEC. 15. PARENTAL CONSENT REQUIREMENT FOR NON-
EMERGENCY INTRUSIVE PHYSICAL EXAMINA-
TIONS. 
The Head Start Act (42 U.S.C. 9831 et seq.) is 
amended by inserting after section 645A the following: 
‘‘SEC. 645B. PARENTAL CONSENT REQUIREMENT FOR NON-
EMERGENCY INTRUSIVE PHYSICAL EXAMINA-
TIONS. 
‘‘(a) DEFINITION.—The term ‘nonemergency intru-
sive physical examination’ means, with respect to a child, 
a physical examination that—
‘‘(1) is not immediately necessary to protect the 
health or safety of such child, or the health or safety 
of another individual; and 
‘‘(2) includes incision or is otherwise invasive, 
or includes exposure of private body parts. 
‘‘(b) REQUIREMENT.—Before administering any 
health care service (including any nonemergency intrusive 
physical examination) to a child (or referring such 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. 
‘‘(c) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to prohibit a Head Start agency 
or an entity that receives assistance under section 645A 
from using established methods, for handling cases of sus-
pected or known child abuse and neglect, that are in com-
pliance with applicable Federal, State, or tribal law.’’. 
SEC. 16. RIGHT TO APPEAL. 
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 noncompeting 
continuation award is denied based on a previous failure 
to comply with terms applicable to financial assistance 
previously provided this subchapter, or suspension of fi-
nancial 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 pur-
suing such an appeal;’’.
SEC. 17. AUDITS. 
Section 647 of the Head Start Act (42 U.S.C. 9842) 
is amended by adding at the end the following: 
‘‘(c)(1) Not later that 60 days after the end of each 
fiscal year, each Head Start agency, and each entity that 
receives assistance under section 645A, shall submit to the 
Secretary an independent financial audit of the Head 
Start program carried out with financial assistance pro-
vided under this subchapter. Such audit shall be carried 
out by a certified public accountant selected through a 
competitive process from among qualified certified ac-
countants by the local oversight board established in ac-
cordance with section 641(a) by such agency, except that 
no accountant may perform audits of such program for 
a period exceeding 2 consecutive fiscal years. 
‘‘(2) Not later than 60 days after receiving such 
audit, the Secretary shall provide to such agency or such 
entity, and to the chief executive officer of the State in 
which such program is operated, a notice identifying the 
actions such agency or such entity is required to take to 
correct all deficiencies identified in such audit. 
‘‘(d) Each recipient of financial assistance under this 
subchapter shall—
‘‘(1) maintain, and annually submit to the Sec-
retary, a complete accounting of its administrative 
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); and 
‘‘(2) provide such additional documentation as 
the Secretary may require.’’. 
SEC. 18. TECHNICAL ASSISTANCE AND TRAINING. 
(a) STATE-BASED SYSTEM.—Section 648 of the 
Head Start Act (42 U.S.C. 9843) is amended—
(1) by redesignating subsections (b) through (e) 
as subsections (c) through (f), respectively; and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) The Secretary shall make available to each State 
the money reserved in section 640(a)(2)(C)(ii) to support 
a State-based system delivering training and technical as-
sistance that improves the capacity of Head Start pro-
grams within a State to deliver services in accordance with 
the Head Start standards in section 641A(a)(1), with par-
ticular attention to the standards set forth in subpara-
graphs (A) and (B) of such section. The Secretary shall—
‘‘(1) ensure eligible entities within a State are 
chosen by the Secretary, in consultation with the 
State Collaboration Board described in section 
640(a)(5)(C)(i), through a competitive bid process;
‘‘(2) ensure that existing agencies with dem-
onstrated expertise in providing high quality training 
and technical assistance to improve the delivery of 
Head Start services, including the State Head Start 
Association, State agencies, migrant and seasonal 
Head Start programs operating in the State, and 
other entities currently providing training and tech-
nical assistance in early education, be included in 
the planning and coordination of the State system of 
training and technical assistance; and 
‘‘(3) encourage States to supplement the funds 
authorized in section 640(a)(2)(C)(ii) with State, 
Federal, or local funds other than Head Start funds, 
to expand activities beyond Head Start agencies to 
include other providers of other early childhood serv-
ices within a State.’’. 
(b) ALLOCATION OF RESOURCES.—Section 648(d) of 
the Head Start Act (42 U.S.C. 9843(d)), as so redesig-
nated, is amended—
(1) in paragraph (2) by inserting ‘‘and for ac-
tivities described in section 1221(b)(3) of the Ele-
mentary and Secondary Education Act of 1965’’ 
after ‘‘disabilities’’ ; and
(2) in paragraph (5) by inserting ‘‘, including 
the needs of homeless children and their families’’ 
after ‘‘assessment’’; 
(3) in paragraph (10) by striking ‘‘and’’ at the 
end; 
(4) in paragraph (11) by striking the period at 
the end and inserting ‘‘; and’’; and 
(5) by adding the following at the end: 
‘‘(12) assist Head Start agencies and programs 
in increasing program participation of homeless chil-
dren.’’. 
(c) TRAINING IN USE OF MEDIA.—Section 648(e) of 
the Head Start Act (42 U.S.C. 9843(e)), as so redesig-
nated, is amended by inserting ‘‘, including community- 
and faith-based organizations’’ after ‘‘entities’’. 
(d) CHILD DEVELOPMENT AND NATIONAL ASSESS-
MENT PROGRAM.—Section 648(f) of the Head Start Act 
(42 U.S.C. 9843(f)), as so redesignated, is amended to 
read as follows: 
‘‘(f) The Secretary shall provide, either directly or 
through grants or other arrangements, funds from pro-
grams authorized under this subchapter to support an or-
ganization to administer a centralized child development 
and national assessment program leading to recognized 
credentials for personnel working in early childhood devel-