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SEC. 15. PARENTAL CONSENT REQUIREMENT FOR NON-
EMERGENCY INTRUSIVE PHYSICAL EXAMINA-
TIONS. 
The Head Start Act (42 U.S.C. 9831 et seq.) is amend-
ed by inserting after section 645A the following: 
‘‘SEC. 645B. 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 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
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using established methods, for handling cases of suspected 
or known child abuse and neglect, that are in compliance 
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 non-
competing continuation award is denied based on a 
previous failure to comply with terms applicable to 
financial assistance previously provided this sub-
chapter, or suspension of financial assistance is con-
tinued for more than 30 days, the recipient with re-
spect to whom such action is taken shall have the op-
portunity 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;’’. 
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 than 180 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
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Secretary an independent financial audit of the Head Start 
program carried out with financial assistance provided 
under this subchapter. Such audit shall be carried out by 
a certified public accountant selected through a competitive 
process from among qualified certified accountants by the 
local oversight board established in accordance with section 
642(b)(4) by such agency, except that no accountant may 
perform audits of such program for a period exceeding 5 
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 defi-
ciencies 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
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‘‘(2) provide such additional documentation as 
the Secretary may require.’’. 
SEC. 18. TECHNICAL ASSISTANCE AND TRAINING. 
(a) ALLOCATION OF RESOURCES.—Section 648(c) of 
the Head Start Act (42 U.S.C. 9843(c)) is amended— 
(1) in paragraph (2) by inserting ‘‘and for ac-
tivities described in section 1221(b)(3) of the Elemen-
tary 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 a semicolon; and 
(5) by adding the following at the end: 
‘‘(12) assist Head Start agencies and programs 
in increasing program participation of homeless chil-
dren; and 
‘‘(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-