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health care service to a child (or to refer a child to 
obtain such service) without the informed written 
consent 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 sep-
arate consent forms for each specific health care 
service.’’. 
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 sub-
chapter 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 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 avail-
able under this subchapter may be used to reimburse 
any such recipient for legal fees and other costs in-
curred in pursuing such an appeal; and’’. 
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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 
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 
provided in chapter 75 of title 31, United States 
Code (commonly known as the ‘Single Audit Act 
Amendments 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 pro-
gram; 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: 
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‘‘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 
accordance with the process, and the provisions for 
allocating 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-
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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— 
‘‘(A) activities to correct program and 
management deficiencies identified through re-
views carried out pursuant to section 641A(c) 
(including the provision of assistance to local 
programs in the development of quality im-
provement 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 sec-
tion 640(a)(3)(C)(ii) in order to address the training 
and career development needs of classroom staff (in-
cluding instruction for providing services to children 
with disabilities), and nonclassroom staff, including 
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