,,ii #aadth ,,congress #ast ,session ,s4 #dhf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #ab1 #bjae ,mrs4 ,boxer 7for herself and ,mrs4 ,feinstein7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,head ,start ,act to ensure that all children in ,head ,start and ,early ,head ,start programs are vaccinated1 and allow exemptions only for children with underlying medical conditions1 for whom vaccines are therefore medically contraindicated4 #a4 ,short title ,this ,act may be cited as the ,head ,start on ,vaccinations ,act4 #b4 ,vaccination requirement 7a7 ,head ,start programs ,the first subsection of section #fde of the ,head ,start ,act 7#db ,u4,s4,c4 #ihdj7 is amended by adding at the end the following3 7#f7 7,a7 ,in this paragraph3 7i7 ,the term complete vaccination information means such information as the ,secretary may require under subparagraph 7,g71 establishing that a child is vaccinated in accordance with the pediatric vaccine list4 7ii7 ,the term ,federally qualified health center has the meaning given the term in section #ahfa7;aa77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d774 7iii7 ,the term pediatric vaccine list means the list1 including the schedule1 established 7and periodically reviewed and as appropriate revised7 by the ,advisory ,committee on ,immunization ,practices 7an advisory committee established by the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention74 7iv7 ,the term program-registered provider has the meaning given the term in section #aibh7;c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifs7c774 7,b7 ,in order for a child who is enrolled in a ,head ,start program 7other than an ,early ,head ,start program7 assisted under this subchapter on the effective date of the ,head ,start on ,vaccinations ,act to remain eligible for participation in the program1 a parent or guardian of the child shall submit complete vaccination information to the program1 within #c months after the effective date of the ,head ,start on ,vaccinations ,act4 7,c7 7i7 ,in order for a child to be enrolled in a program covered by subparagraph 7,b71 a parent or guardian of the child-- 7,i7 shall submit complete vaccination information to the program1 in a timely manner1 as required under regulations issued under subparagraph 7,g72 or 7,,ii7 shall submit a signed agreement that the parent or guardian will provide that information as described in subclause 7,i71 and consents to the administration described in subparagraph 7,d77i7 or the referral described in subparagraph 7,d77ii74 7ii7 ,except for the initial submission of information for a child described in subparagraph 7,b71 in order for a child who is enrolled in a program covered by subparagraph 7,b7 to remain eligible for participation in the program1 a parent or guardian of the child shall submit complete vaccination information to the program1 in a timely manner1 as required under such regulations4 ,the director of the ,head ,start agency involved shall annually require the parents or guardians of the children in the program to make such a submission to maintain that enrollment4 7,d7 ,to assist a parent or guardian in complying with subparagraph 7,b7 or 7,c71 the director of a ,head ,start agency may use funds made available under this subchapter to-- 7i7 at the request of the parent or guardian1 have an employee of the agency1 who is eligible to administer vaccines in the ,state in which the agency is located1 administer any missing vaccines on the pediatric vaccine list to the child2 or 7ii7 assist the parent or guardian in gaining access to the vaccines1 such as by referring the parent or guardian to a ,federally qualified health center1 a ,state or county public health clinic1 a program-registered provider1 or a provider or contractor under title ,v of the ,social ,security ,act 7#db ,u4,s4,c4 #gja et seq471 that has a health care provider who is eligible to administer vaccines as described in clause 7i74 7,e7 7i7 ,subject to clause 7ii71 the director of a ,head ,start agency shall1 in a timely manner1 remove from the corresponding ,head ,start program any child who is not in compliance with subparagraph 7,b7 or 7,c74 7ii7 ,the director may exempt a child from subparagraph 7,b7 or 7,c7 only if a parent or guardian of the child submits information from a health care provider1 who 7under the ,state's law concerning vaccinations7 is qualified to determine whether the child has an underlying medical condition1 that the child has an underlying medical condition and that administration of vaccines is1 therefore1 medically contraindicated for the child4 7,f7 7i7 ,except as provided in clause 7ii71 in the case of a child in a ,head ,start program1 this paragraph shall apply notwithstanding any portion of a ,state law requiring vaccines that is inconsistent with the pediatric vaccine list4 7ii7 ,nothing in this paragraph shall be construed to prevent a ,state from requiring vaccines in addition to the vaccines on the pediatric vaccine list4 7,g7 7i7 ,not later than the effective date of the ,head ,start on ,vaccinations ,act1 the ,secretary shall issue regulations concerning implementation of this paragraph4 ,the regulations shall include provisions specifying timeliness for submission of information under subparagraph 7,c71 the information required to be submitted as complete vaccination information1 and timeliness for removal of a child from a ,head ,start program under subparagraph 7,e74 7ii7 ,before issuing the regulations1 the ,secretary shall-- 7,i7 consult with ,indian tribes about the application of this paragraph to children from ,indian tribes2 7,,ii7 consult with the national migrant and seasonal ,head ,start collaboration director about the application of this paragraph to children from migrant and seasonal farmworker families2 and 7,,iii7 consider the application of this paragraph to homeless children and foster children4 7iii7 ,this paragraph takes effect on the date of enactment of the ,head ,start on ,vaccinations ,act4 4 7b7 ,early ,head ,start ,programs ,section #fde;,a of the ,head ,start ,act 7#db ,u4,s4,c4 #ihdj;a7 is amended-- 7#a7 in subsection 7c71 by striking ,persons and inserting ,except as provided in subsection 7j71 persons2 and 7#b7 by adding at the end the following3 7j7 ,vaccinations ,the provisions of section #fde7;a77#f7 shall apply to ,early ,head ,start agencies1 ,early ,head ,start programs1 and children under age #c1 in the same manner and the same extent as those provisions apply to ,head ,start agencies1 ,head ,start programs1 and children4 4 #c4 ,effective date ,except as otherwise provided in the ,head ,start ,act1 this ,act1 including the amendments made by this ,act1 takes effect #c months after the date of enactment of this ,act4