09/01/2026
NPRM Series: What Could Change?
Head Start is more than early education. For decades, comprehensive health services have helped children access screenings, dental care, nutrition support, mental health services, and follow-up care.
The proposed NPRM would remove many of the detailed federal requirements that guide these services. While health services would still be required under the Head Start Act, fewer standards could mean services look different across communities.
Why does this matter? Nearly 1 in 5 U.S. children live in a household experiencing food insecurity, and half of children enrolled in Medicaid do not receive dental services.
Healthy children are better prepared to learn, grow, and thrive. ❤️
This NPRM is only a proposal. These changes are not currently in effect.
Source: National Head Start Association, Head Start and Comprehensive Health Services, August 2026
Head Start is about more than early learning. For generations, its comprehensive approach has helped connect children and families with health, dental, vision, nutrition, and mental health services that can help children arrive in the classroom ready to learn.
The Head Start Program Performance Standards provide specific requirements for this work, from developmental, behavioral, vision, and hearing screenings to helping families access healthcare and insurance.
As the federal government considers proposed changes to these standards, one of NHSA’s latest Notice of Proposed Rulemaking (NPRM) issue briefs takes a closer look at Head Start’s comprehensive health services, what the research tells us, and what could be at stake for children and families.
Read the issue brief: https://nhsa.box.com/s/glgkpoi754s2jt3o2ja0c7308ypdmc07