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Note:  This document has been delivered to the Office of the Federal Register but has not yet been scheduled for publication.  The official version of this document is the document that is published in the Federal Register.

Discussion: The specific early intervention services that

are listed in §303.13(b) are those identified in section

632(4)(E) of the Act. While nursing services and nutrition services are not specifically mentioned in the Act, they historically have been included in the definition of early intervention services. For clarity, we have included the previous definitions of nursing services and nutritional

services from current §303.12(d)(6) and (7) in new

§303.13(b)(6) and (b)(7). However, as noted in the

preamble to the NPRM and in the definition of early intervention services in the regulations, this list is not

exhaustive. Specifically, §303.13(d) states that “(t)he

services and personnel identified and defined in paragraphs (b) and (c) of this section do not comprise exhaustive lists of the types of services that may constitute early intervention services or the types of qualified personnel

that may provide early intervention services.” Further,

§303.13(d) states that “[n]othing in this section prohibits

the identification in the IFSP of another type of service as an early intervention service provided that the service meets the criteria identified in paragraph (a) of this


Section 303.13(d) clearly conveys that the early

intervention services identified in §303.13(b) are not an