113 S39 IS: Healthy Lifestyles and Prevention America Act
U.S. Senate
2013-01-22
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short
title; table of contents
(a)This Act may be cited
as the Healthy Lifestyles and
Prevention America Act
or the HeLP America Act
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title; table of
contents.
TITLE I—Healthier kids and schools
Sec. 101. Nutrition and physical activity in child care quality
improvement.
Sec. 102. Access to local foods and school gardens at
preschools and child care.
Sec. 103. Fresh fruit and vegetable program.
Sec. 104. Equal physical activity opportunities for students
with disabilities.
Sec. 105. Physical activity in school settings.
TITLE II—Healthier communities and workplaces
Subtitle A—Creating healthier communities
Sec. 201. Technical assistance for the development of
joint/shared use agreements.
Sec. 202. Community sports programs for individuals with
disabilities.
Sec. 203. Community gardens.
Sec. 204. Physical activity guidelines for
Americans.
Sec. 205. Tobacco tax increase and parity.
Sec. 206. Leveraging and coordinating federal resources for
improved health.
Sec. 207. Healthier national parks.
Subtitle B—Incentives for a healthier workforce
Sec. 211. Tax credit to employers for costs of implementing
wellness programs.
Sec. 212. Employer-provided off-premises athletic
facilities.
Sec. 213. Task force for the promotion of breastfeeding in the
workplace.
Sec. 214. Improving healthy eating and active living options in
Federal workplaces.
TITLE III—Responsible marketing and consumer
awareness
Sec. 301. Guidelines for reduction in sodium content in certain
foods.
Sec. 302. Nutrition labeling for food products sold principally
for use in restaurants or other retail food establishments.
Sec. 303. Front-label food guidance systems.
Sec. 304. Rulemaking authority for advertising to
children.
Sec. 305. Health literacy: research, coordination and
dissemination.
Sec. 306. Disallowance of deductions for advertising and
marketing expenses relating to tobacco product use.
Sec. 307. Incentives to reduce tobacco use.
Sec. 308. Voluntary standards on food marketing to
children.
TITLE IV—Expanded coverage of preventive services
Sec. 401. Required coverage of preventive services under the
Medicaid program.
Sec. 402. Coverage for comprehensive workplace wellness program
and preventive services.
Sec. 403. Health professional education and training in healthy
eating.
Sec. 404. Integrative medicine training program.
TITLE V—Research
Sec. 501. National consortium on breastfeeding
research.
Sec. 502. National assessment of mental health
needs.
<enum>I</enum><header>Healthier kids
and schools</header>
<section id="id2b99310dbcaa4941b14d554328c4efe2"><enum>101.</enum><header>Nutrition and
physical activity in child care quality improvement</header>
<subsection id="idC8BADCEA86084752B027EC9E5427DB67"><enum>(a)</enum><header>State
plan</header><text display-inline="yes-display-inline">Section 658E(c)(2)(F) of
the Child Care and Development Block Grant Act of 1990 (42 U.S.C.
9858c(c)(2)(F)) is amended in the second sentence—</text>
<paragraph id="id837f62653b564b3b8189b85ddc0a6789"><enum>(1)</enum><text>by redesignating
clauses (i), (ii), and (iii) as subclauses (I), (II), and (III) and indenting
the margins so as to match the margins of subclause (I) of section
658E(c)(2)(A)(i);</text>
</paragraph><paragraph id="id7E1E81A949CE4A848CA5B1F10CCC6518"><enum>(2)</enum><text>by striking
<quote>requirements shall include—</quote> and inserting “requirements—</text>
<quoted-block display-inline="no-display-inline" id="id1B45540254F94BBF83989C262FD070D2" style="OLC">
<clause id="id42B11AC0408845EA823FA31168571129"><enum>(i)</enum><text>shall
include—</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id7F4921547B9E472B8ED2B4FC4E872727"><enum>(3)</enum><text>by striking the
period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id1644FAF2C44641D7B3B2565ADB49EA30"><enum>(4)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idD9CA786DDF9844D18C7BC4B37AAA15F1" style="OLC">
<clause id="idFCC75234328C47E888084EBDF9AE66AF"><enum>(ii)</enum><text>may include
requirements relating to standards for nutrition and access to physical
activity.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id970552ABC43C49F484FC89EA613731FF"><enum>(b)</enum><header>Activities To
improve the quality of child care</header><text>Section 658G of that Act (42
U.S.C. 9858e) is amended by adding at the end the following: <quote>Funds
reserved under this section may be used to support State or local efforts to
develop or adopt high-quality program standards relating to health, mental
health, nutrition, physical activity, and physical development or to provide
resources to enable eligible child care providers to meet, exceed, or sustain
success in meeting or exceeding such standards. Such standards shall take into
account existing empirical studies and research and existing standards that
have been approved by accrediting bodies.</quote>.</text>
</subsection></section><section id="id089E774BB4334906B03E6F8C0595FECE"><enum>102.</enum><header>Access to
local foods and school gardens at preschools and child care</header><text display-inline="no-display-inline">Section 18(g) of the Richard B. Russell
National School Lunch Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1769">42 U.S.C. 1769(g)</external-xref>) is amended—</text>
<paragraph id="id7A74DB5578A4489BA33271E4377C1BCD"><enum>(1)</enum><text>by striking
paragraph (1) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idB7827385A75C4FAF9333A788B77B0072" style="OLC">
<paragraph id="ida135315885694f79835457daebf67938"><enum>(1)</enum><header>Definitions</header><text>In
this subsection:</text>
<subparagraph id="id5E1D760C04704351A1909CBB774DA503"><enum>(A)</enum><header>Child care
center</header><text>The term <term>child care center</term> means a child care
center participating in the program under section 17 (other than a child care
center that solely participates in the program under subsection (r) of that
section).</text>
</subparagraph><subparagraph id="idbcad9a7484e8461ea288c4e5b3b27999"><enum>(B)</enum><header>Eligible
school</header><text>The term <term>eligible school</term> means a school or
institution that participates in a program under this Act or the school
breakfast program established under section 4 of the Child Nutrition Act of
1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1773">42 U.S.C. 1773</external-xref>).</text>
</subparagraph><subparagraph id="idA025A9D0FFD944F3A15FC4CCF2C7BD51"><enum>(C)</enum><header>Sponsoring
organization</header><text>The term <term>sponsoring organization</term> means
an institution described in subparagraphs (C), (D), or (E) of section
17(a)(2).</text>
</subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idAD4053D63C514CE59188DA3D2F3BA34D"><enum>(2)</enum><text>in paragraph
(2)—</text>
<subparagraph id="id3B3F3BB4883B4901B71CD65FA5FA1FF7"><enum>(A)</enum><text>by inserting
<quote>child care centers, sponsoring organizations for home-based
care,</quote> after <quote>eligible schools,</quote>; and</text>
</subparagraph><subparagraph id="id935966CA21A04CC2B6D076BB3979C1F6"><enum>(B)</enum><text>by inserting
<quote>, child care centers, and sponsoring organizations for home-based
care</quote> before the period at the end;</text>
</subparagraph></paragraph><paragraph id="idEE9EDC9FFCAD4667ADE3EE77C679F24D"><enum>(3)</enum><text>in paragraph
(5)—</text>
<subparagraph id="id7FB06468F32E4BD3A3C303808429EA28"><enum>(A)</enum><text>in subparagraph
(A), by inserting <quote>, child care center, or sponsoring organization for
home-based care</quote> after <quote>eligible school</quote>; and</text>
</subparagraph><subparagraph id="id687D583A4C6D494DBEC0CF84EE020686"><enum>(B)</enum><text>in subparagraph
(D), by inserting <quote>child care centers, sponsoring organizations for
home-based care,</quote> after <quote>eligible schools,</quote>; and</text>
</subparagraph></paragraph><paragraph id="idF2A3D23C44EC40609E479237D2523B3C"><enum>(4)</enum><text>in paragraph (7),
in the matter preceding subparagraph (A), by inserting <quote>child care
centers, sponsoring organizations for home-based care,</quote> after
<quote>eligible schools,</quote>.</text>
</paragraph></section><section id="id3F448BAB9BDA491DA800424AB27B42A3"><enum>103.</enum><header>Fresh fruit
and vegetable program</header><text display-inline="no-display-inline">Section
19 of the Richard B. Russell National School Lunch Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1769a">42 U.S.C. 1769a</external-xref>) is
amended—</text>
<paragraph id="idCBDF869D00A2442EA6223E4D3C24AB6C"><enum>(1)</enum><text>by striking
subsections (c) and (d) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idF614B7EEFA564E6F8E20C6969A64B830" style="OLC">
<subsection id="id66B1F843D6EC4A66853EE39852E4B29F"><enum>(c)</enum><header>School
participation</header>
<paragraph id="id27D50F95A5C543588DA644A38D132767"><enum>(1)</enum><header>In
general</header><text>Each State shall carry out the program in each elementary
school (as defined in section 9101 of the Elementary and Secondary Education
Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7801">20 U.S.C. 7801</external-xref>)) in the State—</text>
<subparagraph id="id91EE7AD3701B4EC7B87CD36A8BDC7CB0"><enum>(A)</enum><text>in which not less
than 50 percent of the students are eligible for free or reduced price meals
under this Act; and</text>
</subparagraph><subparagraph id="id36C6FA51320F4F5199E5F480BEEDA2AF"><enum>(B)</enum><text>that submits an
application in accordance with paragraph (2).</text>
</subparagraph></paragraph><paragraph id="idB3C1ED4D4C1449FAAD848F5186B18D46"><enum>(2)</enum><header>Application</header>
<subparagraph id="id3ED906FCD7BC4214877E3C753BFA20AC"><enum>(A)</enum><header>In
general</header><text>An interested elementary school shall submit to the State
an application containing—</text>
<clause id="id4FC7A21ED79A4C7296A17B413015573E"><enum>(i)</enum><text>information
pertaining to the percentage of students enrolled in the school who are
eligible for free or reduced price school lunches under this Act;</text>
</clause><clause id="id90DB9E7F4C3F47FFB22A553F7B19ACD4"><enum>(ii)</enum><text>a certification
of support for participation in the program signed by the school food manager,
the school principal, and the district superintendent (or equivalent positions,
as determined by the school);</text>
</clause><clause id="id0CFC309EB71B4A1F8FB74AF47A67D1FA"><enum>(iii)</enum><text>a plan for
implementation of the program, including efforts to integrate activities
carried out under this section with other efforts to promote sound health and
nutrition, reduce overweight and obesity, or promote physical activity;
and</text>
</clause><clause id="id70A26BE0D725416BAA708EE81F17735D"><enum>(iv)</enum><text>such other
information as may be requested by the Secretary.</text>
</clause></subparagraph><subparagraph id="id300BF42487CD484A8208E2DDA5BA8DEB"><enum>(B)</enum><header>Partnerships</header><text>Each
State shall encourage interested elementary schools to submit a plan for
implementation of the program that includes a partnership with 1 or more
entities that will provide non-Federal resources (including entities
representing the fruit and vegetable
industry).</text>
</subparagraph></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="id846FCC82E49E4A5087910280728146FE"><enum>(2)</enum><text>by striking
subsection (i) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id4380ECCDF3A34AFC9C4D78C6A0EDEA9C" style="OLC">
<subsection id="id5688EEA930D84F59B431953225CCBF43"><enum>(i)</enum><header>Funding</header>
<paragraph id="id4498DE2CB38145AB8904BDB8F2BE6C61"><enum>(1)</enum><header>In
general</header><text>Out of any funds in the Treasury not otherwise
appropriated, the Secretary of the Treasury shall transfer to the Secretary to
carry out this section such sums as are necessary, to remain available until
expended.</text>
</paragraph><paragraph id="idA4BD6A042D2C40F59287A08BAFC64AA9"><enum>(2)</enum><header>Receipt and
acceptance</header><text>The Secretary shall be entitled to receive, shall
accept, and shall use to carry out this section the funds transferred under
paragraph (1), without further
appropriation.</text>
</paragraph></subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id74DD6884F63F457DAB6F3FFD231004A0"><enum>(3)</enum><text>by redesignating
subsections (e) through (i) as subsections (d) through (h),
respectively.</text>
</paragraph></section><section id="ID80c66a7ba6034bbea8972c6cbdbb4673"><enum>104.</enum><header>Equal physical
activity opportunities for students with disabilities</header>
<subsection id="id65AD3BA973094A6099450E0C4CDDAF28"><enum>(a)</enum><header>In
general</header><text>Title V of the Rehabilitation Act of 1973 (29 U.S.C. 791
et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idDC2EA120AC9341718F818EEEF3BC3913" style="OLC">
<section id="id041D8889853441D5882489842159DC83"><enum>511.</enum><header>Equal physical
activity opportunities for students with disabilities</header>
<subsection id="ID3990f5d8fa4243e0a288ecb25297b437"><enum>(a)</enum><header>In
general</header><text>The Secretary shall promote equal opportunities for
students with disabilities to be included and to participate in physical
education and extracurricular athletics implemented in, or in conjunction with,
elementary schools, secondary schools, and institutions of higher education, by
ensuring the provision of appropriate technical assistance and guidance for
schools and institutions described in this subsection and their
personnel.</text>
</subsection><subsection id="idF1A13AEC47F445F98DFEA1E921EFE138"><enum>(b)</enum><header>Technical
assistance and guidance</header><text>The provision of technical assistance and
guidance described in subsection (a) shall include—</text>
<paragraph id="IDfcc3a37f26ca4534b401e476cfd36e28"><enum>(1)</enum><text>providing
technical assistance to elementary schools, secondary schools, local
educational agencies, State educational agencies, and institutions of higher
education, regarding—</text>
<subparagraph id="ID10a261fa24cf4c25ad7b6f5debd28ed6"><enum>(A)</enum><text>inclusion and
participation of students with disabilities, in a manner equal to that of the
other students, in physical education opportunities (including classes), and
extracurricular athletics opportunities, including technical assistance on
providing reasonable modifications to policies, practices, and procedures, and
providing supports to ensure such inclusion and participation;</text>
</subparagraph><subparagraph id="IDe73693d1a56d4335bdad35a599e27ae1"><enum>(B)</enum><text>provision of
adaptive sports programs, in the physical education and extracurricular
athletics opportunities, including programs with competitive sports leagues or
competitions, for students with disabilities; and</text>
</subparagraph><subparagraph id="ID1aab32111df44175a1ff79abae73378b"><enum>(C)</enum><text>responsibilities
of the schools, institutions, and agencies involved under section 504, the
Americans with Disabilities Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12101">42 U.S.C. 12101 et seq.</external-xref>), and any
other applicable Federal law to provide students with disabilities equal access
to extracurricular athletics;</text>
</subparagraph></paragraph><paragraph id="IDa03c317fe8c34b31af983c2d39c56990"><enum>(2)</enum><text>facilitating
information sharing among the schools, institutions, and agencies, and students
with disabilities, on ways to provide inclusive opportunities in physical
education and extracurricular athletics for students with disabilities;
and</text>
</paragraph><paragraph id="ID6cd196287a4c4ad089cc6a39895852e7"><enum>(3)</enum><text>monitoring the
extent to which physical education and extracurricular athletics opportunities
for students with disabilities are implemented in, or in conjunction with,
elementary schools, secondary schools, and institutions of higher
education.</text>
</paragraph></subsection><subsection id="idF0FEF019064D4E8EBDFAE9D0271C4C7D"><enum>(c)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="idA05004A177D2419592BFD5CC63C642AD"><enum>(1)</enum><header>Agencies</header><text>The
terms <term>local educational agency</term> and <term>State educational
agency</term> have the meanings given the terms in section 9101 of the
Elementary and Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7801">20 U.S.C. 7801</external-xref>).</text>
</paragraph><paragraph id="id0137CDD92EAF4EA483216794ADEB19AE"><enum>(2)</enum><header>Schools</header><text>The
terms <term>elementary school</term>, <term>secondary school</term>, and
<term>institution of higher education</term> mean an elementary school,
secondary school, or institution of higher education, respectively (as defined
in section 9101 of the Elementary and Secondary Education Act of 1965), that
receives or has 1 or more students who receive, Federal financial
assistance.</text>
</paragraph><paragraph id="idD4226250B5D94D5C82121DBDE37D6C86"><enum>(3)</enum><header>Student with a
disability</header>
<subparagraph id="idFDBE96297C30481DB669FC9D74C27675"><enum>(A)</enum><header>In
general</header><text>The term <term>student with a disability</term> means an
individual who—</text>
<clause id="idDAF7C00C62F94DFAB0695BCFA96E2B1A"><enum>(i)</enum><text>attends an
elementary school, secondary school, or institution of higher education;
and</text>
</clause><clause id="idDFE34D14364544A9A166C712079C81DC"><enum>(ii)</enum><text>who—</text>
<subclause id="id296AB22F4CAB4A879A402FEB3FBB472D"><enum>(I)</enum><text>is eligible for,
and receiving, special education or related services under part B of the
Individuals with Disabilities Education Act (<external-xref legal-doc="usc" parsable-cite="usc/20/1411">20 U.S.C. 1411 et seq.</external-xref>); or</text>
</subclause><subclause id="id376BF8BE0053404D98166E04D25C3C6D"><enum>(II)</enum><text>is an individual
with a disability, for purposes of section 504 or the Americans with
Disabilities Act of 1990.</text>
</subclause></clause></subparagraph><subparagraph id="id6A884C81C7674C31AF358DBD5976D586"><enum>(B)</enum><header>Students with
disabilities</header><text>The term <term>students with disabilities</term>
means more than 1 student with a
disability.</text>
</subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="id325131BC2FFF43EABA637FB05AF3FF41"><enum>(b)</enum><header>Table of
contents</header><text>The table of contents in section 1(b) of the
Rehabilitation Act of 1973 is amended by inserting after the item relating to
section 509 the following:</text>
<quoted-block display-inline="no-display-inline" id="id5F6F7DF7016D440290EAA3A5597B7C1F" style="OLC">
<toc>
<toc-entry bold="off" level="section">Sec. 510. Establishment of
standards for accessible medical diagnostic equipment.</toc-entry>
<toc-entry bold="off" level="section">Sec. 511. Equal physical
activity opportunities for students with
disabilities.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="ida2182543bcf948a88c6320be23f0bf72"><enum>105.</enum><header>Physical
activity in school settings</header>
<subsection id="id0848678ba7c54ec5a99a4984624dc8ce"><enum>(a)</enum><header>Annual State
report card</header><text>Section 1111(h)(1)(C) of the Elementary and Secondary
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/6311">20 U.S.C. 6311(h)(1)(C)</external-xref>) is amended—</text>
<paragraph id="id9aa155fa12494c3394c0b7758ea0e7e6"><enum>(1)</enum><text>in clause (vii),
by striking <quote>and</quote> after the semicolon;</text>
</paragraph><paragraph id="idd91a023d138c4ae695076cc9d39fc7c5"><enum>(2)</enum><text>in clause (viii),
by striking the period at the end and inserting a semicolon; and</text>
</paragraph><paragraph id="id5d3f36b8923348da80cd70bcb85c24b3"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id40486631a7264cc5b1fc64eb82073fcc" style="OLC">
<clause id="idd7e78e6d9d4f44298d091ae252d39398"><enum>(ix)</enum><text>the average
number of minutes during the school day that all students spend in required
physical education, and the average number of minutes that such students engage
in moderate to vigorous physical activity during the school day, as measured
against the most recent established and recommended guidelines of the Centers
for Disease Control and Prevention and the Secretary of Health and Human
Services;</text>
</clause><clause id="idf6fb239b028443428b2aea643b46029e"><enum>(x)</enum><text>the percentage of
local educational agencies that have a required, age-appropriate, physical
education curriculum that adheres to the most recent guidelines developed by
the Centers for Disease Control and Prevention and State standards;</text>
</clause><clause id="id3ea49bb9e3e8498890583472bcbe85d6"><enum>(xi)</enum><text>the percentage
of elementary school and secondary school physical education teachers who are
licensed or certified to teach physical education in the State;</text>
</clause><clause id="id1e5c8d086c4444e1819e0e7bf3f5353a"><enum>(xii)</enum><text>the percentage
of elementary schools and secondary schools that have a physical education
teacher who is certified or licensed to teach in the State and who also is
certified or licensed in adapted physical education;</text>
</clause><clause id="id90cc6cbe48ef4424b5d84cd0763d4e6a"><enum>(xiii)</enum><text>the number of
indoor square feet and the number of outdoor square feet used primarily for
physical education or physical activity by elementary schools and secondary
schools; and</text>
</clause><clause id="iddd03d5d075c9417cba3b74779c94048f"><enum>(xiv)</enum><text>the percentage
of local educational agencies that have a school wellness council that—</text>
<subclause id="idDD460251723F4CADA7495C5978F8B2E8"><enum>(I)</enum><text>includes members
appointed by the superintendent of the local educational agency and may include
parents, students, representatives of the school food authority,
representatives of the school board, school administrators, and members of the
public; and</text>
</subclause><subclause id="idDCC746E9120F413DB2FEF60F37F706B6"><enum>(II)</enum><text>meets regularly
to promote a healthy school
environment.</text>
</subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="idf36bceb835514405ba29a94dcafdb14e"><enum>(b)</enum><header>Physical
education as a core subject</header><text>Section 9101(11) of the Elementary
and Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7801">20 U.S.C. 7801(11)</external-xref>) is amended by
inserting <quote>physical education,</quote> after <quote>economics,
arts,</quote>.</text>
</subsection><subsection id="id0b19a45b00ac489db9f55edaa781dfc7"><enum>(c)</enum><header>21st Century
learning communities</header>
<paragraph id="idfa77bf568bae416aaf209143dad400ad"><enum>(1)</enum><header>Purpose;
definitions</header><text>Section 4201 of the Elementary and Secondary
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7171">20 U.S.C. 7171</external-xref>) is amended—</text>
<subparagraph id="ida6e392bce52f47d99c57b8869f0eeea6"><enum>(A)</enum><text>in subsection
(a)(2), by inserting <quote>nutrition education programs, structured physical
activity programs,</quote> after <quote>recreation programs,</quote>;
and</text>
</subparagraph><subparagraph id="id285fcf4cbc564b67a12d2c1508db9237"><enum>(B)</enum><text>in subsection
(b)(1)(A), by inserting <quote>nutrition education, structured physical
activity,</quote> after <quote>recreation,</quote>.</text>
</subparagraph></paragraph><paragraph id="idac6ed985f10d4983897c38779682d49b"><enum>(2)</enum><header>Local
activities</header><text>Section 4205(a) of the Elementary and Secondary
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7175">20 U.S.C. 7175(a)</external-xref>) is amended—</text>
<subparagraph id="id9bfd8ad6548649c8a6f0f661e5f26e2f"><enum>(A)</enum><text>in paragraph
(11), by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph id="iddd4fe1818a2a4212ab84c677095ee2b3"><enum>(B)</enum><text>in paragraph
(12), by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</subparagraph><subparagraph id="ida7de4b615aba470da7b79bf8300445b6"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idCDD1896D530E40D9ACF9E1A13573DA5B" style="OLC">
<paragraph id="id31cf6306fc464e298fd8a1bf58cc76e8"><enum>(13)</enum><text>programs that
support a healthy, active lifestyle, including nutritional education and
regular, structured physical activity
programs.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="idaa32ead94bb94a268239539aac360bf9"><enum>(d)</enum><header>Parental
involvement</header><text>Section 1118(d)(1) of the Elementary and Secondary
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/6318">20 U.S.C. 6318(d)(1)</external-xref>) is amended—</text>
<paragraph id="id75e021f3e12b4b149969c11a1d042b80"><enum>(1)</enum><text>by inserting
<quote>, healthy,</quote> after <quote>supportive</quote>;</text>
</paragraph><paragraph id="iddfcacd29202048f8a1deb9150bcaaa95"><enum>(2)</enum><text>by striking
<quote>; and participating</quote> and inserting <quote>;
participating</quote>; and</text>
</paragraph><paragraph id="ida59cdcc1a76447318efbcd78ad4bcf29"><enum>(3)</enum><text>by inserting
after <quote>extracurricular time;</quote> the following: <quote>and supporting
their children in leading a healthy and active life, such as by providing
healthy meals and snacks, encouraging participation in physical education, and
sharing in physical activity outside the school day to support successful
academic achievement;</quote>.</text>
</paragraph></subsection><subsection id="ided81709d31834291a9c08a7dd7a30aee"><enum>(e)</enum><header>Local
application and needs assessment</header><text>Section 2122(b)(9) of the
Elementary and Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/6622">20 U.S.C. 6622</external-xref>) is
amended—</text>
<paragraph id="idDE7C717FB6084B8DB70CFAA8111A4377"><enum>(1)</enum><text>in subparagraph
(C), by striking <quote>and</quote> after the semicolon;</text>
</paragraph><paragraph id="idE7EC6135AA2340D9ACF6560745621591"><enum>(2)</enum><text>in subparagraph
(D), by striking a period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="id75407ABC402F43C1B2D696E7E620D74E"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id349C28D0FB274EEAA2F4ED804809974C" style="OLC">
<subparagraph id="ide4b7b07ed2a14710b7a86c252963b557"><enum>(E)</enum><text>encourage healthy
eating habits and increased physical activity among students to support
successful academic
achievement.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><enum>II</enum><header>Healthier
communities and workplaces</header>
<subtitle id="id1770D0ACB81F4ED98FADB780CC5567AE"><enum>A</enum><header>Creating
healthier communities</header>
<section commented="no" display-inline="no-display-inline" id="idF3C5738CB16A4EFEA62E5D42DC3043B8"><enum>201.</enum><header>Technical
assistance for the development of joint/shared use agreements</header>
<subsection commented="no" display-inline="no-display-inline" id="id6AD42095386A4019A38687B23C145311"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary of
Health and Human Services, in coordination with the Secretary of Education and
in consultation with leading national experts and organizations advancing
healthy living in the school environment, shall develop and disseminate
guidelines and best practices, including model documents, and provide technical
assistance to elementary and secondary schools to assist such schools with the
development of joint/shared use agreements so as to address liability,
operational and management, and cost issues that may otherwise impede the
ability of community members to use school facilities for recreational and
nutritional purposes during nonschool hours.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="idFF506050D5704FC892DE6F1ABF6D6A0E"><enum>(b)</enum><header>Definition</header><text display-inline="yes-display-inline">In this section, the term
<term>joint/shared use agreement</term> means a formal agreement between an
elementary or secondary school and another entity relating to the use of the
school's facilities, equipment, or property, including recreational and food
services facilities, equipment, and property, by individuals other than the
school's students or staff.</text>
</subsection></section><section id="ID48E6A97A15084496ADE1169226A7502A"><enum>202.</enum><header>Community
sports programs for individuals with disabilities</header><text display-inline="no-display-inline">Part P of title III of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
280g et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="ID629E6A27A22440A4B926FF02040D13B6" style="OLC">
<section id="IDB1273C1F680548EA8916D0BB92142321"><enum>399V–6.</enum><header>Community
sports programs for individuals with disabilities</header>
<subsection id="ID93803F11A3D44A7DBB5BCA2212F214C5"><enum>(a)</enum><header>In
general</header>
<paragraph id="IDEFFB28A783D94AEFBB8D7025611940A0"><enum>(1)</enum><header>Individual with
a disability defined</header><text>For purposes of this section, the term
<term>individual with a disability</term> means any person who has a disability
as defined in section 3 of the Americans with Disabilities Act of 1990 (42
U.S.C. 12102).</text>
</paragraph><paragraph id="id9C30EE7AFFA14D4D888DF9C8F3D3C847"><enum>(2)</enum><header>Individual with
a physical disability</header><text>The term <term>individual with a physical
disability</term> means an individual with a disability that has a physical or
visual disability.</text>
</paragraph><paragraph id="IDECBC71BC2BD645768D178F1EB5B1432F"><enum>(3)</enum><header>Community
sports grants program</header><text>The Secretary, in collaboration with the
National Advisory Committee on Community Sports Programs for Individuals with
Disabilities, may award grants on a competitive basis to public and nonprofit
private entities to implement community-based, sports and athletic programs for
individuals with disabilities, including youth with disabilities.</text>
</paragraph></subsection><subsection id="ID8CB79825881542848A30A59CF8C45316"><enum>(b)</enum><header>Application</header><text>To
be eligible to receive a grant under this section, a public or nonprofit
private entity shall submit to the Secretary an application at such time, in
such manner, and containing such agreements, assurances, and information as the
Secretary determines to be necessary to carry out this section.</text>
</subsection><subsection id="IDDB87E171179549ADACB2D60BE5C9FD11"><enum>(c)</enum><header>Authorized
activities</header><text>Amounts awarded under a grant under subsection (a)
shall be used for—</text>
<paragraph id="IDB467B41DE31349D88773B48EB478230B"><enum>(1)</enum><text>community-based
sports programs, leagues, or competitions in individual or team sports for
individuals with physical disabilities;</text>
</paragraph><paragraph id="IDE3000353AC144A528862812AD0B7DB0E"><enum>(2)</enum><text>regional sports
programs or competitions in individual or team sports for individuals with
physical disabilities;</text>
</paragraph><paragraph id="ID9740F13737824F83AD120EF6BD7C7A39"><enum>(3)</enum><text>the development
of competitive team and individual sports programs for individuals with
disabilities at the high school and collegiate level; or</text>
</paragraph><paragraph id="IDA3BA389B84CF4ABD8062E559CA9513C2"><enum>(4)</enum><text>the development
of mentoring programs to encourage participation in sports programs for
individuals with disabilities, including individuals with recently acquired
disabilities.</text>
</paragraph></subsection><subsection id="IDE1F4505297244655BA6B7CDD034C7A3F"><enum>(d)</enum><header>Priorities</header>
<paragraph id="IDB160608A9D8F430886ED487689928258"><enum>(1)</enum><header>Advisory
committee</header><text>The Secretary shall establish a National Advisory
Committee on Community Sports Programs for Individuals with Disabilities that
shall—</text>
<subparagraph id="IDDF1BDBA5F8534CBCA7F9159ACD25FE33"><enum>(A)</enum><text>establish
priorities for the implementation of this section;</text>
</subparagraph><subparagraph id="id00A7E6918D7F491DA8274AB0A8DCA54D"><enum>(B)</enum><text>review grant
proposals;</text>
</subparagraph><subparagraph id="id298D9A62FA97412A85C0BBE20F4C6038"><enum>(C)</enum><text>make
recommendations for distribution of the available appropriated funds to
specific applicants; and</text>
</subparagraph><subparagraph id="IDAF06DC88284847D1BBB91FF8F50504D4"><enum>(D)</enum><text>annually evaluate
the progress of programs carried out under this section in implementing such
priorities.</text>
</subparagraph></paragraph><paragraph id="ID51E17A9B84CD407CAE7D9B92417313F4"><enum>(2)</enum><header>Representation</header><text>The
Advisory Committee established under paragraph (1) shall include
representatives of—</text>
<subparagraph id="IDDEE972D813354668BC115E3DFB6C739F"><enum>(A)</enum><text>the Department of
Health and Human Services Administration for Community Living;</text>
</subparagraph><subparagraph id="IDA21D842EBA264441AC2050044F47784D"><enum>(B)</enum><text>the United States
Surgeon General;</text>
</subparagraph><subparagraph id="ID9455FD8FB27E4F4BA3B7C14818FD7CD5"><enum>(C)</enum><text>the Centers for
Disease Control and Prevention;</text>
</subparagraph><subparagraph id="ID81BFFE8EC9824EFB8247CE75C960A55B"><enum>(D)</enum><text>disabled sports
organizations;</text>
</subparagraph><subparagraph id="ID376713F036804332B7F4BED552D63BE4"><enum>(E)</enum><text>organizations
that represent the interests of individuals with disabilities; and</text>
</subparagraph><subparagraph id="IDC673E853674D4B8EA3699BEAE21F7091"><enum>(F)</enum><text>individuals with
disabilities (including athletes with physical disabilities) or their family
members.</text>
</subparagraph></paragraph></subsection><subsection id="IDD74E6D9BE84740C193614BB47A9E6FD0"><enum>(e)</enum><header>Dissemination
of information</header><text>The Secretary shall disseminate information about
the availability of grants under this section in a manner that is designed to
reach public entities and nonprofit private organizations that are dedicated to
providing outreach, advocacy, or independent living services to individuals
with disabilities.</text>
</subsection><subsection id="ID4029EB31524B4578997C69885A87BE1E"><enum>(f)</enum><header>Technical
assistance</header><text>The Secretary, in conjunction with the United States
Olympic Committee and disabled sports organizations, shall establish a
technical assistance center to provide training, support, and information to
grantees under this section on establishing and operating community sports
programs for individuals with disabilities.</text>
</subsection><subsection id="ID9E871357F96A4554AA15B0F23CFB7E4C"><enum>(g)</enum><header>Report to
congress</header><text>Not later than 180 days after the date of the enactment
of this section, and annually thereafter, the Secretary shall submit to
Congress a report summarizing activities, findings, outcomes, and
recommendations resulting from the grant projects funded under this section
during the year for which the report is being prepared.</text>
</subsection><subsection id="ID4B6BE8994E61451F9069583EE7829387"><enum>(h)</enum><header>Authorization
of appropriations</header>
<paragraph id="ID4D7298E4A5DE4DBBB7B1400FBED382B9"><enum>(1)</enum><header>In
general</header><text>To carry out this section, there are authorized to be
appropriated such sums as may be necessary.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDEE9C7FED475E404EAD389AF76E73AE6F"><enum>(2)</enum><header>Limitation</header><text>Not
to exceed 10 percent of the amount appropriated in each fiscal year shall be
used to carry out activities under subsection
(c)(4).</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idBA7F1C53209D4BC6BDE5BE5813402074"><enum>203.</enum><header>Community
gardens</header><text display-inline="no-display-inline">Subtitle D of title X
of the Food, Conservation, and Energy Act of 2008 (<external-xref legal-doc="public-law" parsable-cite="pl/110/246">Public Law 110–246</external-xref>; 122
Stat. 2109) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id1632192E4436479A87E01464076A451E" style="OLC">
<section id="idFAB772D57DAF4A9BA3A4D691C1419C7B"><enum>10405.</enum><header>Community
garden grant program</header>
<subsection id="IDa608651b034e4f5099639b23ee03bcdd"><enum>(a)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="idD93DD4D5CDF244A3AADBD7950488E13A"><enum>(1)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means—</text>
<subparagraph id="id53EC92E7676043DEAF5DEF5EFF4DAE31"><enum>(A)</enum><text>a nonprofit
organization; or</text>
</subparagraph><subparagraph id="id4B087A5562F04FEEB28D85A6FD9C8890"><enum>(B)</enum><text>a unit of general
local government, or tribal government, located on tribal land or in a
low-income community.</text>
</subparagraph></paragraph><paragraph id="IDaec57a662ad74586836ca0ef10b0f1ce"><enum>(2)</enum><header>Low-income
community</header><text>The term <term>low-income community</term>
means—</text>
<subparagraph id="IDf218ff65e8d34e31a1c6197b3037443b"><enum>(A)</enum><text>a community in
which not less than 50 percent of children are eligible for free or reduced
priced meals under the Richard B. Russell National School Lunch Act (42 U.S.C.
1751 et seq.); or</text>
</subparagraph><subparagraph id="ID8d458defdf8f4f7b87fad0333aed4ef2"><enum>(B)</enum><text>any other
community determined by the Secretary to be low-income for purposes of this
section.</text>
</subparagraph></paragraph><paragraph id="IDf93753a1d9e34f6cb0f1926c24be91f2"><enum>(3)</enum><header>Unit of general
local government</header><text>The term <quote>unit of general local
government</quote> has the meaning given the term in section 102 of the Housing
and Community Development Act of 1974 (<external-xref legal-doc="usc" parsable-cite="usc/42/5302">42 U.S.C. 5302</external-xref>).</text>
</paragraph></subsection><subsection id="IDf488e54cc340488398ef277efd8c9b33"><enum>(b)</enum><header>Program
established</header><text>Using such amounts as are appropriated to carry out
this section, the Secretary shall award grants to eligible entities to expand,
establish, or maintain community gardens.</text>
</subsection><subsection id="IDe96642796359436bb350d38c8d33ccfa"><enum>(c)</enum><header>Application</header><text>To
be considered for a grant under this section, an eligible entity shall submit
to the Secretary an application at such time, in such manner, and containing
such information as the Secretary may require, including—</text>
<paragraph id="ID205ffc1daf184c05a18621c9ec7dbe8c"><enum>(1)</enum><text>an assurance that
priority for hiring for jobs created by the expansion, establishment, or
maintenance of a community garden funded with a grant received under this
section will be given to individuals who reside in the community in which the
garden is located; and</text>
</paragraph><paragraph id="ID5b6cbff0dae14edfac6cbe15948534af"><enum>(2)</enum><text>a demonstration
that the eligible entity is committed to providing non-Federal financial or
in-kind support (such as providing a water supply) for the community garden for
which the entity receives funds under this
section.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="idE0C57F75310B42A2BF05DDD4B8C9D446"><enum>204.</enum><header>Physical
activity guidelines for Americans</header>
<subsection commented="no" display-inline="no-display-inline" id="H614422CD7EB2416691A35AA591A6EF79"><enum>(a)</enum><header display-inline="yes-display-inline">Report</header>
<paragraph commented="no" display-inline="no-display-inline" id="H33A406168F55422CAA4336CDBC465E55"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">At least every 10 years, the Secretary of
Health and Human Services (in this section referred to as the
<quote>Secretary</quote>) shall publish a report entitled <quote>Physical
Activity Guidelines for Americans</quote>. Each such report shall contain
physical activity information and guidelines for the general public, and shall
be promoted by each Federal agency in carrying out any Federal health program.
Not later than 5 years after the publication of the first such report, and
every 10 years thereafter, the Secretary shall publish a report highlighting
the best practices and continuing issues in the physical activity arena, which
may focus on a particular group, subsection, or other division of the general
public or a particular issue relating to the physical activity of
Americans.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HF7A881D0205A48D497B7898238ADF9E2"><enum>(2)</enum><header display-inline="yes-display-inline">Basis of guidelines</header><text display-inline="yes-display-inline">The information and guidelines contained in
each report required under paragraph (1) shall be based on the preponderance of
the scientific and medical knowledge which is current at the time the report is
prepared, and shall include guidelines for identified population subgroups,
including children, if the preponderance of scientific and medical knowledge
indicates those subgroups require different levels of physical activity.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HC08F5D18A6E94D93916A4DB8471851DD"><enum>(b)</enum><header display-inline="yes-display-inline">Approval by Secretary</header>
<paragraph commented="no" display-inline="no-display-inline" id="H199789C4090E48A48D08A3BF6161681D"><enum>(1)</enum><header display-inline="yes-display-inline">Review</header><text display-inline="yes-display-inline">Any Federal agency that proposes to issue
any physical activity guidance for the general population or identified
population subgroups shall submit the text of such guidance to the Secretary
for a 60-day review period.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE9C2F0E056444313B900D6684A2259C9"><enum>(2)</enum><header display-inline="yes-display-inline">Basis of review</header>
<subparagraph commented="no" display-inline="no-display-inline" id="HC1BFAE76976141D4A3B7D9C56A1226C4"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">During the 60-day review period established
in paragraph (1), the Secretary shall review and approve or disapprove such
guidance to assure that the guidance either is consistent with the
<quote>Physical Activity Guidelines for Americans</quote> or that the guidance
is based on medical or new scientific knowledge which is determined to be valid
by the Secretary. If after such 60-day review period the Secretary has not
notified the proposing agency that such guidance has been disapproved, then
such guidance may be issued by the agency. If the Secretary disapproves such
guidance, it shall be returned to the agency. If the Secretary finds that such
guidance is inconsistent with the <quote>Physical Activity Guidelines for
Americans</quote> and so notifies the proposing agency, such agency shall
follow the procedures set forth in this subsection before disseminating such
proposal to the public in final form. If after such 60-day period, the
Secretary disapproves such guidance as inconsistent with the <quote>Physical
Activity Guidelines for Americans</quote> the proposing agency shall—</text>
<clause commented="no" display-inline="no-display-inline" id="H8F63D2E16B3B449DA5FCD76168704206"><enum>(i)</enum><text display-inline="yes-display-inline">publish a notice in the Federal Register of
the availability of the full text of the proposal and the preamble of such
proposal which shall explain the basis and purpose for the proposed physical
activity guidance;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HF961B16A73234988BE5458E585CA15CE"><enum>(ii)</enum><text display-inline="yes-display-inline">provide in such notice for a public comment
period of 30 days; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HD243BBC4A3314F518A01F4E0CA3B5562"><enum>(iii)</enum><text display-inline="yes-display-inline">make available for public inspection and
copying during normal business hours any comment received by the agency during
such comment period.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H1A8CB06CFAE24781AC0662A8CED006D6"><enum>(B)</enum><header display-inline="yes-display-inline">Review of comments</header><text display-inline="yes-display-inline">After review of comments received during
the comment period, the Secretary may approve for dissemination by the
proposing agency a final version of such physical activity guidance along with
an explanation of the basis and purpose for the final guidance which addresses
significant and substantive comments as determined by the proposing
agency.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HFADCE08CA578427A844D8A648B08BDE4"><enum>(C)</enum><header display-inline="yes-display-inline">Announcement</header><text display-inline="yes-display-inline">Any such final physical activity guidance
to be disseminated under subparagraph (B) shall be announced in a notice
published in the Federal Register, before public dissemination along with an
address where copies may be obtained.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HB2311D5EB8DF4C1B929B696BDD8AB939"><enum>(D)</enum><header display-inline="yes-display-inline">Notification of disapproval</header><text display-inline="yes-display-inline">If after the 30-day period for comment as
provided under subparagraph (A)(ii), the Secretary disapproves a proposed
physical activity guidance, the Secretary shall notify the Federal agency
submitting such guidance of such disapproval, and such guidance may not be
issued, except as provided in subparagraph (E).</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HFDACF36A165346E597563D33A937A9D6"><enum>(E)</enum><header display-inline="yes-display-inline">Review of disapproval</header><text display-inline="yes-display-inline">If a proposed physical activity guidance is
disapproved by the Secretary under subparagraph (D), the Federal agency
proposing such guidance may, within 15 days after receiving notification of
such disapproval under subparagraph (D), request the Secretary to review such
disapproval. Within 15 days after receiving a request for such a review, the
Secretary shall conduct such review. If, pursuant to such review, the Secretary
approves such proposed physical activity guidance, such guidance may be issued
by the Federal agency.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H2D7ACA513C3246199E813B3AC207286D"><enum>(3)</enum><header display-inline="yes-display-inline">Definitions</header><text display-inline="yes-display-inline">In this subsection:</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H85F11063D78046EB89245A4649DA379E"><enum>(A)</enum><text display-inline="yes-display-inline">The term <term>physical activity guidance
for the general population</term> does not include any rule or regulation
issued by a Federal agency.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HDADD378D71EA4C4E81EDBD1B578392ED"><enum>(B)</enum><text display-inline="yes-display-inline">The term <term>identified population
subgroups</term> shall include, but not be limited to, groups based on factors
such as age, sex, race, or physical disability.</text>
</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H3EB21E6F4701475AB6C2E9C437607593"><enum>(c)</enum><header display-inline="yes-display-inline">Existing authority not
affected</header><text display-inline="yes-display-inline">This section does
not place any limitations on—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HFCDD848E1F8C4FA5B490E5D2D78A0824"><enum>(1)</enum><text display-inline="yes-display-inline">the conduct or support of any scientific or
medical research by any Federal agency; or</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HD13E0C7729394A3EB2F6ED08E4723353"><enum>(2)</enum><text display-inline="yes-display-inline">the presentation of any scientific or
medical findings or the exchange or review of scientific or medical information
by any Federal agency.</text>
</paragraph></subsection></section><section id="id47B375565D124D9DBC4A9C2D5ED9681B"><enum>205.</enum><header>Tobacco tax
increase and parity</header>
<subsection id="id489D3A01067949F7B8C87FDF615CFAD5"><enum>(a)</enum><header>Short
Title</header><text>This section may be cited as the <quote>Saving Lives by
Lowering Tobacco Use Act</quote>.</text>
</subsection><subsection id="id1715C01CCC3D4BAF9F6EDDBBC53C619E"><enum>(b)</enum><header>Increase in
excise tax on small cigars and cigarettes</header>
<paragraph id="idF4418B9F9D6B4E3A949BB05B4C7D5422"><enum>(1)</enum><header>Small
cigars</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/5701">Section 5701(a)(1)</external-xref> of the Internal Revenue Code of 1986 is
amended by striking <quote>$50.33</quote> and inserting
<quote>$100.50</quote>.</text>
</paragraph><paragraph id="id8C5744DEFA3149E383AC653DB08D8987"><enum>(2)</enum><header>Cigarettes</header><text>Section
5701(b) of such Code is amended—</text>
<subparagraph id="id871B97F506C94C6A887CAC8EE918304E"><enum>(A)</enum><text>by striking
<quote>$50.33</quote> in paragraph (1) and inserting <quote>$100.50</quote>,
and</text>
</subparagraph><subparagraph id="id7CB5664FE4EB4D6D8C8DA75D76454CA6"><enum>(B)</enum><text>by striking
<quote>$105.69</quote> in paragraph (2) and inserting
<quote>$211.04</quote>.</text>
</subparagraph></paragraph></subsection><subsection id="idFFBD02BFF58B4AD69E1FD5E6C505DA59"><enum>(c)</enum><header>Tax parity for
pipe tobacco and roll-Your-Own tobacco</header>
<paragraph id="id6D531CEB4E4048F89C67F395902DF0DC"><enum>(1)</enum><header>Pipe
tobacco</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/5701">Section 5701(f)</external-xref> of the Internal Revenue Code of 1986 is
amended by striking <quote>$2.8311 cents</quote> and inserting
<quote>$49.55</quote>.</text>
</paragraph><paragraph id="id14E5D075FC054A8CB069D0923A47210D"><enum>(2)</enum><header>Roll-your-own
tobacco</header><text>Section 5701(g) of such Code is amended by striking
<quote>$24.78</quote> and inserting <quote>$49.55</quote>.</text>
</paragraph></subsection><subsection id="idF5EC8F258052495391B712983ED83341"><enum>(d)</enum><header>Clarification
of definition of small cigars</header><text>Paragraphs (1) and (2) of section
5701(a) of the Internal Revenue Code of 1986 are each amended by striking
<quote>three pounds per thousand</quote> and inserting <quote>four and one-half
pounds per thousand</quote>.</text>
</subsection><subsection id="id519D04D47E364774BB18A2086D3DA4A4"><enum>(e)</enum><header>Clarification
of definition of cigarette</header><text>Paragraph (2) of section 5702(b) of
the Internal Revenue Code of 1986 is amended by inserting before the final
period the following: <quote>, which includes any roll for smoking containing
tobacco that weighs no more than four and a half pounds per thousand, unless it
is wrapped in whole tobacco leaf and does not have a cellulose acetate or other
cigarette-style filter</quote>.</text>
</subsection><subsection id="idE61FCA1F14E64C7A9971B3556C97D49B"><enum>(f)</enum><header>Tax parity for
smokeless tobacco</header>
<paragraph id="id9FFC54B699A6470E879C886141EBCD01"><enum>(1)</enum><header>In
general</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/5701">Section 5701(e)</external-xref> of the Internal Revenue Code of 1986 is
amended—</text>
<subparagraph id="idC630725DB96A46BB8C34EF3B0AA2BF85"><enum>(A)</enum><text>in paragraph (1),
by striking <quote>$1.51</quote> and inserting <quote>$26.79</quote>;</text>
</subparagraph><subparagraph id="idB94766F6E49A4A62980DA493F20F16C2"><enum>(B)</enum><text>in paragraph (2),
by striking <quote>50.33 cents</quote> and inserting <quote>$10.72</quote>;
and</text>
</subparagraph><subparagraph id="id93B7686D4C684369934833A5CE4533EA"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="id83F4625304B941C98622D577ABA5A902" style="OLC">
<paragraph id="idC09819BD364B438D953EF08A12BC99F2"><enum>(3)</enum><header>Smokeless
tobacco sold in discrete single-use units</header><text>On discrete single-use
units, $100.50 per each 1,000 single-use
units.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="id14C8662017824E88BB8EE361507B5453"><enum>(2)</enum><header>Discrete
single-use unit</header><text>Section 5702(m) of such Code is amended—</text>
<subparagraph id="id98FF505C05C84663A82351EABAFCBE48"><enum>(A)</enum><text>in paragraph (1),
by striking <quote>or chewing tobacco</quote> and inserting <quote>chewing
tobacco, discrete single-use unit</quote>;</text>
</subparagraph><subparagraph id="id9BCDDD9F531A44E1991CEC2EC5F653AD"><enum>(B)</enum><text>in paragraphs (2)
and (3), by inserting <quote>that is not a discrete single-use unit</quote>
before the period in each such paragraph; and</text>
</subparagraph><subparagraph id="id2F18120FA9884AD6B6AE7507D7CB1DF1"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idD9761E65F0A8453598A88B645A141603" style="OLC">
<paragraph id="id4BA41D2A91214D3F989BE19F5C600957"><enum>(4)</enum><header>Discrete
single-use unit</header><text>The term <term>discrete single-use unit</term>
means any product containing tobacco that—</text>
<subparagraph id="id7FB67502A0F34B6B8A74712052552F2A"><enum>(A)</enum><text>is intended or
expected to be consumed without being combusted; and</text>
</subparagraph><subparagraph id="id9911961450544FBC9C2F30E672F5399C"><enum>(B)</enum><text>is in the form of
a lozenge, tablet, pill, pouch, dissolvable strip, or other discrete single-use
or single-dose
unit.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="idB2C31CDFCB394098B8A9F5A08874B4C2"><enum>(3)</enum><header>Other tobacco
products</header><text>Section 5701 of such Code is amended by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="idBE0C21CCA7174AD9863A5EC88C7423E0" style="OLC">
<subsection id="idE83D3796B65A4C5B8F35BC5B7DC5CDBA"><enum>(i)</enum><header>Other tobacco
products</header><text>Any product not otherwise described under this section
that has been determined to be a tobacco product by the Food and Drug
Administration through its authorities under the Family Smoking Prevention and
Control Act shall be taxed at a level of tax equivalent to the tax rate for
cigarettes on an estimated per use basis as determined by the
Secretary.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id48E015BC64214B97BDDD4BEE69AEAE9E"><enum>(g)</enum><header>Clarifying
other tobacco tax definitions</header>
<paragraph id="id82D609734C7F471983DD5C75138AB485"><enum>(1)</enum><header>Tobacco product
definition</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/5702">Section 5702(c)</external-xref> of the Internal Revenue Code of 1986
is amended by inserting before the period the following: <quote>, and any other
product containing tobacco that is intended or expected to be
consumed</quote>.</text>
</paragraph><paragraph id="idCDEC316EB7424D71BA540204CC7696D5"><enum>(2)</enum><header>Cigarette tube
definition</header><text>Section 5702(f) of such Code is amended by inserting
before the period <quote>or cigars</quote>.</text>
</paragraph><paragraph id="id59010B6D160C4DDABC3BF372F29AF273"><enum>(3)</enum><header>Importer
definition</header><text>Section 5702(k) of such Code is amended by inserting
<quote>or any other tobacco product</quote> after <quote>cigars or
cigarettes</quote>.</text>
</paragraph><paragraph id="idF2BDF3C61E9F44EDABCDB4B1580F6464"><enum>(4)</enum><header>Pipe tobacco
definition</header><text>Section 5702(n) of such Code is amended—</text>
<subparagraph id="id4A800EFDA736472DAD6151568FA0E32B"><enum>(A)</enum><text>by striking
<quote>The term</quote> and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idA946E586FB244EC993C594AE53C2B9CD" style="OLC">
<paragraph id="idB48415CA9ABE4533871B1D5AC540F1FE"><enum>(1)</enum><header>In
general</header><text>The term</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="id2DC2F5492EB4432D961F1B57129BE7A6"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="idDC5FF8CD245C4B85B081AC7848DA5996" style="OLC">
<paragraph id="id2D04E6C58AB746E39C9BA7DA6360A844"><enum>(2)</enum><header>Roll-your-own
tobacco</header><text>Any tobacco that meets the definition under both this
subsection and section 5702(o) shall be treated as roll-your-own tobacco under
section 5702(o).</text>
</paragraph><paragraph id="id630988148EFF4AE0BE9EBD0FBBCD30C8"><enum>(3)</enum><header>Exception</header><text>Paragraph
(2) shall not apply to a product that, as of January 1, 2009, was either
commercially marketed in the United States in packaging that bore, pursuant to
part 40 or 41 of title 27, Code of Federal Regulations, a designation as
<quote>pipe tobacco</quote> or <quote>Tax Class L</quote>, or is substantially
equivalent to such product, provided that such product is widely used as pipe
tobacco.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H8BB8F93377474E97B457A6EA365E60E9"><enum>(h)</enum><header>Inflation
adjustment</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/5701">Section 5701</external-xref> of the Internal Revenue Code of 1986, as
amended by subsection (f)(3), is amended by adding at the end the following new
subsection:</text>
<quoted-block id="H38DF0494E553476F8A50E8DFA247073E" style="OLC">
<subsection id="H5B3DEE56686A44EE85D8E75CDFD5E2EF"><enum>(j)</enum><header>Inflation
adjustment</header><text>In the case of any calendar year after 2013, each
amount set forth in this section shall be increased by an amount equal
to—</text>
<paragraph id="H9DFC6CD4EBEB49A68D4D3E17BF7CBE11"><enum>(1)</enum><text>such amount,
multiplied by</text>
</paragraph><paragraph id="HCA0D593C5BE245989FDA35AE04D74B59"><enum>(2)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for such calendar year by
substituting <quote>calendar year 2012</quote> for <quote>calendar year
1992</quote> in subparagraph (B)
thereof.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="id280738EA61014679931764F53B168C36"><enum>(i)</enum><header>Floor Stocks
Taxes</header>
<paragraph id="idB1B92A5F5E534F46812D6C01EE872BBC"><enum>(1)</enum><header>Imposition of
tax</header><text>On tobacco products manufactured in or imported into the
United States which are removed before any tax increase date and held on such
date for sale by any person, there is hereby imposed a tax in an amount equal
to the excess of—</text>
<subparagraph id="idECABD0E5A9DB44C78DDCA3279E1308D8"><enum>(A)</enum><text>the tax which
would be imposed under <external-xref legal-doc="usc" parsable-cite="usc/26/5701">section 5701</external-xref> of the Internal Revenue Code of 1986 on the
article if the article had been removed on such date, over</text>
</subparagraph><subparagraph id="id002C088AA5A14B439F6C92B640EF5C80"><enum>(B)</enum><text>the prior tax (if
any) imposed under section 5701 of such Code on such article.</text>
</subparagraph></paragraph><paragraph id="idEE051C4572F54ECBBB42B71855622B8C"><enum>(2)</enum><header>Credit against
tax</header><text>Each person shall be allowed as a credit against the taxes
imposed by paragraph (1) an amount equal to $500. Such credit shall not exceed
the amount of taxes imposed by paragraph (1) on such date for which such person
is liable.</text>
</paragraph><paragraph id="id00F0CAD8A8A24971BB94C8EA42715B21"><enum>(3)</enum><header>Liability for
tax and method of payment</header>
<subparagraph id="id2367E7DC599B44AF952CED28E8E26F9A"><enum>(A)</enum><header>Liability for
tax</header><text>A person holding tobacco products on any tax increase date to
which any tax imposed by paragraph (1) applies shall be liable for such
tax.</text>
</subparagraph><subparagraph id="id692A279C969A4F0E9336A178E98267B5"><enum>(B)</enum><header>Method of
payment</header><text>The tax imposed by paragraph (1) shall be paid in such
manner as the Secretary shall prescribe by regulations.</text>
</subparagraph><subparagraph id="id8CB97E8D0EE54A86969EA62F6E4EA187"><enum>(C)</enum><header>Time for
payment</header><text>The tax imposed by paragraph (1) shall be paid on or
before the date that is 120 days after the effective date of the tax rate
increase.</text>
</subparagraph></paragraph><paragraph id="idA5D4FBDB0E05447B9983C383FDC39259"><enum>(4)</enum><header>Articles in
foreign trade zones</header><text>Notwithstanding the Act of June 18, 1934
(commonly known as the Foreign Trade Zone Act, 48 Stat. 998, 19 U.S.C. 81a et
seq.), or any other provision of law, any article which is located in a foreign
trade zone on any tax increase date shall be subject to the tax imposed by
paragraph (1) if—</text>
<subparagraph id="idEA5AD3B4C835463CBEA98BCCA746B6A4"><enum>(A)</enum><text>internal revenue
taxes have been determined, or customs duties liquidated, with respect to such
article before such date pursuant to a request made under the 1st proviso of
section 3(a) of such Act, or</text>
</subparagraph><subparagraph id="idD9993E925F0D4EDFAA50C08C708C6EC8"><enum>(B)</enum><text>such article is
held on such date under the supervision of an officer of the United States
Customs and Border Protection of the Department of Homeland Security pursuant
to the 2d proviso of such section 3(a).</text>
</subparagraph></paragraph><paragraph id="id2C71F9AF7DFC4193BB204D53078C2551"><enum>(5)</enum><header>Definitions</header><text>For
purposes of this subsection—</text>
<subparagraph id="id9FD4BFB965CB4A108C14F2BA6FF89D91"><enum>(A)</enum><header>In
general</header><text>Any term used in this subsection which is also used in
section 5702 of such Code shall have the same meaning as such term has in such
section.</text>
</subparagraph><subparagraph id="idE67752125366408A862ED48720914B60"><enum>(B)</enum><header>Tax increase
date</header><text display-inline="yes-display-inline">The term <term>tax
increase date</term> means the effective date of any increase in any tobacco
product excise tax rate pursuant to the amendments made by this section (other
than subsection (g) thereof).</text>
</subparagraph><subparagraph id="id9AB8C1BD89C64B99B4DCD447919E84E7"><enum>(C)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of the Treasury or the
Secretary’s delegate.</text>
</subparagraph></paragraph><paragraph id="idF9939CF45E974AC3A9626A756DEF9237"><enum>(6)</enum><header>Controlled
groups</header><text>Rules similar to the rules of section 5061(e)(3) of such
Code shall apply for purposes of this subsection.</text>
</paragraph><paragraph id="idDE81EBD55AB24252B52E29767D3EA897"><enum>(7)</enum><header>Other laws
applicable</header><text>All provisions of law, including penalties, applicable
with respect to the taxes imposed by section 5701 of such Code shall, insofar
as applicable and not inconsistent with the provisions of this subsection,
apply to the floor stocks taxes imposed by paragraph (1), to the same extent as
if such taxes were imposed by such section 5701. The Secretary may treat any
person who bore the ultimate burden of the tax imposed by paragraph (1) as the
person to whom a credit or refund under such provisions may be allowed or
made.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id23BB11A7CF224A1283AEA5ABB138D16D"><enum>(j)</enum><header>Effective
Date</header><text>The amendments made by this section shall apply to articles
removed (as defined in <external-xref legal-doc="usc" parsable-cite="usc/26/5702">section 5702(j)</external-xref> of the Internal Revenue Code of 1986)
after December 31, 2013.</text>
</subsection></section><section commented="no" display-inline="no-display-inline" id="idE2C5BE0CCAAD4E3EBC93222F094A4265"><enum>206.</enum><header>Leveraging and
coordinating federal resources for improved health</header>
<subsection commented="no" display-inline="no-display-inline" id="id753D34FBF4B44CFC828490FC07C56FCF"><enum>(a)</enum><header>Health impacts
of non-Health legislation</header>
<paragraph id="IDda2a742aabb045ad8c3f502c52aac225"><enum>(1)</enum><header>In
general</header><text>Not later than 6 months after the date of enactment of
this Act, the National Prevention, Health Promotion and Public Health Council,
shall enter into a contract with the Institute of Medicine of the National
Academy of Sciences for the conduct of a study to assess the potential health
impacts of major non-health related legislation that is likely to be considered
by Congress within a year of completion of the study. Such study shall identify
the ways in which such legislation involved is likely to impact the health of
Americans and shall contain recommendations to Congress on ways to maximize the
positive health impacts and minimize the negative health impacts.</text>
</paragraph><paragraph id="id4B1CBD881E6046BA9CD41CA8223A39B8"><enum>(2)</enum><header>Timing</header><text>The
timing of the study under paragraph (1) shall be determined in a manner that
ensures that the results of the study will be available at least 3 months prior
to the consideration of the legislation involved by Congress.</text>
</paragraph><paragraph id="ID7019f605722247a281f71c98d6aa246d"><enum>(3)</enum><header>Guidelines</header><text>To
the extent practicable, the Council under paragraph (1) shall ensure that the
study conducted under this subsection complies with the consensus guidelines on
how to carry out a health impact assessment, including stakeholder engagement
guidelines, such as the HIA of the Americas Practice Guidelines and guidelines
promulgated by the World Health Organization and other consensus bodies.</text>
</paragraph><paragraph id="ID472557d573bf4fa8990d62fe947a0bba"><enum>(4)</enum><header>Report</header><text>Upon
completion of the study under this subsection, the Institute of Medicine shall
submit to the Council under paragraph (1), and make available to the general
public, a report that—</text>
<subparagraph id="idFE1B5FD6CEF54F87BD9658DC9BBF9CDD"><enum>(A)</enum><text>summarizes the
direct, indirect, and cumulative health impacts identified in the assessment;
and</text>
</subparagraph><subparagraph id="id28F660E5F3424014BABDF151355D2881"><enum>(B)</enum><text>contains
recommendations for how to maximize positive health impacts and minimize
negative health impacts of the legislation involved.</text>
</subparagraph></paragraph><paragraph id="id38C5D23270364CB297B7C84B905B9DFA"><enum>(5)</enum><header>Type of
legislation</header><text>For purposes of this subsection, the term
<term>non-health related legislation</term> shall have the meaning given such
term by the Council under paragraph (1), and shall include legislation that is
likely to have impacts on the health of Americans where such impacts are not
likely to be considered by Congress to the extent required by their scope
without the conduct of an assessment under this subsection. Examples of major
non-health related legislation that could be the subject of the study include
reauthorizations of the Moving Ahead for Progress in the 21st Century Act
(<external-xref legal-doc="public-law" parsable-cite="pl/112/141">Public Law 112–141</external-xref>), the Food, Conservation, and Energy Act of 2008 (Public
Law 110–246), and the Elementary and Secondary Education Act of 1965 (20 U.S.C.
6301 et seq.).</text>
</paragraph></subsection><subsection id="IDcf96386e4c584d2892608eae3beba73c"><enum>(b)</enum><header>Improving
health impacts of Federal agency activities</header>
<paragraph id="ID7dba7970f3d74039b3a82e5313daf0a4"><enum>(1)</enum><header>In
general</header><text>The Secretary, in coordination with the National
Prevention, Health Promotion and Public Health Council, shall detail employees
of the Department of Health and Human Services to policy and program planning
offices of other Federal departments and agencies, including the Department of
Transportation, the Department of Housing and Urban Development, the Department
of Agriculture, the Department of Education, and the Department of the
Interior, in order to assist those departments and agencies to consider the
impacts of their activities on the health of the populations served and to
assist with the integration of health goals into the activities of the
departments and agencies, as appropriate.</text>
</paragraph><paragraph id="idE0840A01C8694B50BAFCD70AF8B8466D"><enum>(2)</enum><header>Duties</header><text>Employees
detailed under paragraph (1) shall assist with assessments of the potential
impacts of the programs and activities of the department or agency involved on
the health and well-being of the populations served, the development of metrics
and performance standards that can be incorporated, as appropriate, into the
activities, performance measurements, and grant and contract standards of the
department or agency, and the development of the report detailed in paragraph
(3).</text>
</paragraph><paragraph id="IDc925b77ca53b4a8b9d362e274d3d23df"><enum>(3)</enum><header>Reports</header><text>Not
later than 1 year after the date of enactment of this Act, and annually
thereafter, each department and agency with a detailee under this section shall
submit to the National Prevention, Health Promotion and Public Health Council,
the Committee on Health, Education, Labor, and Pensions of the Senate and the
Committee on Energy and Commerce of the House of Representatives a report
detailing the health impacts of the department or agency's activities and any
plans to improve those impacts.</text>
</paragraph></subsection></section><section id="id181f2224922c4d2f81b0fc7962f302c5"><enum>207.</enum><header>Healthier
national parks</header>
<subsection id="id18d5a8d21ed3457fb183856c641ca02e"><enum>(a)</enum><header>Concessions
contracts</header><text>Section 403 of the National Park Service Concessions
Management Improvement Act of 1998 (<external-xref legal-doc="usc" parsable-cite="usc/16/5952">16 U.S.C. 5952</external-xref>) is amended—</text>
<paragraph id="id045e9425aa924cbe88c33e41eb53b145"><enum>(1)</enum><text>in paragraph
(4)(A), by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id68D91C0B57F44F08946A1812114B1B9E" style="OLC">
<clause id="id3603a43920be429aaf14c150d03f31ec"><enum>(iv)</enum><text>Measures
necessary to ensure the easy and plentiful availability of healthy snacks,
beverages, and meals (including meals for children) that reflect the most
recent Dietary Guidelines for Americans published under section 301 of the
National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C.
5341).</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="id4f7ab5f5aa3c4601bf7c80f44a38b77c"><enum>(2)</enum><text>in paragraph
(5)(A), by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id6FA819E68E874F92B4E9383CD11C5A92" style="OLC">
<clause id="idf1ef7ddebe76426e99e77fded60c7640"><enum>(v)</enum><text>The
responsiveness of the proposal to the objective of supporting the efforts of
visitors to the unit of the National Park System to make healthy dietary
choices through the easy and plentiful availability of healthy snacks,
beverages, and meals (including meals for children) that reflect the most
recent Dietary Guidelines for Americans published under section 301 of the
National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C.
5341).</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id3c6418ebeac145a8912c733e1969546b"><enum>(b)</enum><header>Report</header>
<paragraph id="id6827AC2345BE4067B524251080E27BF6"><enum>(1)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
this Act, the Secretary of the Interior (acting through the Director of the
National Park Service) (referred to in this section as the
<quote>Secretary</quote>) shall submit to Congress a report that describes the
state of food and beverage offerings in units of the National Park
System.</text>
</paragraph><paragraph id="idA47C6CDA5C164D98A8FE462DA3D88C6D"><enum>(2)</enum><header>Components</header><text>The
report submitted under paragraph (1) shall include—</text>
<subparagraph id="idba711aae420c46ca8a08b8f145224e56"><enum>(A)</enum><text>an assessment of
the nutritional quality of foods offered in units of the National Park System,
including the approximate percentage of food and beverage offerings that
reflect the most recent Dietary Guidelines for Americans published under
section 301 of the National Nutrition Monitoring and Related Research Act of
1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/5341">7 U.S.C. 5341</external-xref>);</text>
</subparagraph><subparagraph id="ide50c530a7f0746a0b52d33eccdcb369d"><enum>(B)</enum><text>guidelines for
concessioners to ensure the easy and plentiful availability of healthy snacks,
beverages, and meals (including meals for children) from National Park Service
restaurants, retail food outlets, and other food concessioners that take into
account—</text>
<clause id="idF36089760716487A9A8D95F4B6A76E8E"><enum>(i)</enum><text>the
most recent Dietary Guidelines for Americans published under section 301 of the
National Nutrition Monitoring and Related Research Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/7/5341">7 U.S.C. 5341</external-xref>);
and</text>
</clause><clause id="idFC0840AB0A2F466C8309AC013DD6B31A"><enum>(ii)</enum><text>the most recent
Sustainability Guidelines for Federal Concessions and Vending Operations
developed by the Secretary of Health and Human Services and the Administrator
of General Services; and</text>
</clause></subparagraph><subparagraph id="idef61a70b90ad4fc2a4c8ff6f4d3a6c50"><enum>(C)</enum><text>a plan to ensure
that, not later than August 25, 2016, there are adequate offerings of healthy
food items from all food concessioners in units of the National Park
System.</text>
</subparagraph></paragraph></subsection><subsection id="idf8a2b9055fef4b12a761b945580e3057"><enum>(c)</enum><header>Promoting
health, recreation, and outdoors</header>
<paragraph id="id291919AB4FC4443B98D7EEDBAFD69558"><enum>(1)</enum><header>In
general</header><text>The Secretary of Health and Human Services (acting
through the Director of the Centers for Disease Control and Prevention) shall
coordinate with the Secretary (acting through the Director of the National Park
Service), in consultation with the Program Manager of the Rivers, Trails, and
Conservation Assistance Program, to advance efforts for the National Park
System to enhance opportunities for people to engage in physical
activity.</text>
</paragraph><paragraph id="idac82c39edfbc450eb9eeb2101a68ba2a"><enum>(2)</enum><header>Action
plan</header><text>Not later than 1 year after the date of enactment of this
Act, the Secretary of Health and Human Services (acting through the Director of
the Centers for Disease Control and Prevention), the Secretary (acting through
the Director of the National Park Service), and the Program Manager of the
Rivers, Trails, and Conservation Assistance Program shall establish a
long-range action plan—</text>
<subparagraph id="id1640D487476A4E3E8F27649E87B87F60"><enum>(A)</enum><text>that identifies
and coordinates mechanisms to advance—</text>
<clause id="id18e83dec7b4649d48446c48e8d711567"><enum>(i)</enum><text>public education
on the health importance of physical activity and recreation outdoors in
nature, including in units of the National Park System; and</text>
</clause><clause id="ida58858cdf362449eaeaad159a1f900d6"><enum>(ii)</enum><text>health, physical
activity, and recreation programs that increase the amount of time and the
quality of opportunities spent outdoors in nature, including in units of the
National Park System; and</text>
</clause></subparagraph><subparagraph id="id8e93d77bc6a842879ad42fa8ff212da6"><enum>(B)</enum><text>that considers
accessibility to units of the National Park System and barriers to
participation in outdoor physical activity and recreation opportunities, with
an emphasis on access by and barriers for disadvantaged populations, including
individuals with disabilities.</text>
</subparagraph></paragraph></subsection></section></subtitle><subtitle id="idD664DF9CB6A84770A1E707C4948C94EB"><enum>B</enum><header>Incentives for a
healthier workforce</header>
<section id="ID168EB68FC5BF4E21A9E7CE2F9AB2D067"><enum>211.</enum><header>Tax credit to
employers for costs of implementing wellness programs</header>
<subsection id="IDC6945CFD3B1044D59BAD0BD7C91A66BE"><enum>(a)</enum><header>In
general</header><text>Subpart D of part IV of subchapter A of chapter 1 of the
Internal Revenue Code of 1986 is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="IDED7D6D0A02544381A883A26A514929B3" style="OLC">
<section id="IDB72375D630E341AD88DA5F09335C9559"><enum>45S.</enum><header>Wellness
program credit</header>
<subsection id="IDDDA6978C29B341CAB940AF194009B68F"><enum>(a)</enum><header>Allowance of
credit</header>
<paragraph id="IDE0A67CA181824EA1AF49A10EDFDC28FF"><enum>(1)</enum><header>In
general</header><text>For purposes of section 38, the wellness program credit
determined under this section for any taxable year during the credit period
with respect to an employer is an amount equal to 50 percent of the costs paid
or incurred by the employer in connection with a qualified wellness program
during the taxable year.</text>
</paragraph><paragraph id="IDF4EA14F0DD614AD3A9C891B2EF87432A"><enum>(2)</enum><header>Limitation</header><text>The
amount of credit allowed under paragraph (1) for any taxable year shall not
exceed the sum of—</text>
<subparagraph id="IDF8090E9C30B94BA981C508747B31D9CC"><enum>(A)</enum><text>the product of
$200 and the number of employees of the employer not in excess of 200
employees, plus</text>
</subparagraph><subparagraph id="ID35029F636E2F41F09420DDE6F972D5E4"><enum>(B)</enum><text>the product of
$100 and the number of employees of the employer in excess of 200
employees.</text>
</subparagraph></paragraph></subsection><subsection id="ID4E8F6BE9091B40A1AFED839653A02B59"><enum>(b)</enum><header>Qualified
wellness program</header><text>For purposes of this section—</text>
<paragraph id="IDD40315BC03544CF5A4B722A23C64160D"><enum>(1)</enum><header>Qualified
wellness program</header><text>The term <term>qualified wellness program</term>
means a program which—</text>
<subparagraph id="IDC13B8D42520741F5ABAF59778CB7922E"><enum>(A)</enum><text>consists of any 3
of the wellness program components described in subsection (c), and</text>
</subparagraph><subparagraph id="ID0280AF7FABAE4A819CCC93366C9B2E94"><enum>(B)</enum><text>which is
certified by the Secretary of Health and Human Services, in consultation with
the Secretary of the Treasury and the Secretary of Labor, as a qualified
wellness program under this section.</text>
</subparagraph></paragraph><paragraph id="ID2ED9FAF4AFB74CCEAB3B9014385C436C"><enum>(2)</enum><header>Programs must
be consistent with research and best practices</header>
<subparagraph id="ID0B7343CD865E449BB2153918026BF7B8"><enum>(A)</enum><header>In
general</header><text>The Secretary of Health and Human Services shall not
certify a program as a qualified wellness program unless the program—</text>
<clause id="ID3ACB2FD3C10843AB86A842608AD389B1"><enum>(i)</enum><text>is consistent
with evidence-based research and best practices, as identified by persons with
expertise in employer health promotion and wellness programs,</text>
</clause><clause id="ID6581CBB258F34BCD807335C739D77D0D"><enum>(ii)</enum><text>includes
multiple, evidence-based strategies which are based on the existing and
emerging research and careful scientific reviews, including the Guide to
Community Preventive Services, the Guide to Clinical Preventive Services, and
the National Registry of Evidence-based Programs and Practices, and</text>
</clause><clause id="ID9D23754547AB45859034F3BE76A2DAEB"><enum>(iii)</enum><text>includes
strategies which focus on employee populations with a disproportionate burden
of health problems.</text>
</clause></subparagraph><subparagraph id="IDA164E9BA93CD4DBEA97CE941BC68421C"><enum>(B)</enum><header>Periodic
updating and review</header><text>The Secretary of Health and Human Services
shall establish procedures for periodic review and recertifications of programs
under this subsection. Such procedures shall require revisions of programs if
necessary to ensure compliance with the requirements of this section and
require updating of the programs to the extent the Secretary, in consultation
with the Secretary of the Treasury and the Secretary of Labor, determines
necessary to reflect new scientific findings.</text>
</subparagraph></paragraph><paragraph id="IDB629E223F3004C9C9135C769D791791F"><enum>(3)</enum><header>Health
literacy</header><text>The Secretary of Health and Human Services shall, as
part of the certification process, encourage employers to make the programs
culturally competent and to meet the health literacy needs of the employees
covered by the programs.</text>
</paragraph></subsection><subsection id="IDFAA2934397D244D7AFFB3D43EF6184C2"><enum>(c)</enum><header>Wellness
program components</header><text>For purposes of this section, the wellness
program components described in this subsection are the following:</text>
<paragraph id="IDA44D661B369B4F1FA11122FA0461C653"><enum>(1)</enum><header>Health
awareness component</header><text>A health awareness component which provides
for the following:</text>
<subparagraph id="IDAFB7582734854186899CF2DE481E4D04"><enum>(A)</enum><header>Health
education</header><text>The dissemination of health information which addresses
the specific needs and health risks of employees.</text>
</subparagraph><subparagraph id="IDF0E93FF26C9142D8B41BDBA44978E10F"><enum>(B)</enum><header>Health
screenings</header><text>The opportunity for periodic screenings for health
problems and referrals for appropriate follow up measures.</text>
</subparagraph></paragraph><paragraph id="ID0236171CF0E04B7F956130503991020B"><enum>(2)</enum><header>Employee
engagement component</header><text>An employee engagement component which
provides for—</text>
<subparagraph id="IDAA537FDCF18741CD9B4A2C92A85E69E7"><enum>(A)</enum><text>the establishment
of a committee to actively engage employees in worksite wellness programs
through worksite assessments and program planning, delivery, evaluation, and
improvement efforts, and</text>
</subparagraph><subparagraph id="IDC0217A1E22B64688A552E311A5C01EB9"><enum>(B)</enum><text>the tracking of
employee participation.</text>
</subparagraph></paragraph><paragraph id="IDFCC5942ACF1A46579D171912E6E8E34D"><enum>(3)</enum><header>Behavioral
change component</header><text>A behavioral change component which provides for
altering employee lifestyles to encourage healthy living through counseling,
seminars, on-line programs, or self-help materials which provide technical
assistance and problem solving skills. Such component may include programs
relating to—</text>
<subparagraph id="IDAD26FD4B4BC24F2A874FB9E06D7903ED"><enum>(A)</enum><text>tobacco
use,</text>
</subparagraph><subparagraph id="ID9A5B4C688D914298B27B7BF5F43484AB"><enum>(B)</enum><text>overweight and
obesity,</text>
</subparagraph><subparagraph id="IDED9598B0911047ACB5123FA6942163FE"><enum>(C)</enum><text>stress
management,</text>
</subparagraph><subparagraph id="ID1EED7C12DCC8481580908129A58FADF1"><enum>(D)</enum><text>physical
activity,</text>
</subparagraph><subparagraph id="IDE745EEE619F84EF089051FF2F544EB06"><enum>(E)</enum><text>nutrition,</text>
</subparagraph><subparagraph id="IDCFF3124D1C5F405EBDC2700704990CBD"><enum>(F)</enum><text>substance
abuse,</text>
</subparagraph><subparagraph id="ID09B2DC3957B648FAAC3F090A39CD75E5"><enum>(G)</enum><text>depression,
and</text>
</subparagraph><subparagraph id="IDC59885643CE144A2843CE960B2EE7FA0"><enum>(H)</enum><text>mental health
promotion (including anxiety).</text>
</subparagraph></paragraph><paragraph id="IDFA5B261BAD9E4452808E2FFFAEF05F51"><enum>(4)</enum><header>Supportive
environment component</header><text>A supportive environment component which
includes the following:</text>
<subparagraph id="ID89D1D05FE3B948FCBDCF20F547B529F1"><enum>(A)</enum><header>On-site
policies</header><text>Policies and services at the worksite which promote a
healthy lifestyle, including policies relating to—</text>
<clause id="IDFC1A2844BC51438A82A7B1D375D34ED0"><enum>(i)</enum><text>tobacco use at
the worksite,</text>
</clause><clause id="ID73B398B1AB264CA4BFBDD6823C23AD0B"><enum>(ii)</enum><text>the nutrition of
food available at the worksite through cafeterias and vending options,</text>
</clause><clause id="IDD3EAEC88420349698854EB6EA2101AC6"><enum>(iii)</enum><text>minimizing
stress and promoting positive mental health in the workplace,</text>
</clause><clause id="ID4EE0A1C0E0EA4C758C246819886324F0"><enum>(iv)</enum><text>where
applicable, accessible and attractive stairs,</text>
</clause><clause id="idB11AA534FA5F433A86FA85ACEBBE0969"><enum>(v)</enum><text>alternative
transportation and commuting options and facilities, and</text>
</clause><clause id="ID0D0DB627AA36422D81AB6EBCC4C8ED19"><enum>(vi)</enum><text>the
encouragement of physical activity before, during, and after work hours.</text>
</clause></subparagraph><subparagraph id="IDA331D01B9CB946C9A8F135482A02D3E8"><enum>(B)</enum><header>Participation
incentives</header>
<clause id="ID7E867576288F433CA8C4EE1E8F90E4A9"><enum>(i)</enum><header>In
general</header><text>Qualified incentive benefits for each employee who
participates in the health screenings described in paragraph (1)(B) or the
behavioral change programs described in paragraph (3).</text>
</clause><clause id="IDF0F7E3E285034F3F99343ED381EE8AFB"><enum>(ii)</enum><header>Qualified
incentive benefit</header><text>For purposes of clause (i), the term
<term>qualified incentive benefit</term> means any benefit which is approved by
the Secretary of Health and Human Services, in consultation with the Secretary
of the Treasury and the Secretary of Labor. Such benefit may include an
adjustment in health insurance premiums or co-pays.</text>
</clause></subparagraph><subparagraph id="IDA8FE76CB0A53432EB30756AC559EF47F"><enum>(C)</enum><header>Employee
input</header><text>The opportunity for employees to participate in the
management of any qualified wellness program to which this section
applies.</text>
</subparagraph></paragraph></subsection><subsection id="IDD1B1CCC7275B413E880B370269146144"><enum>(d)</enum><header>Participation
requirement</header>
<paragraph id="IDBF2CFEB909354D67B3989062F2DA7EE0"><enum>(1)</enum><header>In
general</header><text>No credit shall be allowed under subsection (a) unless
the Secretary of Health and Human Services, in consultation with the Secretary
of the Treasury and the Secretary of Labor, as a part of any certification
described in subsection (b), determine that each wellness program component of
the qualified wellness program applies to all qualified employees of the
employer. The Secretary of Health and Human Services shall prescribe rules
under which an employer shall not be treated as failing to meet the
requirements of this subsection merely because the employer provides
specialized programs for employees with specific health needs or unusual
employment requirements or provides a pilot program to test new wellness
strategies.</text>
</paragraph><paragraph id="IDE576CE9CE88143F9933E1123D28946E7"><enum>(2)</enum><header>Qualified
employee</header><text>For purposes of paragraph (1), the term <term>qualified
employee</term> means an employee who works an average of not less than 25
hours per week during the taxable year.</text>
</paragraph></subsection><subsection id="ID33B596C713B345C1B718862C881DC1BF"><enum>(e)</enum><header>Other
definitions and special rules</header><text>For purposes of this
section—</text>
<paragraph id="IDFDE5E3E7151B4160B116CE7904E6073A"><enum>(1)</enum><header>Employee and
employer</header>
<subparagraph id="ID843E67765A1A41E5BF118C9C6BB3C747"><enum>(A)</enum><header>Partners and
partnerships</header><text>The term <term>employee</term> includes a partner
and the term <term>employer</term> includes a partnership.</text>
</subparagraph><subparagraph id="ID5ABC58A1224A426FAB7C0187CCF132A4"><enum>(B)</enum><header>Certain rules
to apply</header><text>Rules similar to the rules of section 52 shall
apply.</text>
</subparagraph></paragraph><paragraph id="ID84408C80E8CC43DE9C45034215B0B480"><enum>(2)</enum><header>Certain costs
not included</header><text>Costs paid or incurred by an employer for food or
health insurance shall not be taken into account under subsection (a).</text>
</paragraph><paragraph id="IDD95F3456ED5043CBAD9B263F9D2C36E3"><enum>(3)</enum><header>No credit where
grant awarded</header><text>No credit shall be allowable under subsection (a)
with respect to any qualified wellness program of any taxpayer (other than an
eligible employer described in subsection (f)(2)(A)) who receives a grant
provided by the United States, a State, or a political subdivision of a State
for use in connection with such program. The Secretary shall prescribe rules
providing for the waiver of this paragraph with respect to any grant which does
not constitute a significant portion of the funding for the qualified wellness
program.</text>
</paragraph><paragraph id="IDC53A215312F74BEFB8204B856BEDAF5F"><enum>(4)</enum><header>Credit
period</header>
<subparagraph id="IDB8892997DC894B4CB0B2A846480CD0D6"><enum>(A)</enum><header>In
general</header><text>The term <term>credit period</term> means the period of
10 consecutive taxable years beginning with the taxable year in which the
qualified wellness program is first certified under this section.</text>
</subparagraph><subparagraph id="IDC065ABF1400442068D64D3360ED9EF35"><enum>(B)</enum><header>Special rule
for existing programs</header><text>In the case of an employer (or predecessor)
which operates a wellness program for its employees on the date of the
enactment of this section, subparagraph (A) shall be applied by substituting
<quote>3 consecutive taxable years</quote> for <quote>10 consecutive taxable
years</quote>. The Secretary shall prescribe rules under which this subsection
shall not apply if an employer is required to make substantial modifications in
the existing wellness program in order to qualify such program for
certification as a qualified wellness program.</text>
</subparagraph><subparagraph id="IDA4F151408A8440B2A09B4B2F3FAF1216"><enum>(C)</enum><header>Controlled
groups</header><text>For purposes of this paragraph, all persons treated as a
single employer under subsection (b), (c), (m), or (o) of section 414 shall be
treated as a single employer.</text>
</subparagraph></paragraph></subsection><subsection id="ID30B856FE993C46BDAF1973F5979E3007"><enum>(f)</enum><header>Portion of
credit made refundable</header>
<paragraph id="ID1DE8A0EE48254E7082D53B6E8B912521"><enum>(1)</enum><header>In
general</header><text>In the case of an eligible employer of an employee, the
aggregate credits allowed to a taxpayer under subpart C shall be increased by
the lesser of—</text>
<subparagraph id="IDEA61666CFC264E2DAF40DF6CE457591F"><enum>(A)</enum><text>the credit which
would be allowed under this section without regard to this subsection and the
limitation under section 38(c), or</text>
</subparagraph><subparagraph id="IDC3E480EB1F2B48C4BABB66B1A8A7AC31"><enum>(B)</enum><text>the amount by
which the aggregate amount of credits allowed by this subpart (determined
without regard to this subsection) would increase if the limitation imposed by
section 38(c) for any taxable year were increased by the amount of employer
payroll taxes imposed on the taxpayer during the calendar year in which the
taxable year begins.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">The amount
of the credit allowed under this subsection shall not be treated as a credit
allowed under this subpart and shall reduce the amount of the credit otherwise
allowable under subsection (a) without regard to section 38(c).</continuation-text></paragraph><paragraph id="IDD21410B2247745D58187EA68AC5E2FC8"><enum>(2)</enum><header>Eligible
employer</header><text>For purposes of this subsection, the term <term>eligible
employer</term> means an employer which is—</text>
<subparagraph id="ID9CE941D9436B490DAE2469F81229E963"><enum>(A)</enum><text>a State or
political subdivision thereof, the District of Columbia, a possession of the
United States, or an agency or instrumentality of any of the foregoing,
or</text>
</subparagraph><subparagraph id="IDAE60C9F47C5048F19897CF1B3F0C7EA4"><enum>(B)</enum><text>any organization
described in <external-xref legal-doc="usc" parsable-cite="usc/26/501">section 501(c)</external-xref> of the Internal Revenue Code of 1986 which is
exempt from taxation under section 501(a) of such Code.</text>
</subparagraph></paragraph><paragraph id="ID0AD9E435C8C84E218D76241C4EEF1B34"><enum>(3)</enum><header>Employer
payroll taxes</header><text>For purposes of this subsection—</text>
<subparagraph id="ID3A9060EB7C30425180119B32F74B079B"><enum>(A)</enum><header>In
general</header><text>The term <term>employer payroll taxes</term> means the
taxes imposed by—</text>
<clause id="ID5CB0EF92B7A84607BBAE6F2E4320DA4F"><enum>(i)</enum><text>section 3111(b),
and</text>
</clause><clause id="IDF4F57B3EDBE64620857772B3171CE764"><enum>(ii)</enum><text>sections 3211(a)
and 3221(a) (determined at a rate equal to the rate under section
3111(b)).</text>
</clause></subparagraph><subparagraph id="ID1A12528E91094C868A69375388930A0E"><enum>(B)</enum><header>Special
rule</header><text>A rule similar to the rule of section 24(d)(2)(C) shall
apply for purposes of subparagraph (A).</text>
</subparagraph></paragraph></subsection><subsection id="IDE72B739106944EFE964491435012D949"><enum>(g)</enum><header>Termination</header><text>This
section shall not apply to any amount paid or incurred after December 31,
2017.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="IDAF4A0FA2390E412C9C22C73CC76E027F"><enum>(b)</enum><header>Treatment as
general business credit</header><text>Subsection (b) of section 38 of the
Internal Revenue Code of 1986 is amended by striking <quote>plus</quote> at the
end of paragraph (35), by striking the period at the end of paragraph (36) and
inserting <quote>, plus</quote>, and by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="IDA877FD42FA1444BDA6B0CFDEDA1BC5E2" style="OLC">
<paragraph id="ID629CC6FB0F604C9990795A27B7F28FA0"><enum>(37)</enum><text>the wellness
program credit determined under section
45S.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="ID159F486B46C847BEB42C5E28ACA62ED8"><enum>(c)</enum><header>Denial of
double benefit</header><text><external-xref legal-doc="usc" parsable-cite="usc/26/280C">Section 280C</external-xref> of the Internal Revenue Code of 1986
is amended by adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="ID895E95064209443484F10E79240C1D47" style="OLC">
<subsection id="IDF2974B7E4DF747C3A1C383B8D784C701"><enum>(j)</enum><header>Wellness
program credit</header>
<paragraph id="ID7E20FC3EB3AE40DB9FE212D9274EF3A6"><enum>(1)</enum><header>In
general</header><text>No deduction shall be allowed for that portion of the
costs paid or incurred for a qualified wellness program (within the meaning of
section 45S) allowable as a deduction for the taxable year which is equal to
the amount of the credit allowable for the taxable year under section
45S.</text>
</paragraph><paragraph id="ID07CC4325A1994E53891B5642D1094933"><enum>(2)</enum><header>Similar rule
where taxpayer capitalizes rather than deducts
expenses</header><text>If—</text>
<subparagraph id="ID45D5CB1EDAEA4E04B424FC604020275A"><enum>(A)</enum><text>the amount of the
credit determined for the taxable year under section 45S, exceeds</text>
</subparagraph><subparagraph id="ID8D10D62DD2F54A4EBA75ADC190106B1E"><enum>(B)</enum><text>the amount
allowable as a deduction for such taxable year for a qualified wellness
program,</text>
</subparagraph><continuation-text continuation-text-level="paragraph">the amount
chargeable to capital account for the taxable year for such expenses shall be
reduced by the amount of such excess.</continuation-text></paragraph><paragraph id="ID828B93EA6F7F4C9BB7FD32055B8A0419"><enum>(3)</enum><header>Controlled
groups</header><text>In the case of a corporation which is a member of a
controlled group of corporations (within the meaning of section 41(f)(5)) or a
trade or business which is treated as being under common control with other
trades or business (within the meaning of section 41(f)(1)(B)), this subsection
shall be applied under rules prescribed by the Secretary similar to the rules
applicable under subparagraphs (A) and (B) of section
41(f)(1).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="IDF148D8EA202D4E5BA4E07AC14585C0ED"><enum>(d)</enum><header>Clerical
amendment</header><text>The table of sections for subpart D of part IV of
subchapter A of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/26/1">chapter 1</external-xref> of the Internal Revenue Code of 1986 is amended by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="ID583B7E601AB74455AE00D89C27EF9884" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 45S. Wellness program
credit.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="IDFDC01CAE97B14114983A646B4EB35088"><enum>(e)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after the date of enactment of this Act.</text>
</subsection><subsection id="ID6CDA1C1844E4467C89570B024C21BE3E"><enum>(f)</enum><header>Outreach</header>
<paragraph id="ID97B9FBB573A2439A8B435C4D0CCBE5EB"><enum>(1)</enum><header>In
general</header><text>The Secretary of the Treasury, in conjunction with the
Director of the Centers for Disease Control and members of the business
community, shall institute an outreach program to inform businesses about the
availability of the wellness program credit under section 45S of the Internal
Revenue Code of 1986 as well as to educate businesses on how to develop
programs according to recognized and promising practices and on how to measure
the success of implemented programs.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDB91AA5D65F1D440986B2923949D317BF"><enum>(2)</enum><header>Authorization
of appropriations</header><text>There are authorized to be appropriated such
sums as are necessary to carry out the outreach program described in paragraph
(1).</text>
</paragraph></subsection></section><section id="IDF66FA4174C384D1A9F749F73E62B12AC"><enum>212.</enum><header>Employer-provided
off-premises athletic facilities</header>
<subsection id="ID608786229E474547BA974508335D5AC4"><enum>(a)</enum><header>Treatment as
fringe benefit</header><text>Subparagraph (A) of section 132(j)(4) of the
Internal Revenue Code of 1986 is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="ID9FE6042144E94AD5BF50C1C201A748C7" style="OLC">
<subparagraph id="ID4DEF845727D64E95AF874245A264DDDD"><enum>(A)</enum><header>In
general</header><text>Gross income shall not include—</text>
<clause id="ID9F152C5A7C66443A84B8B109AD26B087"><enum>(i)</enum><text>the value of any
on-premises athletic facility provided by an employer to its employees,
and</text>
</clause><clause id="ID44C7BC59AE444509A902A1BEC7323DC0"><enum>(ii)</enum><text>so much of the
fees, dues, or membership expenses paid by an employer to an athletic or
fitness facility described in subparagraph (C) on behalf of its employees as
does not exceed $900 per employee per
year.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="ID0ABA5A60445744479614D80597E17DAE"><enum>(b)</enum><header>Athletic
facilities described</header><text>Paragraph (4) of section 132(j) of the
Internal Revenue Code of 1986 is amended by adding at the end the following new
subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="ID4FC7CD8FC6214D0FB5F87959A3F14117" style="OLC">
<subparagraph id="IDD95A4FF2E2F14DF7BE710AC04F370E92"><enum>(C)</enum><header>Certain
athletic or fitness facilities described</header><text>For purposes of
subparagraph (A)(ii), an athletic or fitness facility described in this
subparagraph is a facility—</text>
<clause id="ID3AC861709F72465EA421EB7B484EECD4"><enum>(i)</enum><text>which provides
instruction in a program of physical exercise, offers facilities for the
preservation, maintenance, encouragement, or development of physical fitness,
or is the site of such a program of a State or local government,</text>
</clause><clause id="IDE3CA5CF633554402AC46C668A92F42D0"><enum>(ii)</enum><text>which is not a
private club owned and operated by its members,</text>
</clause><clause id="IDD30D28149B704FDBBA90F0CA8A566252"><enum>(iii)</enum><text>which does not
offer golf, hunting, sailing, or riding facilities,</text>
</clause><clause id="ID114147E679A0486C9D9B8369DA1C405E"><enum>(iv)</enum><text>whose health or
fitness facility is not incidental to its overall function and purpose,
and</text>
</clause><clause id="ID222564D0E203443F85C4E48CD942EC7A"><enum>(v)</enum><text>which is fully
compliant with the State of jurisdiction and Federal anti-discrimination
laws.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="ID72AD27C5CC8F4AE6BA9CE0E395282980"><enum>(c)</enum><header>Exclusion
applies to highly compensated employees only If no
discrimination</header><text>Section 132(j)(1) of the Internal Revenue Code of
1986 is amended—</text>
<paragraph id="IDC26A75B956784B1482940432027B9DA6"><enum>(1)</enum><text>by striking
<quote>Paragraphs (1) and (2) of subsection (a)</quote> and inserting
<quote>Subsections (a)(1), (a)(2), and (j)(4)</quote>, and</text>
</paragraph><paragraph id="IDD8619BFD4DFC4B46BC552E08FBEDF4CC"><enum>(2)</enum><text>by striking the
heading thereof through <quote><header-in-text level="section" style="traditional">apply</header-in-text></quote> and inserting
<quote><header-in-text level="paragraph">Certain exclusions
apply</header-in-text></quote>.</text>
</paragraph></subsection><subsection id="IDBB5B2DCFC0C34768816504E95A2C6617"><enum>(d)</enum><header>Employer
deduction for dues to certain athletic facilities</header>
<paragraph id="ID416D280B05C84D27AB648E431D772C18"><enum>(1)</enum><header>In
general</header><text>Paragraph (3) of section 274(a) of the Internal Revenue
Code of 1986 is amended by adding at the end the following new sentence:
<quote>The preceding sentence shall not apply to so much of the fees, dues, or
membership expenses paid to athletic or fitness facilities (within the meaning
of section 132(j)(4)(C)) as does not exceed $900 per employee per
year.</quote>.</text>
</paragraph><paragraph id="ID7F6C97DAE6CB4CE79D571C061BCFF07D"><enum>(2)</enum><header>Conforming
amendment</header><text>The last sentence of section 274(e)(4) of such Code is
amended by inserting <quote>the first sentence of</quote> before
<quote>subsection (a)(3)</quote>.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="ID1465C95A6DA14D3AAD3C1F529D59EB4E"><enum>(e)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after the date of the enactment of this Act.</text>
</subsection></section><section id="ID181DA109B5FF41969681EDDFDA39D17F"><enum>213.</enum><header>Task force for
the promotion of breastfeeding in the workplace</header>
<subsection id="ID036D05D5D2E442B7B984F01D15C9FDC2"><enum>(a)</enum><header>Establishment</header><text>The
Secretary of Health and Human Services and the Secretary of Labor, or their
designees, shall convene a task force for the purpose of promoting
breastfeeding among working mothers (referred to in this section as the
<quote>Task Force</quote>).</text>
</subsection><subsection id="IDEB77A9BC0D45410EAD27B27D22120955"><enum>(b)</enum><header>Membership</header><text>The
Task Force shall be composed of members who are—</text>
<paragraph id="IDD5F4EE16AF4E4CECA21F5BAF760848A3"><enum>(1)</enum><text>expert staff from
the Department of Labor with expertise in workforce issues;</text>
</paragraph><paragraph id="IDD3AC1B2320E74708B0484B45DF7B6F53"><enum>(2)</enum><text>expert staff from
the Department of Health and Human Services with expertise in the areas of
breastfeeding and breastfeeding promotion;</text>
</paragraph><paragraph id="ID57685BD4620F4C63B1AB78A2CE9A70C2"><enum>(3)</enum><text>members of the
United States Breastfeeding Committee;</text>
</paragraph><paragraph id="ID650D4450FBEB40E098EB6EAFCD4BAAD3"><enum>(4)</enum><text>expert staff from
the Department of Agriculture; and</text>
</paragraph><paragraph id="ID86CC555F13184DDE9BB5260793245DF7"><enum>(5)</enum><text>appointed by the
Secretary of Health and Human Services and the Secretary of Labor,
including—</text>
<subparagraph id="ID1E686A93399549868BE1635AA597F22E"><enum>(A)</enum><text>working mothers
who have experience in working and breastfeeding; and</text>
</subparagraph><subparagraph id="ID3A70D669C1FE4880B40347738DB2A2EB"><enum>(B)</enum><text>representatives
of the human resource departments of both large and small employers that have
successfully promoted breastfeeding and breastmilk pumping support at
work.</text>
</subparagraph></paragraph></subsection><subsection id="IDE30803C409BF41CC97011DF3E418A727"><enum>(c)</enum><header>Period of
appointment; vacancies</header><text>Members shall be appointed for the life of
the Task Force. Any vacancy in the Task Force shall not affect its powers, but
shall be filled in the same manner as the original appointment.</text>
</subsection><subsection id="ID829C47215E2D47678761DABC9567A609"><enum>(d)</enum><header>Chair</header><text>The
Task Force shall be chaired jointly by the Secretary of Health and Human
Services and the Secretary of Labor, or their designees.</text>
</subsection><subsection id="ID94C8919AA7254603A24E2B73D7629E68"><enum>(e)</enum><header>Duties of the
task force</header>
<paragraph id="IDE1A872B93F424E73BF05DDDE48E25808"><enum>(1)</enum><header>Examination</header><text>Consistent
with the Surgeon General’s Call to Action to Support Breastfeeding (2011), the
Task Force shall examine the following issues:</text>
<subparagraph id="IDEB223FCC73564A718D9715F70460A97B"><enum>(A)</enum><text>The challenges
that mothers face with continuing breastfeeding when the mothers return to work
after giving birth, including different challenges that mothers of varying
socio-economic status and in different professions may face.</text>
</subparagraph><subparagraph id="IDFA1B09C497E443A998795C00592D5B00"><enum>(B)</enum><text>The challenges
that employers face in accommodating mothers who seek to continue to breastfeed
or to express milk when the mothers re-enter the workforce.</text>
</subparagraph><subparagraph id="ID2241E59ADBFD4F7196587B7F377B6DE9"><enum>(C)</enum><text>The benefits that
accrue to mothers, babies, and to employers when mothers are able to continue
to breastfeed or to express breast milk at work after the mothers have
re-entered the workforce.</text>
</subparagraph><subparagraph id="ID36CAB9B71AA341E39E62D81C9161232F"><enum>(D)</enum><text>Federal and State
statutes that may have the effect of reducing breastfeeding and breastfeeding
retention rates among working mothers.</text>
</subparagraph><subparagraph id="id50AD484EE380466B9EEB8423C7CCAC0B"><enum>(E)</enum><text>The
implementation of the reasonable break time for nursing mothers requirements
under section 7(r) of the Fair Labor Standards Act of 1938 (29 U.S.C.
207(r)).</text>
</subparagraph></paragraph><paragraph id="ID913B6802940C4357BA6AF3903F24CB12"><enum>(2)</enum><header>Reports</header>
<subparagraph id="IDC65E7B7FCF2D4917B5A2D7E403635E24"><enum>(A)</enum><header>In
general</header><text>Not later than 1 year after the date of enactment of this
section, the Task Force shall issue a public report with recommendations on the
following:</text>
<clause id="ID026D13E0FC0A486BAE88AE32E2CBDA8A"><enum>(i)</enum><text>Steps that can be
taken to promote breastfeeding among working mothers and to remove barriers to
breastfeeding among working mothers.</text>
</clause><clause id="ID57BFB3E37FE84578A3111BA7CBBF1B23"><enum>(ii)</enum><text>Potential ways
in which the Federal Government can work with employers to promote
breastfeeding among working mothers.</text>
</clause><clause id="IDD477CC26DBD2423A86CB8140A640565B"><enum>(iii)</enum><text>Areas in which
changes to existing Federal, State, or local laws would likely have the effect
of making it easier for working mothers to breastfeed or would remove
impediments to breastfeeding that currently exist in such laws.</text>
</clause><clause id="IDF1AA4D24AA404BCF8F200D840E72CBC3"><enum>(iv)</enum><text>Whether or not
increased rates of breastfeeding among working mothers would likely have the
result of reducing health care costs among such mothers and their children,
and, in particular, whether increased rates of breastfeeding would be likely to
result in lower Federal expenditures on health care for such mothers and their
children.</text>
</clause><clause id="ID6503165F4C0A4C03A87B67C2F549F8DA"><enum>(v)</enum><text>Areas in which
the Federal Government, through increased efforts by Federal agencies, or
changes to existing Federal law, can and should increase the Federal
Government's efforts to promote breastfeeding among working mothers.</text>
</clause></subparagraph><subparagraph id="ID4B20F91575CD43B79936808CD057706E"><enum>(B)</enum><header>Copy to
congress</header><text>Upon completion of the report described in subparagraph
(A), the Task Force shall submit a copy of the report to the Committee on
Health, Education, Labor, and Pensions of the Senate, the Committee on
Appropriations of the Senate, the Committee on Education and the Workforce of
the House of Representatives, and the Committee on Appropriations of the House
of Representatives.</text>
</subparagraph></paragraph></subsection><subsection id="ID727C35D0DB044D2788C4F68EB4B4E1B0"><enum>(f)</enum><header>Powers of the
task force</header>
<paragraph id="ID5CA86F01158F438E8A1062FEB00AA29B"><enum>(1)</enum><header>Hearings</header><text>The
Task Force may hold such hearings, sit and act at such times and places, take
such testimony, and receive such evidence as the Task Force considers advisable
to carry out this section.</text>
</paragraph><paragraph id="ID104B50C786D047E49EB361C9A975FADA"><enum>(2)</enum><header>Information
from federal agencies</header><text>The Task Force may secure directly from any
Federal department or agency such information as the Task Force considers
necessary to carry out this section. Upon request of the Chair of the Task
Force, the head of such department or agency shall furnish such information to
the Task Force.</text>
</paragraph><paragraph id="ID4923F742F0F84686A44E22FAD50D6A35"><enum>(3)</enum><header>Postal
services</header><text>The Task Force may use the United States mails in the
same manner and under the same conditions as other departments and agencies of
the Federal Government.</text>
</paragraph><paragraph id="IDE959DFE2AAF84AEFBE29E9965F7099ED"><enum>(4)</enum><header>Donations</header><text>The
Task Force may accept, use, and dispose of donations of services or
property.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="ID6F9C40A6B99E4C05984E5AEDE90D58AF"><enum>(g)</enum><header>Operating
expenses</header><text>The operating expenses of the Task Force, including
travel expenses for members of the Task Force, shall be paid for from the
general operating expenses funds of the Secretary of Health and Human Services
and the Secretary of Labor.</text>
</subsection></section><section id="id959592E8431C400FAE01736082730241"><enum>214.</enum><header>Improving
healthy eating and active living options in Federal workplaces</header>
<subsection id="id373A83CABADB420180879495B07D3F37"><enum>(a)</enum><header>Menu labeling
in Federal food establishments</header>
<paragraph id="id3F844F2C728B4B3EAC4DCB5188A15351"><enum>(1)</enum><header>In
general</header>
<subparagraph id="idBC216F8AE45344C499BEB1DFF348CB85"><enum>(A)</enum><header>Executive and
Judicial buildings</header><text>Section 403(q) of the Federal Food, Drug, and
Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/343">21 U.S.C. 343(q)</external-xref>) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="id31179A01CCB342D0B99F08DE6051E279" style="OLC">
<paragraph id="id6ED77F402DF14926A03815C8C1595B18" indent="up1"><enum>(6)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id4EF49EA6659443F890FA380AE2328E63"><enum>(A)</enum><text>The requirements of
subparagraph (5)(H) shall apply—</text>
<clause id="id475D4CD34E00442EA136519413836D67" indent="up1"><enum>(i)</enum><text>to a restaurant or similar retail food
establishment located in a Federal building in the same manner as such
subparagraph applies to a restaurant or similar retail food establishment that
is part of a chain with 20 or more locations, as described in subparagraph
(5)(H)(i); and</text>
</clause><clause id="idCF1FD801EF6E4F61A3D33F59CA9CF332" indent="up1"><enum>(ii)</enum><text>to a person that operates a vending
machine located in a Federal building in the same manner as such subparagraph
applies to a person who is engaged in the business of owning or operating 20 or
more vending machines, as described in subparagraph (5)(H)(viii).</text>
</clause></subparagraph><subparagraph id="idC25115E2ADBF4A1D9A9B5F3CCE73291F" indent="up1"><enum>(B)</enum><text>In this subparagraph, the term
<term>Federal building</term> means a building that is—</text>
<clause id="id0E0E516B36A14D3AA90CC33FCDAC4278"><enum>(i)</enum><text>under the control of the Federal
agency (as defined in <external-xref legal-doc="usc" parsable-cite="usc/40/102">section 102</external-xref> of title 40, United States Code);</text>
</clause><clause id="id1C18CA8BDEE44E0D9A31E18DDC2792AD"><enum>(ii)</enum><text>owned by the Federal Government;
and</text>
</clause><clause id="id1FECE2CE830041E39027DA2D08362D4B"><enum>(iii)</enum><text>located in a State, the District of
Columbia, Puerto Rico, or a territory or possession of the United
States.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph commented="no" id="idB91323726CE14C61910C0B17D4B7844C"><enum>(B)</enum><header>Applicability</header><text>The
requirement in the amendment made by paragraph (1) shall apply to restaurants
or similar retail food establishments and vending machines located in a Federal
building beginning 12 months after the date of enactment of this Act.</text>
</subparagraph></paragraph><paragraph commented="no" id="idFBFF52B8FEFD49E7976E015973DA3861"><enum>(2)</enum><header>Congressional
buildings</header><text>The Architect of the Capitol, in coordination with the
Committee on Rules and Administration of the Senate and the Committee on House
Administration of the House of Representatives, shall establish a program to
apply the requirements of section 403(q)(5)(H) of the Federal Food, Drug, and
Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/343">21 U.S.C. 343(q)(5)(H)</external-xref>) (as amended by paragraph (1)) to—</text>
<subparagraph id="id61F4FFCE26E5417AB06868CC6317EEFF"><enum>(A)</enum><text>food that is
served in restaurants or other similar retail food establishments that are
located in Congressional buildings and installations;</text>
</subparagraph><subparagraph id="id45E24ADB98AD4A109CC8D4BFDBC67D1F"><enum>(B)</enum><text>food that is sold
through vending machines that are operated in Congressional buildings and
installations; and</text>
</subparagraph><subparagraph id="id8BE546F654A94CB188C2F40690130692"><enum>(C)</enum><text>food that is
served to individuals within Congressional buildings and installations pursuant
to a contract with a private entity.</text>
</subparagraph></paragraph></subsection><subsection id="id126B7932F8FB4993AB4833B9DF852CBE"><enum>(b)</enum><header>Nutritional
standards for food in Federal buildings</header>
<paragraph id="id14ED7D262ECE4871B0396735345D6398"><enum>(1)</enum><header>Executive and
Judicial buildings</header><text display-inline="yes-display-inline">Subchapter
V of chapter 5 of subtitle I of title 40, United States Code, is amended by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id03502EC168D14A2BA6F9ADC7E7D59D3C" style="OLC">
<section id="id35A8FEC8B61A4BEF874953632FDCEFE6"><enum>594.</enum><header>Nutritional
standards for food in Federal buildings</header>
<subsection id="IDaf8cbe6ba94342a4b712f84e9fa9f0b5"><enum>(a)</enum><header>In
general</header><text>Not later than 1 year after the date of enactment of this
section, the Administrator of General Services, in consultation with the
Secretary of Health and Human Services, shall establish, by regulation,
nutritional standards for foods and beverages purchased, served, and sold
through Federal buildings and on Federal property (including food products
provided by contractors or vending machines). Such standards shall reflect the
most recent Dietary Guidelines for Americans.</text>
</subsection><subsection id="idB979D45B56B340B1B538C0657CDD7166"><enum>(b)</enum><header>Considerations</header><text>In
developing the nutritional standards under subsection (a), the Administrator
shall consider the following:</text>
<paragraph id="id9A7EC9C0023042E38351B3A8C4C80706"><enum>(1)</enum><text>Recommendations
for nutrition standards for foods, beverages, or meals made by authoritative
scientific organizations.</text>
</paragraph><paragraph id="idDC9C49089E414621BD794329ECF4EC65"><enum>(2)</enum><text>Both positive and
negative contributions of nutrients, ingredients, and foods to diets (including
calories or portion size, saturated fat, trans fat, sodium, added sugars, and
the presence of fruits, vegetables, whole grains, and nutrients of concern in
Americans’ diets).</text>
</paragraph><paragraph id="id4A16A264BF144E8A8FF8842E442D5149"><enum>(3)</enum><text>Adaptations of
the standards for different venues, such as childcare, correctional facilities,
government meetings, or other settings with unique populations or
circumstances.</text>
</paragraph></subsection><subsection id="id043084F16ADF4DBB8821A7BC848E3A45"><enum>(c)</enum><header>Periodic
review</header><text>Not later than 5 years after the date of enactment of this
section, and every 5 years thereafter, the Secretary, shall review, and if
necessary, revise and update the nutrition standards developed under subsection
(a) to reflect advancements in nutrition science, dietary data, and new product
availability.</text>
</subsection><subsection id="IDd78756378fc3467ea53fe6c0de56d3c8"><enum>(d)</enum><header>Use of
amounts</header><text>Amounts appropriated to an executive agency for
installation, repair, and maintenance, generally, may be used to achieve
compliance with the regulations promulgated pursuant to this section.</text>
</subsection><subsection id="ID9b8ffb3815444751890a9992bfbe49cd"><enum>(e)</enum><header>Liability</header><text>Nothing
in this section increases or enlarges the tort liability of the Federal
Government for any injury to an individual or damage to
property.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="id99CF2842786C4558B5B0643E09C3FB8E"><enum>(2)</enum><header>Congressional
buildings</header>
<subparagraph id="idC14DE60BD5BD489DB54BEC065796C56C"><enum>(A)</enum><header>In
general</header><text>Not later than 1 year after the date of enactment of this
Act, the Architect of the Capitol, in coordination with the Committee on Rules
and Administration of the Senate and the Committee on House Administration of
the House of Representatives shall adopt nutritional standards for food and
beverage products purchased, served, or sold through Congressional buildings
and properties (including food products provided by contractors and vending
machines). Such standards shall reflect the most recent Dietary Guidelines for
Americans.</text>
</subparagraph><subparagraph id="idB31BCFED28B54CB7963DB7BC1DAAC479"><enum>(B)</enum><header>Considerations</header><text>In
developing the nutritional standards under subparagraph (A), the Architect
shall consider the following:</text>
<clause id="id5B4EE92FE43A40628E05053A1E29908A"><enum>(i)</enum><text>Recommendations
for nutrition standards for foods, beverages, or meals made by authoritative
scientific organizations.</text>
</clause><clause id="id988E807E84F04B4A8E1557116CEAA712"><enum>(ii)</enum><text>Both positive
and negative contributions of nutrients, ingredients, and foods to diets
(including calories or portion size, saturated fat, trans fat, sodium, added
sugars, and the presence of fruits, vegetables, whole grains, and nutrients of
concern in Americans’ diets).</text>
</clause></subparagraph><subparagraph id="idEA9858AD305B4589995F9092AD56AD72"><enum>(C)</enum><header>Periodic
review</header><text>Not later than 5 years after the date of enactment of this
Act, and every 5 years thereafter, the Architect, shall review, and if
necessary, revise and update the nutrition standards developed under
subparagraph (A) to reflect advancements in nutrition science, dietary data,
and new product availability.</text>
</subparagraph></paragraph></subsection><subsection id="idCDC1B97878CA4D78A8F7B9248B224E63"><enum>(c)</enum><header>Encouragement
of use of stairs</header>
<paragraph id="id9CF1B1BFFB29405C8FED5C4F17870A67"><enum>(1)</enum><header>Executive and
Judicial buildings</header><text display-inline="yes-display-inline">Subchapter
V of chapter 5 of subtitle I of title 40, United States Code, as amended by
subsection (b), is further amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idC6DA949BD3614C18930714451DFE4BAF" style="OLC">
<section id="idA6D0F3F9784E4DC7BFAA38E39392C1E5"><enum>595.</enum><header>Encouragement
of use of stairs</header>
<subsection id="idD7CFE504B2E84C0B963BC2487A856BEE"><enum>(a)</enum><header>In
general</header><text>In the design of new or substantively remodeled Federal
buildings, each Federal agency shall consider including building features that
ensure stairs are accessible and attractive. In new and existing buildings,
each Federal agency shall install point-of-decision prompts encouraging
individuals to use stairs wherever practicable at each relevant building and
installation that is—</text>
<paragraph id="idFFAE20B7146F47A7B2E8A5326A7DF8E6"><enum>(1)</enum><text>under the control
of the Federal agency;</text>
</paragraph><paragraph id="id530D098DD499476192BD6D62D40D4521"><enum>(2)</enum><text>owned by the
Federal Government; and</text>
</paragraph><paragraph id="idC5C58E0C300E410F85CBD4E28D8C4F2D"><enum>(3)</enum><text>located in a
State, the District of Columbia, Puerto Rico, or a territory or possession of
the United States.</text>
</paragraph></subsection><subsection id="IDaae452a33fca47cb95fd52a7f9d57337"><enum>(b)</enum><header>Reimbursement</header><text>Subsection
(a) may be carried out by—</text>
<paragraph id="ID8ed7ada7e119411cbf66c6b9894a64fd"><enum>(1)</enum><text>reimbursement to
a State or political subdivision of a State, the District of Columbia, Puerto
Rico, or a territory or possession of the United States; or</text>
</paragraph><paragraph id="ID0b2c063d9bea4e098bff72c33ce9caa5"><enum>(2)</enum><text>grants or
contracts.</text>
</paragraph></subsection><subsection id="ID3e553640d7014794a0f60a37d4a9d7d9"><enum>(c)</enum><header>Regulations</header><text>Subsection
(a) shall be carried out in accordance with such regulations as the
Administrator of General Services may promulgate, with the approval of the
Director of the Office of Management and Budget.</text>
</subsection><subsection id="id8CA385B0948C4930BE74729CB9F06B25"><enum>(d)</enum><header>Use of
amounts</header><text>Amounts appropriated to a Federal agency for
installation, repair, and maintenance, generally, shall be available to carry
out this section.</text>
</subsection><subsection id="id40A980949C8E45658D3B0D972DDD46C8"><enum>(e)</enum><header>Liability</header><text>Nothing
in this section increases or enlarges the tort liability of the Federal
Government for any injury to an individual or damage to
property.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="id98E32E2F419045EFBCB9BD624AD4B13E"><enum>(2)</enum><header>Congressional
buildings</header><text>The Architect of the Capitol shall implement a program
to install point-of-decision prompts encouraging individuals to use stairs
wherever practicable in Congressional buildings and installations in the same
manner as established under <external-xref legal-doc="usc" parsable-cite="usc/40/595">section 595</external-xref> of title 40, United States Code (as
added by paragraph (1)).</text>
</paragraph></subsection><subsection id="idBE68AE132C7A4F24BC889374265BE9F4"><enum>(d)</enum><header>Accommodations
for bicycle commuters</header>
<paragraph id="idA23D05007CA84CFA83CDE60D72096B71"><enum>(1)</enum><header>Executive and
Judicial Federal buildings</header><text display-inline="yes-display-inline">Subchapter V of chapter 5 of subtitle I of
title 40, United States Code, as amended by subsection (c), is further amended
by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idA715B9C9511244F4ABA692B8AE190190" style="OLC">
<section id="id543E6EAD11D04EB38EF2328E2D2AC227"><enum>596.</enum><header>Accommodations
for bicycle commuters</header>
<subsection id="idF2F1832FAA4C4375AC0CC7589FA12DB5"><enum>(a)</enum><header>In
general</header><text>Each Federal agency shall install and maintain a bicycle
storage area and equipment (such as a bicycle rack) and a shower for bicycle
commuters at each relevant parking structure that is—</text>
<paragraph id="id4D09F9AD906548D1B1A357F8CFE58C69"><enum>(1)</enum><text>under the control
of the Federal agency;</text>
</paragraph><paragraph id="id2870ECB83092485585DE3E20F1A7D209"><enum>(2)</enum><text>owned by the
Federal Government; and</text>
</paragraph><paragraph id="idD043E391AAAE40DF81A6B07FA81BABEF"><enum>(3)</enum><text>located in a
State, the District of Columbia, Puerto Rico, or a territory or possession of
the United States.</text>
</paragraph></subsection><subsection id="idE3734581DFAE47CDBD832974B8F749CE"><enum>(b)</enum><header>Reimbursement</header><text>Subsection
(a) may be carried out by—</text>
<paragraph id="id1E9C1A6B32884D04A571DF407FE72D42"><enum>(1)</enum><text>reimbursement to
a State or political subdivision of a State, the District of Columbia, Puerto
Rico, or a territory or possession of the United States; or</text>
</paragraph><paragraph id="idC00076A92C8B40769C54AC1B31CCDA4F"><enum>(2)</enum><text>grants or
contracts.</text>
</paragraph></subsection><subsection id="id1B97F0102E5C4760B2E91E46BA03D391"><enum>(c)</enum><header>Regulations</header><text>Subsection
(a) shall be carried out in accordance with such regulations as the
Administrator of General Services may promulgate, with the approval of the
Director of the Office of Management and Budget.</text>
</subsection><subsection id="id26D1E42A698142E9BFC10F57BE50CE62"><enum>(d)</enum><header>Use of
amounts</header><text>Amounts appropriated to a Federal agency for
installation, repair, and maintenance, generally, shall be available to carry
out this section.</text>
</subsection><subsection id="idBEA72525BBCE495FB08CE8942BF8EB7F"><enum>(e)</enum><header>Liability</header><text>Nothing
in this section increases or enlarges the tort liability of the Federal
Government for any injury to an individual or damage to
property.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="idE97DC0E8081C4C9384AD764056EFF90D"><enum>(2)</enum><header>Congressional
buildings</header><text>The Architect of the Capitol, in coordination with the
Sergeant at Arms and Doorkeeper of the Senate, the Sergeant at Arms of the
House of Representatives, and the United States Capitol Police, shall
implement, within their respective jurisdictions, a program to make
accommodations for bicycle commuters on the United States Capitol complex in
the same manner as established under <external-xref legal-doc="usc" parsable-cite="usc/40/596">section 596</external-xref> of title 40, United States
Code (as added by paragraph (1)).</text>
</paragraph></subsection></section></subtitle><enum>III</enum><header>Responsible
marketing and consumer awareness</header>
<section id="id862C0ACF6B2C47C08796D82B8F69B416"><enum>301.</enum><header>Guidelines for
reduction in sodium content in certain foods</header>
<subsection id="id3AB1E414D56041A696FD79E3A89DBE77"><enum>(a)</enum><header>In
general</header><text>Not later than 180 days after the date of enactment of
this Act, the Secretary of Health and Human Services shall promulgate
regulations establishing guidelines for the mandatory reduction, over a 2-year
period, in the sodium content of processed food and restaurant food following,
as appropriate, the recommendations made by the Institute of Medicine report
entitled “Strategies to Reduce Sodium Intake in the United States”.</text>
</subsection><subsection id="id6AD45E35F7FE477FB588C76AEBF5F588"><enum>(b)</enum><header>Definitions</header><text>For
purposes of this section—</text>
<paragraph id="id8709E9B547F844718EF30783D52D3253"><enum>(1)</enum><text>the term
<term>processed food</term> has the meaning given such term in section 201(gg)
of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/321">21 U.S.C. 321(gg)</external-xref>); and</text>
</paragraph><paragraph id="id13B2C6FBC3444173AFB4F44187CC18BF"><enum>(2)</enum><text>the term
<term>restaurant food</term> means food subject to the requirements of section
403(q)(5)(H) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.
343(q)(5)(H)).</text>
</paragraph></subsection></section><section id="id841D9EC2A6A24FEA87A539AED26800B7"><enum>302.</enum><header>Nutrition
labeling for food products sold principally for use in restaurants or other
retail food establishments</header><text display-inline="no-display-inline">Section 403(q)(5) of the Federal Food, Drug,
and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/343">21 U.S.C. 343(q)(5)</external-xref>) is amended by striking clause
(G).</text>
</section><section id="id1EA57CEF2EA84E6BA80EA56EE727379B"><enum>303.</enum><header>Front-label
food guidance systems</header>
<subsection id="idD3DB0C695AD142D0BDEBEF68B32E820E"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Not later than 6
months after the date of enactment of this Act, the Secretary of Health and
Human Services (referred to in this section as the <quote>Secretary</quote>)
shall begin soliciting public comments regarding—</text>
<paragraph id="IDf3ad7c98ad514687b7b49767a69adf8a"><enum>(1)</enum><text>the use of retail
front-label food guidance systems to convey nutrition information to the public
using logos, symbols, signs, emblems, insignia, or other graphic
representations on the labeling of food intended for human consumption that are
intended to provide simple, standardized, and understandable nutrition
information to the public in graphic form;</text>
</paragraph><paragraph id="ID84715a1c0bd84f22965e90b01e1be93c"><enum>(2)</enum><text>appropriate
nutrition standards by which a retail front-label food guidance system may
convey the relative nutritional value of different foods in simple graphic
form; and</text>
</paragraph><paragraph id="ID926a6c5095ca4a4ca5c16d32344ae766"><enum>(3)</enum><text>whether American
consumers would be better served by establishing a single, standardized retail
front-label food guidance system regulated by the Food and Drug Administration,
or by allowing individual food companies, trade associations, nonprofit
organizations, and others to continue to develop their own retail front-label
food guidance systems.</text>
</paragraph></subsection><subsection id="ID54fe27ac718e4112996e26f5ac3c91c8"><enum>(b)</enum><header>Effect on
nutrition facts panel</header><text>In soliciting public comments under
subsection (a), the Secretary shall inform the public that any retail
front-label food guidance system is intended to supplement, not replace, the
Nutrition Facts Panel that appears on food labels pursuant to section 403(q) of
the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/343">21 U.S.C. 343(q)</external-xref>).</text>
</subsection><subsection id="ID0c3ada5e07904d31a8d76731f4b32e48"><enum>(c)</enum><header>Proposed
regulation</header><text>Not later than 12 months following the closure of the
public comment solicitation period under subsection (a), the Secretary
shall—</text>
<paragraph id="ID591762784bf344e2bdfd0d1160d38a81"><enum>(1)</enum><text>publish a notice
in the Federal Register that summarizes the public comments and describes the
suggested retail front-label food guidance systems received through such
solicitation; and</text>
</paragraph><paragraph id="IDc91245796844410a92c0da70cc480a33"><enum>(2)</enum><text>publish proposed
regulations that—</text>
<subparagraph id="ID94c9b78993c540a8b28ca4dfb4302252"><enum>(A)</enum><text>establish a
single, standardized retail front-label food guidance system; or</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID2cfa2eebd67e406da8b9aeb9ce326f9f"><enum>(B)</enum><text>establish the
conditions under which individual food companies, trade associations, nonprofit
organizations, and other entities may continue to develop their own retail
front-label food guidance systems.</text>
</subparagraph></paragraph></subsection></section><section id="ID9BFCED61D70A46B6888201B6E1F546C8"><enum>304.</enum><header>Rulemaking
authority for advertising to children</header>
<subsection id="IDEA0CF4B27365404C9C3EDA557C37F53F"><enum>(a)</enum><header>Purpose</header><text>The
purpose of this section is to restore the authority of the Federal Trade
Commission to issue regulations that restrict the marketing or advertising of
foods and beverages to children under the age of 18 years if the Federal Trade
Commission determines that there is evidence that consumption of certain foods
and beverages is detrimental to the health of children.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ID601DE5E4A94942BBAA963D55328C6FB7"><enum>(b)</enum><header>Authority</header><text>Section
18 of the Federal Trade Commission Act (<external-xref legal-doc="usc" parsable-cite="usc/15/57a">15 U.S.C. 57a</external-xref>) is amended—</text>
<paragraph id="ID5e542f005c5244a69bcba45048017f1e"><enum>(1)</enum><text>in subsection
(a), by striking <quote>Except as provided in subsection (h), the</quote> and
inserting <quote>The</quote>;</text>
</paragraph><paragraph id="id24FEB8EBE65040188FFA6DD833BF04C0"><enum>(2)</enum><text>by amending
subsection (b) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="idDB6BC1CFAA0946CF91A7812860CF2186" style="OLC">
<subsection id="IDddfa5e963cc1411ea54a01dc228a6e4c"><enum>(b)</enum><header>Procedure
applicable</header><text>When prescribing a rule under subsection (a)(1)(B) of
this section, the Commission shall proceed in accordance with section 553 of
title 5 (without regard to any reference in such section to sections 556 and
557 of such
title).</text>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="IDc91c02aa58954090b78b1c915efd64d1"><enum>(3)</enum><text>by striking
subsections (c), (f), (h), (i), and (j);</text>
</paragraph><paragraph id="idE8ABAD3A4D0844ACACEA4794FAB927DD"><enum>(4)</enum><text>by striking
subsection (d) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="idC3D28FEEBFFE42D8A30D9FBE69452E4A" style="OLC">
<subsection id="idE1538611F5424105AA19A53FDC226D25"><enum>(c)</enum><text>When any rule
under subsection (a)(1)(B) takes effect a subsequent violation thereof shall
constitute an unfair or deceptive act or practice in violation of section
5(a)(1) of this Act, unless the Commission otherwise expressly provides in such
rule.</text>
</subsection><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="idC4C09707516547D1A676C7C731110E6B"><enum>(5)</enum><text>by redesignating
subsections (e) and (g) as subsections (d) and (e), respectively; and</text>
</paragraph><paragraph id="ID9fa1c8d1ce1c4568bcb32cf2cc9ea0de"><enum>(6)</enum><text>in subsection
(d), as redesignated—</text>
<subparagraph id="ID5e321638142341dea0fc2cffeeab857f"><enum>(A)</enum><text>in paragraph
(1)(B), by striking <quote>the transcript required by subsection
(c)(5),</quote>;</text>
</subparagraph><subparagraph id="ID691fd8422e5e429ca338c1683d5b3bb6"><enum>(B)</enum><text>in paragraph (3),
by striking <quote>error)</quote> and all that follows through the period at
the end and inserting <quote>error).</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDb97cf2a5cf1c4b6ca1a298da0ede7dcc"><enum>(C)</enum><text>in paragraph (5),
by striking subparagraph (C).</text>
</subparagraph></paragraph></subsection></section><section id="id06AC33A7B9B3423E9A4CA72CB5F653BD"><enum>305.</enum><header>Health
literacy: research, coordination and dissemination</header>
<subsection id="id3B520499CFF94223AF89F33DB3C6241F"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Part A of title IX of
the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/299">42 U.S.C. 299 et seq.</external-xref>) is amended by adding at
the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id81C59CF4685E4097B6CB18E8F0EFFEBA" style="OLC">
<section id="id359CA4EEED9640DE9837B72499C6BC6D"><enum>904.</enum><header>Health
literacy: research, coordination and dissemination</header>
<subsection id="id19B85FF106BF4B7591ED73177C3BDB4A"><enum>(a)</enum><header>Definition</header><text display-inline="yes-display-inline">In this section, the term <term>health
literacy</term> means a consumer’s ability to obtain, process, and understand
basic health information and services needed to make appropriate health care
decisions and the adaptation of services to enhance a consumer’s understanding
and navigation of applicable health care services.</text>
</subsection><subsection id="id5A88AC77DD734CF39B057F90B8469E65"><enum>(b)</enum><header>Health literacy
program</header>
<paragraph id="IDda1da47a175744f9a3352178d427b137"><enum>(1)</enum><header>Establishment</header><text>The
Director shall establish within the Agency a program (referred to in this
section as the <quote>program</quote>) to strengthen health literacy by
improving measurement, research, development, and information
dissemination.</text>
</paragraph><paragraph id="id033C6AA9114844018E041F5B3A365137"><enum>(2)</enum><header>Duties</header><text>In
carrying out the program, the Director shall—</text>
<subparagraph id="id52AF1076BE304681AB12FDA98D868520"><enum>(A)</enum><text>gather health
literacy resources from public and private sources and make such resources
available to researchers, health care providers, and the general public;</text>
</subparagraph><subparagraph id="idA005C009F97549398E2D6704B9A505F2"><enum>(B)</enum><text>identify and fill
research gaps relating to health literacy that have direct applicability
to—</text>
<clause id="id0F1C78D75D454A069D90490426CEAB34"><enum>(i)</enum><text>prevention;</text>
</clause><clause id="id3E57BFFB2B3E492BA133CE1F5EF423BD"><enum>(ii)</enum><text>self-management
of chronic disease;</text>
</clause><clause id="id9CB4A45B4EB746228888C11E323D0EC7"><enum>(iii)</enum><text>quality
improvement;</text>
</clause><clause id="ID7aeae7d372644f9b9eb3fb1890ba4db3"><enum>(iv)</enum><text>the barriers to
health literacy;</text>
</clause><clause id="IDc69d5b7dd10b4279877a6c40f8346f36"><enum>(v)</enum><text>relationships
between health literacy and health disparities, particularly with respect to
language and cultural competency; and</text>
</clause><clause id="ID4d63b5cd29664905ac223e1a2811bf5d"><enum>(vi)</enum><text>the utilization
of information on comparative effectiveness of health treatments;</text>
</clause></subparagraph><subparagraph id="id8F04999ACA9C487CA09A4A37BD01A183"><enum>(C)</enum><text>sponsor
demonstration and evaluation projects with respect to interventions and tools
designed to strengthen health literacy, including projects focused on—</text>
<clause id="id1B77E24B2322471A940B8865B01AC7E0"><enum>(i)</enum><text>the provision of
simplified, patient-centered written materials;</text>
</clause><clause id="idFDC57AA1E6A34916A2D1F4D47F8B7664"><enum>(ii)</enum><text>technology-based
communication techniques;</text>
</clause><clause id="id445A3D73A2674153873CA956C1C2722E"><enum>(iii)</enum><text>consumer
navigation services; and</text>
</clause><clause id="id0943C32A227243648C73741D94283FB3"><enum>(iv)</enum><text>the training of
health professional providers;</text>
</clause></subparagraph><subparagraph id="id6863BCB7E1AD4B58BC1A74EFF810EDEB"><enum>(D)</enum><text>give preference
to health literacy initiatives that—</text>
<clause id="idEDE798C2AFE64331B7140C3EED66672D"><enum>(i)</enum><text>focus on the
particular needs of vulnerable populations such as the elderly, racial and
ethnic minorities, children, individuals with limited English proficiency, and
individuals with disabilities; and</text>
</clause><clause id="idD72A8C1B4A1F448DB5D97102307530B8"><enum>(ii)</enum><text>partner with
institutions in the community such as schools, libraries, senior centers,
literacy groups, recreation centers, early childhood education centers, area
health education centers, and public assistance programs;</text>
</clause></subparagraph><subparagraph id="id19BD806C1E43456996C77983A05211D8"><enum>(E)</enum><text>assist
appropriate Federal agencies in establishing specific objectives and strategies
for carrying out the program, in monitoring the programs of such agencies, and
incorporating health literacy into research design, human subjects protections,
and informed consent in clinical research;</text>
</subparagraph><subparagraph id="id0BDE12D278E344A592C770877DAE8704"><enum>(F)</enum><text>seek to enter
into implementation partnerships with organizations and agencies, including
other agencies within the Department of Health and Human Services, such as the
Centers for Medicare & Medicaid Services and the Health Resources and
Services Administration, the Office of the Surgeon General, the Joint
Commission on the Accreditation of Healthcare Organizations, the Office of the
National Coordinator for Health Information Technology, and the National
Committee for Quality Assurance, to promote the adoption of interventions and
tools developed under this section, particularly in the training of health
professionals; and</text>
</subparagraph><subparagraph id="ID4ca5471b4a7746aa846420458b271c2b"><enum>(G)</enum><text>coordinate with
other agencies within the Department of Health and Human Services to collect
data that monitors national trends in health literacy by including relevant
items in surveys such as the Medical Expenditure Panel Survey, the National
Health Interview Survey, and the National Hospital Discharge Survey.</text>
</subparagraph></paragraph><paragraph id="ID1a4d58cd0ef54c10b25ef7a56f13ba1d"><enum>(3)</enum><header>Report</header><text>The
Agency for Healthcare Research and Quality shall annually submit to Congress a
report that includes—</text>
<subparagraph id="ID3ca3fb6ca4c142a781e1ec059df98ce9"><enum>(A)</enum><text>a comprehensive
and detailed description of the operations, activities, financial condition,
and accomplishments of the Agency in the field of health literacy; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID3bcf0bb2686540ad93d5658a2302a84d"><enum>(B)</enum><text>a description of
how plans for the operation of the program for the succeeding fiscal year will
facilitate achievement of the goals of the program.</text>
</subparagraph></paragraph><paragraph id="ID80c9e0252a56401881586f54617ff14f"><enum>(4)</enum><header>Authorization
of appropriations</header><text>There are authorized to be appropriated to
carry out this subsection such sums as may be necessary for each of fiscal
years 2014 through 2018.</text>
</paragraph></subsection><subsection id="idA9EA4C29E17141F09373DC35EEC1161B"><enum>(c)</enum><header>State health
literacy grants</header>
<paragraph id="IDb0f8f34e7e2546d4a47a7ed5f11ef1fb"><enum>(1)</enum><header>Grants</header><text>The
Director of the Agency shall award grants to eligible entities to facilitate
State and community efforts to strengthen health literacy.</text>
</paragraph><paragraph id="IDf19160768a3e428c8976c863175072ba"><enum>(2)</enum><header>Use of
funds</header><text>An entity receiving a grant under this subsection shall use
amounts received under such grant to—</text>
<subparagraph id="ID2c4aafe459c74e8499ad1639f0e6446e"><enum>(A)</enum><text>support efforts
to monitor and strengthen health literacy within a State or community;</text>
</subparagraph><subparagraph id="ID26d42755befb420680fd565d6cb5c5d3"><enum>(B)</enum><text>assist public and
private efforts in the State or community in coordinating and delivering health
literacy services;</text>
</subparagraph><subparagraph id="ID410105aa44e740968fed5d32901d514c"><enum>(C)</enum><text>encourage
partnerships among State and local governments, community organizations,
non-profit entities, academic institutions, and businesses to coordinate
efforts to strengthen health literacy;</text>
</subparagraph><subparagraph id="ID8cc27c6c29e04f45b824fe2b1b0dd8da"><enum>(D)</enum><text>provide technical
and policy assistance to State and local governments and service providers;
and</text>
</subparagraph><subparagraph id="idCD54C603C3334AD9921829129D214A78"><enum>(E)</enum><text>monitor and
evaluate programs conducted under this grant.</text>
</subparagraph></paragraph><paragraph id="ID821faeffb9284a17838da5e6292a3b63"><enum>(3)</enum><header>Report</header><text>Not
later than September 30 of each fiscal year for which a grant is received by an
entity under this section, the entity shall submit to the Director a report
that describes the programs supported by the grant and the results of
monitoring and evaluation of those programs.</text>
</paragraph><paragraph id="id2F663ED1F2584FA393499DA334010AC5"><enum>(4)</enum><header>Authorization
of appropriations</header><text>There are authorized to be appropriated such
sums as may be necessary to carry out this subsection for each of fiscal years
2014 through
2018.</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="id1DF3256710F54F2FA595024C06A2A338"><enum>(b)</enum><header>Institute of
Medicine study and report</header>
<paragraph id="idEFF62688EEE9437EA1B253757B52B740"><enum>(1)</enum><header>Study</header><text>The
Secretary of Health and Human Services shall seek to enter into a contract with
the Institute of Medicine to conduct a study identifying opportunities within
the Department of Health and Human Services to strengthen the health literacy
of health care providers and health care consumers in accordance with the
Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>).</text>
</paragraph><paragraph id="IDa9c0bc3cd41d4d158486d42c5e366acf"><enum>(2)</enum><header>Report</header><text>A
contract entered into under paragraph (1) shall include a provision requiring
the Institute of Medicine, not later than 1 year after the date of enactment of
this Act, to submit a report concerning the results of the study conducted
under paragraph (1) to the Secretary of Health and Human Services and the
appropriate committees of Congress.”.</text>
</paragraph></subsection></section><section id="ID068DB823F672416181FD2F297353E689"><enum>306.</enum><header>Disallowance
of deductions for advertising and marketing expenses relating to tobacco
product use</header>
<subsection id="IDDA98B897BB1B4868A2722F2EA3369BB4"><enum>(a)</enum><header>In
general</header><text>Part IX of subchapter B of chapter 1 of subtitle A of the
Internal Revenue Code of 1986 (relating to items not deductible) is amended by
adding at the end the following new section:</text>
<quoted-block display-inline="no-display-inline" id="ID09F200AF2AF34358B5DF850AAC4CEA2E" style="OLC">
<section id="ID9600CC691D2145A0AC13DBB219C3C7B3"><enum>280I.</enum><header>Disallowance
of deduction for advertising and marketing expenses relating to tobacco product
use</header><text display-inline="no-display-inline">No deduction shall be
allowed under this chapter for expenses relating to advertising or marketing
cigars, cigarettes, smokeless tobacco, pipe tobacco, or any other tobacco
product. For purposes of this section, any term used in this section which is
also used in section 5702 shall have the same meaning given such term by
section
5702.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="idB4CB6E876DED4A8B8C2E02CAFD1BC5CD"><enum>(b)</enum><header>Conforming
amendment</header><text>The table of sections for such part IX is amended by
adding after the item relating to section 280H the following new item:</text>
<quoted-block display-inline="no-display-inline" id="idB7510EAFA9C54D38802B55BAF1A0248B" style="OLC">
<toc>
<toc-entry bold="off" level="section">Sec. 280I. Disallowance of
deduction for tobacco advertising and marketing
expenses.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ID16614B67202645E5A269657753D42781"><enum>(c)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after the date of the enactment of this Act.</text>
</subsection></section><section id="ID420BF70D532C4049830854956B45F8CD"><enum>307.</enum><header>Incentives to
reduce tobacco use</header>
<subsection id="ID5788B6D3EF4B4829889E1806D354580C"><enum>(a)</enum><header>Child tobacco
use surveys</header>
<paragraph id="id4892C3D7D7E8405BA728FE552885DA01"><enum>(1)</enum><header>Annual
performance survey</header>
<subparagraph id="ID511CB2B11434442DA912645C80A1213A"><enum>(A)</enum><header>In
general</header><text>Not later than August 31, 2014, and annually thereafter,
the Secretary of Health and Human Services (referred to in this section as the
<quote>Secretary</quote>) shall publish the results of an annual tobacco use
survey, to be carried out not later than 18 months after the date of enactment
of this Act and completed on an annual basis thereafter, to determine—</text>
<clause id="ID9C1AAB85E3CB475BABB5267044466B9C"><enum>(i)</enum><text>the
percentage of all young individuals who used tobacco products within the 30-day
period prior to the conduct of the survey involved; and</text>
</clause><clause id="IDA25CC9DB93CD41C48B0D64312CDD3E80"><enum>(ii)</enum><text>the percentage
of young individuals who identify each brand of each type of tobacco product as
the usual brand used within such 30-day period.</text>
</clause></subparagraph><subparagraph id="IDB12B641144B34281A5E079AE8E33A483"><enum>(B)</enum><header>Young
individuals</header><text>For the purposes of this section, the term
<term>young individuals</term> means individuals who are under 18 years of
age.</text>
</subparagraph></paragraph><paragraph id="ID116307F99771493A874B43C639A7BFCF"><enum>(2)</enum><header>Size and
methodology</header>
<subparagraph id="ID592502B629B84530BD82A1D30CFD99EF"><enum>(A)</enum><header>In
general</header><text>The survey referred to in paragraph (1) may be the
National Survey on Drug Use and Health or shall at least be comparable in size
and methodology to the NSDUH that was completed in 2009 to measure the use of
cigarettes (by brand) by youths under 18 years of age within the 30-day period
prior to the conduct of the study. Such survey may be conducted as a component
of the National Health and Nutrition Examination Survey or the National Health
Interview Survey, if all other requirements provided for in this section are
complied with.</text>
</subparagraph><subparagraph id="IDA995895E3A2D4309A09CF4C35D3A6BE3"><enum>(B)</enum><header>Conclusive
accurateness</header><text>A survey using the methodology described in
subparagraph (A) shall be deemed conclusively proper, correct, and accurate for
purposes of this section.</text>
</subparagraph><subparagraph id="IDF8034DB23A614F6BA058D8936F9A7C23"><enum>(C)</enum><header>Definition</header><text>In
this section, the term <term>National Survey on Drug Use and Health</term> or
<term>NSDUH</term> means the annual nationwide survey of randomly selected
individuals, aged 12 and older, conducted by the Substance Abuse and Mental
Health Services Administration.</text>
</subparagraph></paragraph><paragraph id="ID65D0C294D04144DDA4F09BA559BE6C48"><enum>(3)</enum><header>Reduction</header><text>The
Secretary, based on a comparison of the results of the first annual tobacco
product survey referred to in paragraph (1) and the most recent survey data
referred to in paragraph (2)(A) completed prior to the date of enactment of
this Act, shall determine the percentage reduction (if any) in youth tobacco
use for each manufacturer of tobacco products.</text>
</paragraph><paragraph id="IDD2B20C28169C4DB8B84A4FEBFB47EC49"><enum>(4)</enum><header>Participation
in survey</header><text>Notwithstanding any other provision of law, the
Secretary may conduct a survey under this subsection involving minors if the
results of such survey with respect to such minors are kept confidential and
not disclosed.</text>
</paragraph><paragraph id="ID33014353997A4CFC82863F5BEE4B0F17"><enum>(5)</enum><header>Nonapplicability</header><text>Chapter
35 of title 44, United States Code, shall not apply to information required for
the purposes of carrying out this section.</text>
</paragraph></subsection><subsection id="id782CA4DDD841455FBE22479758ECD031"><enum>(b)</enum><header>Tobacco use
reduction goal and noncompliance</header>
<paragraph id="IDD78F717D82C74165B6E9B8E745DE6480"><enum>(1)</enum><header>Goal</header><text>It
shall be the tobacco use reduction goal that youth tobacco use be reduced by at
least 5 percent or a level determined significantly sufficient by the Secretary
between the most recent NSDUH referred to in subsection (a)(2)(A) and the
completion of the first annual cigarette survey (and such subsequent surveys as
compared to the previous year's survey) referred to in subsection
(a)(1).</text>
</paragraph><paragraph id="IDCDB64706156F4C828569440382107495"><enum>(2)</enum><header>Noncompliance</header>
<subparagraph id="IDE65E3E7F2C374E64AB7532DD4422A57E"><enum>(A)</enum><header>Industry-wide
penalty</header><text>If the Secretary determines that the tobacco use
reduction goal under paragraph (1) has not been achieved, the Secretary shall,
not later than September 10, 2014, and September 10 of each year thereafter,
impose an industry-wide penalty on the manufacturers of cigarettes in an amount
that is in the aggregate equal to $3,000,000,000.</text>
</subparagraph><subparagraph id="ID4D2EAA7529204189B26C57A5CBFA1826"><enum>(B)</enum><header>Payment</header><text>The
industry-wide penalty imposed under this subsection shall be paid by each
manufacturer based on the brand share among youth ages 12–17 (as determined by
the survey described in subsection (a)(1)) as such percentage relates to the
total amount to be paid by all manufacturers.</text>
</subparagraph><subparagraph id="ID42CA07BAC41B4571B19F3F352C170098"><enum>(C)</enum><header>Final
determination</header><text>The determination of the Secretary as to the amount
and allocation of a surcharge under this section shall be final and the
manufacturer shall pay such surcharge within 10 days of the date on which the
manufacturer is assessed. Such payment shall be retained by the Secretary
pending final judicial review of what, if any, change in the surcharge is
appropriate.</text>
</subparagraph><subparagraph id="ID8C09D73514BA4D0EB6043B8E252A5CCA"><enum>(D)</enum><header>Limitation</header><text>With
respect to cigarettes, a manufacturer with a market share of 1 percent or less
of youth tobacco use shall not be liable for the payment of a surcharge under
this paragraph.</text>
</subparagraph><subparagraph id="id1BABDE63AD6C42D8B5C8F75C104370A0"><enum>(E)</enum><header>Use of
amounts</header><text>Amounts collected under subparagraph (A) shall be
deposited into the Prevention and Public Health Fund established under section
4002 of the Patient Protection and Affordable Care Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300u-11">42 U.S.C. 300u–11</external-xref>).
Such funds shall remain available for transfer through September 30th of the
fifth fiscal year following their collection, subject to the terms and
conditions of such section 4002.</text>
</subparagraph></paragraph><paragraph id="ID66247E3068D741B884C484CEB4074D95"><enum>(3)</enum><header>Penalties
nondeductible</header><text>The payment of penalties under this section shall
not be considered to be an ordinary and necessary expense in carrying on a
trade or business for purposes of the Internal Revenue Code of 1986 and shall
not be deductible.</text>
</paragraph><paragraph id="ID0CA28FDF0F174C83887045BA2B1189B2"><enum>(4)</enum><header>Judicial
review</header>
<subparagraph id="ID2A286B28394A4B5DA491A81A88C4C98D"><enum>(A)</enum><header>After
payment</header><text>A manufacturer of cigarettes may seek judicial review of
any action under this section only after the assessment involved has been paid
by the manufacturer to the Department of the Treasury and only in the United
States District Court for the District of Columbia.</text>
</subparagraph><subparagraph id="ID5C16952D0845414F8B68A14A09ADD87B"><enum>(B)</enum><header>Review by
attorney general</header><text>Prior to the filing of an action by a
manufacturer seeking judicial review of an action under this section, the
manufacturer shall notify the Attorney General of such intent to file and the
Attorney General shall have 30 days in which to respond to the action.</text>
</subparagraph><subparagraph id="ID89CDDFDA44054E1FB646BD9F12C55650"><enum>(C)</enum><header>Review</header><text>The
amount of any surcharge paid under this section shall be subject to judicial
review by the United States Court of Appeals for the District of Columbia
Circuit, based on the arbitrary and capricious standard of section 706 of title
5, United States Code. Notwithstanding any other provision of law, no court
shall have the authority to stay any surcharge payment due to the Secretary
under this section pending judicial review until the Secretary has made or
failed to make a compliance determination, as described under this section,
that has adversely affected the person seeking the review.</text>
</subparagraph></paragraph></subsection><subsection id="ID10FC32F5C0C3424B94B167021F9E0B63"><enum>(c)</enum><header>Enforcement</header>
<paragraph id="id2E2031546DA7450EB6426336C9F5A238"><enum>(1)</enum><header>Initial
penalty</header><text>There is hereby imposed an initial penalty on the failure
of any manufacturer to make any payment required under this section not later
than a period determined sufficient by the Secretary after the date on which
such payment is due.</text>
</paragraph><paragraph id="IDB20E8D5DF3864396920ACBAA7EBF2F80"><enum>(2)</enum><header>Amount of
penalty</header><text display-inline="yes-display-inline">The amount of the
penalty imposed by paragraph (1) on any failure with respect to a manufacturer
shall be an amount equal to 2 percent of the penalty owed under subsection (b)
for each day during the noncompliance period.</text>
</paragraph><paragraph id="IDC78C17458EE14BD2802F0BB4DC59488F"><enum>(3)</enum><header>Noncompliance
period</header><text>For purposes of this subsection, the term
<term>noncompliance period</term> means, with respect to any failure to make
the surcharge payment required under this section, the period—</text>
<subparagraph id="IDCCF7F471670F4AB1879F60697B77EF05"><enum>(A)</enum><text>beginning on the
due date for such payment; and</text>
</subparagraph><subparagraph id="ID32E9F19C984F4E9EA15C2F4693CA7476"><enum>(B)</enum><text>ending on the
date on which such payment is paid in full.</text>
</subparagraph></paragraph><paragraph id="IDB3E3836BD1914FD6AFBBFC528F674FE7"><enum>(4)</enum><header>Limitations</header><text>No
penalty shall be imposed by paragraph (1) on—</text>
<subparagraph id="ID4822E78FCC3A43A890833BAEAC7E4F48"><enum>(A)</enum><text>any failure to
make a surcharge payment under this section during any period for which it is
established to the satisfaction of the Secretary that none of the persons
responsible for such failure knew or, exercising reasonable diligence, would
have known, that such failure existed; or</text>
</subparagraph><subparagraph id="ID7CB093222EB345B4A8730566B0B8CEAF"><enum>(B)</enum><text>any manufacturer
that produces less than 1 percent of cigarettes used by youth in that year (as
determined by the annual survey).</text>
</subparagraph></paragraph></subsection></section><section id="idC17EC2DD73C346D7A57A3D59BEF38275"><enum>308.</enum><header>Voluntary
standards on food marketing to children</header>
<subsection id="id0a09c3b50189465595796953bfe8c221"><enum>(a)</enum><header>In
general</header><text>The Interagency Working Group on Food Marketed to
Children (as established by the Omnibus Appropriations Act, 2009 (Public Law
109–8)) and constituted by the Commisioner of the Federal Trade Commission,
together with the Commissioner of the Food and Drug Administration, the
Director of the Centers for Disease Control and Prevention, and the Secretary
of Agriculture, shall develop recommendations for standards for the marketing
of food when such marketing targets children who are 17 years of age or younger
or when such food represents a significant component of the diets of
children.</text>
</subsection><subsection id="idB1EF66DB43BC48FFA75643C10278E34C"><enum>(b)</enum><header>Considerations</header><text>In
developing standards under subsection (a), the Working Group shall
consider—</text>
<paragraph id="id49F4F1EE94684F00BF3756CDE1767E61"><enum>(1)</enum><text>positive and
negative contributions of nutrients, ingredients, and food (including calories,
portion size, saturated fat, trans fat, sodium, added sugars, and the presence
of nutrients, fruits, vegetables, and whole grains) to the diets of such
children; and</text>
</paragraph><paragraph id="idB45D718D4C6F4E41BF747B86538B1DA6"><enum>(2)</enum><text>evidence
concerning the role of the consumption of nutrients, ingredients, and foods in
preventing or promoting the development of obesity among such children.</text>
</paragraph></subsection><subsection id="idD470E8169AB14ADFBB6354B9D7C6A293"><enum>(c)</enum><header>Scope</header><text>The
Working Group shall determine the scope of the media to which the standards
developed under subsection (a) should apply.</text>
</subsection><subsection id="id22F0C5D574D94D72AFA792322508116B"><enum>(d)</enum><header>Submission to
Congress</header><text>Not later than July 15, 2014, the Working Group shall
submit to the relevant Committees of Congress a report containing the findings
and recommendations of the Working Group under this section.</text>
</subsection></section><enum>IV</enum><header>Expanded
coverage of preventive services</header>
<section id="id0BA1F49A6AFC48728B84B94A46925426"><enum>401.</enum><header>Required
coverage of preventive services under the Medicaid program</header>
<subsection id="idA8096BF6527F4533BE0A21261E790288"><enum>(a)</enum><header>Mandatory
coverage</header><text>Section 1905 of the Social Security Act (42 U.S.C.
1396d), as amended by section 4107(a)(1) of the Patient Protection and
Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>), is amended—</text>
<paragraph id="id18CB2B2776774E68BD0431EE0F089C6B"><enum>(1)</enum><text>in subsection
(a)(4)—</text>
<subparagraph id="idA6A0B95DA6C1468F9FF3286EEF1FBD7E"><enum>(A)</enum><text>by striking
<quote>and</quote> before <quote>(D)</quote>; and</text>
</subparagraph><subparagraph id="id3FF72505099848C6AFF215C8E3AC2BA6"><enum>(B)</enum><text>by inserting
before the semicolon at the end the following new subparagraph: <quote>; and
(E) preventive services described in subsection (ee);</quote>; and</text>
</subparagraph></paragraph><paragraph id="idA8BC88E15A82403C9205D0B8932EDFC9"><enum>(2)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="id780264A8423C473AAF3C8D6AD1F50C79" style="OLC">
<subsection id="id100874DE1BEE41C297293218CFC5E2CB"><enum>(ee)</enum><header>Preventive
Services</header><text>For purposes of subsection (a)(4)(E), the preventive
services described in this subsection are diagnostic, screening, preventive,
and rehabilitative services not otherwise described in subsection (a) or (r)
that the Secretary determines are appropriate for individuals entitled to
medical assistance under this title, including—</text>
<paragraph id="idD249AE9A0CA34C739A6C6FADCC5C238C"><enum>(1)</enum><text>evidence-based
services that are assigned a grade of A or B by the United States Preventive
Services Task Force; and</text>
</paragraph><paragraph id="id925B9484D6F64D9293808199BA20DC93"><enum>(2)</enum><text>with respect to
an adult individual, approved vaccines recommended for routine use by the
Advisory Committee on Immunization Practices of the Centers for Disease Control
and
Prevention.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="id6C8C8223670046FA93F9EA4672E6784A"><enum>(b)</enum><header>Elimination of
cost-Sharing</header>
<paragraph id="id91BF7A3302CE4700A8C7C1E49324F2C2"><enum>(1)</enum><text>Subsections
(a)(2)(D) and (b)(2)(D) of section 1916 of the Social Security Act (42 U.S.C.
1396o) are each amended by inserting <quote>preventive services described in
section 1905(ee),</quote> after <quote>emergency services (as defined by the
Secretary),</quote>.</text>
</paragraph><paragraph id="idC2C52D4FF6444A028989C93B09D34949"><enum>(2)</enum><text>Section
1916A(a)(1) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396o-1">42 U.S.C. 1396o–1(a)(1)</external-xref>) is amended by inserting
<quote>, preventive services described in section 1905(ee),</quote> after
<quote>subsection (c)</quote>.</text>
</paragraph></subsection><subsection commented="no" id="idFC68DEB135994CCCBB83F4EF34C6B917"><enum>(c)</enum><header>Conforming
amendment</header><text>Effective as if included in the enactment of the
Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>), the provisions
of, and amendments made by, section 4106 of such Act are repealed.</text>
</subsection><subsection id="id971B1740E9E54E719F62B4858DBB4A5C"><enum>(d)</enum><header>Interval period
for inclusion of new recommendations in State plans</header><text>With respect
to a recommendation issued on or after the date of enactment of this Act by an
organization described in subsection (ee) of section 1905 of the Social
Security Act for a preventive service included under such subsection, the
Secretary of Health and Human Services shall establish a minimum interval
period, which shall be not less than 12 months, between the date on which the
recommendation is issued and the plan year for which a State plan for medical
assistance under title XIX of the Social Security Act shall be required to
include such preventive service.</text>
</subsection><subsection id="idAEF2D34DD9BE4FB680D0B108049A7581"><enum>(e)</enum><header>Effective
date</header>
<paragraph id="id7448EF5DE3B541B09B9C9A1AEA9760D9"><enum>(1)</enum><header>In
general</header><text>Except as provided in paragraph (2), the amendments made
by subsections (a) and (b) take effect on the date of enactment of this
Act.</text>
</paragraph><paragraph id="id8958D2F9C8344AE69AC6A7B0219678B5"><enum>(2)</enum><header>Extension of
effective date for state law amendment</header><text>In the case of a State
plan under title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>) which
the Secretary of Health and Human Services determines requires State
legislation or State regulation in order for the plan to meet the additional
requirements imposed by the amendments made by subsections (a) and (b), the
State plan shall not be regarded as failing to comply with the requirements of
such title solely on the basis of its failure to meet these additional
requirements before the first day of the first calendar quarter beginning after
the close of the first regular session of the State legislature that begins
after the date of enactment of this Act. For purposes of the previous sentence,
in the case of a State that has a 2-year legislative session, each year of the
session is considered to be a separate regular session of the State
legislature.</text>
</paragraph></subsection></section><section id="idFF2B7A25C3A2425797E38CEDDDE73761"><enum>402.</enum><header>Coverage for
comprehensive workplace wellness program and preventive services</header><text display-inline="no-display-inline"><external-xref legal-doc="usc" parsable-cite="usc/5/8904">Section 8904(a)</external-xref> of title 5, United States
Code, is amended—</text>
<paragraph id="ID283d62d744f94f8ebd6f9aaf79dedee2"><enum>(1)</enum><text>in paragraph (1),
by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="id884EEBE755B54F67863ABF0A9FDE41F1" style="OLC">
<subparagraph id="ID9641e2b2c55547918453a6b5bb09d91a"><enum>(G)</enum><text>Comprehensive
workplace wellness program benefits that meet the requirements of section 10408
of the Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>).</text>
</subparagraph><subparagraph id="ID462147a8aa4846aa8f151c5f7f61c203"><enum>(H)</enum><text>Preventive
services benefits deemed an <quote>A</quote> or <quote>B</quote> service by the
United States Preventive Services Taskforce.</text>
</subparagraph><subparagraph id="IDcd946eec6ca34eef8c39e8fbd024e1bd"><enum>(I)</enum><text>Immunizations
that have in effect a recommendation from the Advisory Committee on
Immunization Practices of the Centers for Disease Control and Prevention with
respect to the individuals involved.</text>
</subparagraph><subparagraph id="ID7dd487a02aa64bc49c7814d0fc2a2024"><enum>(J)</enum><text>With respect to
infants, children, and adolescents, evidence-informed preventive care and
screenings provided for in the comprehensive guidelines supported by the Health
Resources and Services Administration of the Department of Health and Human
Services.</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="ID1903c1bcab104badbe9b74f055471b0a"><enum>(2)</enum><text>in paragraph (2),
by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="idE25E3A5C06654938ABE7BCA20F468171" style="OLC">
<subparagraph id="id1AC8A7DE4FD2409F8F3125DB89988559"><enum>(G)</enum><text>Comprehensive
workplace wellness program benefits that meet the requirements of section 10408
of the Patient Protection and Affordable Care Act (<external-xref legal-doc="public-law" parsable-cite="pl/111/148">Public Law 111–148</external-xref>).</text>
</subparagraph><subparagraph id="id13726C66DB65450297AD7C37228547EA"><enum>(H)</enum><text>Preventive
services benefits deemed an <quote>A</quote> or <quote>B</quote> service by the
United States Preventive Services Taskforce.</text>
</subparagraph><subparagraph id="id25A69D45F51D4F4DA7426788EE3E280C"><enum>(I)</enum><text>Immunizations
that have in effect a recommendation from the Advisory Committee on
Immunization Practices of the Centers for Disease Control and Prevention with
respect to the individuals involved.</text>
</subparagraph><subparagraph id="id7F26EE197208415287A1F564430871A5"><enum>(J)</enum><text>With respect to
infants, children, and adolescents, evidence-informed preventive care and
screenings provided for in the comprehensive guidelines supported by the Health
Resources and Services Administration of the Department of Health and Human
Services.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="id52798E008D944BA7B7EF4BEC84C932AF"><enum>403.</enum><header>Health
professional education and training in healthy eating</header><text display-inline="no-display-inline">Part Q of title III of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280h">42 U.S.C. 280h et seq.</external-xref>) is amended by striking section 399Z and
inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="id480A1EA4EF644E439F618038CA0AC16B" style="OLC">
<section id="id6E18F4064FEC4120AD4D45964CECB49C"><enum>399Z.</enum><header>Health
professional education and training in healthy eating</header>
<subsection id="idB40A3AF4527C441AB7EFD87D0CE6B3AB"><enum>(a)</enum><header>In
general</header><text>The Secretary, in collaboration with the Director of the
Centers for Disease Control and Prevention, the Administrator of the Health
Resources and Services Administration, and the heads of other agencies, and in
consultation with appropriate health professional associations, shall develop
and carry out a program to educate and train health professionals in effective
strategies to—</text>
<paragraph id="idECD2C501E90442A68CC13DA9C8A7CF61"><enum>(1)</enum><text>better identify
patients at-risk of becoming overweight or obese or developing an eating
disorder;</text>
</paragraph><paragraph id="id313A621E5F934F8384209DB27FECC3DF"><enum>(2)</enum><text>detect overweight
or obesity or eating disorders among a diverse patient population;</text>
</paragraph><paragraph id="id5705FDB701F44384AB1491418A6754DF"><enum>(3)</enum><text>counsel, refer,
or treat patients with overweight or obesity or an eating disorder;</text>
</paragraph><paragraph id="id072A72A198DF4C4AB32F00FBAF8E6784"><enum>(4)</enum><text>educate patients
and the families of patients about effective strategies to establish healthy
eating habits and appropriate levels of physical activity; and</text>
</paragraph><paragraph id="id03E208036CCB41CE87A669BD7B6709E5"><enum>(5)</enum><text>assist in the
creation and administration of community-based overweight and obesity and
eating disorder prevention efforts.</text>
</paragraph></subsection><subsection id="ID7f054e72cffa453482525c02796fc67a"><enum>(b)</enum><header>Eating
disorder</header><text>In this section, the term <term>eating disorder</term>
includes anorexia nervosa, bulimia nervosa, binge eating disorder, and eating
disorders not otherwise specified, as defined in the fourth edition of the
Diagnostic and Statistical Manual of Mental Disorders or any subsequent
edition.</text>
</subsection><subsection id="ID0eb71362a86c4d219a829148eba75515"><enum>(c)</enum><header>Authorization
of appropriations</header><text>There are authorized to be appropriated to
carry out this section such sums as may be necessary for each of the fiscal
years 2014 through
2018.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="id644DD20A3377446AB5FE36D0FBE32702"><enum>404.</enum><header>Integrative
medicine training program</header><text display-inline="no-display-inline">Title VII of the Public Health Service Act
is amended by inserting after section 768 (<external-xref legal-doc="usc" parsable-cite="usc/42/295c">42 U.S.C. 295c</external-xref>) the
following:</text>
<quoted-block display-inline="no-display-inline" id="id4C11817799F04FE3A29FF4FAB434EA1C" style="OLC">
<section id="id6A77FD8FBA1E461FA8A0233A1995111D"><enum>768A.</enum><header>Integrative
medicine training program</header>
<subsection id="id630b1d9cf1d04551a19052ec20b0733b"><enum>(a)</enum><header>National
Coordinating Center for Training in Integrative Medicine</header>
<paragraph id="idb788779b676f4af7a72b9a5c92c162ef"><enum>(1)</enum><header>In
general</header><text>the Secretary, acting through the Administrator, shall
award a single grant to an eligible entity that shall serve as the National
Coordinating Center for Training in Integrative Medicine.</text>
</paragraph><paragraph id="id1B0A097A19E5455E849206438DF39710"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive a grant under paragraph (1), an entity shall—</text>
<subparagraph id="id901FA3525DAE4FF9883A8142CABA4380"><enum>(A)</enum><text>be—</text>
<clause id="id8F96CC0943B54A8EB0A6B9B2469FBD15"><enum>(i)</enum><text>an accredited
school of medicine or osteopathic medicine;</text>
</clause><clause id="idF9901DC17B56463989195D81D8C8D023"><enum>(ii)</enum><text>an accredited
public or private nonprofit hospital;</text>
</clause><clause id="id85D5F38D2C8D460A933D44F22C01BA4D"><enum>(iii)</enum><text>a State, local,
or tribal health department; or</text>
</clause><clause commented="no" display-inline="no-display-inline" id="idF4C82A7BFCC1406D81FBFA75F06CB40E"><enum>(iv)</enum><text>a consortium of
2 or more of the entities described in clause (i) or (ii);</text>
</clause></subparagraph><subparagraph id="idEDA3EFFE2B6B40C2BEE012ECAC117C32"><enum>(B)</enum><text>submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require; and</text>
</subparagraph><subparagraph id="idA706449FBA7C4C50AE23323B510F08A0"><enum>(C)</enum><text>demonstrate a
capacity to perform the duties described in paragraph (3).</text>
</subparagraph></paragraph><paragraph id="idaa8b1926ab45498e8a2101663b68f020"><enum>(3)</enum><header>Duties</header><text>An
entity that receives a grant under paragraph (2) shall—</text>
<subparagraph id="id3af4d454d79f43ef91f940ba74f32fb2"><enum>(A)</enum><text>plan, develop, or
design an integrative medicine curriculum that can be incorporated into an
accredited residency training program in specialties, including family
medicine, internal medicine, pediatrics, and obstetrics and gynecology,
physical medicine and rehabilitation and psychiatry;</text>
</subparagraph><subparagraph id="id8145dc75841d4cc8a5ae3347e8fb29c2"><enum>(B)</enum><text>provide technical
assistance to the network of grantees under subsection (b);</text>
</subparagraph><subparagraph id="id3ae40c0df3fc457b99eeec74d2f427d2"><enum>(C)</enum><text>develop,
administer, and coordinate the network of grantees under such
subsection;</text>
</subparagraph><subparagraph id="id7da4a98eca1b4697a3eedd1ad727dd4e"><enum>(D)</enum><text>conduct an
evaluation and oversee data collection of integrative medicine training
programs; and</text>
</subparagraph><subparagraph id="idb926edd249b24940b1e8442a88434ad5"><enum>(E)</enum><text>develop,
distribute, and provide educational and faculty development materials and
programs to train medical professionals in integrative medicine.</text>
</subparagraph></paragraph></subsection><subsection id="id80defe018bca4fe3bc3d17cb554c8db4"><enum>(b)</enum><header>Grants To
incorporate integrative medicine into residency training programs</header>
<paragraph id="id67ab8787b40744e9802e6220ca1abce2"><enum>(1)</enum><header>In
general</header><text>The Secretary shall award grants to, or enter into
contracts with, eligible entities to develop graduate medical education
training programs in integrative medicine.</text>
</paragraph><paragraph id="idf1eaed1702e94f4485b6a0021f55f7c3"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive a grant or contract under paragraph (1) an entity
shall—</text>
<subparagraph id="id61F0EF97EC0A49FBB13F30CB5F3CF23D"><enum>(A)</enum><text>operate an
accredited medical residency program; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6801979BFB4E446FB3FB1385DF38DA6B"><enum>(B)</enum><text>submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subparagraph></paragraph><paragraph id="id5c48bf35491d4b72aed1cc1b91cf48ee"><enum>(3)</enum><header>Use of
funds</header><text>Amounts received under a grant or contract under this
subsection shall be used to incorporate curriculum in integrative medicine into
residency programs to enhance teaching in prevention and wellness and to work
collaboratively with other grantees and the national coordinating center to
evaluate outcomes and best practices in teaching Integrative Medicine.</text>
</paragraph></subsection><subsection id="id78d532e496e443589f45c030989fde65"><enum>(c)</enum><header>Definition</header><text>In
this section, the term <term>integrative medicine</term> means the integration
of alternative treatment, diagnostic and prevention systems, modalities, and
disciplines with the practice of conventional medicine as a complement to such
medicine and into health care delivery systems in the United States.</text>
</subsection><subsection id="id2a74d658b7e84cd68964ebb602fadd16"><enum>(d)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section, such sums as may be necessary for each of fiscal years 2014
through
2018.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>V</enum><header>Research</header>
<section id="H86AC69C9D8E841F586B5D986C028175E"><enum>501.</enum><header>National
consortium on breastfeeding research</header>
<subsection id="id244dc9513b1e42cea163b5d446ba9304"><enum>(a)</enum><header>Establishment</header><text>The
Secretary of Health and Human Services, acting through the Director of the
National Institutes of Health, shall establish a national consortium on
breastfeeding research (referred to in this section as the
<quote>consortium</quote>), to be composed of researchers determined
appropriate by the Secretary, in consultation with the Director, to—</text>
<paragraph id="id3920AFD08666445C926908946ED10ACB"><enum>(1)</enum><text>assist in
overcoming the limitations faced by researchers in designing breastfeeding
studies;</text>
</paragraph><paragraph id="idD8831B5B577C44518C843D91A887ACA0"><enum>(2)</enum><text>increase the
generalizability of research on breastfeeding;</text>
</paragraph><paragraph id="id67F89A8259BD4CCA85F02475913E17F8"><enum>(3)</enum><text>assist in
prioritizing key breastfeeding research areas;</text>
</paragraph><paragraph id="idDF1EFE707FB243148A2E754D65A13A72"><enum>(4)</enum><text>enable the
performance of expanded and advanced breastfeeding research; and</text>
</paragraph><paragraph id="id4F7F165EC446424D9C35324220D00931"><enum>(5)</enum><text>foster the timely
translation of such research into practice.</text>
</paragraph></subsection><subsection id="id1704ADF91EAC42A2865697179CA4B891"><enum>(b)</enum><header>Requirements</header><text>The
consortium shall seek to—</text>
<paragraph id="idc85413c9d2aa4dc99d77cb470a03cf89"><enum>(1)</enum><text>standardize
definitions of specific terms and measures used to classify the variables used
in research on breastfeeding;</text>
</paragraph><paragraph id="id8f00e23653184377a1fa6ff5ffe87b94"><enum>(2)</enum><text>promote the use
of the definitions standardized under paragraph (1);</text>
</paragraph><paragraph id="idf8989c72605d4ecc9fd0c1f9f32c3a24"><enum>(3)</enum><text>identify ethical
study designs that would expand the knowledge that has been generated from
observational breastfeeding studies;</text>
</paragraph><paragraph id="id719ae1a53f4d4b8cbd5d214cefb31853"><enum>(4)</enum><text>develop and
update national agendas for surveillance and research on topics related to
breastfeeding and infant nutrition;</text>
</paragraph><paragraph id="id14981a00cea8454dad9ed67ea966d0cc"><enum>(5)</enum><text>spearhead funding
strategies to help accomplish the agenda developed by the consortium;</text>
</paragraph><paragraph id="idcba2d258da194bc4b4d9eb68cb80be2f"><enum>(6)</enum><text>facilitate
communication among researchers; and</text>
</paragraph><paragraph id="idcd2b7a29841a4a4dbc2793d25a9ced42"><enum>(7)</enum><text>promote the
dissemination of research findings and monitor the translation of research into
best practices.</text>
</paragraph></subsection><subsection id="id6784753d03d0472d9ab29334a1c0df7f"><enum>(c)</enum><header>Authorization
of appropriations</header><text>There are authorized to be appropriated to
carry out this section, such sums as may be necessary for each of the fiscal
years 2014 through 2018.</text>
</subsection></section><section id="IDACC67E2624DB40AABD50ECADA662C25A"><enum>502.</enum><header>National
assessment of mental health needs</header><text display-inline="no-display-inline">Title V of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
290aa et seq.) is amended by inserting after section 506B (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa-5b">42 U.S.C. 290aa–5b</external-xref>)
the following:</text>
<quoted-block display-inline="no-display-inline" id="ID034C3889712747678C32172E80913343" style="OLC">
<section id="ID8AF8DBE3F2A94864B8160C8DE737EDE0"><enum>506C.</enum><header>National
assessment of mental health needs</header>
<subsection id="IDB7533C02637242F482726DDA0E71E34F"><enum>(a)</enum><header>In
general</header><text>The Secretary, in consultation with the Administrator,
the Director of the Centers for Disease Control and Prevention and the Director
of the National Institutes of Health, shall establish and implement public
health monitoring measures to address the mental health and substance use
disorder status of the population of the United States and other populations
served by the Administration, that include—</text>
<paragraph id="ID21722F35EFC040C7B098AB923E7F9E1D"><enum>(1)</enum><text>monitoring the
mental health status of the population, including the incidence and prevalence
of mental health conditions and substance use disorders across the
lifespan;</text>
</paragraph><paragraph id="id1275FE3E3E08488FA0D2828AAF24C877"><enum>(2)</enum><text>monitoring access
to appropriate diagnostic and treatment services for mental health conditions
and substance use disorders, including trends in unmet need for
services;</text>
</paragraph><paragraph id="ID3631DA8AA0394222821741AEFC08701E"><enum>(3)</enum><text>monitoring mental
health conditions as risk factors for obesity and chronic diseases to the
extent practicable;</text>
</paragraph><paragraph id="ID9C4EB873BAA1409A9C214E800F45A1CF"><enum>(4)</enum><text>enhancing
existing public health monitoring systems by including measures assessing
mental health and substance use disorders and associated risk factors;
and</text>
</paragraph><paragraph id="ID11A837137149481D93F760251A4E59C7"><enum>(5)</enum><text>to the extent
practicable, monitoring the immediate and long-term impact of disasters or
catastrophic events, whether natural or man-made on the mental health of
affected populations.</text>
</paragraph></subsection><subsection id="IDBEAA84E2645F49CBB3E1374796EB6A46"><enum>(b)</enum><header>Distinguishing
among age groups</header><text>In designing and implementing the measures
described in subsection (a) the Secretary shall ensure that data collection and
reporting standards stratify data by age groups, in particular, to the extent
practicable, children under the age of 5 years.</text>
</subsection><subsection id="ID1303C5E99E74458AA23B84CA16D0B787"><enum>(c)</enum><header>Report</header><text>Not
later than 1 year after the date of enactment of this section, the Secretary
shall submit a report to Congress that describes the progress on the
implementation of the monitoring measures described in subsection (a).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="ID4D8C69A49E69413484D83572FCE5FCAD"><enum>(d)</enum><header>Authorization
of appropriations</header><text>There is authorized to be appropriated to carry
out this section such sums as may be necessary to carry out this section for
each of fiscal years 2014 through
2018.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section>