110 HR 2045 IH: PLAY Every Day Act
U.S. House of Representatives
2007-04-25
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.This Act may be cited as the
Promoting Lifelong Active Communities
Every Day Act
or the PLAY Every Day Act
.
2.The purpose of this Act is to help children,
families and communities achieve the national recommendation of 60 minutes of
physical activity every day.
3.Congress makes the following
findings:
(1)Health care costs
in the United States are rising rapidly. Per capita health spending in the
United States is 56 percent higher than the median for countries that are
members of the Organization for Economic Co-operation and Development.
(2)According to the
Centers for Medicare and Medicaid Services, total health care spending in the
United States in 2004 was $1,800,000,000,000 and is expected to rise to
$3,600,000,000,000 by 2014. Furthermore, chronic disease accounts for
approximately 75 percent of health care costs annually.
(3)Chief executive
officers rank health care costs as their number 1 economic pressure, and
McKinsey and Company predicts that by 2008 the health care costs of the Fortune
500 companies will be greater than their net profits, if current trends
continue.
(4)Since the 1970s,
the percentage rate of obesity has more than doubled for preschool children
aged 2–5 years and adolescents aged 12–19 years, and it has more than tripled
for children aged 6–11 years.
(5)The Institute of
Medicine reported that in 2004, approximately 9,000,000 children over 6 years
of age were obese.
(6)The Centers for
Disease Control and Prevention reported in 2000 that only 8 percent of
elementary schools, 6.4 percent of middle and junior high schools, and 5.8
percent of senior high schools offer daily physical education or its equivalent
for the entire school year for students in all grades of the school.
(7)The Centers for
Disease Control and Prevention reported in 2000 that less than 50 percent of
all schools offered any intramural activities or physical activity clubs for
students.
(8)A
2002 survey reported that 61.5 percent of children do not participate in any
organized physical activity outside of school hours.
(9)The Institute of
Medicine reported in Preventing Childhood Obesity
(2004) that in
1969, an average of 48 percent of all students walked or bicycled to school. In
1999, only 19 percent of children walked to or from school and 6 percent rode
bicycles to school.
(10)Between 1977 and
1995, trips made by walking declined by 40 percent for adults while driving
trips increased to almost 90 percent of the total.
(11)The Institute of
Medicine reported that due to vehicular traffic, high crime rates, and lack of
sidewalks or open spaces, children often do not have safe places to play
outside in many neighborhoods.
(12)Currently, many
governmental, scientific, and public health agencies recommend that school-age
children and adolescents engage in at least 60 minutes of moderate to vigorous
physical activity that is developmentally appropriate and enjoyable, and which
involves a variety of activities, on most, preferably all, days of the
week.
4.In this Act, the
term Secretary means the Secretary of Health and Human
Services.
<enum>I</enum><header>National Program
Promoting Lifelong Active Communities</header>
<section id="H4B47659C668D4FDB99004E0055D715B5"><enum>101.</enum><header>Development of
Community Play Index</header>
<subsection id="H1E26AF008241421AB3417DE4F5F85C7F"><enum>(a)</enum><header>Community play
index</header><text>The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall develop a well-validated community
measurement tool, which shall be known as the <quote>Community Play
Index</quote>, that can measure the policy, program, or environmental barriers
in communities to participating in physical activity. The Community Play Index
shall include—</text>
<paragraph id="H5143AA96C8244B678DB17DBF83D915FD"><enum>(1)</enum><text>cross-cutting
measurements that—</text>
<subparagraph id="H6EB47E68A51946CFBBC86FF7D8C66D74"><enum>(A)</enum><text>examine barriers
to physical activities across multiple settings, including homes, after school
and child care sites, schools, the community at-large, and worksites;
and</text>
</subparagraph><subparagraph id="H1DBD1CE93FD140FFB18B5040B2741500"><enum>(B)</enum><text>focus on
the—</text>
<clause id="H2096287B887048D98027C8A89E3F8040"><enum>(i)</enum><text>availability of
adequate spaces and places for physical activity;</text>
</clause><clause id="HB69D29CB45CB4D52A25D45E7626CC7F"><enum>(ii)</enum><text>availability of,
and access to, quality physical activity and physical education programs;
and</text>
</clause><clause id="HD58A978519B94ACFA7C1F9EBB37D3380"><enum>(iii)</enum><text>the availability
of programs, activities, and leaders to educate about the importance of
physical activity for the community; and</text>
</clause></subparagraph></paragraph><paragraph id="HF68056E4788A4AE290CFAEBAD7D3A734"><enum>(2)</enum><text>additional
measurements to assist economically and culturally diverse communities in
examining the social determinants of health.</text>
</paragraph></subsection><subsection id="HDF88826006314EDFAA1E31939F01B122"><enum>(b)</enum><header>Guidance and
training</header><text>The Secretary shall provide guidance and develop
training on utilizing the Community Play Index.</text>
</subsection></section><section id="H3CF41571E54D4377ABFCB00E0F801C3"><enum>102.</enum><header>Sense of the
Congress regarding funding</header><text display-inline="no-display-inline">It
is the sense of the Congress that the Secretary, acting through the Director of
the Centers for Disease Control and Prevention, shall carry out this title
using any additional and available funds provided to the Secretary for the
steps to a healthier United States program carried out by the Centers for
Disease Control and Prevention.</text>
</section><enum>II</enum><header>Model Communities
of Play Implementation Grants</header>
<section id="HA8B8EE6CCA1A4D85A9F6FE42A456B589"><enum>201.</enum><header>Model
communities of play implementation grants</header>
<subsection id="H4451905A30A84CE0A40090318B88E041"><enum>(a)</enum><header>Program
authorized</header>
<paragraph id="HBC86753C648F47A29E460258E0E08900"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall award 3 grants to State health
departments to enable the State health departments to work in partnership with
eligible community-based coalitions to plan and implement model communities of
play that—</text>
<subparagraph id="HE585BD27FEDD4C48B3C5067F7BEA4E82"><enum>(A)</enum><text>increase the
physical spaces and places available for physical activity;</text>
</subparagraph><subparagraph id="H1F1B597C57F8447B9F29FE6864DCE85B"><enum>(B)</enum><text>increase the
opportunities for children and families to participate in quality play, and the
number of children and families participating in quality play; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HB1B171F2659644DF87AD2BB810E82BB2"><enum>(C)</enum><text>increase knowledge
and awareness about the importance of individuals achieving 60 minutes of
recommended physical activity every day.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H8B8CCC8BCB224B4BBA712E55A281E9CE"><enum>(2)</enum><header>Amount of
grants</header><text>A grant awarded under this subsection shall be in the
amount of $250,000. If the amounts appropriated under this Act for a fiscal
year are not sufficient to support 3 grants at such level, the Secretary shall
ratably reduce the amount of all grants.</text>
</paragraph></subsection><subsection id="H61C8138E4B9842869903C8B3370176AF"><enum>(b)</enum><header>Application</header><text>A
State health department desiring a grant under subsection (a) shall submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subsection><subsection id="H9958DE971CD743A1BC86541810CAE3A"><enum>(c)</enum><header>Coordination</header><text>In
awarding grants under subsection (a), the Secretary shall ensure that the
proposed programs assisted under each grant are coordinated in substance and
format with programs currently funded through other Federal departments and
agencies, including—</text>
<paragraph id="HA3BEE3ADD9A143C9BD2911DFA0D12860"><enum>(1)</enum><text>State-based
nutrition and physical activity programs, comprehensive school health education
programs, and community-based health and wellness programs of the Centers for
Disease Control and Prevention;</text>
</paragraph><paragraph id="H1195D4CB3F384AFABE335E89825150B7"><enum>(2)</enum><text>the physical
education programs under subpart 10 of part D of title V of the Elementary and
Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7261">20 U.S.C. 7261 et seq.</external-xref>;</text>
</paragraph><paragraph id="H5AA03A51AE3B483790BAB14184C8A700"><enum>(3)</enum><text>the safe routes to
schools program under section 1404 of the Safe, Accountable, Flexible,
Efficient Transportation Equity Act: A Legacy for Users (<external-xref legal-doc="usc" parsable-cite="usc/23/402">23 U.S.C. 402</external-xref> note;
119 Stat. 1228); and</text>
</paragraph><paragraph id="H3A129D36AF8A4CA39177D47E6B00A27"><enum>(4)</enum><text>other health and
wellness programs operating within the community.</text>
</paragraph></subsection><subsection id="H0B6488D1C78E428497EC5C650271B670"><enum>(d)</enum><header>Partnership with
community coalitions</header><text>A State health department receiving a grant
under subsection (a) shall use grant funds to carry out the activities
described in subsection (e) in partnership with 1 or more community coalitions
that meet all of the following requirements:</text>
<paragraph id="H102EDB4FAA6E4B51B300008D6FAF2005"><enum>(1)</enum><text>The community
coalition is comprised of a representative sampling of community partners,
including not less than half of the different types of individuals or entities
described in subparagraphs (A) through (O):</text>
<subparagraph id="H3E4BE512929B4CFAAC2050D8ADDE2CFA"><enum>(A)</enum><text>A community-based
organization that focuses on children and youth, preventive health, physical
activity, or physical education.</text>
</subparagraph><subparagraph id="HE40D17B15FD84C908C42B84510133F35"><enum>(B)</enum><text>A local parks and
recreation department.</text>
</subparagraph><subparagraph id="H01512DB495BB41B300B63B007200015B"><enum>(C)</enum><text>A local health
department.</text>
</subparagraph><subparagraph id="H9D4EF0271735411F81AB3FA75B0200D5"><enum>(D)</enum><text>A local
educational agency, 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>).</text>
</subparagraph><subparagraph id="H4176B25390D64ADCB5D4512C3D1C38F9"><enum>(E)</enum><text>A local city
planning agency.</text>
</subparagraph><subparagraph id="H7768D05577D0435C9C9FA27C6D1F7C91"><enum>(F)</enum><text>A local health
care provider.</text>
</subparagraph><subparagraph id="HCD69F88A80494232837172B528D9FED"><enum>(G)</enum><text>A 4-year
institution of higher education, as defined in section 101 of the Higher
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001</external-xref>).</text>
</subparagraph><subparagraph id="HF329B2FEE3514F5A9ECE2655BA663473"><enum>(H)</enum><text>A tribal health
facility, where applicable.</text>
</subparagraph><subparagraph id="HF1D848D988C34604987DB816FAA315F"><enum>(I)</enum><text>A tribal
educational agency, where applicable.</text>
</subparagraph><subparagraph id="HF1EA200FBC4348F08E2400621B2048DC"><enum>(J)</enum><text>A federally
qualified health center or rural health clinic, where applicable.</text>
</subparagraph><subparagraph id="HDC78D34477D741A08B13156C55FC467E"><enum>(K)</enum><text>A hospital.</text>
</subparagraph><subparagraph id="HECDCFE17504A44ACA8EB90CBA84C9F59"><enum>(L)</enum><text>A faith-based
organization.</text>
</subparagraph><subparagraph id="H22C6EEDCCD034CB99EF336EE9600B7E2"><enum>(M)</enum><text>A policymaker or
elected official.</text>
</subparagraph><subparagraph id="HE75A498E54864841A5A12524009F48D3"><enum>(N)</enum><text>A community
planning organization.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H1A19B73F463E4839B41C3537C3EBC75D"><enum>(O)</enum><text>A business.</text>
</subparagraph></paragraph><paragraph id="H4FB95CC165E04692A0CFF2896BD831BF"><enum>(2)</enum><text>The community
coalition completed and submitted to the State health department—</text>
<subparagraph id="H1836294C372141D7A90199BAF1EC588F"><enum>(A)</enum><text>a Community Play
Index developed under section 101 for the community that identifies the gaps
and barriers to physical activity in the community to children and youth;
and</text>
</subparagraph><subparagraph id="H8912C00089A749D79C47637D362223B1"><enum>(B)</enum><text>a community action
plan describing the programs, policy, and environmental change strategies that
will be implemented with grant funds to help children and youth in the
community reach the recommended 60 minutes of physical activity every
day.</text>
</subparagraph></paragraph><paragraph id="H46488E762E8946C7A3C2AC3B04B4BFB8"><enum>(3)</enum><text>The community
coalition provided—</text>
<subparagraph id="H275E3FBBD99A4731B07916028C5B031D"><enum>(A)</enum><text>documentation to
the State health department on the manner in which the coalition will
coordinate with appropriate State and local authorities, including—</text>
<clause id="HB19F3381263344588E13CF3425C2CB8"><enum>(i)</enum><text>State
or local health departments;</text>
</clause><clause id="H81A9E460A6FC4798B111E60785E283FE"><enum>(ii)</enum><text>State educational
agencies or local educational agencies, 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>);</text>
</clause><clause id="HB25FF971128F4D4B00C6AED9FB7E0054"><enum>(iii)</enum><text>State or local
parks and recreation departments or associations;</text>
</clause><clause id="HF5FD70B4148F4E7FBF642CDE3852DE51"><enum>(iv)</enum><text>State or local
departments of transportation or city planning;</text>
</clause><clause id="H82F103AF9CDE461DBF007E998D01D05B"><enum>(v)</enum><text>community
foundations; and</text>
</clause><clause id="HC2949F467348458EB08FFCFA0852B2D8"><enum>(vi)</enum><text>any
other entities determined to be appropriate by the Secretary; and</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H1F481A7A822B46F2A9DF3B05D3803F20"><enum>(B)</enum><text>a description of
the manner in which the coalition will evaluate the effectiveness of the
programs carried out with grant funds.</text>
</subparagraph></paragraph></subsection><subsection id="H2FBBDDEE51C14A939F9643149B00201E"><enum>(e)</enum><header>Authorized
Activities</header><text>A State health department that receives a grant under
subsection (a) shall use funds available through the grant to carry out the
following activities:</text>
<paragraph id="HE32EA70C91D24BF999336CAEEC842997"><enum>(1)</enum><text>Train
community-based coalitions on how to utilize the Community Play Index to
measure the program, policy, and environmental barriers to promoting lifelong
physical activity for youth.</text>
</paragraph><paragraph id="HC8BB988F813740EE96522C543844A059"><enum>(2)</enum><text>Work in
partnership with community coalitions described in subsection (d) to enable the
community coalitions to carry out the coalition's community action plan and
promote a model community of play, which may include the following:</text>
<subparagraph id="HF5C3D980EB904883A9E07BAD00F83CD5"><enum>(A)</enum><text>Enabling the
maximum use of, or the creation of spaces and places for, physical activity for
children, families, and communities before, during, and after school or work,
which may include increasing the number of—</text>
<clause id="H327B50B7DE93417A8D646315E265DBE"><enum>(i)</enum><text>programs that
increase the number of safe streets and sidewalks in the community to walk and
bike to school, work, or other community destinations, such as recreation
sites, parks, or community centers;</text>
</clause><clause id="HCAF653B8A2A447988769302500D6ECD7"><enum>(ii)</enum><text>schools,
faith-based organizations, and recreational facilities serving the community
that provide programming on physical activity and physical education before,
during, or after school;</text>
</clause><clause id="HCE00658B613741259C71BAC1AE40BB5C"><enum>(iii)</enum><text>schools serving
the community that provide recess, physical education, and physical activity
for children and youth;</text>
</clause><clause id="H5E8C8FBB5D304746B27939E598F4BC6F"><enum>(iv)</enum><text>day
care, child care, and after school care sites in the community that provide
physical activity for children and youth;</text>
</clause><clause id="HD40B0F529AC44078B8E0DFDDC2C13FD"><enum>(v)</enum><text>venues in the
community that provide co-curricular physical activity programs, including
sports fields and courts, especially venues for all-inclusive intramural
programs and physical activity clubs;</text>
</clause><clause id="H65192E6119FC47AEBF01C9DC40FC5EB0"><enum>(vi)</enum><text>playgrounds and
activity sites in the community for young children, including sites that offer
programs that provide physical activity instruction that meet the various needs
and interests of all students, including those with illness, injury, and
physical and developmental disabilities, as well as those that live sedentary
lifestyles or with a disinterest in traditional team sports;</text>
</clause><clause id="H557DD44878DA45828C1DB03D8F362138"><enum>(vii)</enum><text>capital
improvement projects that increase opportunities for physical activity in the
community; and</text>
</clause><clause id="H2C1C5C1B4CE34AE2ACABA186B37417F4"><enum>(viii)</enum><text>networks of
walking and cycling trails where trails do not exist in the community, that
offer both a functional alternative to automobile travel and an opportunity for
exercise, recreation, and community connectedness.</text>
</clause></subparagraph><subparagraph id="HC7183EB26D964348B41BACC71200B1B"><enum>(B)</enum><text>Enhancing
opportunities and access for children and youth in the community to participate
in quality physical activity and physical education programs before, during,
and after school, which may include increasing the number of—</text>
<clause id="H9ADC5A5975744F60A6E8ECB0D7B79BDF"><enum>(i)</enum><text>school and after
school care sites in the community that implement proven health curricula,
physical education (including developing innovative approaches to teaching and
staffing, physical education), and physical activity programming;</text>
</clause><clause id="H749A9E0BCF304B43AFFA7503051FEC3B"><enum>(ii)</enum><text>children and
youth in the community that are able to participate in physical education or
activity during and after school, by ensuring that adequate equipment is
available to such children and youth;</text>
</clause><clause id="H1953F1BE80764655B9FADAA58F5F17AA"><enum>(iii)</enum><text>scholarships to
low-income children and youth for physical activity programs;</text>
</clause><clause id="H4A2B1848FB144CECB77FA7D0F30492C"><enum>(iv)</enum><text>education and
training programs for education, recreation, leisure, child care, and coaching
professionals regarding quality physical education and physical activity
programs and policies;</text>
</clause><clause id="H4A4A76908A2B43688ED995A02E40068"><enum>(v)</enum><text>training programs
to assist physicians in—</text>
<subclause id="HF96E8A6F17C14A00B7223624CB49C664"><enum>(I)</enum><text>carefully
communicating the results of body mass index (BMI) tests to parents and, in an
age-appropriate manner, to the children and youth themselves;</text>
</subclause><subclause id="H62151E6C0EB641D79D1FCC007628B2A7"><enum>(II)</enum><text>providing
information to families so they may make informed decisions about physical
activity and nutrition; and</text>
</subclause><subclause id="H48DC1C9278C3447CAF7372DCF8AF525"><enum>(III)</enum><text>explaining the
benefits associated with physical activity and the risks associated with
childhood overweight and obesity;</text>
</subclause></clause><clause id="H58CF6367AF854FFEA904B6B8845D002E"><enum>(vi)</enum><text>assessment tools
used to measure the quality of physical activity, sports, and intramural sports
programs;</text>
</clause><clause id="HE972B49B4F614EA3AB8154C7F235F3C"><enum>(vii)</enum><text>guidelines and
informational materials used by teachers, parents, caregivers, and health-care
professionals who are interested in promoting physical activity for infants,
toddlers, and preschoolers; and</text>
</clause><clause id="H453A5CE8B76F40D1BAB06530000779AE"><enum>(viii)</enum><text>guidelines and
informational materials used to promote physical activity with the intent of
improving the current health, fitness, and wellness of preadolescent children
(ages 6 through 12) as well as to promote lifelong physical activity.</text>
</clause></subparagraph><subparagraph id="H001511C0739F49C7B8E84640D2162470"><enum>(C)</enum><text>Identifying,
engaging and mobilizing community leaders, decision-makers, experts, and the
media to raise awareness and educate the public about the importance of
securing 60 minutes of physical activity every day, which may include
increasing the number of—</text>
<clause id="HE441701575AA45ADBFC96D1D77E2CDF"><enum>(i)</enum><text>school and after
school care faculty and staff, including coaches, that serve as positive role
models for students regarding regular physical activity;</text>
</clause><clause id="H6B28330F2828408E99EF6052833224B3"><enum>(ii)</enum><text>businesses that
serve as role models by providing physical space and incentives for employees
to participate in physical activity;</text>
</clause><clause id="HFC5C961D17944ED180A5D01EF5928E82"><enum>(iii)</enum><text>businesses that
serve as role models to communities by—</text>
<subclause id="H54D8CD033ED947769E55DE8631F5FF3"><enum>(I)</enum><text>providing support
to intramural teams, clubs, sports leagues, playgrounds, trails, biking and
walking paths, and fields and venues for sports, play, and physical
activity;</text>
</subclause><subclause id="H068FE1557EC9455692FA93D9A206116C"><enum>(II)</enum><text>incorporating
built environment strategies into new construction of facilities;</text>
</subclause><subclause id="H436F35CE79AC45FE8444198C00FFA13"><enum>(III)</enum><text>adopting safe
routes to school programs;</text>
</subclause><subclause id="HDFF171CCFC344ECB94A65659DC454BE5"><enum>(IV)</enum><text>providing bike
racks at the office; and</text>
</subclause><subclause id="H1BF2234FE1E540CC9C655028929F335B"><enum>(V)</enum><text>encouraging the
use of the stairs;</text>
</subclause></clause><clause id="H03DB9E7BC9FD4D14AF2C8419FFCB1DB7"><enum>(iv)</enum><text>insurers that
provide incentives for maintaining healthy body weight, including offering
screening and obesity prevention services in routine clinical practice;</text>
</clause><clause commented="no" id="H479D77C566C848A99CDB29C463AB9FFC"><enum>(v)</enum><text>groups
representing low-income individuals or individuals with disabilities, that can
promote and secure safer and more accessible sites for activity;</text>
</clause><clause id="H24DC58ECA6854F59971C7EA1962CB442"><enum>(vi)</enum><text>consumer
research-driven marketing strategies for ongoing initiatives and interventions
that enhance physical activity for children and youth;</text>
</clause><clause id="H4FD3F7C542BD4270AC97A12E67A8DD38"><enum>(vii)</enum><text>products and
opportunities provided or offered by leisure, entertainment, and recreation
industries that promote regular physical activity and reduce sedentary
behaviors;</text>
</clause><clause id="HEC51FEFDCAE148648F90A734F8D3196"><enum>(viii)</enum><text>media advocacy
training programs for public health and exercise scientists so as to empower
the scientists to disseminate their knowledge to a broad audience; and</text>
</clause><clause id="HCC7F33DBDB2846A8B6CB7FF7FE004988"><enum>(ix)</enum><text>campaigns to
foster awareness about the health benefits of regular physical activity of not
less than 60 minutes a day for all children and youth.</text>
</clause></subparagraph></paragraph><paragraph id="H2AA2D55F7976421B871884BCE4CC30B4"><enum>(3)</enum><text>To support the
evaluation of the community action plans of the community coalitions and the
activities carried out under this Act.</text>
</paragraph></subsection><subsection id="H6DF7F49880C34EBCA1ADF1134D14B182"><enum>(f)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this title $750,000 for fiscal year 2008.</text>
</subsection></section>