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<bill bill-stage="Introduced-in-Senate" bill-type="olc" dms-id="A1" public-print="no" public-private="public" stage-count="1" star-print="no-star-print">
	<form display="yes">
		<distribution-code display="yes">II</distribution-code>
		<congress display="yes">110th CONGRESS</congress>
		<session display="yes">2d Session</session>
		<legis-num display="yes">S. 3584</legis-num>
		<current-chamber display="yes">IN THE SENATE OF THE UNITED
		  STATES</current-chamber>
		<action display="yes">
			<action-date date="20080925" legis-day="20080917">September 25
			 (legislative day, September 17), 2008</action-date>
			<action-desc><sponsor name-id="S167">Mr. Bingaman</sponsor> introduced
			 the following bill; which was read twice and referred to the
			 <committee-name committee-id="SSHR00">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<legis-type display="yes">A BILL</legis-type>
		<official-title display="yes">To comprehensively prevent, treat, and
		  decrease overweight and obesity in our Nation’s populations.</official-title>
	</form>
	<legis-body display-enacting-clause="yes-display-enacting-clause" style="OLC">
		<section commented="no" display-inline="no-display-inline" id="S1" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Obesity Prevention, Treatment, and
			 Research Act of 2008</short-title></quote>.</text>
		</section><section commented="no" display-inline="no-display-inline" id="ID85cf1bb44ef64f05998c210623942860" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Findings</header><text display-inline="no-display-inline">Congress finds the following:</text>
			<paragraph commented="no" display-inline="no-display-inline" id="ID415f3666d14143cb87296644baf488b2"><enum>(1)</enum><text display-inline="yes-display-inline">In 2001, the United States Surgeon General
			 released the Call to Action to Prevent and Decrease Overweight and Obesity to
			 bring attention to the public health problems related to obesity.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID22473658f7174d11b9cfd054d1bccf8a"><enum>(2)</enum><text display-inline="yes-display-inline">Since the Surgeon General’s call to action,
			 the problems of obesity and overweight have become epidemic, occurring in all
			 ages, ethnicities and races, and individuals in every State.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id6D90174DCB7446E0A0020775664696C8"><enum>(3)</enum><text display-inline="yes-display-inline">The United States now has the highest
			 prevalence of obesity among the developed nations, according to 2006 data by
			 the Organisation for Economic Co-operation and Development. The prevalence of
			 obesity in the United States (34 percent) is more than twice the average for
			 other developed nations (13 percent). The closest nation in prevalence of
			 obesity is the United Kingdom (24 percent) which is over 25 percent less than
			 the United States.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDcd2d41eb77bc4412bd033634fda05103"><enum>(4)</enum><text display-inline="yes-display-inline">The National Health and Nutrition
			 Examination Survey in 2006 estimated that 32 percent of children and
			 adolescents aged 2 to 19 and an alarming 66 percent of adults are overweight or
			 obese.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDc5a170825b874a08b5b94b6d7805e648"><enum>(5)</enum><text display-inline="yes-display-inline">More than 30 percent of young people in
			 grades 9 through 12 do not regularly engage in vigorous intensity physical
			 activity, while almost 40 percent of adults are sedentary and 70 percent report
			 getting less than 20 minutes of regular physical activity per day.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID62f12f353b544c4aaac2164f64dc60e0"><enum>(6)</enum><text display-inline="yes-display-inline">The Institute of Medicine, in their 2005
			 publication <quote>Preventing Childhood Obesity: Health in the Balance</quote>,
			 reported that over the last 3 decades, the rate of childhood obesity has
			 tripled for children aged 6 to 11 years, and doubled for children aged 2 to 5
			 years old and in adolescents aged 12 to 19 years old. In 2004, approximately
			 9,000,000 children over 6 years of age were obese. Only 2 percent of children
			 eat a healthy diet consistent with Federal nutrition guidelines.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID675f62e6cc4848818170e90b15f9c6a4"><enum>(7)</enum><text display-inline="yes-display-inline">For children born in 2000, it is estimated
			 the lifetime risk of being diagnosed with type 2 diabetes is 40 percent for
			 females and 30 percent for males.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDab38c1ce52274f2fbba92388764ee7a0"><enum>(8)</enum><text display-inline="yes-display-inline">Overweight and obesity disproportionately
			 affect minority populations and women. According to the 2006 Behavioral Risk
			 Factor Surveillance System of the Centers for the Disease Control and
			 Prevention, 61 percent of adults in the United States are overweight or
			 obese.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDc891f9e38780495cb9eb14592ffa00e0"><enum>(9)</enum><text display-inline="yes-display-inline">The Centers for the Disease Control and
			 Prevention estimates the annual expenditures related to overweight and obesity
			 in the United States to be $117,000,000,000 in 2001 and rising rapidly.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID49241aae81b84b3a923f294eccae1ff2"><enum>(10)</enum><text display-inline="yes-display-inline">The Centers for the Disease Control and
			 Prevention estimates that the increase in the number of overweight and obese
			 Americans between 1987 and 2001 resulted in a 27 percent increase in per capita
			 health costs, and that as many as 112,000 deaths per year are associated with
			 obesity.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID0287efb4a95e4274ae55da90a3d711ac"><enum>(11)</enum><text display-inline="yes-display-inline">Being overweight or obese increases the
			 risk of chronic diseases including diabetes, heart disease, stroke, certain
			 cancers, arthritis, and other health problems.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID8f6e0cb51f22414886fe0bc7535a046b"><enum>(12)</enum><text display-inline="yes-display-inline">According to the National Institute of
			 Diabetes and Digestive and Kidney Diseases, individuals who are obese have a 50
			 to 100 percent increased risk of premature death.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID2f5e1754b8ca4d30bf66c34087380cec"><enum>(13)</enum><text display-inline="yes-display-inline">Healthy People 2010 goals identify
			 overweight and obesity as 1 of the Nation’s leading health problems and include
			 objectives for increasing the proportion of adults who are at a healthy weight,
			 reducing the proportion of adults who are obese, and reducing the proportion of
			 children and adolescents who are overweight or obese.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDfa9888e86c2c4ba4a336a4747e8be21a"><enum>(14)</enum><text display-inline="yes-display-inline">Another Healthy People 2010 goal is to
			 eliminate health disparities among different segments of the population.
			 Obesity is a health problem that disproportionally impacts medically
			 underserved populations.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDc6cc06ae1f0d4af6bee0a5df56198f7f"><enum>(15)</enum><text display-inline="yes-display-inline">Food and beverage advertisers are estimated
			 to spend $10,000,000 to $12,000,000,000 per year to target children and
			 youth.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDb97c6e391a7042deb54fd197643f2731"><enum>(16)</enum><text display-inline="yes-display-inline">The United States spends less than 2
			 percent of its annual health expenditures on prevention.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDb79dc2185e254e4e9cb78785a0315762"><enum>(17)</enum><text display-inline="yes-display-inline">Employer health promotion investments net a
			 return of $3 for every $1 invested.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID92974844e7d1463290ec2e9033a4f063"><enum>(18)</enum><text display-inline="yes-display-inline">High-energy dense and low-nutrient dense
			 foods represent 30 percent of American’s total calorie intake. Fast food
			 company menus are twice the energy density of recommended healthful
			 diets.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDa73c3f58503f4ad381f68d182d62abd2"><enum>(19)</enum><text display-inline="yes-display-inline">Research suggests that individuals eat too
			 much high-energy dense foods without feeling full because the brain’s pathways
			 that regulate hunger and influence normal food intake are not triggered by
			 these foods.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDd2ac0023658c43858316c4b8317e5acc"><enum>(20)</enum><text display-inline="yes-display-inline">Packaging, product placement, and
			 high-energy dense food content manipulation contribute to the overweight and
			 obesity epidemic in the United States.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID8484c4405e9d4920a2cfded54884dcd9"><enum>(21)</enum><text display-inline="yes-display-inline">Such marketing and content manipulation
			 techniques have been used by other industries to encourage consumption at the
			 expense of health. To help individuals make healthy choices, education and
			 information must be available with clear, consistent, and accurate
			 labeling.</text>
			</paragraph></section><title commented="no" id="idDF95F7AAB92D4606ABF970FDE42B07CD" level-type="subsequent"><enum>I</enum><header display-inline="yes-display-inline">Obesity treatment, prevention, and
			 reduction</header>
			<section commented="no" display-inline="no-display-inline" id="id7517CBC9912F4358B0B8127A1DCE9B0E" section-type="subsequent-section"><enum>101.</enum><header display-inline="yes-display-inline">United States Council on Overweight-Obesity
			 Prevention</header><text display-inline="no-display-inline">Part P of title III
			 of the Public Health Service Act (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="idBC6E16594DF4495ABB10B8CBE0A4DDB2" style="OLC">
					<section commented="no" display-inline="no-display-inline" id="id546574FC43244755B7CF77DE1B44732C" section-type="subsequent-section"><enum>399R.</enum><header display-inline="yes-display-inline">United States Council on Overweight-Obesity
				Prevention</header>
						<subsection commented="no" display-inline="no-display-inline" id="IDbb57b780faed4504a968566d23ef6149"><enum>(a)</enum><header display-inline="yes-display-inline">Establishment</header><text display-inline="yes-display-inline">The Secretary shall convene a United States
				Council on Overweight-Obesity Prevention (referred to in this section as
				<quote>USCO–OP</quote>).</text>
						</subsection><subsection commented="no" display-inline="no-display-inline" id="id8B1A1E4CCF9E4F9FB0C4EEC1744983C0"><enum>(b)</enum><header display-inline="yes-display-inline">Membership</header>
							<paragraph commented="no" display-inline="no-display-inline" id="id1A32FADCB46242BE9A42BB6BF9952807"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">USCO–OP shall be composed of 20 members,
				which shall consist of—</text>
								<subparagraph commented="no" display-inline="no-display-inline" id="id10534A0C916E4469A15FEA65D22305C9"><enum>(A)</enum><text display-inline="yes-display-inline">the Secretary;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idED4A20CC0E5A48BFB379643A4E96DEBA"><enum>(B)</enum><text display-inline="yes-display-inline">the Secretary (or his or her designee)
				of—</text>
									<clause commented="no" display-inline="no-display-inline" id="IDe0ab532c93964219a340af2b52ba2dc2"><enum>(i)</enum><text display-inline="yes-display-inline">the Department of Agriculture;</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="idA836F9599EA94A80BFAF4AB8C73D7823"><enum>(ii)</enum><text display-inline="yes-display-inline">the Department of Education;</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="IDc40c07289bc54d118642c999d4153031"><enum>(iii)</enum><text display-inline="yes-display-inline">the Department of Housing and Urban
				Development;</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="idC22FCBE9C6174C499EC1CF670EA72F59"><enum>(iv)</enum><text display-inline="yes-display-inline">the Department of the Interior</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="ID4b65c83976414772875a5f2582cfd0bb"><enum>(v)</enum><text display-inline="yes-display-inline">the Federal Trade Commission;</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="ID2da5c0f8fc274e36bfda54ef8ca2581e"><enum>(vi)</enum><text display-inline="yes-display-inline">the Department of Transportation;
				and</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="idFDC7C6E8C9E6445CB3F1970C9C0D27BC"><enum>(vii)</enum><text display-inline="yes-display-inline">any other Federal agency that the Secretary
				of Health and Human Services determines appropriate;</text>
									</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idD26757B91E8D40089B9C702E82BE2EA1"><enum>(C)</enum><text display-inline="yes-display-inline">the Chairman (or his or her designee) of
				the Federal Communications Commission;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDf1c9308163364324b6352f1f4ecd38db"><enum>(D)</enum><text display-inline="yes-display-inline">the Director (or his or her designee) of
				the Centers for Disease Control and Prevention, the National Institutes of
				Health, and the Agency for Healthcare Research and Quality;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id54AE91EF47DE4AFC82EB51AF84511FB5"><enum>(E)</enum><text display-inline="yes-display-inline">the Administrator of the Centers for
				Medicare and Medicaid Services (or his or her designee);</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idDBBF939AB907431A837D5650C5A02C73"><enum>(F)</enum><text display-inline="yes-display-inline">the Commissioner of Food and Drugs (or his
				or her designee); and</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idDC62E587E93E4AF3895B8519257E149C"><enum>(G)</enum><text display-inline="yes-display-inline">a minimum of 5 representatives, appointed
				by the Secretary, of expert organizations such as public health associations,
				key healthcare provider groups, planning and development organizations,
				education associations, advocacy groups, relevant industries, State and local
				leadership, and other entities as determined appropriate by the
				Secretary.</text>
								</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id0C59E808FF644ADAB4882E6224450F1F"><enum>(2)</enum><header display-inline="yes-display-inline">Appointments</header><text display-inline="yes-display-inline">The Secretary shall accept nominations for
				representation on USCO–OP through public comment before the initial appointment
				of members of USCO–OP under paragraph (1)(G), and on a regular basis for open
				positions thereafter, but not less than every 2 years.</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID1fbb823192ea4cb1ad4fb3e54f951be2"><enum>(3)</enum><header display-inline="yes-display-inline">Chairperson</header><text display-inline="yes-display-inline">The chairperson of USCO–OP shall be—</text>
								<subparagraph commented="no" display-inline="no-display-inline" id="IDb93c7ce11fd34e5eb994a4e4bb996078"><enum>(A)</enum><text display-inline="yes-display-inline">an individual appointed by the President;
				and</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id5582056734FE447097474D6AA58F2F33"><enum>(B)</enum><text display-inline="yes-display-inline">until the date that an individual is
				appointed under subparagraph (A), the Secretary.</text>
								</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id610DAEAA7A7049518993B1D30D9EC036"><enum>(c)</enum><header display-inline="yes-display-inline">Meetings</header>
							<paragraph commented="no" display-inline="no-display-inline" id="idFDBC24D38F5940D08B68D2203E595C90"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">USCO–OP shall meet—</text>
								<subparagraph commented="no" display-inline="no-display-inline" id="idFB4C7E8146F94A4BA5866B6B8287C42D"><enum>(A)</enum><text display-inline="yes-display-inline">not later than 180 days after the date of
				enactment of the <short-title>Obesity Prevention,
				Treatment, and Research Act of 2008</short-title>; and</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id2AF208154E3342F78880502AB50CD118"><enum>(B)</enum><text display-inline="yes-display-inline">at the call of the chairperson thereafter,
				but in no case less often than 2 times per year.</text>
								</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBA4D0B0C1E9D4D47AC1313ABF294E6D1"><enum>(2)</enum><header display-inline="yes-display-inline">Meetings of Federal agencies</header><text display-inline="yes-display-inline">The representatives of the Federal agencies
				on USCO–OP shall meet on a regular basis, as determined by the Secretary, to
				develop strategies to coordinate budgets and discuss other issues that are not
				otherwise permitted to be discussed in a public forum. The purpose of such
				meetings shall be to allow more rapid interagency strategic planning and
				intervention implementation to address the overweight and obesity
				epidemic.</text>
							</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="ID3e7d09c0687e4bb5b409d6bd11acd2f3"><enum>(d)</enum><header display-inline="yes-display-inline">Duties of USCO–OP</header><text display-inline="yes-display-inline">USCO–OP shall—</text>
							<paragraph commented="no" display-inline="no-display-inline" id="ID001219dc8f3946578848f14d2c29425a"><enum>(1)</enum><text display-inline="yes-display-inline">develop strategies to comprehensively
				prevent, treat, and reduce overweight and obesity;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDdab2c11c021c420ea03368961552a9ce"><enum>(2)</enum><text display-inline="yes-display-inline">coordinate interagency cooperation and
				action related to the prevention, treatment, and reduction of overweight and
				obesity in the United States;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDeebbc61fb2214a99b9ba86b7c5dc7d79"><enum>(3)</enum><text display-inline="yes-display-inline">identify best practices in communities to
				address overweight and obesity;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDaa65235f15114b588e5f2f129377c807"><enum>(4)</enum><text display-inline="yes-display-inline">work with appropriate entities to evaluate
				the effectiveness of obesity and overweight interventions;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID44932117de924b789c8bc52c1d996569"><enum>(5)</enum><text display-inline="yes-display-inline">update the National Institutes of Health
				1998 <quote>Clinical Guidelines on the Identification, Evaluation, and
				Treatment of Overweight and Obesity in Adults: The Evidence Report</quote> and
				include sections on childhood obesity in such updated report;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID7705742f5130435ba632400a7f45456b"><enum>(6)</enum><text display-inline="yes-display-inline">conduct ongoing surveillance and monitoring
				using tools such as the National Health and Nutrition Examination Survey and
				the Behavioral Risk Factor Surveillance System and assure adequate and
				consistent funding to support data collection and analysis to inform
				policy;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDb38ffe5b6c7d4ffa9de818aa2dc7ae1e"><enum>(7)</enum><text display-inline="yes-display-inline">make recommendations to coordinate budgets,
				grant and pilot programs, policies, and programs across Federal agencies to
				cohesively address overweight and obesity, including with respect to the grant
				programs carried out under sections 306(n), 399S, and 1904(a)(1)(H);</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDb8c88b5ea65e47baa82ac98178a4acff"><enum>(8)</enum><text display-inline="yes-display-inline">make recommendations to update and improve
				the daily physical activity requirements for students under the Elementary and
				Secondary Education Act of 1965 (20 U.S.C. 6301 et seq.) and include
				recommendations about physical activities that families can do together, and
				involving parents in these activities;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDea2fef81bd8f48e4b83a89e84232c6b2"><enum>(9)</enum><text display-inline="yes-display-inline">make recommendations about coverage for
				obesity-related services and for an early and periodic screening, diagnostic,
				and treatment services program under the State Children's Health Insurance
				Program established under title XXI of the Social Security Act; and</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDc0d56f92b0a9419aaecbec7164aec635"><enum>(10)</enum><text display-inline="yes-display-inline">provide guidelines for childhood obesity
				health care related treatment under the early and periodic screening,
				diagnostic, and treatment services program under the Medicaid program
				established under title XIX of the Social Security Act and otherwise described
				in section 2103(c)(5) of such Act.</text>
							</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idD3BE96302D654BBF98744B2DD37D15F6"><enum>(e)</enum><header display-inline="yes-display-inline">Report</header><text display-inline="yes-display-inline">Not later than 18 months after the date of
				enactment of the <short-title>Obesity Prevention,
				Treatment, and Research Act of 2008</short-title>, and on an annual basis
				thereafter, USCO–OP shall submit to the President and to the relevant
				committees of Congress, a report that—</text>
							<paragraph commented="no" display-inline="no-display-inline" id="ID64f3180b5fa2402090ae192f096e0cdf"><enum>(1)</enum><text display-inline="yes-display-inline">summarizes the activities and efforts of
				USCO–OP under this section to coordinate interagency prevention, treatment, and
				reduction of obesity and overweight, including a detailed strategic plan with
				recommendations for each Federal agency;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID8d0ef9267c934f81b2b33a6c4953a1b9"><enum>(2)</enum><text display-inline="yes-display-inline">evaluates the effectiveness of these
				coordinated interventions and conducts interim assessments and reporting of
				health outcomes, achievement of milestones, and implementation of strategic
				plan goals starting with the second report, and yearly thereafter; and</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID6da43b6ac1124e55b81253971f02783d"><enum>(3)</enum><text display-inline="yes-display-inline">makes recommendations for the following
				year’s strategic plan based on data and findings from the previous year.</text>
							</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id55C0236895C94926973EDD86A03C054E"><enum>(f)</enum><header display-inline="yes-display-inline">Technical assistance</header><text display-inline="yes-display-inline">The Department of Health and Human Services
				may provide technical assistance to USCO–OP to carry out the activities under
				this section.</text>
						</subsection><subsection commented="no" display-inline="no-display-inline" id="idC1C9C5FCB9744476B9E6BF53317E2155"><enum>(g)</enum><header display-inline="yes-display-inline">Permanence of committee</header><text display-inline="yes-display-inline">Section 14 of the Federal Advisory
				Committee Act (5 U.S.C. App.) shall not apply to
				USCO–OP.</text>
						</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</section><section commented="no" display-inline="no-display-inline" id="id220AA9CC14094CE9846F76F888568F08" section-type="subsequent-section"><enum>102.</enum><header display-inline="yes-display-inline">Grants and demonstration programs to
			 promote positive health behaviors in populations disproportionately affected by
			 obesity and overweight</header><text display-inline="no-display-inline">Part P
			 of title III of the Public Health Service Act (42 U.S.C. 280g et seq.), as
			 amended by section 101, is amended by adding at the end the following:</text>
				<quoted-block display-inline="no-display-inline" id="id17C0049B28164E97A141893E47ADB996" style="OLC">
					<section commented="no" display-inline="no-display-inline" id="idE2F98FDAC4CE44E9B4F7B4788E6ECE0C" section-type="subsequent-section"><enum>399S.</enum><header display-inline="yes-display-inline">Grants and demonstration programs to
				promote positive health behaviors in populations disproportionately affected by
				obesity and overweight</header>
						<subsection commented="no" display-inline="no-display-inline" id="id872DC88231D04E6D842A683EFF64F44D"><enum>(a)</enum><header display-inline="yes-display-inline">Eligible entity</header><text display-inline="yes-display-inline">For purposes of this section, the term
				<term>eligible entity</term> means—</text>
							<paragraph commented="no" display-inline="no-display-inline" id="IDcb697d7d6e6f4aa791931cf380ad3c52"><enum>(1)</enum><text display-inline="yes-display-inline">a city, county, Indian tribe, tribal
				organization, territory, or State;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID13a342c46453404e84a0fd38a80c40e7"><enum>(2)</enum><text display-inline="yes-display-inline">a local, tribal, or State educational
				agency;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDd656a9c0d85c44898907d4bc43592b67"><enum>(3)</enum><text display-inline="yes-display-inline">a Federal medical facility, including a
				federally qualified health center (as defined in section 1861(aa)(4) of the
				Social Security Act), an Indian Health Service hospital or clinic, any health
				facility or program operated by or pursuant to a contractor grant from the
				Indian Health Service, an Indian Health Service entity, an urban Indian center,
				an Indian tribal clinic, a health care for the homeless center, a rural health
				center, migrant health center, and any other Federal medical facility;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDeb84e8c375de451aba98a54ada28e5cd"><enum>(4)</enum><text display-inline="yes-display-inline">any entity meeting the criteria for medical
				home under section 204 of the Tax Relief and Health Care Act of 2006 (Public
				Law 109–432);</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id881D45275FEF401892E09B4D8C817E56"><enum>(5)</enum><text display-inline="yes-display-inline">a nonprofit organization (such as an
				academic health center or community health center);</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDac0823adc6564fe1a56b398ec9c43029"><enum>(6)</enum><text display-inline="yes-display-inline">a health department;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID3fbdf445a6824908931f4589a5ff6630"><enum>(7)</enum><text display-inline="yes-display-inline">any licensed or certified health
				provider;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID78086098bc94425a84658469800dadd2"><enum>(8)</enum><text display-inline="yes-display-inline">an accredited university or college;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID6e1e0de19b1945c8872cf889a01ba207"><enum>(9)</enum><text display-inline="yes-display-inline">a community-based organization;</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDf86e7f6dee344002956dc28f6b4c3f9a"><enum>(10)</enum><text display-inline="yes-display-inline">a local city planning agency; and</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD5B94F4962A24628987ACF12C47B3A69"><enum>(11)</enum><text display-inline="yes-display-inline">any other entity determined appropriate by
				the Secretary.</text>
							</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idEB5972C60FB94FEBAEE3E36BEFC2055A"><enum>(b)</enum><header display-inline="yes-display-inline">Application</header><text display-inline="yes-display-inline">An eligible entity that desires a grant
				under this section shall submit an application at such time, in such manner,
				and containing such information as the Secretary may require, including a plan
				for the use of funds that may be awarded and an evaluation of any training that
				will be provided under such grant.</text>
						</subsection><subsection commented="no" display-inline="no-display-inline" id="id3FC0C9BC658041939CF0E57B76130844"><enum>(c)</enum><header display-inline="yes-display-inline">Grant demonstration and pilot
				program</header>
							<paragraph commented="no" display-inline="no-display-inline" id="idC6231092C7F4442386F31320A4954E42"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary, acting through the Director
				of the Centers for Disease Control and Prevention, and in consultation with the
				United States Council on Overweight-Obesity Prevention under section 399R,
				shall establish and evaluate a grant demonstration and pilot program for
				entities to—</text>
								<subparagraph commented="no" display-inline="no-display-inline" id="id7DAC590BB95D4BA9B60268C61C3066AA"><enum>(A)</enum><text display-inline="yes-display-inline">prevent, treat, or otherwise reduce
				overweight and obesity;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID510a300caf4145d3856249935412f01d"><enum>(B)</enum><text display-inline="yes-display-inline">increase the number of children and adults
				who safely walk or bike to school or work;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID6bade47b5df24201860631dd6d54b11c"><enum>(C)</enum><text display-inline="yes-display-inline">increase the availability and affordability
				of fresh fruits and vegetables in the community;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID403071ec2db64975984b9e7112fed038"><enum>(D)</enum><text display-inline="yes-display-inline">expand safe and accessible walking paths
				and recreational facilities to encourage physical activity, and other
				interventions to create healthy communities;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID2cf9b5af64b6419bad9cf986bf065ea4"><enum>(E)</enum><text display-inline="yes-display-inline">create advertising, social marketing, and
				public health campaigns promoting healthier food choices, increased physical
				activity, and healthier lifestyles targeted to individuals and to
				families;</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID14bb0e5b3a534dd292dc60618b716721"><enum>(F)</enum><text display-inline="yes-display-inline">promote increased rates and duration of
				breastfeeding; and</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDfbbfb9983ced4b02a3ee74a338a813c7"><enum>(G)</enum><text display-inline="yes-display-inline">increase worksite and employer promotion of
				and involvement in community initiatives that prevent, treat, or otherwise
				reduce overweight and obesity.</text>
								</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idFEEB70D25E97472BA9DE20B6047209E0"><enum>(2)</enum><header display-inline="yes-display-inline">Special priority</header><text display-inline="yes-display-inline">Special priority will be given to grant
				proposals that target communities or populations disproportionately affected by
				overweight or obesity, including Native Americans, other minorities, and
				women.</text>
							</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idBBF655B4D06C4360900476FDA576E2D8"><enum>(d)</enum><header display-inline="yes-display-inline">Grants To promote positive health behaviors
				in populations disproportionately affected by obesity and overweight</header>
							<paragraph commented="no" display-inline="no-display-inline" id="id1EB21861E73444F28D354F3F3D6D07E2"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary, acting through the Director
				of the Centers for Disease Control and Prevention, may award grants to eligible
				entities to promote health behaviors for women and children in target
				populations, especially racial and ethnic minority populations in medically
				underserved communities.</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD0AEA2B03B5B45CBA70F42BF44DB521B"><enum>(2)</enum><header display-inline="yes-display-inline">Use of funds</header><text display-inline="yes-display-inline">An award under this section shall be used
				to carry out any of the following:</text>
								<subparagraph commented="no" display-inline="no-display-inline" id="IDd04efab517434547b4f3a4fa2044c9db"><enum>(A)</enum><text display-inline="yes-display-inline">To educate, promote, prevent, treat and
				determine best practices in overweight and obese populations.</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID2d80d03fd38547e18dafae789dd217f8"><enum>(B)</enum><text display-inline="yes-display-inline">To address behavioral risk factors
				including sedentary lifestyle, poor nutrition, being overweight or obese, and
				use of tobacco, alcohol or other substances that increase the risk of morbidity
				and mortality. Special priority will be given to grant applications
				that—</text>
									<clause commented="no" display-inline="no-display-inline" id="idDDD5A922F33F40D99DE8D57D2F0CB6C2"><enum>(i)</enum><text display-inline="yes-display-inline">propose interventions that address embedded
				levels of influence on behavior, including the individual, family, peers,
				community and society; and</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="id0B244BBF11CC4FAB9E25568716D83760"><enum>(ii)</enum><text display-inline="yes-display-inline">utilize techniques that promote community
				involvement in the design and implementation of interventions including
				community diagnosis and community-based participatory research.</text>
									</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID399a11966aab463bbbdc25d7427e6c71"><enum>(C)</enum><text display-inline="yes-display-inline">To develop and implement interventions to
				promote a balance of energy consumption and expenditure, to attain healthier
				weight, prevent obesity, and reduce morbidity and mortality associated with
				overweight and obesity.</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDd1adc0a9115b497cbba910833646c209"><enum>(D)</enum><clause commented="no" display-inline="yes-display-inline" id="idA2DC4B413FF84755889218B423490EE5"><enum>(i)</enum><text display-inline="yes-display-inline">To train primary care physicians and other
				licensed or certified health professionals on how to identify, treat, and
				prevent obesity or eating disorders and aid individuals who are overweight,
				obese, or who suffer from eating disorders.</text>
									</clause><clause commented="no" display-inline="no-display-inline" id="id7CD70B51D91F4F10AA6E4FC096799149" indent="up1"><enum>(ii)</enum><text display-inline="yes-display-inline">To use evidence-based findings or
				recommendations that pertain to the prevention and treatment of obesity, being
				overweight, and eating disorders to conduct educational conferences, including
				Internet-based courses and teleconferences, on—</text>
										<subclause commented="no" display-inline="no-display-inline" id="idBC843C3CBE7443C6B9CEFE59A55461D0"><enum>(I)</enum><text display-inline="yes-display-inline">how to treat or prevent obesity, being
				overweight, and eating disorders;</text>
										</subclause><subclause commented="no" display-inline="no-display-inline" id="id48A4E3A353EE4A3E93089753198CDF9D"><enum>(II)</enum><text display-inline="yes-display-inline">the link between obesity, being overweight,
				eating disorders and related serious and chronic medical conditions;</text>
										</subclause><subclause commented="no" display-inline="no-display-inline" id="id7EA3361CED404E518C426B9E4D6917B4"><enum>(III)</enum><text display-inline="yes-display-inline">how to discuss varied strategies with
				patients from at-risk and diverse populations to promote positive behavior
				change and healthy lifestyles to avoid obesity, being overweight, and eating
				disorders;</text>
										</subclause><subclause commented="no" display-inline="no-display-inline" id="id2A2D5ECD5C6A4A8EAA56CFB6BDCDC348"><enum>(IV)</enum><text display-inline="yes-display-inline">how to identify overweight, obese,
				individuals with eating disorders, and those who are at risk for obesity and
				being overweight or suffer from eating disorders and, therefore, at risk for
				related serious and chronic medical conditions; and</text>
										</subclause><subclause commented="no" display-inline="no-display-inline" id="idAC968FC9355242A4BABDC2ADF8348E54"><enum>(V)</enum><text display-inline="yes-display-inline">how to conduct a comprehensive assessment
				of individual and familial health risk factors and evaluate the effectiveness
				of the training provided by such entity in increasing knowledge and changing
				attitudes and behaviors of trainees.</text>
										</subclause></clause><clause commented="no" display-inline="no-display-inline" id="id383F12EDB2154292AF9D4239723FCAF4" indent="up1"><enum>(iii)</enum><text display-inline="yes-display-inline">In awarding a grant to carry out an
				activity under this subparagraph, preference shall be given to an entity
				described in subsection (a)(4).</text>
									</clause></subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idE81FF0AFCC6140688D2702FD5C35735E"><enum>(e)</enum><header display-inline="yes-display-inline">Reporting to Congress</header><text display-inline="yes-display-inline">Not later than 3 years after the date of
				enactment of this section, the Director of the Centers for Disease Control and
				Prevention shall submit to the Secretary and Congress a report concerning the
				result of the activities conducted through the grants awarded under this
				section.</text>
						</subsection><subsection commented="no" display-inline="no-display-inline" id="id70EAF41793EB4C6E9D6F04E10CF91E6C"><enum>(f)</enum><header display-inline="yes-display-inline">Authorization of
				appropriations</header><text display-inline="yes-display-inline">There are
				authorized to be appropriated to carry out this section, $50,000,000 for fiscal
				year 2009, and such sums as may be necessary for each of fiscal years 2010
				through
				2012.</text>
						</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</section><section commented="no" display-inline="no-display-inline" id="ID7DBDE68FA0764FC494254623CDD8615F" section-type="subsequent-section"><enum>103.</enum><header display-inline="yes-display-inline">National Center for health
			 statistics</header><text display-inline="no-display-inline">Section 306 of the
			 <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
			 (<external-xref legal-doc="usc" parsable-cite="usc/42/242k">42 U.S.C.
			 242k</external-xref>) is amended—</text>
				<paragraph commented="no" display-inline="no-display-inline" id="ID47F487AB9B8D417AB743AB5688995B94"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (m)(4)(B), by striking
			 <quote>subsection (n)</quote> each place it appears and inserting
			 <quote>subsection (o)</quote>;</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID349B5A685FA94F860018657F61A9546E"><enum>(2)</enum><text display-inline="yes-display-inline">by redesignating subsection (n) as
			 subsection (o); and</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID34B467BD50C74267BD4290231D3265FA"><enum>(3)</enum><text display-inline="yes-display-inline">by inserting after subsection (m) the
			 following:</text>
					<quoted-block display-inline="no-display-inline" id="ID897206E9756D4B15AB7D40FB8B37BACF" style="OLC">
						<subsection commented="no" display-inline="no-display-inline" id="IDE546367A04A446F6A67E62C49D53BDCF"><enum>(n)</enum><paragraph commented="no" display-inline="yes-display-inline" id="ID462F809D387B4BA8A702AC3B3400741D"><enum>(1)</enum><text display-inline="yes-display-inline">The Secretary, acting through the Center,
				may provide for the—</text>
								<subparagraph commented="no" display-inline="no-display-inline" id="ID5E16BF9CA6B342F1BEDCD0446DED7254" indent="up1"><enum>(A)</enum><text display-inline="yes-display-inline">collection of data for determining the
				fitness levels and energy expenditure of adults, children, and youth;
				and</text>
								</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID8FCF268272A342A2AD401E8EA656008E" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">analysis of data collected as part of the
				National Health and Nutrition Examination Survey and other data sources.</text>
								</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDDCB6C535B6554569937673EFF98889E8" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">In carrying out paragraph (1), the
				Secretary, acting through the Center, may make grants to States, public
				entities, and nonprofit entities.</text>
							</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID1E1F7C207466475DB915BA17C7A800B5" indent="up1"><enum>(3)</enum><text display-inline="yes-display-inline">The Secretary, acting through the Center,
				may provide technical assistance, standards, and methodologies to grantees
				supported by this subsection in order to maximize the data quality and
				comparability with other
				studies.</text>
							</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></section><section commented="no" display-inline="no-display-inline" id="ID46544BC5E46C46F9A6E3C8D5DC7CC5E5" section-type="subsequent-section"><enum>104.</enum><header display-inline="yes-display-inline">Health disparities report</header><text display-inline="no-display-inline">Not later than 18 months after the date of
			 enactment of this Act, and annually thereafter, the Director of the Agency for
			 Healthcare Research and Quality shall review all research that results from the
			 activities carried out under this Act (and the amendments made by this Act) and
			 determine if particular information may be important to the report on health
			 disparities required by
			 <external-xref legal-doc="act" parsable-cite="PHSA/903(c)(3)">section
			 903(c)(3)</external-xref> of the <act-name parsable-cite="PHSA">Public Health
			 Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/299a-1(c)(3)">42 U.S.C.
			 299a–1(c)(3)</external-xref>).</text>
			</section><section commented="no" display-inline="no-display-inline" id="ID851D8C5B001449EBA22B1C16805475AA" section-type="subsequent-section"><enum>105.</enum><header display-inline="yes-display-inline">Preventive health services block
			 grant</header><text display-inline="no-display-inline">Section 1904(a)(1) of
			 the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
			 (<external-xref legal-doc="usc" parsable-cite="usc/42/300w-3(a)(1)">42 U.S.C.
			 300w–3(a)(1)</external-xref>) is amended by adding at the end the
			 following:</text>
				<quoted-block act-name="Public Health Service Act" display-inline="no-display-inline" id="IDD84AD528E2E947C0A352CBFCEF9672D0" style="OLC">
					<subparagraph commented="no" display-inline="no-display-inline" id="IDD841E53056864D1092F6AA91F8480324" indent="up1"><enum>(H)</enum><text display-inline="yes-display-inline">Activities and community education programs
				designed to address and prevent overweight, obesity, and eating disorders
				through effective programs to promote healthy eating, and exercise habits and
				behaviors.</text>
					</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
			</section><section commented="no" display-inline="no-display-inline" id="ID0DC9DE7B9BE14E248760031246661667" section-type="subsequent-section"><enum>106.</enum><header display-inline="yes-display-inline">Report on obesity and eating disorders
			 research</header>
				<subsection commented="no" display-inline="no-display-inline" id="IDECFB6CDEF02344D294F603F7EAF09F2E"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not later than 1 year after the date of
			 enactment of this Act, the Secretary of Health and Human Services shall submit
			 to 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
			 on research conducted on causes and health implications (including mental
			 health implications) of being overweight, obesity, and eating disorders.</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="IDC3A533F362864096A2004689F1183DEB"><enum>(b)</enum><header display-inline="yes-display-inline">Content</header><text display-inline="yes-display-inline">The report described in subsection (a)
			 shall contain—</text>
					<paragraph commented="no" display-inline="no-display-inline" id="ID96C74F8EDAB54E83B839E9F908D44E47"><enum>(1)</enum><text display-inline="yes-display-inline">descriptions on the status of relevant,
			 current, ongoing research being conducted in the Department of Health and Human
			 Services including research at the National Institutes of Health, the Centers
			 for Disease Control and Prevention, the Agency for Healthcare Research and
			 Quality, the Health Resources and Services Administration, and other offices
			 and agencies;</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDFB9B3369C90942D4858087A9F544D269"><enum>(2)</enum><text display-inline="yes-display-inline">information about what these studies have
			 shown regarding the causes, prevention, and treatment of, being overweight,
			 obesity, and eating disorders; and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID973A3CC297A4428E8331686F8E2845DC"><enum>(3)</enum><text display-inline="yes-display-inline">recommendations on further research that is
			 needed, including research among diverse populations, the plan of the
			 Department of Health and Human Services for conducting such research, and how
			 current knowledge can be disseminated.</text>
					</paragraph></subsection></section></title><title commented="no" id="id087BE95D6ADA47E8A6999BB7B291A9CC" level-type="subsequent"><enum>II</enum><header display-inline="yes-display-inline">Food and Beverage Labeling for Healthy
			 Choices</header>
			<section commented="no" display-inline="no-display-inline" id="id917CC1F19D8148F8B673850EEA98CA09" section-type="subsequent-section"><enum>201.</enum><header display-inline="yes-display-inline">Food and beverage labeling for healthy
			 choices</header>
				<subsection commented="no" display-inline="no-display-inline" id="id849ECEC0433C43F6AF3628E0B4E69454"><enum>(a)</enum><header display-inline="yes-display-inline">USCO–OP</header><text display-inline="yes-display-inline">In this section, the term
			 <term>USCO–OP</term> means the United States Council on Overweight-Obesity
			 Prevention under section 399R of the Public Health Service Act (as added by
			 section 101).</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="idFD0D5F80A2F54EF6B2A73BC14070F391"><enum>(b)</enum><header display-inline="yes-display-inline">Reform of food and beverage
			 labeling</header><text display-inline="yes-display-inline">The Secretary of
			 Health and Human Services and the Secretary of Agriculture, in consultation
			 with the USCO–OP, shall, through regulation or other appropriate action, update
			 and reform Federal oversight of food and beverage labeling. Such reform shall
			 include improving the transparency of such labeling with regard to nutritional
			 and caloric value of food and beverages.</text>
				</subsection></section></title><title commented="no" id="idC7ECD9D1F90E47868F764812807125E3" level-type="subsequent"><enum>III</enum><header display-inline="yes-display-inline">Healthy Choices Food and Beverage
			 Programs</header>
			<section commented="no" display-inline="no-display-inline" id="ID9C433FF4C01B40B2A4B7D3179CA514C7" section-type="subsequent-section"><enum>301.</enum><header display-inline="yes-display-inline">Fresh fruit and vegetable
			 program</header><text display-inline="no-display-inline">Section 19(i) of the
			 Richard B. Russell <act-name parsable-cite="NSLA">National School Lunch
			 Act</act-name> (42 U.S.C. 1769a(i)) is amended—</text>
				<paragraph commented="no" display-inline="no-display-inline" id="IDBC729AE52D5D43B08C437960E4EC11FE"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (3) through (7)
			 as paragraphs (4) through (8); and</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDC46570BE7888483FBB5DD232BEACD250"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after paragraph (2) the
			 following:</text>
					<quoted-block display-inline="no-display-inline" id="ID2FDA9889477744B1BD7292C74A5D6EB2" style="OLC">
						<paragraph commented="no" display-inline="no-display-inline" id="IDB936C0934F8D4D25BC8F94CBAD29F5A7"><enum>(3)</enum><header display-inline="yes-display-inline">Additional mandatory funding</header>
							<subparagraph commented="no" display-inline="no-display-inline" id="id9C11F4B767084E91987091EB3161E817"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Out of any funds in the Treasury not
				otherwise appropriated, the Secretary of the Treasury shall transfer to the
				Secretary of Agriculture to carry out and expand the program under this
				section, to remain available until expended—</text>
								<clause commented="no" display-inline="no-display-inline" id="ID0EFE080976284957AEC75A576F641C24"><enum>(i)</enum><text display-inline="yes-display-inline">on October 1, 2008, $80,000,000;</text>
								</clause><clause commented="no" display-inline="no-display-inline" id="idD2E9CF4302574D8794E1BCBF6F0CB4C7"><enum>(ii)</enum><text display-inline="yes-display-inline">on July 1, 2009, $130,000,000;</text>
								</clause><clause commented="no" display-inline="no-display-inline" id="id28616746F1834AD9B1C024E0775C374F"><enum>(iii)</enum><text display-inline="yes-display-inline">on July 1, 2010, $202,000,000;</text>
								</clause><clause commented="no" display-inline="no-display-inline" id="idA5F33180016C4CCBA7833A66C56AA9FB"><enum>(iv)</enum><text display-inline="yes-display-inline">on July 1, 2011, $300,000,000; and</text>
								</clause><clause commented="no" display-inline="no-display-inline" id="IDB99F4F44BBE7494F9327D8E94EA67FCE"><enum>(v)</enum><text display-inline="yes-display-inline">on July 1, 2012, and on each July 1
				thereafter, the amount made available for the previous fiscal year, as adjusted
				under subparagraph (B).</text>
								</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDBE8AFF1804314B9C8D1FC95EABC58D50"><enum>(B)</enum><header display-inline="yes-display-inline">Adjustment</header><text display-inline="yes-display-inline">On July 1, 2012, and on each July 1
				thereafter the amount made available under subparagraph (A)(v) shall be
				calculated by adjusting the amount made available for the previous fiscal year
				to reflect changes in the Consumer Price Index of the Bureau of Labor
				Statistics for fresh fruits and vegetables, with the adjustment—</text>
								<clause commented="no" display-inline="no-display-inline" id="ID04B4246F6B9446639AB4C07BBB11BC92"><enum>(i)</enum><text display-inline="yes-display-inline">rounded down to the nearest dollar
				increment; and</text>
								</clause><clause commented="no" display-inline="no-display-inline" id="ID33831DDF66E849829F86467A2E2C7735"><enum>(ii)</enum><text display-inline="yes-display-inline">based on the unrounded amounts for the
				preceding 12-month period.</text>
								</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idC2A7FBF5AC4E4336A725E0008FB7FAC6"><enum>(C)</enum><header display-inline="yes-display-inline">Allocation</header><text display-inline="yes-display-inline">Funds made available under this paragraph
				shall be allocated among the States and the District of Columbia in the same
				manner as funds made available under paragraph
				(1).</text>
							</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></section></title><title commented="no" id="id5AEEAAECF2F143AB9B9BF9978A1B5C10" level-type="subsequent"><enum>IV</enum><header display-inline="yes-display-inline">Amendments to the Social Security
			 Act</header>
			<section commented="no" display-inline="no-display-inline" id="id3BA21560388149C38610B66DAA9522A4" section-type="subsequent-section"><enum>401.</enum><header display-inline="yes-display-inline">Coverage of evidence-based preventive
			 services under Medicare, Medicaid, and SCHIP</header>
				<subsection commented="no" display-inline="no-display-inline" id="ID031527CC6ED746DF967A3F80DD4DB8D1"><enum>(a)</enum><header display-inline="yes-display-inline">Medicare</header><text display-inline="yes-display-inline">Section 1861(ddd) of the Social Security
			 Act, as added by section 101 of the Medicare Improvements for Patients and
			 Providers Act of 2008, is amended—</text>
					<paragraph commented="no" display-inline="no-display-inline" id="id0A0A05ECDF92440794F6AB4BC56A7D64"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (2), by striking
			 <quote>paragraph (1)</quote> and inserting <quote>paragraphs (1) and
			 (3)</quote>; and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD9267049B0AF4B87B5F9723A41CF07FA"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following new
			 paragraph:</text>
						<quoted-block display-inline="no-display-inline" id="idA4D22C3A8C604A00BA99C0489841D6F1" style="OLC">
							<paragraph commented="no" display-inline="no-display-inline" id="idE3825C69962B4448B3B015A3CD7A026A"><enum>(3)</enum><text display-inline="yes-display-inline">The term <term>additional preventive
				services</term> includes any evidence-based preventive services which the
				Secretary has determined are reasonable and necessary, including, as so
				determined, smoking cessation and prevention services, diet and exercise
				counseling, and healthy weight and obesity
				counseling.</text>
							</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id1AF6440A482945A6A9E0866CBA87EEAF"><enum>(b)</enum><header display-inline="yes-display-inline">State option To provide medical assistance
			 for evidence-based preventive services</header>
					<paragraph commented="no" display-inline="no-display-inline" id="id3771BDD5AFC44E7C895724ECA103653B"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1905 of the Social Security Act (42
			 U.S.C. 1396d) is amended—</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="id82F9D5A0FE8F4E3686F76E01A19F9B6F"><enum>(A)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
							<clause commented="no" display-inline="no-display-inline" id="idE4726DEC85194D67B967ACE26AB562FF"><enum>(i)</enum><text display-inline="yes-display-inline">in paragraph (27), by striking
			 <quote>and</quote> at the end;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="idA13D3FEC79374A81B4D13AF98CB34437"><enum>(ii)</enum><text display-inline="yes-display-inline">by redesignating paragraph (28) as
			 paragraph (29); and</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="id266779E93090422AA2C23A4410165E52"><enum>(iii)</enum><text display-inline="yes-display-inline">by inserting after paragraph (27) the
			 following:</text>
								<quoted-block display-inline="no-display-inline" id="idD50921D7E4EB444E96E49B85B122D3A4" style="OLC">
									<paragraph commented="no" display-inline="no-display-inline" id="idE2B3ABFA746D496A85E0D14358A5EB6F"><enum>(28)</enum><text display-inline="yes-display-inline">evidence-based preventive services
				described in subsection (y); and</text>
									</paragraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
							</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idC87F861DEF9C4353A1023680C1B4430D"><enum>(B)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
							<quoted-block display-inline="no-display-inline" id="id487ABF333DF64FDCA55A78A7547B2EFD" style="OLC">
								<subsection commented="no" display-inline="no-display-inline" id="id2408B41126E74878BF3093D1BD9A5BFB"><enum>(y)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idF82DBB34C40D4CDFA04E35B25F0931DD"><enum>(1)</enum><text display-inline="yes-display-inline">For purposes of subsection (a)(28),
				evidence-based preventive services described in this subsection are any
				preventive services which the Secretary has determined are reasonable and
				necessary through the process for making national coverage determinations (as
				defined in section 1869(f)(1)(B)) under title XVIII, including, as so
				determined, smoking cessation and prevention services, diet and exercise
				counseling, and healthy weight and obesity
				counseling.</text>
									</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
						</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idC88B0FFD52964122B127D6DB0C886A4F"><enum>(2)</enum><header display-inline="yes-display-inline">Conforming amendment</header><text display-inline="yes-display-inline">Section 1902(a)(10)(C)(iv) of such Act is
			 amended by inserting <quote>and (28)</quote> after <quote>(24)</quote>.</text>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id7910D3B0D62A4DDE89871F8C8AF0F2DD"><enum>(c)</enum><header display-inline="yes-display-inline">State option To provide child health
			 assistance for evidence-based preventive services</header><text display-inline="yes-display-inline">Section 2110(a) of the Social Security Act
			 (42 U.S.C. 1397jj(a)) is amended—</text>
					<paragraph commented="no" display-inline="no-display-inline" id="id86876F4542DF49439DBCBD1E98153974"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraph (28) as
			 paragraph (29); and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idF3FAB8376E9648B1A88961D86D6B4F85"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after paragraph (27) the
			 following:</text>
						<quoted-block display-inline="no-display-inline" id="id300AE53DB23E4473BB2467D3D39D386C" style="OLC">
							<paragraph commented="no" display-inline="no-display-inline" id="idB65C522043C94220B6F3115BD71D99F2"><enum>(28)</enum><text display-inline="yes-display-inline">Evidence-based preventive services
				described in section
				1905(y).</text>
							</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id362B18D9C0664B6F8B68759CBAC660F1" section-type="subsequent-section"><enum>402.</enum><header display-inline="yes-display-inline">Coverage of medical nutrition counseling
			 under Medicare, Medicaid, and SCHIP</header>
				<subsection commented="no" display-inline="no-display-inline" id="ID790B329B67EB4699AC44E7D7C4F6C108"><enum>(a)</enum><header display-inline="yes-display-inline">Medicare coverage of medical nutrition
			 therapy services for people with pre-diabetes</header><text display-inline="yes-display-inline">Section 1861(s)(2)(V) of the
			 <act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C.
			 1395x(s)(2)(V)) is amended by inserting after <quote>beneficiary with
			 diabetes</quote> the following <quote>, pre-diabetes or its risk factors
			 (including hypertension, dyslipidemia, obesity, or overweight),</quote>.</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="id655F43C6CFD749D8BC35DCBC6401CA31"><enum>(b)</enum><header display-inline="yes-display-inline">State option To provide medical assistance
			 for medical therapy services</header>
					<paragraph commented="no" display-inline="no-display-inline" id="id7DF36EDFEC5344C7A74BD47A2C315653"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1905(a) of the Social Security Act
			 (42 U.S.C. 1396d), as amended by section 401(b), is amended—</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="id7C4F3B870D5242E8975246D1127DC14D"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (28), by striking
			 <quote>and</quote> at the end;</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idD04B31B7BFBD4C918A329532A27C4ADC"><enum>(B)</enum><text display-inline="yes-display-inline">by redesignating paragraph (29) as
			 paragraph (30); and</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id46D401CDC7554D9DB73FE1F36A2D238B"><enum>(C)</enum><text display-inline="yes-display-inline">by inserting after paragraph (28) the
			 following:</text>
							<quoted-block display-inline="no-display-inline" id="idD05FB5829AA341B5A0279CA4599F7425" style="OLC">
								<paragraph commented="no" display-inline="no-display-inline" id="idA7AA7D8716214DBF92AECA041B02F64A"><enum>(29)</enum><text display-inline="yes-display-inline">medical nutrition therapy services (as
				defined in section 1861(vv)(1)) for individuals with pre-diabetes or obesity,
				or who are overweight (as defined by the Secretary);
				and</text>
								</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
						</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB69C3ACD4D844F73B8727C2FD154FA0C"><enum>(2)</enum><header display-inline="yes-display-inline">Conforming amendment</header><text display-inline="yes-display-inline">Section 1902(a)(10)(C)(iv) of such Act, as
			 amended by section 401(b)(2), is amended by striking <quote>and (28)</quote>
			 and inserting <quote>, (28) and (29)</quote>.</text>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idC3E549EBD34D4BF3B49C42A30587AD5E"><enum>(c)</enum><header display-inline="yes-display-inline">State option To provide child health
			 assistance for medical nutrition therapy services</header><text display-inline="yes-display-inline">Section 2110(a) of the Social Security Act
			 (42 U.S.C. 1397jj(a)), as amended by section 401(c), is amended—</text>
					<paragraph commented="no" display-inline="no-display-inline" id="id0C6661F5EE9E4FCEBCE348C8A6F1925F"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraph (29) as
			 paragraph (30); and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4EECBB83956A481697794A3DB601FC26"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after paragraph (28) the
			 following:</text>
						<quoted-block display-inline="no-display-inline" id="id5CB482F60D834EA394754F1A5940E490" style="OLC">
							<paragraph commented="no" display-inline="no-display-inline" id="id4176D3F98D154651882D844DB7DC0591"><enum>(29)</enum><text display-inline="yes-display-inline">Medical nutrition therapy services (as
				defined in section 1861(vv)(1)) for individuals with pre-diabetes or obesity,
				or who are overweight (as defined by the
				Secretary).</text>
							</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="id4F99781FC9004D5DB226BA18592294DF" section-type="subsequent-section"><enum>403.</enum><header display-inline="yes-display-inline">Authorizing expansion of medicare coverage
			 of medical nutrition therapy services</header>
				<subsection commented="no" display-inline="no-display-inline" id="HA9309FBAC5CC44A8A788D796EB1BA42"><enum>(a)</enum><header display-inline="yes-display-inline">Authorizing expanded eligible
			 population</header><text display-inline="yes-display-inline">Section
			 1861(s)(2)(V) of the <act-name parsable-cite="SSA">Social Security
			 Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x(s)(2)(V)">42 U.S.C.
			 1395x(s)(2)(V)</external-xref>), as amended by section 402, is amended—</text>
					<paragraph commented="no" display-inline="no-display-inline" id="H3924906659014B58A79D2E1EF3906451"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating clauses (i) through (iii)
			 as subclauses (I) through (III), respectively, and indenting each such clause
			 an additional 2 ems;</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HF7923C8F2C4941CB89B8D6A3D25CDC33"><enum>(2)</enum><text display-inline="yes-display-inline">by striking <quote>in the case of a
			 beneficiary with diabetes, pre-diabetes or its risk factors (including
			 hypertension, dyslipidemia, obesity, overweight), or a renal disease
			 who—</quote> and inserting</text>
						<quoted-block display-inline="yes-display-inline" id="id2AF24B0CC175452AA3478D37D7ADC947" style="OLC">
							<text>in the case of a
			 beneficiary—</text><clause commented="no" display-inline="no-display-inline" id="H35AFC86C914E495397326D00C1B9F34D" indent="up1"><enum>(i)</enum><text display-inline="yes-display-inline">with diabetes, pre-diabetes or its risk
				factors (including hypertension, dyslipidemia, obesity, overweight), or a renal
				disease
				<linebreak></linebreak>who—</text>
							</clause><after-quoted-block>;</after-quoted-block></quoted-block>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE4E11F74640042F2974287806CD1F707"><enum>(3)</enum><text display-inline="yes-display-inline">by adding <quote>or</quote> at the end of
			 subclause (III) of clause (i), as so redesignated; and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0378DD9F78604C3BB6329351CA9BE81F"><enum>(4)</enum><text display-inline="yes-display-inline">by adding at the end the following new
			 clause:</text>
						<quoted-block display-inline="no-display-inline" id="H6C37F84C7AB0479BADEB35E25F90B9F7" style="OLC">
							<clause commented="no" display-inline="no-display-inline" id="H5DBDE83DC18848BBA52CC1296C9776D9" indent="up1"><enum>(ii)</enum><text display-inline="yes-display-inline">who is not described in clause (i) but who
				has another disease, condition, or disorder for which the Secretary has made a
				national coverage determination (as defined in section 1869(f)(1)(B)) for the
				coverage of such
				services;</text>
							</clause><after-quoted-block>.</after-quoted-block></quoted-block>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H3FCF96D972444416B7AE501EAF9E85B3"><enum>(b)</enum><header display-inline="yes-display-inline">Coverage of services furnished by
			 physicians</header><text display-inline="yes-display-inline">Section
			 1861(vv)(1) of the Social Security Act (42 U.S.C. 1395x(vv)(1)) is amended by
			 inserting <quote>or which are furnished by a physician</quote> before the
			 period at the end.</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="H2A4B9DE0BB83497791B25EBDBF6EAAE6"><enum>(c)</enum><header display-inline="yes-display-inline">National coverage determination
			 process</header><text display-inline="yes-display-inline">In making a national
			 coverage determination described in section 1861(s)(2)(V)(ii) of the Social
			 Security Act, as added by subsection (a)(4), the Secretary of Health and Human
			 Services, acting through the Administrator of the Centers for Medicare &amp;
			 Medicaid Services, shall—</text>
					<paragraph commented="no" display-inline="no-display-inline" id="HB703FBD57FD24126B27352A0AF86AB"><enum>(1)</enum><text display-inline="yes-display-inline">consult with dietetic and nutrition
			 professional organizations in determining appropriate protocols for coverage of
			 medical nutrition therapy services for individuals with different diseases,
			 conditions, and disorders; and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H07A765EEAC7D4825B3B9E4CC82E008F"><enum>(2)</enum><text display-inline="yes-display-inline">consider the degree to which medical
			 nutrition therapy interventions prevent or help prevent the onset or
			 progression of more serious diseases, conditions, or disorders.</text>
					</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="idFE5AE7FA96CD42928DCE242ED7765F00" section-type="subsequent-section"><enum>404.</enum><header display-inline="yes-display-inline">Clarification of EPSDT inclusion of
			 prevention, screening, and treatment services for obesity and overweight; SCHIP
			 coverage</header>
				<subsection commented="no" display-inline="no-display-inline" id="idED9ADBB223454E9A951E23AF9147A12C"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1905(r)(5) of the Social Security
			 Act (42 U.S.C. 1396d(r)(5)) is amended by inserting <quote>, including weight
			 and BMI measurement and monitoring, as well as appropriate treatment services
			 (including but not limited to) medical nutrition therapy services (as defined
			 in section 1861(vv)(1)), physical therapy or exercise training, and behavioral
			 health counseling, based on recommendations of the United States Council on
			 Overweight-Obesity Prevention under section 399R of the Public Health Service
			 Act and such other expert recommendations and studies as determined by the
			 Secretary</quote> before the period.</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="id31CA8FFE4E1E4276813221759C254E8A"><enum>(b)</enum><header display-inline="yes-display-inline">SCHIP</header>
					<paragraph commented="no" display-inline="no-display-inline" id="H3ADE9202512D4682B819D56600DB3A"><enum>(1)</enum><header display-inline="yes-display-inline">Required coverage</header><text display-inline="yes-display-inline">Section 2103 (42 U.S.C. 1397cc) is
			 amended—</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="H4F2565CFE47B46268896181E82CE3917"><enum>(A)</enum><text display-inline="yes-display-inline">in subsection (a), in the matter before
			 paragraph (1), by striking <quote>subsection (c)(5)</quote> and inserting
			 <quote>paragraphs (5) and (7) of subsection (c)</quote>; and</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H8DBDE58F4CBF4FECB95D966E30827307"><enum>(B)</enum><text display-inline="yes-display-inline">in subsection (c)—</text>
							<clause commented="no" display-inline="no-display-inline" id="H6C045AD0BF69443B9986A6B97C3E912D"><enum>(i)</enum><text display-inline="yes-display-inline">by redesignating paragraph (5) as paragraph
			 (7); and</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="HFFD49843FCCF4D7D9341C216D6D1DC0"><enum>(ii)</enum><text display-inline="yes-display-inline">by inserting after paragraph (4), the
			 following:</text>
								<quoted-block display-inline="no-display-inline" id="id1C87672EF2AF4E4597AB422EA755BFEB" style="OLC">
									<paragraph commented="no" display-inline="no-display-inline" id="HEC6DC4EDB2E4462CA5AD8DFC1DC033F7"><enum>(5)</enum><header display-inline="yes-display-inline">Prevention, screening, and treatment
				services for obesity and overweight</header><text display-inline="yes-display-inline">The child health assistance provided to a
				targeted low-income child shall include coverage of weight and BMI measurement
				and monitoring, as well as appropriate treatment services (including but not
				limited to) medical nutrition therapy services (as defined in section
				1861(vv)(1)), physical therapy or exercise training, and behavioral health
				counseling, based on recommendations of the United States Council on
				Overweight-Obesity Prevention under section 399R of the Public Health Service
				Act and such other expert recommendations and studies as determined by the
				Secretary.</text>
									</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
							</clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H618AB9F923FC4063BBB9BDF6000086A2"><enum>(2)</enum><header display-inline="yes-display-inline">Conforming amendment</header><text display-inline="yes-display-inline">Section 2102(a)(7)(B) (42 U.S.C.
			 1397bb(c)(2)) is amended by inserting <quote>and services described in section
			 2103(c)(5)</quote> after <quote>emergency services</quote>.</text>
					</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="ID2936B6F6EA5846BF81D821443D2FD241" section-type="subsequent-section"><enum>405.</enum><header display-inline="yes-display-inline">Inclusion of preventive services in quality
			 maternal and child health services</header><text display-inline="no-display-inline">Section 501(b) of the
			 <act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 701(b))
			 is amended by adding at the end the following new paragraph:</text>
				<quoted-block act-name="Social Security Act" display-inline="no-display-inline" id="IDAE69B4885F8141ECA7AE6E06A36E9D14" style="OLC">
					<paragraph commented="no" display-inline="no-display-inline" id="ID3ED4A1B3A3444DB0989E5A3C116A4783"><enum>(5)</enum><text display-inline="yes-display-inline">The term <term>quality maternal and child
				health services</term> includes the following:</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="ID3D2F789C39BD402AB345758469314FDD"><enum>(A)</enum><text display-inline="yes-display-inline">Evidence-based preventive services
				described in section 1905(y).</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDA096EA57FBC74F96A4DEDE5F0760C936"><enum>(B)</enum><text display-inline="yes-display-inline">Medical nutrition counseling for
				individuals with pre-diabetes or obesity, or who are overweight (as defined by
				the Secretary).</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID1886AB8CB4BF4C10A8AC73E98B368EA2"><enum>(C)</enum><text display-inline="yes-display-inline">Weight and BMI measurement and monitoring,
				as well as appropriate treatment services (including but not limited to)
				medical nutrition therapy services (as defined in section 1861(vv)(1)),
				physical therapy or exercise training, and behavioral health counseling, based
				on recommendations of the United States Council on Overweight-Obesity
				Prevention under section 399R of the Public Health Service Act and such other
				expert recommendations and studies as determined by the
				Secretary.</text>
						</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
			</section><section commented="no" display-inline="no-display-inline" id="id66685D8BCBB3445F953B2841FF049E05" section-type="subsequent-section"><enum>406.</enum><header display-inline="yes-display-inline">Effective date</header>
				<subsection commented="no" display-inline="no-display-inline" id="id1FF0DA1355D84C649EC835D04098BA9E"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Except as provided in subsection (b), the
			 amendments made by this title take effect on October 1, 2009.</text>
				</subsection><subsection commented="no" display-inline="no-display-inline" id="id334C4C85A8BC4BEE9AB484E7EF876FED"><enum>(b)</enum><header display-inline="yes-display-inline">Extension of effective date for state law
			 amendment</header><text display-inline="yes-display-inline">In the case of a
			 State plan under title XIX or XXI of the Social Security Act (42 U.S.C. 1396 et
			 seq., 1397aa et seq.) which the Secretary of Health and Human Services
			 determines requires State legislation in order for the plan to meet the
			 additional requirements imposed by the amendments made by this section, 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>
				</subsection></section></title></legis-body>
</bill>
