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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">1st Session</session>
		<legis-num display="yes">S. 651</legis-num>
		<current-chamber display="yes">IN THE SENATE OF THE UNITED
		  STATES</current-chamber>
		<action display="yes">
			<action-date date="20070215">February 15, 2007</action-date>
			<action-desc><sponsor name-id="S172">Mr. Harkin</sponsor> (for himself
			 and <cosponsor name-id="S278">Mrs. Clinton</cosponsor>) 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 help promote the national recommendation
		  of physical activity to kids, families, and communities across the United
		  States.</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>Promoting Lifelong Active Communities
			 Every Day Act</short-title></quote> or the <quote><short-title>PLAY Every Day Act</short-title></quote>.</text>
		</section><section commented="no" display-inline="no-display-inline" id="IDfa89afd7f0a84f748b20df93b01d47fa" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Purpose</header><text display-inline="no-display-inline">The purpose of this Act is to help children,
			 families and communities achieve the national recommendation of 60 minutes of
			 physical activity every day.</text>
		</section><section commented="no" display-inline="no-display-inline" id="IDf2158757fe414dd9aca1306b59664a71" section-type="subsequent-section"><enum>3.</enum><header display-inline="yes-display-inline">Findings</header><text display-inline="no-display-inline">Congress makes the following
			 findings:</text>
			<paragraph commented="no" display-inline="no-display-inline" id="ID15eec60350244cde97513cab88a60763"><enum>(1)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDee0ca7dd64094e499eb39f0774f34396"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID560193b9093d4ebd98f292c55546647f"><enum>(3)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDfee040fd4da94d358548b7014d729261"><enum>(4)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID9662abc6febe425e8bd84a01bbdbdf74"><enum>(5)</enum><text display-inline="yes-display-inline">The Institute of Medicine reported that in
			 2004, approximately 9,000,000 children over 6 years of age were obese.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDd00f2562d4b848b28373a92c2ceb5e10"><enum>(6)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID1322ad051bbd47c6b46c3e06f18b80f9"><enum>(7)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDa5b4621e06d14d3d85a20ee38c1345aa"><enum>(8)</enum><text display-inline="yes-display-inline">A 2002 survey reported that 61.5 percent of
			 children do not participate in any organized physical activity outside of
			 school hours.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID9b63267aacfc4741beab46101eba0250"><enum>(9)</enum><text display-inline="yes-display-inline">The Institute of Medicine reported in
			 <quote>Preventing Childhood Obesity</quote> (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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID7e7b90d1ee744c5a9229c0c6f363f0f5"><enum>(10)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDf59c4836c91d47cb8052d941f6fa98f2"><enum>(11)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID842b018adac441378888cdfc5289afcd"><enum>(12)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph></section><section commented="no" display-inline="no-display-inline" id="idC855AC3DF81B408BA54EACCD6E10240C" section-type="subsequent-section"><enum>4.</enum><header display-inline="yes-display-inline">Definition of Secretary</header><text display-inline="no-display-inline">In this Act, the term <term>Secretary</term>
			 means the Secretary of Health and Human Services.</text>
		</section><title commented="no" id="id88C70703372840C7B9E7722E0B5BB939" level-type="subsequent"><enum>I</enum><header display-inline="yes-display-inline">National Program Promoting Lifelong Active
			 Communities</header>
			<section commented="no" display-inline="no-display-inline" id="idB2BC170A32614EF3A1CDF69B89A72F38" section-type="subsequent-section"><enum>101.</enum><header display-inline="yes-display-inline">Development of Community Play
			 Index</header>
				<subsection commented="no" display-inline="no-display-inline" id="IDfd5e27ece6e347d28d04342ae9ce0ce0"><enum>(a)</enum><header display-inline="yes-display-inline">Community play index</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id796D57118E814CE9A7CD0DBE2969F657"><enum>(1)</enum><text display-inline="yes-display-inline">cross-cutting measurements that—</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="id2CEE7D862F7B45D2B93738DD15BB62E0"><enum>(A)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID4614753158094915a983037c1f15ee0e"><enum>(B)</enum><text display-inline="yes-display-inline">focus on the—</text>
							<clause commented="no" display-inline="no-display-inline" id="id9FE90B6B89ED41D69DB466ADA5A9A487"><enum>(i)</enum><text display-inline="yes-display-inline">availability of adequate spaces and places
			 for physical activity;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="id78E0DE53FD5546F8A348AC7FF61846B4"><enum>(ii)</enum><text display-inline="yes-display-inline">availability of, and access to, quality
			 physical activity and physical education programs; and</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="id650F6E93A4F14523A3E2C891C18E908C"><enum>(iii)</enum><text display-inline="yes-display-inline">the availability of programs, activities,
			 and leaders to educate about the importance of physical activity for the
			 community; and</text>
							</clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID18efd086611c475fbdbe4e564c77de3c"><enum>(2)</enum><text display-inline="yes-display-inline">additional measurements to assist
			 economically and culturally diverse communities in examining the social
			 determinants of health.</text>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="ID890dbc1b18ab43f3b3a9fae357565e03"><enum>(b)</enum><header display-inline="yes-display-inline">Guidance and training</header><text display-inline="yes-display-inline">The Secretary shall provide guidance and
			 develop training on utilizing the Community Play Index.</text>
				</subsection></section><section commented="no" display-inline="no-display-inline" id="id1ADDFE59956D4908AB22059450DB1C1B" section-type="subsequent-section"><enum>102.</enum><header display-inline="yes-display-inline">Sense of the Senate regarding
			 funding</header><text display-inline="no-display-inline">It is the sense of the
			 Senate 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></title><title commented="no" id="id10834122DFFC4D17AC5C06922AAD5490" level-type="subsequent"><enum>II</enum><header display-inline="yes-display-inline">Model Communities of Play Implementation
			 Grants</header>
			<section commented="no" display-inline="no-display-inline" id="id7A9F4DCDA7D148D9975F66A762F06530" section-type="subsequent-section"><enum>201.</enum><header display-inline="yes-display-inline">Model communities of play implementation
			 grants</header>
				<subsection commented="no" display-inline="no-display-inline" id="id89DB50547B4342AD8DECC134B56040B3"><enum>(a)</enum><header display-inline="yes-display-inline">Program authorized</header>
					<paragraph commented="no" display-inline="no-display-inline" id="idB569787E0FAB44F0AB531451240E0EF0"><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, 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 commented="no" display-inline="no-display-inline" id="idC9089148FF1F4DEB9DE8FAE4F1B9D67C"><enum>(A)</enum><text display-inline="yes-display-inline">increase the physical spaces and places
			 available for physical activity;</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idDA510E67A50E48608EDC22ADCB52AA19"><enum>(B)</enum><text display-inline="yes-display-inline">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="idF0837E0688AB4F64B0A483098758942F"><enum>(C)</enum><text display-inline="yes-display-inline">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="id9A3B13C902B54EC7BFD9B72744B67191"><enum>(2)</enum><header display-inline="yes-display-inline">Amount of grants</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDa3a8fda75004435496e23240c3edcf16"><enum>(b)</enum><header display-inline="yes-display-inline">Application</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id0F17D904A8894F68A3BF1AA8D42F46C2"><enum>(c)</enum><header display-inline="yes-display-inline">Coordination</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id71476A56EC754380870F30C89B8CFE88"><enum>(1)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id99C29DA5129C429C9D2D6C7F48F7753E"><enum>(2)</enum><text display-inline="yes-display-inline">the physical education programs under
			 subpart 10 of part D of title V of the Elementary and Secondary Education Act
			 of 1965 (20 U.S.C. 7261 et seq.;</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7F279E176F944AF5961E44553E6CBF6F"><enum>(3)</enum><text display-inline="yes-display-inline">the safe routes to schools program under
			 section 1404 of the Safe, Accountable, Flexible, Efficient Transportation
			 Equity Act: A Legacy for Users (23 U.S.C. 402 note; 119 Stat. 1228); and</text>
					</paragraph><paragraph commented="no" display-inline="no-display-inline" id="id8E4E562DF285441EB6F8F503A315F0DE"><enum>(4)</enum><text display-inline="yes-display-inline">other health and wellness programs
			 operating within the community.</text>
					</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id3C2727FFC9AF42148672C11A77013E7D"><enum>(d)</enum><header display-inline="yes-display-inline">Partnership with community
			 coalitions</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id39CDDC49742F436E9B210BCE4C291C1E"><enum>(1)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID709fdcaa7d2643ae9d26f936ebb7222c"><enum>(A)</enum><text display-inline="yes-display-inline">A community-based organization that focuses
			 on children and youth, preventive health, physical activity, or physical
			 education.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDe90729c71b54467799881fae05fc6747"><enum>(B)</enum><text display-inline="yes-display-inline">A local parks and recreation
			 department.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID295d917d7b4949899d6a6aa608f2f5d6"><enum>(C)</enum><text display-inline="yes-display-inline">A local health department.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID215eaab80cac4edfa3c2d2f878ea485f"><enum>(D)</enum><text display-inline="yes-display-inline">A local educational agency, as defined in
			 section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
			 7801).</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID4b31b412cef048548ebf21296cc1f114"><enum>(E)</enum><text display-inline="yes-display-inline">A local city planning agency.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID667c5c9568dd4446970f708c8f04520a"><enum>(F)</enum><text display-inline="yes-display-inline">A local health care provider.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID27f3989f29f341af87776d7a648e38ac"><enum>(G)</enum><text display-inline="yes-display-inline">A 4-year institution of higher education,
			 as defined in section 101 of the Higher Education Act of 1965 (20 U.S.C.
			 1001).</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID9de8777c56cb4a4ab69a994e65b94e8c"><enum>(H)</enum><text display-inline="yes-display-inline">A tribal health facility, where
			 applicable.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDb8097d3eaf764afd8c9f652df8fe7f81"><enum>(I)</enum><text display-inline="yes-display-inline">A tribal educational agency, where
			 applicable.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDe7881fb5a1344f97a7d29f6fd01528e2"><enum>(J)</enum><text display-inline="yes-display-inline">A Federally qualified health center or
			 rural health clinic, where applicable.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDc8718ed74ddf4e5cb11c7393b9256cdc"><enum>(K)</enum><text display-inline="yes-display-inline">A hospital.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID502ca718a6544316a2f8479e75efb9d4"><enum>(L)</enum><text display-inline="yes-display-inline">A faith-based organization.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID5e229b6eda90444799c6339bfbadc2a0"><enum>(M)</enum><text display-inline="yes-display-inline">A policymaker or elected official.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID5442bed884174f21bca2ae41abc00298"><enum>(N)</enum><text display-inline="yes-display-inline">A community planning organization.</text>
						</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID5377e8028dda40ef9985ae9f2c4d9765"><enum>(O)</enum><text display-inline="yes-display-inline">A business.</text>
						</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="IDadeb5bf8f3e543578ae5b510aa30e26b"><enum>(2)</enum><text display-inline="yes-display-inline">The community coalition completed and
			 submitted to the State health department—</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="id048B783DB3614E4C97C92C155A45A66D"><enum>(A)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDc1b094c35eea4eaa8cf4dba1373d0613"><enum>(B)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDe5135ab854a242a68dc13f5ffec6b037"><enum>(3)</enum><text display-inline="yes-display-inline">The community coalition provided—</text>
						<subparagraph commented="no" display-inline="no-display-inline" id="idA3D14DB929794F2EB51CD9AF1D0772C5"><enum>(A)</enum><text display-inline="yes-display-inline">documentation to the State health
			 department on the manner in which the coalition will coordinate with
			 appropriate State and local authorities, including—</text>
							<clause commented="no" display-inline="no-display-inline" id="ID5f84c424bd314d40ad1cb645e6f23279"><enum>(i)</enum><text display-inline="yes-display-inline">State or local health departments;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="IDfe22b7d6c96143b8b31b30885f36fa85"><enum>(ii)</enum><text display-inline="yes-display-inline">State educational agencies or local
			 educational agencies, as defined in section 9101 of the Elementary and
			 Secondary Education Act of 1965 (20 U.S.C. 7801);</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID29a4d403ecb64e8bb719421c1ab79cdc"><enum>(iii)</enum><text display-inline="yes-display-inline">State or local parks and recreation
			 departments or associations;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID6221b1d071a24e1a991743dd2d537094"><enum>(iv)</enum><text display-inline="yes-display-inline">State or local departments of
			 transportation or city planning;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID2a6f7fe9ed864e03ab18ace21e6a5dc8"><enum>(v)</enum><text display-inline="yes-display-inline">community foundations; and</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="IDd992006af53447719693f719a5b7a9ff"><enum>(vi)</enum><text display-inline="yes-display-inline">any other entities determined to be
			 appropriate by the Secretary; and</text>
							</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="IDf2b1615ff16149c9a6e558b1b4b2ecf1"><enum>(B)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id8FF28857285A44409D9E35BD1A4FD1F5"><enum>(e)</enum><header display-inline="yes-display-inline">Authorized Activities</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDcb35538f7c88498081c2a7f4b1bf5e2b"><enum>(1)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id112CEC2584B045A982EF273BCEB57B20"><enum>(2)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID616e21179a754406a2835da90669c3b2"><enum>(A)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDede3edd31490495ba23e9a11076dbeac"><enum>(i)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID5cf29368079843f2871fd1027bd8cde9"><enum>(ii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID14fd7a7b56974176936e467011b1f61c"><enum>(iii)</enum><text display-inline="yes-display-inline">schools serving the community that provide
			 recess, physical education, and physical activity for children and
			 youth;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID1791c4b71f904018b48be0a8de875f2b"><enum>(iv)</enum><text display-inline="yes-display-inline">day care, child care, and after school care
			 sites in the community that provide physical activity for children and
			 youth;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID830babd1b528463382bf155d9a957808"><enum>(v)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDba33ed954ac44f9f992725a9d5df1648"><enum>(vi)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDb886058d513544e9b1fc728f2295eb33"><enum>(vii)</enum><text display-inline="yes-display-inline">capital improvement projects that increase
			 opportunities for physical activity in the community; and</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="IDcccff2b191384bfc9cd81ecdb065adc4"><enum>(viii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID06955fd7c3ba45799625ec9b09cc320e"><enum>(B)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID9e287629caed4925a30e1f633a8f1b09"><enum>(i)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDb01e4c21af594f7b8ccbcd196ffce995"><enum>(ii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID820e885ab3d643f6b654d43b7c56bcb7"><enum>(iii)</enum><text display-inline="yes-display-inline">scholarships to low-income children and
			 youth for physical activity programs;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID9535edcd612a4c9da55c8137b226355b"><enum>(iv)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID58ba6aaa2c1c46caa554b901bc5a1c89"><enum>(v)</enum><text display-inline="yes-display-inline">training programs to assist physicians
			 in—</text>
								<subclause commented="no" display-inline="no-display-inline" id="idCAAD5E8BEA5742D68C7F92AE80C47582"><enum>(I)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id0209F5383AA648818A478B0BDA5DED6F"><enum>(II)</enum><text display-inline="yes-display-inline">providing information to families so they
			 may make informed decisions about physical activity and nutrition; and</text>
								</subclause><subclause commented="no" display-inline="no-display-inline" id="id686107AEE11B45CDAEA05331FC6C816A"><enum>(III)</enum><text display-inline="yes-display-inline">explaining the benefits associated with
			 physical activity and the risks associated with childhood overweight and
			 obesity;</text>
								</subclause></clause><clause commented="no" display-inline="no-display-inline" id="ID270f061e4ab149bf93bc5a8b9775c23e"><enum>(vi)</enum><text display-inline="yes-display-inline">assessment tools used to measure the
			 quality of physical activity, sports, and intramural sports programs;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="IDa1cd123d84314e3492bf07cdaa3b56ed"><enum>(vii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDa5d3da0d77c94525ae2a051653ab55a9"><enum>(viii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID77eef6dc686241ae8e9c34e1b3fca9fe"><enum>(C)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDc7532e674d1b4479a7b78a0bb0a5ef34"><enum>(i)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID39a7b3f9355044418ffabc23f0a67618"><enum>(ii)</enum><text display-inline="yes-display-inline">businesses that serve as role models by
			 providing physical space and incentives for employees to participate in
			 physical activity;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="IDdf6d16632c4e4a7798146c4570ef0a95"><enum>(iii)</enum><text display-inline="yes-display-inline">businesses that serve as role models to
			 communities by—</text>
								<subclause commented="no" display-inline="no-display-inline" id="idB77BC1309B704FE2A9599CF08697272D"><enum>(I)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="id9DCAD7F90B38407F8126E6C2BB0E17B0"><enum>(II)</enum><text display-inline="yes-display-inline">incorporating built environment strategies
			 into new construction of facilities;</text>
								</subclause><subclause commented="no" display-inline="no-display-inline" id="idDAA0936E1966485C91BEE53FC8BBF2ED"><enum>(III)</enum><text display-inline="yes-display-inline">adopting safe routes to school
			 programs;</text>
								</subclause><subclause commented="no" display-inline="no-display-inline" id="id7CFE9D06EFAF4A29AB13799CA004FAEE"><enum>(IV)</enum><text display-inline="yes-display-inline">providing bike racks at the office;
			 and</text>
								</subclause><subclause commented="no" display-inline="no-display-inline" id="id3DD4F14CB9ED4B298F06A0D5D9599041"><enum>(V)</enum><text display-inline="yes-display-inline">encouraging the use of the stairs;</text>
								</subclause></clause><clause commented="no" display-inline="no-display-inline" id="IDace0acf4e7ff4e9f91b8f00e00baeb94"><enum>(iv)</enum><text display-inline="yes-display-inline">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" display-inline="no-display-inline" id="ID29864399339547cc9dcbe2f3b1f8884e"><enum>(v)</enum><text display-inline="yes-display-inline">groups representing low-income individuals
			 or individuals with disabilities, that can promote and secure safer and more
			 accessible sites for activity;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="IDe248810c07eb40f1919a5b8dc88e6ee0"><enum>(vi)</enum><text display-inline="yes-display-inline">consumer research-driven marketing
			 strategies for ongoing initiatives and interventions that enhance physical
			 activity for children and youth;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID8343519d402f43ac9ca6f4208844dc84"><enum>(vii)</enum><text display-inline="yes-display-inline">products and opportunities provided or
			 offered by leisure, entertainment, and recreation industries that promote
			 regular physical activity and reduce sedentary behaviors;</text>
							</clause><clause commented="no" display-inline="no-display-inline" id="ID1550868cef864f30acef1eee450c608b"><enum>(viii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="IDb90919d685844996a833c469e1245a10"><enum>(ix)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID3bf5fa9a4a2e4883959fb22bacfbe5f9"><enum>(3)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="ID0530cdd30c4147a7bbdc774c537af5ed"><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 title $750,000 for fiscal year
			 2008.</text>
				</subsection></section></title></legis-body>
</bill>
