1.Short title; table of
contents
(a)This Act may be cited
as the Healthy Communities through
Helping to Offer Incentives and Choices to Everyone in Society Act of
2010
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Title I—Improving Prevention and Treatment of Obesity in Adults
and Children
Sec. 101. Reporting of Body Mass Index Information
Requirement.
Sec. 102. Grants for Body Mass Index data analysis.
Sec. 103. Requirement to expedite national Medicare coverage
determinations for evidence-based preventive services.
Sec. 104. Expansion of obesity treatment services under
Medicare.
Sec. 105. Coverage of evidence-based preventive services under
Medicaid and SCHIP.
Sec. 106. Coverage of medical nutrition therapy under Medicaid
and SCHIP.
Sec. 107. Clarification of EPSDT inclusion of prevention,
screening, and treatment services for obesity and overweight; SCHIP
coverage.
Sec. 108. Grants to increase physical activity, improve
nutrition, and promote healthy eating behaviors.
Sec. 109. Grants to provide training for health profession
students.
Sec. 110. Grants to provide training for health
professionals.
Sec. 111. Preventive health services block grant.
Title II—Improving childhood nutrition
Sec. 201. Nutrition and wellness goals for meals served through
the child and adult care food program.
Sec. 202. Interagency coordination to promote health and
wellness in child care licensing.
Sec. 203. Study on nutrition and wellness quality of child care
settings.
Sec. 204. Working group to reduce paperwork and improve program
administration.
Sec. 205. Renewal of application materials and permanent
operating agreements.
Sec. 206. Transmission of income information by sponsored
family or group day care homes.
Sec. 207. Simplifying and enhancing administrative payments to
sponsoring organizations.
Sec. 208. Cultivate farm-to-school partnerships.
Title III—Improving access to and opportunity for physical
activity for adults and children
Subtitle A—National Program Promoting Lifelong Active Youth
(PLAY) and Implementation Grants
Sec. 301. Play assessment tools.
Sec. 302. Model communities of play implementation
grants.
Subtitle B—Moving Outdoors in Nature
Sec. 311. Definitions.
Sec. 312. Grants for development or implementation of Moving
Outdoors in Nature Strategies.
Sec. 313. National evaluation of health impacts.
Sec. 314. Technical assistance and best practices.
Sec. 315. Authorization of appropriations.
Subtitle C—Other provisions
Sec. 321. Authorization of appropriations for Carol M. White
Physical Education Program.
Sec. 322. Physical education guidelines for elementary and
secondary schools.
Sec. 323. Treating physical education as a core academic
subject for elementary and secondary education grants.
Sec. 324. Physical activity guidelines for preschool
children.
Sec. 325. Tracking physical activity in schools.
Sec. 326. Employer-provided off-premises health club
services.
Sec. 327. Certain amounts paid for physical activity, fitness,
and exercise treated as amounts paid for medical care.
Sec. 328. National youth sports program
revitalization.
Sec. 329. Duplication of the Zuni Youth Enrichment Project
Summer Camp on Indian reservations and tribal lands.
Title IV—Improving access to nutritional information and healthy
foods
Sec. 401. Consumer education.
Sec. 402. Expand team nutrition training grants.
Sec. 403. Department of Agriculture program to support
establishment or expansion of retail food stores offering affordable,
nutritious foods in underserved communities and coordination with other Federal
programs.
Sec. 404. Virtual Farmers Market Program.
Sec. 405. Urban and Native-American Community Garden Grant
Program.
Title V—Realigning Transportation Policy to Help Promote Healthy
Lifestyles
Sec. 501. Grants to promote planning decisions and policies
that increase access to physical activity.
Sec. 502. Joint use agreements.
Sec. 503. Expansion of safe routes to school
program.
Sec. 504. Active transportation infrastructure investment
program.
Title VI—Research and Assessment Tools
Sec. 601. National Center for Health Statistics.
Sec. 602. Report on obesity research.
<enum>I</enum><header>Improving
Prevention and Treatment of Obesity in Adults and Children</header>
<section id="HF578FE16A0AF49269C0DDB81989847A2"><enum>101.</enum><header>Reporting of
Body Mass Index Information Requirement</header>
<subsection id="HE6D54F92B698473AB9A3888535282D2D"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Subsection (a) of
section 2125 of the Public Health Service Act (42 U.S.C. 300aa–25) is
amended—</text>
<paragraph id="H55387A36B7D547448144D579235A8376"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the end
of paragraph (3);</text>
</paragraph><paragraph id="H39A3262F5A074DF5A63DD190AB1B8DF9"><enum>(2)</enum><text>by striking the
period and adding <quote>, and</quote> at the end of paragraph (4); and</text>
</paragraph><paragraph id="H7DF20D55C00A46C0B8F468D174AC1771"><enum>(3)</enum><text>by adding at the
end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H4521A65FBF87445899766F07B560CB7B" style="OLC">
<paragraph id="H4E71883C9DAF4BAFB3E19049809603F4"><enum>(5)</enum><text display-inline="yes-display-inline">the age, gender, height, and weight of each
person vaccinated to calculate the body mass index of such
person.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H3F786E8D38B34862955CE89C7DC701AF"><enum>(b)</enum><header>Reporting</header><text>Subsection
(b) of such section is amended—</text>
<paragraph id="HED68D2247CDF44C6B088AC39EAF369AE"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
<subparagraph id="HC8DAAEB651C843289713BEB77DB1334E"><enum>(A)</enum><text>by striking
<quote>and</quote> at the end of subparagraph (B);</text>
</subparagraph><subparagraph id="H93E79C9019924C8DBB41F23C5E5F4FBE"><enum>(B)</enum><text>by redesignating
subparagraph (C) as subparagraph (D); and</text>
</subparagraph><subparagraph id="HEC3A48DE684C4C97864EA2BA4D4CB143"><enum>(C)</enum><text display-inline="yes-display-inline">by inserting after subparagraph (B) the
following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HB271FBB1B5ED498EBCA7E6ABA2CD0ECB" style="OLC">
<subparagraph id="H6921410C787B468BA937F135F49903E6"><enum>(C)</enum><text display-inline="yes-display-inline">the information recorded under subsection
(a)(5), and</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H4142581D968F48AEADFD345023278B67"><enum>(2)</enum><text>by adding at the
end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H8B5BAFD1E37A4637945B77346E13698A" style="OLC">
<paragraph id="H69F4F91B45054F5BB6D45F6A98FECEF8"><enum>(4)</enum><text display-inline="yes-display-inline">Each health provider shall also report to
the relevant department of the State in which such health care provider
practices the data collected under subsection
(a)(5).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section id="H86AC69C9D8E841F586B5D986C028175E"><enum>102.</enum><header>Grants for Body
Mass Index data analysis</header>
<subsection id="H70DC960AAF934CE995DAF589326E07A6"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services
may make grants to not more than 20 eligible entities to analyze body mass
index (hereinafter in this section referred to as <quote>BMI</quote>)
measurements of children, ages 2 through 18.</text>
</subsection><subsection id="H0C35B1A268A84F97B905C3D243A5542B"><enum>(b)</enum><header>Eligibility</header><text display-inline="yes-display-inline">An eligible entity for purposes of this
section is a State (including the District of Columbia, the Commonwealth of
Puerto Rico, and each territory of the United States) that has a statewide
immunization information system that—</text>
<paragraph id="H12B7C5E549634623BE04BFBF713A6CE0"><enum>(1)</enum><text>has the capacity
to store basic demographic information (including date of birth, gender, and
geographic area of residence), height, weight, and immunization data for each
resident of the State;</text>
</paragraph><paragraph id="HD8DAB426EE06479A88B5F2509C28CD4E"><enum>(2)</enum><text>is accessible to
doctors, nurses, other licensed medical professionals, and officials of the
relevant department in the State charged with maintaining health and
immunization records; and</text>
</paragraph><paragraph id="H3548E89108B74ECFA897E4682EC235B3"><enum>(3)</enum><text>has the capacity
to integrate large amounts of data for the analysis of BMI measurements.</text>
</paragraph></subsection><subsection id="HFDBA024150264379A0EC05B8A70C62C3"><enum>(c)</enum><header>Use of
funds</header><text>A State that receives a grant under this section shall use
the grant for the following purposes:</text>
<paragraph id="HB6598AB7968F4337B095A70AC9472021"><enum>(1)</enum><text>Analyzing the
effectiveness of obesity prevention programs and wellness policies carried out
in the State.</text>
</paragraph><paragraph id="H998D686EB1EC43728C63F936F0F701D1"><enum>(2)</enum><text>Purchasing new
computers, computer equipment, and software to upgrade computers to be used for
a statewide immunization information system.</text>
</paragraph><paragraph display-inline="no-display-inline" id="H3B9A17654744403CBEC53F19003B8F09"><enum>(3)</enum><text>The hiring and
employment of personnel to maintain and analyze BMI data.</text>
</paragraph><paragraph display-inline="no-display-inline" id="H9BC89FDCF7AD4CF092EC7F261DF30882"><enum>(4)</enum><text>The development
and implementation of training programs for medical professionals to aid such
professionals in taking BMI measurements and discussing such measurements with
patients.</text>
</paragraph><paragraph id="HBD0653730003480DB9978E5110B22911"><enum>(5)</enum><text display-inline="yes-display-inline">Providing information to parents and legal
guardians in accordance with subsection (e)(2).</text>
</paragraph></subsection><subsection id="HE816B374063F40B9830184536E22A9F4"><enum>(d)</enum><header>Selection
Criteria</header><text display-inline="yes-display-inline">In selecting
recipients of grants under this section, the Secretary shall give priority to
States in which a high percentage of public and private health care providers
submit data to a statewide immunization information system that—</text>
<paragraph id="HCBC8FF7E00DC4959B67C323AC6428950"><enum>(1)</enum><text display-inline="yes-display-inline">contains immunization data for not less
than 20 percent of the population of such State that is under the age of 18;
and</text>
</paragraph><paragraph id="H7C98D5C4A4C1422BA5F449388B74D5DE"><enum>(2)</enum><text>includes data
collected from men and women who are of a wide variety of ages and who reside
in a wide variety of geographic areas in a State (as determined by the
Secretary).</text>
</paragraph></subsection><subsection id="H5F8ABDA91DB14937B60BBE15221CA7F7"><enum>(e)</enum><header>Conditions</header><text>As
a condition of receiving a grant under this section, a State shall—</text>
<paragraph id="H1FDB882DB9024DBB82FE703406DDC0FD"><enum>(1)</enum><text>ensure that BMI
measurements will be recorded for children ages 2 through 18—</text>
<subparagraph id="HD0F59DB5F6B3488EA16C11E7B2472FA3"><enum>(A)</enum><text>on an annual basis
by a licensed physician, nurse, nurse practitioner, or physicians assistant
during an annual physical examination, wellness visit, or similar visit with a
physician; and</text>
</subparagraph><subparagraph id="HE5BBBDEC80F24E67AA9C58E17A46D7C9"><enum>(B)</enum><text>in accordance with
data collection protocols published by the American Academy of Pediatrics in
the 2007 Expert Committee Recommendations; and</text>
</subparagraph></paragraph><paragraph id="H0F49FF2FC80445E19596EC3866CBA742"><enum>(2)</enum><text>for each child in
the State for whom such measurements indicate a BMI greater than the 95th
percentile for such child’s age and gender, provide to the parents or legal
guardians of such child information on how to lower BMI and information on
State and local obesity prevention programs.</text>
</paragraph></subsection><subsection id="HB82DC22D793349CEB67630AB7D78ACC4"><enum>(f)</enum><header>Reports</header>
<paragraph id="H1BA1C446F9354356807C4617C72BAA63"><enum>(1)</enum><header>Reports to the
Secretary</header><text>Not later than 5 years after the receipt of a grant
under this section, the State receiving such grant shall submit to the
Secretary the following reports:</text>
<subparagraph id="HF44826D2E98F4125A7DBDBA828DC03E3"><enum>(A)</enum><text>A report
containing an analysis of BMI data collected using the grant, including—</text>
<clause id="H9798E3904C0E4FF6A3010FC26B666278"><enum>(i)</enum><text>the
differences in obesity trends by gender, disability, geographic area (as
determined by the State), and socioeconomic status within such State;
and</text>
</clause><clause id="HCE1A5E71104949C19107814CC56462DC"><enum>(ii)</enum><text>the
demographic groups and geographic areas most affected by obesity within such
State.</text>
</clause></subparagraph><subparagraph id="H1EB85B6535F4458FACDCC1CABA314225"><enum>(B)</enum><text>A report
containing an analysis of the effectiveness of obesity prevention programs and
State wellness policies, including—</text>
<clause id="H7856E06E82A74A1C92EA0B21E001A8FE"><enum>(i)</enum><text>an
analysis of the success of such programs and policies prior to the receipt of
the grant; and</text>
</clause><clause id="H1AB5F88919034DA98CF7A7D3857B5CCD"><enum>(ii)</enum><text>a
discussion of the means to determine the most effective strategies to combat
obesity in the geographic areas identified under subparagraph (A).</text>
</clause></subparagraph></paragraph><paragraph id="HA1C5213553FE49439F8E895326E4DEE9"><enum>(2)</enum><header>Report to
Congress and Certain Executive Agencies</header><text>Not later than 1 year
after the Secretary receives all the reports required pursuant to paragraph
(1), the Secretary shall submit to the Secretary of Education, the Secretary of
Agriculture, and to Congress a report that contains the following:</text>
<subparagraph id="H55BB1C238D6444439E77D16883C4B1C1"><enum>(A)</enum><text>An analysis of
trends in childhood obesity, including how such trends vary across regions of
the United States, and how such trends vary by gender and socioeconomic
status.</text>
</subparagraph><subparagraph id="H7486121222FB4E3CBB86B786E21F9AE8"><enum>(B)</enum><text display-inline="yes-display-inline">A description of any programs that—</text>
<clause id="HBD9B2762C79E4B05A0286F513DEA67CB"><enum>(i)</enum><text display-inline="yes-display-inline">the Secretary has determined significantly
lower childhood obesity rates for certain geographic areas in the United
States, including urban, rural, and suburban areas; and</text>
</clause><clause id="H80E10D92EF614D6F97107940368C2213"><enum>(ii)</enum><text>the
Secretary recommends to be implemented by the States (including States that did
not receive a grant under this section).</text>
</clause></subparagraph></paragraph></subsection><subsection id="H63BFAC1125B14851BC26DC52F40F5C2D"><enum>(g)</enum><header>Authorization of
Appropriations</header><text>There is authorized to be appropriated to the
Secretary such sums as may be necessary to carry out this section for each of
fiscal years 2010 through 2015.</text>
</subsection></section><section commented="no" display-inline="no-display-inline" id="H53AFB5DA8F454C87AFD9FCBDC7BFFCDD" section-type="subsequent-section"><enum>103.</enum><header>Requirement to
expedite national Medicare coverage determinations for evidence-based
preventive services</header>
<subsection id="H336BD07C94B3428180693E73EAA0FD1F"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Not later than
January 1, 2011, the Secretary of Health and Human Services shall issue
national Medicare coverage determinations for evidence-based preventive and
treatment services, including services to prevent or treat overweight and
obesity that have in effect a rating of <quote>A</quote> or <quote>B</quote>
(relating to a classification representing strongly recommended or recommended
services) in the current recommendations of the United States Preventive
Services Task Force (in this section referred to as <quote>USPSTF</quote>) and
clinical services for preventing and treating overweight and obesity as defined
by the National Heart, Lung and Blood Institute’s (in this section referred to
as <quote>NHLBI</quote>) Clinical Guidelines on the Identification, Evaluation
and Treatment of Overweight and Obesity in Adults. The Secretary shall update
such coverage determinations based on future updates to such USPSTF and NHLBI
guidelines.</text>
</subsection><subsection id="HF39623EF18524D3E8E816536E22AF8AA"><enum>(b)</enum><header>Updating
recommendations</header><text>The Secretary shall instruct—</text>
<paragraph id="H7EC45281E92B4A049F6B25081D150E7E"><enum>(1)</enum><text>the Agency for
Healthcare Research and Quality and the USPSTF to update, by not later than one
year after the date of the enactment of this Act and at least once every 5
years thereafter, USPSTF recommendations relating to the prevention of
overweight and obesity that have in effect a rating of <quote>I</quote>
(relating to a classification representing insufficient evidence to make a
recommendation for the service involved) to determine if such rating should be
upgraded to a rating of <quote>A</quote> or <quote>B</quote>; and</text>
</paragraph><paragraph id="H9A4805E0F111411BBB16CF27FE73D4FA"><enum>(2)</enum><text>the National
Heart, Lung and Blood Institute to update, by not later than December 31, 2010,
and at least once every 3 years thereafter, the NHLBI Clinical Guidelines
described in subsection (a).</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="H8B85B6091E2C4BD1B25B25E8C151FB93" section-type="subsequent-section"><enum>104.</enum><header>Expansion of obesity
treatment services under Medicare</header>
<subsection id="H63611874B54D4B7DB039918938E91084"><enum>(a)</enum><header>Coverage</header><text display-inline="yes-display-inline">Section 1861 of the Social Security Act (42
U.S.C. 1395x), as amended by section 4103 of the Patient Protection and
Affordable Care Act (Public Law 111–148), is further amended—</text>
<paragraph commented="no" id="H789B4421D4744998BCD7709B446B7859"><enum>(1)</enum><text>in subsection
(s)(2)—</text>
<subparagraph commented="no" id="H1BEF96DBB3B94CCB8344A72FDD531137"><enum>(A)</enum><text>in subparagraph
(EE), by striking at the end <quote>and</quote>;</text>
</subparagraph><subparagraph commented="no" id="H7B815F13E78F47ECBC97A164BB6E230C"><enum>(B)</enum><text>in subparagraph
(FF), by adding at the end <quote>and</quote>; and</text>
</subparagraph><subparagraph commented="no" id="HC463AE70CCDF42D1B344313B4A909805"><enum>(C)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HA886B21578314FD2BB4CC737B20BF178" style="OLC">
<subparagraph commented="no" id="HD0DCB850B8D7404FB3E6F9781FE4492D"><enum>(GG)</enum><text display-inline="yes-display-inline">items and services furnished under an
obesity treatment program (as defined in subsection
(iii));</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="HF188C841A54C456ABE9F7B90D0392284"><enum>(2)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H100E5F149B1E42C4AC4B88C4257A54C6" style="traditional">
<subsection commented="no" id="HF10CA263178D45F4A92F227067ED5E1E"><enum>(iii)</enum><header>Obesity
Treatment Program</header><text>The term <term>obesity treatment program</term>
means—</text>
<paragraph commented="no" id="HE19A29929AC6467A9D12737A6FCE1EE0"><enum>(1)</enum><text>medical services
delivered to eligible individuals under a plan of care for the purpose of
reducing body mass index and the associated co-morbidities of obesity,
including the following:</text>
<subparagraph commented="no" id="HE4DF0B1061904B00B6F8E614AA8B7DE2"><enum>(A)</enum><text>the development of
an initial plan of care and subsequent revisions to that plan of care;</text>
</subparagraph><subparagraph commented="no" id="H5D2002AC72DF4029A479026CD30379D3"><enum>(B)</enum><text>medical and
surgical interventions as determined appropriate by the Secretary; and</text>
</subparagraph><subparagraph commented="no" id="HE36D3ACFB0644746ACB45819EEBC7913"><enum>(C)</enum><text>additional
services for which payment would not otherwise be made under this title that
the Secretary may specify that encourage the receipt of, or improve the
effectiveness of, the services described in the preceding subparagraphs.</text>
</subparagraph><continuation-text commented="no" continuation-text-level="paragraph">In carrying out subparagraph (C), the
Secretary shall consider recommendations of the United States Preventive
Services Task Force; clinical practice guidelines for treatment of overweight,
obesity, and severe obesity issued by professional medical societies; and
consensus statements and guidelines on effective treatment of overweight,
obesity, and severe obesity issued by the National Institutes of Health,
professional medical societies, and other authoritative sources (such as those
identified in the National Heart Lung and Blood Institute’s Clinical Guidelines
on the Identification, Evaluation, and Treatment of Overweight and Obesity in
Adults).</continuation-text></paragraph><paragraph commented="no" id="H8824C0466171433F95A3BF2A651C80E1"><enum>(2)</enum><text>For purposes of
this subsection, the term <term>eligible individual</term> means an individual
who has:</text>
<subparagraph commented="no" id="HC47CCCD7557A454B8727F2F5AD9171AF"><enum>(A)</enum><text>been diagnosed
with obesity by a physician (as defined in subsection (r)) or provider of
services (as defined in subsection (u));</text>
</subparagraph><subparagraph commented="no" id="HE35352F8E55C4DF58735954105A9CC93"><enum>(B)</enum><text>a body mass index
of at least 30; or</text>
</subparagraph><subparagraph commented="no" id="HE1C21EB85DBC42088135D876E30B0DEA"><enum>(C)</enum><text>a body mass index
of at least 27 with at least one weight-related comorbid condition.</text>
</subparagraph><continuation-text commented="no" continuation-text-level="paragraph">It is not necessary for such
individual be diagnosed with co-morbidities in addition to the obesity
diagnosis or body mass index of at least 30 in order to be considered an
<quote>eligible individual</quote> under this
subsection.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H2B550726434E4614BCE72E5BCED5C70B"><enum>(b)</enum><header>Payment</header><text>Section
1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)), as amended by
section 10501(h)(3)(B) of the Patient Protection and Affordable Care Act
(Public Law 111–148), is amended—</text>
<paragraph id="H129A667D837B4D7DA69125F54B21B62D"><enum>(1)</enum><text>by striking
<quote>and</quote> before <quote>(Z)</quote>; and</text>
</paragraph><paragraph id="HFC2DAEEBA7BC41E2AD7B3D47181B409A"><enum>(2)</enum><text>by inserting
before the semicolon at the end the following: <quote>, and (AA) with respect
to items and services furnished under an obesity treatment program (as defined
in section 1861(iii)), the amount paid shall be 80 percent of the lesser of the
actual charge for the services or the amount determined under a fee schedule
established by the Secretary for purposes of this subparagraph</quote>.</text>
</paragraph></subsection></section><section display-inline="no-display-inline" id="HBCAF018BBB2E4F228FEA90574FB1E11C" section-type="subsequent-section"><enum>105.</enum><header>Coverage of
evidence-based preventive services under Medicaid and SCHIP</header>
<subsection id="HA4AA2AC862154063A28A5FF8F4BBA2A0"><enum>(a)</enum><header>State Option To
Provide Medical Assistance for Evidence-Based Preventive Services</header>
<paragraph id="H8B81A1E59C5549E4BEBD8507C5175E7E"><enum>(1)</enum><header>In
general</header><text>Section 1905 of the Social Security Act (42 U.S.C.
1396d)—</text>
<subparagraph id="H713B80C812894646AF2C14A9E66F418F"><enum>(A)</enum><text>in subsection (a),
as amended by section 2301(a) of the Patient Protection and Affordable Care
Act, is further amended—</text>
<clause id="H644789EAF17F4018A403E5ECBD95FEFF"><enum>(i)</enum><text>in
paragraph (28), by striking <quote>and</quote> at the end;</text>
</clause><clause id="H2C97B2F42BF4490BA66F1B0B8F8C64D7"><enum>(ii)</enum><text>by
redesignating paragraph (29) as paragraph (30); and</text>
</clause><clause id="H154C0516BDCF446D9290927C6F4E7E7D"><enum>(iii)</enum><text>by
inserting after paragraph (28) the following:</text>
<quoted-block id="HC07BE020A46247D6ABEE0CC3BCADA3A5" style="OLC">
<paragraph id="H5C294E8919D947FAA534E38D9F33C95B"><enum>(29)</enum><text>evidence-based
preventive services described in subsection (dd);
and</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="HF9F7AA353A5F4F869306B29D50D6611B"><enum>(B)</enum><text>as amended by
section 10201(c)(6) of the Patient Protection and Affordable Care Act, is
further amended by adding at the end the following:</text>
<quoted-block id="HA89875C9AF40466AB0B8B397BFE62952" style="OLC">
<subsection id="HBD04DA2191D342A58C2D9DBDC4D7B7A3"><enum>(dd)</enum><text>For purposes of
subsection (a)(29), evidence-based preventive services described in this
subsection are any preventive services which the Secretary has determined are
reasonable and necessary, including, as so determined, diet and exercise
counseling, healthy weight and obesity counseling, and any other
evidence-based, effective clinical intervention for obese individuals,
including pharmacological or surgical services, designed to prevent
comorbidities of
obesity.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HD63E6FB04F7C4808A5C7771BF93B83CD"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 1902(a)(10)(C)(iv) of such Act is amended by
inserting <quote>, and (29)</quote> after <quote>(24)</quote>.</text>
</paragraph></subsection><subsection id="H4DE12164D0E940ECBC4B11854A523CC1"><enum>(b)</enum><header>State option To
provide child health assistance for evidence-Based preventive
services</header><text>Section 2110(a) of the Social Security Act (42 U.S.C.
1397jj(a)) is amended—</text>
<paragraph id="H664BB6E46CEB43F69B58253002EA8643"><enum>(1)</enum><text>by redesignating
paragraph (28) as paragraph (29); and</text>
</paragraph><paragraph id="H84773E7B2AA040CE93D485146A028FAA"><enum>(2)</enum><text>by inserting after
paragraph (27) the following:</text>
<quoted-block id="H898B5397BACB4ADC9FCB52C90A1743A9" style="OLC">
<paragraph id="H46A9E3A166D04008A9952D681831BBAD"><enum>(28)</enum><text>Evidence-based
preventive services described in section
1905(dd).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section display-inline="no-display-inline" id="H34C3DF6658264AE880FDB9E1FE45A520" section-type="subsequent-section"><enum>106.</enum><header>Coverage of medical
nutrition therapy under Medicaid and SCHIP</header>
<subsection id="H90539D7123904CC7992CDD2ABA2FE4B6"><enum>(a)</enum><header>State Option To
Provide Medical Assistance for Medical Therapy Services</header>
<paragraph id="H3285ADCE57D04E3F8970A12070A40E33"><enum>(1)</enum><header>In
general</header><text>Section 1905(a) of the Social Security Act (42 U.S.C.
1396d), as amended by section 105(b), is amended—</text>
<subparagraph id="HB6A901BAB6DE492895FD4EF69C729DA7"><enum>(A)</enum><text>in paragraph (29),
by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="H5C1FB9D1795642629253D4722F883C9C"><enum>(B)</enum><text>by redesignating
paragraph (30) as paragraph (31); and</text>
</subparagraph><subparagraph id="H4F03D4FF1DB44234935501EBC1E72E3A"><enum>(C)</enum><text>by inserting after
paragraph (29) the following:</text>
<quoted-block id="H36F7B8BA61A5460493CB0CB926AB9515" style="OLC">
<paragraph id="HD6318114E1B64B0CA4D18B6AA225C556"><enum>(30)</enum><text>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 id="H1896354CC5684F108A90EF52E2528F38"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 1902(a)(10)(C)(iv) of such Act, as amended by
section 105(b)(2), is amended by striking <quote>and (29)</quote> and inserting
<quote>(29), and (30)</quote>.</text>
</paragraph></subsection><subsection id="H57A0DEB3D32D4CAB9A20390F234F3C66"><enum>(b)</enum><header>State option To
provide child health assistance for medical nutrition therapy
services</header><text>Section 2110(a) of the Social Security Act (42 U.S.C.
1397jj(a)), as amended by section 105(c), is amended—</text>
<paragraph id="HE8AF2495C47C4688BC5384B0408597A9"><enum>(1)</enum><text>by redesignating
paragraph (29) as paragraph (30); and</text>
</paragraph><paragraph id="H2E7EC1931EE948E980D2399CC3CADEE7"><enum>(2)</enum><text>by inserting after
paragraph (28) the following:</text>
<quoted-block id="HD3A6DDEDEC924B97A3BC8AA6B598A630" style="OLC">
<paragraph id="H8FCF642064DB4E55A443AE3D56D79DA9"><enum>(29)</enum><text>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 display-inline="no-display-inline" id="H3699ED1357234BB393BDC6445513CBC2" section-type="subsequent-section"><enum>107.</enum><header>Clarification of
EPSDT inclusion of prevention, screening, and treatment services for obesity
and overweight; SCHIP coverage</header>
<subsection id="HCC2D0C0ACB784274A580FB10F389FBCA"><enum>(a)</enum><header>In
general</header><text>Section 1905(r)(5) of the Social Security Act (42 U.S.C.
1396d(r)(5)) is amended by inserting before the period the following: <quote>,
including weight and BMI measurement and monitoring, as well as appropriate
treatment services, including medical nutrition therapy services (as defined in
section 1861(vv)(1)), physical therapy or exercise training, behavioral health
counseling, and such other evidence-based services as recommended by the
Secretary (after taking into consideration the American Academy of Pediatrics
Expert Committee Guidelines Regarding the Prevention, Assessment, and Treatment
of Child and Adolescent Overweight and Obesity)</quote>.</text>
</subsection><subsection id="H89CB2B9FAA60475DB3D61018E907C355"><enum>(b)</enum><header>SCHIP</header>
<paragraph id="H29EE9F081A7544D396050518B5347F1E"><enum>(1)</enum><header>Required
coverage</header><text>Section 2103 (42 U.S.C. 1397cc) is amended—</text>
<subparagraph id="H2B8B9AEA08B940E3A52C0B7BD3CA1EAF"><enum>(A)</enum><text>in subsection (a),
in the matter preceding paragraph (1), by striking <quote>and (7)</quote> and
inserting <quote>(7), and (9)</quote>; and</text>
</subparagraph><subparagraph id="H6177512BAE6D4CDCB7D0FAEEDE7BEC5C"><enum>(B)</enum><text>in subsection
(c)—</text>
<clause id="H3317ECDF4E124F77BD74073FCE1FE402"><enum>(i)</enum><text>by
redesignating paragraph (7) as paragraph (9); and</text>
</clause><clause id="HB12E396B530941F9BFBF9A869CC5F19F"><enum>(ii)</enum><text>by
inserting after paragraph (6), the following:</text>
<quoted-block id="H200C95D6984A41A390D0F25024DCF2E6" style="OLC">
<paragraph id="HCE4651080FEE466EBF94BB1BC62566C9"><enum>(7)</enum><header>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, behavioral health
counseling, and such other evidence-based services as recommended by the
Secretary. For purposes of the previous sentence the Secretary shall take into
consideration the American Academy of Pediatrics Expert Committee Guidelines
Regarding the Prevention, Assessment, and Treatment of Child and Adolescent
Overweight and
Obesity.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="H13C45A2F13684119858C9A460DC9677B"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 2102(a)(7)(B) (42 U.S.C. 1397bb(c)(2)) is
amended by striking <quote>section 2103(c)(5)</quote> and inserting
<quote>paragraphs (5) and (7) of section 2103(c)</quote>.</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="H7BE80928A1674971BF4C35585FA21401" section-type="subsequent-section"><enum>108.</enum><header>Grants to increase
physical activity, improve nutrition, and promote healthy eating
behaviors</header><text display-inline="no-display-inline">Part Q of title III
of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42
U.S.C. 280h et seq.) is amended by striking section 399W and inserting the
following:</text>
<quoted-block act-name="Public" display-inline="no-display-inline" id="H3C528D8E24EA4FFC9E459AFED20FA165" style="OLC">
<section commented="no" display-inline="no-display-inline" id="H251C7005C8244B65994FE824241D1E9D" section-type="subsequent-section"><enum>399W.</enum><header>Grants to increase
physical activity, improve nutrition, and promote healthy eating
behaviors</header>
<subsection commented="no" display-inline="no-display-inline" id="HC9A1A1C1337542EAA5ECE53F5484144C"><enum>(a)</enum><header>Establishment</header>
<paragraph commented="no" display-inline="no-display-inline" id="H72BA37EA7722457DBF0C1B03C02C9B9E"><enum>(1)</enum><header>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
coordination with the Administrator of the Health Resources and Services
Administration, the Director of the Indian Health Service, the Secretary of
Education, the Secretary of Agriculture, the Secretary of the Interior, the
Director of the National Institutes of Health, the Director of the Office of
Women’s Health, and the heads of other appropriate agencies, shall award
competitive grants to eligible entities to plan and implement programs that
promote healthy eating behaviors and physical activity to prevent obesity,
being overweight, and related serious and chronic medical conditions.</text>
</paragraph><paragraph id="HCC260FDF4EA143CD8CC5097D54414666"><enum>(2)</enum><header>Special
priority</header><text>In awarding grants under this section, the Secretary
shall give special priority to grant proposals that target communities or
populations disproportionately at-risk from obesity or being overweight,
including health disparity populations (as defined in section 485E(d)), the
underserved, and youth.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H33D1D44B5767478C8425450FC6C6DCA1"><enum>(3)</enum><header>Term</header><text display-inline="yes-display-inline">The Secretary shall award grants under this
subsection for a period not to exceed 4 years.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HA48358151E7E44FFABD788F796FB5CE9"><enum>(b)</enum><header>Award of
grants</header><text display-inline="yes-display-inline">An eligible entity
desiring a grant under this section shall submit an application to the
Secretary at such time, in such manner, and containing such information as the
Secretary may require, including—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H0EBF42CDC9B0412BBC37B7000889C7AD"><enum>(1)</enum><text display-inline="yes-display-inline">a plan describing a comprehensive program
of approaches to encourage healthy eating behaviors and healthy levels of
physical activity;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9EBA49D47E3E4D7AAE578204083DF349"><enum>(2)</enum><text display-inline="yes-display-inline">the manner in which the eligible entity
will coordinate with appropriate State and local authorities and
community-based organizations, including—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H2FB20C64066B43ABA9CCE49A47B4CC90"><enum>(A)</enum><text display-inline="yes-display-inline">State and local educational
agencies;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD74E2571838949DF984CD107674504D8"><enum>(B)</enum><text display-inline="yes-display-inline">departments of health;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HDED290A576C147A4BBB1E9DB67BF1633"><enum>(C)</enum><text display-inline="yes-display-inline">chronic disease directors;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H179D4503347B4F4681487BA30A9DC746"><enum>(D)</enum><text display-inline="yes-display-inline">State directors of programs under section
17 of the <act-name parsable-cite="CNA66">Child Nutrition Act of
1966</act-name>;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H69A9EA8A72CB4948875809306DC18C87"><enum>(E)</enum><text display-inline="yes-display-inline">governors’ councils for physical activity
and good nutrition;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HBD995CF54F974CC082CD78AF917B43A2"><enum>(F)</enum><text display-inline="yes-display-inline">State and local parks and recreation
departments;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H60F6BB1655014E0397E1F0B50018C358"><enum>(G)</enum><text display-inline="yes-display-inline">State and local departments of
transportation and city planning; and</text>
</subparagraph><subparagraph id="HB763793499CD41E8AAB27F69F2373B55"><enum>(H)</enum><text>community-based
organizations serving youth; and</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H380CFB7186614A42A899C77BC770A30E"><enum>(3)</enum><text display-inline="yes-display-inline">the manner in which the applicant will
evaluate the effectiveness of the program carried out under this
section.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H1883612B94BD4E18BFB93E00E18DBA8E"><enum>(c)</enum><header>Coordination</header><text display-inline="yes-display-inline">In awarding grants under this section, the
Secretary shall ensure that the proposed programs are coordinated in substance
and format with programs currently funded through other Federal agencies and
operating within the community including the Physical Education Program (PEP)
of the Department of Education.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H02044F0C21204971AD14A656ADC96107"><enum>(d)</enum><header>Eligible
entity</header><text display-inline="yes-display-inline">In this section, the
term <term>eligible entity</term> means—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H9D6140A73774460295ECB416DD112B6A"><enum>(1)</enum><text display-inline="yes-display-inline">a city, county, tribe, territory, or
State;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H63174ADFF941412AA3FD4AD700F48D51"><enum>(2)</enum><text display-inline="yes-display-inline">a State educational agency;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HA1FEC1D5773A46889FA87EE948F3CEF4"><enum>(3)</enum><text display-inline="yes-display-inline">a tribal educational agency;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H27147BCCAE8E475E8B009A9817F4B967"><enum>(4)</enum><text display-inline="yes-display-inline">a local educational agency;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H3F35F5D52B164B99B2EDDC7F9CB48774"><enum>(5)</enum><text display-inline="yes-display-inline">a federally qualified health center (as
defined in section 1861(aa)(4) of the <act-name parsable-cite="SSA">Social
Security Act</act-name>);</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE37993D23A0046B988569542F154305A"><enum>(6)</enum><text display-inline="yes-display-inline">a rural health clinic;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HCA928A534E6D450AB59C791A1AE4378A"><enum>(7)</enum><text display-inline="yes-display-inline">a health department;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H170DF6F46CC04F02A19EF04A4170338A"><enum>(8)</enum><text display-inline="yes-display-inline">an Indian Health Service hospital or
clinic;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HD6AA0428EA5F419B876BD208A3851AC0"><enum>(9)</enum><text display-inline="yes-display-inline">an Indian tribal health facility;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HC6ED4FC4BA07418C9469B56645FEE6E4"><enum>(10)</enum><text display-inline="yes-display-inline">an urban Indian facility;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H55A575A92CF54340B9D67E8BF40A15C8"><enum>(11)</enum><text display-inline="yes-display-inline">any health provider;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE677BD8AC6534138AD220EEFBFD764AD"><enum>(12)</enum><text display-inline="yes-display-inline">an accredited university or college;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H6721E7A05650467C92F2368E25B7CD7A"><enum>(13)</enum><text display-inline="yes-display-inline">a community-based organization;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H2CE72F07FDB4484EBB1A64E0A809FE92"><enum>(14)</enum><text display-inline="yes-display-inline">a local city planning agency;</text>
</paragraph><paragraph id="HCCCB96BFE34E4A49BAF67F1C74EAF2F4"><enum>(15)</enum><text>a State or local
parks and recreation department; or</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HEF487D84133742C0A89F4779992FEE1F"><enum>(16)</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="HD2B67878ECB24F4AB2F60C3C2539E0BC"><enum>(e)</enum><header>Use of
funds</header><text display-inline="yes-display-inline">An eligible entity that
receives a grant under this section shall use the funds made available through
the grant to—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HB9FE4FE651AE4EC88F14A45116C0F279"><enum>(1)</enum><text display-inline="yes-display-inline">carry out community-based activities
including—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HDF1E4B11305247F7A733E53B7A6A50F3"><enum>(A)</enum><text display-inline="yes-display-inline">city planning, transportation initiatives,
and environmental changes that help promote physical activity, such as
increasing the use of walking or bicycling as a mode of transportation;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HF77172CD38EF46DF8725FCA779A071F1"><enum>(B)</enum><text display-inline="yes-display-inline">forming partnerships and activities with
businesses, disability organizations, community-based organizations, and other
entities to increase physical activity levels and promote healthy eating
behaviors in schools and while traveling to and from schools;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H1AB8EBA45BC740E5B3710E94F0AD6812"><enum>(C)</enum><text display-inline="yes-display-inline">forming partnerships with entities,
including schools, faith-based entities, community-based organizations, and
other organizations providing recreational services, to establish programs that
use their facilities or other resources for after-school, weekend, and summer
community activities, especially those that promote or involve physical
activity;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H5A575567BF0545C4B38FD574FC5D7F68"><enum>(D)</enum><text display-inline="yes-display-inline">establishing incentives for retail food
stores, farmer’s markets, food co-ops, grocery stores, and other retail food
outlets that offer fruits and vegetables and other nutritious foods to
encourage such stores and outlets to locate in economically depressed
areas;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H13DA06B73E664A3FAEFAD03A5B895B3A"><enum>(E)</enum><text display-inline="yes-display-inline">forming partnerships with senior centers,
nursing facilities, retirement communities, and assisted living facilities to
establish programs for older people to foster physical activity and healthy
eating behaviors;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H67064EC69A3E482D859C571E094FB949"><enum>(F)</enum><text display-inline="yes-display-inline">forming partnerships with daycare and
after-school entities to establish programs that promote healthy eating
behaviors and physical activity;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H125412C2C8114728A0B6231E353F8FE3"><enum>(G)</enum><text display-inline="yes-display-inline">developing and evaluating community
educational activities targeting good nutrition and promoting healthy eating
behaviors; and</text>
</subparagraph><subparagraph id="H61E8269EBFFE42AA99CB21EB61C9C00C"><enum>(H)</enum><text display-inline="yes-display-inline">providing, directly or in cooperation with
State and local parks and recreation departments, programs and other
opportunities for daily physical activity;</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H59E0A60C4B4F4039824FA3CE1E7A0634"><enum>(2)</enum><text display-inline="yes-display-inline">carry out age-appropriate school-based
activities including—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HF5A15C5D31A14085ADF37F424AF84095"><enum>(A)</enum><text display-inline="yes-display-inline">developing and testing educational
curricula and intervention programs designed to promote healthy eating
behaviors and habits in youth, which may include—</text>
<clause commented="no" display-inline="no-display-inline" id="HF9D6E003194D4FB288D33CB9C2810B59"><enum>(i)</enum><text display-inline="yes-display-inline">after hours physical activity
programs;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HE389C828EE7F4B96A38BA4360499703A"><enum>(ii)</enum><text display-inline="yes-display-inline">increasing opportunities for students to
make informed choices regarding healthy eating behaviors; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H7E43C849E74E408A8EC35172EA8F8168"><enum>(iii)</enum><text display-inline="yes-display-inline">science-based interventions with multiple
components to prevent obesity and being overweight including nutritional
content, understanding and responding to hunger and satiety, positive body
image development, positive self-esteem development, and learning life skills
(such as stress management, communication skills, problem-solving and
decisionmaking skills), as well as consideration of cultural and developmental
issues, and the role of family, school, and community;</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H2932A0D558D44CD996802578F624E369"><enum>(B)</enum><text display-inline="yes-display-inline">providing education and training to
educational professionals regarding a healthy lifestyle and a healthy school
environment;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H2B6418E4A13A4401A82E91E78166045F"><enum>(C)</enum><text display-inline="yes-display-inline">planning and implementing a healthy
lifestyle curriculum or program with an emphasis on healthy eating behaviors
and physical activity; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H4F2CAA0CE39A442E9EE7EF684E92E8A8"><enum>(D)</enum><text display-inline="yes-display-inline">planning and implementing healthy lifestyle
classes or programs for parents or guardians, with an emphasis on healthy
eating behaviors and physical activity;</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H427CCBB9F9644D45A68AE76A75A0E429"><enum>(3)</enum><text display-inline="yes-display-inline">carry out activities through the local
health care delivery systems including—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HA0151E4FBDAA41D9BCAE3292B11F9292"><enum>(A)</enum><text display-inline="yes-display-inline">promoting healthy eating behaviors and
physical activity services to treat or prevent obesity and being
overweight;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H45998825C4FA4658A5FD7E603E8C4586"><enum>(B)</enum><text display-inline="yes-display-inline">providing patient education and counseling
to increase physical activity and promote healthy eating behaviors; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H18B6BE784C5948BA8A459B093F5E8305"><enum>(C)</enum><text display-inline="yes-display-inline">providing community education on good
nutrition and physical activity to develop a better understanding of the
relationship between diet, physical activity, and obesity or being overweight;
or</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H20E4A10511CD480B848D8B834531D1E7"><enum>(4)</enum><text display-inline="yes-display-inline">other activities determined appropriate by
the Secretary (including evaluation or identification and dissemination of
outcomes and best practices).</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H965074E08CB14FAF83A0D889ECF025D6"><enum>(f)</enum><header>Matching
funds</header><text display-inline="yes-display-inline">In awarding grants
under subsection (a), the Secretary may give priority to eligible entities who
provide matching contributions. Such non-Federal contributions may be cash or
in kind, fairly evaluated, including plant, equipment, or services.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H6F6CA360A3CF43BDB7493C2059EAA959"><enum>(g)</enum><header>Technical
assistance</header><text display-inline="yes-display-inline">The Secretary may
set aside an amount not to exceed 10 percent of the total amount appropriated
for a fiscal year pursuant to subsection (k) to permit the Director of the
Centers for Disease Control and Prevention to provide grantees with technical
support in the development, implementation, and evaluation of programs under
this section and to disseminate information about effective strategies and
interventions in preventing and treating obesity through the promotion of
healthy eating behaviors and physical activity.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H7C9D1260B8F6485AAE12E228D0F2C973"><enum>(h)</enum><header>Limitation on
administrative costs</header><text display-inline="yes-display-inline">An
eligible entity awarded a grant under this section may not use more than 10
percent of funds awarded under such grant for administrative expenses.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H3F1E1C797659434DB7AE13C2B3E62956"><enum>(i)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 6 years after the date of
enactment of the Improved Nutrition and Physical Activity Act, the Director of
the Centers for Disease Control and Prevention shall review the results of the
grants awarded under this section and other related research and identify
programs that have demonstrated effectiveness in promoting healthy eating
behaviors and physical activity in youth. Such review shall include an
identification of model curricula, best practices, and lessons learned, as well
as recommendations for next steps to reduce obesity and being overweight.
Information derived from such review, including model program curricula, shall
be disseminated to the public.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H12F292E952EC40119940908F83B121FE"><enum>(j)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph commented="no" display-inline="no-display-inline" id="HC8976780DB8144C2ABCB62E24F241D81"><enum>(1)</enum><header>Healthy eating
behaviors</header><text display-inline="yes-display-inline">The term
<term>healthy eating behaviors</term> means—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H06E86CE7CA6A44A4BD55ECFF69724DD9"><enum>(A)</enum><text display-inline="yes-display-inline">eating in quantities adequate to meet, but
not in excess of, daily energy needs;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H28F20FA2682140FF9B2C491D45210721"><enum>(B)</enum><text display-inline="yes-display-inline">choosing foods to promote health and
prevent disease;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H2E99998FFE2A4F9D94D6A8660BE3AECA"><enum>(C)</enum><text display-inline="yes-display-inline">eating comfortably in social environments
that promote healthy relationships with family, peers, and community;
and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H69E4010C52594A61B904CB8009BC436E"><enum>(D)</enum><text display-inline="yes-display-inline">eating in a manner to acknowledge internal
signals of hunger and satiety.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H98A662B2F7B04027AA84AB5EFA0B855B"><enum>(2)</enum><header>Obese</header><text display-inline="yes-display-inline">The term <term>obese</term> refers to an
adult with a Body Mass Index (BMI) of 30 kg/m2 or greater, or a child or
adolescent with a BMI at or above the 95th percentile on the revised Centers
for Disease Control and Prevention growth charts or another appropriate
childhood definition, as defined by the Secretary.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H55F7AEDF673E49F78246A6412E9AEECF"><enum>(3)</enum><header>Overweight</header><text display-inline="yes-display-inline">The term <term>overweight</term> refers to
an adult with a Body Mass Index (BMI) of 25 to 29.9 kg/m2 or a child or
adolescent with a BMI at or above the 85th percentile, but below the 95th
percentile, on the revised Centers for Disease Control and Prevention growth
charts or another appropriate childhood definition, as defined by the
Secretary.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H95F931BC39C64EF6A4A77E6145929CF5"><enum>(4)</enum><header>Youth</header><text display-inline="yes-display-inline">The term <term>youth</term> means
individuals not more than 18 years old.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HA12B012A30DA43568C1952194255CD1A"><enum>(k)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">There are
authorized to be appropriated to carry out this section, $60,000,000 for fiscal
year 2011, and such sums as may be necessary for each of fiscal years 2012
through
2015.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" display-inline="no-display-inline" id="H59D3D35A38D746F097D59D64CAC86DFD" section-type="subsequent-section"><enum>109.</enum><header>Grants to provide
training for health profession students</header><text display-inline="no-display-inline">Section 747 of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
293k) is amended—</text>
<paragraph id="H707AA1A1F9B34744B4B6F46188D18BC9"><enum>(1)</enum><text>by redesignating
subsection (c) as subsection (d); and</text>
</paragraph><paragraph id="HC4D45384AD074D8BA7D58747EC52F7F4"><enum>(2)</enum><text>by inserting after
subsection (b) the following:</text>
<quoted-block display-inline="no-display-inline" id="HDCCDD5970DC84DFBACF325F570E228E0" style="OLC">
<subsection id="H3FDBC75497C04D7E889914A8C683FC5E"><enum>(c)</enum><header>Special
consideration</header><text display-inline="yes-display-inline">In awarding
grants or contracts under subsection (a) or (b), the Secretary shall give
special consideration to qualified applicants proposing a project or program
which will prepare practitioners to care for individuals (including children)
who are overweight or obese (as such terms are defined in section
399W(j)).</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="H6CE6B5017E014AF9970175E537846F7F" section-type="subsequent-section"><enum>110.</enum><header>Grants to provide
training for health professionals</header><text display-inline="no-display-inline">Section 399Z of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
280h–3) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HFC46E2EE81F84E0EAA8F512C8E6C97A4"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b), by striking
<quote>2005</quote> and inserting <quote>2011</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HEAB44E17B9394072BC638433803AE8CB"><enum>(2)</enum><text display-inline="yes-display-inline">by redesignating subsection (b) as
subsection (c);</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0899D26F298141F4A8A1358E6F8FBB6C"><enum>(3)</enum><text display-inline="yes-display-inline">by inserting after subsection (a) the
following:</text>
<quoted-block display-inline="no-display-inline" id="H2ACA0E42B0DC472A9CB1DB6EA4C4D3C5" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="HF6D1C9558FA946FA9BC9E7DD17164241"><enum>(b)</enum><header>Grants</header>
<paragraph commented="no" display-inline="no-display-inline" id="H89B2BA8BBB184CE0BD1E8241FB458750"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary may
award grants to eligible entities to train primary care physicians and other
licensed or certified health professionals on how to treat and prevent obesity
and aid individuals who are obese or overweight.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H08D4B8E4A1F74D06A08105B4AA7B9FFA"><enum>(2)</enum><header>Application</header><text display-inline="yes-display-inline">An entity that desires a grant under this
subsection 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 the training that
will be provided.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H7DC89150F358419FB8B37E76AF458E49"><enum>(3)</enum><header>Use of
funds</header><text display-inline="yes-display-inline">An entity that receives
a grant under this subsection shall use the funds made available through such
grant to—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H65B49A9C674E4F0CBB90C11A3B0AFFDB"><enum>(A)</enum><text display-inline="yes-display-inline">use evidence-based findings or
recommendations that pertain to the prevention and treatment of obesity and
being overweight to conduct educational conferences, including Internet-based
courses and teleconferences, on—</text>
<clause commented="no" display-inline="no-display-inline" id="HF583AF924B9F4859B6133B958CC76FC8"><enum>(i)</enum><text display-inline="yes-display-inline">how to treat or prevent obesity and being
overweight;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H5672E944B6804BC4AFE770FA4598567A"><enum>(ii)</enum><text display-inline="yes-display-inline">the link between obesity and being
overweight and related serious and chronic medical conditions;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H60991E4362304FCB9DE9E8F6799E36B5"><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 and being overweight;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HD57D5C9C5E114982B9BADFAA3C756D7B"><enum>(iv)</enum><text display-inline="yes-display-inline">how to identify individuals who are or are
at risk for being obese or being overweight and, therefore, are at risk for
related serious and chronic medical conditions; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H0E27FC8E117B46E2BAD8290182811357"><enum>(v)</enum><text display-inline="yes-display-inline">how to conduct a comprehensive assessment
of individual and familial health risk factors; and</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD9584F5383FB495FA4CADF17ED98E9B8"><enum>(B)</enum><text display-inline="yes-display-inline">evaluate the effectiveness of the training
provided by such entity in increasing knowledge and changing attitudes and
behaviors of trainees.</text>
</subparagraph></paragraph></subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="H472B1C6C311447108A90997698CD15E1"><enum>(4)</enum><text>in subsection (c)
(as so redesignated)—</text>
<subparagraph id="HA385D67CE0A34EB9B8EA8A8AF94F70A5"><enum>(A)</enum><text>by striking
<quote>There are authorized to be appropriated to carry out this
section</quote> and all that follows and inserting the
following:</text>
<quoted-block display-inline="yes-display-inline" id="H0911F9A1181B47049FEBC25711D4BB8B" style="OLC">
<text>There are authorized to be
appropriated—</text><paragraph id="H98DF74BA046F4B7EAD677C84A3253074"><enum>(1)</enum><text>to carry out
subsection
(a),</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="H83FE07746462461992021CB668FDFAB7"><enum>(B)</enum><text>by striking the
period at the end and inserting <quote>; and</quote>; and</text>
</subparagraph><subparagraph id="HD6EDFE32B0B741B0BBB4F435B02EEFAC"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H86D66AE0D1B4484F99437909AEC1BE94" style="OLC">
<paragraph id="H53A2CD3EC0F842BCB7B7295F2CC2E00C"><enum>(2)</enum><text display-inline="yes-display-inline">to carry out subsection (b), $10,000,000
for fiscal year 2011, and such sums as may be necessary for each of fiscal
years 2012 through
2015.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section commented="no" display-inline="no-display-inline" id="H31FEBC1771EF4D42A3B85BBD397C2C6A" section-type="subsequent-section"><enum>111.</enum><header>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> (42 U.S.C. 300w–3(a)(1)) is amended by adding at the end the
following:</text>
<quoted-block act-name="Public" display-inline="no-display-inline" id="H36EAB2DE97354BA6BD14A0AD2AA2DCE1" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="H5E0E73F5190C4184A7AE5331A9167511" indent="up1"><enum>(H)</enum><text display-inline="yes-display-inline">Activities and community education programs
designed to address and prevent obesity and being overweight through effective
programs to promote healthy eating, and exercise habits and
behaviors.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>II</enum><header>Improving
childhood nutrition</header>
<section commented="no" display-inline="no-display-inline" id="HD066C8334A6F49ADAF15D3BE66752C16" section-type="subsequent-section"><enum>201.</enum><header display-inline="yes-display-inline">Nutrition and wellness goals for meals
served through the child and adult care food program</header><text display-inline="no-display-inline">Section 17 of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1766) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H2898FE29D3FE49BCBF0732F015494E05"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by striking
<quote>(a)<header-in-text level="subsection" style="OLC"> Grant
authority</header-in-text></quote> and all that follows through the end of
paragraph (1) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H26BC91890F924212A05CC876AFA5311B" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="H32DE3EB1A69B44F4BA04E9CA608E2240"><enum>(a)</enum><header display-inline="yes-display-inline">Program purpose, grant authority and
institution eligibility</header>
<paragraph commented="no" display-inline="no-display-inline" id="HE5928BC71DB744D4AAE2CBFF77025545"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H7CF9A22A880942DEA80394062616FF34"><enum>(A)</enum><header display-inline="yes-display-inline">Program purpose</header>
<clause commented="no" display-inline="no-display-inline" id="HFB54EDCB5933455CA319E6DF70CAAD46"><enum>(i)</enum><header display-inline="yes-display-inline">Findings</header><text display-inline="yes-display-inline">Congress finds that—</text>
<subclause commented="no" display-inline="no-display-inline" id="H74C1657405B2418795E1CB282AD3B073"><enum>(I)</enum><text display-inline="yes-display-inline">eating habits and other wellness-related
behavior habits are established early in life; and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="HAA2C7AC125BE42859897DBDFC92000EA"><enum>(II)</enum><text display-inline="yes-display-inline">good nutrition and wellness are important
contributors to the overall health of young children and essential to cognitive
development.</text>
</subclause></clause><clause commented="no" display-inline="no-display-inline" id="H8B8E812E62044861A1026ED8486D5E02"><enum>(ii)</enum><header display-inline="yes-display-inline">Purpose</header><text display-inline="yes-display-inline">The purpose of the program authorized by
this section is to provide aid to child care institutions and family or group
day care homes for the provision of nutritious foods that contribute to the
wellness, healthy growth, and development of young children.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H56DD4F922735408491764EA6296735B9"><enum>(B)</enum><header display-inline="yes-display-inline">Grant authority</header><text display-inline="yes-display-inline">The Secretary may carry out a program to
assist States through grants-in-aid and other means to initiate and maintain
nonprofit food service programs for children in institutions providing child
care.</text>
</subparagraph></paragraph></subsection><after-quoted-block>; </after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HFF2C8B7005DB4428BF1A9BDD8778B1DF"><enum>(2)</enum><text display-inline="yes-display-inline">by striking subsection (g) and inserting
the following:</text>
<quoted-block display-inline="no-display-inline" id="H4FA19A0CCA68466F85DFFC08A3B2E7AE" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="HC66F5CA5BE7A44BFB0D48FE9AF66CD87"><enum>(g)</enum><header display-inline="yes-display-inline">Nutritional requirements for meals and
snacks served in institutions and family or group day care homes</header>
<paragraph commented="no" display-inline="no-display-inline" id="H33FFAF18B62A48C7AD364C1C150EC9CF"><enum>(1)</enum><header display-inline="yes-display-inline">Definition of dietary
guidelines</header><text display-inline="yes-display-inline">In this
subsection, the term <term>Dietary Guidelines</term> means the Dietary
Guidelines for Americans published under section 301 of the National Nutrition
Monitoring and Related Research Act of 1990 (7 U.S.C. 5341).</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9474FC4DDFE34E71A7B5CEF190CB2CAA"><enum>(2)</enum><header display-inline="yes-display-inline">Nutritional requirements</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H6213F5A81735418D9C0DA9BF0C164A0B"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Except as provided in subparagraph (C),
reimbursable meals and supplements served by institutions and family or group
day care homes participating in the program under this section shall consist of
a combination of foods that meet minimum nutritional requirements prescribed by
the Secretary on the basis of tested nutritional research.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HC20DDF15CEF2436BB9747B623F030EF4"><enum>(B)</enum><header display-inline="yes-display-inline">Conformity with the dietary guidelines and
authoritative science</header>
<clause commented="no" display-inline="no-display-inline" id="HC949731435AE475C883CB7B6449CBD82"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not less frequently than once every 10
years, the Secretary shall review and, as appropriate, update requirements for
meals and supplements served under the program under this section to ensure
that the meals—</text>
<subclause commented="no" display-inline="no-display-inline" id="H9B35D1C15A814CA8856B28D37332C196"><enum>(I)</enum><text display-inline="yes-display-inline">are consistent with the goals of the most
recent Dietary Guidelines; and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="H2F08B6E7942E49E59FDB0D98609B465D"><enum>(II)</enum><text display-inline="yes-display-inline">promote the health of the population served
by the program authorized under this section, as indicated by the most recent
relevant nutrition science and appropriate authoritative scientific agency and
organization recommendations.</text>
</subclause></clause><clause commented="no" display-inline="no-display-inline" id="HA528D28063494F32B7FEE1223DFF3B0A"><enum>(ii)</enum><header display-inline="yes-display-inline">Cost review</header><text display-inline="yes-display-inline">The review required under clause (i) shall
include a review of the cost to child care centers and group or family day care
homes resulting from updated requirements for meals and snacks served under the
program under this section.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H4FD9B6C24F33481DB6D87C4A6DE22BEE"><enum>(iii)</enum><header display-inline="yes-display-inline">Regulations</header><text display-inline="yes-display-inline">Not later than 18 months after receipt of
recommendations for meal pattern improvements from the Food and Nutrition Board
of the National Research Council of the National Academy of Sciences, the
Secretary shall promulgate proposed regulations to update the meal patterns for
meals and snacks served under the program under this section.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HF56AD93056D9495B9DB3B0BD23CF2349"><enum>(C)</enum><header display-inline="yes-display-inline">Exceptions</header>
<clause commented="no" display-inline="no-display-inline" id="H9B1A26AC1AAB4495952F20BCA6A581C1"><enum>(i)</enum><header display-inline="yes-display-inline">Special dietary needs</header><text display-inline="yes-display-inline">The minimum nutritional requirements
prescribed under subparagraph (A) do not prohibit institutions and family or
group day care homes from substituting foods to accommodate the medical or
other special dietary needs of individual children.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H2496DD4A0C3D47A2A19B65C49CA8AA16"><enum>(ii)</enum><header display-inline="yes-display-inline">Exempt institutions</header><text display-inline="yes-display-inline">The Secretary may elect to waive all or
part of the requirements of this subsection for emergency shelters and adult
day care centers participating in the program under this section.</text>
</clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H1EFB4A47D83E4629AFC3C8B716F7EB5E"><enum>(3)</enum><header display-inline="yes-display-inline">Meal service</header><text display-inline="yes-display-inline">Institutions and family day care homes
shall ensure that reimbursable meal service contributes to the development and
socialization of enrolled children by providing that food is not used as a
punishment or reward.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H8484433A8DBE4F428CDBD7047F77FC0A"><enum>(4)</enum><header display-inline="yes-display-inline">Fluid milk</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H0EB0F8904D2D4D20B56CFB323F48A3E3"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Each institution or family or group day
care home participating in the program under this section shall provide fluid
milk, in accordance with the most recent version of the Dietary Guidelines, as
part of each reimbursable meal and supplement served under the program.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H0195B1E428224D14931CD08305117C50"><enum>(B)</enum><header display-inline="yes-display-inline">Milk substitutes</header><text display-inline="yes-display-inline">In the case of children who cannot consume
fluid milk due to medical or other special dietary needs other than a
disability, an institution or family or group day care home may substitute for
the fluid milk required in meals and supplements served, a nondairy beverage
that—</text>
<clause commented="no" display-inline="no-display-inline" id="H85054BD6CE2748C0BA0DC1387C516E7D"><enum>(i)</enum><text display-inline="yes-display-inline">is nutritionally equivalent to fluid milk;
and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H03800665C2964734A5C4FF3A77915BC9"><enum>(ii)</enum><text display-inline="yes-display-inline">meets nutritional standards established by
the Secretary, including, among other requirements established by the
Secretary, fortification of calcium, protein, vitamin A, and vitamin D to
levels found in cow’s milk.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HC8706CFE38124A3BB05A519F362B2D87"><enum>(C)</enum><header display-inline="yes-display-inline">Approval</header>
<clause commented="no" display-inline="no-display-inline" id="HE7CB5E87BCB8456DA62C4A3A331A6E04"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">A substitution authorized under
subparagraph (B) may be made—</text>
<subclause commented="no" display-inline="no-display-inline" id="H2F420DC275984E1CB6A2B79B7128A101"><enum>(I)</enum><text display-inline="yes-display-inline">at the discretion of and on approval by the
participating day care institution; and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="H02853913605B40EE90E004C86AB0EDBC"><enum>(II)</enum><text display-inline="yes-display-inline">if the substitution is requested by written
statement of a medical authority, or by the parent or legal guardian of the
child, that identifies the medical or other special dietary need that restricts
the diet of the child.</text>
</subclause></clause><clause commented="no" display-inline="no-display-inline" id="H0B789BB9A6324A52A105E8685FB19551"><enum>(ii)</enum><header display-inline="yes-display-inline">Exception</header><text display-inline="yes-display-inline">An institution or family or group day care
home shall not be required under this paragraph to provide beverages other than
beverages the State has identified as acceptable substitutes.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HAC7039B294E44D7D8CC5800740338E24"><enum>(D)</enum><header display-inline="yes-display-inline">Excess expenses borne by
institution</header><text display-inline="yes-display-inline">A participating
institution or family or group day care home shall be responsible for any
expenses that—</text>
<clause commented="no" display-inline="no-display-inline" id="H37C7E0859CD347C58A64968A963D0B13"><enum>(i)</enum><text display-inline="yes-display-inline">are incurred by the institution or family
or group day care home to provide substitutions under this paragraph;
and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HE6BE205B320E4D71A04418A6F8C09C5C"><enum>(ii)</enum><text display-inline="yes-display-inline">are in excess of expenses covered under
reimbursements under this Act.</text>
</clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H6483D9EB7846427889AD56366FC2F2CC"><enum>(5)</enum><header display-inline="yes-display-inline">Nondiscrimination policy</header><text display-inline="yes-display-inline">No physical segregation or other
discrimination against any child shall be made because of the inability of the
child to pay, nor shall there be any overt identification of any such child by
special tokens or tickets, different meals or meal service, announced or
published lists of names, or other means.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE7F13D3495624561B6E9CD83BB31247E"><enum>(6)</enum><header display-inline="yes-display-inline">Use of abundant and donated
foods</header><text display-inline="yes-display-inline">To the maximum extent
practicable, each institution shall use in its food service foods that
are—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HC440900650F34CFAA976242953410912"><enum>(A)</enum><text display-inline="yes-display-inline">designated from time to time by the
Secretary as being in abundance, either nationally or in the food service area;
or</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD5C85A6067074BA09F508C12A10CD789"><enum>(B)</enum><text display-inline="yes-display-inline">donated by the
Secretary.</text>
</subparagraph></paragraph></subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9D7BD8D5E7C842C6BF8B31F9CC06E510"><enum>(3)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H535DA9BDF3224EEB942E0F556FBDEEC4" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="H09F48FAC32924087AE1FDC42FC9DDF61"><enum>(u)</enum><header display-inline="yes-display-inline">Promoting health and wellness in child
care</header>
<paragraph commented="no" display-inline="no-display-inline" id="H7864AAC74D184C5B8886075C5CB0ACCC"><enum>(1)</enum><header display-inline="yes-display-inline">Physical activity and electronic media
use</header><text display-inline="yes-display-inline">The Secretary shall
encourage participating child care centers and family or group day care
homes—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H1BA9E13195E64BD49EC3EC028FEFB6C0"><enum>(A)</enum><text display-inline="yes-display-inline">to provide to all children under the
supervision of the participating child care centers and family or group day
care homes daily opportunities for structured and unstructured age-appropriate
moderate-intensity to vigorous-intensity physical activity; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HB1203BBCCDD44538804FF3128A21E3A6"><enum>(B)</enum><text display-inline="yes-display-inline">to limit among children under the
supervision of the participating child care centers and family or group day
care homes the use of electronic media to an appropriate level.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0C3DAF72A178443181F31F3CAD2DECE0"><enum>(2)</enum><header display-inline="yes-display-inline">Water consumption</header><text display-inline="yes-display-inline">Participating child care centers and family
or group day care homes shall make available to children, as nutritionally
appropriate, water as an acceptable fluid for consumption throughout the day,
including at meal times.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H41CDE752B1F8498DADC8461C9584846F"><enum>(3)</enum><header display-inline="yes-display-inline">Technical assistance and guidance</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H47A1815DD85141059BBA90EF54035DA3"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary shall provide technical
assistance to institutions participating in the program under this section to
assist participating child care centers and family or group day care homes in
complying with the nutritional and wellness requirements prescribed by the
Secretary in accordance with this subsection and subsection (g).</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H69DE43ED420E43779495AC2B33E50283"><enum>(B)</enum><header display-inline="yes-display-inline">Guidance</header><text display-inline="yes-display-inline">Not later than January 1, 2011, the
Secretary shall issue guidance to States and institutions to encourage
participating child care centers and family or group day care homes serving
meals and snacks under this section to—</text>
<clause commented="no" display-inline="no-display-inline" id="HFF38788C4B1A4C60BCF4573060D5B5E9"><enum>(i)</enum><text display-inline="yes-display-inline">include foods that are recommended for
increased serving consumption in amounts recommended by the most recent Dietary
Guidelines for Americans published under section 301 of the National Nutrition
Monitoring and Related Research Act of 1990 (7 U.S.C. 5341), including fresh,
canned, frozen, or dried whole fruits and vegetables, whole grain products,
lean meat products, and low-fat and non-fat dairy products; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H36987441D41E49A9A8BD1C534C95087A"><enum>(ii)</enum><text display-inline="yes-display-inline">reduce sedentary activities and provide
opportunities for regular physical activity in quantities recommended by the
most recent Dietary Guidelines for Americans described in clause (i).</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HBAE44BF3BE0443428B16EE830117D2B4"><enum>(C)</enum><header display-inline="yes-display-inline">Nutrition</header><text display-inline="yes-display-inline">Technical assistance relating to the
nutritional requirements of this subsection and subsection (g) shall
include—</text>
<clause commented="no" display-inline="no-display-inline" id="HBC20B4B95EF04C7C8D5C175C407E01B0"><enum>(i)</enum><text display-inline="yes-display-inline">nutrition education, including education
that emphasizes the relationship between nutrition, physical activity, and
health;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HDFB01407BE1F4780AB6570A970B25830"><enum>(ii)</enum><text display-inline="yes-display-inline">menu planning;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H27565A16EBC34706961168486AFF11EA"><enum>(iii)</enum><text display-inline="yes-display-inline">interpretation of nutrition labels;
and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H2C07E87E12BF4E5D8B65A85B317AF642"><enum>(iv)</enum><text display-inline="yes-display-inline">food preparation and purchasing guidance to
produce meals and snacks that are—</text>
<subclause commented="no" display-inline="no-display-inline" id="H0FFE2347A8614C1182FB34418D6BBC2E"><enum>(I)</enum><text display-inline="yes-display-inline">consistent with the goals of the most
recent Dietary Guidelines; and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="H3235EC20BC7144F2BB5BDA93B3B22291"><enum>(II)</enum><text display-inline="yes-display-inline">promote the health of the population served
by the program under this section, as recommended by authoritative scientific
organizations.</text>
</subclause></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H31C0D2FADF0349C9B54E2BC4F661F579"><enum>(D)</enum><header display-inline="yes-display-inline">Physical activity</header><text display-inline="yes-display-inline">Technical assistance relating to the
physical activity requirements of this subsection shall include—</text>
<clause commented="no" display-inline="no-display-inline" id="HFB53E225F77343F89133393F3EEFACF4"><enum>(i)</enum><text display-inline="yes-display-inline">education on the importance of regular
physical activity to overall health and well being; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H0832582EE2064D4F84C5A8B2D81CA8DC"><enum>(ii)</enum><text display-inline="yes-display-inline">sharing of best practices for physical
activity plans in child care centers and homes as recommended by authoritative
scientific organizations.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H096D4FB5567F4288A8ACC7A621F0DB9A"><enum>(E)</enum><header display-inline="yes-display-inline">Electronic media use</header><text display-inline="yes-display-inline">Technical assistance relating to the
electronic media use requirements of this subsection shall include—</text>
<clause commented="no" display-inline="no-display-inline" id="H459E9F26E52F47EBB9BD5D031C21FEFD"><enum>(i)</enum><text display-inline="yes-display-inline">education on the health impacts of overuse
of and overexposure to electronic media by children; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H53FA2DA89D6243219D47772137C6DCBF"><enum>(ii)</enum><text display-inline="yes-display-inline">sharing of best practices for the
development of daily activity plans that limit use of electronic media.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H42F7EDD3C18A4BC89AC26BB8EFDDC050"><enum>(F)</enum><header display-inline="yes-display-inline">Minimum assistance</header><text display-inline="yes-display-inline">At a minimum, the technical assistance
required under this paragraph shall include a handbook, developed by the
Secretary in coordination with the Secretary for Health and Human Services,
that includes recommendations, guidelines, and best practices for participating
institutions and family or group day care homes that are consistent with the
nutrition, physical activity, and wellness requirements and recommendations of
this subsection.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H7A99EF4209B447049071C2F402A412A2"><enum>(G)</enum><header display-inline="yes-display-inline">Additional assistance</header><text display-inline="yes-display-inline">In addition to the requirements of this
paragraph, the Secretary shall develop and provide such appropriate training
and education materials, guidance, and technical assistance as the Secretary
considers to be necessary to comply with the nutritional and wellness
requirements of this subsection and subsection (g).</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H853F402138AE44A0B8723A6283BC722D"><enum>(H)</enum><header display-inline="yes-display-inline">Funding</header>
<clause commented="no" display-inline="no-display-inline" id="H466DDE3BD6D94494A495A2E55EDD5315"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">On October 1, 2009, and on each October 1
thereafter through October 1, 2013, out of any funds in the Treasury not
otherwise appropriated, the Secretary of the Treasury shall transfer to the
Secretary to provide technical assistance under this subsection $3,000,000, to
remain available until expended.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H452FEC3FD2E64A7AB2253B241554B45A"><enum>(ii)</enum><header display-inline="yes-display-inline">Receipt and acceptance</header><text display-inline="yes-display-inline">The Secretary shall be entitled to receive,
shall accept, and shall use to carry out this subsection the funds transferred
under clause (i), without further
appropriation.</text>
</clause></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="H7FE354A1757E4457ADA083B97C894B37" section-type="subsequent-section"><enum>202.</enum><header display-inline="yes-display-inline">Interagency coordination to promote health
and wellness in child care licensing</header><text display-inline="no-display-inline">The Secretary of Agriculture shall
coordinate with the Secretary of Health and Human Services to encourage State
licensing agencies to include nutrition and wellness standards within State
licensing standards that ensure, to the maximum extent practicable, that
licensed child care centers and family or group day care homes—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H2B52E3566A89450B91AB90A7C085AA50"><enum>(1)</enum><text display-inline="yes-display-inline">provide to all children under the
supervision of the child care centers and family or group day care homes daily
opportunities for age-appropriate moderate-intensity to vigorous-intensity
physical activity;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H1A45F753F5114D1B8C6BEA33144C3F5C"><enum>(2)</enum><text display-inline="yes-display-inline">limit among children under the supervision
of the child care centers and family or group day care homes the use of
electronic media and the quantity of time spent in sedentary activity to an
appropriate level;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HB2EE424FF3354FBCB602DCD74E4E89F2"><enum>(3)</enum><text display-inline="yes-display-inline">serve meals and snacks that are consistent
with the child and adult care food program established under section 17 of the
Richard B. Russell <act-name parsable-cite="NSLA">National School Lunch
Act</act-name> (42 U.S.C. 1766); and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H844F4CBCC2EA4BB98C63503B9DFE1283"><enum>(4)</enum><text display-inline="yes-display-inline">promote such other nutrition and wellness
goals as the Secretaries determine to be necessary.</text>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="H742185B1FB5A49FFB0F609F01CBA5F7C" section-type="subsequent-section"><enum>203.</enum><header display-inline="yes-display-inline">Study on nutrition and wellness quality of
child care settings</header>
<subsection commented="no" display-inline="no-display-inline" id="HACEF15A8AD154FE7BCBE25EE9AD9BEB8"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not less than 4 years after the date of
enactment of this Act, and not less frequently than once every 5 years
thereafter, the Secretary of Agriculture shall submit to Congress a report
based on—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H16D407C6B2D54BB79454964934C38AD6"><enum>(1)</enum><text display-inline="yes-display-inline">a nationally representative study of child
care centers and family or group day care homes that—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H73C8A484B130437495B034CB416A01D8"><enum>(A)</enum><text display-inline="yes-display-inline">is designed in consultation with the
Secretary of Health and Human Services; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HA14A9B3A586B4D4E954F4F6CA811C657"><enum>(B)</enum><text display-inline="yes-display-inline">includes an assessment of—</text>
<clause commented="no" display-inline="no-display-inline" id="H975E61119F1749DDB3CDED2B507BA4F3"><enum>(i)</enum><text display-inline="yes-display-inline">the nutritional quality of all foods
provided to children in child care settings as compared to the recommendations
in most recent Dietary Guidelines for Americans published under section 301 of
the National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C.
5341);</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HB0A7A729B67247E3A322788B709FA8E3"><enum>(ii)</enum><text display-inline="yes-display-inline">the quantity and type of opportunities for
physical activity provided to children in child care settings; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HF9077EEF2C7840EFADC5606D7FD10615"><enum>(iii)</enum><text display-inline="yes-display-inline">the quantity of time spent by children in
child care settings in sedentary activities; and</text>
</clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H11BF23D0642D401E81D87293184AB8C1"><enum>(2)</enum><text display-inline="yes-display-inline">an assessment of the barriers to and
facilitators for—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H9ECA6CBCBFF344AE9B58E43E725B496C"><enum>(A)</enum><text display-inline="yes-display-inline">providing foods to children in child care
settings that meet the recommendations in the most recent Dietary Guidelines
for Americans published under section 301 of the National Nutrition Monitoring
and Related Research Act of 1990 (7 U.S.C. 5341);</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H7E00A61655B9480EA7265CCBD49E5F7D"><enum>(B)</enum><text display-inline="yes-display-inline">providing the appropriate quantity and type
of opportunities for physical activity for children in child care settings;
and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H651C45E73D88453A9AFBC7FEEAFCA869"><enum>(C)</enum><text display-inline="yes-display-inline">participation by child care centers and
family or group day care homes in the child and adult care food program
established under section 17 of the Richard B. Russell
<act-name parsable-cite="NSLA">National School Lunch Act</act-name> (42 U.S.C.
1766).</text>
</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H5AEC906760F14C819ACD9A10F4D01DB7"><enum>(b)</enum><header display-inline="yes-display-inline">Funding</header>
<paragraph commented="no" display-inline="no-display-inline" id="H42E11ACB9BA34813BD9B83C48B9B4553"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">On October 1, 2010, 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 this section $5,000,000,
to remain available until expended.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H973ABF902C084A1184D893598FC65060"><enum>(2)</enum><header display-inline="yes-display-inline">Receipt and acceptance</header><text display-inline="yes-display-inline">The Secretary of Agriculture shall be
entitled to receive, shall accept, and shall use to carry out this section the
funds transferred under paragraph (1), without further appropriation.
<added-phrase reported-display-style="italic"></added-phrase></text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="H7132AD63F4044F6697019A35E3283735" section-type="subsequent-section"><enum>204.</enum><header display-inline="yes-display-inline">Working group to reduce paperwork and
improve program administration</header>
<subsection commented="no" display-inline="no-display-inline" id="H8844EF22F82148CB921E5773C0B5FD8B"><enum>(a)</enum><header display-inline="yes-display-inline">Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph commented="no" display-inline="no-display-inline" id="HE0B4E1639ECD45AE936518AAC53033F4"><enum>(1)</enum><header display-inline="yes-display-inline">Program</header><text display-inline="yes-display-inline">The term <term>program</term> means the
child and adult care food program established under section 17 of the Richard
B. Russell National School Lunch Act (42 U.S.C. 1766).</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HCF80AD6FCFF147C3B7DF47A69A3DE31E"><enum>(2)</enum><header display-inline="yes-display-inline">Secretary</header><text display-inline="yes-display-inline">The term <term>Secretary</term> means the
Secretary of Agriculture.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H16146C23EFDD4733B557C345D85DF3E4"><enum>(b)</enum><header display-inline="yes-display-inline">Establishment</header><text display-inline="yes-display-inline">The Secretary, in conjunction with States
and participating institutions, shall reconvene a working group to continue to
examine the feasibility of reducing unnecessary or duplicative paperwork
resulting from regulations and recordkeeping requirements for State agencies,
institutions, family and group day care homes, and sponsored centers
participating in the program.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H09275BEA707F4BDD8AD0883A346EDEC6"><enum>(c)</enum><header display-inline="yes-display-inline">Duties</header><text display-inline="yes-display-inline">At a minimum, the working group
shall—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H68BE167341534DD2876C8FD81989E676"><enum>(1)</enum><text display-inline="yes-display-inline">review and evaluate the recommendations,
guidance, and regulatory priorities developed and issued to comply with section
119(i) of the Child Nutrition and WIC Reauthorization Act of 2004 (42 U.S.C.
1766 note; Public Law 108–265); and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H741D3190D7B84E05B4A0859783EE4336"><enum>(2)</enum><text display-inline="yes-display-inline">examine additional paperwork and
administrative requirements that have been established since February 23, 2007,
that could be reduced or simplified.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H418283D386274D9D8630152FD7E78A31"><enum>(d)</enum><header display-inline="yes-display-inline">Additional duties</header><text display-inline="yes-display-inline">In addition to, or operating concurrently
with, the working group described in subsection (b), the Secretary may, if
determined necessary by the Secretary and in conjunction with States and
institutions participating in the program, establish 1 or more working groups
to examine any aspect of administration of the program.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="HCFEB806EC30B43FE81E24D2289FF5323"><enum>(e)</enum><header display-inline="yes-display-inline">Report</header><text display-inline="yes-display-inline">Not later than 4 years after the date of
enactment of this Act, the Secretary shall submit to Congress a report that
describes the actions that have been taken to carry out this section,
including—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H376084619A0840C095B396CF01D328B3"><enum>(1)</enum><text display-inline="yes-display-inline">actions taken to address administrative and
paperwork burdens identified as a result of compliance with section 119(i) of
the Child Nutrition and WIC Reauthorization Act of 2004 (42 U.S.C. 1766 note;
Public Law 108–265);</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE340FBE9ECAB401D92BBD12A8B088304"><enum>(2)</enum><text display-inline="yes-display-inline">administrative and paperwork burdens
identified as a result of compliance with section 119(i) of that Act for which
no regulatory action or policy guidance has been taken;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H4C332399BD4441778798F6517829E3E5"><enum>(3)</enum><text display-inline="yes-display-inline">additional steps that the Secretary is
taking or plans to take to address any administrative and paperwork burdens
identified under subsection (c)(2) and paragraph (2), including—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HE32DE75B264A496D847193B588A92C4A"><enum>(A)</enum><text display-inline="yes-display-inline">new or updated regulations, policy,
guidance, or technical assistance; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H597088E7CCA94CABA3860FAAEBAC3845"><enum>(B)</enum><text display-inline="yes-display-inline">a timeframe for the completion of those
steps; and</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9127A34F430C49FE92083ACEAF30B4C7"><enum>(4)</enum><text display-inline="yes-display-inline">recommendations to Congress for
modifications to existing statutory authorities needed to address identified
administrative and paperwork burdens.</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="HD285DC66BAA944419E8A808C5C7D5723" section-type="subsequent-section"><enum>205.</enum><header display-inline="yes-display-inline">Renewal of application materials and
permanent operating agreements</header>
<subsection commented="no" display-inline="no-display-inline" id="HBC449946165D4D0F93B482907F3F5BE8"><enum>(a)</enum><header display-inline="yes-display-inline">Permanent operating
agreements</header><text display-inline="yes-display-inline">Section 17(d)(1)
of the Richard B. Russell National School Lunch Act (42 U.S.C. 1766(d)(1)) is
amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HEFCEF392FD8E46EC9A1B4D772FE6DED3" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="H84CFAF5BB5A2451A8DF194F944587C60"><enum>(E)</enum><header display-inline="yes-display-inline">Permanent operating agreements</header>
<clause commented="no" display-inline="no-display-inline" id="H388BE3E8B0AD4760A92493AC50826A7A"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Subject to clauses (ii) and (iii), to
participate in the child and adult care food program, an institution that meets
the conditions of eligibility described in this subsection shall be required to
enter into a permanent agreement with the applicable State agency.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HDEE0265C5AD548E5868AB52097FE6624"><enum>(ii)</enum><header display-inline="yes-display-inline">Amendments</header><text display-inline="yes-display-inline">A permanent agreement described in clause
(i) may be amended as necessary to ensure that the institution is in compliance
with all requirements established in this section or by the Secretary.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HDFE72B83ECB74ABEA2E24027B6CA593E"><enum>(iii)</enum><header display-inline="yes-display-inline">Termination</header><text display-inline="yes-display-inline">A permanent agreement described in clause
(i)—</text>
<subclause commented="no" display-inline="no-display-inline" id="HF54E5093D25448028B269B8E1A842BB2"><enum>(I)</enum><text display-inline="yes-display-inline">may be terminated for convenience by the
institution and State agency that is a party to the permanent agreement;
and</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="H169B07A3FE474F309DD34BE4C58A8B74"><enum>(II)</enum><text display-inline="yes-display-inline">shall be terminated—</text>
<item commented="no" display-inline="no-display-inline" id="H9CC997638BFF439CB38C289BCEF3BD2A"><enum>(aa)</enum><text display-inline="yes-display-inline">for cause by the applicable State agency in
accordance with paragraph (5); or</text>
</item><item commented="no" display-inline="no-display-inline" id="H6D3E1C012183424F8775E12A5916D80A"><enum>(bb)</enum><text display-inline="yes-display-inline">on termination of participation of the
institution in the child and adult care food
program.</text>
</item></subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H386DD14B48F740AB9D8A356EDD401610"><enum>(b)</enum><header display-inline="yes-display-inline">Applications</header><text display-inline="yes-display-inline">Section 17(d) of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1766(d)) is amended by striking paragraph
(2) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H113286400CB7408BA27DD004313CCE91" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="HB5D97562B8684E85865F0FE4E12DF3B7"><enum>(2)</enum><header display-inline="yes-display-inline">Program applications</header>
<subparagraph commented="no" display-inline="no-display-inline" id="HEB66C3680E094E69B85F501BF600C7F8"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary shall develop a policy under
which each institution providing child care that participates in the program
under this section shall—</text>
<clause commented="no" display-inline="no-display-inline" id="H9B18CD1A9EDB45239060C567347F66BB"><enum>(i)</enum><text display-inline="yes-display-inline">submit to the State agency an initial
application to participate in the program that meets all requirements
established by the Secretary by regulation;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H14D48DF10CCD4B38B95789B1F2BA31DE"><enum>(ii)</enum><text display-inline="yes-display-inline">annually confirm to the State agency that
the institution, and any facilities of the institution in which the program is
operated by a sponsoring organization, is in compliance with subsection (a)(5);
and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HDB5872CCAADF4245825F66CFD0F88578"><enum>(iii)</enum><text display-inline="yes-display-inline">annually submit to the State agency any
additional information necessary to confirm that the institution is in
compliance with all other requirements to participate in the program, as
established by the Secretary by regulation.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H8794DFA0DD264BEE94EE825EC683065B"><enum>(B)</enum><header display-inline="yes-display-inline">Reviews</header><text display-inline="yes-display-inline">The Secretary shall develop a policy under
which each sponsoring organization participating in the program shall
conduct—</text>
<clause commented="no" display-inline="no-display-inline" id="HDB9A97589741406A81FF86FA135F785D"><enum>(i)</enum><text display-inline="yes-display-inline">periodic unannounced site visits at not
less than 3-year intervals to sponsored child care centers and family or group
day care homes to identify and prevent management deficiencies and fraud and
abuse under the program;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HC42027BF6BE448BD82BCB9A47CE339E7"><enum>(ii)</enum><text display-inline="yes-display-inline">at least 1 scheduled site visit at not less
than 3-year intervals to sponsoring organizations and nonsponsored child care
centers to identify and prevent management deficiencies and fraud and abuse
under the program and to improve program operations; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H6195754C86174C54B519876EDF9A1E83"><enum>(iii)</enum><text display-inline="yes-display-inline">periodic site visits to private
institutions that the State agency determines have a high probability of
program
abuse.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" display-inline="no-display-inline" id="HF975C58E21BE4F248279DEBF39A9059C"><enum>(c)</enum><header display-inline="yes-display-inline">Agreements</header><text display-inline="yes-display-inline">Section 17(j)(1) of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1766(j)(1)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HC2A20FB553F54F2DB12F32192DBDDE78"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>may</quote> and
inserting <quote>shall</quote>;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H75AA1BE5E1284F3AB5F0BCDAA43FF351"><enum>(2)</enum><text display-inline="yes-display-inline">by striking <quote>family or group day
care</quote> the first place it appears; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H313BA130270742B1864AA9CA698D9EB3"><enum>(3)</enum><text display-inline="yes-display-inline">by inserting <quote>or sponsored day care
centers</quote> before <quote>participating</quote>.</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="H6EBE95217A464A86A086FA64137AAF9B" section-type="subsequent-section"><enum>206.</enum><header display-inline="yes-display-inline">Transmission of income information by
sponsored family or group day care homes</header><text display-inline="no-display-inline">Section 17(f)(3)(A)(iii)(III) of the Richard
B. Russell National School Lunch Act (42 U.S.C. 1766(f)(3)(A)(iii)(III)) is
amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HB731EFFF4ADB4EDE80F6169ECB05C829" style="OLC">
<item commented="no" display-inline="no-display-inline" id="HA2190BDE32D840CE8725592E63DFBB9F"><enum>(dd)</enum><header display-inline="yes-display-inline">Transmission of income information by
sponsored family or group day care homes</header><text display-inline="yes-display-inline">If a family or group day care home elects
to be provided reimbursement factors described in subclause (II), the family or
group day care home may assist in the transmission of necessary household
income information to the family or group day care home sponsoring organization
in accordance with the policy described in item (ee).</text>
</item><item commented="no" display-inline="no-display-inline" id="H34D94285F930450AA63BD1DDC2DDD742"><enum>(ee)</enum><header display-inline="yes-display-inline">Policy</header><text display-inline="yes-display-inline">The Secretary shall develop a policy under
which a sponsored family or group day care home described in item (dd) may,
under terms and conditions specified by the Secretary and with the written
consent of the parents or guardians of a child in a family or group day care
home participating in the program, assist in the transmission of the income
information of the family to the family or group day care home sponsoring
organization.</text>
</item><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" display-inline="no-display-inline" id="H4F8B283DA08147B398C7AF40F9267085" section-type="subsequent-section"><enum>207.</enum><header display-inline="yes-display-inline">Simplifying and enhancing administrative
payments to sponsoring organizations</header><text display-inline="no-display-inline">Section 17(f)(3) of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1766(f)(3)) is amended by striking
subparagraph (B) and inserting the following:</text>
<quoted-block display-inline="no-display-inline" id="H642B4F51495B42CC9E63B5BDF17A36C8" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="H3AD9829EFCDB4DE690857DA4094B0962"><enum>(B)</enum><header display-inline="yes-display-inline">Administrative funds</header>
<clause commented="no" display-inline="no-display-inline" id="HC709CCDF846940A5AE4987A294FD7481"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">In addition to reimbursement factors
described in subparagraph (A), a family or group day care home sponsoring
organization shall receive reimbursement for the administrative expenses of the
sponsoring organization in an amount that is not less than the product obtained
each month by multiplying—</text>
<subclause commented="no" display-inline="no-display-inline" id="HADE7F204B367478B93056581D1043277"><enum>(I)</enum><text display-inline="yes-display-inline">the number of family and group day care
homes of the sponsoring organization submitting a claim for reimbursement
during the month; by</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="H766F988883864BE0A74D8A2548C0632E"><enum>(II)</enum><text display-inline="yes-display-inline">the appropriate administrative rate
determined by the Secretary.</text>
</subclause></clause><clause commented="no" display-inline="no-display-inline" id="H38AF564B3378409C8F1D32CC07E58191"><enum>(ii)</enum><header display-inline="yes-display-inline">Annual adjustment</header><text display-inline="yes-display-inline">The administrative reimbursement levels
specified in clause (i) shall be adjusted July 1 of each year to reflect
changes in the Consumer Price Index for All Urban Consumers published by the
Bureau of Labor Statistics of the Department of Labor for the most recent
12-month period for which such data are available.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HE1799B484D3A428D938EC25E09CF23F2"><enum>(iii)</enum><header display-inline="yes-display-inline">Carryover funds</header><text display-inline="yes-display-inline">The Secretary shall develop procedures
under which not more than 10 percent of the amount made available to sponsoring
organizations under this section for administrative expenses for a fiscal year
may remain available for obligation or expenditure in the succeeding fiscal
year.</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H03E4C063B21B468DBCC0B556E3849672"><enum>(iv)</enum><header display-inline="yes-display-inline">Return to Secretary</header><text display-inline="yes-display-inline">Any amounts appropriated that are not
obligated or expended during a fiscal year and are not carried over for the
succeeding fiscal year under clause (iii) shall be returned to the
Secretary.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H03A3790CBFEE40BCBF87F9541035CD85"><enum>208.</enum><header>Cultivate
farm-to-school partnerships</header>
<subsection id="H9E654F79B6534FBEA65A04E417CA4701"><enum>(a)</enum><header>Promoting local
food</header><text>Section 9(j)(1) of the Richard B. Russell National School
Lunch Act (42 U.S.C. 1758(j)(1)) is amended by inserting before the semicolon
at the end, <quote>, for use in programs under such Acts, including the
commodity distribution program, the summer food service program for children,
child and adult care food program, and nutrition promotion</quote>.</text>
</subsection><subsection id="HDC89F7ED87A74947A23D3B88D16BD623"><enum>(b)</enum><header>Grants for
farm-to-School programs</header>
<paragraph id="H82C7BFD723C747F6B68FD38925E4590A"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Richard B.
Russell National School Lunch Act (42 U.S.C. 1751 et seq.) is amended by
inserting after section 19, the following:</text>
<quoted-block display-inline="no-display-inline" id="HD0C02EA53B93456283BD45351C0F42EE" style="OLC">
<section id="HEA46E714D6A44C31BB85CA9619F051F2"><enum>19A.</enum><header>Grants for
Farm-to-School Programs</header>
<subsection id="H6CCE448EA46E4250AA69A16A3950991F"><enum>(a)</enum><header>In
general</header><text>The Secretary may provide assistance, through competitive
matching grants and technical assistance, to schools and nonprofit entities for
farm-to-school programs that—</text>
<paragraph id="H88E4301B05574631A528666C93385D2C"><enum>(1)</enum><text>improve access to
local foods in schools and institutions participating in programs under this
Act and section 4 of the Child Nutrition Act of 1966 (42 U.S.C. 1773) through
farm-to-cafeteria activities, including school gardens, that may include the
acquisition of food and appropriate equipment and the provision of training and
education;</text>
</paragraph><paragraph id="H935B46B229E74FC49F97B9BB076F7FDE"><enum>(2)</enum><text>are, at a minimum,
designed to—</text>
<subparagraph id="HBEF49A6C243D4A048D346AD33A073EF4"><enum>(A)</enum><text>procure local
foods from small- and medium-sized farms for school meals; and</text>
</subparagraph><subparagraph id="H5B1E0039EB1A4121B69494F477D154CE"><enum>(B)</enum><text>support school
garden programs;</text>
</subparagraph></paragraph><paragraph id="HAE59B8ABA466491EB6FB9FB8180B69C4"><enum>(3)</enum><text>support nutrition
education activities or curriculum planning that promotes healthy food
education in the school curriculum and incorporates the participation of school
children in farm-based agricultural education activities, that may include
school gardens;</text>
</paragraph><paragraph id="H25384D0781CA45C085BCAE14852C01B0"><enum>(4)</enum><text>develop a
sustained commitment to farm-to-cafeteria projects in the community by linking
schools, State departments of agriculture, agricultural producers, parents, and
other community stakeholders;</text>
</paragraph><paragraph id="HA5C9CA5F2A1E4783804AC116954AC592"><enum>(5)</enum><text>require $100,000
or less in Federal contributions;</text>
</paragraph><paragraph id="H7670949DB71A42E992F27585D72C1873"><enum>(6)</enum><text>require a Federal
share of costs not to exceed 75 percent;</text>
</paragraph><paragraph id="H29FCDFC9BE7147E1B40C0E1F1D4D86EE"><enum>(7)</enum><text>provide matching
support in the form of cash or in-kind contributions (including facilities,
equipment, or services provided by State and local governments and private
sources); and</text>
</paragraph><paragraph id="H229AA8FD45F94609AD6577F0CE4266FA"><enum>(8)</enum><text>cooperate in an
evaluation carried out by the Secretary.</text>
</paragraph></subsection><subsection id="H31553FA0038A41809B068FD399B6821B"><enum>(b)</enum><header>Administration</header><text>In
providing grants under subsection (a), the Secretary shall give priority to
programs that can be replicated in schools.</text>
</subsection><subsection commented="no" id="H9222176BE8114012AE5A5A01F3C4E33F"><enum>(c)</enum><header> Program for
high-Poverty schools</header>
<paragraph commented="no" id="HDBA71CCE645244808606D3CB1A30BE45"><enum>(1)</enum><header>Definitions</header><text>In
this subsection:</text>
<subparagraph commented="no" id="H10E2C6AB7F59464AA4C93ED8B631EBF9"><enum>(A)</enum><header>Eligible
program</header><text>The term <term>eligible program</term> means—</text>
<clause commented="no" id="H9B0DE738C5244DE1B514AA12397A473F"><enum>(i)</enum><text>a school-based
program with hands-on vegetable gardening and nutrition education that is
incorporated into the curriculum for 1 or more grades at 2 or more eligible
schools; or</text>
</clause><clause commented="no" id="H0FCC1E24A7024E0EB17BDFD1AC2DBADE"><enum>(ii)</enum><text>a community-based
summer program with hands-on vegetable gardening and nutrition education that
is part of, or coordinated with, a summer enrichment program at 2 or more
eligible schools.</text>
</clause></subparagraph><subparagraph commented="no" id="H58F9F029B3AA46AA95934F2495643C67"><enum>(B)</enum><header>Eligible
school</header><text>The term <term>eligible school</term> means a public
school, at least 50 percent of the students of which are eligible for free or
reduced price meals under this Act.</text>
</subparagraph></paragraph><paragraph commented="no" id="H6C35F31193D94713A0BF46090727AF93"><enum>(2)</enum><header>Establishment</header><text>The
Secretary shall carry out a program under which the Secretary shall provide to
nonprofit organizations or public entities States grants to develop and run,
through eligible programs, community gardens at eligible schools in the States
that would—</text>
<subparagraph commented="no" id="HCE86FAA365E947B4B7A451A85DF8A538"><enum>(A)</enum><text>be planted, cared
for, and harvested by students at the eligible schools; and</text>
</subparagraph><subparagraph commented="no" id="HC6884BB8BBC6467E85CE36C091F916B4"><enum>(B)</enum><text>teach the students
participating in the community gardens about agriculture production practices
and diet.</text>
</subparagraph></paragraph><paragraph commented="no" id="H9AC742211182414D88D0EFB9B5671E94"><enum>(3)</enum><header>Priority
states</header><text>Of the States in which grantees under this subsection are
located—</text>
<subparagraph commented="no" id="HB78A20760F2D4C78AD3A0E48450761A1"><enum>(A)</enum><text>at least 1 State
shall be among the 15 largest States, as determined by the Secretary;</text>
</subparagraph><subparagraph commented="no" id="H6EAF589E0CA54ECB84DC4BD5C8959504"><enum>(B)</enum><text>at least 1 State
shall be among the 16th to 30th largest States, as determined by the Secretary;
and</text>
</subparagraph><subparagraph commented="no" id="HA770B9D787F94ABE86B40165D7AFA7FA"><enum>(C)</enum><text>at least 1 State
shall be a State that is not described in subparagraph (A) or (B).</text>
</subparagraph></paragraph><paragraph commented="no" id="H943CB629A0BB4F958BFC7DC88AE4DD83"><enum>(4)</enum><header>Use of
produce</header><text>Produce from a community garden provided a grant under
this subsection may be—</text>
<subparagraph commented="no" id="H5DC6CCC510F04E3F9004E3F177B0C1B7"><enum>(A)</enum><text>used to supplement
food provided at the eligible school;</text>
</subparagraph><subparagraph commented="no" id="HA8D2DE6A33004944AFE67A673B68CB49"><enum>(B)</enum><text>distributed to
students to bring home to the families of the students; or</text>
</subparagraph><subparagraph commented="no" id="HA37748C868614144B0D357C979E8B3CA"><enum>(C)</enum><text>donated to a local
food bank or senior center nutrition program.</text>
</subparagraph></paragraph><paragraph commented="no" id="H6947C22FF4E74A02AAEF215C2D570394"><enum>(5)</enum><header>No cost-sharing
requirement</header><text>A nonprofit organization or public entity that
receives a grant under this subsection shall not be required to share the cost
of carrying out the activities assisted under this paragraph.</text>
</paragraph><paragraph commented="no" id="HDAF951407E6A43E4BB5E76D17B88098E"><enum>(6)</enum><header>Evaluation</header><text>A
nonprofit organization or public entity that receives a grant under this
subsection shall be required to cooperate in an evaluation in accordance with
subsection (a)(8).</text>
</paragraph></subsection><subsection id="H6FD92F5C06624EEB87A1588B56E65603"><enum>(d)</enum><header>Guidance for
States</header><text>Not later than 1 year after the date of the enactment of
this section, the Secretary shall research, evaluate, and make available to
States—</text>
<paragraph id="HF90266F62C6B4977BD79DFF07E3AC1E8"><enum>(1)</enum><text>best practices for
innovative and effective, as determined by the Secretary, farm-to-school
programs described in subsection (a);</text>
</paragraph><paragraph id="H959FED2D986F41289312399EAB0CB8E9"><enum>(2)</enum><text>an identification
of the common challenges faced by schools, institutions, and local educational
agencies in carrying out such farm-to-school programs; and</text>
</paragraph><paragraph id="H8DD9E7853E664CE5AF9ACC9BB9305814"><enum>(3)</enum><text>a description of
schools, institutions, and local educational agencies that are carrying out
successful farm-to-school programs.</text>
</paragraph></subsection><subsection commented="no" id="H770F94911BF04ED191999CE385BE7ADF"><enum>(e)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated such sums
as are necessary to carry out this section for each of fiscal years 2011
through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HFDF402615CD948B2918706A08A373593"><enum>(2)</enum><header>Conforming
Amendments</header><text>Section 18(g) of the Richard B. Russell National
School Lunch Act (42 U.S.C. 1769(g)) is repealed.</text>
</paragraph></subsection></section><enum>III</enum><header>Improving access
to and opportunity for physical activity for adults and children</header>
<subtitle id="HDD3C4E34731C49E7A1B80C3AE090B661"><enum>A</enum><header>National Program
Promoting Lifelong Active Youth (PLAY) and Implementation Grants</header>
<section id="H86AB538D96F8445B939D7921B0635995"><enum>301.</enum><header>Play assessment
tools</header>
<subsection id="H4DF03EBCF0C44E8C9DA2BCA10D9F229C"><enum>(a)</enum><header>In
general</header><text>The Secretary of Health and Human Services (hereafter in
this section referred to as the Secretary), acting through the Director of the
Centers for Disease Control and Prevention, shall develop a list of
well-validated assessment tools, which can measure the policy, program, or
environmental barriers in communities to participating in physical activity.
Tools on the Secretary’s recommended list shall include—</text>
<paragraph id="HD7606E16CF4A4D51B387C5FBCC83F96F"><enum>(1)</enum><text>cross-cutting
measurements that—</text>
<subparagraph id="H187D770E3BCD4EBCBEFC3B3798B05FA7"><enum>(A)</enum><text>examine barriers
to physical activities across multiple settings, including homes, after-school
and child care sites, schools, the community-at-large, and worksites;
and</text>
</subparagraph><subparagraph id="H99FC0D63107F41108F587AEF3932D964"><enum>(B)</enum><text>focus on
the—</text>
<clause id="HF04D660C831E4896B7A8AE27A641EBCA"><enum>(i)</enum><text>availability of
adequate spaces and places for physical activity;</text>
</clause><clause id="H3510DCE3C67441B8916A793429C41B70"><enum>(ii)</enum><text>availability of,
and access to, high-quality physical activity and physical education programs;
and</text>
</clause><clause id="H3BAB2E4E282E48198DF5652D3C8CED91"><enum>(iii)</enum><text>the availability
of programs, activities, and leaders to educate about the importance of
physical activity for the community; and</text>
</clause></subparagraph></paragraph><paragraph id="HCC731CC27ACF4F179561BF0AAA70F43D"><enum>(2)</enum><text>additional
measurements to assist economically and culturally diverse communities in
examining the social determinants of health.</text>
</paragraph></subsection><subsection id="H61044ADA225743E4AECCEDC9FF65C601"><enum>(b)</enum><header>Guidance and
training</header><text>The Secretary shall provide guidelines and
recommendations to develop training on utilizing such tools.</text>
</subsection></section><section display-inline="no-display-inline" id="H48DA791F26314575BFA497123807F762" section-type="subsequent-section"><enum>302.</enum><header>Model communities of
play implementation grants</header>
<subsection id="H50E313374FF04BC9908ECACEE6F66916"><enum>(a)</enum><header>Program
Authorized</header>
<paragraph id="H6B4746A95BB446E4B80CD375F5CA9B3D"><enum>(1)</enum><header>In
general</header><text>The Secretary of Health and Human Services (hereafter in
this section referred to as the <quote>Secretary</quote>), acting through the
Director of the Centers for Disease Control and Prevention, shall award 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 increase—</text>
<subparagraph id="HB5DCCBFA079948A09FC296FE3EDAF8FB"><enum>(A)</enum><text>the physical
spaces and places available for physical activity;</text>
</subparagraph><subparagraph id="HDAF04D0DBE6F497B8D1681018673C543"><enum>(B)</enum><text>the opportunities
for children and families to participate in high-quality play, and the number
of children and families participating in high-quality play;</text>
</subparagraph><subparagraph id="HF0E9CEA5349F4441B8B70688C98063E8"><enum>(C)</enum><text>knowledge and
awareness about the importance of individuals achieving 60 minutes of
recommended physical activity every day; and</text>
</subparagraph><subparagraph id="H00A6362E04324E7EBF187A9F392A6CF5"><enum>(D)</enum><text>school siting
practices in which elementary and secondary schools are located within
neighborhoods to increase the likelihood of students walking and biking to
school.</text>
</subparagraph></paragraph><paragraph id="H60B3D3E1A8F34101B0B02986CFE0EC9D"><enum>(2)</enum><header>Amount of
grants</header><text>A grant awarded to a State health department under this
subsection shall be in the amount of $250,000 to $1,000,000.</text>
</paragraph></subsection><subsection id="H484EBF9C5A31438DB75F978638CFA1E7"><enum>(b)</enum><header>Application</header><text>A
State health department desiring a grant under subsection (a) shall submit an
application to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subsection><subsection id="H249B1369B3E3409DBD2263E456E0208A"><enum>(c)</enum><header>Coordination</header><text>In
awarding grants under subsection (a), the Secretary shall ensure that the
proposed programs assisted under each grant are coordinated in substance and
format with programs currently funded through other Federal departments and
agencies, including—</text>
<paragraph id="HF2032E93F5674904A1B6B51B17554AA7"><enum>(1)</enum><text>State-based
nutrition and physical activity programs, comprehensive school health education
programs, and community-based health and wellness programs of the Centers for
Disease Control and Prevention;</text>
</paragraph><paragraph id="HBF71A5C55F5745F883579C12FD66DBF5"><enum>(2)</enum><text>the physical
education programs under subpart 10 of part D of title V of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 7261 et seq.);</text>
</paragraph><paragraph id="H5C8DC86F143F4339B303F1B75701F85B"><enum>(3)</enum><text>the safe routes to
schools program under section 1404 of the Safe, Accountable, Flexible,
Efficient Transportation Equity Act: A Legacy for Users (23 U.S.C. 402 note);
and</text>
</paragraph><paragraph id="H9118C7E448E045BB977064E6FFBB75E0"><enum>(4)</enum><text>other health and
wellness programs operating within the community.</text>
</paragraph></subsection><subsection id="H9613316D773B4DD3A62D0EA377334F98"><enum>(d)</enum><header>Partnership With
Community Coalitions</header><text>A State health department receiving a grant
under subsection (a) shall use the majority of grant funds to carry out the
activities described in subsection (e) in partnership with 1 or more community
coalitions that meet all of the following requirements:</text>
<paragraph id="H376F06D5A9F3473CBE64F6C155068800"><enum>(1)</enum><text>The community
coalition is comprised of a representative sampling of community partners,
including not less than half of the following types of individuals and
entities:</text>
<subparagraph id="H653D6D4D65BD4098B6AA045884C32344"><enum>(A)</enum><text>A community-based
organization that focuses on children and youth, preventive health, physical
activity, or physical education.</text>
</subparagraph><subparagraph id="HF4EB795C586649B38DB500FF5951D650"><enum>(B)</enum><text>A local parks and
recreation department.</text>
</subparagraph><subparagraph id="H58D568EBCDAC4F5EB7615F7555C3B536"><enum>(C)</enum><text>A local health
department.</text>
</subparagraph><subparagraph id="H487B97EEF1EF47B690A4C76ED8C28905"><enum>(D)</enum><text>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 id="H96AC54FDAD6F4FDBA1E049631B752333"><enum>(E)</enum><text>A local city
planning agency.</text>
</subparagraph><subparagraph id="H2A65E740FBF54F60805A7F4BF7F6E893"><enum>(F)</enum><text>A local health
care provider.</text>
</subparagraph><subparagraph id="H464479C44F8743909333A848F8FDFDEB"><enum>(G)</enum><text>An institution of
higher education, as defined in section 101 of the Higher Education Act of 1965
(20 U.S.C. 1001).</text>
</subparagraph><subparagraph id="H8E8690B288D94207A634D0B61D78E0E2"><enum>(H)</enum><text>A tribal health
facility, where applicable.</text>
</subparagraph><subparagraph id="HA025CA60BB314AB3912EED9F06D89F83"><enum>(I)</enum><text>A tribal
educational agency, where applicable.</text>
</subparagraph><subparagraph id="H427E8C668D86424D8B885E00E9877E20"><enum>(J)</enum><text>A federally
qualified health center or rural health clinic (as such terms are defined in
section 1861(aa) of the Social Security Act (42 U.S.C. 1395x(aa)), where
applicable.</text>
</subparagraph><subparagraph id="H321201C366BA4C27B7246D3CBFBF3666"><enum>(K)</enum><text>A hospital.</text>
</subparagraph><subparagraph id="H4361373488F147EAB2CDBB9205288E98"><enum>(L)</enum><text>A faith-based
organization.</text>
</subparagraph><subparagraph id="H40E71D81CA9C408AB6420C3ED2A2940B"><enum>(M)</enum><text>A policymaker or
elected official.</text>
</subparagraph><subparagraph id="HBA4FA3112AF047828C8EB1E946A19AD2"><enum>(N)</enum><text>A community
planning organization.</text>
</subparagraph><subparagraph id="H9A8C6017C6DB4C4C96DE9471F1E8CBA2"><enum>(O)</enum><text>A business.</text>
</subparagraph></paragraph><paragraph id="H7FC227214B8B42C79C6602492E830613"><enum>(2)</enum><text>The community
coalition completed and submitted to the State health department—</text>
<subparagraph id="H04915491F2214321A4ABA4820EE59C6F"><enum>(A)</enum><text>an assessment tool
identified by the Secretary under section 301 for the community that identifies
the gaps and barriers to physical activity in the community to children and
youth; and</text>
</subparagraph><subparagraph id="HF770BA66649842C3AE8D654D90329219"><enum>(B)</enum><text>a community action
plan describing the programs, policies, and environmental change strategies
that will be implemented with grant funds to help children and youth in the
community reach the recommended 60 minutes of physical activity every
day.</text>
</subparagraph></paragraph><paragraph id="H1378093EAC9849C285358CF1B0EC4F28"><enum>(3)</enum><text>The community
coalition provided—</text>
<subparagraph id="HDE3A64F47A1B44858676F11EB974133C"><enum>(A)</enum><text>documentation to
the State health department on the manner in which the coalition will
coordinate with appropriate State and local authorities, including—</text>
<clause id="HA60982B513C44A4EADC91BFD48292705"><enum>(i)</enum><text>State or local
health departments;</text>
</clause><clause id="H1717A716A995407BB716B29BFBB93BE0"><enum>(ii)</enum><text>State educational
agencies or local educational agencies, as defined in section 9101 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801);</text>
</clause><clause id="H5EC026DC87634688BE97AF5DD35D7C7D"><enum>(iii)</enum><text>State or local
parks and recreation departments or associations;</text>
</clause><clause id="HFBB170883D8344358D29229CBEEA23E5"><enum>(iv)</enum><text>State or local
departments of transportation or city planning;</text>
</clause><clause id="H911E282C29BB46C9A852F776150BA132"><enum>(v)</enum><text>community
foundations; and</text>
</clause><clause id="HA383A84ACDE9405BBF07237F2EB20553"><enum>(vi)</enum><text>any
other entities determined to be appropriate by the Secretary; and</text>
</clause></subparagraph><subparagraph id="H7972D4795ADA42CD9049F1BF51285359"><enum>(B)</enum><text>a description of
the manner in which the coalition will evaluate the effectiveness of the
programs carried out with grant funds.</text>
</subparagraph></paragraph></subsection><subsection id="H438E1643D5CC461D9C54484E1D507587"><enum>(e)</enum><header>Authorized
Activities</header><text>A State health department that receives a grant under
subsection (a) shall use the majority of funds available through the grant to
carry out the following activities:</text>
<paragraph id="HB92D276A8E3D45F5AB5C5ABBDFD6C130"><enum>(1)</enum><text>Train
community-based coalitions on how to utilize assessment tools to measure the
program, policy, and environmental barriers to promoting lifelong physical
activity for youth.</text>
</paragraph><paragraph id="H330E10717DB94991A51DF7B4A959C196"><enum>(2)</enum><text>Work in
partnership with one or more community coalitions described in subsection (d)
to enable the coalitions to carry out the coalition’s community action plan and
promote a model community of play, which may include the following:</text>
<subparagraph id="H1D580E279E9A4C0ABC7E0535AC61908C"><enum>(A)</enum><text>Enabling the
maximum use of, or the creation of spaces and places for, physical activity for
children, families, and communities before, during, and after school or work,
which may include increasing the number of—</text>
<clause id="H02C1B0FB89CC4E96908AD69821955087"><enum>(i)</enum><text>programs that
increase the number of safe streets and sidewalks in the community to walk and
bike to school, work, or other community destinations, such as recreation
sites, parks, or community centers;</text>
</clause><clause id="HA2EE42F763BB476F8755B57F4D6B8CB6"><enum>(ii)</enum><text>schools,
faith-based organizations, and recreational facilities serving the community
that provide programming on physical activity and physical education before,
during, or after school;</text>
</clause><clause id="HC3AFEF654ED44A8C834E7D809870B09D"><enum>(iii)</enum><text>schools serving
the community that provide recess, physical education, and physical activity
for children and youth;</text>
</clause><clause id="HA119B16F5D9240F0B5453E81EF7EA7B0"><enum>(iv)</enum><text>day
care, child care, and after-school care sites in the community that provide
physical activity for children and youth;</text>
</clause><clause id="H0B983E57B3D34264A8610AD715AF9A56"><enum>(v)</enum><text>venues in the
community that provide co-curricular physical activity programs, including
sports fields and courts, especially venues for all-inclusive intramural
programs and physical activity clubs;</text>
</clause><clause id="HDA5168A6A1C04B77B8BDC784B72FB418"><enum>(vi)</enum><text>playgrounds and
activity sites in the community for young children, including sites that offer
programs that provide physical activity instruction that meets the various
needs and interests of all students, including those with illness, injury, and
physical and developmental disabilities, as well as those who live sedentary
lifestyles or have a disinterest in traditional team sports;</text>
</clause><clause id="H2A75ADF76C4F4993B7EEA7652B29E0C0"><enum>(vii)</enum><text>capital
improvement projects that increase opportunities for physical activity in the
community; and</text>
</clause><clause id="H5680E08ED4854804B62917BB9CACD250"><enum>(viii)</enum><text>networks of
walking and cycling trails where trails do not exist in the community, that
offer both a functional alternative to automobile travel and an opportunity for
exercise, recreation, and community connectedness.</text>
</clause></subparagraph><subparagraph id="H2BAB47FC61E74FF2B90A1CF6560E9366"><enum>(B)</enum><text>Enhancing
opportunities and access for children and youth in the community to participate
in high-quality physical activity and physical education programs before,
during, and after school, which may include increasing the number of—</text>
<clause id="HCB3EA00BD7854A80B4B4B00BD80F10CB"><enum>(i)</enum><text>school and
after-school care sites in the community that implement proven health
curricula, physical education (including developing innovative approaches to
teaching and staffing physical education), and physical activity
programming;</text>
</clause><clause id="HED0190E3E0C4417AB7F7630ED9F048A7"><enum>(ii)</enum><text>children and
youth in the community who are able to participate in physical education or
activity before, during, or after school, by ensuring that adequate equipment
is available to such children and youth;</text>
</clause><clause id="HEEEEAC9DFA9843A4AC755C6A562D555C"><enum>(iii)</enum><text>scholarships to
low-income children and youth for physical activity programs;</text>
</clause><clause id="H8D038E6DF2914829BD1F4D9F0FCC400F"><enum>(iv)</enum><text>education and
training programs for education, recreation, leisure, child care, and coaching
professionals regarding high-quality physical education and physical activity
programs and policies;</text>
</clause><clause id="HA831D35812934C9E9A5E85D09C3F03B9"><enum>(v)</enum><text>training programs
to assist physicians in—</text>
<subclause id="HBEBD74852DC74720A968BB7B649C3BE7"><enum>(I)</enum><text>carefully
communicating the results of body mass index (BMI) tests to parents and, in an
age-appropriate manner, to the children and youth themselves;</text>
</subclause><subclause id="HBDB1D2F8C4AD42CB9AB94A54D2B7C66A"><enum>(II)</enum><text>providing
information to families so they may make informed decisions about physical
activity and nutrition; and</text>
</subclause><subclause id="H398F2F94668D4CCCB33996A2BDFCD453"><enum>(III)</enum><text>explaining the
benefits associated with physical activity and the risks associated with
childhood overweight and obesity;</text>
</subclause></clause><clause id="H9698684F1280422D866DD281D0EBCF1E"><enum>(vi)</enum><text>assessment tools
used to measure the quality of physical activity, sports, and intramural sports
programs;</text>
</clause><clause id="HA07CEDB50C3A4404B3167664BD474342"><enum>(vii)</enum><text>guidelines and
informational materials used by teachers, parents, caregivers, and health-care
professionals who are interested in promoting physical activity for infants,
toddlers, and preschoolers; and</text>
</clause><clause id="H4C3CBCC1E8D34900AF81ABA6E3603CAD"><enum>(viii)</enum><text>guidelines and
informational materials used to promote—</text>
<subclause id="HCAACB78884AD4918A1854F87666DED23"><enum>(I)</enum><text>physical activity
with the intent of improving the current health, fitness, and wellness of
preadolescent children (ages 6 through 12); and</text>
</subclause><subclause id="HBCBDC611D55342AD9C81E5AC3ACBB7EE"><enum>(II)</enum><text>lifelong physical
activity.</text>
</subclause></clause></subparagraph><subparagraph id="H965B4EE44D224B8893847E1E5E76E477"><enum>(C)</enum><text>Identifying,
engaging, and mobilizing community leaders, decisionmakers, experts, and the
media to raise awareness and educate the public about the importance of
securing 60 minutes of physical activity every day, which may include
increasing the number of—</text>
<clause id="HE256A60843954B26BF568AEC3C0216A5"><enum>(i)</enum><text>school and
after-school care faculty and staff, including coaches, who serve as positive
role models for students regarding regular physical activity;</text>
</clause><clause id="H32066A5F8B4A4CB3AFDCC47AFA36CDF4"><enum>(ii)</enum><text>businesses that
serve as role models by providing physical space and incentives for employees
to participate in physical activity;</text>
</clause><clause id="H0276697B88D947C9A95885376F5BAD39"><enum>(iii)</enum><text>businesses that
serve as role models to communities by—</text>
<subclause id="H75E146B69CC04320B3D124545E88EE06"><enum>(I)</enum><text>providing support
to intramural teams, clubs, sports leagues, playgrounds, trails, biking and
walking paths, and fields and venues for sports, play, and physical
activity;</text>
</subclause><subclause id="H3FBE7B8CCD634453AD6FA063EC2E6DE5"><enum>(II)</enum><text>incorporating
built environment strategies into new construction of facilities;</text>
</subclause><subclause id="HCF2E939198D546069B3518E4F98893D1"><enum>(III)</enum><text>adopting safe
routes to school programs;</text>
</subclause><subclause id="HCCA24EBFE0AA418BAFCE0180CC5C2C71"><enum>(IV)</enum><text>providing bike
racks at the office; and</text>
</subclause><subclause id="H731F5FB7D91B4D4587E8FED518202F24"><enum>(V)</enum><text>encouraging the
use of the stairs;</text>
</subclause></clause><clause id="H330DD2A2EFE04F1582F590CB5A4A75BA"><enum>(iv)</enum><text>insurers that
cover obesity screening and prevention services in routine clinical
practice;</text>
</clause><clause id="HF8948FE56A044B1D9BA85BE47FDFDF4C"><enum>(v)</enum><text>groups
representing low-income individuals or individuals with disabilities, that can
promote and secure safer and more accessible sites for activity;</text>
</clause><clause id="HE63101AD2CAC45F4BF93A2EA728F9C35"><enum>(vi)</enum><text>consumer
research-driven marketing strategies for ongoing initiatives and interventions
that enhance physical activity for children and youth;</text>
</clause><clause id="H05BE7ACDEAA74627BE7D46F047F38E01"><enum>(vii)</enum><text>products and
opportunities provided or offered by leisure, entertainment, and recreation
industries that promote regular physical activity and reduce sedentary
behaviors;</text>
</clause><clause id="H38E71B8F2085464FAF997135ED1BE9BC"><enum>(viii)</enum><text>media advocacy
training programs for public health and exercise scientists so as to empower
the scientists to disseminate their knowledge to a broad audience; and</text>
</clause><clause id="H807E2E6EED954CEBB3CB0F6C3F147F0B"><enum>(ix)</enum><text>campaigns to
foster awareness about the health benefits of regular physical activity of not
less than 60 minutes a day for all children and youth.</text>
</clause></subparagraph></paragraph><paragraph id="H99CAAF1BD57E43B39218A9EE46B559B0"><enum>(3)</enum><text>Support the
evaluation of community action plans of community coalitions described in
subsection (d) and activities carried out pursuant to this Act.</text>
</paragraph></subsection><subsection id="H8770240C146B4855B56011605F3E42FB"><enum>(f)</enum><header>Definition</header><text>In
this section, the term <term>State</term> includes the District of Columbia and
any commonwealth, territory, or possession of the United States.</text>
</subsection><subsection id="H617380748DE94E6BBAE012013BF0DAFF"><enum>(g)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there are authorized to
be appropriated such sums as may be necessary for fiscal years 2011 through
2016.</text>
</subsection></section></subtitle><subtitle id="H3E1839C4A52947EFBA91510A9EBE9F2C"><enum>B</enum><header>Moving Outdoors in
Nature</header>
<section id="H51E47A89CCD4466CBEB64ABDD74193CA"><enum>311.</enum><header>Definitions</header><text display-inline="no-display-inline">In this subtitle:</text>
<paragraph id="HCB71198DFB0F414DBE5D35DB5FD6FD6D"><enum>(1)</enum><text>The term
<term>eligible entity</term> means—</text>
<subparagraph id="HF4022238F61843BEB50A709FA86F3312"><enum>(A)</enum><text>a State, city,
county, municipality, entity of local government, park and recreation
department or district, school district, institution of higher education, or
nonprofit organization; or</text>
</subparagraph><subparagraph id="HADBBAD2122D54E7D8F889D39476BFA23"><enum>(B)</enum><text>a consortium of
entities specified in subparagraph (A).</text>
</subparagraph></paragraph><paragraph id="HF735D9193BF3459EA71A2A28808A530A"><enum>(2)</enum><text>The term
<term>Secretary</term> means the Secretary of the Interior.</text>
</paragraph><paragraph id="H7C0C10C3409D401891AB75342E62A136"><enum>(3)</enum><text>The term
<term>State</term> means any of the several States, the District of Columbia,
the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam,
American Samoa, the Commonwealth of the Northern Mariana Islands, any other
territory or possession of the United States, or any Indian tribe.</text>
</paragraph></section><section id="H6C72AE5D6F0B4FF19E1F2249ECD24803"><enum>312.</enum><header>Grants for
development or implementation of Moving Outdoors in Nature Strategies</header>
<subsection id="H163FAD5FA4A044CDA132D14416503C83"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary may
award competitive grants or cooperative agreements to States, or other eligible
entities in lieu of a State, to develop and implement a 5-year strategy, to be
known as a Moving Outdoors in Nature State Strategy, for connecting children
and families with the outdoors.</text>
</subsection><subsection id="H5E0C0A6235C84E47B5AE7ECF313A68F3"><enum>(b)</enum><header>Submission and
approval of strategies</header>
<paragraph id="HDBBEA9618230478CB5286F9CDCEBCDBE"><enum>(1)</enum><header>Applications</header><text>An
application for a grant under subsection (a) shall—</text>
<subparagraph id="H7A6AA1C480034EF3919040B523EAEC5D"><enum>(A)</enum><text>be submitted not
later than 120 days after the Secretary publishes guidelines under subsection
(g)(1); and</text>
</subparagraph><subparagraph id="H33C6358063BC4D999336FF7F915C7D24"><enum>(B)</enum><text>include a Moving
Outdoors in Nature State Strategy meeting the requirements of subsection (c) or
a proposal for development and submission of such a strategy.</text>
</subparagraph></paragraph><paragraph id="HBBDE5A145B92464A86BE8CA7EC7321B6"><enum>(2)</enum><header>Approval of
strategy; peer review</header><text display-inline="yes-display-inline">Not
later than 90 days after submission of a Moving Outdoors in Nature State
Strategy, the Secretary shall approve or recommend changes to the strategy. The
Secretary shall carry out the preceding sentence through a peer review process
that includes participation from Federal, State, and local government and
nongovernmental organizations.</text>
</paragraph><paragraph id="H3949C9ADA8FA4E7C8B49B0B7CE611893"><enum>(3)</enum><header>Strategy
update</header><text display-inline="yes-display-inline">An eligible entity
receiving funds under this subtitle shall update its Moving Outdoors in Nature
State Strategy not less than every 5 years to reflect any changes and
modifications.</text>
</paragraph></subsection><subsection id="H365E126AFA0A46918736DAAC506B25F9"><enum>(c)</enum><header>Comprehensive
strategy requirements</header><text display-inline="yes-display-inline">The
Secretary may approve a Moving Outdoors in Nature State Strategy under
subsection (b)(2) only if the strategy includes the following:</text>
<paragraph id="HB8422CC5F0A44B8986BAB8979AADE5C9"><enum>(1)</enum><text>A
description of how the eligible entity will connect children, youth, and
families to the great outdoors through State and local—</text>
<subparagraph id="HAE087664B925487EA10F0C5E3C5E124D"><enum>(A)</enum><text>public health
systems;</text>
</subparagraph><subparagraph id="H595BA3C0C1354E548C88A4A08E8A674E"><enum>(B)</enum><text>public parks and
recreation systems;</text>
</subparagraph><subparagraph id="H8813B4C2DEE64ADBA7C1A2958D270A1D"><enum>(C)</enum><text>public
transportation and city planning systems; and</text>
</subparagraph><subparagraph id="H537465E3D1154CF08EF05073738A69C5"><enum>(D)</enum><text>other public
systems that connect children, youth, and families to the great
outdoors.</text>
</subparagraph></paragraph><paragraph id="HF7FA6D678891487FA51819AE7A4A62AB"><enum>(2)</enum><text>A
description of how the eligible entity will connect existing governmental
systems to networks of nongovernmental partner organizations serving children,
youth, and families.</text>
</paragraph><paragraph id="H20433651589E40B59AAE4C2205B2FA17"><enum>(3)</enum><text>A
description of how State agencies, such as State departments of health, natural
resources, environmental quality, fish and wildlife, national guard, and
transportation, will collaborate with each other and with nongovernmental
organizations and local agencies to implement the strategy.</text>
</paragraph><paragraph id="HAD5C8452B52B4A83BFBD28A55CCE28F8"><enum>(4)</enum><text>A
description of how funding will be spent through local planning and
implementation grants under subsection (d).</text>
</paragraph><paragraph id="H8CC4E161AAE747B990797F32BC641044"><enum>(5)</enum><text>A
description of how the eligible entity will evaluate the effectiveness of, and
measure the impact of, the strategy.</text>
</paragraph><paragraph id="H5AB352E01D3C46078CA70E1FF1C33DA2"><enum>(6)</enum><text>A
description of how the eligible entity will provide opportunities for public
involvement in developing and implementing the strategy through a public
comment period, public hearings, or other means.</text>
</paragraph></subsection><subsection id="HC4C45FFFC0134BD283676E53A6CEC2B1"><enum>(d)</enum><header>Local planning
and implementation</header>
<paragraph id="H56EBF2942D5C40B9AE846FDEB013AA32"><enum>(1)</enum><header>In
general</header><text>A Moving Outdoors in Nature State Strategy shall provide
for—</text>
<subparagraph id="H0A55FAA0F6084FD6BBB7AA31837417A9"><enum>(A)</enum><text>local planning;
and</text>
</subparagraph><subparagraph id="H61DE9D9844644B8CBB702CB13187B386"><enum>(B)</enum><text>subgrants by the
eligible entity receiving a grant under subsection (a) to local eligible
entities to implement the strategy through one or more of the activities
described in paragraph (2).</text>
</subparagraph></paragraph><paragraph id="H7D003CEB67CC42BBBA81EB6903E8B47E"><enum>(2)</enum><header>Program
activities</header><text>The activities described in this paragraph are the
following:</text>
<subparagraph id="H98281DAD805E4E52895B8E3C8057D2EC"><enum>(A)</enum><text>Outdoor recreation
programs and activities that engage children, youth, and families in healthy,
active time outdoors through camping, hiking, hunting, fishing, archery,
recreational shooting, wildlife watching, and other recreational activities
that teach skills for lifelong participation in outdoor activities.</text>
</subparagraph><subparagraph id="H9A7326E4EFBA4796BBF759C007A9AFF2"><enum>(B)</enum><text>Public health
initiatives to educate parents and caregivers about the health benefits of
active time outdoors to fight obesity and increase the quality of life for
children, youth, and families.</text>
</subparagraph><subparagraph id="HFE374E96D3414142BC17526C38729BBA"><enum>(C)</enum><text>Creation of
natural play areas within communities, as defined by nationally recognized
guidelines, to provide opportunities for safe outdoor play in natural
environments at daycare and afterschool child care sites, schools, parks,
recreation centers, camps, libraries, military installations, and other
areas.</text>
</subparagraph><subparagraph id="H38E10B69F48B4171878D3B1CD9CF70ED"><enum>(D)</enum><text>Development of
trails and greenways to safely connect parks and outdoor recreation areas with
military installations, daycare and afterschool child care sites, schools, and
communities through trail systems that encourage walking, biking, and increased
time outdoors by children, youth, and families.</text>
</subparagraph><subparagraph id="HE7B9A81A26854DA0BF8F405238CFB4C4"><enum>(E)</enum><text>Creation of
outdoor learning environments such as schoolyard, community, or backyard
wildlife habitats or gardens.</text>
</subparagraph><subparagraph id="H37FBCBE8E5E14EFB91E01E1F68D7932F"><enum>(F)</enum><text>Environmental,
sustainability, and conservation education and interpretation programs and
activities that engage children, youth, and families in learning and physical
activity in the outdoors.</text>
</subparagraph><subparagraph id="H60CBB8EC165C40EBB9AC4291CECDCF6B"><enum>(G)</enum><text>Service learning
and volunteer opportunities to help restore natural areas, maintain
recreational assets, and engage children, youth, and families in the
outdoors.</text>
</subparagraph><subparagraph id="HCF70F01FE2014EDB900FED5551535222"><enum>(H)</enum><text>Promotional
activities that promote the benefits of time spent outdoors and invite
children, youth, and families to enjoy the great outdoors by visiting nearby
public and private lands.</text>
</subparagraph><subparagraph id="H44E72A17F845403E9E22BBD0BABE4A9A"><enum>(I)</enum><text>Initiatives that
engage health professionals, pediatricians, educators, daycare instructors,
afterschool program providers, camp directors, community planners, local
planning commissions, homeowners’ associations, environmental professionals,
military, law enforcement, and business leaders in identifying innovative
solutions to connecting children, youth, and families with nature.</text>
</subparagraph></paragraph></subsection><subsection id="H29C4164C9C43411AA10BB55803398477"><enum>(e)</enum><header>Priority</header><text>In
making grants under subsection (a) and subgrants under subsection (d)(1)(B),
the Secretary and the recipient of a grant under subsection (a) shall give
preference to eligible entities that serve individuals who have limited
opportunities to experience nature, including those who are socioeconomically
disadvantaged or have a disability.</text>
</subsection><subsection id="HCBD8DD59E5C04F9A9981D5A6E08101CC"><enum>(f)</enum><header>Administrative
expenses</header><text>An eligible entity receiving a grant under subsection
(a) may not use more than 5 percent of the grant funds for administrative
expenses.</text>
</subsection><subsection id="H8F2A83171FC640BD8B9381B96E09174A"><enum>(g)</enum><header>Guidelines</header><text>Not
later than 180 days after the enactment of this Act, and after notice and
opportunity for public comment, the Secretary shall publish in the Federal
Register guidelines on the implementation of this subtitle, including
guidelines for—</text>
<paragraph id="H042ED5DE83FA459CADAFF17D8A9204D7"><enum>(1)</enum><text>developing and
submitting strategies under subsection (b); and</text>
</paragraph><paragraph id="HA035B343E4294EAB97EE077B4526CD1D"><enum>(2)</enum><text>technical
assistance and dissemination of best practices under section 314.</text>
</paragraph></subsection><subsection id="H23CC3547630E46AEB8EA7481A9FE519C"><enum>(h)</enum><header>Reporting</header><text display-inline="yes-display-inline">Not later than 2 years after the Secretary
approves the Moving Outdoors in Nature State Strategy of an eligible entity
receiving funds under this subtitle, and every year thereafter, the entity
shall submit to the Secretary a report on the implementation of the strategy
based on the entity’s evaluation and assessment of meeting the goals specified
in the strategy.</text>
</subsection></section><section id="HB6F2A84B8D874606BD6A887107345F65"><enum>313.</enum><header>National
evaluation of health impacts</header><text display-inline="no-display-inline">The Secretary shall enter into an agreement
with the Secretary of Health and Human Services and the Director of the Centers
for Disease Control and Prevention for—</text>
<paragraph id="HAF045CBA4A814C349E6B7DE8AE0CF0D8"><enum>(1)</enum><text>the development of
recommendations for appropriate evaluation measures and criteria for developing
a study of national significance on the health impacts of the programs under
this subtitle; and</text>
</paragraph><paragraph id="H82FB5AD0ACC04E28B7C92CA5232A7AA6"><enum>(2)</enum><text>the administration
of such a study.</text>
</paragraph></section><section id="HFD30FE08C5BC4F9E99169B569768A2B2"><enum>314.</enum><header>Technical
assistance and best practices</header><text display-inline="no-display-inline">The Secretary shall—</text>
<paragraph id="HAC231412BB9D494BB4EC86786B7E6585"><enum>(1)</enum><text>provide technical
assistance to grantees under section 312, including training and technical
assistance through national organizations with a proven track record of
connecting children to the great outdoors; and</text>
</paragraph><paragraph id="H93D5036B47DF4F5281096184764F0ACE"><enum>(2)</enum><text display-inline="yes-display-inline">disseminate best practices that emerge from
strategies funded under this subtitle.</text>
</paragraph></section><section id="H6041DFE6FF2D4E71B0A57236F82E29C7"><enum>315.</enum><header>Authorization
of appropriations</header>
<subsection id="H3AEA19ED34D34B38B74519539C07B325"><enum>(a)</enum><header>In
general</header><text>There are authorized to be appropriated to the Secretary
to carry out this subtitle—</text>
<paragraph id="HDB664CBBE4684D6C9D1422A49CF72A97"><enum>(1)</enum><text>$15,000,000 for
fiscal year 2011;</text>
</paragraph><paragraph id="HE47ADD04F35E4A81857824EF221E2930"><enum>(2)</enum><text>$50,000,000 for
fiscal year 2012;</text>
</paragraph><paragraph id="H814B16B263BB41069AF86E07334EF907"><enum>(3)</enum><text>$100,000,000 for
fiscal year 2013; and</text>
</paragraph><paragraph id="H80F0267EB8B348999890F81D87522400"><enum>(4)</enum><text>such sums as may
be necessary for subsequent fiscal years.</text>
</paragraph></subsection><subsection id="HA154AEAC2686497586DEE63E8DAB1B0F"><enum>(b)</enum><header>Limitation</header><text>Of
the amounts made available to carry out this subtitle for a fiscal year, not
more than 5 percent may be made available for carrying out section 314.</text>
</subsection></section></subtitle><subtitle id="HAC11993982E740678123B469033FAF09"><enum>C</enum><header>Other
provisions</header>
<section commented="no" id="HCCE1C1B408EA43C0B3810BC78E4D4FC5" section-type="subsequent-section"><enum>321.</enum><header>Authorization of
appropriations for Carol M. White Physical Education Program</header><text display-inline="no-display-inline">Subpart 10 of part D of title V of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7261 et seq.) is
amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HC308E86104E048DAA80C021539BC7103" style="OLC">
<section commented="no" id="HD4A81B2BE5B4413DABEB1DBB375ED892"><enum>5508.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">There are
authorized to be appropriated to carry out this subpart—</text>
<paragraph commented="no" id="H6ACEEF1199F54E92B5E3518DA786B361"><enum>(1)</enum><text>$100,000,000 for
fiscal year 2011;</text>
</paragraph><paragraph commented="no" id="H39BEA904190448AAB074B55890A20503"><enum>(2)</enum><text display-inline="yes-display-inline">$110,000,000 for fiscal year 2012;</text>
</paragraph><paragraph commented="no" id="HF8F7E0F5DBDD4AE2B716AEFB19AB4AED"><enum>(3)</enum><text>$120,000,000 for
fiscal year 2013;</text>
</paragraph><paragraph commented="no" id="H51B84882E7DB47818B5355A141A0583F"><enum>(4)</enum><text>$130,000,000 for
fiscal year 2014;</text>
</paragraph><paragraph commented="no" id="H2164F8757887481C873520962F092FDD"><enum>(5)</enum><text>$140,000,000 for
fiscal year 2015; and</text>
</paragraph><paragraph commented="no" id="HBAFA881CD5A548889F7AFF13F6C3F707"><enum>(6)</enum><text>$150,000,000 for
fiscal year
2016.</text>
</paragraph></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H02E4446982A64053883E9C925AB9A374"><enum>322.</enum><header>Physical
education guidelines for elementary and secondary schools</header><text display-inline="no-display-inline">The Secretary of Health and Human Services,
acting through the Director of the Centers for Disease Control and
Prevention—</text>
<paragraph id="H5EE5684039DA4520BA15C6A9DC1BA133"><enum>(1)</enum><text>not later than 1
year after the date of the enactment of this Act, shall issue and make
available to the public guidelines for physical education in elementary and
secondary schools; and</text>
</paragraph><paragraph id="HFB142FAD9AF04806B370F0183F85BDFC"><enum>(2)</enum><text display-inline="yes-display-inline">not less than every 5 years thereafter,
update such guidelines as appropriate.</text>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="HFB0C97433A9646BB98908FCF83DE3183" section-type="subsequent-section"><enum>323.</enum><header>Treating physical
education as a core academic subject for elementary and secondary education
grants</header><text display-inline="no-display-inline">Section 9101(11) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801(11)) is amended
by inserting <quote>physical education,</quote> after
<quote>arts,</quote>.</text>
</section><section display-inline="no-display-inline" id="H5E894A22B60E477F9DEDCE73218BE2AC" section-type="subsequent-section"><enum>324.</enum><header>Physical activity
guidelines for preschool children</header><text display-inline="no-display-inline">Not later than 1 year after the date of the
enactment of this Act, the Secretary of Health and Human Services, acting
through the Centers for Disease Control and Prevention, shall—</text>
<paragraph id="H950640D10586472094E2A926417B213A"><enum>(1)</enum><text>issue physical
activity guidelines for preschool children,</text>
</paragraph><paragraph id="HC1486D4AACC343E0863F840C7C61D5BB"><enum>(2)</enum><text>make such
guidelines available to the public, and</text>
</paragraph><paragraph id="H81C268E407BF4BACB57AB2290FE3AE67"><enum>(3)</enum><text>make a
recommendation to each Head Start agency that such agency implement such
guidelines as appropriate in the Head Start program carried out by such
agency.</text>
</paragraph></section><section commented="no" id="H7503DF65CC604E1C8D030CD4D6745A98"><enum>325.</enum><header>Tracking
physical activity in schools</header>
<subsection commented="no" display-inline="no-display-inline" id="H519EBBE257D4481F89092325384668AD"><enum>(a)</enum><header>Report
cards</header><text>Section 1111(h) of the Elementary and Secondary Education
Act of 1965 (20 U.S.C. 6311(h)) is amended—</text>
<paragraph commented="no" id="H66E3006343874C878B51F49E3926ED0E"><enum>(1)</enum><text>in paragraph
(1)(C)—</text>
<subparagraph commented="no" id="HFE1B887552F84D0CAB2E47C3A0DE2C03"><enum>(A)</enum><text>in clause (vii),
by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph commented="no" id="HB50991702B824E419AA14571C3F9B4B8"><enum>(B)</enum><text>in clause (viii),
by striking the period at the end and inserting a semicolon; and</text>
</subparagraph><subparagraph commented="no" id="HE7DA9F0849D142959DA41D9F9909EEC2"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="HC9CCDC3A181241E1A37FBDB9A46FDF9D" style="OLC">
<clause commented="no" id="H1B98FC693A3E4EF9B69ADC13A2CCC77C"><enum>(ix)</enum><text>the amount of
time students spend in required physical education as measured against the
national standards of 150 minutes per week of required physical education for
students in elementary school and 225 minutes per week of required physical
education for students in middle school and secondary school;</text>
</clause><clause commented="no" id="H8D981C2B4F34460098649F628E105C0C"><enum>(x)</enum><text display-inline="yes-display-inline">the percentage of local educational
agencies in the State that have a required, age-appropriate physical education
curriculum for all students in elementary schools, middle schools, and
secondary schools that adheres to national guidelines adopted by the Centers
for Disease Control and Prevention and State standards;</text>
</clause><clause commented="no" id="H6DCF245D6FA940D08F0CF396F744296B"><enum>(xi)</enum><text display-inline="yes-display-inline">the percentage of elementary school and
secondary school physical education teachers who are State licensed or
certified as physical education teachers; and</text>
</clause><clause commented="no" id="HF82A9668E8D041B4B563C6EB8BA32844"><enum>(xii)</enum><text>the percentage
of schools that have a School Health Council that includes parents, students,
representatives of the school food authority, representatives of the school
board, school administrators and members of the public and that meets monthly
to promote a healthy school
environment.</text>
</clause><after-quoted-block>;</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H8390E1B717B04E9E95E033EE379A03B1"><enum>(2)</enum><text>in paragraph
(2)(B)(i)—</text>
<subparagraph commented="no" id="H0A7A0340070447C2AC5602BB3904265C"><enum>(A)</enum><text>in subclause (I),
by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph commented="no" id="H374471ED0FBA4B4D91938ECAA1CA3928"><enum>(B)</enum><text>in subclause (II),
by striking <quote>and</quote> after the semicolon; and</text>
</subparagraph><subparagraph commented="no" id="H3F24BCE0ED744B5FBAB310104FB80ECB"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H0A1635212A154F2789CB861B271560FB" style="OLC">
<subclause commented="no" id="HC43F9AFFC4CA4E3B84B5AFA7A712C7CA"><enum>(III)</enum><text>the percentage
of elementary school and secondary school physical education teachers who are
State certified as physical education teachers; and</text>
</subclause><subclause commented="no" id="H38148906E0254EA6B480C7B1DC7DA74D"><enum>(IV)</enum><text display-inline="yes-display-inline">the amount of square feet of indoor and
outdoor facilities that are primarily used for physical education and the
amount of square feet of indoor and outdoor facilities that are primarily used
for physical activity; and</text>
</subclause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H5DE4659B6C2C4A73B5E1468886D1BA90"><enum>(3)</enum><text>in paragraph
(2)(B)(ii)—</text>
<subparagraph commented="no" id="H9E17BD39A9F747339D33D26B56F34751"><enum>(A)</enum><text>in subclause (I),
by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph commented="no" id="H834A7D6CBE3B4707A09F638F3768573B"><enum>(B)</enum><text>in subclause (II),
by striking the period at the end and inserting a semicolon; and</text>
</subparagraph><subparagraph commented="no" id="H16C39C3575C849958DEEFC3B343A4B3C"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H0A0585B900B24E748C7753F7793ABA28" style="OLC">
<subclause commented="no" id="H5CA9D72376434AB8B2C79726ADD6210D"><enum>(III)</enum><text display-inline="yes-display-inline">the percentage of elementary school and
secondary school physical education teachers who are State certified as
physical education teachers; and</text>
</subclause><subclause commented="no" id="HAD5E37DBA3C244BA86A807047787BA08"><enum>(IV)</enum><text display-inline="yes-display-inline">the number of meetings of a School Health
Council that includes parents, students, representatives of the school food
authority, representatives of the school board, school administrators and
members of the public during the school
year.</text>
</subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H319AF461AB02446DAC472D06A58EEC4F"><enum>(b)</enum><header>Promoting
physical education and activity in school programs</header>
<paragraph commented="no" id="HB6EDFBA8721A4BA6AAA99595F6DE4BF0"><enum>(1)</enum><header>Elementary and
secondary school counseling programs</header><text>Section 5421 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7245) is
amended—</text>
<subparagraph commented="no" id="H6D08E92C64794321ABC131AE24816818"><enum>(A)</enum><text>in subsection
(b)(2)(H), by inserting <quote>, which design and implementation shall take
into consideration the overall emotional and physical well-being of
students</quote> after <quote>the program</quote>; and</text>
</subparagraph><subparagraph commented="no" id="H76777432D7B947FC91E44CD48B4FB365"><enum>(B)</enum><text>in subsection
(c)(2)(E), by inserting <quote>health, the importance of regular physical
activity,</quote> after <quote>relationships,</quote>.</text>
</subparagraph></paragraph><paragraph commented="no" id="H957E3CE2FA6E4867B681F14E439FB89D"><enum>(2)</enum><header>Smaller learning
communities</header><text display-inline="yes-display-inline">Section 5441(b)
of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7249(b)) is
amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H606A1FC4FF434552A37F1F46521A22CF" style="OLC">
<paragraph commented="no" id="H28D391D7325047BEAB07A8E114398B14"><enum>(14)</enum><text>How the local
educational agency will ensure that smaller learning communities support
healthy lifestyles including participation in physical education and physical
activity by all students and access to nutritious food and nutrition
education.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H0E496E0656AD42988D322843D9940209"><enum>(3)</enum><header>21st Century
Community Learning Centers</header>
<subparagraph commented="no" id="H73513EE6F1E14B8690BB5D2FFD1A5F3A"><enum>(A)</enum><header>Purpose;
definitions</header><text>Section 4201 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7171) is amended—</text>
<clause commented="no" id="HD2FE808CBBCE44A88B7898205001D716"><enum>(i)</enum><text>in subsection
(a)(2), by inserting <quote>nutrition education programs, structured physical
activity programs,</quote> after <quote>recreation programs,</quote>;
and</text>
</clause><clause commented="no" id="H075F7D3936144E03B165FA2F24874A94"><enum>(ii)</enum><text>in subsection
(b)(1)(A), by inserting <quote>nutrition education, structured physical
activity,</quote> after <quote>recreation,</quote>.</text>
</clause></subparagraph><subparagraph commented="no" id="H72A76913A8E941E59A086B9F8D0F76BB"><enum>(B)</enum><header>Local
competitive grant program</header><text>Section 4204(b)(2) of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 7174(b)(2))—</text>
<clause commented="no" id="H97EEEEDAA07F40EBBB9D19F6A45A37D5"><enum>(i)</enum><text>in subparagraph
(M), by striking <quote>and</quote> after the semicolon;</text>
</clause><clause commented="no" id="HDCAF5DC8586B465CBAB395AA31043888"><enum>(ii)</enum><text>by redesignating
subparagraph (N) as subparagraph (O); and</text>
</clause><clause commented="no" id="H1FDE2E534B344FD9A48D2D6E43AA170F"><enum>(iii)</enum><text>by inserting
after subparagraph (M) the following:</text>
<quoted-block display-inline="no-display-inline" id="HECBA0630F84C41ACB60A4D801DFD320A" style="OLC">
<subparagraph commented="no" id="HD2F2454641554268A880622178915839"><enum>(N)</enum><text display-inline="yes-display-inline">an assurance that the proposed program is
coordinated with the physical education and health education programs offered
during the school day;
and</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="H4DE8B0D2CA774B71AA9D620E2C28F04A"><enum>(C)</enum><header>Local
activities</header><text>Section 4205(a) of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7175(a))—</text>
<clause commented="no" id="H7E6D5C77C9284360B131604EADF04968"><enum>(i)</enum><text>in paragraph (11),
by striking <quote>and</quote> after the semicolon;</text>
</clause><clause commented="no" id="H8C5DBE4B93564D7B8081848974CE5132"><enum>(ii)</enum><text>in paragraph
(12), by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</clause><clause commented="no" id="HDF4CC46243954C4A9E817204952F3BCB"><enum>(iii)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H94EC234A7E4243C8B602DD169633D4F6" style="OLC">
<paragraph commented="no" id="HED809A953BFB4554B0A0B42DAD95315C"><enum>(13)</enum><text>programs that
support a healthy, active lifestyle, including nutritional education and
regular, structured physical activity
programs.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph commented="no" id="HF3618DF83FE24C8BAD0BCE7B11CCB2E2"><enum>(4)</enum><header>Parental
involvement</header><text>Section 1118 of the Elementary and Secondary
Education Act of 1965 is amended—</text>
<subparagraph commented="no" id="H5FB2CD8702304B48B72D05FB36EF2C8E"><enum>(A)</enum><text>in subsection
(a)(2)—</text>
<clause commented="no" id="HA00568FC83CB4B158744B227BAEBD34D"><enum>(i)</enum><text>in subparagraph
(E), by striking <quote>and</quote> at the end;</text>
</clause><clause commented="no" id="H0E793037BEEE4E8DA05D3BCEDF80DEF4"><enum>(ii)</enum><text>by redesignating
subparagraph (F) as subparagraph (G); and</text>
</clause><clause commented="no" id="H1B4AF6BEA5B54CA0A259C8A30398CCD5"><enum>(iii)</enum><text>by inserting
after subparagraph (E) the following:</text>
<quoted-block display-inline="no-display-inline" id="HEAA829D1176D46999B56BA57EBFDEE0A" style="OLC">
<subparagraph commented="no" id="HC922E30229E9443BB6DB7B9A80DB147A"><enum>(F)</enum><text>involve and train
parents in encouraging and supporting a healthy and active lifestyle, including
increased physical activity during and outside the school day, and nutritional
eating habits in the home and at school;
and</text>
</subparagraph><after-quoted-block>;</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="HCA7B95EEF8BD4E2A8445AF782209249D"><enum>(B)</enum><text>in subsection
(d)—</text>
<clause commented="no" id="H23586D4A4DD04242ACAE784D2CE6027D"><enum>(i)</enum><text>in the subsection
heading, by inserting after <quote><header-in-text level="subsection" style="OLC">Achievement</header-in-text></quote> the following:
<quote><header-in-text level="subsection" style="OLC">by Healthy, Active
Students</header-in-text></quote>;</text>
</clause><clause commented="no" id="H1B915EDA86C8486FB8968E05B7A43167"><enum>(ii)</enum><text>in the matter
preceding paragraph (1), by striking <quote>standards.</quote> and inserting
<quote>standards and to ensure that the children lead healthy, active
lives.</quote>; and</text>
</clause><clause commented="no" id="HAEFBE689133542E38BE81635F8A6C55A"><enum>(iii)</enum><text>in paragraph
(1)—</text>
<subclause commented="no" id="H8F3DF3A6373540FB8C497BE16FD25F2C"><enum>(I)</enum><text>by inserting after
<quote>supportive</quote> the following: <quote>, healthy,</quote>;</text>
</subclause><subclause commented="no" id="HB01D7F08FCEF423B92F01E982F99B8C9"><enum>(II)</enum><text>by striking
<quote>; and participating</quote> and inserting <quote>;
participating</quote>; and</text>
</subclause><subclause commented="no" id="HAFF790A51004490E9678AD3EDA6BBB44"><enum>(III)</enum><text>by inserting
after <quote>extracurricular time</quote> the following: <quote>and supporting
their children in leading a healthy and active life, such as by providing
healthy meals and snacks, encouraging participation in physical education, and
sharing in physical activity outside the school day</quote>; and</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="H2521A2E794664270A7069C9E6C51664C"><enum>(C)</enum><text>in subsection
(e)—</text>
<clause commented="no" id="H40D4C7F9117E44ACB66B2DFC2EFF0717"><enum>(i)</enum><text>by redesignating
paragraphs (6) through (14) as paragraphs (7) through (15), respectively;
and</text>
</clause><clause commented="no" id="HE2137070ED3143E29E41FF12AE6543D3"><enum>(ii)</enum><text>by inserting
after paragraph (5) the following:</text>
<quoted-block display-inline="no-display-inline" id="H4082B2D43F5E454BB0BAE019AF2E921B" style="OLC">
<paragraph commented="no" id="HB75BAF4B93074AA1B12BA41CBABAD643"><enum>(6)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="HE6EE6C354EE642B5A678997D6D3ACBD7"><enum>(A)</enum><text>shall ensure that
parents and teachers have information about the importance of a healthy
lifestyle, including nutritional eating habits, physical education, and
physical activity, to an effective learning environment; and</text>
</subparagraph><subparagraph commented="no" id="H8735C737CAE54046B48EACBECE54116D" indent="up1"><enum>(B)</enum><text>shall coordinate activities with
parents and teachers to ensure that children are provided with nutritious meals
and snacks, and have ample opportunities for physical education and physical
activity during and outside the school
day;</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H17403809B6424C7283BF542EC43B06C7"><enum>(c)</enum><header>Professional
development for teachers and principals</header>
<paragraph commented="no" id="H9FD76787DF02455E8E36C2F2967CE7F5"><enum>(1)</enum><header>State
applications</header><text>Section 2112(b) of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 6612(b)) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="HAB91A7AA64444C029EC5BB7CB6A924DB" style="OLC">
<paragraph commented="no" id="H81808AB9CA854DE0A268AB5318A32B19"><enum>(13)</enum><text>A description of
how the State educational agency will use funds under this part to provide
professional development that is directly related to the fields of physical
education and health education to physical education teachers and health
education teachers to ensure that children are leading healthy, active
lifestyles that are conducive to effective
learning.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="HF33D115711F84FC887DA77F8B01F3A5C"><enum>(2)</enum><header>State use of
funds</header><text>Section 2113(c)(6) of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 6613(c)(6)) is amended—</text>
<subparagraph commented="no" id="HBAC615B8B30B4A75AFB8046C8901A73D"><enum>(A)</enum><text>by striking
<quote>, in cases in which a State educational agency determines support to be
appropriate,</quote>; and</text>
</subparagraph><subparagraph commented="no" id="HC40FCB0CB8BE4588969B783F5F377C59"><enum>(B)</enum><text>by inserting
<quote>, physical education teachers, and health education teachers</quote>
after <quote>pupil services personnel</quote>.</text>
</subparagraph></paragraph><paragraph commented="no" id="HC89A18D34C30400CAC4AC21702A51376"><enum>(3)</enum><header>Local
applications and needs assessment</header><text>Section 2122(b)(9) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 6622(b)(9)) is
amended—</text>
<subparagraph commented="no" id="H32B5262AACB44070A76654402D13537B"><enum>(A)</enum><text>in subparagraph
(C), by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph commented="no" id="HD9B0199AE2C64346B5DD29DAB25B7F9D"><enum>(B)</enum><text>in subparagraph
(D), by striking the period at the end and inserting <quote>; and</quote>;
and</text>
</subparagraph><subparagraph commented="no" id="H4127A3FCA485448996C90988E6944C4E"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H04517BC828304CD3932C654B9CA10079" style="OLC">
<subparagraph commented="no" id="HC77C8D2D143C4DCE8FBC22B9CCE1C763"><enum>(E)</enum><text>improve the health
and eating habits of students and increase rates of physical activity of
students.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="HB8356B460A2A4C0883E32A970D311D90"><enum>(4)</enum><header>Local use of
funds</header><text>Section 2123(a)(3) of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 6623(a)(3)) is amended—</text>
<subparagraph commented="no" id="H2D536A953B2B4CD4ACB400CF12889FC0"><enum>(A)</enum><text>in subparagraph
(A)—</text>
<clause commented="no" id="H10A6F8BBE67041C0ADBB8D1CD8598282"><enum>(i)</enum><text>in clause (i), by
striking <quote>and</quote> after the semicolon; and</text>
</clause><clause commented="no" id="H27744A3C7EAE4B509E937764E268D4F0"><enum>(ii)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="HB6371A009F4F449C9A1D21D4B8B55330" style="OLC">
<clause commented="no" id="HC0EF9AF698AA41DAAF7DF677042EAD77"><enum>(iii)</enum><text>effective
strategies for improving the healthy habits of students and the rates of
physical activity by students that result in the ability to learn more
effectively; and</text>
</clause><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph commented="no" id="H19B1B945C1154096A7282C7F360E253B"><enum>(B)</enum><text>in subparagraph
(B)—</text>
<clause commented="no" id="H22B9806F3BB5422A8DC4F529C4D58255"><enum>(i)</enum><text>in clause (iv), by
striking <quote>and</quote> after the semicolon;</text>
</clause><clause commented="no" id="H00EAEA4D7C6146FEBCB23A46D074038A"><enum>(ii)</enum><text>in clause (v), by
striking the period at the end and inserting <quote>; and</quote>; and</text>
</clause><clause commented="no" id="H594E450D3DE24FB5B29B16259A898A2C"><enum>(iii)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H08ED4D98E77E4591ADF2C73DCB96E1F9" style="OLC">
<clause commented="no" id="H5FCB5347CF9846AB9FF40FA193BA4ABB"><enum>(vi)</enum><text>provide training,
with curricula that is evidence-based, in how to teach physical education and
health education that results in the ability of students to learn more
effectively.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H8B76F28F169848A387724812A8457F1D"><enum>(d)</enum><header>National
Research Council Study</header><text>Not later than 180 days after the date of
enactment of this Act, the Secretary of Education shall enter into a contract
with the National Research Council of the National Academy of Sciences
to—</text>
<paragraph commented="no" id="HE8ACF7190C524FA9A8800D87D2B9197E"><enum>(1)</enum><text display-inline="yes-display-inline">examine and make recommendations
regarding—</text>
<subparagraph commented="no" id="HC026FAB8E5304015B56DDB7BC4294DF4"><enum>(A)</enum><text display-inline="yes-display-inline">various means that may be employed to
incorporate physical activity into Head Start and child care settings,
elementary, middle, and high school settings, and before- and after-school
programs; and</text>
</subparagraph><subparagraph commented="no" id="HD2CAD24E674A4A78B465C3DBDF3759C3"><enum>(B)</enum><text>innovative and
effective ways to increase physical activity for all students;</text>
</subparagraph></paragraph><paragraph commented="no" id="H115710D8448B4EEF92198F2AE58B8A55"><enum>(2)</enum><text>study the impact
of health, level of physical activity, and amount of physical education on
students’ ability to learn and maximize performance in school; and</text>
</paragraph><paragraph commented="no" id="H6AF176E286E2446A9316440F63759A56"><enum>(3)</enum><text>study and provide
specific recommendations for—</text>
<subparagraph commented="no" id="HA5DFD2590DEC468FA41D9D04A4936575"><enum>(A)</enum><text>effectively
measuring the progress of students, at the school level, in improving their
health and well-being, including improving their—</text>
<clause commented="no" id="HF530CBCC42C549358E4E473404B2C182"><enum>(i)</enum><text>knowledge,
awareness, and behavior changes, related to nutrition and physical
activity;</text>
</clause><clause commented="no" id="H1167CA2C26C14C42933D369FAEE867EA"><enum>(ii)</enum><text>cognitive
development, and fitness improvement, in physical education;</text>
</clause><clause commented="no" id="H962C1B217F6D452A9E3AA66B279E91D6"><enum>(iii)</enum><text>knowledge of
lifetime physical activity and health promotion;</text>
</clause><clause commented="no" id="H21277BDD533F46939D335382689C8612"><enum>(iv)</enum><text>decrease in
obesity; and</text>
</clause><clause commented="no" id="HCEF1F8B2B71A4D81A874BDD74D1B1AA7"><enum>(v)</enum><text>levels on overall
health indicators; and</text>
</clause></subparagraph><subparagraph commented="no" id="H12543CD7837B470BBE5B8C5D418D2F64"><enum>(B)</enum><text>effectively
measuring the progress of students, at the school level, in increasing physical
activity.</text>
</subparagraph></paragraph></subsection></section><section display-inline="no-display-inline" id="H0B2656052A2547AB8FC2026C4D957E43" section-type="subsequent-section"><enum>326.</enum><header>Employer-provided
off-premises health club services</header>
<subsection id="H23EDD7E9D0D34630A165EBA6FC61755B"><enum>(a)</enum><header>Treatment as
fringe benefit</header><text>Subparagraph (A) of section 132(j)(4) of the
Internal Revenue Code of 1986 (relating to on-premises gyms and other athletic
facilities) is amended to read as follows:</text>
<quoted-block id="HB5DC5B05B9FD4DA19618D3FEE5E7E9DE">
<subparagraph id="H311870F3568F4DB78B6361AB117A5CCE"><enum>(A)</enum><header>In
general</header><text>Gross income shall not include—</text>
<clause id="HE952229BDEA34DF9B02B7F831C1BC9E0"><enum>(i)</enum><text>the value of any
on-premises athletic facility provided by an employer to the employer’s
employees, and</text>
</clause><clause id="HFC418EF04BB94407AFDAA9875AAEF017"><enum>(ii)</enum><text>so much of the
fees, dues, or membership expenses paid by an employer to an athletic or
fitness facility described in subparagraph (C) on behalf of the employer’s
employees as does not exceed $900 per employer per
year.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H7D8BE9FEAB764E18930FB29A42511764"><enum>(b)</enum><header>Athletic
facilities described</header><text>Paragraph (4) of section 132(j) of such Code
is amended by adding at the end the following new subparagraph:</text>
<quoted-block id="H5897B3FE7C994B1698407A675E71A1C9">
<subparagraph id="H198AB748B7DD4D70A624E4DFFE1A62F6"><enum>(C)</enum><header>Certain athletic
or fitness facilities described</header><text>For purposes of subparagraph
(A)(ii), an athletic or fitness facility described in this subparagraph is a
facility—</text>
<clause id="H94A370B36E884D97A48350D30D005FC5"><enum>(i)</enum><text>providing
instruction in a program of physical exercise, offering facilities for the
preservation, maintenance, encouragement, or development of physical fitness,
or serving as the site of such a program of a State or local government,</text>
</clause><clause id="HA27B1AB59D264CA896CDF8C1C8F6F258"><enum>(ii)</enum><text>which is not a
private club owned and operated by its members,</text>
</clause><clause id="H0C0BB46928C74957B3A747492E6B54CD"><enum>(iii)</enum><text>which does not
offer golf, hunting, sailing, or riding facilities,</text>
</clause><clause id="HBE601E8B8CAC4C8EA7F1E40D52AC51E1"><enum>(iv)</enum><text>whose health or
fitness facility is not incidental to its overall function and purpose,
and</text>
</clause><clause id="H340B3CD90E3240A69B3659A3A73035B2"><enum>(v)</enum><text>which is fully
compliant with the State of jurisdiction and Federal anti-discrimination
laws.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H369F2364086C4761AC4E05ABDEA072DD"><enum>(c)</enum><header>Exclusion
applies to highly compensated employees only if no
discrimination</header><text>Paragraph (1) of section 132(j) of such Code is
amended—</text>
<paragraph id="H82077D9D28E54864B50453CF961025F9"><enum>(1)</enum><text>by striking
<quote>Paragraphs (1) and (2) of subsection (a)</quote> and inserting
<quote>Paragraphs (1) and (2) of subsection (a) and paragraph (4) of this
subsection</quote>, and</text>
</paragraph><paragraph id="H0189999445F843DC813EACA402E7DFC6"><enum>(2)</enum><text>in the heading by
striking <quote><header-in-text level="paragraph" style="OLC">Exclusions under
subsection (a)(1) and (2)</header-in-text></quote> and inserting
<quote><header-in-text level="paragraph" style="OLC">Certain
exclusions</header-in-text></quote>.</text>
</paragraph></subsection><subsection id="HBEA545C6CC5F48949928026D05EF37D1"><enum>(d)</enum><header>Employer
deduction for dues to certain athletic facilities</header>
<paragraph id="H0372E13A055D464CB544579F21139E58"><enum>(1)</enum><header>In
general</header><text>Paragraph (3) of section 274(a) of such Code (relating to
denial of deduction for club dues) is amended by adding at the end the
following new sentence: <quote>The preceding sentence shall not apply to so
much of the fees, dues, or membership expenses paid to athletic or fitness
facilities (within the meaning of section 132(j)(4)(C)) as does not exceed $900
per employee per year.</quote>.</text>
</paragraph><paragraph id="H23C4518302BF4A4289DAA9AD741E34D9"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 274(e)(4) of such Code is amended by inserting
<quote>the first sentence of</quote> before <quote>subsection
(a)(3)</quote>.</text>
</paragraph></subsection><subsection id="H883D3136D86B48EF90FA709A246C92E5"><enum>(e)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after the date of the enactment of this Act.</text>
</subsection></section><section display-inline="no-display-inline" id="HD2E7EF2956714AFE93B47DB55F028BF2" section-type="subsequent-section"><enum>327.</enum><header>Certain amounts paid
for physical activity, fitness, and exercise treated as amounts paid for
medical care</header>
<subsection id="HD80E5653E4A8463AAC5C6C26FE500DA5"><enum>(a)</enum><header>In
general</header><text>Paragraph (1) of section 213(d) of the Internal Revenue
Code of 1986 is amended by striking <quote>or</quote> at the end of
subparagraph (C), by striking the period at the end of subparagraph (D) and
inserting <quote>, or</quote>, and by adding at the end the following new
subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H6558F3AACFCA4F67AEECAB93015A6707" style="OLC">
<subparagraph id="H75704C41CE624C4CB598DACF79543EDA"><enum>(E)</enum><text display-inline="yes-display-inline">for qualified sports and fitness
expenses.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H7B339C9C8CAE45C98BFA8C5D753E16A9"><enum>(b)</enum><header>Qualified sports
and fitness expenses</header><text>Subsection (d) of section 213 of such Code
is amended by adding at the end the following paragraph:</text>
<quoted-block id="H4B7989BDACBD4728AB91A6087E29275A" style="OLC">
<paragraph id="H711DBC0370A64B7F9C9D05A7D273FB3B"><enum>(12)</enum><header>Qualified
sports and fitness expenses</header>
<subparagraph id="H00A395F275EE47C69D7D65CE097A97C6"><enum>(A)</enum><header>In
general</header><text>The term <term>qualified sports and fitness
expenses</term> means amounts paid—</text>
<clause id="H9323EA1E17984AF78E30EE60DCBC6A2B"><enum>(i)</enum><text>for membership at
a fitness center,</text>
</clause><clause id="H2A3F9BBF6B1D431E9AEB2FFEAC602184"><enum>(ii)</enum><text>for participation
or instruction in a program of physical exercise or physical activity,
and</text>
</clause><clause id="HA5AD07D534684DB49A97E1106C1F0052"><enum>(iii)</enum><text>for equipment
for use in a program (including a self-directed program) of physical exercise
or physical activity.</text>
</clause></subparagraph><subparagraph id="HCE5664659B6D45FEBA5C6444D785F86F"><enum>(B)</enum><header>Overall dollar
limitation</header><text>The aggregate amount treated as qualified sports and
fitness expenses with respect to any taxpayer for any taxable year shall not
exceed $1,000 ($2,000 in the case of a joint return or a head of household (as
defined in section 2(b))).</text>
</subparagraph><subparagraph display-inline="no-display-inline" id="H51142A1A763048B9A1B7F1E7828BE64B"><enum>(C)</enum><header>Fitness facility
defined</header><text>For purposes of subparagraph (A)(i), the term
<term>fitness facility</term> means a facility—</text>
<clause id="HAAD71F54EA5F49DCA6CEE02E933C2827"><enum>(i)</enum><text>providing
instruction in a program of physical exercise, offering facilities for the
preservation, maintenance, encouragement, or development of physical fitness,
or serving as the site of such a program of a State or local government,</text>
</clause><clause id="H19B1AE9B2C8E4852AEA374FD1641DB10"><enum>(ii)</enum><text>which is not a
private club owned and operated by its members,</text>
</clause><clause id="HA82AB78F3EEB4CF087D6F8C1DE0F5127"><enum>(iii)</enum><text>which does not
offer golf, hunting, sailing, or riding facilities,</text>
</clause><clause id="HFB219DABBC90494EA752C8D43FB28EDD"><enum>(iv)</enum><text>whose health or
fitness facility is not incidental to its overall function and purpose,
and</text>
</clause><clause id="H10C373F6EF9A4E29AAAE06910EC83148"><enum>(v)</enum><text>which is fully
compliant with the State of jurisdiction and Federal anti-discrimination
laws.</text>
</clause></subparagraph><subparagraph id="H9F3C6BB8891144C08F5D402BA03293B6"><enum>(D)</enum><header>Limitations
related to sports and fitness equipment</header><text>Amounts paid for
equipment described in subparagraph (A)(iii) shall be treated as a qualified
sports and fitness expense only—</text>
<clause id="HFB683A591F0D44188CAE3715A5AD45EF"><enum>(i)</enum><text>if
such equipment is utilized exclusively for participation in fitness, exercise,
sport, or other physical activity programs,</text>
</clause><clause id="HCB82E2224FAC4E36A899DDA2CD59C992"><enum>(ii)</enum><text>if such equipment
is not apparel or footwear, and</text>
</clause><clause id="H630999EC1A444FA3A9A7714DE3CCD38D"><enum>(iii)</enum><text>in the case of
any item of sports equipment (other than exercise equipment), with respect to
so much of the amount paid for such item as does not exceed $250.</text>
</clause></subparagraph><subparagraph id="H32A0F68BD95E4B029CE43B628192DC06"><enum>(E)</enum><header>Programs which
include components other than physical exercise and physical
activity</header><text display-inline="yes-display-inline">Rules similar to the
rules of section 213(d)(6) shall apply in the case of any program that includes
physical exercise or physical activity and also other components. For purposes
of the preceding sentence, travel and accommodations shall be treated as an
other
component.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H0CEFC7D7DE0F4BA1A350A890058B6885"><enum>(c)</enum><header>Exception for
health savings accounts</header><text>Subparagraph (A) of section 223(d)(2) of
such Code is amended by inserting <quote>, determined without regard to
paragraph (1)(E) thereof</quote> after <quote>section 213(d)</quote>.</text>
</subsection><subsection id="HAB891EEC74F54FB282E126EA3F824089"><enum>(d)</enum><header>Effective
date</header><text>The amendment made by this section shall apply to taxable
years beginning after the date of the enactment of this Act.</text>
</subsection></section><section id="H9110CF011168407B9427E27C59C1BBB5"><enum>328.</enum><header>National youth
sports program revitalization</header><text display-inline="no-display-inline">Section 682(g) of the Community Services
Block Grant Act (42 U.S.C. 9923(g)) is amended by striking
<quote>$15,000,000</quote> and all that follows through <quote>2003</quote>,
and inserting <quote>$20,000,000 for each of the fiscal years 2011 through
2021</quote>.</text>
</section><section id="H887EF47B9FE44D94A8EC362E4ACA9C6E" section-type="subsequent-section"><enum>329.</enum><header>Duplication of the
Zuni Youth Enrichment Project Summer Camp on Indian reservations and tribal
lands</header>
<subsection id="H2480E5A97468432D84C0B1C032ACDF15"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary of
Health and Human Services shall establish a 2-year pilot program to provide
funds to community-based organizations on Indian reservations or tribal lands
to plan and implement an enrichment program for children (in the form of a
summer camp and a year-round program) for the purpose of—</text>
<paragraph id="HD4498B5A55854D27831FC76E8F7E9C4F"><enum>(1)</enum><text>reversing the
epidemics of obesity, diabetes, and alcoholism in such areas; and</text>
</paragraph><paragraph id="H8F8BCE9B68A94A029E873F0E6F0E156E"><enum>(2)</enum><text>to mitigate other
problems stemming from the formation of bad habits and the development of low
self esteem during childhood.</text>
</paragraph></subsection><subsection id="H6E973B09761B49148A91065DE9DC392B"><enum>(b)</enum><header>Partnerships</header><text display-inline="yes-display-inline">In order to qualify for funding under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="(a)">subsection (a)</internal-xref>, a community-based organization
shall demonstrate, to the satisfaction of the Secretary of Health and Human
Services, that the community-based organization has entered into a partnership
with community entities, local funders, and tribal leaders (including, if
applicable, the tribal council) to plan and execute an enrichment program under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="1.(a)">subsection (a)</internal-xref>.</text>
</subsection><subsection display-inline="no-display-inline" id="H8308F781A7064465B8E3890712743A26"><enum>(c)</enum><header>Number of
sites</header><text display-inline="yes-display-inline">The Secretary of Health
and Human Services, in providing funding under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="1.(a)">subsection (a)</internal-xref>, shall provide funding to no
more than 20 community-based organizations.</text>
</subsection><subsection id="H3AA408EF33C84780B95CD6D96F950041"><enum>(d)</enum><header>Model and camp
requirement</header><text>The enrichment program under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="1.(a)">subsection (a)</internal-xref> shall—</text>
<paragraph id="HC0194136C5364AD5A9C5811AEC39C43B"><enum>(1)</enum><text>be modeled on
similar programs established by the Zuni Youth Enrichment Project; and</text>
</paragraph><paragraph id="H4D166A4B293449F58A774EFA02EBDF98"><enum>(2)</enum><text>shall include a
camp of at least 6 weeks in duration during the summer<italic>.</italic></text>
</paragraph></subsection><subsection id="H8543E656A45748B69A4B077C31563B30"><enum>(e)</enum><header>Specific camp
requirements</header>
<paragraph id="HF9839DEA9458483CB0733DC4A8A24AB3"><enum>(1)</enum><header>Daily
activities</header><text>With respect to children attending a camp under
<internal-xref idref="H4D166A4B293449F58A774EFA02EBDF98" legis-path="1.(d)(2)">subsection (d)(2)</internal-xref>, the leader of the
organization that receives funds under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="1.(a)">subsection (a)</internal-xref> shall, for each day of the
camp, ensure that, such children are—</text>
<subparagraph id="H0A53E1E66335422AB73862119F401CA1"><enum>(A)</enum><text>involved in at
least 60 minutes of physical activity (with appropriate accommodations made for
children with disabilities); and</text>
</subparagraph><subparagraph id="HC37C24A1E00745EAA35FB34C1B6CCEEF"><enum>(B)</enum><text display-inline="yes-display-inline"><italic></italic>provided with at least two
meals that meet national nutritional standards that are aligned with dietary
guidelines.</text>
</subparagraph></paragraph><paragraph id="H3717132E8AF1402ABD1C0071F7F39B63"><enum>(2)</enum><header>Other
activities</header><text>Such leader shall also ensure that—</text>
<subparagraph id="H90CDC084FCA949E1BA0809144DC3D839"><enum>(A)</enum><text>a community
gardening activity is included in the activities conducted at the camp;
and</text>
</subparagraph><subparagraph id="H5F8887ACE1C442FA95961574D3006E68"><enum>(B)</enum><text>health and
wellness education is provided to the children attending the camp.</text>
</subparagraph></paragraph></subsection><subsection id="H4F337E1F1ED34E369F1D599866AAF88D"><enum>(f)</enum><header>Evaluation</header>
<paragraph id="H1B0D060FF7AD42DD9332487194ED5AD3"><enum>(1)</enum><header>In
general</header><text>A community-based organization that receives funding
under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="1.(a)">subsection (a)</internal-xref>, shall, as a condition of
receiving such funding, conduct an evaluation of the enrichment program
conducted by such organization.</text>
</paragraph><paragraph id="H65AB2EA8B3EE40C88CFF39289A28706B"><enum>(2)</enum><header>Model</header><text>The
form, manner, content, and frequency of the evaluation under
<internal-xref idref="H1B0D060FF7AD42DD9332487194ED5AD3" legis-path="1.(f)(1)">paragraph (1)</internal-xref> shall be modeled on the
Zuni Youth Enrichment Project standard project evaluation.</text>
</paragraph></subsection><subsection id="HFA32DADA213E4E8E8C28260F77F7BC57"><enum>(g)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 1 year after the date on
which a community organization first receives funding under
<internal-xref idref="H2480E5A97468432D84C0B1C032ACDF15" legis-path="(a)">subsection (a)</internal-xref> and annually thereafter, the
organization shall—</text>
<paragraph id="H318454247BCD466B82F02BE900CE139F"><enum>(1)</enum><text>submit a report to
the to the Secretary of Health and Human Services on the outcomes of the
enrichment program conducted by the organization under this section,
including—</text>
<subparagraph id="H031E60A410D14832A3A59668EDD945C7"><enum>(A)</enum><text>the findings of
the evaluation conducted under
<internal-xref idref="H4F337E1F1ED34E369F1D599866AAF88D" legis-path="1.(f)">subsection (f)</internal-xref>; and</text>
</subparagraph><subparagraph id="H69C8401AD634407082FFF0753A3ABF45"><enum>(B)</enum><text>the impact of such
enrichment program on the rates of childhood obesity on the reservation or area
of tribal land served by the organization; and</text>
</subparagraph></paragraph><paragraph id="H29B97E378C0E4EFCABC816A28954D885"><enum>(2)</enum><text display-inline="yes-display-inline">provide a copy of the findings under
<internal-xref idref="H031E60A410D14832A3A59668EDD945C7" legis-path="1.(g)(1)(A)">paragraph (1)(A)</internal-xref> to community
entities, local funders, tribal leaders (including, if applicable, the tribal
council), and the families of children participating in the enrichment
program.</text>
</paragraph></subsection></section></subtitle><enum>IV</enum><header>Improving access
to nutritional information and healthy foods</header>
<section id="H9C81D33F5BDF4352B5581C40FFC930F4"><enum>401.</enum><header>Consumer
education</header><text display-inline="no-display-inline">Subsection (c) of
section 2 of the Nutrition Labeling and Education Act of 1990 (Pub. L. 101–535;
104 Stat. 2353, 2357; 21 U.S.C. 343 note) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H17DB1F5A7E9E4122BDEF4B0F7A9BEE4C" style="OLC">
<subsection id="HA684152E88ED4CB1B3B031FAA4AA2F97"><enum>(c)</enum><header>Consumer
education</header>
<paragraph id="HA1ACDD212ADF42CEB817ABA691CD12A8"><enum>(1)</enum><header>In
general</header><text>The Secretary of Health and Human Services shall carry
out activities which educate consumers about—</text>
<subparagraph id="HCD429375B4484A56A6E3129B4CD5826C"><enum>(A)</enum><text>the availability
of nutrition information in the label or labeling of food;</text>
</subparagraph><subparagraph id="H6C57C55A1CCA4ECEB940189A15FB310D"><enum>(B)</enum><text>the importance of
that information in maintaining healthy dietary practices;</text>
</subparagraph><subparagraph id="H4FC2EF4BF0434AE5B545BCC84AFA8FF9"><enum>(C)</enum><text>the importance of
physical activity and healthy lifestyles; and</text>
</subparagraph><subparagraph id="HD13A8795099D47BE9F2E3BC867E5CD55"><enum>(D)</enum><text>the importance of
maintaining an energy balance in consumption and activity.</text>
</subparagraph></paragraph><paragraph id="H6E05B49851D941FA9814E6BEFF529FE3"><enum>(2)</enum><header>Certain
activities</header><text>Activities under paragraph (1) shall include the use
of public education campaigns, public statements, and other resources designed
to educate consumers about the subjects described in subparagraphs (A) through
(D) of such
paragraph.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H799293907AD84C41B1B7767B6658DBD7"><enum>402.</enum><header>Expand team
nutrition training grants</header><text display-inline="no-display-inline">Section 19 of the Child Nutrition Act of
1966 (20 U.S.C. 1788) is amended—</text>
<paragraph id="HF87E2D736D7643A9B53F4B5FE95FCBAD"><enum>(1)</enum><text>by redesignating
subsection (l) as subsection (m); and</text>
</paragraph><paragraph id="H1F8146F4C9D14036865317AB5F600ED0"><enum>(2)</enum><text>by inserting after
subsection (k), the following:</text>
<quoted-block display-inline="no-display-inline" id="HDD3E2FC682514B9ABE0429E333E462A9" style="OLC">
<subsection id="HA288676B652D456CBE19BBA742A10BFC"><enum>(l)</enum><header>Infrastructure
improvement grants</header>
<paragraph id="H38F8BC6EC32946E1B82B3044F73648B8"><enum>(1)</enum><header>In
general</header><text>Subject to the availability of funds to carry out this
subsection, the Secretary shall award one-time grants, on a competitive basis,
to eligible State agencies to assist such State agencies in carrying out
infrastructure improvements for the purpose of improving children’s lifelong
eating and physical habits, consistent with the Dietary Guidelines for
Americans published under section 301 of the National Nutrition Monitoring and
Related Research Act of 1990 (7 U.S.C. 5341).</text>
</paragraph><paragraph id="H123E52AA3E8A43F48DD5D62A18C06AA0"><enum>(2)</enum><header>Eligible State
agency</header><text>For purposes of this subsection, an <quote>eligible State
agency</quote> means—</text>
<subparagraph id="H5C20DC67590340FDB35AE9FB00CAF4BE"><enum>(A)</enum><text>a State agency
that participates in—</text>
<clause id="HB3FD26FCCE3D4693B17B5CDA22F78131"><enum>(i)</enum><text>the school lunch
program under the Richard B. Russell National School Lunch Act (42 U.S.C. 1751
et seq.);</text>
</clause><clause id="H63957DDB35BA4F2C9BEC99637B725266"><enum>(ii)</enum><text>the school
breakfast program under section 4 of the Child Nutrition Act of 1966 (42 U.S.C.
1773); or</text>
</clause><clause id="HFF141A80B09B4199944B119893ABA372"><enum>(iii)</enum><text display-inline="yes-display-inline">the child and adult care food program under
the Richard B. Russell National School Lunch Act (42 U.S.C. 1766); or</text>
</clause></subparagraph><subparagraph id="HB70A8F5C7E2944D492F443824E684DB4"><enum>(B)</enum><text>a consortium of 2
or more such State agencies—</text>
<clause id="H8EC439DA94F04013AC076A4AFF62BA43"><enum>(i)</enum><text>located in the
same State; or</text>
</clause><clause id="H646C36062B7B43E5B35F5C41BD04CF3E"><enum>(ii)</enum><text>located in
different States.</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="H2CA810E856D1499D8BD53482AE95058C"><enum>(3)</enum><header>Application</header><text display-inline="yes-display-inline">To receive a grant under this subsection,
an eligible State agency shall submit to the Secretary an application at such
time, in such manner, and containing such information as the Secretary may
require</text>
</paragraph><paragraph id="H80E2DC0F448141BD9961F82CEDBADA7E"><enum>(4)</enum><header>Uses of
funds</header>
<subparagraph id="H7E700F3D76AF419B9CFD791CDA3D5B68"><enum>(A)</enum><header>Required
uses</header><text>An eligible State agency that receives a grant under this
subsection shall use such funds to cover the costs of infrastructure
improvements related to the school lunch program, school breakfast program, or
the child and adult food care program, including improvements in kitchen
equipment and other foodservice equipment used to serve or store food offered
to children under any such program.</text>
</subparagraph><subparagraph id="HB0C00FE4D0084793BC9F29516FF5778C"><enum>(B)</enum><header>Authorized
uses</header><text>An eligible State agency that receives a grant under this
subsection may use such funds to award subgrants to local educational agencies
to carry out the activities described in subparagraph (A).</text>
</subparagraph></paragraph><paragraph id="H37F7E02EBCDA4E499AEA9C2BDC1EEDC2"><enum>(5)</enum><header>Recordkeeping</header><text>An
eligible State agency receiving a grant under this subsection shall keep a
record of the use of the grant
funds.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="HA1581412F265489D9CE01B917E630D3C" section-type="subsequent-section"><enum>403.</enum><header>Department of
Agriculture program to support establishment or expansion of retail food stores
offering affordable, nutritious foods in underserved communities and
coordination with other Federal programs</header><text display-inline="no-display-inline">The Food and Nutrition Act of 2008 (7 U.S.C.
2011 et seq.) is amended by adding at the end the following new section:</text>
<quoted-block display-inline="no-display-inline" id="H5BC4F8F8834047348A07CF976A8445B9" style="OLC">
<section id="HAEE4C73141D140E58A1A32932029F870"><enum>28.</enum><header>Loans, loan
guarantees, and grants to support establishment or expansion of retail food
stores offering affordable, nutritious foods in underserved communities and
inter-departmental coordination</header>
<subsection id="H2EB1005576164ED0BE5DB6241F07E410"><enum>(a)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph id="HEBF1262DF86F43D8AC8E345B305F52E2"><enum>(1)</enum><header>Affordable,
nutritious foods</header><text display-inline="yes-display-inline">The term
<term>affordable, nutritious foods</term> means fruits and vegetables, meat,
fish, grains, dairy, and poultry.</text>
</paragraph><paragraph id="H1311CAA073EA49DD945AF7CCF3597628"><enum>(2)</enum><header>Retail food
store</header><text display-inline="yes-display-inline">The term <term>retail
food store</term> includes a supermarket, grocery store, farmers market, or
other food retail outlet that operates on a self-service basis primarily
selling groceries, produce, meat, baked goods, dairy products and other
nutritious foods.</text>
</paragraph><paragraph id="HAED290D7B32E42FFA4D568165654BD21"><enum>(3)</enum><header>Underserved
community</header><text display-inline="yes-display-inline">The term
<term>underserved community</term> has the meaning given that term in section
25(a)(3).</text>
</paragraph></subsection><subsection id="H57D4A6E5C5744482AD34FA9C1DBA55D0"><enum>(b)</enum><header>Program
authorized</header><text display-inline="yes-display-inline">The Secretary may
provide a loan or loan guarantee or make a grant to support the establishment
or expansion of a retail food store that will offer affordable, nutritious
foods in an underserved community.</text>
</subsection><subsection id="HE4C18233F75141A5B83617C7622F22F8"><enum>(c)</enum><header>Eligibility</header><text display-inline="yes-display-inline">For an entity to be eligible for a loan,
loan guarantee, or grant under this section, the entity must—</text>
<paragraph id="HA08E960D35FC4C81BF6F14500866D225"><enum>(1)</enum><text display-inline="yes-display-inline">demonstrate to the satisfaction of the
Secretary the economic viability of the project to establish or expand a retail
food store in an underserved community; and</text>
</paragraph><paragraph id="HD7CBC8C0FB0D4D08A73C5B7AC4A6B876"><enum>(2)</enum><text>provide a
guarantee satisfactory to the Secretary that the retail food store established
or expanded in an underserved community using the proceeds of the loan or the
grant funds will make affordable, nutritious foods readily available among the
food products offered by the retail food store.</text>
</paragraph></subsection><subsection id="H740AE4BAA7704DFC806929D6A088DBB1"><enum>(d)</enum><header>Loan
terms</header>
<paragraph id="HF5329718E46148249E2A3551EACF8F08"><enum>(1)</enum><header>Duration</header><text display-inline="yes-display-inline">A loan made by the Secretary under this
section shall be for a term not to exceed 15 years.</text>
</paragraph><paragraph id="HE7C0E65351CB4FADBC35A125E747198E"><enum>(2)</enum><header>Interest</header><text display-inline="yes-display-inline">The loan shall bear interest at a reduced
annual interest rate to be set by the Secretary.</text>
</paragraph><paragraph id="HB790CFE6E0864532B53F9F129009F4E2"><enum>(3)</enum><header>Deferral of
interest and principal</header><text display-inline="yes-display-inline">The
Secretary may permit the deferral of payments on principal and interest due on
the loan for a two-year period beginning on the date the loan is made.</text>
</paragraph></subsection><subsection display-inline="no-display-inline" id="H0717041668FB4769986948318D6EE965"><enum>(e)</enum><header>Limitation on
amount of loan guarantees</header><text>The portion of a loan that the
Secretary may guarantee under this section shall be not more than 85 percent of
the principal amount of the loan.</text>
</subsection><subsection id="HD7BCF32365834C5CBBB15A3682C78BBE"><enum>(f)</enum><header>Grant cost
sharing requirements</header>
<paragraph id="H68949B7ECD314E8C8F640F5298CE2AF0"><enum>(1)</enum><header>Matching
requirement</header><text display-inline="yes-display-inline">As a condition of
any grant made under this section, the Secretary shall require the grant
recipient to match not less than 50 percent of the total amount of the
grant.</text>
</paragraph><paragraph id="H6AB7DCB8520D4718A1F2D5CBF6CF4D98"><enum>(2)</enum><header>Form of
non-Federal share</header><text>The matching requirement may be satisfied
through the provision of—</text>
<subparagraph id="HACA075DAFB9041C582C2D951580BCB4B"><enum>(A)</enum><text>cash (including
through fees, grants (including community development block grants), and
gifts); or</text>
</subparagraph><subparagraph id="H2A97B8E4A5EF44B9BA4C9820074E0BBD"><enum>(B)</enum><text>in-kind
contributions acceptable to the Secretary.</text>
</subparagraph></paragraph></subsection><subsection id="HE1DA6F3F6A194290896BF746BC19D85C"><enum>(g)</enum><header>Coordination
with other Federal programs in underserved communities</header><text display-inline="yes-display-inline">The Secretary of Agriculture shall
coordinate with the Secretary of Health and Human Services and the Secretary of
Treasury to identify and target existing tax incentives, loans, grants, and
other financial and technical assistance available to each Secretary that can
be used to improve access to affordable, nutritious foods in underserved
communities.</text>
</subsection><subsection id="H4B22DB73EB2142A0909448E48666D99B"><enum>(h)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">For each of
fiscal years 2011 through 2015, there are authorized to be appropriated
$10,000,000 to the Secretary to provide loans and loan guarantees and to make
grants under this
section.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HCBED565FC85C47F784A91F9276D52641" section-type="subsequent-section"><enum>404.</enum><header>Virtual Farmers
Market Program</header>
<subsection id="H7EA7B146170946BA9202878A58B437EF"><enum>(a)</enum><header>Establishment of
grant program</header><text display-inline="yes-display-inline">From the
amounts appropriated to carry out this section, the Secretary of Agriculture,
in collaboration with the Secretary of Education, shall award grants, on a
competitive basis, to eligible entities to enable such entities to carry out a
program that provides access to virtual farmers markets and distribution
centers to individuals residing in, and organizations located in, communities
that are food deserts.</text>
</subsection><subsection id="H35134FAE23A548459BEA1CD95409A4DA"><enum>(b)</enum><header>Eligible
entities</header><text display-inline="yes-display-inline">For purposes of this
section, an <quote>eligible entity</quote> means an entity that predominantly
serves communities that are food deserts, including—</text>
<paragraph id="HB79AFC8FD5954B9C9F0F904C926E2B8C"><enum>(1)</enum><text>a
local educational agency or bureau-funded school;</text>
</paragraph><paragraph id="HF108942900C74F1D992787C105BDACA9"><enum>(2)</enum><text display-inline="yes-display-inline">a non-profit, community-based organization
(including a recreation center, child care facility, or senior center);
or</text>
</paragraph><paragraph id="HE476A1865D8D45E0809274BBC5B73659"><enum>(3)</enum><text>an entity that the
Secretaries deem to be an eligible entity.</text>
</paragraph></subsection><subsection id="H2BFC8B3223BC473EB86CC0F3BD31EEEE"><enum>(c)</enum><header>Use of
funds</header><text>An eligible entity receiving a grant under this section
shall use such funds for the following:</text>
<paragraph id="H07E4E9450B9B4624BFB9C70E5BB0DF73"><enum>(1)</enum><text>Purchasing virtual
farmers market software (including computer kiosks and swipe card stations), or
entering into a contract with an eligible organization to develop and maintain
the technology necessary, to carry out a virtual farmers market program to
enable individuals residing in, and organizations located in, communities that
are food deserts to order and purchase fruits and vegetables and other healthy
food items using such technology.</text>
</paragraph><paragraph id="H41F5FDB388814713BC88453231B15027"><enum>(2)</enum><text>Training staff
to—</text>
<subparagraph id="H0F59FEEBE1944334942F59F77D329A52"><enum>(A)</enum><text>assist individuals
residing in, and organizations located in, communities that are food deserts to
order and purchase food products under the program described in paragraph (1);
and</text>
</subparagraph><subparagraph id="H43C828011BD3421F81987B584CDAE405"><enum>(B)</enum><text>purchase and order
food products under the program for the eligible entity.</text>
</subparagraph></paragraph><paragraph id="H2144635261534A76B662A1D21FFC6F5C"><enum>(3)</enum><text>Packaging food
products purchased under the program in manner that makes transportation of the
products possible by foot.</text>
</paragraph><paragraph id="HD6003E37675A45C9B34254078513C0FB"><enum>(4)</enum><text>Paying staff to
manage the program, and package and assist in the distribution and delivery of
food products purchased under the program.</text>
</paragraph><paragraph id="HE406FB9377F445E2AAA38AF6F67F205D"><enum>(5)</enum><text>Raising public
awareness about the program.</text>
</paragraph><paragraph id="HB95B9C55795F41D18BE2A2ADFA394D91"><enum>(6)</enum><text>Developing simple
food preparation strategies and menus for customers of the program.</text>
</paragraph><paragraph id="H78520BFC29A2407EA23B5F652AC56E37"><enum>(7)</enum><text display-inline="yes-display-inline">Coordinating with the Secretary of
Agriculture to develop mechanisms to enable reimbursement under the
supplemental nutrition assistance program established under the Food and
Nutrition Act of 2008 (7 U.S.C. 2011 et seq.) for purchases made under the
virtual farmers market program established by the eligible entity under this
section.</text>
</paragraph></subsection><subsection commented="no" id="HA864341AFB9F43BFB105C209E7A16B32"><enum>(d)</enum><header>Application</header><text>In
order to receive a grant under this section, an eligible entity shall submit an
applicable to the Secretary at such time, in such manner, and containing such
information as the Secretary may require.</text>
</subsection><subsection id="H8603E450E36F43029CE3F8B3F07DA6FA"><enum>(e)</enum><header>Limitations on
food purchased</header><text>To the extent practicable, the majority of food
under a virtual farmers market program carried out by an eligible entity under
this section shall be purchased from farmers located within a 50 mile radius of
the site where the food is ordered and delivered, except in the case where the
eligible entity demonstrates to the Secretaries that no such farmers exist or
that the farmers are not able to provide a sufficient variety or amount of food
for the purposes of the program.</text>
</subsection><subsection id="H0988143CB5F94A72A4D61C49709CB8B3"><enum>(f)</enum><header>Report</header><text>Not
later than a year after funds are appropriated to carry out this section, the
Secretary shall report to Congress on the progress made in carrying out
programs funded by grants under this section, including—</text>
<paragraph id="H0B0D2DC6BDDD4DFBAE66FB279444EAF1"><enum>(1)</enum><text>the number of
individuals served by such programs and the barriers and opportunities for
additional such programs; and</text>
</paragraph><paragraph id="H475C5C23A1EF418CBDD4D4842C1CDD93"><enum>(2)</enum><text>how such programs
have increased access or encouraged permanent farmers markets to be established
near communities that are food deserts.</text>
</paragraph></subsection><subsection id="H3075D954A149420EAB54F0BD7FD33931"><enum>(g)</enum><header>Definitions</header><text>In
this section—</text>
<paragraph id="H9A4CA96638CA48179EC59AA51A1D62E4"><enum>(1)</enum><header>Bureau-funded
school</header><text>The term <term>bureau-funded school</term> has the meaning
given such term in section 1146 of the Education Amendments of 1978 (25 U.S.C.
2026).</text>
</paragraph><paragraph commented="no" id="H40A08307B87649F4A6035498A338190C"><enum>(2)</enum><header>Eligible
organization</header><text>The term <term>eligible organization</term> means an
organization with expertise in developing and maintaining a virtual farmers
market.</text>
</paragraph><paragraph id="HFEC9449E2F294BC082BC45A51DCAC9FE"><enum>(3)</enum><header>Local
educational agency</header><text>The term <term>local educational agency</term>
has the meaning given such term in section 9101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801).</text>
</paragraph><paragraph commented="no" id="HED6F946DC1CF4BA99593F068C6CDD576"><enum>(4)</enum><header>Food
desert</header><text>The term <term>food desert</term> has the meaning given
such term in section 7527(a) of the Food, Conservation, and Energy Act of 2008
(Public law 110–234).</text>
</paragraph><paragraph id="H4376B8E05E174B4DBE02526297EF1BE9"><enum>(5)</enum><header>Secretary</header><text display-inline="yes-display-inline">The term <term>Secretary</term> means the
Secretary of Agriculture.</text>
</paragraph><paragraph id="HD90E38B2E7D74452893793FEBEE33C64"><enum>(6)</enum><header>Secretaries</header><text>The
term <term>Secretaries</term> means the Secretary of Agriculture and the
Secretary of Education, acting jointly.</text>
</paragraph><paragraph id="H5CBCC28E5EB2402186E2AD3B2BF8F76A"><enum>(7)</enum><header>Swipe card
stations</header><text>The term <term>swipe card stations</term> may include
support for the use of electronic benefit transfer cards.</text>
</paragraph><paragraph commented="no" id="H123E1544589A4C2CA01CF1CC868A489C"><enum>(8)</enum><header>Virtual Farmers
Market</header><text>The term <term>virtual farmers market</term> means an
online grocery store that enables individuals to purchase foods from local
farms and distributors.</text>
</paragraph></subsection></section><section id="HEE17CFFEC94D4514910A6F8B1A32A831"><enum>405.</enum><header>Urban and
Native-American Community Garden Grant Program</header>
<subsection id="H55B5D30DF76546F6B9C7D3D0B5AC41F2"><enum>(a)</enum><header>Program
established</header><text display-inline="yes-display-inline">From the amounts
appropriated to carry out this section, the Secretary of Agriculture shall
award grants to eligible entities to expand, establish, or maintain urban
community gardens.</text>
</subsection><subsection id="HA24AE22255934EF09FF7BF1CED85D51F"><enum>(b)</enum><header>Eligible
entity</header><text>For purposes of this section, an eligible entity
means—</text>
<paragraph id="HD10EC60E79CA4D77A8001BC01DBBF669"><enum>(1)</enum><text>a
private or for-profit organization; or</text>
</paragraph><paragraph id="H3C71C37C37C94F37BD2BB8B4AC225112"><enum>(2)</enum><text>a
unit of general local government, or tribal government, located on tribal land
or in a low-income community.</text>
</paragraph></subsection><subsection id="H0A4592CE5F59452DA6BE96F5F42429D0"><enum>(c)</enum><header>Application</header><text display-inline="yes-display-inline">In order to receive a grant under this
section, an eligible entity shall submit to the Secretary an application at
such time, in such manner, and containing such information as the Secretary may
require, including—</text>
<paragraph id="H4ABF6BD75F2146F6951EEE0B0B952F27"><enum>(1)</enum><text>an assurance that
priority for hiring for jobs created by the expansion, establishment, or
maintenance of an urban community garden funded with a grant received under
this section will be given to individuals who reside in the community where the
garden is located; and</text>
</paragraph><paragraph id="H0414B5809AD049E0B835907FAAA656CF"><enum>(2)</enum><text>a
demonstration that the eligible entity is committed to providing non-Federal
financial or in-kind support (such as providing a water supply) for the urban
community garden for which the entity receives funds under this section.</text>
</paragraph></subsection><subsection id="H0A5A1A11251948CB8C332565E58604A7"><enum>(d)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H2C4DEB85014646A59550D8F92303DAD2"><enum>(1)</enum><header>Low-income
community</header><text>The term <term>low-income communities</term>
includes—</text>
<subparagraph id="H81F5943E5D614CCC869FDC73D3567C64"><enum>(A)</enum><text display-inline="yes-display-inline">communities with a high percentage of
children eligible for free and reduced priced lunches under the Richard B.
Russell National School Lunch Act (42 U.S.C. 1751 et seq.); and</text>
</subparagraph><subparagraph id="H5B2E695676974AF985E0EE581CEE594B"><enum>(B)</enum><text>any other
communities determined by the Secretaries to be low-income for purposes of this
section.</text>
</subparagraph></paragraph><paragraph id="HD5CFE7CB9EC7497F853D0E63C6D36397"><enum>(2)</enum><header>Unit of general
local government</header><text>The term <term>unit of general local
government</term> has the meaning given such term in section 102 of the Housing
and Community Development Act of 1974 (42 U.S.C. 5302).</text>
</paragraph></subsection></section><enum>V</enum><header>Realigning
Transportation Policy to Help Promote Healthy Lifestyles</header>
<section id="H75EE84C317D94D9A90A27EF8FB81F718" section-type="subsequent-section"><enum>501.</enum><header>Grants to promote
planning decisions and policies that increase access to physical
activity</header>
<subsection id="HA74CB1B987594A748AF0F7087B192189"><enum>(a)</enum><header>Grants</header><text>The
Secretary of Transportation may make grants to eligible entities for the
purpose of assisting local planning decisions and policies that increase the
access of individuals to physical activity.</text>
</subsection><subsection id="HB016F85D569843A4BE02A813A0ADCD0C"><enum>(b)</enum><header>Activities under
grants</header><text>The activities of eligible entities that may be funded by
a grant under subsection (a) include the following:</text>
<paragraph id="HDCF5C85284784F35BFFC6EF0474A5EF3"><enum>(1)</enum><text display-inline="yes-display-inline">The coordination of activities carried out
by local government officials (including planning, public works, housing, and
transportation officials), school boards, and others to increase the access of
individuals to physical activity through—</text>
<subparagraph id="HF8FC280B37484875A7B388C586C1EFBF"><enum>(A)</enum><text>improved
integration of land use, housing, transportation, and infrastructure planning;
and</text>
</subparagraph><subparagraph id="HE7B68B83AF6E49EABAE3D2DC45092AE4"><enum>(B)</enum><text>consideration of
impacts on physical activity levels during such planning.</text>
</subparagraph></paragraph><paragraph id="H8AFF185B0BA74F0A94A54F7D94D89C02"><enum>(2)</enum><text>The formulation of
strategies to establish and implement—</text>
<subparagraph id="HB886EDC6E9DC4B2296D3984652DF34D9"><enum>(A)</enum><text>plans and policies
that increase infrastructure for pedestrians and bicyclists to connect such
individuals to schools, recreation opportunities, jobs, and retail
opportunities, including policies requiring developers to build sidewalks and
bicycle lanes; or</text>
</subparagraph><subparagraph id="H3D6D3F50B2A045C68E0AE410F4877BAA"><enum>(B)</enum><text display-inline="yes-display-inline">plans and policies that place schools
within neighborhoods and provide bike paths, sidewalks, trails, and other
infrastructure to encourage and make possible the walking and bicycling to
school of students and staff.</text>
</subparagraph></paragraph><paragraph id="H1D76EA372CBB4879BA770DC3D5B3BFEA"><enum>(3)</enum><text display-inline="yes-display-inline">The carrying out of health impact
assessments with respect to proposals for the placement or construction of
buildings, sidewalks, roads, trails, schools, or other aspects of the built
environment.</text>
</paragraph></subsection><subsection id="H70B7E01FED2D4F0796D4D8045B18C91A"><enum>(c)</enum><header>Reporting</header>
<paragraph id="H69541E6144144A66919956B88CF05506"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">An eligible entity
that receives a grant under subsection (a) shall submit to Congress and the
Secretary of Transportation a report on the extent to which such grant
has—</text>
<subparagraph id="H8452A585669047C586B31E05F8EA90FE"><enum>(A)</enum><text display-inline="yes-display-inline">led to planning decisions and policies that
increase the access of individuals to physical activity; and</text>
</subparagraph><subparagraph id="H9CC5689593684DE99E2EC84943D11978"><enum>(B)</enum><text>led to an
improvement in the health of individuals.</text>
</subparagraph></paragraph><paragraph id="HBEFB2B072AF94906B37DDE779B506E8E"><enum>(2)</enum><header>Timing</header><text display-inline="yes-display-inline">A report under paragraph (1) shall be made
not less than 3 years and not more than 5 years after the date on which such
grant is received.</text>
</paragraph></subsection><subsection id="H1FAC1389F38E435E935178B23B7FB99F"><enum>(d)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section, the following definitions
apply:</text>
<paragraph id="H49CD59B423944C00B64E86259B6C149B"><enum>(1)</enum><header>Built
environment</header><text display-inline="yes-display-inline">The term
<term>built environment</term> means any buildings or spaces that are created
or modified by individuals, including homes, schools, workplaces, parks and
other recreation areas, greenways, business areas, and transportation
areas.</text>
</paragraph><paragraph id="HA96DC2190DE3453D828D7EE5E2FED762"><enum>(2)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means a local
government agency or group of such agencies with jurisdiction over planning or
land use decisions.</text>
</paragraph><paragraph id="H51036C4D120544CABFA83F33724F52BC"><enum>(3)</enum><header>Health impact
assessment</header><text>The term <term>health impact assessment</term> means,
in relation to a proposal, an assessment of the impact that the proposal will
have on the health of individuals if implemented.</text>
</paragraph></subsection></section><section id="HC21D272AD2BC4A389F3152CF5271984F" section-type="subsequent-section"><enum>502.</enum><header>Joint use
agreements</header>
<subsection id="HA511CD3FDFFB4513B72F4AA9C6F714BF"><enum>(a)</enum><header>Grants</header><text display-inline="yes-display-inline">The Secretary may make a grant to any
eligible school or other public entity for the purposes of meeting either or
both of the following:</text>
<paragraph id="HC9F510185A6E4FC1B49B55854AD730DE"><enum>(1)</enum><text display-inline="yes-display-inline">Costs incurred by the school or other
entity in negotiating or entering into a joint use agreement.</text>
</paragraph><paragraph id="HABAFB043C87F47BC8373AA1E23A49071"><enum>(2)</enum><text display-inline="yes-display-inline">Costs payable under a joint use agreement
during the first year in which the joint use agreement is in force.</text>
</paragraph></subsection><subsection id="H46DB1E26E6D642BA885443C0B8345C3E"><enum>(b)</enum><header>Priority</header><text display-inline="yes-display-inline">In making grants under subsection (a), the
Secretary shall give priority to schools or other public entities in
areas—</text>
<paragraph id="H34EE55490A464A718A83CF79B8912804"><enum>(1)</enum><text>where obesity
rates are above the national average;</text>
</paragraph><paragraph id="H9DD11BDD48054A98879EDC032984EDED"><enum>(2)</enum><text display-inline="yes-display-inline">where at least 50 percent of the residents
are below the poverty line; or</text>
</paragraph><paragraph id="H345046A2AECD47CAAA69BA13F16E2200"><enum>(3)</enum><text>that lack safe,
accessible, and affordable fitness and recreational facilities.</text>
</paragraph></subsection><subsection id="HC78CD5D0BB7544998A146333DAD43A58"><enum>(c)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph commented="no" id="H3D32FD36AA2844C8B09A21584D9D6D07"><enum>(1)</enum><header>Eligible
school</header><text display-inline="yes-display-inline">The term
<term>eligible school</term> means any elementary school or secondary school
within the meaning of section 9101 of the Elementary and Secondary Education
Act 1965 (20 U.S.C. 7801).</text>
</paragraph><paragraph id="HEF1449C0CA06432BB8445C98144861AB"><enum>(2)</enum><header>Joint use
agreement</header><text display-inline="yes-display-inline">The term
<term>joint use agreement</term> means an agreement between an eligible school
and another public entity relating to the use of a school’s facilities or
equipment by people other than the school’s students or staff.</text>
</paragraph><paragraph id="H3F8349E648494E4BA4FB298CCAF61535"><enum>(3)</enum><header>Poverty
line</header><text display-inline="yes-display-inline">The term <term>poverty
line</term> has the meaning given such term in section 673(2) of the Community
Services Block Grant Act (42 U.S.C. 9902(2)).</text>
</paragraph><paragraph id="H5FB9E638DE914C0C9F5359363BABADF1"><enum>(4)</enum><header>Secretary</header><text display-inline="yes-display-inline">The term <term>Secretary</term> means the
Secretary of Health and Human Services acting through the Director of the
Centers for Disease Control and Prevention.</text>
</paragraph></subsection></section><section id="H579D74BD778941C3945D3768A2996D8A"><enum>503.</enum><header>Expansion of
safe routes to school program</header>
<subsection id="HAA24CFA13DCE4E7BB4351D8F09FBBACC"><enum>(a)</enum><header>High schools
students included</header><text display-inline="yes-display-inline">Section
1404(a) of SAFETEA–LU (23 U.S.C. 402 note; 119 Stat. 1228) is amended by
striking <quote>in primary and middle schools</quote> and inserting the
following: <quote>and adolescents in primary, middle, and high
schools</quote>.</text>
</subsection><subsection id="H1A61C1C3B1F641728405EDB1EF1080C5"><enum>(b)</enum><header>Purposes</header>
<paragraph id="H6F3EBDA38B9941EEA850B56B4586F164"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Sections 1404(b)(1)
of SAFETEA–LU (119 Stat. 1228) is amended by inserting <quote>and
adolescents</quote> after <quote>children</quote>.</text>
</paragraph><paragraph id="H81BBD910D6654032B8B6B4AC21C3715D"><enum>(2)</enum><header>Safety</header><text display-inline="yes-display-inline">Section 1404(b)(2) of SAFETEA–LU (119 Stat.
1228) is amended by inserting <quote>and throughout adolescence</quote> after
<quote>early age</quote></text>
</paragraph></subsection><subsection id="H8614DBCD26544C20A286B6914427DFC4"><enum>(c)</enum><header>Apportionment</header><text display-inline="yes-display-inline">Section 1404(c)(1) of SAFETEA–LU (119 Stat.
1228) is amended in subparagraphs (A) and (B) by striking <quote>and middle
schools</quote> and inserting <quote>, middle, and high schools</quote>.</text>
</subsection><subsection id="H6C3CE8B0A6624C4191D9DDC38DDD0AF3"><enum>(d)</enum><header>Eligible
projects and activities</header><text>Section 1404(f) of SAFETEA–LU (119 Stat.
1229) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H8981ECC7DE6744A6B2D9AA5B978A52D1" style="OLC">
<paragraph id="H20D0009ACD084291AAC919E03BA509EF"><enum>(4)</enum><header>Preference</header><text display-inline="yes-display-inline">From the amounts apportioned to a State
under this section, the State shall give priority to projects for primary and
middle schools and to projects that propose to serve a combination of at least
one primary, middle, and high school within the same school
district.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H5A8D6239F1C34C00B27485D9537D19EA"><enum>(e)</enum><header>Definitions</header><text>Section
1404(k)(2) of SAFETEA–LU (119 Stat. 1230) is amended—</text>
<paragraph id="H1CD4182F01544A23B36DE04DD48B773D"><enum>(1)</enum><text>in the paragraph
heading by striking <quote><header-in-text level="paragraph" style="OLC">and
middle</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">, middle, and high
schools</header-in-text></quote>;</text>
</paragraph><paragraph id="HC40640F6A3CD49FBBAA1F4A1C8D68B71"><enum>(2)</enum><text>by striking
<quote>and middle</quote> and inserting <quote>, middle, and high
schools</quote>; and</text>
</paragraph><paragraph id="H182A78043D574270BE2789C285E7BC1C"><enum>(3)</enum><text>by striking
<quote>eighth</quote> and inserting <quote>twelfth</quote>.</text>
</paragraph></subsection></section><section id="H84878C3ACCAB47AEBE8A8EB8FD5FC82A"><enum>504.</enum><header>Active
transportation infrastructure investment program</header>
<subsection id="H548D03B09698435C990DC4DC168D4FF3"><enum>(a)</enum><header>In
general</header><text>The Secretary of Transportation shall carry out an active
transportation investment program in accordance with the requirements of this
section.</text>
</subsection><subsection id="HB0D7CDDB8A0F4A9291649037305DB003"><enum>(b)</enum><header>Purpose</header><text display-inline="yes-display-inline">The purpose of the program shall be to
encourage a mode shift to active transportation within selected communities by
providing safe and convenient opportunities to bicycle and walk for routine
travel.</text>
</subsection><subsection id="HD531BBCBDA5B4EDFBFD9E33A0249B3A7"><enum>(c)</enum><header>Selection of
communities</header>
<paragraph id="H8D9E9B78D57A4738AA6CC9CB65755C1C"><enum>(1)</enum><header>Applications</header><text>A
community seeking to participate in the program shall submit to the Secretary
an application that is in such form and contains such information as the
Secretary may require.</text>
</paragraph><paragraph id="H886A3C2A0DA54741BA880D510845AC82"><enum>(2)</enum><header>Initial and
additional selections</header>
<subparagraph id="H6CF674716ECD4C91BDBD40C9FFE53EEA"><enum>(A)</enum><header>Initial
selections</header><text>The Secretary shall select initial communities to
participate in the program. Such communities shall participate in the program
in each of fiscal years 2011 through 2015.</text>
</subparagraph><subparagraph id="H9A5C95543ED246BC9A32BF2F0D642544"><enum>(B)</enum><header>Additional
selections</header><text display-inline="yes-display-inline">Following the
initial selections under subparagraph (A), the Secretary shall select
additional communities to participate in the program. Such communities shall
participate in the program in each of fiscal years 2013 through 2015.</text>
</subparagraph></paragraph><paragraph id="H66C16E8366064B93B8613DF99D9E2498"><enum>(3)</enum><header>Criteria</header>
<subparagraph id="H1137334ABC8047F2B2B816F690584B66"><enum>(A)</enum><header>In
general</header><text>In selecting communities to participate in the program,
the Secretary shall consider, at a minimum, the extent to which a
community—</text>
<clause id="HE28F07F04AF84DABBB0C0EBC0E880C92"><enum>(i)</enum><text>provides a plan
for development of walking and bicycling infrastructure that is likely to
contribute to a significant transportation mode shift to walking and
bicycling;</text>
</clause><clause id="H06C9D8EE9B7F447E802FA464535A58BE"><enum>(ii)</enum><text>demonstrates
broad community support that will facilitate successful and expeditious
implementation;</text>
</clause><clause id="H8EB9FED7A70F4260AA3FBBE1B0F7B77D"><enum>(iii)</enum><text>demonstrates a
cohesive plan in which noninfrastructure elements, where proposed, reinforce
achievement of the purpose of the program;</text>
</clause><clause id="HDDF607C268494D1A8544EA3FBF779BF8"><enum>(iv)</enum><text display-inline="yes-display-inline">provides evidence of regulatory or
financial incentives or community design policies that facilitate significant
increases in bicycling or walking; and</text>
</clause><clause id="H4F1E04CC10C44C008D96CA331154D7FB"><enum>(v)</enum><text>commits State,
local, or eligible Federal matching funds, in addition to Federal funds made
available under this section, to projects eligible for assistance under this
section.</text>
</clause></subparagraph><subparagraph id="HC0F114D412F94926AC7C7FE17E10FC5F"><enum>(B)</enum><header>Strategic
priorities that facilitate success</header><text display-inline="yes-display-inline">For purposes of subparagraph (A)(i),
strategic priorities that facilitate success in increasing walking and
bicycling include effective plans—</text>
<clause id="H9D1778EB4F0743EB9E6515FB8ABA36F5"><enum>(i)</enum><text display-inline="yes-display-inline">to create a network of active
transportation facilities connecting neighborhoods with destinations such as
workplaces, schools, residences, businesses, recreation areas, and other
community activity centers;</text>
</clause><clause id="H7C71CF3D411C4C6C847B16E63DE80FE4"><enum>(ii)</enum><text>to
integrate active transportation facilities with transit services, where
available, to improve access to public transportation; and</text>
</clause><clause id="H2EFAAA5A912C4ED5B229D9A14BAF4D46"><enum>(iii)</enum><text>to
deliver safe, convenient, cost-effective mobility via walking and
bicycling.</text>
</clause></subparagraph><subparagraph id="HA88F9FB88AFD4433844F5DC560F22715"><enum>(C)</enum><header>Indicators of
community support</header><text>For purposes of subparagraph (A)(ii),
indicators of community support include—</text>
<clause id="H920E27F214084105A394D0284177C22A"><enum>(i)</enum><text>the
use of public input in the development of transportation plans; and</text>
</clause><clause id="H1A5F5B1ECE924330ADDA650787B31627"><enum>(ii)</enum><text>the
commitment of community leaders to the success and timely implementation of
projects eligible for assistance under this section.</text>
</clause></subparagraph></paragraph></subsection><subsection id="HC1D631C8DB474E34A3C6D4B833BAAF04"><enum>(d)</enum><header>Grants</header>
<paragraph id="HE59346D885B94EFDAC65E0A97C9912B0"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary shall
make grants to each community selected to participate in the program.</text>
</paragraph><paragraph id="HD14F3250CB40405295BF63B1CFAE32F2"><enum>(2)</enum><header>Recipients</header><text>A
recipient of a grant representing a community under the program shall be a
local or regional governmental organization, multi-county special district, or
Indian tribe that the Secretary determines is suitably equipped and organized
to carry out the objectives and requirements of this section. Such
organizations include metropolitan planning organizations and other regional
planning organizations.</text>
</paragraph><paragraph id="H6D0FBE841B184374805FA74B676ED99E"><enum>(3)</enum><header>Subrecipients</header><text>A
recipient of a grant under the program may suballocate funds from the grant to
a nonprofit organization to carry out the purposes of the program.</text>
</paragraph><paragraph id="H7C66D99A1C8F499CAE705D5C3B1B01BF"><enum>(4)</enum><header>Inclusion of
certain communities</header><text>To fulfill the Nation’s need to achieve and
document mode shift to bicycling and walking over time, the 4 communities that
received pilot funding under section 1807 of SAFETEA–LU (119 Stat. 1460) may be
among the communities selected by the Secretary under subsection (c).</text>
</paragraph><paragraph id="HD7CC7E898DBE4FB9938E863C9DD68C32"><enum>(5)</enum><header>Grants
amounts</header>
<subparagraph id="H9408AC2FF71B4783AE21A0648B98E7FD"><enum>(A)</enum><header>In
general</header><text>The Secretary may make a grant as low as $5,000,000 and
as high as $15,000,000 per fiscal year for a community participating in the
program. The Secretary shall ensure that grant awards under the program are
sufficiently high to enable a mode shift to active transportation.</text>
</subparagraph><subparagraph id="HABFBE49FE2A64089BF02ACC1BDA526FA"><enum>(B)</enum><header>Justification
for larger grants</header><text>Subject to the $15,000,000 per fiscal year
limit set forth in subparagraph (A), the Secretary may justify a grant in a
higher amount for a community under the program based on the population served,
greater opportunities to shift trips to bicycling and walking, or use of
innovative design features.</text>
</subparagraph></paragraph></subsection><subsection id="H47A56A2BE37245D7B5F2806ABC0F298A"><enum>(e)</enum><header>Eligible
projects</header><text display-inline="yes-display-inline">Grants made to
communities under this section shall be used for one or more of the following
purposes:</text>
<paragraph id="HE4EF6ED6206F483FB476A27F77110B6B"><enum>(1)</enum><text display-inline="yes-display-inline">To carry out projects to construct networks
of active transportation infrastructure facilities, including sidewalks,
bikeways, and pedestrian and bicycle trails, that connect people with public
transportation, workplaces, schools, residences, businesses, recreation areas,
and other community activity centers.</text>
</paragraph><paragraph id="HC0474B66BA2A44EB9B8B513BCB46CD28"><enum>(2)</enum><text display-inline="yes-display-inline">To carry out projects to provide for
bicycle boxes, cycle tracks, bicycle boulevards, dual traffic signals, and
bicycle sharing stations.</text>
</paragraph><paragraph id="HEA448C463CD7414484C8B7D20A04E7FB"><enum>(3)</enum><text display-inline="yes-display-inline">To carry out projects to restore and
upgrade current active transportation infrastructure facilities.</text>
</paragraph><paragraph id="H470D7F0286354C13900A0A23FA84867B"><enum>(4)</enum><text>To carry out
projects to support educational activities, safety-oriented activities, and
technical assistance to further the purpose of the program.</text>
</paragraph></subsection><subsection id="H38427E30AC4C43928F28462B01A18286"><enum>(f)</enum><header>Program
measures</header><text display-inline="yes-display-inline">In carrying out the
program, the Secretary shall develop statistical information on changes in
motor vehicle, active transportation, and public transportation usage in
communities participating in the program and assess how the changes impact
congestion and energy usage, impact the frequency of bicycling and walking, and
impact health, safety, and the environment. In addition, the Secretary shall
develop interim measures of progress, which may include indicators of public
engagement, educational outcomes, and project advancement into planning and
development.</text>
</subsection><subsection id="HFE017E3D33D7426B92B33E7DD958D54A"><enum>(g)</enum><header>Deadlines</header>
<paragraph id="H9062BF3CB3604006BE0E19568288F8C3"><enum>(1)</enum><header>Request for
applications</header><text display-inline="yes-display-inline">Not later than
60 days after the date of enactment of this Act, the Secretary shall publish in
the Federal Register a request for applications pursuant to subsection
(c)(1).</text>
</paragraph><paragraph id="H80F6CC1EC82F4AEAA1659B5FDF711817"><enum>(2)</enum><header>Selection of
initial communities</header><text>Not later than 180 days after such date of
enactment, the Secretary shall select initial communities to participate in the
program under subsection (c)(2)(A).</text>
</paragraph><paragraph id="HBD4FA7913E834AA68FC59D2DCC5EB96C"><enum>(3)</enum><header>Selection of
additional communities</header><text>Not later than September 30, 2012, the
Secretary shall select additional communities to participate in the program
under subsection (c)(2)(B).</text>
</paragraph><paragraph id="HE549EF502A7B442B9CF4EA04A3933F9D"><enum>(4)</enum><header>Grants</header><text>The
Secretary shall make grants to communities selected to participate in the
program under subsection (c)—</text>
<subparagraph id="HE3BE3AB5E9A34EF982D66A0D048DAF22"><enum>(A)</enum><text display-inline="yes-display-inline">for fiscal year 2011, not later than the
later of—</text>
<clause id="HB04CBBEFFB034F549850264758472171"><enum>(i)</enum><text>the
60th day after the date of the selection of communities under subsection
(c)(2)(A); and</text>
</clause><clause id="H988BDF6123064014B8010ED8BA483477"><enum>(ii)</enum><text>the
30th day of the fiscal year; and</text>
</clause></subparagraph><subparagraph id="H1A753115CBB24EBEBAF753BA4C93DD29"><enum>(B)</enum><text>for each of fiscal
years 2012 through 2015, not later than 30th day of the fiscal year.</text>
</subparagraph></paragraph></subsection><subsection id="H354F09309D1C4960B03D9EC3544B6A05"><enum>(h)</enum><header>Reports</header>
<paragraph id="HD251DEAA88BC4C9F806BA3FF41B61E98"><enum>(1)</enum><header>In
general</header><text>The Secretary shall submit to Congress—</text>
<subparagraph id="HCD444B5FDC574F0EB1B8105C13FA933F"><enum>(A)</enum><text>an interim report
on progress made under the program not later than September 30, 2014;
and</text>
</subparagraph><subparagraph id="H7D66D7E758B343C39396F26FE1765D50"><enum>(B)</enum><text>a final report on
progress made under the program not later than September 30, 2016.</text>
</subparagraph></paragraph><paragraph id="HBC2BCB86CE6E4FD9AE4D0BA9A45FC40F"><enum>(2)</enum><header>Contents</header><text display-inline="yes-display-inline">Each report submitted under paragraph (1)
shall include the Secretary’s findings concerning the best practices of
communities participating in the program and the impediments experienced by
such communities relating to program development and achieving a mode shift to
active transportation.</text>
</paragraph></subsection><subsection id="H592C846E885F4B1B9C340B0AF07F4780"><enum>(i)</enum><header>Funding</header>
<paragraph id="HAFFC79A45D0A4214AFE92431E482800E"><enum>(1)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated out of the
Highway Trust Fund (other than the Mass Transit Account) to carry out this
section—</text>
<subparagraph id="H5103A6B8731A4F588525C45B3A145792"><enum>(A)</enum><text>$300,000,000 for
fiscal year 2011;</text>
</subparagraph><subparagraph id="H63CBC47F2A574896A4C4EE3E7EEB04C5"><enum>(B)</enum><text display-inline="yes-display-inline">$300,000,000 for fiscal year 2012;</text>
</subparagraph><subparagraph id="HBDA59E7440BF43908482D191C0942954"><enum>(C)</enum><text display-inline="yes-display-inline">$466,666,666 for fiscal year 2013;</text>
</subparagraph><subparagraph id="H9895AFE09A174A8FB52E226CDBD8017C"><enum>(D)</enum><text display-inline="yes-display-inline">$466,666,666 for fiscal year 2014;
and</text>
</subparagraph><subparagraph id="H0DDE15AF5EF049C089AE3320B19F34E3"><enum>(E)</enum><text display-inline="yes-display-inline">$466,666,668 for fiscal year 2015.</text>
</subparagraph></paragraph><paragraph id="HFC168BCC65DD4C048D4F1AB2A1A75EDF"><enum>(2)</enum><header>Contract
authority</header><text>Funds authorized to be appropriated by this section
shall be available for obligation and administered in the same manner as if the
funds were apportioned under chapter 1 of title 23, United States Code, except
that the Federal share of the cost of a project carried out using the funds
shall be 100 percent, and the funds shall remain available until expended and
shall not be transferable.</text>
</paragraph><paragraph id="H9EAFDFE2368742A38E8DB0D6209E5694"><enum>(3)</enum><header>Administrative
costs</header>
<subparagraph id="HA6337123A09A41B09D7A87423BD86401"><enum>(A)</enum><header>Set
aside</header><text>Each fiscal year, the Secretary shall set aside not more
than 1.5 percent of the funds made available to carry out this section to cover
the costs of administrative, research, technical assistance, communications,
and training activities under the program.</text>
</subparagraph><subparagraph id="H9AD4787C14194CDD95377AD151F57445"><enum>(B)</enum><header>Contracts and
other agreements</header><text>The Secretary may enter into contracts with
for-profit organizations, or contracts, partnerships, or cooperative agreements
with other government agencies, institutions of higher learning, or nonprofit
organizations, to perform activities with amounts set aside under subparagraph
(A). The Federal share of the cost of such activities may be up to 100
percent.</text>
</subparagraph><subparagraph id="HC6EB0A79EEA04F40B49DA1603CA60D1A"><enum>(C)</enum><header>Limitation on
statutory construction</header><text>Nothing in this paragraph may be construed
to prohibit a community from receiving research or other funds under title 23
or 49, United States Code.</text>
</subparagraph></paragraph></subsection><subsection id="H03FFE3899F8649118DD1A25426365F03"><enum>(j)</enum><header>Treatment of
Projects</header>
<paragraph id="H49943D662D794BFFB0399DF31CF07DA0"><enum>(1)</enum><header>Noninfrastructure
projects</header><text display-inline="yes-display-inline">Noninfrastructure
projects and infrastructure projects that do not involve or lead directly to
construction assisted under this subsection shall not be treated as projects on
a Federal-aid system under chapter 1 of title 23, United States Code.</text>
</paragraph><paragraph id="H04E8A062227643EC972D1590A8DBD5F4"><enum>(2)</enum><header>Infrastructure
projects</header><text display-inline="yes-display-inline">Not later than one
year after the date of enactment of this Act, the Secretary shall develop
regulations or guidance (or both) for Federal-aid projects under this section
that encourages the use of the programmatic categorical exclusion, expedited
procurement techniques, and other best practices to facilitate productive and
timely expenditure for projects that are small, low impact, and constructed
within an existing built environment.</text>
</paragraph><paragraph id="HE2278743780B44FABB231A4CFFDB1989"><enum>(3)</enum><header>State
processes</header><text>The Secretary shall work with State departments of
transportation to ensure that any guidance or regulation developed under
paragraph (2) is being implemented by States and the Federal Highway
Administration consistently to avoid unnecessary delays in implementing
projects and to ensure the effective use of Federal dollars.</text>
</paragraph></subsection><subsection id="H7D30C37FC9884AB18117813F4C02A873"><enum>(k)</enum><header>Assistance to
Indian tribes</header><text display-inline="yes-display-inline">Notwithstanding
any other provision of law, the Secretary may enter into grants agreements,
self-determination contracts, and self-governance compacts under the authority
of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et
seq.) with eligible Indian tribes to carry out the purposes of this Act, and
such grant agreements, self-determination contracts, and self-governance
compacts shall be administered in accordance with that Act.</text>
</subsection><subsection id="H1CE610CBA1A643A2B4F13188A12F173F"><enum>(l)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section, the following definitions
apply:</text>
<paragraph id="H24C6D4366FFB4695AB644F4FBAD0E095"><enum>(1)</enum><header>Active
transportation</header><text>The term <term>active transportation</term> means
mobility options powered solely by human energy, such as bicycling and
walking.</text>
</paragraph><paragraph id="H4C4A1C07C14948ACA2A42E87ABE996B5"><enum>(2)</enum><header>Indian
tribe</header><text display-inline="yes-display-inline">The term <term>Indian
tribe</term> has the meaning given that term in section 4(e) of Indian
Self-Determination and Education Assistance Act (25 U.S.C. 450b(e)).</text>
</paragraph><paragraph id="H59E6466760004B39A560F6F9DFDE5C29"><enum>(3)</enum><header>Program</header><text>The
term <term>program</term> means the active transportation investment program
established under this section.</text>
</paragraph></subsection></section><enum>VI</enum><header>Research and
Assessment Tools</header>
<section commented="no" display-inline="no-display-inline" id="HEC19773B0A6747308517BC1D79AA1DD1" section-type="subsequent-section"><enum>601.</enum><header>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> (42
U.S.C. 242k) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H9CD9EA54A96D4D9280F99772AB02C82C"><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="H7F8091A4F7BC479A9BF8E73499B3F077"><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="H72582E00CBE045A9A3B7E23A3FC25D54"><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="H64F552C9BC5B4FABA1D3C8F55B14B142" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="HAB28FCFDF2804694A7FA5A4D4ACBEF43"><enum>(n)</enum><paragraph commented="no" display-inline="yes-display-inline" id="H1A4080EAB5A149CA990BEE67AE57A2D1"><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="H8FAD5084C46F4CBDAC8C1EBA8194DE40" indent="up1"><enum>(A)</enum><text display-inline="yes-display-inline">collection of data for determining the
fitness levels and energy expenditure of children and youth; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H6FD6528E9044463795ABAA800B3E9E5C" 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="H9A55A267BC0F42B49465AB1A2D5788C0" 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="H0481E4EA0C7645B69845D985BA5C23C9" 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="H99C7946ED02B4885AA89030CFAE09394" section-type="subsequent-section"><enum>602.</enum><header>Report on obesity
research</header>
<subsection commented="no" display-inline="no-display-inline" id="H9180E03B269046F6A60BFF43AADCAD39"><enum>(a)</enum><header>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 obesity and being
overweight.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="HC607215FB500496AA03AC32CD0A215CA"><enum>(b)</enum><header>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="HDAC00BB5E3EB4035B01434A5560C12B5"><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="HB09D44A26A824DF998649696CE675E3B"><enum>(2)</enum><text display-inline="yes-display-inline">information about what these studies have
shown regarding the causes, prevention, and treatment of, obesity and being
overweight; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H1B637FAF793C4B5AB2FF1EBEDD3AFD5B"><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>