1.This Act may be cited as the
Healthy Living Starts Early Act of
2010
.
<enum>I</enum><header display-inline="yes-display-inline">Improving child health and
nutrition</header>
<section commented="no" display-inline="no-display-inline" id="ID1f378a72d522436380011a881c067bc3" section-type="subsequent-section"><enum>101.</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="ID80829a01fd434fb39f2ae42583afe2f8"><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="idB64AEFB85BE94F2DA34D52FA40156A9A" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="ID4d0fcb272a8b440c9e62b4e96e24912e"><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="IDa308425978fd43cc9436fe869495114c"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header>
<subparagraph commented="no" display-inline="no-display-inline" id="IDc6ee1349021e418ab242c7b0bfd1f4e8"><enum>(A)</enum><header display-inline="yes-display-inline">Program purpose</header>
<clause commented="no" display-inline="no-display-inline" id="idA8B09AFF963D425C9781ABEDAEA263E2"><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="idFDF8660354284A69B279FE8D72431353"><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="id265995820071495FA398820A93BE1AC1"><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="id5A275867F58840E49F1FC1889D60630D"><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="ID040d277a8abd4b5986369b00b41a899d"><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="IDe1f8a3585ae94aa4a6a1d759ccbf723a"><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="idEF48F055A4294717B7A3BB8AD225E05B" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="ID2e9910bc18f043039abfe28d03b3f98b"><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="idFB48A8D6F837421C851F2911E19442D7"><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="ID8119c6ce1ee549cfb007f2477e98677f"><enum>(2)</enum><header display-inline="yes-display-inline">Nutritional requirements</header>
<subparagraph commented="no" display-inline="no-display-inline" id="idF909FFCA2662498AAD6271133C91B7B7"><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 snacks 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="ID25a3c3d5fd754885b1d234f7c3f1b056"><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="id7C7E0CFF34224A17856E361125A297F1"><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 served under the program under this section to ensure that the
meals—</text>
<subclause commented="no" display-inline="no-display-inline" id="id3A48204BB13841868716FB39165B8AFC"><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="ID5b9e3124b8e04aad904b0c9d97f0eff1"><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="IDab3666707ed245189250c8bee896e0b1"><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="ID1e3903ed986e4dbf8c41c71324f4f2c5"><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="ID7149a6915e394a988f6d65fc86fc34fc"><enum>(C)</enum><header display-inline="yes-display-inline">Exceptions</header>
<clause commented="no" display-inline="no-display-inline" id="id407744381BB44ED7A277FED5B884BB62"><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="IDa1a5dfe5ed5e4960a1277987af49e6f8"><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="ID578651df5bde43d2a93a70aed1b525d5"><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="ID2ecb347d50c04f30abae82814ec07172"><enum>(4)</enum><header display-inline="yes-display-inline">Fluid milk</header>
<subparagraph commented="no" display-inline="no-display-inline" id="ID817dde24a2f9470e93a74ca8c9ee7d70"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">If an institution or family or group day
care home provides fluid milk as part of a reimbursable meal or supplement, the
institution or family or group day care home shall provide the milk in
accordance with the most recent version of the Dietary Guidelines.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ID64662fa07e72474d8a2f3cd9d5845fed"><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 served, a nondairy beverage that—</text>
<clause commented="no" display-inline="no-display-inline" id="idAA54F1E3219D4382B8B889A1FEF225F4"><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="id82F69506956643579BA901156763BC82"><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="IDc40bb1c7ddab43b1b55ed05f3391f8b7"><enum>(C)</enum><header display-inline="yes-display-inline">Approval</header>
<clause commented="no" display-inline="no-display-inline" id="id66589386F32946B1AD93FB8C46779607"><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="idDF61C0DE392B46FF8C2F54CE45A915B0"><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="id7712CA86985D4E72A2652F9D1B9E10E8"><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="id89A1B9F692184E3C8D9D0239823A3589"><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="ID6eaa9ff7a12948ffaded4a00f9469fb6"><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="id65775A2013E846FC901DBBF56DD95B00"><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="id37B97192A38548FCAFE604E468E14E30"><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="ID3195625f516b44b4895580fd7625feec"><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="ID7b25b92fe9c74a9f8277ca7172c40415"><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="idA8F6F25BDD604805BA8B11E2B2E7E428"><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="id2F6D6BF0757D4D99B514D47531E4F0C9"><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="id273287550FC545E99F6ADF3253AB6777"><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="idCE96FE8FD33E4674951522E6FB293C6F" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="idDC890417B9794777A2514A7D9E472D50"><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="id091AF67E6ABF456DA768A90E280A2E91"><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="IDc653761490564ce3b2868178a44e4b82"><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="ID3c03f7484d6d4ef8afbb185cb8d6d15a"><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="IDb083c4c71e334f23a82728c9c97f0652"><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="ID08be75eb6c2643a2b7da9d490b2c3acd"><enum>(3)</enum><header display-inline="yes-display-inline">Technical assistance and guidance</header>
<subparagraph commented="no" display-inline="no-display-inline" id="idD265E390D149497FA1A7C76964E1AC3A"><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="IDd2a2c5968e39464f8ee2728dacc312b9"><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="id20F4E237BD76435EBF791628A983930A"><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="ID182f353a5eb94774b5a5f9394400c6e5"><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="id10DE29DEF30249DEB4D94AA1A1990793"><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="IDddc78fef055247de9c10f3e37cbb6002"><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="IDf02bc84f14f34cf995e55d7f31510fe8"><enum>(ii)</enum><text display-inline="yes-display-inline">menu planning;</text>
</clause><clause commented="no" display-inline="no-display-inline" id="ID443abb62d92841dea0cb6a43f180b523"><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="ID0ff319a8f1914ee18997e374f850a84a"><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="id705A2CB1168F464281A8E8269EC4EE3B"><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="id690E4209631340A4B0203A2375470C57"><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="ID3038e3e542084336a63574f25d194e0b"><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="IDb7991c5711634e76bcccd2cf049de6d4"><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="ID28f3e544fe9f44cbae5e1e49ffe016ed"><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="ID71b84e799433411eb07b351671ff04f0"><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="IDc560286ff679413384b4633a8edbb069"><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="ID62b22d5490c341beb8067b254171c14c"><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="ID852cd4efcb78434689e22bf3fc4b0624"><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="IDe23d2debb3b7491abfbfc1fd77e37e5b"><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="idEC8AFBC4380E4304BD1156301FAB9945"><enum>(H)</enum><header display-inline="yes-display-inline">Funding</header>
<clause commented="no" display-inline="no-display-inline" id="idB23A6E735C054F3B9204016DC3C00EA1"><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="IDDDDB9AFAA4B2435EB9C6E3EA8D700BC2"><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="ID9ef9e48fb73f4fed84bd144f195e8546" section-type="subsequent-section"><enum>102.</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="ID33d6230cafbd42d2b7c731231f10a0b4"><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="ID93e95dfb4fc64e25bd86757475450764"><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="ID142673400c274f8db16aa88adcbb2b77"><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="ID6704f822d85e477798629d5692ef44f5"><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="ID10f689d7598040c2b0f926da3b7b7b30" section-type="subsequent-section"><enum>103.</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="ID37c4d740605b469ba662cfe19d805d29"><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="id5606B955A5864E92854AFDF4A6294AE6"><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="id2C7C1B7560444ACFB5DB2660018A4989"><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="idD5CBB7B1428247DEA5946AF87597D3CF"><enum>(B)</enum><text display-inline="yes-display-inline">includes an assessment of—</text>
<clause commented="no" display-inline="no-display-inline" id="ID45be896b8a914e8bb0df5da88d9be8ab"><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="IDdd06a80a4cd440498b0da2e974306820"><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="ID82b7bfeb9d3b4e70aa7e334a56b4b009"><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="id8931A6D0215D494DAEBA7FF02EC8DD71"><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="id731FDF2F4F6540CAA839E407C11D714B"><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="id47A221D52B57408DB221893CD18D9425"><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="idD799F3A6998B4D63A773722A63D4A7BA"><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="idE8B66FB984954BA2A9EB14A3443B1E3F"><enum>(b)</enum><header display-inline="yes-display-inline">Funding</header>
<paragraph commented="no" display-inline="no-display-inline" id="idEE01F320F6054D189F3D7F314904DA85"><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="id673A6325CF7F47218856086DFC3E7FC8"><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><enum>II</enum><header display-inline="yes-display-inline">Reducing administrative burdens for child
care sponsors and providers</header>
<section commented="no" display-inline="no-display-inline" id="id5148BF202C164A3A8FE7BFA0D444D366" section-type="subsequent-section"><enum>201.</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="id5AACABF3EFDC4C59A9EC914BD4BE4342"><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="id37F09AD624DA43F0BA43CD5D292610D3"><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="id4EF4E5708B59459FB46C3822A6F201ED"><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="id2955846241F2407BA5A91D77A076E753"><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="ID7ab48cb3e9704d5bbda80de85ce35f5f"><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="ID801e683132214e13bfa842b044e7304c"><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="IDbf615769ebdd4769a524421890ab54da"><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="IDc9ac407c50ac495797e8aefa56148852"><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="ID93f4aa14a84b4e2d82a66baa993a8ec7"><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="IDe9009fdcb1f24254b3edf0d9785c44a5"><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="ID6d2b88cb94854b39b3976690dabc7c31"><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="IDfd1f06c451fd4d819bca8be3d6cee538"><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="id362C61E747DE47EFA5F0F40EE364E25E"><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="id6655674AC9E742C1A14018161BEBC910"><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="ID6f444b5e3e08424382998a2b17c4eb3f"><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="IDaa513b14476c4735a79eae680f910bb7" section-type="subsequent-section"><enum>202.</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="idF135A9A22C4D4A61A22C3B958D8B4B81"><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="id031C7D808F424C8C887D8144B32B6ED5" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="ID94095e3c2e394342a30639c4a80d8709"><enum>(E)</enum><header display-inline="yes-display-inline">Permanent operating agreements</header>
<clause commented="no" display-inline="no-display-inline" id="ID07759d1a5cd245a7837597bab9217e4c"><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="ID3680eb346cd04a2c8c93c9a7a416ce4c"><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="ID64cd8f30b59844b79aa7eb812150bcdd"><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="IDaf40636da0564755812c23fae46942af"><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="ID7b571821f83148aab2530225aab3e980"><enum>(II)</enum><text display-inline="yes-display-inline">shall be terminated—</text>
<item commented="no" display-inline="no-display-inline" id="ID648b04565fad46c3b8b7508b3c0828d8"><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="ID6d51905534674b6eaacacf88142f2408"><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="id11F1787D1C66409583C91C1DB1AA2DEA"><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="idF0012FBDED1341BEB4931B12005EA89F" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="IDda2fb69cd2cb475e8d562a22f44732cc"><enum>(2)</enum><header display-inline="yes-display-inline">Program applications</header>
<subparagraph commented="no" display-inline="no-display-inline" id="ID55afc858287540428fcb51ce1a77a886"><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="ID79d4d3e87f48443c80f8d42dafea8b8a"><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="ID012328902dd54e48afd8edf950ccf33d"><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="ID9d9a745f998b41b6ad60b636cca97bd8"><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="ID924f318b1c964f5bba936111b76a0f67"><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="IDb96fbba011eb4b2f901df5fe0d0a11c5"><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="ID2bd3e60a999a4de5af990be505eca446"><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="IDb59c2c2f176a4cc3bea05adc62cc5b41"><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="IDf997a637a2714fda8073bdf5e1632418"><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="id6CBBCD531DAF48189E9786E7C827480B"><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="idB0EFA3A8B6FC45478142F3ACC3B818EB"><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="id0D36796F48E34C6AA4B2F6ACCC6D199E"><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="ID60a116f059be4597961cab8b7aa56348" section-type="subsequent-section"><enum>203.</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="id9355813AB5F6486B9C4726351E2DA739" style="OLC">
<item commented="no" display-inline="no-display-inline" id="idACDBCAC3286F48949CB236024EA6C6C7"><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="idEE83D7A6B73D49EA9D4701AAC080C7D6"><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="ID522ef94665ea40439d00d43490da445a" section-type="subsequent-section"><enum>204.</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="idB92CF7A773D349D7A384B9D0C62266FE" style="OLC">
<subparagraph commented="no" display-inline="no-display-inline" id="IDeb9c3073d7034e3195fbc3890fee503c"><enum>(B)</enum><header display-inline="yes-display-inline">Administrative funds</header>
<clause commented="no" display-inline="no-display-inline" id="IDdebb26af82d443a9845180fe15498252"><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="id7379815F390C480FA37EBD5F366F2F78"><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="id98E9838B0F4F4FABBDE40766F191080F"><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="ID3e15c87ef3ed45378f0d8e6704e11043"><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="IDb4af98cd2daf4ef386c2b97cef67fe76"><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="ID54e71477b88f4ddf830b3f4bce16d96a"><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>