1.This Act may be cited as the
Federal Response to Eliminate Eating
Disorders Act of 2011
.
2.The table of contents
of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Findings.
Sec. 4. Definition.
Title I—Research
Sec. 101. Activities to improve eating disorder-related
research and funding.
Sec. 102. Eating disorders surveillance and research
program.
Title II—Education and Prevention
Sec. 201. Study of mandatory BMI reporting in
school.
Sec. 202. Training and education.
Sec. 203. Health professional education and
training.
Sec. 204. Education and training for all health
professionals.
Sec. 205. Education and training for school and higher
education professionals.
Sec. 206. Eating disorder research and report.
Sec. 207. Public service announcements.
Sec. 208. Sense of Congress.
Title III—Treatment
Sec. 301. Coverage for treatment for eating disorders under
group health plans, individual health insurance coverage, and
FEHBP.
Title IV—Improving availability and access to
treatment
Sec. 401. Medicaid coverage for eating disorder treatment
services.
Sec. 402. Grants to support patient advocacy.
3.The Congress finds as follows:
(1)Risk of death
among individuals with anorexia nervosa is 11 times greater than their same age
peers without anorexia.
(2)Health
consequences such as osteoporosis (brittle bones), gastrointestinal
complications, and dental problems are significant health and financial burdens
throughout life.
(3)An estimated 5,000,000 to 10,000,000 women
and girls and 1,000,000 men and boys suffer from eating disorders, including
anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified
(EDNOS) (including binge eating disorder). The lifetime prevalence of all
eating disorders in America is 0.6 to 4.5 percent.
(4)Anorexia nervosa
is an eating disorder characterized by self-starvation and excessive weight
loss. An estimated 0.9 percent of American women and 0.3 percent of American
men will suffer from anorexia nervosa in their lifetime.
(5)Anorexia nervosa
is associated with serious health consequences including heart failure, kidney
failure, osteoporosis, and death.
(6)Bulimia nervosa is
an eating disorder characterized by excessive food consumption followed by
inappropriate compensatory behaviors, such as self-induced vomiting, misuse of
laxatives, fasting, or excessive exercise. An estimated 1.5 percent of American
women and 0.5 percent of American men will suffer from this disorder in their
lifetime.
(7)Bulimia nervosa is
associated with cardiac, gastrointestinal, and dental problems including
irregular heartbeats, gastric rupture, peptic ulcer, tooth decay, and
death.
(8)Binge eating
disorder is characterized by frequent episodes of uncontrolled overeating.
Binge eating disorder is common: an estimated 3.5 percent of American women and
2.0 percent of American men will suffer from this disorder in their
lifetime.
(9)Binge eating is
associated with obesity, heart disease, gall bladder disease, and
diabetes.
(10)Many more suffer
from some, but not all, of the symptoms of anorexia nervosa, bulimia nervosa,
or binge eating disorder, which is referred to as eating disorders not
otherwise specified (EDNOS). Between 4 percent and 20 percent of young women
practice unhealthy patterns of dieting, purging, and binge eating.
(11)Eating disorders
are more common in women, but they do occur in men. Rates of binge eating
disorder are similar in females and males.
(12)Eating disorders usually appear in
adolescence and are associated with substantial psychological problems,
including depression, substance abuse, and suicide. Eating disorders also
develop in younger children and adults, compromising health and daily
functioning. For children 12 years of age and younger, hospitalizations for
eating disorders increased by 119 percent between 1999 and 2006.
(13)Eating disorders are found across races,
ethnicities, and socioeconomic groups in the United States. White females are
more likely to suffer from anorexia, while African-American girls are
especially vulnerable to developing eating disorders that involve binge eating.
Body dissatisfaction in young girls has been shown in White, African-American,
Hispanic, and Asian girls.
4.In this Act, the term eating
disorder includes anorexia nervosa, bulimia nervosa, and eating
disorders not otherwise specified (EDNOS) (including binge eating disorder), as
defined in the fourth edition of Diagnostic and Statistical Manual of
Mental Disorders
or, if applicable, the most recent successor
edition.
<enum>I</enum><header>Research</header>
<section id="H4778EE5362304F74B9375765253ACC3B"><enum>101.</enum><header>Activities to
improve eating disorder-related research and funding</header><text display-inline="no-display-inline">Title IV of the Public Health Service Act
(42 U.S.C. 281 et seq.) is amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H780BEBCD83C04E51A095E10220B9E28A" style="OLC">
<part id="HAF3D927309E24AAE9A16385CF9FA367F"><enum>J</enum><header>Eating
disorder-related activities</header>
<section id="H90A7603D4C1C4D1B888A545C1BA36085"><enum>499A.</enum><header>Authority of
the director of the national institutes of health relating to eating
disorders</header>
<subsection id="H43FDA748282E441480D9A027E933CE45"><enum>(a)</enum><header>Identifying
total expenditures on eating disorders</header><text>The Director of NIH, in
coordination with the National Institute of Mental Health, the Office of
Research on Women’s Health, and other institutes of the National Institutes of
Health, shall identify the total amount of expenditures, both intramural and
extramural, by the National Institutes of Health for eating disorders for each
of fiscal years 2009 and 2010.</text>
</subsection><subsection id="HB914AFEC1CDA472EBE687B58802A6599"><enum>(b)</enum><header>Budget for
eating disorders research and coordination of activities and
programs</header><text>The Director of NIH, based on the strategic plan
developed under subsection (c), shall—</text>
<paragraph id="H04F6E27AD2DA493AB6EF521A093D89AE"><enum>(1)</enum><text>develop and
oversee the implementation of a scientifically justified budget for research on
eating disorders at the National Institutes of Health;</text>
</paragraph><paragraph id="HB652901E5FAD4C4D980EC89F835E35E7"><enum>(2)</enum><text>coordinate all
research activities and programs on eating disorders at the institutes,
centers, and divisions of the National Institutes of Health; and</text>
</paragraph><paragraph id="HE3E2D745D48E406CAEB66D8AA9A35392"><enum>(3)</enum><text>evaluate all such
activities and programs.</text>
</paragraph></subsection><subsection id="H3A5CC854454C40EB9747574F482828D7"><enum>(c)</enum><header>Strategic plan
for eating disorders research</header>
<paragraph id="HA1EF9A20FEFF4C3DB17D6F1F05D05A50"><enum>(1)</enum><header>In
general</header><text>Not later than 1 year after the date of the enactment of
this section, the Director of NIH shall develop, in consultation with leading
eating disorder researchers, and oversee the implementation of a comprehensive,
long-range plan for the conduct and support of research on eating disorders by
the institutes, centers, and divisions of the National Institutes of
Health.</text>
</paragraph><paragraph id="H6B6276E2CF9A4CB9B265CC409345D362"><enum>(2)</enum><header>Requirements</header><text>The
plan developed under paragraph (1) shall—</text>
<subparagraph id="HD98ED8899F7842A888CF3CD13C549905"><enum>(A)</enum><text>be updated on an
annual basis;</text>
</subparagraph><subparagraph id="H5896935BC72F4B70B7B24B44E20F5CFC"><enum>(B)</enum><text>identify critical
scientific questions related to eating disorders and establish priorities among
such questions;</text>
</subparagraph><subparagraph id="HD4A3D692A470486B9AC658DFE25A6035"><enum>(C)</enum><text>based on the
priorities established under subparagraph (B), specify the short- and
long-range objectives to be achieved, and estimate the resources needed to
achieve these objectives;</text>
</subparagraph><subparagraph id="HC74604E2FF6E46F689D7325CF96FBF2C"><enum>(D)</enum><text>evaluate the
sufficiency of existing research programs on eating disorders to meet the
objectives specified under subparagraph (C), and establish objectives,
timelines, and criteria for evaluating future research programs;</text>
</subparagraph><subparagraph id="HF1A202D606D249788796BC96F79F0365"><enum>(E)</enum><text>be coordinated
with the activities of the Centers of Excellence receiving funds under section
499B(b); and</text>
</subparagraph><subparagraph id="H2481AF41A476408AB47AAFD13E42BE38"><enum>(F)</enum><text>make
recommendations for changes to existing research programs on eating
disorders.</text>
</subparagraph></paragraph></subsection><subsection id="H6E070A6DD2594311A079BB79FC24D50B"><enum>(d)</enum><header>Budgetary
authority</header>
<paragraph id="H01B2503D09C14C00A87A2F586166FEA2"><enum>(1)</enum><header>In
general</header><text>The Director of NIH shall—</text>
<subparagraph id="HCDD2A04602DD46FF92E908CF0FCB4A2B"><enum>(A)</enum><text>in accordance with
the strategic plan developed under subsection (c), annually prepare and submit
to Congress a scientifically justified budget estimate for research on eating
disorders to be conducted within the agencies of the National Institutes of
Health, which shall include the amount of funds that will be required
for—</text>
<clause id="H5A54174464794604AF676B1F36ECC4B6"><enum>(i)</enum><text>the continued
funding of ongoing discretionary program initiatives at the institutes,
centers, and divisions of the National Institutes of Health; and</text>
</clause><clause id="H3F7781CF3A78420ABBCA1966CFDB88D0"><enum>(ii)</enum><text>the funding of
new and complementary program initiatives; and</text>
</clause></subparagraph><subparagraph id="HBF2AD512C4594A61B1CA4683116575E1"><enum>(B)</enum><text>receive all
research funds for eating disorders described in subparagraph (A), and allocate
those funds to the institutes, centers, and divisions of the National
Institutes of Health.</text>
</subparagraph></paragraph><paragraph id="H9D9BA2AECB744C0792889B856822A0EF"><enum>(2)</enum><header>Effective
date</header><text>Paragraph (1)(B) shall become effective in the fiscal year
following the submission of the first eating disorder budget described in
paragraph (1)(A).</text>
</paragraph></subsection><subsection id="H24BE12FC28CD47639EE47988454FF62B"><enum>(e)</enum><header>Evaluation and
report</header>
<paragraph id="H264EC84848524BFF8A89B4AAE6737062"><enum>(1)</enum><header>Evaluation</header><text>The
Director of NIH shall evaluate the effect of this section on the planning and
coordination of research programs on eating disorders at the institutes,
centers, and divisions of the National Institutes of Health, and the extent to
which funding mandated under this section has followed the recommendation of
the strategic plan developed under subsection (c).</text>
</paragraph><paragraph id="H73D4612EDD4A413A890A7F2DBAAAF8E8"><enum>(2)</enum><header>Report</header><text>Not
later than 1 year after the date of enactment of this section, the Director of
NIH shall prepare and submit to the Committee on Energy and Commerce and the
Committee on Appropriations of the House of Representatives, and the Committee
on Health, Education, Labor, and Pensions and the Committee on Appropriations
of the Senate, a report based on the evaluation described in paragraph
(1).</text>
</paragraph></subsection><subsection id="H2D23DDB04E3842C8A4F1443E44B9C569"><enum>(f)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this part, the term <term>eating
disorder</term> includes anorexia nervosa, bulimia nervosa, and eating
disorders not otherwise specified (EDNOS) (including binge eating disorder), as
defined in the fourth edition of <quote>Diagnostic and Statistical Manual of
Mental Disorders</quote> or, if applicable, the most recent successor
edition.</text>
</subsection></section><section id="H4004DE8579F342A8909DD8DF26749517"><enum>499B.</enum><header>Expansion,
intensification, and coordination of activities of national institutes of
health with respect to research on eating disorders</header>
<subsection id="H9E79A41B02A140C8AA244C153277BF93"><enum>(a)</enum><header>In
general</header>
<paragraph id="HA99E126502B6445D8F3B6C04A309A314"><enum>(1)</enum><header>Expansion of
activities</header><text>The Director of NIH shall expand, intensify, and
coordinate the activities of the National Institutes of Health with respect to
research on eating disorders.</text>
</paragraph><paragraph id="HB81D2CE8F14C4B048C31BFCE86231BEC"><enum>(2)</enum><header>Administration
of program; coordination among agencies</header><text display-inline="yes-display-inline">The Director of NIH shall carry out this
section acting through the Director of the National Institute of Mental Health,
and in collaboration with the Director of the Eunice Kennedy Shriver National
Institute of Child Health and Human Development, the Director of the National
Institute of Diabetes and Digestive and Kidney Diseases, the Director of the
Office of Research on Women’s Health, and any other agencies or offices of the
National Institutes of Health that the Director determines appropriate.</text>
</paragraph><paragraph id="H27FD9EB228554C90A417D3F8FBFD93F3"><enum>(3)</enum><header>Task
force</header>
<subparagraph id="H76527A0AF2F941FEA545D8E65C549E7E"><enum>(A)</enum><header>Establishment</header><text>Before
making grants under subsection (b) for Centers of Excellence, the Director of
NIH shall establish a task force (in this paragraph referred to as the
<quote>task force</quote>) consisting of—</text>
<clause id="H56EFA1879B004803B4BC5601931B0B05"><enum>(i)</enum><text>representatives of
the institutes, centers, and divisions of the National Institutes of Health, as
determined appropriate by the Director;</text>
</clause><clause id="HFB9706F929584AD0A23454E4741D8994"><enum>(ii)</enum><text>eating disorders
researchers, clinicians, and patient advocacy groups; and</text>
</clause><clause id="H5A0D45CC09714BF081DCB2E416FCCCE9"><enum>(iii)</enum><text>the general
public.</text>
</clause></subparagraph><subparagraph id="HCADC6F699F164FE988B3052C58031C4F"><enum>(B)</enum><header>Duties</header><text>The
task force shall—</text>
<clause id="HF4FDD757566D475DAFAADF25DE2A53F4"><enum>(i)</enum><text>assist researchers
in developing applications and applying for grants and contracts to be awarded
for Centers of Excellence under subsection (b);</text>
</clause><clause id="H54C3EE580F11430F984408AA49079452"><enum>(ii)</enum><text>conduct a
thorough examination of the field of eating disorders, create a list of
priorities for eating disorders research, and develop a matrix of action items
for such research; and</text>
</clause><clause id="H33E46B945A1F4E8B804CB5C1A329B2AE"><enum>(iii)</enum><text display-inline="yes-display-inline">conduct meetings to address issues with
respect to eating disorders research, including guiding principles of Centers
of Excellence under subsection (b); development of strategic research
priorities; strategies for recruiting new scientists into the field of eating
disorders and providing them with high-quality training; priorities and best
practices for basic research, clinical research, treatment research, and
prevention research; and development of a research infrastructure
nationwide.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H21EAB3CDA7F342908347134E62F7AB92"><enum>(b)</enum><header>Centers of
excellence</header>
<paragraph commented="no" id="H79A879CBA0B34FC3B8154E6FA7F11485"><enum>(1)</enum><header>Grants</header>
<subparagraph commented="no" id="H3F67E2C3C9E94091A2BE8DCEC41A1189"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">In carrying out
subsection (a)(1), the Director of NIH shall award grants and contracts to
public or nonprofit private entities, including universities, to—</text>
<clause commented="no" id="H5E5A212F50CE42538AACAFC1BFB96498"><enum>(i)</enum><text display-inline="yes-display-inline">conduct research on eating disorders
designed to improve understanding of the etiology, early identification,
prevention, best treatment, medical and psychological sequelae of and recovery
from eating disorders;</text>
</clause><clause commented="no" id="H19194E8325564AF4A4FAD960D22868F4"><enum>(ii)</enum><text>conduct training
to perform such research; and</text>
</clause><clause commented="no" id="H3DE837D03C9B4E59A456CEE480669804"><enum>(iii)</enum><text>pay all or part
of the cost of planning, establishing, improving, and providing basic operating
support for such research and training.</text>
</clause></subparagraph><subparagraph commented="no" id="HBE556A0570ED43B3885CB7A36D38E22A"><enum>(B)</enum><header>Centers of
Excellence</header><text>For purposes of this section, an entity that receives
a grant or contract under subparagraph (A) shall be referred to as a Center of
Excellence.</text>
</subparagraph></paragraph><paragraph id="H9EFF51B606E447AAACF7637B4F887534"><enum>(2)</enum><header>Research</header>
<subparagraph commented="no" id="HCADF29A4C13546C1ADB7487A97CB911A"><enum>(A)</enum><header>In
general</header><text>Each Center of Excellence shall conduct basic research,
clinical research, or both into eating disorders.</text>
</subparagraph><subparagraph id="HCCEA1DC673A74A5DAA5594982AB79E79"><enum>(B)</enum><header>Requirements</header><text>The
research conducted by a Center of Excellence pursuant to subparagraph
(A)—</text>
<clause id="H03050F33B7E54E8199FC92FBB6FD16DD"><enum>(i)</enum><text>shall be designed
to improve understanding of the etiology, early identification, prevention,
best treatment, medical and psychological sequelae of and recovery from eating
disorders;</text>
</clause><clause id="HABF0E6CC5C154420AE20C2C7A6F1D956"><enum>(ii)</enum><text>shall be
conducted in the fields of basic, clinical, prevention, and intervention
sciences; and</text>
</clause><clause id="HF3AD2007B9FF40AE9656A12046573D53"><enum>(iii)</enum><text>should
include—</text>
<subclause id="H0969CA8EC718410F99C25492F8679DF4"><enum>(I)</enum><text>studies clarifying
the nosology and assessment of eating disorders;</text>
</subclause><subclause id="HCDBD027E8E4742CDA1E8ADBE2815AB27"><enum>(II)</enum><text>investigations to
determine the biological, psychosocial, and behavioral risk factors that might
appear in early childhood;</text>
</subclause><subclause id="H1265D50B672D404ABAF07D8DD964E9C6"><enum>(III)</enum><text>studies of
promising treatments for eating disorders;</text>
</subclause><subclause id="H69B8F5D424294CC7B25CDB31F96F2775"><enum>(IV)</enum><text>evaluation of
prevention programs for eating disorders; and</text>
</subclause><subclause id="H08A40AD03B724BE2A7F0DF1882A14D2C"><enum>(V)</enum><text>studies of the
medical, psychological, and social sequelae of eating disorders.</text>
</subclause></clause></subparagraph><subparagraph id="HCD17B78C005C4FEA9A7E0D1E91EA8B0D"><enum>(C)</enum><header>Equal
representation of research areas</header><text display-inline="yes-display-inline">In awarding grants and contracts under
paragraph (1), the Director of NIH shall, to the extent practicable and
appropriate, ensure that each of the research areas required by clauses (i) and
(ii) of subparagraph (B) are equally represented.</text>
</subparagraph></paragraph><paragraph id="H76307588BD6543A3897890029263A4A9"><enum>(3)</enum><header>Training to
perform eating disorders research</header><text>Each Center of Excellence shall
provide at least 3 positions for doctoral level and post-doctoral level
research trainees.</text>
</paragraph><paragraph id="H5F89C3A8DEE04CD0B35EDC71B8431D37"><enum>(4)</enum><header>Services for
patients</header>
<subparagraph id="H678547F25EA64A8CB4C48B2032543BF2"><enum>(A)</enum><header>In
general</header><text>A Center of Excellence may expend amounts provided under
a grant or contract under such paragraph to carry out a program to make
individuals aware of opportunities to participate as subjects in research
conducted by such Centers.</text>
</subparagraph><subparagraph id="HE3CC407C76AF4421B62CD909706194BE"><enum>(B)</enum><header>Referrals and
costs</header><text>A program carried out under subparagraph (A) may, in
accordance with such criteria as the Director of NIH may establish, provide to
the subjects described in such subparagraph, referrals for health, mental
health, and other services, and such patient care costs as are required for
research.</text>
</subparagraph><subparagraph id="H68C2930802DC449288B8024C0B6BAB5C"><enum>(C)</enum><header>Availability and
access</header><text>The extent to which a Center of Excellence can demonstrate
availability and access to clinical services shall be considered by the
Director of NIH in decisions about awarding grants or contracts to applicants
that meet the scientific criteria for funding under this section.</text>
</subparagraph></paragraph><paragraph id="H58014334A58A48189C8A7A5E2A2A10D3"><enum>(5)</enum><header>Coordination of
Centers of Excellence</header>
<subparagraph id="HCB0B8C2607ED4541AA8462C0D3931B20"><enum>(A)</enum><header>In
general</header><text>The Director of the National Institute of Mental Health
shall, as appropriate, provide for the coordination of information among
Centers of Excellence and ensure regular communication between such
Centers.</text>
</subparagraph><subparagraph id="HABCA8C0DECE04A6591A28F8022DB5724"><enum>(B)</enum><header>Periodic
reports</header><text>The Director of the National Institute of Mental Health
may require the periodic preparation of reports on the activities of Centers of
Excellence and the submission of such reports to the Director.</text>
</subparagraph><subparagraph id="HE2F28BD8C71744849B3BF20E4FAE6271"><enum>(C)</enum><header>Collection and
storage of data</header><text>The Director of the National Institute of Mental
Health shall establish and fund mechanisms and entities for collecting,
storing, and coordinating data collected by Centers of Excellence and data
generated from public and private research partnerships.</text>
</subparagraph></paragraph><paragraph id="HCDB3065310384FC59C715722CA71CDDB"><enum>(6)</enum><header>Organization</header><text>Each
Center of Excellence shall use the facilities of a single institution, or be
formed from a consortium of cooperating institutions, meeting such requirements
as may be prescribed by the Director of NIH.</text>
</paragraph><paragraph id="HF3419C088DE14CAE8D8C3C6DDA47EAD1"><enum>(7)</enum><header>Number;
duration; additional periods</header>
<subparagraph id="HA9927472CFAE4DA181BC78E9BD373892"><enum>(A)</enum><header>In
general</header><text>The Director of NIH shall award grants and contracts to
not fewer than 3 entities under paragraph (1).</text>
</subparagraph><subparagraph id="H5DD8A39E93C3419E992A9D75A173A335"><enum>(B)</enum><header>Duration</header><text>Except
as provided in subparagraph (C), a grant or contract awarded under paragraph
(1) shall not exceed a period of 5 years.</text>
</subparagraph><subparagraph id="H07100D15152F439899D8C58A557AA049"><enum>(C)</enum><header>Additional
periods</header>
<clause id="H1F6CFBBB3C6C4C2AB57D55E1FD2574AD"><enum>(i)</enum><header>Extension</header><text>The
period of a grant or contract awarded under paragraph (1) may be extended 1 or
more additional periods not exceeding a total of 5 years if the operations of
the Center of Excellence involved have been reviewed by an appropriate
technical and scientific peer review group (including investigators from the
field of eating disorders) established by the Director of NIH and the group has
recommended to the Director that such period should be extended.</text>
</clause><clause id="H2233A853346F43B69AA910D3F805B035"><enum>(ii)</enum><header>Amount</header><text>The
amount of any grant or contract under paragraph (1) for an additional period
described in clause (i) shall not exceed $2,000,000 per fiscal year.</text>
</clause></subparagraph><subparagraph id="H76BDF8DBADDF45C5B64A74602BF7366A"><enum>(D)</enum><header>Public
input</header><text>In carrying out this section, the Director of NIH shall
provide for a means through which the public can obtain information on the
existing and planned programs and activities of the National Institutes of
Health with respect to eating disorders and through which the Director can
receive comments from the public regarding such programs and activities.</text>
</subparagraph></paragraph></subsection><subsection id="H2549F6010D794626A4C7965F59A08953"><enum>(c)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $20,000,000 for each of fiscal years 2012 through 2016.
Amounts appropriated under this subsection shall be in addition to any other
amounts appropriated for such purpose.</text>
</subsection></section><section id="HE2720986B94F4DA5AEB068E067ABB554"><enum>499C.</enum><header>Collaborative
programs of research in eating disorders</header>
<subsection id="H37CDB49AB6B3479FB3612F14D447A3A7"><enum>(a)</enum><header>In
general</header><text>The Director of NIH, acting through the Director of the
National Institute of Mental Health, the Director of the National Institute of
Diabetes and Digestive and Kidney Diseases, the Director of the Eunice Kennedy
Shriver National Institute of Child Health and Human Development, the Director
of the Office of Research on Women’s Health, and any other agencies or offices
of the National Institutes of Health that the Director determines appropriate,
in consultation with leading eating disorders researchers and clinicians, shall
award grants and contracts to public or nonprofit private entities to pay all
or part of the cost of planning, establishing, improving, and providing basic
operating support for collaborative programs of research in eating
disorders.</text>
</subsection><subsection id="H274FFDDF0F1846CDA1B571D29D5782E0"><enum>(b)</enum><header>Research</header><text>Each
program established under subsection (a)—</text>
<paragraph id="H7D4810EEEF774394BC1AAAA1EF544A08"><enum>(1)</enum><text>shall conduct
basic research, clinical research, or both into eating disorders; and</text>
</paragraph><paragraph id="H60602F2B74084A32A0C8C5775263BC19"><enum>(2)</enum><text>should conduct
investigations into the cause, diagnosis, early detection, prevention and
treatment of and recovery from eating disorders.</text>
</paragraph></subsection><subsection id="HA6C755577864409F8E19181A961C7A76"><enum>(c)</enum><header>Coordination of
programs</header>
<paragraph id="H7F956B2B5FF949A980D58347BE049617"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Director of NIH
shall, as appropriate, provide for the coordination of information among
programs established under subsection (a), and Centers of Excellence receiving
funding under section 499B, and ensure regular communication between such
programs and Centers.</text>
</paragraph><paragraph id="HE3C3926E73E84455846C5F89BC9D03C4"><enum>(2)</enum><header>Periodic
reports</header><text>The Director of NIH may require the periodic preparation
of reports on the activities of the programs established under subsection (a)
and the submission of such reports to the Director.</text>
</paragraph><paragraph id="HE59348EB162B4FEF9C9706FCA9CFB48B"><enum>(3)</enum><header>Collection and
storage of data</header><text>The Director of NIH shall establish and fund
mechanisms and entities for collecting, storing, and coordinating data
collected by the programs established under subsection (a) and data generated
from public and private research partnerships.</text>
</paragraph></subsection><subsection id="HF8461E0A28BC4B7182A4A4FBB3A02C2B"><enum>(d)</enum><header>Organization</header><text>Each
program that receives funding under subsection (a) shall be formed from a
consortium of cooperating institutions, meeting such requirements as may be
prescribed by the Director of NIH.</text>
</subsection><subsection id="HCE67A77DE466485DAD0D57C1927908F0"><enum>(e)</enum><header>Number and
duration</header>
<paragraph id="HB679770857A04DBEBB7FBC7A78BA060D"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Director shall
provide for the establishment of not fewer than 4 programs under subsection
(a).</text>
</paragraph><paragraph id="H8F30EB76110349659DC3E6821152053C"><enum>(2)</enum><header>Duration</header><text>Except
as provided in paragraph (3), a grant or contract awarded under subsection (a)
shall not exceed a period of 5 years.</text>
</paragraph><paragraph id="H768C5A347B524FF6B70EE9D40672CB4F"><enum>(3)</enum><header>Additional
periods</header>
<subparagraph id="H44FF8FC455B941B3BF684B9D671695B1"><enum>(A)</enum><header>Extension</header><text display-inline="yes-display-inline">The period of a grant or contract awarded
under subsection (a) may be extended for 1 or more additional periods not
exceeding 5 years if the operations of the program involved have been reviewed
by an appropriate technical and scientific peer review group established by the
Director of NIH and the group has recommended to the Director that such period
should be extended.</text>
</subparagraph><subparagraph id="HE8F5D57E3177482A80C14A74608531FA"><enum>(B)</enum><header>Amount</header><text display-inline="yes-display-inline">The amount of any grant or contract under
subsection (a) for an additional period described in subparagraph (A) shall not
exceed $2,000,000 per fiscal year.</text>
</subparagraph></paragraph></subsection><subsection id="H4408A769611147E6925D958ECDFD48A5"><enum>(f)</enum><header>Rule of
construction</header><text display-inline="yes-display-inline">Nothing in this
section shall be construed as precluding or otherwise affecting funding for any
research on eating disorders in addition to the research funded under this
section.</text>
</subsection><subsection id="H66140751C29B4A029F23501C875146B9"><enum>(g)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $20,000,000 for each of fiscal years 2012 through 2016.
Amounts appropriated under this subsection shall be in addition to any other
amounts appropriated for such
purpose.</text>
</subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H48C901495F06463E94668CCFDD74B566"><enum>102.</enum><header>Eating
disorders surveillance and research program</header><text display-inline="no-display-inline">Title III of the Public Health Service Act
(42 U.S.C. 241 et seq.) is amended by adding at the end thereof the
following:</text>
<quoted-block display-inline="no-display-inline" id="HEFC7B3EBD43544909B6D3D190FC75F08" style="OLC">
<part id="HD363F95BB42342F58A0EAB1527F57162"><enum>W</enum><header>Programs relating
to eating disorders</header>
<section id="HE686AB36A0034EA988A29F20C0D3B08D"><enum>399OO.</enum><header>Eating
disorders surveillance and research program</header>
<subsection id="HC5BCF1C37E4642B48121853C3CA6D92C"><enum>(a)</enum><header>National eating
disorders surveillance program</header>
<paragraph id="H1FE443FE083447A388468A6563805C3D"><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
consultation with leading eating disorders researchers and clinicians—</text>
<subparagraph id="H7696AFD05B8B46D68A94BDB3F21436AC"><enum>(A)</enum><text>shall provide for
the collection, analysis, and reporting of epidemiological data on eating
disorders through the existing surveillance programs of the Centers, such as
the Behavioral Risk Factor Surveillance System;</text>
</subparagraph><subparagraph id="HEC14D0094338410BA157AB1FEEDB2B45"><enum>(B)</enum><text display-inline="yes-display-inline">shall make recommendations to enhance
existing surveillance programs of the Centers, such as the Behavioral Risk
Factor Surveillance System, to more accurately collect epidemiological data on
disordered eating and eating disorders;</text>
</subparagraph><subparagraph id="H6F0C8FC550614CEC9EC423F88A253CE5"><enum>(C)</enum><text>may award grants
and cooperative agreements and may provide direct technical assistance to
eligible entities for the collection, analysis, and reporting of such data;
and</text>
</subparagraph><subparagraph id="H3FFA557D98FA42F7B27D918F8326F0C4"><enum>(D)</enum><text>shall examine and
improve requirements for reporting deaths on death certificates to accurately
account for those cases in which an eating disorder is the underlying or
contributing cause of death.</text>
</subparagraph></paragraph><paragraph id="H9CC496630FCE4B19A8411420DBD1FA7F"><enum>(2)</enum><header>Eligibility</header><text>To
be eligible to receive a grant or cooperative agreement under paragraph (1)(C),
an entity shall be a public or nonprofit private entity (including a health
department of a State or political subdivisions of a State, a university, or
any other educational institution), and submit to the Secretary an application
at such time, in such manner, and containing such information as the Secretary
may require.</text>
</paragraph></subsection><subsection id="H2D24FAFC4F4145D289D3868A2554E0DF"><enum>(b)</enum><header>Center of eating
disorders epidemiology</header>
<paragraph id="H73440C06F4374BD3ADAA1A436EE2FB86"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall establish a Center of Eating
Disorders Epidemiology for the purpose of collecting and analyzing information
on—</text>
<subparagraph id="H042349C7784541D09CD05FE7828CE65F"><enum>(A)</enum><text>the number,
incidence, incidence trends over time, correlates, mortality, and causes of
eating disorders;</text>
</subparagraph><subparagraph id="HE1CA06CDB8BA43748CB7CC68EC246427"><enum>(B)</enum><text>the effects of
eating disorders on quality of life, including disability adjusted life years
(DALY) and quality adjusted life years (QALY); and</text>
</subparagraph><subparagraph id="H64E83A14E84D44E1A72F6C85F58F3992"><enum>(C)</enum><text>economic analysis
of the costs of eating disorders in the United States, including years of
productive life lost, missed days of work, reduced work productivity, costs of
medical and mental health treatment, prescriptions, other medications,
hospitalizations, costs of medical and psychiatric comorbidities, costs to
family, and costs to society.</text>
</subparagraph></paragraph><paragraph id="H4DB5DC95385B4CDDAC1F13D8C1F67767"><enum>(2)</enum><header>Grants;
cooperative agreements</header><text>The Center of Eating Disorders
Epidemiology under paragraph (1) shall be established and operated through the
awarding of grants or cooperative agreements to one or more public or nonprofit
private entities that conduct research, which may include a university or other
educational entity.</text>
</paragraph><paragraph id="H97FF557CF4D74AE48F69E0A17C9F4049"><enum>(3)</enum><header>Requirements</header><text>To
be eligible to receive a grant or cooperative agreement under paragraph (2), an
entity shall submit to the Secretary an application containing such agreements
and information as the Secretary may require, including an agreement that the
Center of Eating Disorders Epidemiology will operate in accordance with the
following:</text>
<subparagraph id="HF336A06FB4FD43E48CACB896D37BC198"><enum>(A)</enum><text>The Center will
collect, analyze, and report eating disorders data according to guidelines
prescribed by the Director of the Centers for Disease Control and Prevention,
after consultation with relevant State and local public health officials,
private sector eating disorder researchers and clinicians, and advocates for
those with eating disorders.</text>
</subparagraph><subparagraph id="H949B7D3B065B4CE8972374D820653233"><enum>(B)</enum><text>The Center will
assist with the development and coordination of State eating disorders
surveillance efforts within a region.</text>
</subparagraph><subparagraph id="HB3F6C018EE88448FB3EF900E90C91222"><enum>(C)</enum><text>The Center will
identify eligible cases and controls through its surveillance systems and
conduct research into factors which may cause or increase the risk of eating
disorders.</text>
</subparagraph><subparagraph id="HDBEC1B0877A34BB78D1C30D20A0D7994"><enum>(D)</enum><text>The Center will
develop or extend an area of special research expertise (including genetics,
environmental exposures, and other relevant research specialty areas).</text>
</subparagraph></paragraph></subsection><subsection id="H3CC5DD5C729A47C9B36AD2C20E9CA272"><enum>(c)</enum><header>Clearinghouse</header><text>The
Secretary, acting through the Director of the Centers for Disease Control and
Prevention and in consultation with leading eating disorders researchers and
clinicians, shall carry out the following:</text>
<paragraph id="HBCBD3DA5BC314417AF0FC5D6ACF06453"><enum>(1)</enum><header>Establishment</header><text>The
Secretary shall establish a clearinghouse within the Centers for Disease
Control and Prevention for the collection and storage of data generated from
the monitoring programs established under this section and part J of title IV.
Through the clearinghouse, the Centers for Disease Control and Prevention shall
serve as the coordinating agency for eating disorders surveillance activities.
The functions of such clearinghouse shall include facilitating the coordination
of research and policy development relating to the prevention, treatment, and
epidemiology of eating disorders.</text>
</paragraph><paragraph id="H0EDC5E2D107D467398F20BE82BFA5DD0"><enum>(2)</enum><header>Facilitation of
research</header><text>The Secretary shall provide for the establishment of a
program under which samples of tissues and genetic and other biological
materials that are of use in research on eating disorders are donated,
collected, preserved, and made available for such research. Such program shall
be carried out in accordance with accepted scientific and medical standards for
the donation, collection, and preservation of such samples, and shall be
conducted so that the tissues and other materials saved, as well as any
database compiled from such tissues and materials, are available to researchers
at a reasonable cost.</text>
</paragraph><paragraph id="HB321DDD5923145FB8E87BB7999B7D6E7"><enum>(3)</enum><header>Coordination</header><text>The
Centers for Disease Control and Prevention shall coordinate research and
surveillance activities of such Centers with the National Institutes of Health,
other appropriate Federal agencies, and interested nonprofit private entities,
which shall be updated as determined appropriate by the Secretary.</text>
</paragraph></subsection><subsection id="H44C583BCA41D42E898F8D2E17938A1CE"><enum>(d)</enum><header>Definition</header><text display-inline="yes-display-inline">In this section, the term <term>eating
disorder</term> includes anorexia nervosa, bulimia nervosa, and eating
disorders not otherwise specified (EDNOS) (including binge eating disorder), as
defined in the fourth edition of <quote>Diagnostic and Statistical Manual of
Mental Disorders</quote> or, if applicable, the most recent successor
edition.</text>
</subsection><subsection id="H00A97DE5356F494DA979859136EBF835"><enum>(e)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $2,000,000 for each of fiscal years 2012 through
2016.</text>
</subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>II</enum><header>Education and
Prevention</header>
<section id="H4974C61CB6FD4A3A9371782F3A8ECFCF"><enum>201.</enum><header>Study of
mandatory BMI reporting in school</header><text display-inline="no-display-inline">Not later than 1 year after the date of the
enactment of this Act, the Director of the Centers for Disease Control and
Prevention, in consultation with the Secretary of Education and leading eating
disorders researchers and clinicians, shall conduct a study and submit a report
to the Congress on—</text>
<paragraph id="H6A8F19FFF1584386A4B93A82DA362321"><enum>(1)</enum><text>measuring the body
mass index (in this section referred to as <quote>BMI</quote>) of students for
those schools (at any level including pre-schools, kindergartens, elementary
schools, secondary schools, and institutions of higher education) that are
measuring the BMI of students;</text>
</paragraph><paragraph id="HCF6468AD3C91461F8E64E296A1695BBF"><enum>(2)</enum><text>the impacts (both
positive and negative) on students of such measures, including unhealthy weight
control behaviors, perceptions of body image, eating disorder symptoms, and the
incidence of teasing or bullying based on body size; and</text>
</paragraph><paragraph id="H6F14864818104164A43FF6B7D8C1C7C7"><enum>(3)</enum><text>the impacts (both
positive and negative) of reporting the results of such measures to the parents
of such students.</text>
</paragraph></section><section commented="no" display-inline="no-display-inline" id="HDEC0421E376B4D92A81D0FCB9E1415D6" section-type="subsequent-section"><enum>202.</enum><header>Training and
education</header>
<subsection commented="no" id="H75D4CB11B79649DBA4C33B674C429BA7"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary of
Health and Human Services, acting through the Director of the Office on Women’s
Health of the Department of Health and Human Services and in consultation with
the Secretary of Education and with the Task Force for Health Professions
established under section 399Z(b) of the Public Health Service Act (as added by
section 203(a)(2) of this Act), shall—</text>
<paragraph commented="no" id="HF79E3EB19477415AA7A03204C88D0E14"><enum>(1)</enum><text display-inline="yes-display-inline">expand the BodyWise Handbook and related
fact sheets and resource lists available on the public Internet site of the
National Women’s Health Information Center sponsored by the Office on Women’s
Health, to include—</text>
<subparagraph commented="no" id="H867DC0920F634777A972265E72DE0737"><enum>(A)</enum><text>updated findings
and conclusions as needed; and</text>
</subparagraph><subparagraph commented="no" id="H05814319087F43BAAA6621E4110F6FCA"><enum>(B)</enum><text>thorough
information about eating disorders relating to males as well as females;</text>
</subparagraph></paragraph><paragraph commented="no" id="H9F2A1C21F34C4DFA9D0480B6A530D8EA"><enum>(2)</enum><text>incorporate, as
appropriate, information from such BodyWise Handbook and related facts sheets
and resource lists into the curriculum of the BodyWorks obesity prevention
program developed by the Office on Women’s Health and training modules used in
such obesity prevention program; and</text>
</paragraph><paragraph commented="no" id="HEE7AD1F9BE614F4CBE8E779FC485972C"><enum>(3)</enum><text>promote and make
publicly available (whether through a public Internet site or other method that
does not impose a fee on users) the BodyWise Handbook and related fact sheets
and resource lists, as updated under paragraph (1), and the BodyWorks obesity
prevention program, as updated under paragraph (2), including for purposes of
educating universities and nonprofit entities on eating disorders.</text>
</paragraph></subsection><subsection commented="no" id="H0A1D801D90874749A1A9A1187C486625"><enum>(b)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated $1,000,000
to carry out subsection (a).</text>
</subsection></section><section id="H4A68650500DE4B82A7BF65AA415788E4"><enum>203.</enum><header>Health
professional education and training</header><text display-inline="no-display-inline">Section 399Z of the Public Health Service
Act (42 U.S.C. 280h–3) is amended—</text>
<paragraph id="H3D8E9F4830E349D98FC146C4C1182009"><enum>(1)</enum><text>by redesignating
subsection (b) as subsection (d); and</text>
</paragraph><paragraph id="H89DD424F5CA24B10A109AA98E4B9ED5D"><enum>(2)</enum><text>by inserting after
subsection (a) the following new subsections:</text>
<quoted-block display-inline="no-display-inline" id="HB42C034887EF4AA29B9F5C6F5C9A492B" style="OLC">
<subsection id="HB15A823561AE49A68BC5E967F0F79205"><enum>(b)</enum><header>Task force on
eating disorders</header>
<paragraph id="H6C132CCC34E1450B9529918A802BB0A4"><enum>(1)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary, acting through the
Administrator of the Health Resources and Services Administration and one or
more of the Centers of Excellence receiving funds under section 499B(b), shall
establish a Task Force for Health Professions (in this subsection referred to
as the <quote>task force</quote>) comprised of experts in the field of eating
disorders (including researchers, clinicians, care providers, and experts in
eating disorders education and prevention), individuals with eating disorders,
and individuals with family members who have eating disorders.</text>
</paragraph><paragraph id="H61E4DCDF57F24706AB1FDA1F9420B0F7"><enum>(2)</enum><header>Duties</header><text>The
task force shall—</text>
<subparagraph id="H60281FE1456F481CB241F4749807A550"><enum>(A)</enum><text display-inline="yes-display-inline">develop, based on the BodyWise Handbook and
related fact sheets and resource lists available on the public Internet site of
the National Women’s Health Information Center sponsored by the Office on
Women’s Health of the Department of Health and Human Services and updated under
section 202(a)(1) of the Federal Response to Eliminate Eating Disorders Act of
2011, an evidence-based or emerging best-practices training program for health
professionals on eating disorders;</text>
</subparagraph><subparagraph id="HB68D8991D94747B3A52F90A9FCA63CBB"><enum>(B)</enum><text>award grants for
implementation of such evidence-based training program; and</text>
</subparagraph><subparagraph id="HDD345CC8F11E496B862CD41B2ACB0D30"><enum>(C)</enum><text>provide training
and technical assistance to grant recipients.</text>
</subparagraph></paragraph><paragraph display-inline="no-display-inline" id="HC615DC936DA045808A7FE032D28DBA73"><enum>(3)</enum><header>Report</header><text>Not
later than 6 years after the date of the enactment of this subsection, the task
force shall submit to the Congress and make publicly available a report on the
training program developed under paragraph (2) and the results achieved through
grants awarded for implementation of such program.</text>
</paragraph></subsection><subsection display-inline="no-display-inline" id="H8D38C4FC2EF14D4BBFB7014E1ECA4C25"><enum>(c)</enum><header>Definition</header><text display-inline="yes-display-inline">In this section, the term <term>eating
disorder</term> has the meaning given such term in section
399OO(d).</text>
</subsection><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="HB73A5E9AB0EF465D815AEE323D31ED77"><enum>(3)</enum><text>by amending
subsection (d) (as so redesignated) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H7BDB6916E37543DCA4C2A6673FF1717E" style="OLC">
<subsection id="H5D43345D5AA94511B4940A6B0C05F143"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated—</text>
<paragraph id="HB61DD048CDEB49E4AB25AACBA78CFB95"><enum>(1)</enum><text>to carry out
subsection (a), $1,000,000 for fiscal year 2012 and $500,000 for each of fiscal
years 2013 through 2016; and</text>
</paragraph><paragraph id="H82A695973CC440CF8102C1AE13F65DB7"><enum>(2)</enum><text>to carry out
subsection (b), $10,000,000 for each of fiscal years 2012 through
2016.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H14BA8B8B73E249B3841DDF684504F227"><enum>204.</enum><header>Education and
training for all health professionals</header><text display-inline="no-display-inline">Section 399Z of the Public Health Service
Act (42 U.S.C. 280h–3), as amended by section 203(a), is further
amended—</text>
<paragraph id="H530BC441D01543BCAF1CAD7BC4C875BC"><enum>(1)</enum><text>by redesignating
subsections (c) and (d) as subsections (d) and (e), respectively;</text>
</paragraph><paragraph id="H145B3FA471674AFD8896934477FF9EF1"><enum>(2)</enum><text>by inserting after
subsection (b) the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H3DA5D848A6834AF5B8E496F58528E0F3" style="OLC">
<subsection id="HF23455B5FC23404A81C16D38540F159E"><enum>(c)</enum><header>Grants regarding
eating disorders</header>
<paragraph id="HF18EE30CF07D4E4195B4016CF63C3778"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary may
award grants to eligible entities to integrate training into existing curricula
for primary care physicians and other licensed or certified health and mental
health professionals on how to identify, refer, treat, and prevent eating
disorders and aid individuals who suffer from eating disorders.</text>
</paragraph><paragraph id="HB35194FEB7EA449EB5F809EB0E4DE832"><enum>(2)</enum><header>Application</header><text>An
entity that desires a grant under this subsection shall submit to the Secretary
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 id="H5645274CBE384A3AA8205F74EC580F11"><enum>(3)</enum><header>Use of
funds</header><text>An entity that receives a grant under this subsection shall
use the funds made available through such grant to—</text>
<subparagraph id="H21142BEE8B6743D59EC74FB3D8CF8B0C"><enum>(A)</enum><text display-inline="yes-display-inline">use the training program developed by the
Task Force for Health Professions under subsection (b)(2)(A), evidence-based
findings, promising emerging best practices, or recommendations that pertain to
the prevention and treatment of eating disorders to conduct educational
training and conferences, including Internet-based courses and teleconferences,
on—</text>
<clause id="H0CF1A3935FE74389BF7AD4E834940BBF"><enum>(i)</enum><text>how to treat or
prevent eating disorders;</text>
</clause><clause id="H2F7DC448F05141FF8797F08263B53B87"><enum>(ii)</enum><text>how to discuss
varied strategies with patients from at-risk and diverse populations to promote
positive behavior change and healthy lifestyles to prevent eating
disorders;</text>
</clause><clause id="H044CFA205AC64475A1FD02630324246C"><enum>(iii)</enum><text>how to identify
individuals with eating disorders, and those who are at risk for suffering from
eating disorders and, therefore, at risk for related serious and chronic
medical and mental health conditions; and</text>
</clause><clause id="HB923AC96E8FA4F38883A9A96C4507F0C"><enum>(iv)</enum><text>how to conduct a
comprehensive assessment of individual and familial health risk factors;
and</text>
</clause></subparagraph><subparagraph id="H931731BE662C40B48FFF589289B675F3"><enum>(B)</enum><text>evaluate and
report to the Task Force for Health Professions on 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="HC15CAD606E5A425EAA5ADBE3F3A8E2B2"><enum>(3)</enum><text>in subsection (e)
(as so redesignated)—</text>
<subparagraph id="HD3CFA5BAACB64E739E84910F654524DE"><enum>(A)</enum><text>in paragraph (1),
at the end by striking <quote>and</quote>;</text>
</subparagraph><subparagraph id="H07CA4298A14C46E69256A9D3AFBB6F33"><enum>(B)</enum><text>in paragraph (2),
at the end by striking the period and inserting <quote>; and</quote>;
and</text>
</subparagraph><subparagraph id="H3FF1B16E776C45AEAD5DA0D617BF4FEC"><enum>(C)</enum><text>by adding at the
end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H03BA7225DE984F169EB65EBA3BAA4E3B" style="OLC">
<paragraph id="HC8BA4C3979364F8D96F74718D21CD406"><enum>(3)</enum><text display-inline="yes-display-inline">to carry out subsection (c), $10,000,000
for each of fiscal years 2012 through
2016.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></section><section id="HAEEC7F8926A84C7D87613A8EF106E25F"><enum>205.</enum><header>Education and
training for school and higher education professionals</header>
<subsection id="HF8A300A70D0E4AAFAD4F49BB675C0458"><enum>(a)</enum><header>Task Force on
Eating Disorders Prevention in Educational Institutions</header>
<paragraph id="H629CE4D8C4824ABAA2BECD1FDD060121"><enum>(1)</enum><header>Establishment</header><text display-inline="yes-display-inline">Not later than 1 year after the date of the
enactment of this Act, the Secretary of Health and Human Services, in
consultation with Centers of Excellence receiving funds under section 499B of
the Public Health Service Act (as added by section 101 of this Act) and experts
in eating disorder prevention and treatment, shall establish a Task Force on
Eating Disorders Prevention in Educational Institutions (in this subsection
referred to as the <quote>task force</quote>).</text>
</paragraph><paragraph id="H5CC9B9A0C68B4F529098153C61C4457B"><enum>(2)</enum><header>Duties</header><text>The
task force shall—</text>
<subparagraph id="HA29B05CBA0EC48AEA07E28635EC69A82"><enum>(A)</enum><text>expand upon and
incorporate information from the BodyWise eating disorder initiative
implemented by the Office on Women’s Health of the Department of Health and
Human Services to develop and provide training on eating disorders
identification and prevention for students, faculty, coaches, and staff in
kindergartens, elementary schools, secondary schools, and institutions of
higher education;</text>
</subparagraph><subparagraph id="HB5FB4C06E81E40FB80E246910774659B"><enum>(B)</enum><text>develop a program
of educational seminars on eating disorders identification and prevention for
use by grant recipients under subsection (b); and</text>
</subparagraph><subparagraph id="H729C16F6835E4CB4930DE39119D02CCF"><enum>(C)</enum><text>provide training
to grant recipients under subsection (b) on implementing such a program,
including by integration into existing applicable training curricula.</text>
</subparagraph></paragraph></subsection><subsection id="H2C2BF83842C14A0DAB8B4EE7D91E5DCF"><enum>(b)</enum><header>Grants</header>
<paragraph id="H2C2B143D2C3B4923B52ADF1DE32180F9"><enum>(1)</enum><header>Authorization</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services,
acting through the Administrator of the Substance Abuse and Mental Health
Services Administration, shall award grants to eligible entities—</text>
<subparagraph id="H8C4428C666914235A7CB96B486D29411"><enum>(A)</enum><text>to conduct
educational seminars on eating disorders identification and prevention;
and</text>
</subparagraph><subparagraph id="HC3AB4CA1D7FC469EB1E7E3531A1BD26F"><enum>(B)</enum><text>to make resources
available to individuals affected by eating disorders.</text>
</subparagraph></paragraph><paragraph id="HC799BFA927914DCC9EF0A3321250F684"><enum>(2)</enum><header>Educational
seminars</header><text>As a condition on the receipt of a grant under this
subsection, an eligible entity shall agree to conduct educational seminars
under paragraph (1)(A)—</text>
<subparagraph id="HE1A1F0D4315D493889D985E0B08C2406"><enum>(A)</enum><text>in accordance with
the program developed under subsection (a)(2)(B) by the Task Force on Eating
Disorders Prevention in Educational Institutions; and</text>
</subparagraph><subparagraph id="H86D6DDC88F99480FBF8B532838ED519D"><enum>(B)</enum><text>taking into
consideration educational materials made available through the BodyWise eating
disorder initiative of the Department of Health and Human Services and relevant
research on eating disorders.</text>
</subparagraph></paragraph><paragraph id="H1AEB3AC8677641F1A40F8FB9A374532A"><enum>(3)</enum><header>Eligible
entity</header><text>In this subsection, the term <term>eligible entity</term>
means any State, territory, or possession of the United States, the District of
Columbia, any Indian tribe or tribal organization (as defined in subsections
(e) and (l), respectively, of section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b)), or a public or private educational
institution, including an institution of higher education.</text>
</paragraph></subsection></section><section id="HEB977D73ECE04A7A9BE321DB705C75F4"><enum>206.</enum><header>Eating disorder
research and report</header><text display-inline="no-display-inline">Not later
than 18 months after the date of the enactment of this Act, the National Center
for Education Statistics and the National Center for Health Statistics shall
conduct a study on the impact of eating disorders on educational advancement
and achievement. The study shall—</text>
<paragraph id="H3E9287D8138D4A2FB7255D3F74F8B229"><enum>(1)</enum><text>determine the
prevalence of eating disorders among students and the morbidity and mortality
rates associated with eating disorders;</text>
</paragraph><paragraph id="H555E02341F9F422497B9B4F2EAB34215"><enum>(2)</enum><text>evaluate the
extent to which students with eating disorders are more likely to miss school,
have delayed rates of social, emotional, and physical development, or have
reduced academic performance;</text>
</paragraph><paragraph id="H7EE6CF5913904412A609B06B202449CD"><enum>(3)</enum><text>report on current
State and local programs to prevent eating disorders, as well as evaluate the
value of such programs; and</text>
</paragraph><paragraph id="H5D6F3FEFB45C475AA7780486CFB01BAD"><enum>(4)</enum><text>make
recommendations on measures that could be undertaken by the Congress, the
Department of Education, States, and local educational agencies to strengthen
eating disorder prevention and awareness programs.</text>
</paragraph></section><section id="HACCEDDDA477B4150A202A23770F6EEBB"><enum>207.</enum><header>Public service
announcements</header>
<subsection id="H62D7F69295894C69AC33C188D973EBB6"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Director of the
National Institute of Mental Health shall conduct a program of public service
announcements to educate the public on—</text>
<paragraph id="H2C7B37F78A424B06A2BB6E325082D6DD"><enum>(1)</enum><text>the types of
eating disorders;</text>
</paragraph><paragraph id="HA61B338EF95243E1BF8CC1BE18D4D627"><enum>(2)</enum><text>the seriousness of
eating disorders (including prevalence, comorbidities, and physical and mental
health consequences);</text>
</paragraph><paragraph id="H70A0ACB445A84D77A6057081C0C2C844"><enum>(3)</enum><text>how to detect,
address, refer for help, and prevent eating disorders;</text>
</paragraph><paragraph id="H85B8DF1FC24B46D39C8EBDAF933AD019"><enum>(4)</enum><text>discrimination and
bullying based on body size;</text>
</paragraph><paragraph id="H4FE0FE5847DC4A32BDF4ED2736C7D92B"><enum>(5)</enum><text>the effects of
media on self esteem and body image; and</text>
</paragraph><paragraph id="H06ECB70DFEB44CCAB4BF23A346CBD21F"><enum>(6)</enum><text>the signs and
symptoms of eating disorders.</text>
</paragraph></subsection><subsection id="HDFE5B5432DD8431190FD0C402856DA1C"><enum>(b)</enum><header>Collaboration</header><text>The
Director of the National Institute of Mental Health shall conduct the program
under subsection (a) in collaboration with—</text>
<paragraph id="H920452C852EF43E4A4FEB928899A6628"><enum>(1)</enum><text>Centers of
Excellence receiving funds under section 499B of the Public Health Service Act,
as added by section 101; and</text>
</paragraph><paragraph id="H5D896C20EBEE4E3B88125C0197432D25"><enum>(2)</enum><text>community-based
national nonprofit resources that—</text>
<subparagraph id="H322E6E59435D4BBA9421338C71BF3C0E"><enum>(A)</enum><text>support
individuals affected by eating disorders; and</text>
</subparagraph><subparagraph id="H7C5E8430EB9A4294A6067F6DBBB5CE1C"><enum>(B)</enum><text>work to prevent
eating disorders and address body image and weight issues.</text>
</subparagraph></paragraph></subsection><subsection id="HF732F4FDBD454AF9920663AE424B0E26"><enum>(c)</enum><header>Announcement
requirements</header><text>In carrying out the program of public service
announcements required by subsection (a), the Director of the National
Institute of Mental Health shall ensure that such announcements—</text>
<paragraph id="H8C9DA3FA2BB747C28C69465270D19B1D"><enum>(1)</enum><text>address the full
spectrum of eating disorders for both sexes and a variety of ethnicities and
age groups;</text>
</paragraph><paragraph id="H1061F0C93F8B4E27BF96ECB7CC271C24"><enum>(2)</enum><text display-inline="yes-display-inline">do not promote or aggravate eating
disorders, such as by incorporating images, specific behaviors, or statistics
that make eating disorders seem attractive;</text>
</paragraph><paragraph id="H7B02CFC5A1164514B09CEEAF8B1E79F0"><enum>(3)</enum><text>feature—</text>
<subparagraph id="HF9052A2C8C984ED58CBED10B3F895414"><enum>(A)</enum><text>real people who
are or were affected by eating disorders, including individuals who have died
of such disorders; and</text>
</subparagraph><subparagraph id="H2548ABDB916B46EDA61C11B0A738649C"><enum>(B)</enum><text>not actors or
models in place of such people;</text>
</subparagraph></paragraph><paragraph id="HBE077706FD324FF684B0B255C674222C"><enum>(4)</enum><text>make clear
that—</text>
<subparagraph id="H24256B54697945D58336E6DF0FBCA25F"><enum>(A)</enum><text>eating disorders
are not a choice, but are serious and often deadly illnesses; and</text>
</subparagraph><subparagraph id="H7E252DAE119149A3BCFA2E806184A5C8"><enum>(B)</enum><text>individuals
affected by eating disorders need to seek help; and</text>
</subparagraph></paragraph><paragraph id="H802190546D104ED290EF87DA161108E9"><enum>(5)</enum><text>provide
information on how and where to seek help for the treatment of eating
disorders.</text>
</paragraph></subsection></section><section id="HCB3705F7405044EFA7B0FA045A7C8E00"><enum>208.</enum><header>Sense of
Congress</header><text display-inline="no-display-inline">It is the sense of
the Congress that—</text>
<paragraph id="HA41FE078604949FA9A0363A6B0E8EAC2"><enum>(1)</enum><text>federally funded
campaigns to fight obesity should address eating disorders; and</text>
</paragraph><paragraph id="H119EFC5162A64051BD2C7F111F92DA39"><enum>(2)</enum><text>federally funded
studies on obesity should include questions relating to eating
disorders.</text>
</paragraph></section><enum>III</enum><header>Treatment</header>
<section id="H1EC4902F19584EE5B14EC4F4B5583E5A"><enum>301.</enum><header>Coverage for
treatment for eating disorders under group health plans, individual health
insurance coverage, and FEHBP</header>
<subsection id="H065F33CCF79B4DE2AC7815412821662A"><enum>(a)</enum><header>Group health
plans</header>
<paragraph id="HD30C4A2EFDB344D5BA4938A61B8437ED"><enum>(1)</enum><header>Public Health
Service Act amendments</header><text>Subpart 2 of part A of title XXVII of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> is amended
by adding at the end the following new section:</text>
<quoted-block act-name="Public Health Service Act" id="HF7558FA42A4D4DB99568992DEFED6CBF" style="OLC">
<section id="H924FC9A064254507971A700E80600BAD"><enum>2708.</enum><header>Coverage for
treatment for eating disorders</header>
<subsection id="H7A5875BDF27442B199D5489255A3F249"><enum>(a)</enum><header>Coverage</header><text display-inline="yes-display-inline">A group health plan, and a health insurance
issuer offering group health insurance coverage in connection with a group
health plan, that provides medical and surgical benefits shall provide coverage
for treatment for eating disorders consistent with the provisions of this
section.</text>
</subsection><subsection id="H807DDB4A11FB440B813E91C88D534135"><enum>(b)</enum><header>Prohibitions</header><text display-inline="yes-display-inline">A group health plan, and a health insurance
issuer offering group health insurance coverage in connection with a group
health plan, shall not—</text>
<paragraph id="H094C7B9FA12D493EBE8120E15F866D51"><enum>(1)</enum><text display-inline="yes-display-inline">deny to an individual eligibility, or
continued eligibility, to enroll or to renew coverage under the terms of the
plan, solely for the purpose of avoiding the requirement of this
section;</text>
</paragraph><paragraph id="H8EEE31F1085F4C958D9F2E4BEB8BA5CD"><enum>(2)</enum><text display-inline="yes-display-inline">deny coverage for treatment of eating
disorders, including coverage for residential treatment of eating disorders, if
such treatment is medically necessary in accordance with the Practice
Guidelines for the Treatment of Patients with Eating Disorders, as most
recently published by the American Psychiatric Association;</text>
</paragraph><paragraph id="H503A3F9AB440469BB92779467F70213A"><enum>(3)</enum><text display-inline="yes-display-inline">provide monetary payments, rebates, or
other benefits to individuals to encourage such individuals to accept less than
the minimum protections available under this section;</text>
</paragraph><paragraph id="H4549C1FB5B6141AAB5C9B5B4EB8740AA"><enum>(4)</enum><text display-inline="yes-display-inline">penalize or otherwise reduce or limit the
reimbursement of a provider because such provider provided care to an
individual participant or beneficiary in accordance with this section;</text>
</paragraph><paragraph id="HBB3A1C7B5985400A9EF774D3A3A7F9A1"><enum>(5)</enum><text display-inline="yes-display-inline">provide incentives (monetary or otherwise)
to a provider to induce such provider to provide care to an individual
participant or beneficiary in a manner inconsistent with this section;
or</text>
</paragraph><paragraph id="HAA6ED88623404367A14D34D288A892CE"><enum>(6)</enum><text display-inline="yes-display-inline">deny to an individual participant or
beneficiary continued eligibility to enroll or to renew coverage under the
terms of the plan, solely because the individual was previously found to have
an eating disorder or to have received treatment for an eating disorder.</text>
</paragraph></subsection><subsection id="H41839402C7F04730BCE839A53116AFCF"><enum>(c)</enum><header>Out-of-Network
providers</header><text display-inline="yes-display-inline">In the case of a
group health plan, or health insurance issuer offering group health insurance
coverage in connection with a group health plan, that provides both medical and
surgical benefits and coverage for treatment for eating disorders, if the plan
or coverage provides coverage for medical or surgical benefits provided by
out-of-network providers, the plan or coverage shall provide coverage for
treatment for eating disorders provided by out-of-network providers in a manner
that is consistent with the requirements of this section.</text>
</subsection><subsection id="HD52E2D6ACEB647699D45DCFE027D8245"><enum>(d)</enum><header>Rule of
construction</header><text display-inline="yes-display-inline">Nothing in this
section shall be construed as preventing a group health plan or issuer from
imposing deductibles, coinsurance, or other cost-sharing in relation to
treatment for eating disorders, except that such deductibles, coinsurance, or
other cost-sharing may not be greater than the deductibles, coinsurance, or
other cost-sharing imposed on other comparable medical or surgical services
covered under the plan.</text>
</subsection><subsection id="HE233B5EEF96546F88A374AD1DB205E30"><enum>(e)</enum><header>Preemption</header><text>Nothing
in this section shall be construed to preempt any State law in effect on the
date of enactment of this section with respect to health insurance coverage
that requires coverage of at least the coverage for treatment for eating
disorders otherwise required under this section.</text>
</subsection><subsection id="HDD8745E253CC4F2B96734C85165187E7"><enum>(f)</enum><header>Eating disorders
defined</header><text display-inline="yes-display-inline">For purposes of this
section, the term <term>eating disorder</term> includes anorexia nervosa,
bulimia nervosa, and eating disorders not otherwise specified (EDNOS)
(including binge eating disorder), as defined in the fourth edition of
<quote>Diagnostic and Statistical Manual of Mental Disorders</quote> or, if
applicable, the most recent successor
edition.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H53524C3D1BB741F4B4DD17E85024C79A"><enum>(2)</enum><header>ERISA
amendments</header><subparagraph commented="no" display-inline="yes-display-inline" id="H7D632D49D687403782F2A059E76420D9"><enum>(A)</enum><text>Subpart B of part 7 of
subtitle B of title I of the <act-name parsable-cite="ERISA">Employee
Retirement Income Security Act of 1974</act-name> is amended by adding at the
end the following new section:</text>
<quoted-block act-name="Employee Retirement Income Security Act of 1974" id="H576E1E4894354AF4A0197307B2C34C1F" style="OLC">
<section display-inline="no-display-inline" id="H220E96322BF54E4D91F747A7AD13AF92" section-type="subsequent-section"><enum>714.</enum><header>Coverage for
treatment for eating disorders</header>
<subsection id="H6BAC11408B184C4AB053504A56E45D30"><enum>(a)</enum><header>Coverage</header><text display-inline="yes-display-inline">A group health plan, and a health insurance
issuer offering group health insurance coverage in connection with a group
health plan, that provides medical and surgical benefits shall provide coverage
for treatment for eating disorders consistent with the provisions of this
section.</text>
</subsection><subsection id="H4DBE7FEB992C44D4860940CD26C9E72D"><enum>(b)</enum><header>Prohibitions</header><text display-inline="yes-display-inline">A group health plan, and a health insurance
issuer offering group health insurance coverage in connection with a group
health plan, shall not—</text>
<paragraph id="H81064185BA124091B76CF0209224EFF2"><enum>(1)</enum><text display-inline="yes-display-inline">deny to an individual eligibility, or
continued eligibility, to enroll or to renew coverage under the terms of the
plan, solely for the purpose of avoiding the requirement of this
section;</text>
</paragraph><paragraph id="H94847931D7D94433AE39D341D361A4F2"><enum>(2)</enum><text display-inline="yes-display-inline">deny coverage for treatment of eating
disorders, including coverage for residential treatment of eating disorders, if
such treatment is medically necessary in accordance with the Practice
Guidelines for the Treatment of Patients with Eating Disorders, as most
recently published by the American Psychiatric Association;</text>
</paragraph><paragraph id="H252E92139C6E4CB486E99696B8B4BB99"><enum>(3)</enum><text display-inline="yes-display-inline">provide monetary payments, rebates, or
other benefits to individuals to encourage such individuals to accept less than
the minimum protections available under this section;</text>
</paragraph><paragraph id="HEC17FB1A65724D41B87F5744572C6D0A"><enum>(4)</enum><text display-inline="yes-display-inline">penalize or otherwise reduce or limit the
reimbursement of a provider because such provider provided care to an
individual participant or beneficiary in accordance with this section;</text>
</paragraph><paragraph id="HF1F0460426A040599D5056B338F03938"><enum>(5)</enum><text display-inline="yes-display-inline">provide incentives (monetary or otherwise)
to a provider to induce such provider to provide care to an individual
participant or beneficiary in a manner inconsistent with this section;
or</text>
</paragraph><paragraph id="HE5A0EE4B9264424E809728EB08349B8E"><enum>(6)</enum><text display-inline="yes-display-inline">deny to an individual participant or
beneficiary continued eligibility to enroll or to renew coverage under the
terms of the plan, solely because the individual was previously found to have
an eating disorder or to have received treatment for an eating disorder.</text>
</paragraph></subsection><subsection id="H85467CE9047443878EA4E50F170B95D8"><enum>(c)</enum><header>Out-of-Network
providers</header><text>In the case of a group health plan, or health insurance
issuer offering group health insurance coverage in connection with a group
health plan, that provides both medical and surgical benefits and coverage for
treatment for eating disorders, if the plan or coverage provides coverage for
medical or surgical benefits provided by out-of-network providers, the plan or
coverage shall provide coverage for treatment for eating disorders provided by
out-of-network providers in a manner that is consistent with the requirements
of this section.</text>
</subsection><subsection id="HF9FBB898BF19477D81CAF20B5299B423"><enum>(d)</enum><header>Rule of
construction</header><text display-inline="yes-display-inline">Nothing in this
section shall be construed as preventing a group health plan or issuer from
imposing deductibles, coinsurance, or other cost-sharing in relation to
treatment for eating disorders, except that such deductibles, coinsurance, or
other cost-sharing may not be greater than the deductibles, coinsurance, or
other cost-sharing imposed on other comparable medical or surgical services
covered under the plan.</text>
</subsection><subsection id="HBC2180294FBE4F56A12B00CE34150403"><enum>(e)</enum><header>Preemption</header><text>Nothing
in this section shall be construed to preempt any State law in effect on the
date of enactment of this section with respect to health insurance coverage
that requires coverage of at least the coverage for treatment for eating
disorders otherwise required under this section.</text>
</subsection><subsection id="H88754CBA08F645EEBCC496278733BF79"><enum>(f)</enum><header>Eating disorders
defined</header><text display-inline="yes-display-inline">For purposes of this
section, the term <term>eating disorder</term> includes anorexia nervosa,
bulimia nervosa, and eating disorders not otherwise specified (EDNOS)
(including binge eating disorder), as defined in the fourth edition of
<quote>Diagnostic and Statistical Manual of Mental Disorders</quote> or, if
applicable, the most recent successor
edition.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="H1CD0D53FFD4F4442A994F544B25D43B2" indent="up1"><enum>(B)</enum><text>Section 732(a) of such Act (29 U.S.C.
1191a(a)) is amended by striking <quote>section 711</quote> and inserting
<quote>sections 711 and 714</quote>.</text>
</subparagraph><subparagraph id="H58DA298F1EF14592A30BE3072D75642F" indent="up1"><enum>(C)</enum><text>The table of contents in section 1 of
such Act is amended by inserting after the item relating to section 713 the
following new item:</text>
<quoted-block display-inline="no-display-inline" id="H4AA7B8364CA54D42A4001D0C8B97A0FB" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 714. Coverage for treatment for
eating
disorders.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HFE6E2F0E66E148818C68A5FCE2D9D600"><enum>(3)</enum><header>Internal Revenue
Code amendments</header><subparagraph commented="no" display-inline="yes-display-inline" id="HE80D4DC1B94C4996B477CEB8403C28B4"><enum>(A)</enum><text display-inline="yes-display-inline">Subchapter B of chapter 100 of the Internal
Revenue Code of 1986 is amended by inserting after section 9812 the
following:</text>
<quoted-block id="HA93243CEC8AB4CFEA9FBCC6649A7139D">
<section id="HD0510FD24CD64413B3A8199B9D0D2DE2"><enum>9813.</enum><header>Coverage for
treatment for eating disorders</header>
<subsection display-inline="no-display-inline" id="H6E17F964B1954BA2800E81BA4880888F"><enum>(a)</enum><header>Coverage</header><text display-inline="yes-display-inline">A group health plan that provides medical
and surgical benefits shall provide coverage for treatment for eating disorders
consistent with the provisions of this section.</text>
</subsection><subsection id="H523D8E8B885F419C94AFDFC40A224EBF"><enum>(b)</enum><header>Prohibitions</header><text display-inline="yes-display-inline">A group health plan shall not—</text>
<paragraph id="H5347530865A54B4B8D9CD5EF8FABF257"><enum>(1)</enum><text display-inline="yes-display-inline">deny to an individual eligibility, or
continued eligibility, to enroll or to renew coverage under the terms of the
plan, solely for the purpose of avoiding the requirement of this
section;</text>
</paragraph><paragraph id="H472B9BA918574B0191C0AD6E7D66622D"><enum>(2)</enum><text display-inline="yes-display-inline">deny coverage for treatment of eating
disorders, including coverage for residential treatment of eating disorders, if
such treatment is medically necessary in accordance with the Practice
Guidelines for the Treatment of Patients with Eating Disorders, as most
recently published by the American Psychiatric Association;</text>
</paragraph><paragraph id="H5C9006FD9E83474DA01CDAC8550400B7"><enum>(3)</enum><text display-inline="yes-display-inline">provide monetary payments, rebates, or
other benefits to individuals to encourage such individuals to accept less than
the minimum protections available under this section;</text>
</paragraph><paragraph id="HA52CEF3BC1454994AC45C94CC2A787E5"><enum>(4)</enum><text display-inline="yes-display-inline">penalize or otherwise reduce or limit the
reimbursement of a provider because such provider provided care to an
individual participant or beneficiary in accordance with this section;</text>
</paragraph><paragraph id="HDA89DFD98C3F41FDA8DFBA1C59F8A44F"><enum>(5)</enum><text display-inline="yes-display-inline">provide incentives (monetary or otherwise)
to a provider to induce such provider to provide care to an individual
participant or beneficiary in a manner inconsistent with this section;
or</text>
</paragraph><paragraph id="HFCD7C69ECE1E4848ABE94D75A75F1588"><enum>(6)</enum><text display-inline="yes-display-inline">deny to an individual participant or
beneficiary continued eligibility to enroll or to renew coverage under the
terms of the plan, solely because the individual was previously found to have
an eating disorder or to have received treatment for an eating disorder.</text>
</paragraph></subsection><subsection display-inline="no-display-inline" id="H42A60F20E8704A5FB6DD106D971C9943"><enum>(c)</enum><header>Out-of-Network
providers</header><text>In the case of a group health plan that provides both
medical and surgical benefits and coverage for treatment for eating disorders,
if the plan provides coverage for medical or surgical benefits provided by
out-of-network providers, the plan or coverage shall provide coverage for
treatment for eating disorders provided by out-of-network providers in a manner
that is consistent with the requirements of this section.</text>
</subsection><subsection display-inline="no-display-inline" id="H9B00E1EDD046463086226E85B4208476"><enum>(d)</enum><header>Rule of
construction</header><text display-inline="yes-display-inline">Nothing in this
section shall be construed as preventing a group health plan or issuer from
imposing deductibles, coinsurance, or other cost-sharing in relation to
treatment for eating disorders, except that such deductibles, coinsurance, or
other cost-sharing may not be greater than the deductibles, coinsurance, or
other cost-sharing imposed on other comparable medical or surgical services
covered under the plan.</text>
</subsection><subsection id="H162F5CFFFA924D1292B784D70364718D"><enum>(e)</enum><header>Eating disorders
defined</header><text display-inline="yes-display-inline">For purposes of this
section, the term <term>eating disorder</term> includes anorexia nervosa,
bulimia nervosa, and eating disorders not otherwise specified (EDNOS)
(including binge eating disorder), as defined in the fourth edition of
<quote>Diagnostic and Statistical Manual of Mental Disorders</quote> or, if
applicable, the most recent successor
edition.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="H55B82A7B763A47E6899B6FA6C39C92EF" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">The table of sections of such subchapter is
amended by inserting after the item relating to section 9812 the following new
item:</text>
<quoted-block display-inline="no-display-inline" id="HFF851EB85A4A40E9A077B664A6CEA8A0" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 9813. Coverage for treatment for
eating
disorders.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="H168E38CE3ECE4BC5A4B18D161D4C181B" indent="up1"><enum>(C)</enum><text>Section 4980D(d)(1) of such Code is
amended by striking <quote>section 9811</quote> and inserting <quote>sections
9811 and 9813</quote>.</text>
</subparagraph></paragraph></subsection><subsection id="HA511A38CFF4C48ED8AB74EA7CB1AB64B"><enum>(b)</enum><header>Application to
individual health insurance coverage</header><paragraph commented="no" display-inline="yes-display-inline" id="H3A29A6871C194EB98725A6C4BCF87854"><enum>(1)</enum><text display-inline="yes-display-inline">Part B of title XXVII of the Public Health
Service Act is amended by inserting after section 2753 the following new
section:</text>
<quoted-block display-inline="no-display-inline" id="H7A36612D2C534EC4A3E4900862D64D1A" style="OLC">
<section id="H27902FA8F7AA4A288E46A2A7DDF5B5CB"><enum>2754.</enum><header>Coverage for
treatment for eating disorders</header><text display-inline="no-display-inline">The provisions of section 2708 shall apply
to health insurance coverage offered by a health insurance issuer in the
individual market in the same manner as it applies to health insurance coverage
offered by a health insurance issuer in connection with a group health plan in
the small or large group
market.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HA6F021446AB44250A42B6F1C0AFFF251" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">Section 2762(b)(2) of such Act (42 U.S.C.
300gg–62(b)(2)) is amended by striking <quote>section 2751</quote> and
inserting <quote>sections 2751 and 2754</quote>.</text>
</paragraph></subsection><subsection commented="no" id="HF6B32BABF3454D6CB66433756DEC8BF3"><enum>(c)</enum><header>Application
under Federal Employees Health Benefits Program (FEHBP)</header><text display-inline="yes-display-inline">Section 8902 of title 5, United States
Code, is amended by adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="HA13B28A3342A48198093FD97868F2EC2" style="USC">
<subsection commented="no" id="H36D966CE2D074CB4A51B9CF64F48AD5E"><enum>(p)</enum><text display-inline="yes-display-inline">A contract may not be made or a plan
approved which does not comply with the requirements of section 2708 of the
Public Health Service
Act.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H007D26432B4F4F09A101D94C72D9FB1F"><enum>(d)</enum><header>Effective
Dates</header>
<paragraph commented="no" display-inline="no-display-inline" id="H41D09C2E63EB413DA7D1F37ACC5A7A5D"><enum>(1)</enum><text>The amendments
made by subsections (a) and (c) shall apply with respect to group health plans
and health benefit plans for plan years beginning on or after the date that is
6 months after the date of the enactment of this Act.</text>
</paragraph><paragraph id="HDA3134B7AC7942C7A80D08BFC62070EF"><enum>(2)</enum><text display-inline="yes-display-inline">The amendments made by subsection (b) shall
apply with respect to health insurance coverage offered, sold, issued, renewed,
in effect, or operated in the individual market on or after the date that is 6
months after the date of the enactment of this Act.</text>
</paragraph></subsection><subsection id="H1F57C5CE2BFC4983BFD9734DE3AA6D25"><enum>(e)</enum><header>Coordination of
Administration</header><text>The Secretary of Labor, the Secretary of Health
and Human Services, and the Secretary of the Treasury shall ensure, through the
execution of an interagency memorandum of understanding among such Secretaries,
that—</text>
<paragraph id="HC2FEB78CF04A4DB9A7B20F502A9F0C75"><enum>(1)</enum><text>regulations,
rulings, and interpretations issued by such Secretaries relating to the same
matter over which two or more such Secretaries have responsibility under the
provisions of this section (and the amendments made thereby) are administered
so as to have the same effect at all times; and</text>
</paragraph><paragraph id="H37EF3C4289714B35BA91BA027309D848"><enum>(2)</enum><text>coordination of
policies relating to enforcing the same requirements through such Secretaries
in order to have a coordinated enforcement strategy that avoids duplication of
enforcement efforts and assigns priorities in enforcement.</text>
</paragraph></subsection></section><enum>IV</enum><header display-inline="yes-display-inline">Improving availability and access to
treatment</header>
<section commented="no" display-inline="no-display-inline" id="H594BCB6D787148C39ECEB6B28BB1C5BD" section-type="subsequent-section"><enum>401.</enum><header display-inline="yes-display-inline">Medicaid coverage for eating disorder
treatment services</header>
<subsection commented="no" display-inline="no-display-inline" id="H967DC5532EE24A73999DDB7E9493431B"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1905 of the Social Security Act (42
U.S.C. 1396d(a)), as amended by section 2301(a)(1) of the Patient Protection
and Affordable Care Act (Public Law 111–148) and section 1202(b) of the Health
Care and Education Reconciliation Act of 2010 (Public Law 111–152), is
amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H4372BD0CE43A453093D2CFE75C739339"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HBF0EC4C7178F493198334EC8B53902AE"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (28), by striking
<quote>and</quote> at the end;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H4D44C8A9F92A4119BABAA9F53280D9C2"><enum>(B)</enum><text display-inline="yes-display-inline">by redesignating paragraph (29) as
paragraph (30); and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H11DAC526DC4346DA828A1E705596EDFA"><enum>(C)</enum><text display-inline="yes-display-inline">by inserting after paragraph (28) the
following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HC34C15979DBB447AA4D0B876A4E910CA" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="H255DB81C7A1F4752809B65FC02786F46"><enum>(29)</enum><text display-inline="yes-display-inline">eating disorder treatment services (as
defined in subsection (ee)(1)); and</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0E7BFA2D91DC4C53B49502EEE5A2381A"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following new
subsection:</text>
<quoted-block display-inline="no-display-inline" id="HC7852C7F5F5549BBB47E12B08C45CB27" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="HBE6DCFF68F99454498B01AFDA73DED0F"><enum>(ee)</enum><header display-inline="yes-display-inline">Eating disorder treatment services</header>
<paragraph commented="no" display-inline="no-display-inline" id="H13B156C47D9A4418B34A32288F7C37E4"><enum>(1)</enum><header display-inline="yes-display-inline">Definition</header><text display-inline="yes-display-inline">The term <term>eating disorder treatment
services</term> means services relating to diagnosis and treatment of an eating
disorder (as defined in section 399OO of the Public Health Service Act),
including screening, counseling, pharmacotherapy (including coverage of drugs
described in paragraph (2)), and other necessary health care services.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H2D3B56B393B4488B96D345525549118E"><enum>(2)</enum><header display-inline="yes-display-inline">Coverage for pharmacological treatment of
eating disorders</header><text display-inline="yes-display-inline">For purposes
of paragraph (1), eating disorder treatment services shall include drugs
provided as part of care in an inpatient setting, covered outpatient drugs (as
defined in section 1927(k)(2)), and non-prescription drugs described in section
1927(d)(2)(A) that are prescribed, in accordance with generally accepted
medical guidelines, for treatment of an eating
disorder.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H9F537AE8AF954AAD8F278019EE45F97F"><enum>(b)</enum><header display-inline="yes-display-inline">Increased FMAP for eating disorder
treatment services</header><text display-inline="yes-display-inline">Section
1905(b) of the Social Security Act (42 U.S.C. 1396d(b)), as amended by section
4106(b) of the Patient Protection and Affordable Care Act, is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HE0666830C8554389AF1F0A5E67070195"><enum>(1)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> before
<quote>(5)</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H79F911BFAE8B4B12ABB761A164FF8C53"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting before the period at the end
the following: <quote>, and (6) the Federal medical assistance percentage shall
be equal to the enhanced FMAP described in section 2105(b) with respect to
medical assistance for eating disorder treatment services (as defined in
subsection (ee)(1)) provided to an individual who is eligible for such
assistance and has an eating disorder (as defined in section 399OO of the
Public Health Service Act)</quote>.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HEB6B6A793956463E86543680FEED82DC"><enum>(c)</enum><header display-inline="yes-display-inline">Inclusion in EPSDT services</header><text display-inline="yes-display-inline">Section 1905(r)(1)(B) of such Act (42
U.S.C. 1396d(r)(1)(B)) is amended—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HA1D1FC3571864ABB8889107FB3FEFC79"><enum>(1)</enum><text display-inline="yes-display-inline">in clause (iv), by striking
<quote>and</quote> at the end;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H31787275DF9843BB9EC87E415F51F93E"><enum>(2)</enum><text display-inline="yes-display-inline">in clause (v), by striking the period at
the end and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9D62A8BBA77749ABA3626CCD9D45E0FE"><enum>(3)</enum><text display-inline="yes-display-inline">by inserting after clause (v) the following
new clause:</text>
<quoted-block display-inline="no-display-inline" id="HC848D31C4F7947E398F1BA5E63122C3F" style="OLC">
<clause commented="no" display-inline="no-display-inline" id="H132E9026245D47F2A138B07EA82FC226"><enum>(vi)</enum><text display-inline="yes-display-inline">appropriate diagnostic services relating to
eating disorders (as defined in section 399OO of the Public Health Service
Act).</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H7CC55CBDC9D6400492F4000D2714FECD"><enum>(d)</enum><header display-inline="yes-display-inline">Exception from optional restriction under
Medicaid drug coverage</header><text display-inline="yes-display-inline">Section 1927(d)(2)(A) of such Act (42
U.S.C. 1396r–8(d)(2)(A)) is amended by inserting before the period at the end
the following: <quote>, except for drugs that are prescribed, in accordance
with generally accepted medical guidelines, for the purpose of treatment of an
individual who is eligible for medical assistance under the State plan and has
an eating disorder (as defined in section 399OO of the Public Health Service
Act)</quote>.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H0868180894B44D4CB5C0C99F0E006629"><enum>(e)</enum><header display-inline="yes-display-inline">Effective
date</header><text display-inline="yes-display-inline">The amendments made by
this section shall apply to drugs and services furnished on or after the date
of the enactment of this Act.</text>
</subsection></section><section commented="no" display-inline="no-display-inline" id="HE8B3A3725B6C4302876EAA0EC2589CE0" section-type="subsequent-section"><enum>402.</enum><header display-inline="yes-display-inline">Grants to support patient
advocacy</header><text display-inline="no-display-inline">Subpart II of part D
of title IX of the Public Health Service Act, as amended by section 6301(b) of
the Patient Protection and Affordable Care Act (Public Law 111–148), is further
amended by adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H9CC822A1D7814A6A84531622B3DEE5DF" style="OLC">
<section commented="no" display-inline="no-display-inline" id="H9517EE38DA104F9BA26FB2756F6CB93D" section-type="subsequent-section"><enum>938.</enum><header display-inline="yes-display-inline">Grants to support patient advocacy</header>
<subsection commented="no" display-inline="no-display-inline" id="HB968D634AC104DAA8D97F0FFC2DCD948"><enum>(a)</enum><header display-inline="yes-display-inline">Grants</header><text display-inline="yes-display-inline">The Secretary, acting through the Director,
shall award grants under this section to develop and support patient advocacy
work to help individuals with eating disorders obtain adequate health care
services and insurance coverage.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H6D021CF5152A4CA9960A30F2D7B98FC8"><enum>(b)</enum><header display-inline="yes-display-inline">Eligibility</header><text display-inline="yes-display-inline">To be eligible to receive a grant under
this section, an entity shall—</text>
<paragraph commented="no" display-inline="no-display-inline" id="HC46278612CA64E33889A007739F54E55"><enum>(1)</enum><text display-inline="yes-display-inline">be a public or nonprofit private entity
(including a health department of a State or tribal agency, a community-based
organization, or an institution of higher education);</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HDF2768ECBF8C4B8E886144221ACD3FA0"><enum>(2)</enum><text display-inline="yes-display-inline">prepare and submit to the Secretary an
application at such time, in such manner, and containing such information as
the Secretary may require, including—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H6F58219267EF4A7FAD58290313A55656"><enum>(A)</enum><text display-inline="yes-display-inline">comprehensive strategies for advocating on
behalf of, and working with, individuals with eating disorders or at risk for
developing eating disorders;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HAFEE23216B1E453E870AEFA751427978"><enum>(B)</enum><text display-inline="yes-display-inline">a plan for consulting with community-based
coalitions, treatment centers, or eating disorder research experts who have
experience and expertise in issues related to eating disorders or patient
advocacy in providing services under a grant awarded under this section;
and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H247083FE32CC46F49BD3B9E23AD9F1F5"><enum>(C)</enum><text display-inline="yes-display-inline">a plan for financial sustainability
involving State, local, and private contributions.</text>
</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HC9573A942D184059A447A61CA249AD62"><enum>(c)</enum><header display-inline="yes-display-inline">Use of funds</header><text display-inline="yes-display-inline">Amounts provided under a grant awarded
under this section shall be used to support patient advocacy work,
including—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H5248964A65A940EFBE68B235C7458DE4"><enum>(1)</enum><text display-inline="yes-display-inline">providing education and outreach in
community settings regarding eating disorders and associated health problems,
especially among low-income, minority, and medically underserved
populations;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H7DC9F5C40D5441328A8DF264501C524A"><enum>(2)</enum><text display-inline="yes-display-inline">facilitating access to appropriate,
adequate, and timely health care for individuals with eating disorders and
associated health problems;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HC0109118C8EC406A9203D966198A14F5"><enum>(3)</enum><text display-inline="yes-display-inline">assisting in communication and cooperation
between patients and providers;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HC208D9E149204B24A38E2C72BECEBE16"><enum>(4)</enum><text display-inline="yes-display-inline">representing the interests of patients in
managing health insurance claims and plans;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H076747EF667E4CA0A536A11F137D660D"><enum>(5)</enum><text display-inline="yes-display-inline">providing education and outreach regarding
enrollment in health insurance, including enrollment in the Medicare program
under title XVIII of the Social Security Act, the Medicaid program under title
XIX of such Act, and the Children’s Health Insurance Program under title XXI of
such Act;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HBE4521A0423B4411B1974312936BAE70"><enum>(6)</enum><text display-inline="yes-display-inline">identifying, referring, and enrolling
underserved populations in appropriate health care agencies and community-based
programs and organizations in order to increase access to high-quality health
care services;</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HE6C75A7ECA054F6DB878F3BE2416DBB0"><enum>(7)</enum><text display-inline="yes-display-inline">providing technical assistance, training,
and organizational support for patient advocates; and</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="HC86BF2D353714047AC66FCC0ED7B5AF6"><enum>(8)</enum><text display-inline="yes-display-inline">creating, operating, and participating in
State or regional networks of patient advocates.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H63C660AB03B0471EAE91108F6B878689"><enum>(d)</enum><header display-inline="yes-display-inline">Requirements of grantees</header>
<paragraph commented="no" display-inline="no-display-inline" id="HA74449A69FB347888A9933B7E842F723"><enum>(1)</enum><header display-inline="yes-display-inline">Limitation on administrative
expenses</header><text display-inline="yes-display-inline">A grantee shall not
use more than 5 percent of the amounts received under a grant under this
section for administrative expenses.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H9BF48C1C0B26432DAD93DA8AE8CC3382"><enum>(2)</enum><header display-inline="yes-display-inline">Contribution of funds</header><text display-inline="yes-display-inline">A grantee under this section, and any
entity receiving assistance under the grant for training and education, shall
contribute non-Federal funds, either directly or through in-kind contributions,
to the costs of the activities to be funded under the grant in an amount that
is not less than 50 percent of the total cost of such activities.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H911FAE711E864A9B94EC6512A0D746F3"><enum>(3)</enum><header display-inline="yes-display-inline">Reporting to Secretary</header><text display-inline="yes-display-inline">A grantee under this section shall submit
to the Secretary a report, at such time, in such manner, and containing such
information as the Secretary may require, including a description and
evaluation of the activities described in subsection (c) carried out by such
entity.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HD5D4013099DC4595853831CB13442A0E"><enum>(e)</enum><header display-inline="yes-display-inline">Eating disorder</header><text display-inline="yes-display-inline">In this section, the term <term>eating
disorder</term> has the meaning given such term in section 399OO(e).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H8E7BADCD7C8A48A0B96CA3DEB5E70AD6"><enum>(f)</enum><header display-inline="yes-display-inline">Authorization of
appropriations</header><text display-inline="yes-display-inline">To carry out
this section, there are authorized to be appropriated $1,000,000 for each of
fiscal years 2012 through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section>