1.This Act may be cited as the
Fit for Life Act of
2011
.
2.The table of contents
of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Title I—Improving the Nutritional Quality of and Access to Foods
in Underserved American Communities
Subtitle A—Access to Nutritious and Quality Foods in
Underserved American Communities
Sec. 101. Food deserts: Addressing the Lack of Supermarkets in
Underserved Communities.
Sec. 102. Expansion of the Fresh Fruit and Vegetable
Program.
Sec. 103. Expanding Access to the Summer Food Service Program
for Children.
Sec. 104. Study and report on physical activity and nutritional
quality of meals and snacks served, in juvenile justice facilities.
Sec. 105. Local food insecurity assessments: assessing the
unique nutritional needs of local communities.
Sec. 106. Weekends and holidays without hunger.
Subtitle B—Ensuring a Healthy Start for Children in
Underserved American Communities
Sec. 111. Improving Healthy Eating and Physical Activity Among
our Youngest Children.
Sec. 112. Health and fitness school programs: training
America’s youth to live healthy lifestyles.
Title II—Advancing Preventative Measures and Treatment of Obesity
in Adults and Children in Underserved Communities
Sec. 201. Community health and wellness navigators pilot
program: connecting America’s health professional with our schools.
Sec. 202. Requirement to expedite national Medicare coverage
determinations for evidence-based preventive services.
Sec. 203. Expansion of obesity treatment services under
Medicare.
Sec. 204. Coverage of evidence-based preventive services under
Medicaid and SCHIP.
Sec. 205. Coverage of medical nutrition therapy under Medicaid
and SCHIP.
Sec. 206. Clarification of EPSDT inclusion of prevention,
screening, and treatment services for obesity and overweight; SCHIP
coverage.
Sec. 207. National commission on child obesity.
Sec. 208. GAO report.
Title III—Encouraging Physical Activity in Underserved American
Communities
Sec. 301. Renovation of foreclosed and abandoned properties to
create spaces that encourage physical activity in American
neighborhoods.
Sec. 302. National youth sports program
revitalization.
Sec. 303. Expansion of the Zuni Youth Enrichment Project Summer
Camp.
Sec. 304. Making routes to schools in underserved communities
safe and accessible with public participation through the Community Oriented
Policing Services program.
Sec. 305. Land and Water Conservation Fund Program Grants in
Low-Income Communities and Expand Tribal Participation.
Sec. 306. Changing Hearts, Attitudes, and Minds by
Participating in Sports (CHAMPS) Program.
Sec. 307. Coordinated School Health Initiatives.
Sec. 308. Rewarding elementary and secondary schools for
outstanding student performance in physical fitness programs.
<enum>I</enum><header>Improving the
Nutritional Quality of and Access to Foods in Underserved American
Communities</header>
<subtitle id="H3868C7374F174A4D9FAE83E90D5A0832"><enum>A</enum><header>Access to
Nutritious and Quality Foods in Underserved American Communities </header>
<section id="H3AFBB716DA5A4A50AEAB440566D240D5"><enum>101.</enum><header>Food deserts:
Addressing the Lack of Supermarkets in Underserved Communities</header>
<subsection id="HEAA4B4AEFD4A47BA870252EBDA66F082"><enum>(a)</enum><header>Establishment of
grant program</header><text display-inline="yes-display-inline">From the
amounts appropriated to carry out this section, the Secretary of Agriculture
shall award grants to local partnerships to establish, or enhance existing,
supermarkets that sell fresh fruits and produce in low-income communities
located in food deserts.</text>
</subsection><subsection id="H3654DC203B0E460B8299F931C9D04B16"><enum>(b)</enum><header>Application</header><text display-inline="yes-display-inline">In order to receive a grant under this
section, a local partnership shall submit an application to the Secretary at
such time, in such manner, and containing such information as the Secretary may
require.</text>
</subsection><subsection id="H554906264F044C119FC9F11E12ED50C7"><enum>(c)</enum><header>Uses of
funds</header><text>A local partnership shall use grant funds received under
this section to establish, or enhance an existing, a supermarket in a
low-income community located in a food desert and assist the supermarket in
carrying out the following activities:</text>
<paragraph id="H36906C13BC6342B9A309588800B8F6EE"><enum>(1)</enum><text display-inline="yes-display-inline">Selling fresh fruit and produce at prices
that, to the maximum extent practicable, are affordable for most individuals in
the low-income community.</text>
</paragraph><paragraph id="H179DEC3B1A9442FFA8998F2007647190"><enum>(2)</enum><text>Making the
supermarket available for youth-centered, hands-on educational instruction and
information on healthy cooking and nutrition.</text>
</paragraph><paragraph id="H500EF66983C8466EA2979AC48701A0A0"><enum>(3)</enum><text>Providing
community outreach services that encourage health and wellness to individuals
in the low-income community.</text>
</paragraph></subsection><subsection id="HF47207E1067E4B27A45E27BCE0B2E3D0"><enum>(d)</enum><header>Reporting</header>
<paragraph id="HA8849FCFBB314E5E92F327396D3B1B05"><enum>(1)</enum><header>Local
partnerships</header><text display-inline="yes-display-inline">Not later than 2
years after receiving a grant under this section, a local partnership shall
submit a report to the Secretary on the success of the supermarket established
using such funds.</text>
</paragraph><paragraph id="H6B40ACC24E76440EB5D22EBA983F3DAC"><enum>(2)</enum><header>Secretary</header><text display-inline="yes-display-inline">Upon receipt of a report under paragraph
(1), the Secretary shall transmit such report to Congress.</text>
</paragraph></subsection><subsection id="HB043CEC78BFF47298C15D179995E7556"><enum>(e)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H24634A83867243CC89EDD7E69ABC9850"><enum>(1)</enum><header>Food
desert</header><text>The term <term>food desert</term> has the meaning given
such term in section 7527(a) of the Food, Conservation, and Energy Act of 2008
(Public Law 110–234).</text>
</paragraph><paragraph id="H6A1B1B50ACF34CF5B335FE78771DEC40"><enum>(2)</enum><header>Local
partnership</header><text>The term <term>local partnership</term> means a
partnership between—</text>
<subparagraph id="HB4CA44AD7FC244E0834B48659F938389"><enum>(A)</enum><text>a unit of general
local government, a State, or a tribal government; and</text>
</subparagraph><subparagraph id="H87D18C79AB08404792D5911DDEA6891F"><enum>(B)</enum><text>a—</text>
<clause id="H9BAA0DB06DF5419BAD1773346B4F5E4F"><enum>(i)</enum><text>public or private
organization; or</text>
</clause><clause id="H21D7AD5A5BA8469A918B0E13071254B1"><enum>(ii)</enum><text>not-for profit
entity.</text>
</clause></subparagraph></paragraph><paragraph id="H33E0279E112444919B208398E7120C1B"><enum>(3)</enum><header>Low-income
community</header><text>The term <term>low-income community</term> includes a
low-income community (as such term is defined by the Secretary) located in an
urban area.</text>
</paragraph><paragraph id="H79A089DC7A324522B7F80965AAFBE584"><enum>(4)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of Agriculture.</text>
</paragraph><paragraph id="H81A2CD3B46BB47DA820D873448A8955A"><enum>(5)</enum><header>Suburban
community</header><text>The term <term>suburban community</term> has the
meaning given such term by the Secretary.</text>
</paragraph><paragraph id="H308160114ADE476CA38D4FC5A95DBB5B"><enum>(6)</enum><header>State</header><text display-inline="yes-display-inline">The term <term>State</term> includes, in
addition to the several States of the United States, the Commonwealth of Puerto
Rico, the District of Columbia, the Virgin Islands, Guam, American Samoa, and
the Commonwealth of the Northern Mariana Islands.</text>
</paragraph><paragraph id="H571D3D460B604EDBB2C1DA1FF457ADB1"><enum>(7)</enum><header>Supermarket</header><text display-inline="yes-display-inline">The term <term>supermarket</term> means any
establishment under Code 445110 of the North American Industry Classification
System.</text>
</paragraph><paragraph id="H14F76A21679D498C8CA1FCD13CAD5798"><enum>(8)</enum><header>Unit of general
local government</header><text display-inline="yes-display-inline">The term
<term>unit of general local government</term> means any city, county, town,
township, parish, village, or other general purpose political subdivision of a
State.</text>
</paragraph></subsection></section><section commented="no" id="H51EFA18FA0E84AE58C8A052932EEC193"><enum>102.</enum><header>Expansion of
the Fresh Fruit and Vegetable Program</header><text display-inline="no-display-inline">Section 19 of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1769a) is amended—</text>
<paragraph commented="no" id="HC5D36BE0A0FE4BAF8619052199B9AC63"><enum>(1)</enum><text>in subsection (a),
by inserting <quote>, secondary schools, child care centers, and family child
care homes</quote> after <quote>elementary schools</quote>;</text>
</paragraph><paragraph commented="no" id="HC68D7688157C448C8FB42F0FEE28A78D"><enum>(2)</enum><text>in subsection (b),
by inserting <quote>, center, or home</quote> after each place
<quote>school</quote> appears;</text>
</paragraph><paragraph commented="no" id="H675BDCBDDDC443BEA573320B7CB53B20"><enum>(3)</enum><text>in subsection
(d)—</text>
<subparagraph commented="no" id="H70D0A91AEB81414D824DB914F1D1A193"><enum>(A)</enum><text display-inline="yes-display-inline">in the heading, by inserting
<quote><header-in-text level="subsection" style="OLC">, centers, or
homes</header-in-text></quote>;</text>
</subparagraph><subparagraph commented="no" id="HDA8EC76C2C014D5F95601F4779BB0504"><enum>(B)</enum><text>in paragraph
(1)—</text>
<clause commented="no" id="H0E1707C376AC412B80C1A47A1E8DC021"><enum>(i)</enum><text>in the matter
preceding subparagraph (A), by inserting <quote>, centers, or homes</quote>
after <quote>schools</quote>;</text>
</clause><clause commented="no" id="H5AD0F7A7B1A9400BAA303BF3B9F545C8"><enum>(ii)</enum><text>in subparagraph
(A), by inserting <quote>, center, or home</quote> after
<quote>school</quote>;</text>
</clause><clause commented="no" id="H40BF4B47FDD4408382740C9C6193326F"><enum>(iii)</enum><text display-inline="yes-display-inline">in subparagraph (B), by inserting <quote>,
centers, or homes</quote> after <quote>schools</quote>;</text>
</clause><clause commented="no" id="H0E1028C960A342A389189F97BBB40B27"><enum>(iv)</enum><text>by amending
subparagraph (C) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="HAD2B5AB1343C4124BEB31C3645B23373" style="OLC">
<subparagraph commented="no" id="HBBC27CAEEFAF4767891FCBD926B1E29B"><enum>(C)</enum><text display-inline="yes-display-inline">ensure that each school selected is an
elementary school or secondary school (as such terms are defined in section
9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801)),
each center selected is a child care center (as such term is defined in section
399OO of the Public Health Service Act), and each home selected is a family
child care home (as such term is defined in section 399OO of the Public Health
Service Act).</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause><clause commented="no" id="H11126D197185460B82A3EA6553F72634"><enum>(v)</enum><text>in subparagraph
(D)—</text>
<subclause commented="no" id="H8C40E4C65DA545DE926A11E89475E7F5"><enum>(I)</enum><text display-inline="yes-display-inline">in the matter preceding clause (i), by
inserting <quote>, centers, or homes</quote> after
<quote>schools</quote>;</text>
</subclause><subclause commented="no" id="H82C794D7D56744BA8CCAFD33B58C9C0F"><enum>(II)</enum><text display-inline="yes-display-inline">in clause (i), by inserting <quote>,
center, or home</quote> after <quote>school</quote>; and</text>
</subclause><subclause commented="no" id="H27EA374C761742C0BEFE0250C1AB97DB"><enum>(III)</enum><text>in clause (ii),
by inserting <quote>, center, or home</quote> after <quote>as determined by the
school</quote>;</text>
</subclause></clause></subparagraph><subparagraph commented="no" id="H02EBCBDE097C403E9B33264C2F472D11"><enum>(C)</enum><text>in paragraph (2),
by inserting <quote>, centers, or homes</quote> after each place
<quote>schools</quote> appears; and</text>
</subparagraph><subparagraph commented="no" id="H3A771F4C95C443B2994E1082E3F8F54A"><enum>(D)</enum><text>in paragraph (3),
by inserting <quote>, centers, or homes</quote> after each place
<quote>schools</quote> appears; and</text>
</subparagraph></paragraph><paragraph commented="no" id="HC2C25DA8C2D94AA6ACA68690D507F72B"><enum>(4)</enum><text display-inline="yes-display-inline">in subsection (e), by inserting <quote>,
center, or home</quote> after <quote>school</quote>.</text>
</paragraph></section><section id="H68DB35CE0E80415BAF37574730CB91C7"><enum>103.</enum><header>Expanding
Access to the Summer Food Service Program for Children</header><text display-inline="no-display-inline">Section 13(a) of the Richard B. Russell
National School Lunch (42 U.S.C. 1761(a)) is amended—</text>
<paragraph commented="no" id="H8F67F4ADC328416D845D390D582A2634"><enum>(1)</enum><text>in paragraph
(1)(A), by striking <quote>50 percent</quote> each place it appears and
inserting <quote>40 percent</quote>;</text>
</paragraph><paragraph commented="no" id="HB8F97F9E7C3446E488E4545BF52FA35A"><enum>(2)</enum><text>by repealing
paragraph (9); and</text>
</paragraph><paragraph id="HB27D385D41C14A0EB625BE5BCB2A58B4"><enum>(3)</enum><text>in paragraph
(10)—</text>
<subparagraph id="HE787D4A330964D17895D70E25F49BEDA"><enum>(A)</enum><text>in subparagraph
(A)—</text>
<clause id="HEE6E11194B9540D5A3AF4620F3496B81"><enum>(i)</enum><text>by
striking <quote>The Secretary</quote> and inserting <quote>From the amounts
appropriated to carry out this paragraph, the Secretary</quote>; and</text>
</clause><clause id="HD3189CA3873E4D2EA19B749C27302F5F"><enum>(ii)</enum><text>by
striking <quote>not more than 5</quote>;</text>
</clause></subparagraph><subparagraph commented="no" id="HE9AD5433A70544449D7F14732C7D7B98"><enum>(B)</enum><text>in subparagraph
(C), by striking <quote>fiscal year 2006</quote> and inserting <quote>fiscal
year 2012</quote>;</text>
</subparagraph><subparagraph id="H4385958862D240518D9496370906B53F"><enum>(C)</enum><text>in subparagraph
(D)—</text>
<clause commented="no" id="H1B066827A74345D18DC0F97C1A557046"><enum>(i)</enum><text>by striking
<quote>January 1, 2008</quote> and inserting <quote>January 1, 2012</quote>;
and</text>
</clause><clause commented="no" id="H7FA5A32D4F244522A4382379E37097F1"><enum>(ii)</enum><text display-inline="yes-display-inline">by striking <quote>January 1, 2009</quote>
and inserting <quote>January 1, 2013</quote>; and</text>
</clause></subparagraph><subparagraph id="HA9F72BCDF0694424A2EBB9779FF700A7"><enum>(D)</enum><text>by striking
subparagraph (E).</text>
</subparagraph></paragraph></section><section commented="no" id="H383AE8A6DAD14AAFB461D75977025926"><enum>104.</enum><header>Study and
report on physical activity and nutritional quality of meals and snacks served,
in juvenile justice facilities</header>
<subsection commented="no" id="H0B254BB911BF483D8F9AD944DEBB9AD9"><enum>(a)</enum><header>Study</header><text display-inline="yes-display-inline">The Administrator of the Office of Juvenile
Justice and Delinquency Prevention, in consultation with the Secretary of
Agriculture, shall conduct a study on—</text>
<paragraph commented="no" id="HC94ADEEC199D4D52A49342F301886CE7"><enum>(1)</enum><text display-inline="yes-display-inline">the amount of physical activity by
juveniles in juvenile justice facilities, including the types of physical
activities in which such juveniles participate, how many hours per day such
juveniles participate in physical activities, and the adequacy of the amounts
and types of physical activity of such juveniles; and</text>
</paragraph><paragraph commented="no" id="H734A407D97014155A2042FCA2DE34DB9"><enum>(2)</enum><text>the nutritional
quality of meals and snacks served in juvenile justice facilities.</text>
</paragraph></subsection><subsection commented="no" id="HEF523D6A657549A3A5C1F773EB2D96C5"><enum>(b)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 2 years after the date of
enactment of this Act, the Administrator of the Office of Juvenile Justice and
Delinquency Prevention, in consultation with the Secretary of Agriculture,
shall submit to Congress a report on the findings of the study conducted under
<internal-xref idref="H0B254BB911BF483D8F9AD944DEBB9AD9" legis-path="115.(a)">subsection (a)</internal-xref>, including an evaluation of
whether the amounts and types of physical activity by juveniles, and the
nutritional quality of meals and snacks served, in juvenile justice facilities
are adequate to ensure the health and wellness of such juveniles.</text>
</subsection></section><section id="H5DFC90740D6242AF8CE3DE9947DB5C0C" section-type="subsequent-section"><enum>105.</enum><header>Local food
insecurity assessments: assessing the unique nutritional needs of local
communities</header>
<subsection id="H65D77E5A2E974426AD97F6EA2DB33C70"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary of
Health and Human Services shall establish a 3-year pilot program to award
grants to local and tribal governments, on a competitive basis, to allow such
local and tribal governments, in partnership with the local community
organizations under
<internal-xref idref="HC49266C2AE83488CA91CD62010DE6E76" legis-path="__.(e)">subsection (e)</internal-xref>, to—</text>
<paragraph id="H8FAD067377784F9CA91E1B41258DC986"><enum>(1)</enum><text>conduct a food
security assessment; and</text>
</paragraph><paragraph id="H5E66F58B591A42EE888EF8FECEC828A3"><enum>(2)</enum><text>make an inventory
of the system in order to identify the strengths and gaps in such
system.</text>
</paragraph></subsection><subsection id="H6FDF277FC5214D639B13564531C069D6"><enum>(b)</enum><header>Data points for
Assessment</header><text>For purposes of conducting an Assessment and making an
inventory under a grant under
<internal-xref idref="H65D77E5A2E974426AD97F6EA2DB33C70" legis-path="__.(a)">subsection (a)</internal-xref>, with respect to the
community served by a local or tribal government, such government shall examine
the following food security and food system issues in the
community:<italic></italic></text>
<paragraph id="H8BEE63E71F7349509DCC5EC81A2C16CC"><enum>(1)</enum><text>The prevalence of
childhood obesity.</text>
</paragraph><paragraph id="H70DCE88E351047A2A35670125FC3657B"><enum>(2)</enum><text>The availability
of safe routes to school for children.</text>
</paragraph><paragraph id="H02FC49C242AC4A6A9193A12C9730122A"><enum>(3)</enum><text>The quality of
food served in school and child care settings.</text>
</paragraph><paragraph id="H180600B748D24A4A8C081F490C918069"><enum>(4)</enum><text>The availability
of supermarkets.</text>
</paragraph><paragraph id="HA3D0B88C792F4BBE9A8FA0C69443CC0E"><enum>(5)</enum><text>The cost and
availability of fresh fruits and vegetables.</text>
</paragraph><paragraph id="H6D335204AD74444797E6689F58AE2467"><enum>(6)</enum><text display-inline="yes-display-inline">The concentration of convenience stores,
and other food vendors that sell a disproportionate amount of foods that are
not fresh fruits and vegetables.</text>
</paragraph><paragraph id="H6EF7AAD0FA894DA0AA90F457B54FFB50"><enum>(7)</enum><text>The availability
of products.</text>
</paragraph><paragraph id="H3226F0FA583D471CB1FE98BD35D05DDF"><enum>(8)</enum><text>The concentration
of fast food restaurants.</text>
</paragraph><paragraph id="HAF64865110E04F0B867CD848118F9D85"><enum>(9)</enum><text>The availability
of green space or recreation areas, and the extent to which such space or areas
encourage physical activity by adults and children.</text>
</paragraph><paragraph id="HEAFD3EA8B53843BF8E5E5B6D9CD53CDF"><enum>(10)</enum><text>Any other issues
determined to be relevant by the local or tribal government.</text>
</paragraph><paragraph id="H2D390D60DCAC4E8BA99B5BB0158E08DA"><enum>(11)</enum><text>Any other issues
determined to be relevant by the Secretary of Health and Human Services.</text>
</paragraph></subsection><subsection id="H0391D2E47D25423BBB8021361CAC70BD"><enum>(c)</enum><header>Number of
sites</header><text display-inline="yes-display-inline">The Secretary of Health
and Human Services, in awarding grants under
<internal-xref idref="H65D77E5A2E974426AD97F6EA2DB33C70" legis-path="__.(a)">subsection (a)</internal-xref>, shall award grants to no
more than—</text>
<paragraph id="HFD8D8F7FE6C34ECEADAF91E1D9364FE0"><enum>(1)</enum><text>20 local
governments; and</text>
</paragraph><paragraph id="HEA2C31E600794577B424B1E67FC8CB24"><enum>(2)</enum><text>5
tribal governments.</text>
</paragraph></subsection><subsection id="HA24D6FF5EEAC4E9A99B9147E44C4EF7D"><enum>(d)</enum><header>Priority</header><text display-inline="yes-display-inline">In awarding grants under
<internal-xref idref="H65D77E5A2E974426AD97F6EA2DB33C70" legis-path="__.(a)">subsection (a)</internal-xref>, the Secretary of Health and
Human Services shall give priority to those local and tribal governments that
serve communities with the highest concentrations of poverty.</text>
</subsection><subsection id="HC49266C2AE83488CA91CD62010DE6E76"><enum>(e)</enum><header>Requirement of
partnerships</header><text display-inline="yes-display-inline">In order to
qualify for a grant under
<internal-xref idref="H65D77E5A2E974426AD97F6EA2DB33C70" legis-path="__.(a)">subsection (a)</internal-xref>, a local or tribal
government shall demonstrate, to the satisfaction of the Secretary of Health
and Human Services, that the local or tribal government has entered into a
partnership (for the purpose of conducting an assessment and making an
inventory under
<internal-xref idref="H65D77E5A2E974426AD97F6EA2DB33C70" legis-path="__.(a)">subsection (a)</internal-xref>) with at least one of the
following local community organizations:</text>
<paragraph id="HA465C0A5046E4999A1F710E84AF125F8"><enum>(1)</enum><text>A
nonprofit community-based organization or entity.</text>
</paragraph><paragraph id="H99A5095217594283A7EB417562DC1E90"><enum>(2)</enum><text>A
developer or urban planning institution.</text>
</paragraph><paragraph id="HD3AE654C515442EC82924BEF41E151E5"><enum>(3)</enum><text display-inline="yes-display-inline">An accredited college or university.</text>
</paragraph><paragraph id="HC28E9624E0154F1E8A415A86F97CCF38"><enum>(4)</enum><text display-inline="yes-display-inline">A freestanding children’s hospital or
center with expertise in child health and policy.</text>
</paragraph></subsection></section><section id="H642F7C98AEAE4EBA936558B4AC6E9AC7" section-type="subsequent-section"><enum>106.</enum><header>Weekends and
holidays without hunger</header><text display-inline="no-display-inline">Section 18 of the Richard B. Russell
National School Lunch Act (42 U.S.C. 1769) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="H6DDB8CD8A0254CED86B0606639ABC5F9" style="OLC">
<subsection id="HB84035C78DDD45C384587CE67F5B3E56"><enum>(l)</enum><header>Weekends and
holidays without hunger</header>
<paragraph id="HD1E831065D584858BF01F53FD875ED96"><enum>(1)</enum><header>Definitions</header><text>In
this subsection:</text>
<subparagraph id="H51949BC1A3D149B0B145959AEB9FFC71"><enum>(A)</enum><header>At-risk school
child</header><text>The term <term>at-risk school child</term> has the meaning
given the term in section 17(r)(1).</text>
</subparagraph><subparagraph id="HF64AD1A8E1994CA38AEF17E570040C03"><enum>(B)</enum><header>Eligible
institution</header>
<clause id="HD0AC16AD4E6B43AA97F0FC0FCCFFA517"><enum>(i)</enum><header>In
general</header><text>The term <term>eligible institution</term> means a public
or private nonprofit institution that is determined by the Secretary to be able
to meet safe food storage, handling, and delivery standards established by the
Secretary.</text>
</clause><clause id="H0AC145C6C5BD4E2E8D86A0851288F237"><enum>(ii)</enum><header>Inclusions</header><text>The
term <term>eligible institution</term> includes—</text>
<subclause id="HF432025224E947CF946B3C99FD887CAE"><enum>(I)</enum><text>an elementary or
secondary school or school food service authority;</text>
</subclause><subclause id="HDAF7F78820454706AA63B27741D1BB11"><enum>(II)</enum><text>a food bank or
food pantry;</text>
</subclause><subclause id="H84EBA2C5F45A4846978853396CECAC46"><enum>(III)</enum><text>a homeless
shelter; and</text>
</subclause><subclause id="H00BD106D87AE4F0AA796F4F901BE9EA2"><enum>(IV)</enum><text>such other type
of emergency feeding agency as is approved by the Secretary.</text>
</subclause></clause></subparagraph></paragraph><paragraph id="H2E0B4126419F45BF9CBFC108955E0D81"><enum>(2)</enum><header>Establishment</header><text display-inline="yes-display-inline">Subject to the availability of
appropriations provided in advance in an appropriations Act specifically for
the purpose of carrying out this subsection, the Secretary shall establish a
program under which the Secretary shall provide commodities, on a competitive
basis, to eligible institutions to provide nutritious food to at-risk children
on weekends and during extended school holidays during the school year.</text>
</paragraph><paragraph id="HD6721F1CEA034C8099866CF2FDF0DBBE"><enum>(3)</enum><header>Eligibility</header>
<subparagraph id="H1061E3BC9AA14E7DA3C43B50159CFD72"><enum>(A)</enum><header>In
general</header><text>To be eligible to receive commodities under this
subsection, an eligible institution shall submit an application to the
Secretary at such time, in such manner, and containing such information as the
Secretary may determine.</text>
</subparagraph><subparagraph id="H794B2CDB4C2443DC9D7EDC88FE0988AD"><enum>(B)</enum><header>Plan</header><text>An
application under subparagraph (A) shall include the plan of the eligible
institution for the distribution of nutritious foods to at-risk school
children, including—</text>
<clause id="H22810C8ECEC7486697FF9AC862A3B865"><enum>(i)</enum><text>methods of food
service delivery to at-risk school children;</text>
</clause><clause id="H7F082607697C4466808A86886043699A"><enum>(ii)</enum><text>assurances that
children receiving foods under the project will not be publicly separated or
overtly identified;</text>
</clause><clause id="H4FA3D0B82B3D426F8E5A9F7BAE0FDD27"><enum>(iii)</enum><text>lists of the
types of food to be provided under the project and provisions to ensure food
quality and safety;</text>
</clause><clause id="HA2592D51CAD14AD2BA1792AA38838B72"><enum>(iv)</enum><text>information on
the number of at-risk school children to be served and the per-child cost of
providing the children with food; and</text>
</clause><clause id="H3F3F1B61D4BD48A496CDD9802A26FB78"><enum>(v)</enum><text>such other
information as the Secretary determines to be necessary to assist the Secretary
in evaluating projects that receive commodities under this subsection.</text>
</clause></subparagraph></paragraph><paragraph id="H72E269CE7ADF477988F0E12C4DACE4B2"><enum>(4)</enum><header>Priority</header><text>In
selecting applications under this subsection, the Secretary shall give priority
to eligible institutions that—</text>
<subparagraph id="H921F8E6A364C47888DE9DAA16B14841F"><enum>(A)</enum><text>have on-going
programs and experience serving populations with significant proportions of
at-risk school children;</text>
</subparagraph><subparagraph id="H993644BEA5534C3A92D4C3F9CFEFD9DC"><enum>(B)</enum><text>have a good record
of experience in food delivery and food safety systems;</text>
</subparagraph><subparagraph id="H7809ECB8E6434980ABFD5EC3D139E141"><enum>(C)</enum><text>maintain high
quality control, accountability, and recordkeeping standards;</text>
</subparagraph><subparagraph id="H212AD44361BE47508D7661B127EBEBC3"><enum>(D)</enum><text>provide children
with readily consumable food of high nutrient content and quality;</text>
</subparagraph><subparagraph id="H37ABEF4E2EBC42549064066848B46884"><enum>(E)</enum><text>demonstrate cost
efficiencies and the potential for obtaining supplemental funding from
non-Federal sources to carry out projects; and</text>
</subparagraph><subparagraph id="HC9136061EF994D979A246DD12A24992D"><enum>(F)</enum><text>demonstrate the
ability to continue projects for the full approved term of the pilot project
period.</text>
</subparagraph></paragraph><paragraph id="HC3514AF57B9E4D049A2EC8361991D1B8"><enum>(5)</enum><header>Guidelines</header>
<subparagraph id="H74067D3CA79048089C4A317284318A95"><enum>(A)</enum><header>In
general</header><text>The Secretary shall issue guidelines containing the
criteria for projects to receive commodities under this section.</text>
</subparagraph><subparagraph id="H04565513758A4F349D0E5C7AF2FE5C29"><enum>(B)</enum><header>Inclusions</header><text>The
guidelines shall, to the maximum extent practicable within the funds available
and applications submitted, take into account—</text>
<clause id="HC2C02D5F5C904F81B7A056F4EF7447B6"><enum>(i)</enum><text>geographical
variations in project locations to include qualifying projects in rural, urban,
and suburban areas with high proportions of families with at-risk school
children;</text>
</clause><clause id="HAC505233C730412288CD01F3441FD041"><enum>(ii)</enum><text>different types
of projects that offer nutritious foods on weekends and during school holidays
to at-risk school children; and</text>
</clause><clause id="H22317263E1DC4BD684CE8B4B0E912D7E"><enum>(iii)</enum><text>institutional
capacity to collect, maintain, and provide statistically valid information
necessary for the Secretary—</text>
<subclause id="HF9D7B7E6CBD74691AD395226694FA64B"><enum>(I)</enum><text>to analyze and
evaluate the results of the pilot project; and</text>
</subclause><subclause id="H5FC6AA75D9834F4DB92BE97A09842642"><enum>(II)</enum><text>to make
recommendations to Congress.</text>
</subclause></clause></subparagraph></paragraph><paragraph id="H1118C903262F4203BA245ADF474FE256"><enum>(6)</enum><header>Evaluation</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H9B85CE5131164B9BA5C43D5FBB692007"><enum>(A)</enum><header>Interim
evaluation</header><text display-inline="yes-display-inline">Not later than
November 30, 2013, the Secretary shall complete an interim evaluation of the
pilot program carried out under this subsection.</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H65A971100E304368ABD7C1E37772EB22"><enum>(B)</enum><header>Final
report</header><text display-inline="yes-display-inline">Not later than
December 31, 2015, the Secretary shall submit to Congress a final report that
contains—</text>
<clause commented="no" display-inline="no-display-inline" id="H9741DD87B87F48328D7772746E185B00"><enum>(i)</enum><text display-inline="yes-display-inline">an evaluation of the pilot program carried
out under this subsection; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H933A5AAAF3F642488B501FD38DC5BC9D"><enum>(ii)</enum><text>any
recommendations of the Secretary for legislative action.</text>
</clause></subparagraph></paragraph><paragraph id="H10AE17E4102143B996A9256C196ADE6D"><enum>(7)</enum><header>Funding</header>
<subparagraph id="H76C33A9F1CB04B02BF48D4FFEB926DF6"><enum>(A)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">There is
authorized to be appropriated to carry out this section such sums as are
necessary, to remain available until expended.</text>
</subparagraph><subparagraph id="HBF224CD82D9F4A0798D71C5916D432F5"><enum>(B)</enum><header>Availability of
funds</header><text>Not more than 3 percent of the funds made available under
subparagraph (A) may be used by the Secretary for expenses associated with
review of the operations and evaluation of the projects carried out under this
subsection.</text>
</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</section></subtitle><subtitle id="H32330941618F4169A7283FC0D6B66DC4"><enum>B</enum><header>Ensuring a Healthy
Start for Children in Underserved American Communities </header>
<section id="H6A9750A2DC73406A9BF0AE19BF2696FC"><enum>111.</enum><header>Improving
Healthy Eating and Physical Activity Among our Youngest Children</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 the following:</text>
<quoted-block display-inline="no-display-inline" id="HAE1D8381BD6745CE9EACD4202BDFF438" style="OLC">
<part id="HFAB67F41B53B47668CEDAFFA813D0018"><enum>W</enum><header>Healthy kids
program</header>
<section id="H1EC3B24DE4A346C4A1D2EF19CB5B9FE3"><enum>399OO.</enum><header>Definitions</header><text display-inline="no-display-inline">In this part:</text>
<paragraph id="H72BCFD98A4964AE68DA5A67B1C1A95E6"><enum>(1)</enum><header>Child care
center</header><text>The term <term>child care center</term> means a center
licensed or otherwise authorized to provide child care services for fewer than
24 hours per day per child in a non-residential setting, unless care in excess
of 24 hours is due to the nature of the parents' work.</text>
</paragraph><paragraph id="HC3AB2F1714DA4D368E969789E9F8BE55"><enum>(2)</enum><header>Early learning
council</header><text>The term <term>early learning council</term> means an
early childhood assembly that is established to advise governors, State
legislators, or State agency administrators on how best to meet the needs of
young children and their families specifically through improvement of programs
and services.</text>
</paragraph><paragraph id="H3A1CFD0DD4FA440E94BD586DAC8AADFB"><enum>(3)</enum><header>Family child
care home</header><text>The term <term>family child care home</term> means a
private family home where home-based child care is provided for a portion of
the day, unless care in excess of 24 hours is due to the nature of the parents’
work, and that is certified, registered, or licensed in the State in which it
is located.</text>
</paragraph><paragraph id="HCD56AF934D164A66A1B608BD003A93FE"><enum>(4)</enum><header>Screen time
limits</header><text>The term <term>screen time limits</term> means policies or
guidelines, such as those developed by the American Academy of Pediatrics,
designed to reduce the daily amount of time that children spend watching or
looking at digital monitors or displays, including television sets, computer
monitors, or hand-held gaming devices.</text>
</paragraph><paragraph id="HCEA0A11A03084248854844BE86199A0F"><enum>(5)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of Health and Human
Services.</text>
</paragraph></section><section id="HB09E66017F664303A7759EBE9EEAAF39"><enum>399OO–1.</enum><header>Grants</header>
<subsection id="H520A446446B04959809BD4035D6A0327"><enum>(a)</enum><header>In
general</header><text>The Secretary, in consultation with appropriate entities
within the Department of Health and Human Services, shall award 3-year
competitive grants to 5 State health departments (or other appropriate child
care licensing entities within such States) to help reduce and prevent obesity
among the birth to 5 year old population of the State in child care settings
outside a child's place of residence.</text>
</subsection><subsection id="H410FCFD0C06D4875938DE9E89090C10B"><enum>(b)</enum><header>Use of
funds</header><text>State grantees shall use amounts received under a grant
under this subsection to—</text>
<paragraph id="H5D3AA92D9AC447DF846EDFD21E1CA025"><enum>(1)</enum><text>provide, or enter
into contracts to provide, training (that meets the requirements of subsection
(c)) to the staff of national, State, or community-based organizations with
networks of child care centers, or a consortium of child care centers and
family child care homes consisting of at least 10 centers, for the purpose of
implementing evidence-based or data-informed healthy eating and physical
activity policies and practices, including curricula and other interventions;
and</text>
</paragraph><paragraph id="H7542F17DAA654F658F4D47344C5D3FC1"><enum>(2)</enum><text>provide grants to
child care centers and family child care homes, whose staff received the
training described in paragraph (1), to implement practice, curricula, and
policy changes (that meet the requirements of subsection (d)) that promote
healthy eating and physical activity among the birth to 5 years of age
population.</text>
</paragraph><continuation-text continuation-text-level="subsection">Preference in awarding grants shall
be given to those States that demonstrate collaboration between relevant State
entities related to child care and health and with key stakeholders, such as
State early learning councils and other community-based organizations working
with child care centers or family child care homes.</continuation-text></subsection><subsection id="H0357D520E2FF4DDAB262268D1E7DB8E2"><enum>(c)</enum><header>Training
requirements</header>
<paragraph id="HCA2BDCA94CE244B99755B60139B855CD"><enum>(1)</enum><header>In
general</header><text>Training provided under subsection (b) shall—</text>
<subparagraph id="H37ADD3F22C0D4137B1862D35E40B3869"><enum>(A)</enum><text>include the
provision of information concerning age-appropriate healthy eating and physical
activity interventions and culturally competent curricula for the birth to 5
years of age population in the State involved, which at a minimum shall
include—</text>
<clause id="H0FA8EED7816D4B4884CB6BCB606AB131"><enum>(i)</enum><text>a
handbook that includes recommendations, guidelines, and best practices for
child care centers and family child care homes relating to healthy eating,
physical activity, and screen time reduction;</text>
</clause><clause id="H0553F88967AF47D4B61A78AC2D7BD3D7"><enum>(ii)</enum><text>information about
the availability of and services provided by child care health consultants;
and</text>
</clause><clause id="H25D9C092CF0848C6BB016B3756866FE7"><enum>(iii)</enum><text>health and
wellness resources available through the Child Care Bureau and the Maternal and
Child Health Bureau;</text>
</clause></subparagraph><subparagraph id="H56C60F02CE1945DE9C9C44AA422CB1CD"><enum>(B)</enum><text>identify, improve
upon, and expand nutrition and physical activity best practices targeted to the
birth to 5 years of age population in the State involved and identify
strategies for incorporating parental education and other parental involvement;
and</text>
</subparagraph><subparagraph id="H0D4071388D734AEEA3DB6063E2258CE8"><enum>(C)</enum><text>provide
instruction on how to appropriately model, direct, and encourage child care
staff behavior to apply the best practices and strategies identified under
subparagraph (B).</text>
</subparagraph></paragraph><paragraph id="HBFA237CE7C88437FB0ECA66CE55B87A4"><enum>(2)</enum><header>Training
entities</header><text>A grantee may conduct the training required under this
section directly, or may provide such training through a contract with—</text>
<subparagraph id="H4550FFA5EBBA495AB62CCA3B9B498153"><enum>(A)</enum><text>an appropriate
national, State, or community organization with relevant expertise;</text>
</subparagraph><subparagraph id="HE6B2608D28414E2DA0CF571D2C66ADE4"><enum>(B)</enum><text>a health care
provider or professional organization with relevant expertise;</text>
</subparagraph><subparagraph id="HDA7201FF9A214BDF9580A6E90CFC2DF3"><enum>(C)</enum><text>a university or
research center that employs faculty with relevant expertise; or</text>
</subparagraph><subparagraph id="H7AA4EDA1DD284B4F9DA948349F805714"><enum>(D)</enum><text>any other entity
determined appropriate by the State and approved by the Secretary.</text>
</subparagraph></paragraph><paragraph id="H6923761E0B534450B69E6329A0A9331B"><enum>(3)</enum><header>Requirement of
contract</header><text>If a grantee elects to provide the training under this
section through a contract, the grantee shall ensure that a consistent healthy
eating and physical activity curriculum is being developed for all child care
entities participating in the pilot program in the State.</text>
</paragraph></subsection><subsection id="H9986F0FDF523411F87DF74DE50A958C7"><enum>(d)</enum><header>Practice,
curricula, and policy changes</header><text>After training is provided as
required under subsection (c), a State grantee shall ensure that the
organizations and consortium involved—</text>
<paragraph id="HB71EA6B9EF4749D3B3912D2C34E6B339"><enum>(1)</enum><text>implement, in
child care settings, evidence-based or data-informed policy changes that
promote healthy eating, physical activity, and appropriate screen time limits
among the birth to 5 years of age population;</text>
</paragraph><paragraph id="HE75D6E4E5EE7482485278E4AAC06325A"><enum>(2)</enum><text>utilize an
evidence-based or data-informed, culturally competent healthy eating and
physical activity curriculum in child care settings focusing on such birth to
age 5 population;</text>
</paragraph><paragraph id="H94A5DC0D45254668A74360569CB60F33"><enum>(3)</enum><text>implement
programs, activities, and procedures for incorporating parental education and
involvement of parents in programs, including disseminating a written parental
involvement policy, and coordinating and integrating parental involvement
strategies under this section, to the extent feasible and appropriate, with
parental involvement strategies under other programs, such as the Head Start
program and the Early Head Start Program; and</text>
</paragraph><paragraph id="H6BB57CBDB905471FBB87CD2713CA0FBC"><enum>(4)</enum><text>find innovative
ways to remove barriers that exist to providing opportunities for healthy
eating and physical activity.</text>
</paragraph><continuation-text continuation-text-level="subsection">All
activities described in this paragraph shall be evidence-based and
data-informed and be consistent with the curriculum presented through training
activities described in subsection (c).</continuation-text></subsection></section><section id="H5008D0EBB5F74EF48EE3906D8646D45D"><enum>399OO–2.</enum><header>Grants for
the evaluation of pilot programs</header><text display-inline="no-display-inline">The Secretary shall award competitive grants
to Prevention Research Centers or universities to evaluate the programs carried
out with grants under section 399OO–1, including baseline, process, and outcome
measurements.</text>
</section><section id="H06B63F24C97D4559B45CB1D2706DD612"><enum>399OO–3.</enum><header>Coordination</header>
<subsection id="H270E84F5A6404DBCB59E037F42BE0586"><enum>(a)</enum><header>Interagency
coordination</header><text>To the extent practicable, the Secretary shall
coordinate activities conducted under this part with activities undertaken by
the National Prevention, Health Promotion and Public Health Council established
under section 4001 of the Patient Protection and Affordable Care Act (Public
Law 111–148). Where practicable, such coordination shall—</text>
<paragraph id="H499B057CE75840CFB35C2631DE7B3C61"><enum>(1)</enum><text>include the
sharing of current and emerging best practices concerning healthy eating,
physical activity, and screen time limits that have a population-level impact
in promoting nutrition and physical activity in child care settings;</text>
</paragraph><paragraph id="HAA6C4D5076F14933A3AC138732708B49"><enum>(2)</enum><text>promote the
effective implementation and sustainability of such programs; and</text>
</paragraph><paragraph id="H25E0D33E560F4BF7A6573846D17BDEE0"><enum>(3)</enum><text>avoid unnecessary
duplication of effort.</text>
</paragraph></subsection><subsection id="H99533B867E63443EA986E838C977E9C6"><enum>(b)</enum><header>Pilot
coordination</header><text>The Secretary shall designate an individual
(directly or through contract) to provide technical assistance to States and
pilot centers in the development, implementation, and evaluation of activities
and dissemination of information described in paragraphs (1), (2), and (3) of
subsection (a).</text>
</subsection></section><section id="HEAB33CAD70D54CC88185B90466B1070E"><enum>399OO–4.</enum><header>Evaluation
and reporting</header>
<subsection id="H11CDB6E7E7854A7A8E3ABE8685DD3CE3"><enum>(a)</enum><header>Technical
assistance and information</header><text>The Secretary shall—</text>
<paragraph id="H07F2C8640E3549829AE80512E5C73396"><enum>(1)</enum><text>provide technical
assistance to grantees and other entities providing training under a grant
under this part; and</text>
</paragraph><paragraph id="HD7CFCE6CB87F49B59878180483D8FC62"><enum>(2)</enum><text>disseminate to
health departments and trainers under grants under this part information
concerning evidence-based or data-informed approaches, including dissemination
of existing toolkits, curricula, and existing or emerging best practices that
can be expanded or improved upon through a program conducted under this
part.</text>
</paragraph></subsection><subsection id="H7C7BFD885C3A49C786C1EA720FB56FD7"><enum>(b)</enum><header>Evaluation
requirements</header><text>With respect to evaluations conducted under section
399OO–2, the Secretary shall ensure that—</text>
<paragraph id="H69F6B7A385914CDDA705C9CC00F5C985"><enum>(1)</enum><text>evaluation metrics
are consistent across all programs funded under this part;</text>
</paragraph><paragraph id="H24796CE0A60644FDB2F8522F2A992591"><enum>(2)</enum><text>interim outcomes
are measured by the number of centers that have implemented policy and
environmental strategies that support use of curricula and practices supporting
healthy eating, physical activity, and screen time limits;</text>
</paragraph><paragraph id="HDCCB1C2CDCC54883BF8CFA6FC26FE113"><enum>(3)</enum><text>interim outcomes
are measured, to the extent possible, by behavior changes in healthy eating,
physical activity, and screen time; and</text>
</paragraph><paragraph id="H961AD2769F934E7FB19D14589860AE69"><enum>(4)</enum><text>upon completion of
the program, the evaluation shall include an identification of best practices
relating to behavior change and reductions in the increasing prevalence of
overweight and obesity that could be replicated in other settings.</text>
</paragraph></subsection><subsection id="H3928E067E2AC4185BC0CAD4346488F16"><enum>(c)</enum><header>Dissemination of
information</header><text>Upon the conclusion of the programs carried out under
this part, the Secretary shall disseminate to all appropriate agencies within
the Department of Health and Human Services evidence, best practices, and
lessons learned from grantees. Such agencies shall encourage the adoption of
the best practices.</text>
</subsection><subsection id="H7A9F42E3D6944779A71A54FA45E1E174"><enum>(d)</enum><header>Report to
Congress</header><text>Not later than 6 months after the completion of the
pilot program under this part, the Secretary shall submit to Congress a report
concerning the evaluation of the pilot programs, including recommendations as
to how lessons learned from such programs can be incorporated into future
guidance documents developed and provided by the Secretary and other Federal
agencies, as appropriate.</text>
</subsection></section><section id="HA6E873722CC64F02B8CEEBF1FD50540F"><enum>399OO–5.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">There is
authorized to be appropriated to carry out this part, $2,500,000 for each of
fiscal years 2012, 2013, and
2014.</text>
</section></part><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H744BD943331641ADA1E3EAEFBD553660"><enum>112.</enum><header>Health and
fitness school programs: training America’s youth to live healthy
lifestyles</header>
<subsection id="HD2454443A5E342B48B67476ED85215CB"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretaries shall
carry out a 2-year pilot program consisting of awarding grants to eligible
entities for the purpose of establishing or expanding evidence-informed health
and fitness programs in secondary schools in low-income communities.</text>
</subsection><subsection id="HBD91B53EDBCB4784831A8E94741FA0E9"><enum>(b)</enum><header>Health and
fitness program requirements</header><text>As a condition on receipt of a grant
under this section, an eligible entity shall agree that any health and fitness
program at a secondary school funded through the grant will—</text>
<paragraph id="H8BB387899ACC4237B0904548EA27450C"><enum>(1)</enum><text display-inline="yes-display-inline">be conducted in partnership with the
secondary school, community entities, local contributors of funds, and tribal
councils;</text>
</paragraph><paragraph id="HAC76B8846CC244DDBE7DA7EBA5CC5F25"><enum>(2)</enum><text>include services
by recent graduates of institutions of higher education who are interested in
pursuing graduate degrees in medicine, nursing, nutrition science, exercise
physiology, public health, or a related discipline;</text>
</paragraph><paragraph id="H1E4465DD670449D0A3C861851C3AF36A"><enum>(3)</enum><text>use services by
such graduates to supplement rather than supplant the health and fitness
curriculum of the secondary school;</text>
</paragraph><paragraph id="HF5708E2832834B7E8449866561275EAC"><enum>(4)</enum><text>include a highly
effective student-mentor intervention and education program conducted by such
graduates for a maximum of 2 years of service in 1 secondary school per
graduate;</text>
</paragraph><paragraph id="H451937D5FB2E4689B9882B17F0F4D892"><enum>(5)</enum><text>build a healthier
community through wellness activities and increased awareness about and access
to healthy foods;</text>
</paragraph><paragraph id="H057C4802130040A9BDCDBF04D540737E"><enum>(6)</enum><text>provide daily
health and fitness instruction to both students and faculty;</text>
</paragraph><paragraph id="H2D7DB623EDCB495987B14C6C9C29299C"><enum>(7)</enum><text display-inline="yes-display-inline">conduct an annual in-school health fair
using the services of secondary school students with the objective of building
a healthier community through wellness activities and increased awareness about
and access to healthy foods;</text>
</paragraph><paragraph id="H22BEFF268F65406899BB78E1A5B5EB98"><enum>(8)</enum><text display-inline="yes-display-inline">conduct an annual school-based and an
annual community-based health fair using the services of secondary school
students with the objective of building a healthier community through wellness
activities and increased awareness about and access to healthy foods;
and</text>
</paragraph><paragraph id="HFC29601EAADC4E66821174D31EB79E5D"><enum>(9)</enum><text>expose secondary
school students to a variety of career choices in wellness and health-related
disciplines, including careers in medicine, nursing, nutrition science, and
exercise physiology.</text>
</paragraph></subsection><subsection id="HB89DA03FF70B4FF9A217F3C5165F1A99"><enum>(c)</enum><header>Non-Federal
funds</header><text>The Secretaries shall encourage grantees under this section
to contribute funds from non-Federal sources to increase—</text>
<paragraph id="HC9E381227D4A41CB9403A1DD5BC409D0"><enum>(1)</enum><text>the number of
secondary schools at which health and fitness programs are offered; or</text>
</paragraph><paragraph id="H442F49BBAB24483BB01D008DF4B9324B"><enum>(2)</enum><text>the longevity of
such programs.</text>
</paragraph></subsection><subsection id="H4F7B1F110F284C63911A7A5B0692CFE9"><enum>(d)</enum><header>Minimum number
of schools</header><text>The Secretaries shall ensure that grants under this
section are used to establish or expand health and fitness programs at a total
of not less than 20 schools.</text>
</subsection><subsection id="H77A8FDD0819C4E27BD138D5EA6D5E99C"><enum>(e)</enum><header>Assessment;
reporting</header><text>As conditions on receipt of a grant under this section,
an eligible entity shall agree to—</text>
<paragraph id="HFA17514AB4F1430A93D1EF30F9312555"><enum>(1)</enum><text display-inline="yes-display-inline">conduct an annual assessment of health and
fitness programs funded through the grant using the Centers for Disease Control
and Prevention’s School Health Index;</text>
</paragraph><paragraph id="H7978119205524067BA50FF5F4A3314CE"><enum>(2)</enum><text>on an annual
basis, report the findings of each assessment under paragraph (1) to the
participating school, community partners, local contributors of funds, and
tribal councils; and</text>
</paragraph><paragraph id="H96085390084943E899D6ECD917C8B08E"><enum>(3)</enum><text>not later than the
end of fiscal year 2013, submit a report to the Secretaries and an appropriate
representative of the Centers for Disease Control and Prevention on the success
of the programs in educating children and families and thereby preventing or
reducing childhood obesity, including data from each assessment under paragraph
(1).</text>
</paragraph></subsection><subsection id="HC5A6D65110BE4006B6094B3771FDBF29"><enum>(f)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="HB3C87969D2C64604BA7305DBF25CC8B9"><enum>(1)</enum><text>The term
<term>secondary school</term> has the meaning given to such term in section
9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
7801).</text>
</paragraph><paragraph id="H14E12C903DF24E95BEEB26FB3E4F6315"><enum>(2)</enum><text>The term
<term>eligible entity</term> means a nonprofit organization or entity with the
ability to meet the requirements applicable to a grantee under this section, as
determined by the Secretaries.</text>
</paragraph><paragraph id="H545DB44478764A1CAF9FD1CC74B37EF4"><enum>(3)</enum><text>The term
<term>low-income communities</term> includes—</text>
<subparagraph id="H957B6077BE7C4D5EBCE20D2B8B0A5EF8"><enum>(A)</enum><text display-inline="yes-display-inline">communities with a high percentage of
children eligible for free and reduced priced lunches under the Richard B.
Russell National School Lunch Act (42 U.S.C. 1751 et seq.); and</text>
</subparagraph><subparagraph id="H48F8A2EE9B0744B9ADE3B20F1D133F76"><enum>(B)</enum><text>any other
communities determined by the Secretaries to be low-income for purposes of this
section.</text>
</subparagraph></paragraph><paragraph id="H3224748F7905454D8AFDF2C32F1F1433"><enum>(4)</enum><text display-inline="yes-display-inline">The term <term>Secretaries</term> means the
Secretary of Health and Human Services and the Secretary of Education, acting
jointly and in conjunction with the Director of the Centers for Disease Control
and Prevention.</text>
</paragraph></subsection><subsection id="H9C96859E0DE248D2B1A5702AEB960354"><enum>(g)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there is authorized to
be appropriated $1,400,000 for the period of fiscal years 2012 through
2013.</text>
</subsection></section></subtitle><enum>II</enum><header>Advancing
Preventative Measures and Treatment of Obesity in Adults and Children in
Underserved Communities</header>
<section id="HA812DCA509A54C46A67DE42839ADC37F" section-type="subsequent-section"><enum>201.</enum><header>Community health and
wellness navigators pilot program: connecting America’s health professional
with our schools</header>
<subsection id="HE804F9B21EB343D7AB6116AFF14C15DF"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary of
Health and Human Services shall award grants to 5 or more States for the
establishment of a community navigator program, consisting of each such State
making subgrants to 1 or more eligible entities for a local community navigator
program described in subsection (b).</text>
</subsection><subsection id="H9D1CB450D07F4B319B1EE65DF1E825CC"><enum>(b)</enum><header>Program
description</header><text>A local community navigator program described in this
subsection shall consist of the following:</text>
<paragraph id="H4DBB9903BAFD4EC3A826EE26EFF1C5CD"><enum>(1)</enum><text>An eligible
entity, in partnership with a local educational agency, a bureau-funded school,
or a nonprofit health or education organization, will hire and train 2 or more
community navigators.</text>
</paragraph><paragraph id="H63E0086B2CF14B4EA352FBCEBDB9AD04"><enum>(2)</enum><text display-inline="yes-display-inline">The community navigators will facilitate a
relationship between the eligible entity and the local educational agency,
bureau-funded school, or nonprofit health or education organization in
low-income communities to ensure increased access to medical care through
educating parents and school administrators.</text>
</paragraph><paragraph id="H4CD955E2AF284FF4807DDFDCD700DDAE"><enum>(3)</enum><text>The community
navigators will carry out educational activities for elementary school and
secondary school students and their parents in low-income communities with the
goal of—</text>
<subparagraph id="HECD0B2AC603A42CCA34B32EC147FA4A6"><enum>(A)</enum><text>increasing
familial intake of nutritious meals;</text>
</subparagraph><subparagraph id="HE9789611408845FBB20AC002C2739D9D"><enum>(B)</enum><text>increasing
physical activity both in and out of the school setting; and</text>
</subparagraph><subparagraph id="H67ED139287BF4A4B9FB17801822207D0"><enum>(C)</enum><text>increasing access
to medical care.</text>
</subparagraph></paragraph></subsection><subsection id="HD5AA725EF94A4CF8BBF4C0CD488244FD"><enum>(c)</enum><header>Report</header><text>Not
later than 2 years after the date of the enactment of this Act, the Secretary
shall submit a report to the Congress on the effectiveness of the program under
this section.</text>
</subsection><subsection id="H0E2064E870314BD8B7520E8521EC5D4E"><enum>(d)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H774C9D1AF2F44A9D8D7FD79E9881340C"><enum>(1)</enum><text display-inline="yes-display-inline">The term <term>bureau-funded school</term>
has the meaning given such term in section 1146 of the Education Amendments of
1978 (25 U.S.C. 2026).</text>
</paragraph><paragraph id="HA8509BD72CFD43B19E33293F575B5B0E"><enum>(2)</enum><text>The terms
<term>elementary school</term>, <term>local educational agency</term>, and
<term>secondary school</term> have the meanings given to such terms in section
9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
7801).</text>
</paragraph><paragraph commented="no" id="HC58005BD47D044C48AE71F81F1061B57"><enum>(3)</enum><text display-inline="yes-display-inline">The term <term>eligible entity</term>
includes a Federally qualified health center (as defined in section 1861(aa) of
the Social Security Act (42 U.S.C. 1395x(aa))), a facility operated by the
Indian Health Service (including a facility operated by an Indian tribe or
tribal organization through a contract or compact with the Service under the
Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et
seq.)), a free-standing children’s hospital that is described in subparagraph
(L) or (M) of section 340B(a)(4) of the Public Health Service Act (42 U.S.C.
256b(a)(4)), a non-profit with demonstrated effectiveness in the area of
healthcare and with a focus on serving low-income communities, a rural
hospital, and a rural health clinic.</text>
</paragraph><paragraph display-inline="no-display-inline" id="HE427303EB0544948A110031DCE9C01B1"><enum>(4)</enum><text>The term
<term>low-income communities</term> includes—</text>
<subparagraph id="H9931882EBE1D4E4F805D35D03C083626"><enum>(A)</enum><text display-inline="yes-display-inline">communities with a high percentage of
children eligible for free and reduced priced lunches under the Richard B.
Russell National School Lunch Act (42 U.S.C. 1751 et seq.); and</text>
</subparagraph><subparagraph id="HF18EEA758B704BBDADB800002AFBB547"><enum>(B)</enum><text>any other
communities determined by the Secretaries to be low-income for purposes of this
section.</text>
</subparagraph></paragraph><paragraph id="HBCB8322C99FA478C85A9FB1E4D52D5DD"><enum>(5)</enum><text>The term
<term>nonprofit health or education organization</term> shall be defined by the
Secretary.</text>
</paragraph><paragraph id="H477426315CA6426FB2A488CFC5A8A657"><enum>(6)</enum><text>The term
<term>Secretary</term> means the Secretary of Health and Human Services.</text>
</paragraph><paragraph commented="no" id="H500C622AD235498683C8556508D9F1FB"><enum>(7)</enum><text display-inline="yes-display-inline">The term <term>State</term> includes the
District of Columbia and any commonwealth, territory, or possession of the
United States, including the Commonwealth of Puerto Rico, the Virgin Islands,
Guam, American Samoa, and the Commonwealth of the Northern Mariana
Islands.</text>
</paragraph></subsection><subsection id="H423728A6E96F4551A5C4E90D552A0801"><enum>(e)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there are authorized to
be appropriated such sums as may be necessary for fiscal years 2012 and
2013.</text>
</subsection></section><section commented="no" display-inline="no-display-inline" id="HFA056AADB6A04357A4B3E4D91F56D70C" section-type="subsequent-section"><enum>202.</enum><header>Requirement to
expedite national Medicare coverage determinations for evidence-based
preventive services</header>
<subsection id="H8D6FD6CBB54D46648175B64961BC8ADD"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Not later than
January 1, 2012, the Secretary of Health and Human Services shall issue
national Medicare coverage determinations for evidence-based preventive and
treatment services, including services to prevent or treat overweight and
obesity that have in effect a rating of ‘A’ or ‘B’ (relating to a
classification representing strongly recommended or recommended services) in
the current recommendations of the United States Preventive Services Task Force
(in this section referred to as <quote>USPSTF</quote>) and clinical services
for preventing and treating overweight and obesity as defined by the National
Heart, Lung and Blood Institute’s (in this section referred to as
<quote>NHLBI</quote>) Clinical Guidelines on the Identification, Evaluation and
Treatment of Overweight and Obesity in Adults. The Secretary shall update such
coverage determinations based on future updates to such USPSTF and NHLBI
guidelines.</text>
</subsection><subsection id="HB1F649E21D9E4580802C98CD296DA5A8"><enum>(b)</enum><header>Updating
recommendations</header><text>The Secretary shall instruct—</text>
<paragraph id="H3941B43DC99E48D5989963E6012D4203"><enum>(1)</enum><text>the Agency for
Healthcare Research and Quality and the USPSTF to update, by not later than one
year after the date of the enactment of this Act and at least once every 5
years thereafter, USPSTF recommendations relating to the prevention of
overweight and obesity that have in effect a rating of ‘I’ (relating to a
classification representing insufficient evidence to make a recommendation for
the service involved) to determine if such rating should be upgraded to a
rating of <quote>A</quote> or <quote>B</quote>; and</text>
</paragraph><paragraph id="HDE400F9C03654A0183FE1A1FA64A9218"><enum>(2)</enum><text>the National
Heart, Lung and Blood Institute to update, by not later than December 31, 2010,
and at least once every 3 years thereafter, the NHLBI Clinical Guidelines
described in subsection (a).</text>
</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="H7E70DDF6745F4864A1414D18B77E7F5A" section-type="subsequent-section"><enum>203.</enum><header>Expansion of obesity
treatment services under Medicare</header>
<subsection id="H1A5D276619724C3AA597120E3557B9D5"><enum>(a)</enum><header>Coverage</header><text display-inline="yes-display-inline">Section 1861 of the Social Security Act (42
U.S.C. 1395x), as amended by section 4103 of the Patient Protection and
Affordable Care Act (Public Law 111–148), is further amended—</text>
<paragraph commented="no" id="H5D7CAF2005C146009BE7EF7A6B1FA927"><enum>(1)</enum><text>in subsection
(s)(2)—</text>
<subparagraph commented="no" id="H9E5E732E06424D1FB70076CA023F017E"><enum>(A)</enum><text>in subparagraph
(EE), by striking at the end <quote>and</quote>;</text>
</subparagraph><subparagraph commented="no" id="H6FFCDF2A2C304717A5B07B4215F28135"><enum>(B)</enum><text>in subparagraph
(FF), by adding at the end <quote>and</quote>; and</text>
</subparagraph><subparagraph commented="no" id="H6446B7DCF7F946CE988FFC9CBF1D653E"><enum>(C)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HEC9F9DE9DE234706B9D6D716C3B7704A" style="OLC">
<subparagraph commented="no" id="H03CC331AD91A4F47A7A4499C1D4D4E25"><enum>(GG)</enum><text display-inline="yes-display-inline">items and services furnished under an
obesity treatment program (as defined in subsection
(iii));</text>
</subparagraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph commented="no" id="H9F1CE342313B428C986A581D0E19B272"><enum>(2)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H208F34AB0B4C453E97332CFCAF951078" style="traditional">
<subsection commented="no" id="H390B714A50DD48ADA6302559664AD7A9"><enum>(iii)</enum><header>Obesity
treatment program</header><text>The term <term>obesity treatment program</term>
means—</text>
<paragraph commented="no" id="HD0D272FCF6DB47558A68AB7C5465C280"><enum>(1)</enum><text>medical services
delivered to eligible individuals under a plan of care for the purpose of
reducing body mass index and the associated co-morbidities of obesity,
including—</text>
<subparagraph commented="no" id="HDFA52769DEC54297BBA45630EC6ABEE4"><enum>(A)</enum><text>the development of
an initial plan of care and subsequent revisions to that plan of care;</text>
</subparagraph><subparagraph commented="no" id="H420D083CA8D24A58BF9651ACEFBAF1F4"><enum>(B)</enum><text>medical and
surgical interventions as determined appropriate by the Secretary; and</text>
</subparagraph><subparagraph commented="no" id="HE9C0A7A37E134F528087CAE10E6CF20F"><enum>(C)</enum><text>additional
services for which payment would not otherwise be made under this title that
the Secretary may specify that encourage the receipt of, or improve the
effectiveness of, the services described in the preceding subparagraphs.</text>
</subparagraph><continuation-text commented="no" continuation-text-level="paragraph">In carrying out subparagraph (C), the
Secretary shall consider recommendations of the United States Preventive
Services Task Force; clinical practice guidelines for treatment of overweight,
obesity, and severe obesity issued by professional medical societies; and
consensus statements and guidelines on effective treatment of overweight,
obesity, and severe obesity issued by the National Institutes of Health,
professional medical societies, and other authoritative sources (such as those
identified in the National Heart Lung and Blood Institute’s Clinical Guidelines
on the Identification, Evaluation, and Treatment of Overweight and Obesity in
Adults).</continuation-text></paragraph><paragraph commented="no" id="H9559E7E5EF0244BB8819191BD76E05B7"><enum>(2)</enum><text>For purposes of
this subsection, the term <term>eligible individual</term> means an individual
who has—</text>
<subparagraph commented="no" id="HC30D3B36673B42B09041BBAC19E22EAA"><enum>(A)</enum><text>been diagnosed
with obesity by a physician (as defined in subsection (r)) or provider of
services (as defined in subsection (u));</text>
</subparagraph><subparagraph commented="no" id="HC492D38EB35E4A9B9FB46A796516EFCA"><enum>(B)</enum><text>a body mass index
of at least 30; or</text>
</subparagraph><subparagraph commented="no" id="H7D52F264849E41FABA729B7DA768AED9"><enum>(C)</enum><text>a body mass index
of at least 27 with at least one weight-related comorbid condition.</text>
</subparagraph><continuation-text commented="no" continuation-text-level="paragraph">It is not necessary for such
individual to be diagnosed with co-morbidities in addition to the obesity
diagnosis or body mass index of at least 30 in order to be considered an
<quote>eligible individual</quote> under this
subsection.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HACF9D3FB385D4C85827CFA8C15049D4F"><enum>(b)</enum><header>Payment</header><text>Section
1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)), as amended by
section 10501(h)(3)(B) of the Patient Protection and Affordable Care Act
(Public Law 111–148), is amended—</text>
<paragraph id="H4443A40F21064A008A73B9FD2B3B9683"><enum>(1)</enum><text>by striking
<quote>and</quote> before <quote>(Z)</quote>; and</text>
</paragraph><paragraph id="HBA3E24BF2B20410E9FB181B718796DAD"><enum>(2)</enum><text>by inserting
before the semicolon at the end the following: <quote>, and (AA) with respect
to items and services furnished under an obesity treatment program (as defined
in section 1861(iii)), the amount paid shall be 80 percent of the lesser of the
actual charge for the services or the amount determined under a fee schedule
established by the Secretary for purposes of this subparagraph</quote>.</text>
</paragraph></subsection></section><section display-inline="no-display-inline" id="H58A1823E1E874254B06ED03E9733425F" section-type="subsequent-section"><enum>204.</enum><header>Coverage of
evidence-based preventive services under Medicaid and SCHIP</header>
<subsection id="HD7623111C14B48DB89DB7E377945DDAB"><enum>(a)</enum><header>State Option To
Provide Medical Assistance for Evidence-Based Preventive Services</header>
<paragraph id="H6C6FC140B24C41F6A8D2D3D79B6A7C57"><enum>(1)</enum><header>In
general</header><text>Section 1905 of the Social Security Act (42 U.S.C. 1396d)
is amended—</text>
<subparagraph id="H40EC1F543A684F97B81547E7A825C2FB"><enum>(A)</enum><text>in subsection
(a)—</text>
<clause id="H51F65707701C48F585CF02E8DF617E67"><enum>(i)</enum><text>in
paragraph (28), by striking <quote>and</quote> at the end;</text>
</clause><clause id="H592CA7B9FABB41DF819DBE7587CDC488"><enum>(ii)</enum><text>by
redesignating paragraph (29) as paragraph (30); and</text>
</clause><clause id="H757EA5F5121F4FA19FD8EC75B3472A66"><enum>(iii)</enum><text>by
inserting after paragraph (28) the following:</text>
<quoted-block id="HE44B30F936B6454990618003897C33FE" style="OLC">
<paragraph id="HE42B3F06958E44928C0598C7398155B8"><enum>(29)</enum><text>evidence-based
preventive services described in subsection (ee);
and</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</clause></subparagraph><subparagraph id="H6DCB530EFC1447FCBE919698CED43FBE"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block id="H46859544291E44D8B873CAB8C327DA04" style="OLC">
<subsection id="HFA409CF021A04153B805C474169104C0"><enum>(ee)</enum><text>For purposes of
subsection (a)(29), evidence-based preventive services described in this
subsection are—</text>
<paragraph id="H3F3309A76CAF4767950E2881FC950160"><enum>(1)</enum><text>any preventive
services which the Secretary has determined are reasonable and necessary for
preventing obesity and comorbidities of obesity, including diet and exercise
counseling, healthy weight and obesity counseling; and</text>
</paragraph><paragraph id="H047958BF43964D2CB9DB1A2748174FAD"><enum>(2)</enum><text>any other
evidence-based, effective clinical intervention for obese individuals designed
to prevent comorbidities of obesity, including pharmacological or surgical
services.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HD61313C5FAAC486587FE6F26E017088D"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 1902(a)(10)(C)(iv) of such Act is amended by
inserting <quote>, or (29)</quote> after <quote>(24)</quote>.</text>
</paragraph></subsection><subsection id="H20D132513F5B4E59A94DDAF64060B56A"><enum>(b)</enum><header>State option To
provide child health assistance for evidence-Based preventive
services</header><text>Section 2110(a) of the Social Security Act (42 U.S.C.
1397jj(a)) is amended—</text>
<paragraph id="HDBAF5803B9C7436B920B63722680C70D"><enum>(1)</enum><text>by redesignating
paragraph (28) as paragraph (29); and</text>
</paragraph><paragraph id="H704ABAEB9AC247FB91E963D5D03AE2F4"><enum>(2)</enum><text>by inserting after
paragraph (27) the following:</text>
<quoted-block id="H06A39FE025E94733B52E9E283AE04043" style="OLC">
<paragraph id="HDB81502F113C48CE95E5F43BF1CF40FA"><enum>(28)</enum><text>Evidence-based
preventive services described in section
1905(ee).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section display-inline="no-display-inline" id="H85DEFA45070E476BA8591941471C6B4D" section-type="subsequent-section"><enum>205.</enum><header>Coverage of medical
nutrition therapy under Medicaid and SCHIP</header>
<subsection id="H9FCB239B13A64FD581995543B1F9C02E"><enum>(a)</enum><header>State Option To
Provide Medical Assistance for Medical Therapy Services</header>
<paragraph id="HEB0417D6357F4862B136BBE2C616872B"><enum>(1)</enum><header>In
general</header><text>Section 1905(a) of the Social Security Act (42 U.S.C.
1396d), as amended by section 204(a)(1), is amended—</text>
<subparagraph id="HF3DEF9DABC1445AAB3A56C884BEE535A"><enum>(A)</enum><text>in paragraph (29),
by striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="H8302356999874C7A95B5F84052E7B39E"><enum>(B)</enum><text>by redesignating
paragraph (30) as paragraph (31); and</text>
</subparagraph><subparagraph id="H8712A7B489B7431C8F8BE1E3E75C0D8A"><enum>(C)</enum><text>by inserting after
paragraph (29) the following:</text>
<quoted-block id="HF28369F951844AF8AB5E0FC00FB2BB89" style="OLC">
<paragraph id="HCE7D172DF8614F919540AA5EEA4832A8"><enum>(30)</enum><text>medical nutrition
therapy services (as defined in section 1861(vv)(1)) for individuals with
pre-diabetes or obesity or who are overweight (as defined by the Secretary);
and</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HEE351F93F04F43C590FFCC5253209716"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 1902(a)(10)(C)(iv) of such Act, as amended by
section 204(a)(2), is amended by striking <quote>or (29)</quote> and inserting
<quote>(29), or (30)</quote>.</text>
</paragraph></subsection><subsection id="HEA8EC1277B68472D819A80F0D3C8C808"><enum>(b)</enum><header>State option To
provide child health assistance for medical nutrition therapy
services</header><text>Section 2110(a) of the Social Security Act (42 U.S.C.
1397jj(a)), as amended by section 204(b), is amended—</text>
<paragraph id="HE8D2FB84ECD8417E8BBCEC2CC5125EE3"><enum>(1)</enum><text>by redesignating
paragraph (29) as paragraph (30); and</text>
</paragraph><paragraph id="H4AE7ED833B3443898266674EAF968962"><enum>(2)</enum><text>by inserting after
paragraph (28) the following:</text>
<quoted-block id="H9206C537F5D04869A69AA0DD798743F3" style="OLC">
<paragraph id="H60BADADCC0904AC9B377C7B28D368A68"><enum>(29)</enum><text>Medical nutrition
therapy services (as defined in section 1861(vv)(1)) for individuals with
pre-diabetes or obesity or who are overweight (as defined by the
Secretary).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section display-inline="no-display-inline" id="H045FD4F814974197ACCC6ED5D0DF8B5C" section-type="subsequent-section"><enum>206.</enum><header>Clarification of
EPSDT inclusion of prevention, screening, and treatment services for obesity
and overweight; SCHIP coverage</header>
<subsection id="H4C573C8649414313A80F171155CBFD9D"><enum>(a)</enum><header>In
general</header><text>Section 1905(r) of the Social Security Act (42 U.S.C.
1396d(r)) is amended—</text>
<paragraph id="HE356CEC53B024B719F3F55CA93099617"><enum>(1)</enum><text>in paragraph
(1)(B)—</text>
<subparagraph id="H4BF651F462C34092BC5751DF4C5B137C"><enum>(A)</enum><text>in clause (iv), by
striking <quote>and</quote> at the end;</text>
</subparagraph><subparagraph id="HD1C0D1A6B030446E8EAE101EEA915387"><enum>(B)</enum><text>in clause (v), by
striking the period at the end and inserting <quote>, and</quote>; and</text>
</subparagraph><subparagraph id="H759BC0E0699E4E4586DC0F75F95C27BB"><enum>(C)</enum><text>by adding at the
end the following:</text>
<quoted-block display-inline="no-display-inline" id="H1553EA4082104A3B929EF93F3D3E113E" style="OLC">
<clause id="HABF68A3EC09548E0A0113DE8993D4E7F"><enum>(vi)</enum><text display-inline="yes-display-inline">weight and BMI measurement and
monitoring.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H73741228BA804922AF2A180F5E3F8E16"><enum>(2)</enum><text>in paragraph (5),
by inserting <quote> (including treatment services related to obesity and body
weight, such as medical nutrition therapy services (as defined in section
1861(vv)(1)), physical therapy, exercise training, behavioral health
counseling, and such other evidence-based services as recommended by the
Secretary (taking into consideration the American Academy of Pediatrics Expert
Committee Guidelines Regarding the Prevention, Assessment, and Treatment of
Child and Adolescent Overweight and Obesity)</quote> after <quote>screening
services</quote>.</text>
</paragraph></subsection><subsection id="H459C8B9279C443E2B6E790DBDA1E0A54"><enum>(b)</enum><header>SCHIP</header>
<paragraph id="HEB7662D2137844C6A9C7A679F89E5D26"><enum>(1)</enum><header>Required
coverage</header><text>Section 2103 (42 U.S.C. 1397cc) is amended—</text>
<subparagraph id="H50849C09F74F4E0AAFCC3C3BEE65AD7C"><enum>(A)</enum><text>in subsection (a),
in the matter preceding paragraph (1), by striking <quote>and (7)</quote> and
inserting <quote>(7), and (9)</quote>; and</text>
</subparagraph><subparagraph id="HCF47D8A8752A4ECF93E440DF20669A34"><enum>(B)</enum><text>in subsection
(c)—</text>
<clause id="H94B159F179F442D7B33DE3DBA11ACFA3"><enum>(i)</enum><text>by
redesignating paragraph (7) as paragraph (9); and</text>
</clause><clause id="HE1A28461EF984770831291E62BA88859"><enum>(ii)</enum><text>by
inserting after paragraph (6), the following:</text>
<quoted-block id="HB5E43D4319A44700900EFFE06826CF53" style="OLC">
<paragraph id="HC5C84174174C4E90864961C4442B7AD2"><enum>(7)</enum><header>Prevention,
screening, and treatment services for obesity and overweight</header><text display-inline="yes-display-inline">The child health assistance provided to a
targeted low-income child shall include coverage of weight and BMI measurement
and monitoring, as well as appropriate treatment services, including medical
nutrition therapy services (as defined in section 1861(vv)(1)), physical
therapy or exercise training, behavioral health counseling, and such other
evidence based services as recommended by the Secretary. For purposes of the
previous sentence the Secretary shall take into consideration the American
Academy of Pediatrics Expert Committee Guidelines Regarding the Prevention,
Assessment, and Treatment of Child and Adolescent Overweight and
Obesity.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="H10F89156FBEE44F99A1F58395196990C"><enum>(2)</enum><header>Conforming
amendment</header><text>Section 2102(a)(7)(B) (42 U.S.C. 1397bb(c)(2)) is
amended by striking <quote>section 2103(c)(5)</quote> and inserting
<quote>paragraphs (5) and (7) of section 2103(c)</quote>.</text>
</paragraph></subsection></section><section id="HFD21DFDE843949C493B2CA3F5EDAE0CD"><enum>207.</enum><header>National
commission on child obesity</header>
<subsection id="H11F88314C0204B7982EC888F742B4029"><enum>(a)</enum><header>Establishment</header><text>There
is established a commission to be known as the National Commission on Child
Obesity (in this section referred to as the <quote>Commission</quote>).</text>
</subsection><subsection id="H6FA81047A5EB484BA4B53A498A213BB7"><enum>(b)</enum><header>Duties of
commission</header><text>The Commission shall—</text>
<paragraph id="H145C978F387040E3971AF335ABA8D05D"><enum>(1)</enum><text>conduct a
comprehensive study that examines and assesses the needs of children relating
to the prevalence, prevention, and treatment of childhood overweight and
obesity, including specific findings relating to—</text>
<subparagraph commented="no" id="HE494935737094F54B54266C8F471B86B"><enum>(A)</enum><text>best practices for
the prevention and treatment of childhood overweight and obesity;</text>
</subparagraph><subparagraph id="HB3F29BEF19AE49B09660C9C1202DB945"><enum>(B)</enum><text>child physical
health and mental health;</text>
</subparagraph><subparagraph id="HCCDE87657C1145BB8CFAFC611B652169"><enum>(C)</enum><text>child care in all
settings;</text>
</subparagraph><subparagraph id="HD91685C9249449C696D4A2EEEBC23E90"><enum>(D)</enum><text>child
welfare;</text>
</subparagraph><subparagraph id="H9A30C03B001B498EA7FC441A19CF8CDD"><enum>(E)</enum><text>elementary and
secondary education;</text>
</subparagraph><subparagraph id="H83789C7A3E934F8F998AC3B79CBF4328"><enum>(F)</enum><text>food availability
in neighborhoods;</text>
</subparagraph><subparagraph id="H623687C3C6894974B0BF6D038EEB2851"><enum>(G)</enum><text>access to health
care;</text>
</subparagraph><subparagraph id="HCA02B20693D34198A0CB83C0CA99B065"><enum>(H)</enum><text>health care
utilization;</text>
</subparagraph><subparagraph id="H0762E8BA490645178FA00D63697CFC46"><enum>(I)</enum><text>built
environment;</text>
</subparagraph><subparagraph id="H30D53B9B3C5E4668AD68F3F6CF9D1073"><enum>(J)</enum><text>parent physical
health and education;</text>
</subparagraph><subparagraph id="HF386DD9CAE98483087E37C016BCA4581"><enum>(K)</enum><text>underserved
communities, including tribal communities, health professional shortage areas
designated under section 332 of the Public Health Service Act (42 U.S.C. 254e),
medically underserved areas (as defined in section 799B of such Act (42 U.S.C.
295p), and areas in the Appalachian region (as defined in section 14102(a) of
title 40, United States Code);</text>
</subparagraph><subparagraph id="HF2645E22BC7A4F3A960FEAD7ACEF4EF0"><enum>(L)</enum><text>relevant
activities in childhood overweight and obesity; and</text>
</subparagraph><subparagraph id="H5DF4EAB298784480B470CA8C38CF37F9"><enum>(M)</enum><text display-inline="yes-display-inline">the availability of information on State
and Federal supportive nutrition programs, such as the Summer Food Service
Program, the Women, Infants, and Children Program, the State Children’s Health
Insurance Program under title XXI of the Social Security Act, and the
Supplemental Nutrition Assistance Program;</text>
</subparagraph></paragraph><paragraph id="H4205740FA6AE4547AD506D3CCEDD8A79"><enum>(2)</enum><text>identify, review,
and evaluate existing laws, regulations, policies, programs, and public health
initiatives relevant to best practices for the prevalence, prevention, and
treatment of childhood overweight and obesity;</text>
</paragraph><paragraph id="HE94173B2D9F94FC8A76149B7AFADA36D"><enum>(3)</enum><text>identify, review,
and evaluate the lessons learned from past laws, regulations, policies,
programs, and public health initiatives relevant to the prevalence, prevention,
and treatment of childhood overweight and obesity;</text>
</paragraph><paragraph id="H5BDFBC897C884058A0CE5BA2E17DD8F4"><enum>(4)</enum><text>advise on the need
to revise laws, regulations, policies, and programs relative to addressing best
practices for the prevalence, prevention, and treatment of childhood overweight
and obesity at regular intervals as new knowledge is gained;</text>
</paragraph><paragraph id="HA72AF4445C8145DFA47068969F5FCEA2"><enum>(5)</enum><text>include in the
interim report required by subsection (i)(1) recommendations on—</text>
<subparagraph id="H37C248064D2144B880EB63FEE87BC045"><enum>(A)</enum><text>the appropriate
Federal agency to establish the infrastructure for the creation of a
comprehensive nationwide registry of patient data associated with children
living with obesity;</text>
</subparagraph><subparagraph id="H44BCE4199EFE4924AC7A319E90C48753"><enum>(B)</enum><text>the specific
criteria needed for such registry to allow the field of pediatric clinicians
access to patient-level, clinical data suitable for research and the
development of best practices;</text>
</subparagraph><subparagraph id="H42C32AC9C772434C80DEF5629CDDBDE4"><enum>(C)</enum><text>the appropriate
funding level required for the establishment and implementation of such the
registry described in subparagraph (A); and</text>
</subparagraph><subparagraph id="H31481E47232B4CC9872610015DC4AFE1"><enum>(D)</enum><text>how to capture
large-scale data that are currently unavailable on adolescent and child
patients who are currently obese; and</text>
</subparagraph></paragraph><paragraph id="H2934749E36954071A1E04F64AACF5741"><enum>(6)</enum><text>include in the
final report required by subsection (i)(3) the Commission’s specific findings,
conclusions, and recommendations to address the needs of children relating to
the prevention and treatment of childhood overweight and obesity, including
specific recommendations on—</text>
<subparagraph id="HB0B4B3A3EA88461AA5FF1CB9C9193206"><enum>(A)</enum><text>the need for
planning and establishing a national resource center for children and obesity;
and</text>
</subparagraph><subparagraph id="HB42F9C5C52B747FB8AFEF4CD9353AF4C"><enum>(B)</enum><text>such coordination
of resources and services, administrative actions, policies, regulations, and
legislative changes as the Commission considers appropriate.</text>
</subparagraph></paragraph></subsection><subsection id="H8415A3F9A7124EA9B78FBFDAAA6E61F3"><enum>(c)</enum><header>Composition</header>
<paragraph id="HDCC15473F4874D10B15E8A4C2F39029E"><enum>(1)</enum><header>Members</header><text>The
Commission shall be composed of 15 members, of whom—</text>
<subparagraph id="H1432BF895C0E44C4B66BE59D12FC8842"><enum>(A)</enum><text>3 members, each of
a different political party, shall be appointed by the President;</text>
</subparagraph><subparagraph id="H39FA0AB498F74363B1CF729E17E84CAD"><enum>(B)</enum><text>3 members shall be
appointed by the majority leader of the Senate;</text>
</subparagraph><subparagraph id="H1350A1A2356C468E947C8E714855CD16"><enum>(C)</enum><text>3 members shall be
appointed by the minority leader of the Senate;</text>
</subparagraph><subparagraph id="H860B68B0F93B4D999A730F87D94030FB"><enum>(D)</enum><text>3 members shall be
appointed by the Speaker of the House of Representatives; and</text>
</subparagraph><subparagraph id="HCC7F97F1E772428BB7C8BC2C6ECF8B6A"><enum>(E)</enum><text>3 members shall be
appointed by the minority leader of the House of Representatives.</text>
</subparagraph></paragraph><paragraph id="H9C97B786AFA44E56A1F49D96576D210D"><enum>(2)</enum><header>Appointment</header><text>Members
of the Commission shall be appointed not later than 6 months after the date of
the enactment of this Act.</text>
</paragraph><paragraph id="H72DC0E6214BA4BB8B0ADC42F1E75EF74"><enum>(3)</enum><header>Chairperson,
vice chairperson, and meetings</header>
<subparagraph id="H5EDFC21A7A024FAE8217E094DBBD8006"><enum>(A)</enum><header>In
general</header><text>Not later than 30 days after the date on which all
members of the Commission are appointed under paragraph (1), such members shall
meet to elect a Chairperson and Vice Chairperson from among such members and
shall determine a schedule of Commission meetings.</text>
</subparagraph><subparagraph id="H1D752D7FB87F43848E9F1C807BD0B498"><enum>(B)</enum><header>Initial
meeting</header><text>The Commission shall meet and begin the operations of the
Commission not later than 120 days after the appointment of members of the
Commission.</text>
</subparagraph></paragraph><paragraph id="H0AD8C1615AFB4C56810FCF5183056DB0"><enum>(4)</enum><header>Governmental
appointees</header><text>An individual appointed to the Commission may not be
an official or employee of the Federal Government.</text>
</paragraph><paragraph id="H95FC5D45AAC1489B907A264D588EBA80"><enum>(5)</enum><header>Commission
representation</header><text>The Commission shall include at least one—</text>
<subparagraph id="H7A15A4B19611439C9C779BDBEA2A9A5B"><enum>(A)</enum><text>representative
from each of a nonprofit and for-profit entity with demonstrated expertise in
addressing the needs of children relating to the prevalence, prevention, and
treatment of childhood overweight and obesity;</text>
</subparagraph><subparagraph commented="no" id="HBC1EE5A552704A519147CA62347F1091"><enum>(B)</enum><text>State or local
director of health; and</text>
</subparagraph><subparagraph commented="no" id="H778F7B9C37F54D04AD75F7D61A3391F9"><enum>(C)</enum><text>tribal health
representative.</text>
</subparagraph></paragraph><paragraph id="H3EC073B203D54A18AC710C7AD79B3698"><enum>(6)</enum><header>Qualifications</header><text>Members
appointed under paragraph (1) may include—</text>
<subparagraph id="HA7A0DC00B28E4ADFB830B0E4C523E854"><enum>(A)</enum><text>individuals
involved with providing services to children, including health and other social
services;</text>
</subparagraph><subparagraph id="HFC9D18DE9F5F4A2789CF5114D6581572"><enum>(B)</enum><text>individuals
involved with administering health insurance coverage to children;</text>
</subparagraph><subparagraph id="H921574EDE6CE48828AC70799FEC6FC60"><enum>(C)</enum><text>individuals with
experience in public health initiatives relating to the prevention and
treatment of childhood overweight and obesity, including coordination of
resources and services among State and local governments, the Federal
Government, and nongovernmental entities;</text>
</subparagraph><subparagraph id="H7831B1AE1C5E44FDBD9FE903A886D070"><enum>(D)</enum><text>individuals with
philanthropic experience focused on the needs of children relating to the
prevalence, prevention, and treatment of childhood overweight and
obesity;</text>
</subparagraph><subparagraph id="H7256CE2FA53D4782B30C01273066DCDB"><enum>(E)</enum><text display-inline="yes-display-inline">individuals who have conducted academic
research relating to the prevalence, prevention, and treatment of childhood
overweight and obesity; and</text>
</subparagraph><subparagraph id="H5A1519AD9A7641138F8BE84E3666F814"><enum>(F)</enum><text>individuals with
significant experience in child health and policy.</text>
</subparagraph></paragraph><paragraph id="H88C6B27C7B574A99857FE1E4BA9B6D00"><enum>(7)</enum><header>Quorum and
Vacancy</header>
<subparagraph id="HAE4A5F9043AA4D248A53D478E20BFA8A"><enum>(A)</enum><header>Quorum</header><text>A
majority of the members of the Commission shall constitute a quorum, but a
lesser number of members may hold hearings.</text>
</subparagraph><subparagraph id="H0C20DD9C2C9F48A1A057AA7D572F58AD"><enum>(B)</enum><header>Vacancy</header><text>Any
vacancy in the Commission shall not affect its powers and shall be filled in
the same manner in which the original appointment was made.</text>
</subparagraph></paragraph></subsection><subsection id="H6648CFB9573845189A0B791AACB42282"><enum>(d)</enum><header>Powers of
commission</header>
<paragraph id="HD43C91776A5240749EA4DE00F5F0C48A"><enum>(1)</enum><header>Hearings</header><text>The
Commission may hold such hearings, meet and act at such times and places, and
receive such evidence as may be necessary to carry out the functions of the
Commission.</text>
</paragraph><paragraph id="H8B48FED0E3BB446B8B1477D334D8504C"><enum>(2)</enum><header>Information from
Federal agencies</header>
<subparagraph id="H5F74C21478214B84A128BB6F4B65FCD5"><enum>(A)</enum><header>In
general</header><text>The Commission may access, to the extent authorized by
law, from any executive department, bureau, agency, board, commission, office,
independent establishment, or instrumentality of the Federal Government such
information, suggestions, estimates, and statistics as the Commission considers
necessary to carry out this section.</text>
</subparagraph><subparagraph id="H71547A9BED0D417C84710287C0284BEB"><enum>(B)</enum><header>Provision of
information</header><text>On written request of the Chairperson of the
Commission, each department, bureau, agency, board, commission, office,
independent establishment, or instrumentality of the Federal Government shall,
to the extent authorized by law, provide the requested information to the
Commission.</text>
</subparagraph><subparagraph id="H8397EC10000441F89ADE173009EDE023"><enum>(C)</enum><header>Receipt,
handling, storage, and dissemination</header><text>Information shall only be
received, handled, stored, and disseminated by members of the Commission and
its staff consistent with all applicable statutes, regulations, and Executive
orders.</text>
</subparagraph></paragraph><paragraph id="H848CE833A2514DC6990BAFF113C65BAC"><enum>(3)</enum><header>Assistance from
Federal agencies</header>
<subparagraph id="H3E9E0EBF41514453A6459F49BC657B18"><enum>(A)</enum><header>General services
administration</header><text>On request of the Chairperson of the Commission,
the Administrator of General Services shall provide to the Commission, on a
reimbursable basis, administrative support and other assistance necessary for
the Commission to carry out its duties.</text>
</subparagraph><subparagraph id="HB84F590364494B208E10AA32C8BABF22"><enum>(B)</enum><header>Other
departments and agencies</header><text>In addition to assistance under
subparagraph (A), departments and agencies of the United States may provide to
the Commission such assistance as they determine advisable and as authorized by
law.</text>
</subparagraph></paragraph><paragraph id="HFCE82FB38E264D8F8128FDC0EC75882F"><enum>(4)</enum><header>Contracting</header><text>The
Commission may enter into financially reasonable contracts to enable the
Commission to discharge its duties under this section.</text>
</paragraph><paragraph id="H513BA4FD661B4A0AB8087A3848AA6733"><enum>(5)</enum><header>Postal
services</header><text>The Commission may use the United States mails in the
same manner and under the same conditions as a department or agency of the
United States.</text>
</paragraph></subsection><subsection id="H6313AB582CA34F7B88B4EC233B8DB63D"><enum>(e)</enum><header>Staff of
commission</header>
<paragraph id="HB4A8353D03A8407D84971DB5A7FC2685"><enum>(1)</enum><header>In
general</header><text>The Chairperson of the Commission, in consultation with
the Vice Chairperson, in accordance with rules agreed upon by the Commission,
may appoint and fix the compensation of a staff director, policy director, and
administrative assistant (and other staff if agreed upon by a majority of
Commission members) to enable the Commission to carry out its functions, in
accordance with the provisions of title 5, United States Code, except that no
rate of pay fixed under this paragraph may exceed the equivalent of that
payable for a position at level V of the Executive Schedule under section 5316
of title 5, United States Code.</text>
</paragraph><paragraph id="H9569A78DD3C340919C6175DFC95D767F"><enum>(2)</enum><header>Staff of Federal
agencies</header><text>Upon request of the Chairperson of the Commission, the
head of any executive department, bureau, agency, board, commission, office,
independent establishment, or instrumentality of the Federal Government may
detail, without reimbursement, any of its personnel to the Commission to assist
it in carrying out its duties under this section. Any detail of an employee
shall be without interruption or loss of civil service status or
privilege.</text>
</paragraph><paragraph id="HDE7E2FC07E83429DA1682BE78B7C8504"><enum>(3)</enum><header>Consultant
services</header><text>The Commission is authorized to procure (pursuant to a
majority vote of the Commission members) the services of experts and
consultants in accordance with section 3109 of title 5, United States Code, but
at rates not to exceed the daily equivalent of the annual rate of basic pay for
level IV of the Executive Schedule under section 5315 of title 5, United States
Code.</text>
</paragraph></subsection><subsection id="HE7FA2538DDC4434BA4C78038838B2805"><enum>(f)</enum><header>Travel
expenses</header><text>Each member of the Commission shall serve without
compensation, but shall receive travel expenses, including per diem in lieu of
subsistence, in accordance with applicable provisions in the same manner as
persons employed intermittently in the Government service are allowed expenses
under section 5703 of title 5, United States Code.</text>
</subsection><subsection id="HA14BEBD7F59F46F6ACBD5AD3A967EAD2"><enum>(g)</enum><header>Applicability of
FACA</header><text>The Federal Advisory Committee Act, including any provisions
applicable to staff, is deemed to apply to the Commission.</text>
</subsection><subsection id="H6AE8FD5BD32144CFAAA5110BB122B44C"><enum>(h)</enum><header>Reports of
commission; termination</header>
<paragraph id="HF699D627F44B4C608C74723DB8EF7117"><enum>(1)</enum><header>Interim
report</header><text>The Commission shall, not later than 1 year after the date
of its first meeting, submit to the President and the Congress an interim
report containing specific findings, conclusions, and recommendations required
under this section and agreed to by a majority of Commission members.</text>
</paragraph><paragraph id="H6E4F13A2A943437A8430303DA1F86A4D"><enum>(2)</enum><header>Other reports
and information</header>
<subparagraph id="H0BB4ADB5374245F18AE564216DA5718A"><enum>(A)</enum><header>Reports</header><text>The
Commission may issue additional reports as the Commission determines
necessary.</text>
</subparagraph><subparagraph id="H4C3D06085E0C4D1FBC705DFC0D77BBE0"><enum>(B)</enum><header>Information</header><text>The
Commission may hold public hearings to collect information and shall make such
information available for use by the public.</text>
</subparagraph></paragraph><paragraph id="H65100DA3E0CA44FB9397071BDB8806C3"><enum>(3)</enum><header>Final
report</header><text>The Commission shall, not later than 2 years after the
date of its first meeting, submit to the President and Congress a final report
containing specific findings, conclusions, and recommendations required under
this section and agreed to by a majority of Commission members.</text>
</paragraph><paragraph id="H56170FC0CFCE404099F1A0D242435A8F"><enum>(4)</enum><header>Termination</header>
<subparagraph id="HBDD2ED2D983C455CAEBC3E0A7C6A7759"><enum>(A)</enum><header>In
general</header><text>Unless reauthorized by statute, the Commission, and all
the authorities of this section, shall terminate 180 days after the date on
which the final report is submitted under paragraph (3).</text>
</subparagraph><subparagraph id="HA51C20EAE16240DAA740D126D00C0B99"><enum>(B)</enum><header>Records</header><text>Not
later than the date of termination of the Commission under subparagraph (A),
all records and papers of the Commission shall be delivered to the Archivist of
the United States for deposit in the National Archives.</text>
</subparagraph></paragraph></subsection><subsection id="HF54C815BCCF04D799352121CD70B0CD0"><enum>(i)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H71EC56A0088B4A4F8849818B8823D9DC"><enum>(1)</enum><header>Obesity</header><text>The
term <term>obesity</term> with respect to children means having a body mass
index (BMI) greater than or equal to the 95th percentile for age and sex
according to the Centers for Disease Control and Prevention.</text>
</paragraph><paragraph id="H1DB572C74A924976A488599A742E496F"><enum>(2)</enum><header>Child;
children</header><text>The terms <term>child</term> and <term>children</term>
mean an individual or individuals, respectively, who have not attained 18 years
of age.</text>
</paragraph></subsection><subsection id="H38EF6C3D3CC748E5B7BB0E86D2308393"><enum>(j)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section, $1,500,000 for each of fiscal years 2012 and 2013.</text>
</subsection></section><section display-inline="no-display-inline" id="H4A2CC1DD56A84A32B1A765C67ED3E5EC" section-type="subsequent-section"><enum>208.</enum><header>GAO
report</header><text display-inline="no-display-inline">Not later than 2 years
after the first appropriation of Federal funds to carry out this Act, the
Comptroller General of the United States shall submit to Congress a report on
the effectiveness of the activities carried out under this Act in reducing
child obesity, which shall include an analysis of the costs and the benefits of
such activities.</text>
</section><enum>III</enum><header>Encouraging
Physical Activity in Underserved American Communities </header>
<section display-inline="no-display-inline" id="H8034B2D962C14FBEBF08ECA349CA9E3E"><enum>301.</enum><header>Renovation of
foreclosed and abandoned properties to create spaces that encourage physical
activity in American neighborhoods</header><text display-inline="no-display-inline">Section 106(a) of the Housing and Community
Development Act of 1974 (42 U.S.C. 5306(a)) is amended—</text>
<paragraph id="HE6188DF56D974789BA4A22CFC9272334"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (3)—</text>
<subparagraph id="H9AC89D3D8CD84A7B8D3ECA4FFE5F9B46"><enum>(A)</enum><text>by striking
<quote>(1) and</quote> and inserting <quote>(1),</quote>; and</text>
</subparagraph><subparagraph id="HF297C2B843204F73B02CB62A1E14E275"><enum>(B)</enum><text>by inserting
<quote>and after reserving such amounts for units of general local government,
special district governments, and Indian tribes with high foreclosure rates and
great infrastructure need under paragraph (4),</quote> after <quote>paragraph
(2),</quote>;</text>
</subparagraph></paragraph><paragraph id="HC4B866582A86424A94C95DA869E560CD"><enum>(2)</enum><text>by redesignating
paragraph (4) as paragraph (5);</text>
</paragraph><paragraph id="H167F3EAC5CC649BD8CC2EC8BF5BEADFB"><enum>(3)</enum><text>in paragraph (5),
as redesignated by paragraph (2) of this section, by striking <quote>paragraphs
(1), (2), and (3)</quote> and inserting <quote>paragraphs (1), (2), (3), and
(4)</quote>; and</text>
</paragraph><paragraph id="H894FF40CC2174A9FB90A368F0260526D"><enum>(4)</enum><text>by inserting after
paragraph (3) the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="H28467771C4C343CEBC9795961ED46254" style="OLC">
<paragraph id="H8D5006594124427883A5AE4AD052C822"><enum>(4)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="H99947EEB74BC4B80BC6EC7F0F30CB966"><enum>(A)</enum><text display-inline="yes-display-inline">For each fiscal year, of the amount
approved in appropriation Acts under section 103 for grants for such fiscal
year (excluding the amounts provided for use in accordance with section 107),
the Secretary shall reserve for grants to units of general local government,
special district governments, and Indian tribes that the Secretary determines
have both high foreclosure rates and the greatest infrastructure needs, based
on the scope of the needs, an amount the Secretary determines necessary.</text>
</subparagraph><subparagraph id="H1414767CC72D40098986A9C9BABB262F" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">Grants under this paragraph may be used by
units of general local government, special district governments, and Indian
tribes to—</text>
<clause id="HBCB41B2A0D56454290C057A40A3A0F2E"><enum>(i)</enum><text display-inline="yes-display-inline">renovate foreclosed commercial properties,
abandoned commercial properties, or both, to be transformed in community
centers, public recreation facilities, swimming pools, or any other type of
facility that will encourage indoor physical activity;</text>
</clause><clause id="H7207F019745140B3B91A4E84EDEADA3F"><enum>(ii)</enum><text>demolish foreclosed or abandoned
commercial and residential properties, or both, to use the sites for—</text>
<subclause id="H07831F00520D42CEB68EC3C8A9C1112B"><enum>(I)</enum><text>the construction of parks, playgrounds,
outdoor swimming pools, tracks, soccer fields, baseball diamonds, or any other
type of facility that will encourage outdoor physical activity;</text>
</subclause><subclause id="H48480A6C70DC4404BB09FFC4F7EC8CE8"><enum>(II)</enum><text display-inline="yes-display-inline">community gardens or urban farms,
particularly in areas that are food deserts (as such term is defined in section
7527(a) of the Food, Conservation, and Energy Act of 2008 (Public Law 110–234;
122 Stat. 2039); or</text>
</subclause><subclause id="H68AE04828C5B4FCCBBB8821374A30120"><enum>(III)</enum><text>mixed used facilities that are used for
both of the purposes under subclauses (I) and (II) of this clause; and</text>
</subclause></clause><clause id="HA2E664779A464AE8973DBD16528D32E8"><enum>(iii)</enum><text display-inline="yes-display-inline">reconstruct and repair dilapidated
sidewalks, bike and pedestrian trails, and indoor and outdoor facilities that
encourage physical activity.</text>
</clause></subparagraph><subparagraph id="H0A1EAA3A56B043C8BCB3A914A2CE6CA8" indent="up1"><enum>(C)</enum><text display-inline="yes-display-inline">In
making grants under this paragraph, the Secretary shall give priority among
units of general local government, special district governments, and Indian
tribes eligible pursuant to subparagraph (A)—</text>
<clause id="HEC61883AAD004AB8A5BC362AB108FCB4"><enum>(i)</enum><text display-inline="yes-display-inline">to units of general local government,
special district governments, and Indian tribes that demonstrate the ability
and willingness to work with local educational agencies, developers, and other
community-based organizations to enter into mixed-use agreements to maximize
the use and efficiency of properties renovated, constructed, or reconstructed
and repaired through the use of grant funds;</text>
</clause><clause id="H5DD74E13154542759EEE7D55F77EFC99"><enum>(ii)</enum><text display-inline="yes-display-inline">to units of general local government,
special district governments, and Indian tribes that demonstrate the
willingness to recognize and promote the involvement of individuals enrolled in
a national service program authorized under the National and Community Service
Act of 1990 (42 U.S.C. 12501 et seq.) or the Domestic Volunteer Service Act of
1973 (42 U.S.C. 4950 et seq.) in the renovation, construction, or
reconstruction and repair of properties through the use of grant funds;
and</text>
</clause><clause id="H14BA29DA00AD4D80A7CBA23AE96463E3"><enum>(iii)</enum><text display-inline="yes-display-inline">to projects proposed by units of general
local government, special district governments, and Indian tribes that are
easily accessible, on foot or by public transportation, for persons in
low-income communities.</text>
</clause></subparagraph><subparagraph id="HF23CDC0F27324D9392CC06B75AF27B15" indent="up1"><enum>(D)</enum><text>For purposes of this paragraph, the
term <term>special district government</term> means any organized local entity,
known by a variety of titles, including districts, authorities, boards, and
commissions, other than a unit of general local government or local educational
agency, authorized by State law to provide only one or a limited number of
designated functions, and with sufficient administrative and fiscal autonomy to
qualify as a separate government unit, as determined by the
Secretary.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="H5FF3C68982B1432DA608307CC6836D16"><enum>302.</enum><header>National youth
sports program revitalization</header><text display-inline="no-display-inline">Section 682(g) of the Community Services
Block Grant Act (42 U.S.C. 9923(g)) is amended by striking
<quote>$15,000,000</quote> and all that follows through <quote>2003</quote> and
inserting <quote>$20,000,000 for each of the fiscal years 2012 through
2021</quote>.</text>
</section><section id="H0FD97FE7247742098C3C689D5AB8B899" section-type="subsequent-section"><enum>303.</enum><header>Expansion of the
Zuni Youth Enrichment Project Summer Camp</header>
<subsection id="H4D6F9FDDFCC1407B8DC33823AF465210"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The Secretary of
Health and Human Services shall establish a 2-year pilot program to provide
funds to community-based organizations on Indian reservations or tribal lands
to plan and implement an enrichment program for children (in the form of a
summer camp and a year-round program) for the purpose of—</text>
<paragraph id="HED167F3BA22348FDBF0D7E1054DF8F04"><enum>(1)</enum><text>reversing the
epidemics of obesity, diabetes, and alcoholism in such areas; and</text>
</paragraph><paragraph id="HA7157C89C21243009C760DAC8EC91A32"><enum>(2)</enum><text>to mitigate other
problems stemming from the formation of bad habits and the development of low
self-esteem during childhood.</text>
</paragraph></subsection><subsection id="HE9F3E65FF3B243A2808CA725A9499C5E"><enum>(b)</enum><header>Partnerships</header><text display-inline="yes-display-inline">In order to qualify for funding under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="(a)">subsection (a)</internal-xref>, a community-based organization
shall demonstrate, to the satisfaction of the Secretary of Health and Human
Services, that the organization has entered into a partnership with community
entities, local funders, and tribal leaders (including, if applicable, the
tribal council) to plan and execute an enrichment program under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="1.(a)">subsection (a)</internal-xref>.</text>
</subsection><subsection display-inline="no-display-inline" id="H5E83D4D948ED4DC9A7239CB7471FFCF5"><enum>(c)</enum><header>Number of
sites</header><text display-inline="yes-display-inline">The Secretary of Health
and Human Services, in providing funding under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="1.(a)">subsection (a)</internal-xref>, shall provide funding to no
more than 20 community-based organizations.</text>
</subsection><subsection id="H114636E23668416C91A48FD8DC90ABF6"><enum>(d)</enum><header>Model and camp
requirement</header><text>The enrichment program under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="1.(a)">subsection (a)</internal-xref> shall—</text>
<paragraph id="H4D82FDF992064792ACC997CF1F43009F"><enum>(1)</enum><text>be modeled on
similar programs established by the Zuni Youth Enrichment Project; and</text>
</paragraph><paragraph id="HC310388E64464BBD8DA0165CDD3B6F7B"><enum>(2)</enum><text>shall include a
camp of at least 6 weeks in duration during the summer<italic>.</italic></text>
</paragraph></subsection><subsection id="HD1FA778A47284BF2B52A9D990F1D1B9F"><enum>(e)</enum><header>Specific camp
requirements</header>
<paragraph id="HBC623E8FEE1C4CC19A32D7601D841967"><enum>(1)</enum><header>Daily
activities</header><text>With respect to children attending a camp under
<internal-xref idref="HC310388E64464BBD8DA0165CDD3B6F7B" legis-path="1.(d)(2)">subsection (d)(2)</internal-xref>, the leader of the
organization that receives funds under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="1.(a)">subsection (a)</internal-xref> shall, for each day of the
camp, ensure that, such children are—</text>
<subparagraph id="HFDACB658E2F04C5C932CD6780A5CC561"><enum>(A)</enum><text>involved in at
least 60 minutes of physical activity (with appropriate accommodations made for
children with disabilities); and</text>
</subparagraph><subparagraph id="H5054A8C5186548F784C92857A077BDA0"><enum>(B)</enum><text display-inline="yes-display-inline"><italic></italic>provided with at least two
meals that meet national nutritional standards.</text>
</subparagraph></paragraph><paragraph id="HC4A118F142824D378768569D2A54A74E"><enum>(2)</enum><header>Other
activities</header><text>Such leader shall also ensure that—</text>
<subparagraph id="H21FD0486907A4DEC86F7482CAE87CF3D"><enum>(A)</enum><text>a community
gardening activity is included in the activities conducted at the camp;
and</text>
</subparagraph><subparagraph id="HB52E0A679C7F4D19A15872864B7B0594"><enum>(B)</enum><text>health and
wellness education is provided to the children attending the camp.</text>
</subparagraph></paragraph></subsection><subsection id="HABEDB776240143F19E0E086FAAB8FAB5"><enum>(f)</enum><header>Evaluation</header>
<paragraph id="HE8BE4B08C6B8440EBA7C011CF15037D3"><enum>(1)</enum><header>In
general</header><text>A community-based organization that receives funding
under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="1.(a)">subsection (a)</internal-xref>, shall, as a condition of
receiving such funding, conduct an evaluation of the enrichment program
conducted by such organization.</text>
</paragraph><paragraph id="HFE047619266F4CB79747087C59C4ED29"><enum>(2)</enum><header>Model</header><text>The
form, manner, content, and frequency of the evaluation under
<internal-xref idref="HE8BE4B08C6B8440EBA7C011CF15037D3" legis-path="1.(f)(1)">paragraph (1)</internal-xref> shall be modeled on the
Zuni Youth Enrichment Project standard project evaluation.</text>
</paragraph></subsection><subsection id="HD5C45BF2DCAC4A06BC994CDB74E6EFE4"><enum>(g)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 1 year after the date on
which a community organization first receives funding under
<internal-xref idref="H4D6F9FDDFCC1407B8DC33823AF465210" legis-path="(a)">subsection (a)</internal-xref> and annually thereafter, the
organization shall—</text>
<paragraph id="H2C995F3D6C1D4CF3B319CCE6EF9AFD4D"><enum>(1)</enum><text>submit a report to
the to the Secretary of Health and Human Services on the outcomes of the
enrichment program conducted by the organization under this section,
including—</text>
<subparagraph id="HF2FAB339C8C1446CB2BCE02E535C2897"><enum>(A)</enum><text>the findings of
the evaluation conducted under
<internal-xref idref="HABEDB776240143F19E0E086FAAB8FAB5" legis-path="1.(f)">subsection (f)</internal-xref>; and</text>
</subparagraph><subparagraph id="H43B441C2D7F4404BB1C1F20B21EEE43E"><enum>(B)</enum><text>the impact of such
enrichment program on the rates of childhood obesity on the reservation or area
of tribal land served by the organization; and</text>
</subparagraph></paragraph><paragraph id="HA8117C61977F47C4AE14C21E13531EFB"><enum>(2)</enum><text display-inline="yes-display-inline">provide a copy of the findings under
<internal-xref idref="HF2FAB339C8C1446CB2BCE02E535C2897" legis-path="1.(g)(1)(A)">paragraph (1)(A)</internal-xref> to community
entities, local funders, tribal leaders (including, if applicable, the tribal
council), and the families of children participating in the enrichment
program.</text>
</paragraph></subsection></section><section id="H393E7A6B6C2E495DBF92C076AC88D359" section-type="subsequent-section"><enum>304.</enum><header>Making routes to
schools in underserved communities safe and accessible with public
participation through the Community Oriented Policing Services
program</header><text display-inline="no-display-inline">Section 1701 of the
Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 3796dd) is
amended—</text>
<paragraph id="H2E09DF0E5FB142598CBE7985F11723BD"><enum>(1)</enum><text>in subsection
(b)—</text>
<subparagraph id="H7BEF7C5661AA4AB6898063BA3F2B2CFC"><enum>(A)</enum><text>in paragraph (16),
by striking <quote>and</quote> after the semicolon;</text>
</subparagraph><subparagraph id="H8A5F834C003C41A08265133B76184C62"><enum>(B)</enum><text>by redesignating
paragraph (17) as paragraph (18), and in such paragraph (18) (as so
redesignated), by striking <quote>through (16)</quote> and inserting
<quote>through (17)</quote>; and</text>
</subparagraph><subparagraph id="HB82F2759470D4E648E58FA360A1FDF0E"><enum>(C)</enum><text>by inserting after
paragraph (16) the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HFB5FE7D96C1648C485F22F75AA3895FE" style="OLC">
<paragraph id="HE1BE1FF4206C4CF9AB6A732154B195B6"><enum>(17)</enum><text display-inline="yes-display-inline">to award grants for Safe Routes to
School-Community Oriented Policing Services programs, in accordance with
subsection (j); and</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HD07FABBD44AF427D84E01BA44DCCE956"><enum>(2)</enum><text>by adding at the
end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H7F48ACBF54C1488AAFF2E660518C1628" style="OLC">
<subsection id="H572533F5A2C7454A8479E13F1B56FD3A"><enum>(j)</enum><header>Safe Routes to
School-Community Oriented Policing Services programs</header>
<paragraph id="HAA2E982568164A63933CB1D0524045B3"><enum>(1)</enum><header>Grant
program</header><text display-inline="yes-display-inline">The Director of the
Office of Community Oriented Policing Services, in collaboration with the
Secretary of Education, shall award grants to not fewer than 10 local and
tribal law enforcement agencies in low-income communities for the planning,
development, and assessment of Safe Routes to School-Community Oriented
Policing Services programs in accordance with this subsection.</text>
</paragraph><paragraph id="H6E35B10CF525436C9D70835F06569171"><enum>(2)</enum><header>Grant
period</header><text>Each grant awarded under this subsection shall be for a
3-year period beginning with the first fiscal year that begins after the date
of enactment of the <short-title>Fit for Life Act of
2011</short-title>, and may not be renewed.</text>
</paragraph><paragraph id="HA5012711334E4564A6011A027DF5D5CE"><enum>(3)</enum><header>Use of
grants</header><text display-inline="yes-display-inline">A grant awarded under
this subsection shall be used by each grantee to—</text>
<subparagraph id="H7C2089C42B454A2C89F3A34C6C8FFEF8"><enum>(A)</enum><text>assess the needs
of the low-income community served by the grantee with respect to the ability
of elementary and secondary school students to get to and from school safely;
and</text>
</subparagraph><subparagraph id="H1E2DB2B798F64D7FAD66A63739B094B6"><enum>(B)</enum><text display-inline="yes-display-inline">establish and maintain a Safe Routes to
School-Community Oriented Policing Services program that ensures the
availability of safe routes to and from school for elementary and secondary
school students in underserved communities by addressing the unique personal
safety dangers to students in such communities that may cause routes to or from
school to be unsafe, such as dangers associated with crime, drug or gang
activity, abandoned properties, and the presence of sexual predators.</text>
</subparagraph></paragraph><paragraph id="HB2A69B36A17A40F69A2131C306BA9E59"><enum>(4)</enum><header>Reports</header><text display-inline="yes-display-inline">Not later than one year after receiving a
grant award under this subsection, and annually thereafter, each grantee shall
submit to the Director of the Office of Community Oriented Policing Services a
report on the Safe Routes to School-Community Oriented Policing Services
program carried out by the grantee that includes—</text>
<subparagraph id="HA0E1EECD9BB34DF6AC5AB3F1A08EBC84"><enum>(A)</enum><text>a description of
the activities carried out with such grant during the preceding year;</text>
</subparagraph><subparagraph id="H698FF1D72E8D45B0BF09BED8055996FF"><enum>(B)</enum><text>the effectiveness
of such activities in ensuring safe routes to and from school for elementary
and secondary school students;</text>
</subparagraph><subparagraph id="H45054E1B530D457E8B297DB00C76E3B4"><enum>(C)</enum><text>a description of
the activities the grantee plans to carry out with such grant in succeeding
years; and</text>
</subparagraph><subparagraph id="HB86EF55878CC498693D75EC1D0D2BCA7"><enum>(D)</enum><text>best practices,
plans, and findings for purposes of incorporation into urban planning and
development in underserved communities in succeeding years.</text>
</subparagraph></paragraph><paragraph id="H9BD2C3A914624585BD03703196CACDD8"><enum>(5)</enum><header>Definition</header><text>The
term <term>low-income communities</term> includes—</text>
<subparagraph id="HBA48DAF6550B4C969381590DB77A7DAC"><enum>(A)</enum><text display-inline="yes-display-inline">communities with a high percentage of
children eligible for free and reduced priced lunches under the Richard B.
Russell National School Lunch Act (42 U.S.C. 1751 et seq.); and</text>
</subparagraph><subparagraph id="HA2FDAC699E30468180215A8DBFD4E1BB"><enum>(B)</enum><text display-inline="yes-display-inline">any other communities determined by the
Director of the Office of Community Oriented Policing Services to be low-income
for purposes of this
section.</text>
</subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section commented="no" id="HE9922493709F4E548B224A6F31637411"><enum>305.</enum><header>Land and Water
Conservation Fund Program Grants in Low-Income Communities and Expand Tribal
Participation</header><text display-inline="no-display-inline">Section 6(e) of
the Land and Water Conservation Act of 1965 (16 U.S.C. 460l–8(e)) is amended by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HB8ED9EF8FB904EFBB3B261D288A9AF8F" style="OLC">
<paragraph id="HEC1DF8C2742B46B99BAC6AE52E40E869"><enum>(3)</enum><header>Low-income
communities and Indian reservations</header><text display-inline="yes-display-inline">For development of programs to increase the
use of and access to parks and open space in low-income communities and on or
near Indian reservations.</text>
</paragraph><after-quoted-block>.
</after-quoted-block></quoted-block>
</section><section display-inline="no-display-inline" id="H8A879BE7B74C4A55BDA506E22E220D15" section-type="subsequent-section"><enum>306.</enum><header>Changing Hearts,
Attitudes, and Minds by Participating in Sports (CHAMPS) Program</header><text display-inline="no-display-inline">Part B of title III of the Public Health
Service Act is amended by inserting after section 317T (42 U.S.C. 247b–22) the
following:</text>
<quoted-block display-inline="no-display-inline" id="H2D5C7F074BEC4447975F6E91E3AD7606" style="OLC">
<section id="H4CB19011113D43249F76E8919D77FE53"><enum>317U.</enum><header>Changing
Hearts, Attitudes, and Minds by Participating in Sports (CHAMPS)
Program</header>
<subsection id="H6A1DAEC0EA77499596E3018B276B6470"><enum>(a)</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, may
make grants to eligible entities to carry out nationally-based or
community-based qualified childhood obesity prevention initiatives.</text>
</subsection><subsection id="H9B64AD329EEB4A25830C669E96006202"><enum>(b)</enum><header>Eligible
entities</header><text display-inline="yes-display-inline">To be eligible to
seek a grant under this section, an entity shall be—</text>
<paragraph id="HD993EBC60F5641F89EC7DFA9262B540B"><enum>(1)</enum><text>a nationally-based
nonprofit organization proposing to implement programs described in subsection
(c), each serving at least 1,000 individuals, at 5 or more locations across the
Nation; or</text>
</paragraph><paragraph id="HC35EC46CB49F4A779AA4C1C9816938C5"><enum>(2)</enum><text>a community-based
nonprofit organization proposing to implement a program described in subsection
(c) serving at least 1,000 individuals.</text>
</paragraph></subsection><subsection id="HFD8021CCB83C4FE29C96BF5F905DF1D1"><enum>(c)</enum><header>Qualified
childhood obesity prevention initiative</header><text display-inline="yes-display-inline">To qualify as a childhood obesity
prevention initiative eligible for funding under this section, an initiative
shall consist of programs that—</text>
<paragraph id="H034A1CC6A4EA42E98BC120D51969912C"><enum>(1)</enum><text>serve children or
adolescents most at risk for being overweight and obese in predominantly
economically disadvantaged communities;</text>
</paragraph><paragraph id="HF1D1318B171D4826AC16099A942F6332"><enum>(2)</enum><text>serve children or
adolescents during after-school hours, weekends, or summer hours;</text>
</paragraph><paragraph id="HC024ED2FCB2A4232B74E461C68DED3BC"><enum>(3)</enum><text>provide structured
physical fitness activities, including organized sports, which engage each
participant in a minimum of 60 minutes of moderate to vigorous physical
activity at least three days per week for a period of at least 24 weeks in a
given year;</text>
</paragraph><paragraph id="H5891E69F8D4E45DEA2A8B98184FF103E"><enum>(4)</enum><text>provide adult
supervision and guidance or coaches who encourage and teach proper exercise
techniques and skills;</text>
</paragraph><paragraph id="HB24FC30391D34532B42FFA2DF2435CAA"><enum>(5)</enum><text>combine physical
fitness activities with nutritional counseling and education; and</text>
</paragraph><paragraph id="H3F1E64B688AA4934B5B2D030DA9E3777"><enum>(6)</enum><text>demonstrate
measurable results for reducing childhood obesity on the part of participants,
including through—</text>
<subparagraph id="H49BE41583A1446BD85884E84C6A9B95F"><enum>(A)</enum><text>measurement and
study of participants’ moderate to vigorous physical activity (MVPA) each day,
both as part of the programs funded under this section and on the participants’
own initiative;</text>
</subparagraph><subparagraph id="HD408E63213054AC1A7F3D73B41193122"><enum>(B)</enum><text>increased
knowledge of and awareness about the importance of physical activity and
exercise as well as the nutritional value of food and beverage choices;</text>
</subparagraph><subparagraph id="HBC77E33A34FD4FE7A543CF89CAC1E0D9"><enum>(C)</enum><text>keeping track of
and reporting meaningful reductions in the consumption of food and beverages
with low nutritional value, increased consumption of healthy items, and
increased levels of unstructured, self-initiated physical activity outside of
the programs funded under this section; and</text>
</subparagraph><subparagraph id="H5F0754ACA71D4B74A3FC3C67816C1ECB"><enum>(D)</enum><text>measurement and
study of participants’ body mass index (BMI) indicating that—</text>
<clause id="HB9CEAC2781944F88B9760EC805AB692C"><enum>(i)</enum><text>children entering
programs funded under this section with a healthy body mass index maintain it
while participating in such programs; and</text>
</clause><clause id="H82753704A0F5437B88FFE8F3AD042AF8"><enum>(ii)</enum><text>children
participating in such programs with an unhealthy body mass index halt any
negative trend lines towards obesity or begin trend lines in a positive
direction.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H0E55CAD5DE7A48DCAFE463CC0A306CC4"><enum>(d)</enum><header>Priority</header><text>In
selecting among applicants for grants under this section, the Secretary shall
give priority to eligible entities proposing to carry out programs that will
provide additional societal benefits, such as—</text>
<paragraph id="H12B42437CE9F4FE9B759EE4FEAA8FD95"><enum>(1)</enum><text>improvements to
academic performance in school;</text>
</paragraph><paragraph id="H24D0EA4958A346499712FB837BE01C57"><enum>(2)</enum><text>character building
and leadership development;</text>
</paragraph><paragraph id="HC2233159254C4491B42D3008BF5CC35F"><enum>(3)</enum><text>gang and juvenile
delinquency prevention and reduction;</text>
</paragraph><paragraph id="H02B0397B13294079B89CE0ADC785C26E"><enum>(4)</enum><text>gender equality
and female empowerment;</text>
</paragraph><paragraph id="HBF191C49A8E84F59A194D8ED57A41AFA"><enum>(5)</enum><text>mentoring,
volunteerism promotion, and service-learning opportunities;</text>
</paragraph><paragraph id="HBB7B48AAF0234E67B3BBAA6A05DFC5C5"><enum>(6)</enum><text>family and
community engagement and participation; or</text>
</paragraph><paragraph id="H9EC9708B1EC440E8B50DF3E339D76337"><enum>(7)</enum><text>workforce
education and career development opportunities.</text>
</paragraph></subsection><subsection id="H65728E9DD73145C8829C10BB5DAACFEB"><enum>(e)</enum><header>Distribution of
funds</header><text>Of the amount made available to carry out this section for
a fiscal year, the Secretary shall award—</text>
<paragraph id="HF02708009D294EBCA0D389A2DD69D412"><enum>(1)</enum><text>not less than 25
percent of such amount to nationally-based nonprofit organizations described in
subsection (b)(1); and</text>
</paragraph><paragraph id="HED9AAA819EED44E4BE77A57E9A314C1C"><enum>(2)</enum><text>not more than 75
percent of such amount to community-based nonprofit organizations described in
subsection (b)(2).</text>
</paragraph></subsection><subsection id="H28235E161D0347BF9F4AD296445D0084"><enum>(f)</enum><header>Cost-Share
requirements</header>
<paragraph id="HE1483DD8188A42A1B81A7CE96A7704C1"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">With respect to the
costs of a qualified childhood obesity prevention initiative to be carried out
under this section—</text>
<subparagraph id="H14F659D471434B56BD19A2C6A198474B"><enum>(A)</enum><text>in the case of an
applicant that is a nationally-based nonprofit organization, a grant under
subsection (a) may be made only if the organization agrees to make available
(directly or through donations from public or private entities) non-Federal
contributions toward such costs in an amount that is not less than one-third of
such costs ($1 for each $2 of Federal funds provided in the grant); and</text>
</subparagraph><subparagraph id="HE1A9AA90E0704E7F88FCC0503B7E5347"><enum>(B)</enum><text display-inline="yes-display-inline">in the case of an applicant that is a
community-based nonprofit organization, a grant under subsection (a) may be
made only if the organization agrees to make available (directly or through
donations from public or private entities) non-Federal contributions toward
such costs in an amount that is not less than one-fourth of such costs ($1 for
each $3 of Federal funds provided in the grant).</text>
</subparagraph></paragraph><paragraph id="HA84B4B7DD43E410690B7662E801150E1"><enum>(2)</enum><header>Non-Federal
contributions by subgrantees</header><text display-inline="yes-display-inline">If a nationally-based nonprofit
organization chooses to provide grant funds received under this section to a
subgrantee to carry out one or more programs as part of the organization’s
qualified childhood obesity prevention initiative, the organization shall
require the subgrantee to make available (directly or through donations from
public or private entities) non-Federal contributions toward the costs of such
programs in an amount that is not less than one-third of such costs ($1 for
each $2 of Federal funds provided in the grant). The amount of non-Federal
contributions by subgrantees required under this paragraph is in addition to
the amount of non-Federal contributions by the nationally-based nonprofit
organization required under paragraph (1).</text>
</paragraph><paragraph id="HB47CF63A66C34BD59D185364520B99A3"><enum>(3)</enum><header>Determination of
amount contributed</header>
<subparagraph id="H255EFE76AB6A4507B87EFFA1084EFCB4"><enum>(A)</enum><header>In
general</header><text>Non-Federal contributions required by paragraph (1) or
(2)—</text>
<clause id="H4F1D5ABE8C754435824963B822A2B1E2"><enum>(i)</enum><text display-inline="yes-display-inline">in the case of a nationally-based nonprofit
organization, shall be made in cash; and</text>
</clause><clause id="H4519386FDC8C4DF3A65EDD5FB0C183EB"><enum>(ii)</enum><text display-inline="yes-display-inline">in the case of a subgrantee described in
paragraph (2) or a community-based nonprofit organization, may be in cash or in
kind, fairly evaluated, including plant, equipment, or services.</text>
</clause></subparagraph><subparagraph id="H495DA9663EFF4A659D2CEDA8C33EF473"><enum>(B)</enum><header>Exclusion of
Federal contributions</header><text>Amounts provided by the Federal Government,
or services assisted or subsidized to any significant extent by the Federal
Government, may not be included in determining the amount of non-Federal
contributions required by paragraph (1) or (2).</text>
</subparagraph></paragraph></subsection><subsection id="H7C4905EE05B74FAF8FB7315966F45D6B"><enum>(g)</enum><header>Report to
Congress</header><text>Not later than one year after the first appropriation of
Federal funds to carry out this section, the Secretary shall report to the
Congress on the progress made in carrying out programs funded by grants under
this section.</text>
</subsection><subsection id="HE2E77E7D765F4F9C90D4D4AEA44CF465"><enum>(h)</enum><header>Best practices
guidelines</header><text>Based on the results of programs funded through grants
under this section during the first two fiscal years of such funding, the
Secretary shall develop publicly-accessible best practices guidelines for
obesity reduction programs. The Secretary shall update these guidelines every
two years.</text>
</subsection><subsection id="H352F6BCAC16E4BA3A391DE525F7C4BEA"><enum>(i)</enum><header>Authorization of
appropriations</header><text>To carry out this section, there is authorized to
be appropriated $50,000,000 for each of fiscal years 2012 through
2016.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HB4DAA7D2C48D41AA828C123DB134A5FF" section-type="subsequent-section"><enum>307.</enum><header>Coordinated School
Health Initiatives</header>
<subsection id="HC5B2672DA43C4D7B85BDB36FB238C85A"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">From the amounts
appropriated to carry out this section, the Secretary of Education shall carry
out a pilot program to award grants to not more than 5 eligible entities to
carry out coordinated school health initiatives in schools.</text>
</subsection><subsection id="H010E02856F25496A81F89F5ECD10197B"><enum>(b)</enum><header>Amount of
grant</header><text>A grant awarded under subsection (a) may not exceed
$15,000.</text>
</subsection><subsection id="H8E86B469AB6841E2B956A304C43F1AD5"><enum>(c)</enum><header>Use of
funds</header><text display-inline="yes-display-inline">An eligible entity
receiving a grant under this section shall carry out a coordinated school
health initiative in each school under the jurisdiction of the entity under
which the entity shall—</text>
<paragraph id="H5969682BCB044008B0C9CE230ED8D48E"><enum>(1)</enum><text>carry out a
program, such as a fitnessgram, to assess the physical fitness (including
aerobic capacity, muscular strength and endurance, flexibility, and body
composition) of each student served by the entity; and</text>
</paragraph><paragraph id="H47722456D92141E8817EB97DD2163F82"><enum>(2)</enum><text display-inline="yes-display-inline">evaluate such assessments to—</text>
<subparagraph id="H74B579C96615402FA8733DCFE7721BCC"><enum>(A)</enum><text>establish
baselines with respect to aerobic capacity, muscular strength and endurance,
flexibility, and body composition that each such student should meet by a
certain period; and</text>
</subparagraph><subparagraph id="HB2029101BC7F4090A644DA3986032AC5"><enum>(B)</enum><text>identify
interventions to assist each such student in meeting such baselines;</text>
</subparagraph></paragraph><paragraph id="HDCF47E7F00D64C9287517BF8A54A5748"><enum>(3)</enum><text>review the
interventions identified under
<internal-xref idref="HB2029101BC7F4090A644DA3986032AC5" legis-path="307.(c)(2)(B)">paragraph (2)(B)</internal-xref> to determine the
best practices with respect to such interventions;</text>
</paragraph><paragraph id="HB3DFC804489B4C00B4085DDF05A57C4B"><enum>(4)</enum><text display-inline="yes-display-inline">use the determinations for best practices
under
<internal-xref idref="HDCF47E7F00D64C9287517BF8A54A5748" legis-path="307.(c)(3)">paragraph (3)</internal-xref> to implement
interventions in each school under the jurisdiction of the entity; and</text>
</paragraph><paragraph commented="no" id="H438E0151977248C780DDAC50966E794F"><enum>(5)</enum><text display-inline="yes-display-inline">not later than 1 year after the
implementation of the interventions, assess the physical fitness of each
student served by the entity.</text>
</paragraph></subsection><subsection id="H9794C486C15C4710A3A37B7AB7E46874"><enum>(d)</enum><header>Reporting</header>
<paragraph id="HD6BD45EA8A0C43409F209AA5999F73D5"><enum>(1)</enum><header>Eligible
entity</header><text>Each eligible entity receiving a grant under this section
shall submit to the Secretary at such time and in such manner as determined by
the Secretary, a report on—</text>
<subparagraph id="HA34D1B0C3D7E49B2ABB8C078CE1D30C9"><enum>(A)</enum><text>the initial
physical fitness assessments carried out under
<internal-xref idref="H5969682BCB044008B0C9CE230ED8D48E" legis-path="307.(c)(1)">subsection (c)(1)</internal-xref>;</text>
</subparagraph><subparagraph id="H1A9055090CCA4826846D98EC6F05B2EA"><enum>(B)</enum><text>the interventions
implemented under
<internal-xref idref="HB3DFC804489B4C00B4085DDF05A57C4B" legis-path="307.(c)(4)">subsection (c)(4)</internal-xref>; and</text>
</subparagraph><subparagraph id="H59758758B44E4FEDA960D48F671CF298"><enum>(C)</enum><text>the physical
fitness assessments carried out under
<internal-xref idref="H438E0151977248C780DDAC50966E794F" legis-path="307.(c)(5)">subsection (c)(5) </internal-xref>after the
interventions have been implemented.</text>
</subparagraph></paragraph><paragraph id="H34B1424CD13741FE806C9254A413F69C"><enum>(2)</enum><header>Secretary</header><text display-inline="yes-display-inline">Not later than the first appropriation of
Federal funds to carry out this section, the Secretary shall use the reports
received under
<internal-xref idref="HD6BD45EA8A0C43409F209AA5999F73D5" legis-path="307.(d)(1)">paragraph (1)</internal-xref> to prepare and transmit
to Congress a report on—</text>
<subparagraph id="H84AADA8A07C74A2AB77875CCFA4764EA"><enum>(A)</enum><text>the average
physical fitness levels of students participating in the coordinated school
health initiative under this section—</text>
<clause id="HA10A1200376D4F41ABB8938E4CBB128D"><enum>(i)</enum><text>prior to the
interventions implemented by each eligible entity under this section;
and</text>
</clause><clause id="HF8C4F72DFE3B4547A7D6E166FE97AFAF"><enum>(ii)</enum><text>1
year after the implementation of the interventions;</text>
</clause></subparagraph><subparagraph id="HB7D8E4A5A3BD431580D8B7E1AF21D90D"><enum>(B)</enum><text>the best practices
with respect to the interventions; and</text>
</subparagraph><subparagraph id="H9B062A9C346949E792B5438965F729DF"><enum>(C)</enum><text>recommendations on
how schools and local educational agencies may incorporate such best
practices.</text>
</subparagraph></paragraph></subsection><subsection id="H77FFAE5746B94B6DAD2C1C7E9EE0C4B1"><enum>(e)</enum><header>Application</header><text>To
receive a grant under this section, an eligible entity shall submit an
application to the Secretary of Education at such time, in such manner, and
containing such information as the Secretary may require.</text>
</subsection><subsection id="H9E8F136A79F5433D8E5867D6D66EDA42"><enum>(f)</enum><header>Supplement, Not
Supplant</header><text display-inline="yes-display-inline">Funds received under
this section shall be used to supplement, and not supplant, non-Federal funds
that would otherwise be used for activities authorized under this
section.</text>
</subsection><subsection id="H62ABF73382394267AE7383D43B6EB527"><enum>(g)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="H31102D76895B4AADAB02FD9ED0E0DD16"><enum>(1)</enum><header>Eligible
entity</header><text>The term <term>eligible entity</term> means a local
educational agency—</text>
<subparagraph id="H3D78EC12C5224058BD9D2CAFD42537E1"><enum>(A)</enum><text>that
serves—</text>
<clause id="H3FEC920FBA14436FAFF378DE6BD33D2C"><enum>(i)</enum><text>a
high percentage of students eligible for free or reduced price lunches under
the Richard B. Russell National School Lunch Act; or</text>
</clause><clause id="H0139DD913F604BA593D654C09D526F91"><enum>(ii)</enum><text>a
community otherwise determined by the Secretary to be a low-income community;
and</text>
</clause></subparagraph><subparagraph id="H56C504E46EE64044B7F7CC10E8DB21CD"><enum>(B)</enum><text>that forms a
partnership with an institution of higher education or a nonprofit health or
education organization, as determined by the Secretary, for the purposes of
carrying out the coordinated school health initiative described in
<internal-xref idref="H8E86B469AB6841E2B956A304C43F1AD5" legis-path="307.(d)">subsection (c)</internal-xref>.</text>
</subparagraph></paragraph><paragraph id="H5854FA154C094B13AF0B47FC730471E1"><enum>(2)</enum><header>Institution of
higher education</header><text>The term <term>institution of higher
education</term> has the meaning given the term in section 101 of the Higher
Education Act of 1965 (20 U.S.C. 1001).</text>
</paragraph><paragraph id="H02E486AAD8C84931B5223EC174BD8986"><enum>(3)</enum><header>Local
educational agency</header><text>The term <term>local educational agency</term>
has the meaning given such term in section 9101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801).</text>
</paragraph><paragraph id="HFD341CA4FFBC4A82B231169CFF59DC95"><enum>(4)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of Agriculture.</text>
</paragraph></subsection></section><section id="HE65FF198B2704E7682C45ED39BCF2CD9" section-type="subsequent-section"><enum>308.</enum><header>Rewarding elementary
and secondary schools for outstanding student performance in physical fitness
programs</header>
<subsection id="HFE1664A44CB04B82810F0B2896158004"><enum>(a)</enum><header>In
general</header><text>The Secretary of Health and Human Services may make
grants to elementary and secondary schools as rewards for their students’
outstanding performance in the President’s Challenge or other federally
supported physical fitness programs.</text>
</subsection><subsection id="H9C2BDB2C732A490985B106BF1F8956CA"><enum>(b)</enum><header>Preference</header><text>In
making grants under subsection (a), the Secretary shall give preference to
elementary and secondary schools that—</text>
<paragraph id="HB1D420B4B4C4468BBACD9C1B07D0549E"><enum>(1)</enum><text>have the highest
percentage of students earning a Presidential Physical Fitness Award through
the President’s Challenge; and</text>
</paragraph><paragraph id="HF984F77018354417A8CFC6B67E1A0409"><enum>(2)</enum><text>demonstrate the
greatest improvement in the number or percentage of students earning the
National Physical Fitness Award and the Participant Physical Fitness Award
through the President’s Challenge.</text>
</paragraph></subsection><subsection id="HAF829F52AE8D40A799278A09D26100B7"><enum>(c)</enum><header>Use of
funds</header><text>As a condition on receipt of a grant under this section, a
school shall agree to use the grant funds for programs and activities to
further improve the physical fitness of students.</text>
</subsection><subsection commented="no" id="HCC8FF735B2AB4CF89C6D8FE2B2FFE3CE"><enum>(d)</enum><header>Application</header><text display-inline="yes-display-inline">To seek a grant under this section, a
school shall submit an application at such time, in such manner, and containing
such information as the Secretary may require. At a minimum, an application
under this subsection shall include—</text>
<paragraph commented="no" id="H9CFAEBCFD4EC43BC98335AAD2E90C003"><enum>(1)</enum><text>a description of
the school’s programs and activities for improving physical fitness;</text>
</paragraph><paragraph commented="no" id="H7CD6D6223A84453B9B63B39DEA6C40B9"><enum>(2)</enum><text>an assurance of
compliance with applicable requirements of physical fitness programs of the
Department of Health and Human Services; and</text>
</paragraph><paragraph commented="no" id="HF924B434B36B4874B00C15FF0B2FED44"><enum>(3)</enum><text>an assessment of
physical fitness levels of students in the school before, during, and after
implementation such programs.</text>
</paragraph></subsection><subsection id="H55B24B9D49314B7EB12B174F1939C458"><enum>(e)</enum><header>Reports</header>
<paragraph id="HC14EC9F3678B4451A0F041AFD8564FA3"><enum>(1)</enum><header>HHS</header><text>Not
later than 18 months after the date of the enactment of this Act, and annually
thereafter, the Secretary shall submit a report to the Congress on the program
of grants under this section, including—</text>
<subparagraph id="HD6F4B6FE839D4A878DF5A7F164262493"><enum>(A)</enum><text>a description of
best practices by elementary and secondary schools for improving physical
fitness; and</text>
</subparagraph><subparagraph id="H4AE07C33D56A4E63BB3297B957CC7F17"><enum>(B)</enum><text>any
recommendations for improving the program under this section.</text>
</subparagraph></paragraph><paragraph id="H54502603048741CA928217BD337BCA27"><enum>(2)</enum><header>GAO</header><text>Not
later than 24 months after the date of the enactment of this Act, the
Comptroller General of the United States shall complete a study and submit a
report to the Congress—</text>
<subparagraph id="H36718D24B32E4F39AAE86541CB8939ED"><enum>(A)</enum><text>analyzing physical
fitness levels of students in elementary and secondary schools across the
Nation;</text>
</subparagraph><subparagraph id="HA5EBB41C37624ECDB9BD68D52148DFB3"><enum>(B)</enum><text display-inline="yes-display-inline">evaluating the President’s Challenge to
determine whether the standards for Presidential Physical Fitness Awards,
National Physical Fitness Awards, and Participant Physical Fitness Awards are
accurate, up-to-date, and appropriate; and</text>
</subparagraph><subparagraph id="HD4364B456A5D458684BFC6C02C342363"><enum>(C)</enum><text>evaluating the
effectiveness of the awards described in subparagraph (B).</text>
</subparagraph></paragraph></subsection><subsection id="HCB167C567FC1465593CE9092E6841650"><enum>(f)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="HDF2E0FF857EA49E988F55DBB873B2428"><enum>(1)</enum><text>The term
<term>elementary and secondary schools</term> means public or private
elementary schools and secondary schools (as defined in section 9101 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801)).</text>
</paragraph><paragraph id="H5850218EEB07465FB6B5BC8DA504981F"><enum>(2)</enum><text>The term
<term>President’s Challenge</term> refers to the premier program of the
President’s Council on Fitness, Sports & Nutrition, under the Secretary of
Health and Human Services, for increasing physical activity and improving
physical fitness.</text>
</paragraph><paragraph id="HAC993C0AF95C4DF8B46A1B79DE5602F4"><enum>(3)</enum><text>The term
<term>Secretary</term> means the Secretary of Health and Human Services.</text>
</paragraph></subsection></section>