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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HB409D67096B141E5BA0D2E7550C941C1" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>112th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 6461</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20120920">September 20, 2012</action-date>
			<action-desc><sponsor name-id="F000455">Ms. Fudge</sponsor> introduced
			 the following bill; which was referred to the
			 <committee-name committee-id="HIF00">Committee on Energy and
			 Commerce</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To prevent childhood obesity.</official-title>
	</form>
	<legis-body id="HB1E816F251774AC49B42E080A3190EAC" style="OLC">
		<section id="H5AFE0D376E48476AA3098272EC5164AB" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Measures to Prevent Childhood Obesity
			 Act of 2012</short-title></quote>.</text>
		</section><section id="H3AFE7A5E446B414CB710EA7EE7342872" section-type="subsequent-section"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress finds the following:</text>
			<paragraph id="H448A757393C94DF1BCD12FDD7266D45A"><enum>(1)</enum><text>Obesity is related
			 to more than 30 chronic conditions, including diabetes, cancer, cardiovascular
			 disease, and arthritis.</text>
			</paragraph><paragraph id="H3E0BE0F829CE4E39B134A173187203DB"><enum>(2)</enum><text>Obesity has become
			 a major health concern for millions of Americans, as 1 in 3 adults and nearly 1
			 in 5 children have obesity, according to the Centers for Disease Control and
			 Prevention.</text>
			</paragraph><paragraph id="H0E5154A794914A32947E11ECAA5CE51F"><enum>(3)</enum><text>Left unchecked,
			 nearly 50 percent of Americans will be obese by 2030, according to a recent
			 study.</text>
			</paragraph><paragraph id="HB9E647E70C3D4DE8BFB5FA4FA152038C"><enum>(4)</enum><text>Rates of obesity
			 among children and adolescents have nearly tripled since 1980, according to the
			 Centers for Disease Control and Prevention.</text>
			</paragraph><paragraph id="HA5D811462EC44D628EA4AD6ED8DD8BD7"><enum>(5)</enum><text>The Centers for
			 Disease Control and Prevention estimates that more than 75 percent of health
			 care costs are due to chronic conditions.</text>
			</paragraph><paragraph id="H794179069F434A29A7CE43FE5135F615"><enum>(6)</enum><text>A
			 recent study conducted by researchers at Cornell University and Lehigh
			 University concluded that obesity accounts for nearly 21 percent of health care
			 costs in America.</text>
			</paragraph><paragraph id="HDFDED80F0EDE4D508D7E6CBDBC2B6F2E"><enum>(7)</enum><text>Direct medical
			 spending on obesity could exceed $300,000,000,000 annually by 2018, according
			 to an analysis conducted by McKinsey and Company.</text>
			</paragraph><paragraph id="HB22B82A8DB654E8DB3D3AEAF0A0059CA"><enum>(8)</enum><text>Obesity has become
			 a threat to national security and is the leading medical reason for applicants
			 failing to qualify for military service, according to a report issued by
			 Mission:Readiness.</text>
			</paragraph><paragraph id="HE646404709B142C8B78047F2D8D77307"><enum>(9)</enum><text>A
			 report issued by the Trust for America’s Health concludes that reducing the
			 average body mass index by 5 percent in the United States could lead to more
			 than $29,000,000,000 in health care savings in five years.</text>
			</paragraph><paragraph id="H8B64FAEAB2A04599B635DE63419F5E0D"><enum>(10)</enum><text>Studies show that
			 an overweight or obese child or adolescent is significantly more likely to have
			 obesity as an adult.</text>
			</paragraph><paragraph id="H885C5B35C4B5451D88B82B9EC35223BD"><enum>(11)</enum><text>Tracking,
			 measuring, and monitoring body mass index for children is vital in facilitating
			 a lifetime of healthy behaviors.</text>
			</paragraph><paragraph id="H7AACA31FEF984D44AB51A27C885B1E8A"><enum>(12)</enum><text>Body mass index
			 should be considered as a vital sign.</text>
			</paragraph></section><section id="HBEA128058BAF44CCB97196D853C5763A"><enum>3.</enum><header>Measures to
			 Prevent Childhood Obesity Act</header>
			<subsection id="H1FA3ECDD706C44A287DF71B2BA241986"><enum>(a)</enum><header>Reporting of
			 Body Mass Index Information Requirement for children</header>
				<paragraph id="HC3B384587FB64EDBA7EE4A8FD2B28091"><enum>(1)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Subsection (a) of
			 section 2125 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300aa-25">42 U.S.C. 300aa–25</external-xref>) is
			 amended—</text>
					<subparagraph id="H032980EE593C4B1E9796DD88135C9FD4"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>and</quote> at the end
			 of paragraph (3);</text>
					</subparagraph><subparagraph id="HC08CF46024FF438A8093BB834B63570F"><enum>(B)</enum><text>by striking the
			 period and adding <quote>, and</quote> at the end of paragraph (4); and</text>
					</subparagraph><subparagraph id="H0B1A13FB79294D959D7384712F2D9DB0"><enum>(C)</enum><text>by adding at the
			 end the following new paragraph:</text>
						<quoted-block display-inline="no-display-inline" id="HBFE30EC0AA4E4B8883140E0580BD972D" style="OLC">
							<paragraph id="H6F153E5048544F3EB6543E574C28AE82"><enum>(5)</enum><text display-inline="yes-display-inline">the age, gender, height, and weight of each
				person vaccinated to calculate the body mass index of such
				person.</text>
							</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</subparagraph></paragraph><paragraph id="H73D29233C38C453B8022EF66F3DA8520"><enum>(2)</enum><header>Reporting</header><text>Subsection
			 (b) of such section is amended—</text>
					<subparagraph id="HE607647648734A6499A6280F1B8D9D7B"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1)—</text>
						<clause id="H8DAD88A57AAA4076831BED74E15949A2"><enum>(i)</enum><text>by
			 striking <quote>and</quote> at the end of subparagraph (B);</text>
						</clause><clause id="H59D0C55AF69C4A0C882EFAF6A4015C02"><enum>(ii)</enum><text>by
			 redesignating subparagraph (C) as subparagraph (D); and</text>
						</clause><clause id="H7695EE4C761D43C2B9A859EB61B99C74"><enum>(iii)</enum><text display-inline="yes-display-inline">by inserting after subparagraph (B) the
			 following new subparagraph:</text>
							<quoted-block display-inline="no-display-inline" id="H79F4C2EC840042A1A92D2DFCDA2177AC" style="OLC">
								<subparagraph id="H0E51920576164FAC87482D18F2A18891"><enum>(C)</enum><text display-inline="yes-display-inline">the information recorded under subsection
				(a)(5), and</text>
								</subparagraph><after-quoted-block>;
				and</after-quoted-block></quoted-block>
						</clause></subparagraph><subparagraph id="H599022F8E4F7459E99403E77113750E2"><enum>(B)</enum><text>by adding at the
			 end the following new paragraph:</text>
						<quoted-block display-inline="no-display-inline" id="HA4AA3FB64CB4402B95A1ACB6C3E32B0D" style="OLC">
							<paragraph id="HE4BA3F9C644F4EB4B1D0FE9D801A6C6D"><enum>(4)</enum><text display-inline="yes-display-inline">Each health provider shall also report to
				the relevant department of the State in which such health care provider
				practices the data collected under subsection
				(a)(5).</text>
							</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
					</subparagraph></paragraph></subsection><subsection id="HB523352F32DE498BBAAA82EB64C99D79"><enum>(b)</enum><header>Grants for Body
			 Mass Index data analysis</header>
				<paragraph id="H19970573AA034346AF53C41C0BAE4088"><enum>(1)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services
			 (in this subsection referred to as the <quote>Secretary</quote>) may make
			 grants to not more than 20 eligible entities to analyze body mass index (in
			 this section referred to as <quote>BMI</quote>) measurements of children, ages
			 2 through 18.</text>
				</paragraph><paragraph id="HB4D87618D29340C79F7D58C5021CAAB5"><enum>(2)</enum><header>Eligibility</header><text display-inline="yes-display-inline">An eligible entity for purposes of this
			 section is a State (including the District of Columbia, the Commonwealth of
			 Puerto Rico, and each territory of the United States) that has a statewide
			 immunization information system that—</text>
					<subparagraph id="H3ABEA48DBD2144B09BA411E54E38DCDB"><enum>(A)</enum><text>has the capacity
			 to store basic demographic information (including date of birth, gender, and
			 geographic area of residence), height, weight, and immunization data for each
			 resident of the State;</text>
					</subparagraph><subparagraph id="H1C27470E0A73459B94487DC9A3620CF9"><enum>(B)</enum><text>is accessible to
			 doctors, nurses, other licensed health care professionals, and officials of the
			 relevant department in the State charged with maintaining health and
			 immunization records; and</text>
					</subparagraph><subparagraph id="HB027FDECEB7F4D31BF075BEC3C8B1DD4"><enum>(C)</enum><text>has the capacity
			 to integrate large amounts of data for the analysis of BMI measurements.</text>
					</subparagraph></paragraph><paragraph id="HACA4551DF1E04986832FF60C25DAEB0E"><enum>(3)</enum><header>Use of
			 funds</header><text>A State that receives a grant under this section shall use
			 the grant for the following purposes:</text>
					<subparagraph id="HC7C8C4A459C84793B7F7C33615097BEC"><enum>(A)</enum><text>Analyzing the
			 effectiveness of obesity prevention programs and wellness policies carried out
			 in the State.</text>
					</subparagraph><subparagraph id="H43710D9FE7124341A141DDD09C821748"><enum>(B)</enum><text>Purchasing new
			 computers, computer equipment, and software to upgrade computers to be used for
			 a statewide immunization information system.</text>
					</subparagraph><subparagraph display-inline="no-display-inline" id="H953390223E734AF299EFB3228645D1F8"><enum>(C)</enum><text>The hiring and
			 employment of personnel to maintain and analyze BMI data.</text>
					</subparagraph><subparagraph display-inline="no-display-inline" id="H9E1969A6D1584F369C8DB8986EDA07AE"><enum>(D)</enum><text>The development
			 and implementation of training programs for health care professionals to aid
			 such professionals in taking BMI measurements and discussing such measurements
			 with patients.</text>
					</subparagraph><subparagraph id="H41E6A73EA8E449FB9C23715268B7F4AE"><enum>(E)</enum><text display-inline="yes-display-inline">Providing information to parents and legal
			 guardians in accordance with paragraph (5)(B).</text>
					</subparagraph></paragraph><paragraph id="H47891C10FC5C4AAFACF1EB25932A384C"><enum>(4)</enum><header>Selection
			 Criteria</header><text display-inline="yes-display-inline">In selecting
			 recipients of grants under this section, the Secretary shall give priority to
			 States in which a high percentage of public and private health care providers
			 submit data to a statewide immunization information system that—</text>
					<subparagraph id="HFD4BA2A786304AAF90CBC5AAA39CDE4F"><enum>(A)</enum><text display-inline="yes-display-inline">contains immunization data for not less
			 than 20 percent of the population of such State that is under the age of 18;
			 and</text>
					</subparagraph><subparagraph id="HBD2639AB35194F60AD3AAC9E4A0E9947"><enum>(B)</enum><text>includes data
			 collected from men and women who are of a wide variety of ages and who reside
			 in a wide variety of geographic areas in a State (as determined by the
			 Secretary).</text>
					</subparagraph></paragraph><paragraph id="H24D9C97F1E5D45A696C70F6096461218"><enum>(5)</enum><header>Conditions</header><text>As
			 a condition of receiving a grant under this section, a State shall—</text>
					<subparagraph id="H0CE37E95C5E040DDA2199C62C4F54396"><enum>(A)</enum><text>ensure that BMI
			 measurements will be recorded for children ages 2 through 18—</text>
						<clause id="H2F1502B17E0A453D8E184EF5888324C2"><enum>(i)</enum><text>on
			 an annual basis by a licensed physician, nurse, nurse practitioner, or
			 physicians assistant during an annual physical examination, wellness visit, or
			 similar visit with a physician; and</text>
						</clause><clause id="H58EDC9E2877949F8A90E5FCC1D70E8B6"><enum>(ii)</enum><text>in
			 accordance with data collection protocols published by the American Academy of
			 Pediatrics in the 2007 Expert Committee Recommendations; and</text>
						</clause></subparagraph><subparagraph id="HD0C80937823348349C345AC0CA30584E"><enum>(B)</enum><text>for each child in
			 the State for whom such measurements indicate a BMI greater than the 95th
			 percentile for such child’s age and gender, provide to the parents or legal
			 guardians of such child information on how to lower BMI and information on
			 State and local obesity prevention programs.</text>
					</subparagraph></paragraph><paragraph id="HDA2E2DB3752C4F9299CB5AD0F7626F70"><enum>(6)</enum><header>Reports</header>
					<subparagraph id="H87E5FDDCDDBC452EB2218AFC32AB1419"><enum>(A)</enum><header>Reports to the
			 Secretary</header><text>Not later than 5 years after the receipt of a grant
			 under this section, the State receiving such grant shall submit to the
			 Secretary the following reports:</text>
						<clause id="HBDD64496C8184ECB9DE2870A07343829"><enum>(i)</enum><text>A
			 report containing an analysis of BMI data collected using the grant,
			 including—</text>
							<subclause id="HC11B56FED5824B049A1A3A6EE603E09F"><enum>(I)</enum><text>the differences in
			 obesity trends by gender, disability, geographic area (as determined by the
			 State), and socioeconomic status within such State; and</text>
							</subclause><subclause id="HC446237D8B7F4E9794ED66B3C99369AB"><enum>(II)</enum><text>the demographic
			 groups and geographic areas most affected by obesity within such State.</text>
							</subclause></clause><clause id="H171D4DF01BD049F4B696EEFFC4966739"><enum>(ii)</enum><text>A
			 report containing an analysis of the effectiveness of obesity prevention
			 programs and State wellness policies, including—</text>
							<subclause id="HAED5CBE77D1E4C0C989FC3D2ECCE72BF"><enum>(I)</enum><text>an analysis of the
			 success of such programs and policies prior to the receipt of the grant;
			 and</text>
							</subclause><subclause id="HF9FCFF27C03D4CE1874174FD721B92E2"><enum>(II)</enum><text>a discussion of
			 the means to determine the most effective strategies to combat obesity in the
			 geographic areas identified under clause (i).</text>
							</subclause></clause></subparagraph><subparagraph id="HE5200057BAFC45B8AFB63772A1BD9AA6"><enum>(B)</enum><header>Report to
			 Congress and Certain Executive Agencies</header><text>Not later than 1 year
			 after the Secretary receives all the reports required pursuant to subparagraph
			 (A), the Secretary shall submit to the Secretary of Education, the Secretary of
			 Agriculture, and to Congress a report that contains the following:</text>
						<clause id="HE85D284ECD644D50AC52AE11263925DF"><enum>(i)</enum><text>An
			 analysis of trends in childhood obesity, including how such trends vary across
			 regions of the United States, and how such trends vary by gender and
			 socioeconomic status.</text>
						</clause><clause id="HF6416BDD9C984147B3EBE3BFF5E7CCC5"><enum>(ii)</enum><text display-inline="yes-display-inline">A description of any programs that—</text>
							<subclause id="H5285B8D48D684662A09A6455B6DCA284"><enum>(I)</enum><text display-inline="yes-display-inline">the Secretary has determined significantly
			 lower childhood obesity rates for certain geographic areas in the United
			 States, including urban, rural, and suburban areas; and</text>
							</subclause><subclause id="H550B28BFB00B489AB6B058B0835C3E4F"><enum>(II)</enum><text>the Secretary
			 recommends to be implemented by the States (including States that did not
			 receive a grant under this section).</text>
							</subclause></clause></subparagraph></paragraph><paragraph id="HA6F84FFAD49242FEB9437A05349364E0"><enum>(7)</enum><header>Authorization of
			 Appropriations</header><text>There are authorized to be appropriated to the
			 Secretary such sums as may be necessary to carry out this section for each of
			 fiscal years 2013 through 2018.</text>
				</paragraph></subsection></section></legis-body>
</bill>
