[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2101 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 2101

     To amend the Public Health Service Act with respect to eating 
                   disorders, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 22, 2013

 Mr. Deutch (for himself, Mr. Connolly, Mr. Conyers, Mr. Ellison, Ms. 
 Frankel of Florida, Mr. Hastings of Florida, Mr. Johnson of Georgia, 
Mrs. McCarthy of New York, Mr. Moran, Mr. Nolan, Ms. Pingree of Maine, 
Mr. Polis, Ms. Schwartz, Ms. Wasserman Schultz, Mrs. Carolyn B. Maloney 
of New York, and Mr. Murphy of Florida) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
addition to the Committees on Ways and Means, Oversight and Government 
      Reform, and Education and the Workforce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
     To amend the Public Health Service Act with respect to eating 
                   disorders, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Federal Response to Eliminate Eating 
Disorders Act of 2013''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Findings.
Sec. 4. Definition.
                           TITLE I--RESEARCH

Sec. 101. Activities to improve eating disorder-related research and 
                            funding.
Sec. 102. Eating disorders surveillance and research program.
                   TITLE II--EDUCATION AND PREVENTION

Sec. 201. Study of mandatory BMI reporting in school.
Sec. 202. Training and education.
Sec. 203. Health professional education and training.
Sec. 204. Education and training for all health professionals.
Sec. 205. Education and training for school and higher education 
                            professionals.
Sec. 206. Eating disorder research and report.
Sec. 207. Public service announcements.
Sec. 208. Sense of Congress.
                          TITLE III--TREATMENT

Sec. 301. Coverage for treatment for eating disorders under group 
                            health plans, individual health insurance 
                            coverage, and FEHBP.
        TITLE IV--IMPROVING AVAILABILITY AND ACCESS TO TREATMENT

Sec. 401. Medicaid coverage for eating disorder treatment services.
Sec. 402. Grants to support patient advocacy.

SEC. 3. FINDINGS.

    The Congress finds as follows:
            (1) Risk of death among individuals with anorexia nervosa 
        is 18 times greater than their same age peers without anorexia.
            (2) Health consequences such as osteoporosis (brittle 
        bones), gastrointestinal complications, and dental problems are 
        significant health and financial burdens throughout life.
            (3) An estimated 14 million people suffer from earing 
        disorders, including anorexia nervosa, bulimia nervosa, and 
        eating disorders not otherwise specified (EDNOS) (including 
        binge eating disorder). The lifetime prevalence of all eating 
        disorders in America is 0.6 to 4.5 percent.
            (4) Eating disorders are real, treatable medical illnesses. 
        They frequently coexist with other illnesses such as 
        depression, substance abuse, or anxiety disorders. Eating 
        disorders can become life-threatening if a person does not 
        receive treatment.
            (5) Anorexia nervosa is an eating disorder characterized by 
        self-starvation and excessive weight loss. An estimated 0.9 
        percent of American women and 0.3 percent of American men will 
        suffer from anorexia nervosa in their lifetime.
            (6) Anorexia nervosa is associated with serious health 
        consequences including heart failure, kidney failure, 
        osteoporosis, and death.
            (7) Bulimia nervosa is an eating disorder characterized by 
        excessive food consumption followed by inappropriate 
        compensatory behaviors, such as self-induced vomiting, misuse 
        of laxatives, fasting, or excessive exercise. An estimated 1.5 
        percent of American women and 0.5 percent of American men will 
        suffer from this disorder in their lifetime.
            (8) Bulimia nervosa is associated with cardiac, 
        gastrointestinal, and dental problems including irregular 
        heartbeats, gastric rupture, peptic ulcer, tooth decay, and 
        death.
            (9) Binge eating disorder is characterized by frequent 
        episodes of uncontrolled overeating. Binge eating disorder is 
        common: an estimated 3.5 percent of American women and 2.0 
        percent of American men will suffer from this disorder in their 
        lifetime.
            (10) Binge eating is associated with obesity, heart 
        disease, gall bladder disease, and diabetes.
            (11) Many more suffer from some, but not all, of the 
        symptoms of anorexia nervosa, bulimia nervosa, or binge eating 
        disorder, which is referred to as eating disorders not 
        otherwise specified (EDNOS). Between 4 percent and 20 percent 
        of young women practice unhealthy patterns of dieting, purging, 
        and binge eating.
            (12) Eating disorders are more common in women, but they do 
        occur in men. Rates of binge eating disorder are similar in 
        females and males.
            (13) Eating disorders usually appear in adolescence and are 
        associated with substantial psychological problems, including 
        depression, substance abuse, and suicide. Eating disorders also 
        develop in younger children and adults, compromising health and 
        daily functioning. For children 12 years of age and younger, 
        hospitalizations for eating disorders increased by 119 percent 
        between 1999 and 2006.
            (14) Eating disorders are found across races, ethnicities, 
        and socioeconomic groups in the United States. White females 
        are more likely to suffer from anorexia, while African-American 
        girls are especially vulnerable to developing eating disorders 
        that involve binge eating. Body dissatisfaction in young girls 
        has been shown in White, African-American, Hispanic, and Asian 
        girls.

SEC. 4. DEFINITION.

    In this Act, the term ``eating disorder'' includes anorexia 
nervosa, bulimia nervosa, binge eating disorder, and eating disorders 
not otherwise specified (EDNOS), as defined in the fifth edition of 
``Diagnostic and Statistical Manual of Mental Disorders'' or, if 
applicable, the most recent successor edition.

                           TITLE I--RESEARCH

SEC. 101. ACTIVITIES TO IMPROVE EATING DISORDER-RELATED RESEARCH AND 
              FUNDING.

    Title IV of the Public Health Service Act (42 U.S.C. 281 et seq.) 
is amended by adding at the end the following:

              ``PART J--EATING DISORDER-RELATED ACTIVITIES

``SEC. 499A. AUTHORITY OF THE DIRECTOR OF THE NATIONAL INSTITUTES OF 
              HEALTH RELATING TO EATING DISORDERS.

    ``(a) Identifying Total Expenditures on Eating Disorders.--The 
Director of NIH, in coordination with the National Institute of Mental 
Health, the Office of Research on Women's Health, and other institutes 
of the National Institutes of Health, shall identify the total amount 
of expenditures, both intramural and extramural, by the National 
Institutes of Health for eating disorders for each of fiscal years 2011 
and 2012.
    ``(b) Budget for Eating Disorders Research and Coordination of 
Activities and Programs.--The Director of NIH, based on the strategic 
plan developed under subsection (c), shall--
            ``(1) develop and oversee the implementation of a 
        scientifically justified budget for research on eating 
        disorders at the National Institutes of Health;
            ``(2) coordinate all research activities and programs on 
        eating disorders at the institutes, centers, and divisions of 
        the National Institutes of Health; and
            ``(3) evaluate all such activities and programs.
    ``(c) Strategic Plan for Eating Disorders Research.--
            ``(1) In general.--Not later than 1 year after the date of 
        the enactment of this section, the Director of NIH shall 
        develop, in consultation with leading eating disorder 
        researchers, and oversee the implementation of a comprehensive, 
        long-range plan for the conduct and support of research on 
        eating disorders by the institutes, centers, and divisions of 
        the National Institutes of Health.
            ``(2) Requirements.--The plan developed under paragraph (1) 
        shall--
                    ``(A) be updated on an annual basis;
                    ``(B) identify critical scientific questions 
                related to eating disorders and establish priorities 
                among such questions;
                    ``(C) based on the priorities established under 
                subparagraph (B), specify the short- and long-range 
                objectives to be achieved, and estimate the resources 
                needed to achieve these objectives;
                    ``(D) evaluate the sufficiency of existing research 
                programs on eating disorders to meet the objectives 
                specified under subparagraph (C), and establish 
                objectives, timelines, and criteria for evaluating 
                future research programs;
                    ``(E) be coordinated with the activities of the 
                Centers of Excellence receiving funds under section 
                499B(b); and
                    ``(F) make recommendations for changes to existing 
                research programs on eating disorders.
    ``(d) Budgetary Authority.--
            ``(1) In general.--The Director of NIH shall--
                    ``(A) in accordance with the strategic plan 
                developed under subsection (c), annually prepare and 
                submit to Congress a scientifically justified budget 
                estimate for research on eating disorders to be 
                conducted within the agencies of the National 
                Institutes of Health, which shall include the amount of 
                funds that will be required for--
                            ``(i) the continued funding of ongoing 
                        discretionary program initiatives at the 
                        institutes, centers, and divisions of the 
                        National Institutes of Health; and
                            ``(ii) the funding of new and complementary 
                        program initiatives; and
                    ``(B) receive all research funds for eating 
                disorders described in subparagraph (A), and allocate 
                those funds to the institutes, centers, and divisions 
                of the National Institutes of Health.
            ``(2) Effective date.--Paragraph (1)(B) shall become 
        effective in the fiscal year following the submission of the 
        first eating disorder budget described in paragraph (1)(A).
    ``(e) Evaluation and Report.--
            ``(1) Evaluation.--The Director of NIH shall evaluate the 
        effect of this section on the planning and coordination of 
        research programs on eating disorders at the institutes, 
        centers, and divisions of the National Institutes of Health, 
        and the extent to which funding mandated under this section has 
        followed the recommendation of the strategic plan developed 
        under subsection (c).
            ``(2) Report.--Not later than 1 year after the date of 
        enactment of this section, the Director of NIH shall prepare 
        and submit to the Committee on Energy and Commerce and the 
        Committee on Appropriations of the House of Representatives, 
        and the Committee on Health, Education, Labor, and Pensions and 
        the Committee on Appropriations of the Senate, a report based 
        on the evaluation described in paragraph (1).
    ``(f) Definitions.--In this part, the term `eating disorder' 
includes anorexia nervosa, bulimia nervosa, binge eating disorder, and 
eating disorders not otherwise specified (EDNOS), as defined in the 
fifth edition of `Diagnostic and Statistical Manual of Mental 
Disorders' or, if applicable, the most recent successor edition.

``SEC. 499B. EXPANSION, INTENSIFICATION, AND COORDINATION OF ACTIVITIES 
              OF NATIONAL INSTITUTES OF HEALTH WITH RESPECT TO RESEARCH 
              ON EATING DISORDERS.

    ``(a) In General.--
            ``(1) Expansion of activities.--The Director of NIH shall 
        expand, intensify, and coordinate the activities of the 
        National Institutes of Health with respect to research on 
        eating disorders.
            ``(2) Administration of program; coordination among 
        agencies.--The Director of NIH shall carry out this section 
        acting through the Director of the National Institute of Mental 
        Health, and in collaboration with the Director of the Eunice 
        Kennedy Shriver National Institute of Child Health and Human 
        Development, the Director of the National Institute of Diabetes 
        and Digestive and Kidney Diseases, the Director of the Office 
        of Research on Women's Health, and any other agencies or 
        offices of the National Institutes of Health that the Director 
        determines appropriate.
            ``(3) Task force.--
                    ``(A) Establishment.--Before making grants under 
                subsection (b) for Centers of Excellence, the Director 
                of NIH shall establish a task force (in this paragraph 
                referred to as the `task force') consisting of--
                            ``(i) representatives of the institutes, 
                        centers, and divisions of the National 
                        Institutes of Health, as determined appropriate 
                        by the Director;
                            ``(ii) eating disorders researchers, 
                        clinicians, and patient advocacy groups; and
                            ``(iii) the general public.
                    ``(B) Duties.--The task force shall--
                            ``(i) assist researchers in developing 
                        applications and applying for grants and 
                        contracts to be awarded for Centers of 
                        Excellence under subsection (b);
                            ``(ii) conduct a thorough examination of 
                        the field of eating disorders, create a list of 
                        priorities for eating disorders research, and 
                        develop a matrix of action items for such 
                        research; and
                            ``(iii) conduct meetings to address issues 
                        with respect to eating disorders research, 
                        including guiding principles of Centers of 
                        Excellence under subsection (b); development of 
                        strategic research priorities; strategies for 
                        recruiting new scientists into the field of 
                        eating disorders and providing them with high-
                        quality training; priorities and best practices 
                        for basic research, clinical research, 
                        treatment research, and prevention research; 
                        and development of a research infrastructure 
                        nationwide.
    ``(b) Centers of Excellence.--
            ``(1) Grants.--
                    ``(A) In general.--In carrying out subsection 
                (a)(1), the Director of NIH shall award grants and 
                contracts to public or nonprofit private entities, 
                including universities, to--
                            ``(i) conduct research on eating disorders 
                        designed to improve understanding of the 
                        etiology, early identification, prevention, 
                        best treatment, medical and psychological 
                        sequelae of and recovery from eating disorders;
                            ``(ii) conduct training to perform such 
                        research; and
                            ``(iii) pay all or part of the cost of 
                        planning, establishing, improving, and 
                        providing basic operating support for such 
                        research and training.
                    ``(B) Centers of excellence.--For purposes of this 
                section, an entity that receives a grant or contract 
                under subparagraph (A) shall be referred to as a Center 
                of Excellence.
            ``(2) Research.--
                    ``(A) In general.--Each Center of Excellence shall 
                conduct basic research, clinical research, or both into 
                eating disorders.
                    ``(B) Requirements.--The research conducted by a 
                Center of Excellence pursuant to subparagraph (A)--
                            ``(i) shall be designed to improve 
                        understanding of the etiology, early 
                        identification, prevention, best treatment, 
                        medical and psychological sequelae of and 
                        recovery from eating disorders;
                            ``(ii) shall be conducted in the fields of 
                        basic, clinical, prevention, and intervention 
                        sciences; and
                            ``(iii) should include--
                                    ``(I) studies clarifying the 
                                nosology and assessment of eating 
                                disorders;
                                    ``(II) investigations to determine 
                                the biological, psychosocial, and 
                                behavioral risk factors that might 
                                appear in early childhood;
                                    ``(III) studies of promising 
                                treatments for eating disorders;
                                    ``(IV) evaluation of prevention 
                                programs for eating disorders; and
                                    ``(V) studies of the medical, 
                                psychological, and social sequelae of 
                                eating disorders.
                    ``(C) Equal representation of research areas.--In 
                awarding grants and contracts under paragraph (1), the 
                Director of NIH shall, to the extent practicable and 
                appropriate, ensure that each of the research areas 
                required by clauses (i) and (ii) of subparagraph (B) 
                are equally represented.
            ``(3) Training to perform eating disorders research.--Each 
        Center of Excellence shall provide at least 3 positions for 
        doctoral level and post-doctoral level research trainees.
            ``(4) Services for patients.--
                    ``(A) In general.--A Center of Excellence may 
                expend amounts provided under a grant or contract under 
                such paragraph to carry out a program to make 
                individuals aware of opportunities to participate as 
                subjects in research conducted by such Centers.
                    ``(B) Referrals and costs.--A program carried out 
                under subparagraph (A) may, in accordance with such 
                criteria as the Director of NIH may establish, provide 
                to the subjects described in such subparagraph, 
                referrals for health, mental health, and other 
                services, and such patient care costs as are required 
                for research.
                    ``(C) Availability and access.--The extent to which 
                a Center of Excellence can demonstrate availability and 
                access to clinical services shall be considered by the 
                Director of NIH in decisions about awarding grants or 
                contracts to applicants that meet the scientific 
                criteria for funding under this section.
            ``(5) Coordination of centers of excellence.--
                    ``(A) In general.--The Director of the National 
                Institute of Mental Health shall, as appropriate, 
                provide for the coordination of information among 
                Centers of Excellence and ensure regular communication 
                between such Centers.
                    ``(B) Periodic reports.--The Director of the 
                National Institute of Mental Health may require the 
                periodic preparation of reports on the activities of 
                Centers of Excellence and the submission of such 
                reports to the Director.
                    ``(C) Collection and storage of data.--The Director 
                of the National Institute of Mental Health shall 
                establish and fund mechanisms and entities for 
                collecting, storing, and coordinating data collected by 
                Centers of Excellence and data generated from public 
                and private research partnerships.
            ``(6) Organization.--Each Center of Excellence shall use 
        the facilities of a single institution, or be formed from a 
        consortium of cooperating institutions, meeting such 
        requirements as may be prescribed by the Director of NIH.
            ``(7) Number; duration; additional periods.--
                    ``(A) In general.--The Director of NIH shall award 
                grants and contracts to not fewer than 3 entities under 
                paragraph (1).
                    ``(B) Duration.--Except as provided in subparagraph 
                (C), a grant or contract awarded under paragraph (1) 
                shall not exceed a period of 5 years.
                    ``(C) Additional periods.--
                            ``(i) Extension.--The period of a grant or 
                        contract awarded under paragraph (1) may be 
                        extended one or more additional periods not 
                        exceeding a total of 5 years if the operations 
                        of the Center of Excellence involved have been 
                        reviewed by an appropriate technical and 
                        scientific peer review group (including 
                        investigators from the field of eating 
                        disorders) established by the Director of NIH 
                        and the group has recommended to the Director 
                        that such period should be extended.
                            ``(ii) Amount.--The amount of any grant or 
                        contract under paragraph (1) for an additional 
                        period described in clause (i) shall not exceed 
                        $2,000,000 per fiscal year.
                    ``(D) Public input.--In carrying out this section, 
                the Director of NIH shall provide for a means through 
                which the public can obtain information on the existing 
                and planned programs and activities of the National 
                Institutes of Health with respect to eating disorders 
                and through which the Director can receive comments 
                from the public regarding such programs and activities.
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $20,000,000 for each of fiscal 
years 2014 through 2018. Amounts appropriated under this subsection 
shall be in addition to any other amounts appropriated for such 
purpose.

``SEC. 499C. COLLABORATIVE PROGRAMS OF RESEARCH IN EATING DISORDERS.

    ``(a) In General.--The Director of NIH, acting through the Director 
of the National Institute of Mental Health, the Director of the 
National Institute of Diabetes and Digestive and Kidney Diseases, the 
Director of the Eunice Kennedy Shriver National Institute of Child 
Health and Human Development, the Director of the Office of Research on 
Women's Health, and any other agencies or offices of the National 
Institutes of Health that the Director determines appropriate, in 
consultation with leading eating disorders researchers and clinicians, 
shall award grants and contracts to public or nonprofit private 
entities to pay all or part of the cost of planning, establishing, 
improving, and providing basic operating support for collaborative 
programs of research in eating disorders.
    ``(b) Research.--Each program established under subsection (a)--
            ``(1) shall conduct basic research, clinical research, or 
        both into eating disorders; and
            ``(2) should conduct investigations into the cause, 
        diagnosis, early detection, prevention and treatment of and 
        recovery from eating disorders.
    ``(c) Coordination of Programs.--
            ``(1) In general.--The Director of NIH shall, as 
        appropriate, provide for the coordination of information among 
        programs established under subsection (a), and Centers of 
        Excellence receiving funding under section 499B, and ensure 
        regular communication between such programs and Centers.
            ``(2) Periodic reports.--The Director of NIH may require 
        the periodic preparation of reports on the activities of the 
        programs established under subsection (a) and the submission of 
        such reports to the Director.
            ``(3) Collection and storage of data.--The Director of NIH 
        shall establish and fund mechanisms and entities for 
        collecting, storing, and coordinating data collected by the 
        programs established under subsection (a) and data generated 
        from public and private research partnerships.
    ``(d) Organization.--Each program that receives funding under 
subsection (a) shall be formed from a consortium of cooperating 
institutions, meeting such requirements as may be prescribed by the 
Director of NIH.
    ``(e) Number and Duration.--
            ``(1) In general.--The Director shall provide for the 
        establishment of not fewer than 4 programs under subsection 
        (a).
            ``(2) Duration.--Except as provided in paragraph (3), a 
        grant or contract awarded under subsection (a) shall not exceed 
        a period of 5 years.
            ``(3) Additional periods.--
                    ``(A) Extension.--The period of a grant or contract 
                awarded under subsection (a) may be extended for one or 
                more additional periods not exceeding 5 years if the 
                operations of the program involved have been reviewed 
                by an appropriate technical and scientific peer review 
                group established by the Director of NIH and the group 
                has recommended to the Director that such period should 
                be extended.
                    ``(B) Amount.--The amount of any grant or contract 
                under subsection (a) for an additional period described 
                in subparagraph (A) shall not exceed $2,000,000 per 
                fiscal year.
    ``(f) Rule of Construction.--Nothing in this section shall be 
construed as precluding or otherwise affecting funding for any research 
on eating disorders in addition to the research funded under this 
section.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $20,000,000 for each of fiscal 
years 2014 through 2018. Amounts appropriated under this subsection 
shall be in addition to any other amounts appropriated for such 
purpose.''.

SEC. 102. EATING DISORDERS SURVEILLANCE AND RESEARCH PROGRAM.

    Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) 
is amended by adding at the end thereof the following:

            ``PART W--PROGRAMS RELATING TO EATING DISORDERS

``SEC. 399OO. EATING DISORDERS SURVEILLANCE AND RESEARCH PROGRAM.

    ``(a) National Eating Disorders Surveillance Program.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention and 
        in consultation with leading eating disorders researchers and 
        clinicians--
                    ``(A) shall provide for the collection, analysis, 
                and reporting of epidemiological data on eating 
                disorders through the existing surveillance programs of 
                the Centers, such as the Behavioral Risk Factor 
                Surveillance System;
                    ``(B) shall make recommendations to enhance 
                existing surveillance programs of the Centers, such as 
                the Behavioral Risk Factor Surveillance System, to more 
                accurately collect epidemiological data on disordered 
                eating and eating disorders;
                    ``(C) may award grants and cooperative agreements 
                and may provide direct technical assistance to eligible 
                entities for the collection, analysis, and reporting of 
                such data; and
                    ``(D) shall examine and improve requirements for 
                reporting deaths on death certificates to accurately 
                account for those cases in which an eating disorder is 
                the underlying or contributing cause of death.
            ``(2) Eligibility.--To be eligible to receive a grant or 
        cooperative agreement under paragraph (1)(C), an entity shall 
        be a public or nonprofit private entity (including a health 
        department of a State or political subdivisions of a State, a 
        university, or any other educational institution), and submit 
        to the Secretary an application at such time, in such manner, 
        and containing such information as the Secretary may require.
    ``(b) Center of Eating Disorders Epidemiology.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention, 
        shall establish a Center of Eating Disorders Epidemiology for 
        the purpose of collecting and analyzing information on--
                    ``(A) the number, incidence, incidence trends over 
                time, correlates, mortality, and causes of eating 
                disorders;
                    ``(B) the effects of eating disorders on quality of 
                life, including disability adjusted life years (DALY) 
                and quality adjusted life years (QALY); and
                    ``(C) economic analysis of the costs of eating 
                disorders in the United States, including years of 
                productive life lost, missed days of work, reduced work 
                productivity, costs of medical and mental health 
                treatment, prescriptions, other medications, 
                hospitalizations, costs of medical and psychiatric 
                comorbidities, costs to family, and costs to society.
            ``(2) Grants; cooperative agreements.--The Center of Eating 
        Disorders Epidemiology under paragraph (1) shall be established 
        and operated through the awarding of grants or cooperative 
        agreements to one or more public or nonprofit private entities 
        that conduct research, which may include a university or other 
        educational entity.
            ``(3) Requirements.--To be eligible to receive a grant or 
        cooperative agreement under paragraph (2), an entity shall 
        submit to the Secretary an application containing such 
        agreements and information as the Secretary may require, 
        including an agreement that the Center of Eating Disorders 
        Epidemiology will operate in accordance with the following:
                    ``(A) The Center will collect, analyze, and report 
                eating disorders data according to guidelines 
                prescribed by the Director of the Centers for Disease 
                Control and Prevention, after consultation with 
                relevant State and local public health officials, 
                private sector eating disorder researchers and 
                clinicians, and advocates for those with eating 
                disorders.
                    ``(B) The Center will assist with the development 
                and coordination of State eating disorders surveillance 
                efforts within a region.
                    ``(C) The Center will identify eligible cases and 
                controls through its surveillance systems and conduct 
                research into factors which may cause or increase the 
                risk of eating disorders.
                    ``(D) The Center will develop or extend an area of 
                special research expertise (including genetics, 
                environmental exposures, and other relevant research 
                specialty areas).
    ``(c) Clearinghouse.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention and in consultation with 
leading eating disorders researchers and clinicians, shall carry out 
the following:
            ``(1) Establishment.--The Secretary shall establish a 
        clearinghouse within the Centers for Disease Control and 
        Prevention for the collection and storage of data generated 
        from the monitoring programs established under this section and 
        part J of title IV. Through the clearinghouse, the Centers for 
        Disease Control and Prevention shall serve as the coordinating 
        agency for eating disorders surveillance activities. The 
        functions of such clearinghouse shall include facilitating the 
        coordination of research and policy development relating to the 
        prevention, treatment, and epidemiology of eating disorders.
            ``(2) Facilitation of research.--The Secretary shall 
        provide for the establishment of a program under which samples 
        of tissues and genetic and other biological materials that are 
        of use in research on eating disorders are donated, collected, 
        preserved, and made available for such research. Such program 
        shall be carried out in accordance with accepted scientific and 
        medical standards for the donation, collection, and 
        preservation of such samples, and shall be conducted so that 
        the tissues and other materials saved, as well as any database 
        compiled from such tissues and materials, are available to 
        researchers at a reasonable cost.
            ``(3) Coordination.--The Centers for Disease Control and 
        Prevention shall coordinate research and surveillance 
        activities of such Centers with the National Institutes of 
        Health, other appropriate Federal agencies, and interested 
        nonprofit private entities, which shall be updated as 
        determined appropriate by the Secretary.
    ``(d) Definition.--In this section, the term `eating disorder' 
includes anorexia nervosa, bulimia nervosa, binge eating disorder, and 
eating disorders not otherwise specified (EDNOS), as defined in the 
fifth edition of `Diagnostic and Statistical Manual of Mental 
Disorders' or, if applicable, the most recent successor edition.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $2,000,000 for each of fiscal 
years 2014 through 2018.''.

                   TITLE II--EDUCATION AND PREVENTION

SEC. 201. STUDY OF MANDATORY BMI REPORTING IN SCHOOL.

    Not later than 1 year after the date of the enactment of this Act, 
the Director of the Centers for Disease Control and Prevention, in 
consultation with the Secretary of Education and leading eating 
disorders researchers and clinicians, shall conduct a study and submit 
a report to the Congress on--
            (1) measuring the body mass index (in this section referred 
        to as ``BMI'') of students for those schools (at any level 
        including pre-schools, kindergartens, elementary schools, 
        secondary schools, and institutions of higher education) that 
        are measuring the BMI of students;
            (2) the impacts (both positive and negative) on students of 
        such measures, including unhealthy weight control behaviors, 
        perceptions of body image, eating disorder symptoms, and the 
        incidence of teasing or bullying based on body size; and
            (3) the impacts (both positive and negative) of reporting 
        the results of such measures to the parents of such students.

SEC. 202. TRAINING AND EDUCATION.

    (a) In General.--The Secretary of Health and Human Services, acting 
through the Director of the Office on Women's Health of the Department 
of Health and Human Services and in consultation with the Secretary of 
Education and with the Task Force for Health Professions established 
under section 399Z(b) of the Public Health Service Act (as added by 
section 203(a)(2) of this Act), shall--
            (1) expand the BodyWise Handbook and related fact sheets 
        and resource lists available on the public Internet site of the 
        National Women's Health Information Center sponsored by the 
        Office on Women's Health, to include--
                    (A) updated findings and conclusions as needed; and
                    (B) thorough information about eating disorders 
                relating to males as well as females;
            (2) incorporate, as appropriate, information from such 
        BodyWise Handbook and related facts sheets and resource lists 
        into the curriculum of the BodyWorks obesity prevention program 
        developed by the Office on Women's Health and training modules 
        used in such obesity prevention program; and
            (3) promote and make publicly available (whether through a 
        public Internet site or other method that does not impose a fee 
        on users) the BodyWise Handbook and related fact sheets and 
        resource lists, as updated under paragraph (1), and the 
        BodyWorks obesity prevention program, as updated under 
        paragraph (2), including for purposes of educating universities 
        and nonprofit entities on eating disorders.
    (b) Authorization of Appropriations.--There is authorized to be 
appropriated $1,000,000 to carry out subsection (a).

SEC. 203. HEALTH PROFESSIONAL EDUCATION AND TRAINING.

    Section 399Z of the Public Health Service Act (42 U.S.C. 280h-3) is 
amended--
            (1) by redesignating subsection (b) as subsection (d); and
            (2) by inserting after subsection (a) the following new 
        subsections:
    ``(b) Task Force on Eating Disorders.--
            ``(1) Establishment.--The Secretary, acting through the 
        Administrator of the Health Resources and Services 
        Administration and one or more of the Centers of Excellence 
        receiving funds under section 499B(b), shall establish a Task 
        Force for Health Professions (in this subsection referred to as 
        the `task force') comprised of experts in the field of eating 
        disorders (including researchers, clinicians, care providers, 
        and experts in eating disorders education and prevention), 
        individuals with eating disorders, and individuals with family 
        members who have eating disorders.
            ``(2) Duties.--The task force shall--
                    ``(A) develop, based on the BodyWise Handbook and 
                related fact sheets and resource lists available on the 
                public Internet site of the National Women's Health 
                Information Center sponsored by the Office on Women's 
                Health of the Department of Health and Human Services 
                and updated under section 202(a)(1) of the Federal 
                Response to Eliminate Eating Disorders Act of 2013, an 
                evidence-based or emerging best-practices training 
                program for health professionals on eating disorders;
                    ``(B) award grants for implementation of such 
                evidence-based training program; and
                    ``(C) provide training and technical assistance to 
                grant recipients.
            ``(3) Report.--Not later than 6 years after the date of the 
        enactment of this subsection, the task force shall submit to 
        the Congress and make publicly available a report on the 
        training program developed under paragraph (2) and the results 
        achieved through grants awarded for implementation of such 
        program.
    ``(c) Definition.--In this section, the term `eating disorder' has 
the meaning given such term in section 399OO(d).''; and
            (3) by amending subsection (d) (as so redesignated) to read 
        as follows:
    ``(d) Authorization of Appropriations.--There are authorized to be 
appropriated--
            ``(1) to carry out subsection (a), $1,000,000 for fiscal 
        year 2014 and $500,000 for each of fiscal years 2015 through 
        2018; and
            ``(2) to carry out subsection (b), $10,000,000 for each of 
        fiscal years 2014 through 2018.''.

SEC. 204. EDUCATION AND TRAINING FOR ALL HEALTH PROFESSIONALS.

    Section 399Z of the Public Health Service Act (42 U.S.C. 280h-3), 
as amended by section 203(a), is further amended--
            (1) by redesignating subsections (c) and (d) as subsections 
        (d) and (e), respectively;
            (2) by inserting after subsection (b) the following new 
        subsection:
    ``(c) Grants Regarding Eating Disorders.--
            ``(1) In general.--The Secretary may award grants to 
        eligible entities to integrate training into existing curricula 
        for primary care physicians and other licensed or certified 
        health and mental health professionals on how to identify, 
        refer, treat, and prevent eating disorders and aid individuals 
        who suffer from eating disorders.
            ``(2) Application.--An entity that desires a grant under 
        this subsection shall submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require, including a plan for the use of 
        funds that may be awarded and an evaluation of the training 
        that will be provided.
            ``(3) Use of funds.--An entity that receives a grant under 
        this subsection shall use the funds made available through such 
        grant to--
                    ``(A) use the training program developed by the 
                Task Force for Health Professions under subsection 
                (b)(2)(A), evidence-based findings, promising emerging 
                best practices, or recommendations that pertain to the 
                prevention and treatment of eating disorders to conduct 
                educational training and conferences, including 
                Internet-based courses and teleconferences, on--
                            ``(i) how to treat or prevent eating 
                        disorders;
                            ``(ii) how to discuss varied strategies 
                        with patients from at-risk and diverse 
                        populations to promote positive behavior change 
                        and healthy lifestyles to prevent eating 
                        disorders;
                            ``(iii) how to identify individuals with 
                        eating disorders, and those who are at risk for 
                        suffering from eating disorders and, therefore, 
                        at risk for related serious and chronic medical 
                        and mental health conditions; and
                            ``(iv) how to conduct a comprehensive 
                        assessment of individual and familial health 
                        risk factors; and
                    ``(B) evaluate and report to the Task Force for 
                Health Professions on the effectiveness of the training 
                provided by such entity in increasing knowledge and 
                changing attitudes and behaviors of trainees.''; and
            (3) in subsection (e) (as so redesignated)--
                    (A) in paragraph (1), at the end by striking 
                ``and'';
                    (B) in paragraph (2), at the end by striking the 
                period and inserting ``; and''; and
                    (C) by adding at the end the following new 
                paragraph:
            ``(3) to carry out subsection (c), $10,000,000 for each of 
        fiscal years 2014 through 2018.''.

SEC. 205. EDUCATION AND TRAINING FOR SCHOOL AND HIGHER EDUCATION 
              PROFESSIONALS.

    (a) Task Force on Eating Disorders Prevention in Educational 
Institutions.--
            (1) Establishment.--Not later than 1 year after the date of 
        the enactment of this Act, the Secretary of Health and Human 
        Services, in consultation with Centers of Excellence receiving 
        funds under section 499B of the Public Health Service Act (as 
        added by section 101 of this Act) and experts in eating 
        disorder prevention and treatment, shall establish a Task Force 
        on Eating Disorders Prevention in Educational Institutions (in 
        this subsection referred to as the ``task force'').
            (2) Duties.--The task force shall--
                    (A) expand upon and incorporate information from 
                the BodyWise eating disorder initiative implemented by 
                the Office on Women's Health of the Department of 
                Health and Human Services to develop and provide 
                training on eating disorders identification and 
                prevention for students, faculty, coaches, and staff in 
                kindergartens, elementary schools, secondary schools, 
                and institutions of higher education;
                    (B) develop a program of educational seminars on 
                eating disorders identification and prevention for use 
                by grant recipients under subsection (b); and
                    (C) provide training to grant recipients under 
                subsection (b) on implementing such a program, 
                including by integration into existing applicable 
                training curricula.
    (b) Grants.--
            (1) Authorization.--The Secretary of Health and Human 
        Services, acting through the Administrator of the Substance 
        Abuse and Mental Health Services Administration, shall award 
        grants to eligible entities--
                    (A) to conduct educational seminars on eating 
                disorders identification and prevention; and
                    (B) to make resources available to individuals 
                affected by eating disorders.
            (2) Educational seminars.--As a condition on the receipt of 
        a grant under this subsection, an eligible entity shall agree 
        to conduct educational seminars under paragraph (1)(A)--
                    (A) in accordance with the program developed under 
                subsection (a)(2)(B) by the Task Force on Eating 
                Disorders Prevention in Educational Institutions; and
                    (B) taking into consideration educational materials 
                made available through the BodyWise eating disorder 
                initiative of the Department of Health and Human 
                Services and relevant research on eating disorders.
            (3) Eligible entity.--In this subsection, the term 
        ``eligible entity'' means any State, territory, or possession 
        of the United States, the District of Columbia, any Indian 
        tribe or tribal organization (as defined in subsections (e) and 
        (l), respectively, of section 4 of the Indian Self-
        Determination and Education Assistance Act (25 U.S.C. 450b)), 
        or a public or private educational institution, including an 
        institution of higher education.

SEC. 206. EATING DISORDER RESEARCH AND REPORT.

    Not later than 18 months after the date of the enactment of this 
Act, the National Center for Education Statistics and the National 
Center for Health Statistics shall conduct a study on the impact of 
eating disorders on educational advancement and achievement. The study 
shall--
            (1) determine the prevalence of eating disorders among 
        students and the morbidity and mortality rates associated with 
        eating disorders;
            (2) evaluate the extent to which students with eating 
        disorders are more likely to miss school, have delayed rates of 
        social, emotional, and physical development, or have reduced 
        academic performance;
            (3) report on current State and local programs to prevent 
        eating disorders, as well as evaluate the value of such 
        programs; and
            (4) make recommendations on measures that could be 
        undertaken by the Congress, the Department of Education, 
        States, and local educational agencies to strengthen eating 
        disorder prevention and awareness programs.

SEC. 207. PUBLIC SERVICE ANNOUNCEMENTS.

    (a) In General.--The Director of the National Institute of Mental 
Health shall conduct a program of public service announcements to 
educate the public on--
            (1) the types of eating disorders;
            (2) the seriousness of eating disorders (including 
        prevalence, comorbidities, and physical and mental health 
        consequences);
            (3) how to detect, address, refer for help, and prevent 
        eating disorders;
            (4) discrimination and bullying based on body size;
            (5) the effects of media on self esteem and body image; and
            (6) the signs and symptoms of eating disorders.
    (b) Collaboration.--The Director of the National Institute of 
Mental Health shall conduct the program under subsection (a) in 
collaboration with--
            (1) Centers of Excellence receiving funds under section 
        499B of the Public Health Service Act, as added by section 101; 
        and
            (2) community-based national nonprofit resources that--
                    (A) support individuals affected by eating 
                disorders; and
                    (B) work to prevent eating disorders and address 
                body image and weight issues.
    (c) Announcement Requirements.--In carrying out the program of 
public service announcements required by subsection (a), the Director 
of the National Institute of Mental Health shall ensure that such 
announcements--
            (1) address the full spectrum of eating disorders for both 
        sexes and a variety of ethnicities and age groups;
            (2) do not promote or aggravate eating disorders, such as 
        by incorporating images, specific behaviors, or statistics that 
        make eating disorders seem attractive;
            (3) feature--
                    (A) real people who are or were affected by eating 
                disorders, including individuals who have died of such 
                disorders; and
                    (B) not actors or models in place of such people;
            (4) make clear that--
                    (A) eating disorders are not a choice, but are 
                serious and often deadly illnesses; and
                    (B) individuals affected by eating disorders need 
                to seek help; and
            (5) provide information on how and where to seek help for 
        the treatment of eating disorders.

SEC. 208. SENSE OF CONGRESS.

    It is the sense of the Congress that--
            (1) federally funded campaigns to fight obesity should 
        address eating disorders; and
            (2) federally funded studies on obesity should include 
        questions relating to eating disorders.

                          TITLE III--TREATMENT

SEC. 301. COVERAGE FOR TREATMENT FOR EATING DISORDERS UNDER GROUP 
              HEALTH PLANS, INDIVIDUAL HEALTH INSURANCE COVERAGE, AND 
              FEHBP.

    (a) Public Health Service Act Amendments.--
            (1) In general.--Title XXVII of the Public Health Service 
        Act is amended by inserting after section 2728 (42 U.S.C. 
        300gg-28), as redesignated by section 1001(2) of the Patient 
        Protection and Affordable Care Act (Public Law 111-148), the 
        following new section:

``SEC. 2729. COVERAGE FOR TREATMENT FOR EATING DISORDERS.

    ``(a) Coverage.--A group health plan, and a health insurance issuer 
offering group or individual health insurance coverage, that provides 
medical and surgical benefits shall provide coverage for treatment for 
eating disorders consistent with the provisions of this section.
    ``(b) Prohibitions.--A group health plan, and a health insurance 
issuer offering group or individual health insurance coverage, shall 
not--
            ``(1) deny to an individual eligibility, or continued 
        eligibility, to enroll or to renew coverage under the terms of 
        the plan, solely for the purpose of avoiding the requirement of 
        this section;
            ``(2) deny coverage for treatment of eating disorders, 
        including coverage for residential treatment of eating 
        disorders, if such treatment is medically necessary in 
        accordance with the Practice Guidelines for the Treatment of 
        Patients with Eating Disorders, as most recently published by 
        the American Psychiatric Association;
            ``(3) provide monetary payments, rebates, or other benefits 
        to individuals to encourage such individuals to accept less 
        than the minimum protections available under this section;
            ``(4) penalize or otherwise reduce or limit the 
        reimbursement of a provider because such provider provided care 
        to an individual participant or beneficiary in accordance with 
        this section;
            ``(5) provide incentives (monetary or otherwise) to a 
        provider to induce such provider to provide care to an 
        individual participant or beneficiary in a manner inconsistent 
        with this section; or
            ``(6) deny to an individual participant or beneficiary 
        continued eligibility to enroll or to renew coverage under the 
        terms of the plan, solely because the individual was previously 
        found to have an eating disorder or to have received treatment 
        for an eating disorder.
    ``(c) Out-of-Network Providers.--In the case of a group health 
plan, or health insurance issuer offering group or individual health 
insurance coverage, that provides both medical and surgical benefits 
and coverage for treatment for eating disorders, if the plan or 
coverage provides coverage for medical or surgical benefits provided by 
out-of-network providers, the plan or coverage shall provide coverage 
for treatment for eating disorders provided by out-of-network providers 
in a manner that is consistent with the requirements of this section.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed as preventing a group health plan or issuer from imposing 
deductibles, coinsurance, or other cost-sharing in relation to 
treatment for eating disorders, except that such deductibles, 
coinsurance, or other cost-sharing may not be greater than the 
deductibles, coinsurance, or other cost-sharing imposed on other 
comparable medical or surgical services covered under the plan.
    ``(e) Preemption.--Nothing in this section shall be construed to 
preempt any State law in effect on the date of enactment of this 
section with respect to health insurance coverage that requires 
coverage of at least the coverage for treatment for eating disorders 
otherwise required under this section.
    ``(f) Eating Disorders Defined.--For purposes of this section, the 
term `eating disorder' includes anorexia nervosa, bulimia nervosa, 
binge eating disorder, and eating disorders not otherwise specified 
(EDNOS), as defined in the fifth edition of `Diagnostic and Statistical 
Manual of Mental Disorders' or, if applicable, the most recent 
successor edition.''.
            (2) Treatment of individual market before 2014.--For 
        purposes of applying section 2729 of the Public Health Service 
        Act, as inserted by paragraph (1), to individual health 
        insurance coverage before 2014, the provisions of such section 
        shall be treated as also included under part B of title XXVII 
        of the Public Health Service Act.
    (b) ERISA Amendments.--
            (1) In general.--Subpart B of part 7 of subtitle B of title 
        I of the Employee Retirement Income Security Act of 1974 (29 
        U.S.C. 1185 et seq.) is amended by adding at the end the 
        following new section:

``SEC. 716. COVERAGE FOR TREATMENT FOR EATING DISORDERS.

    ``(a) Coverage.--A group health plan, and a health insurance issuer 
offering group health insurance coverage in connection with a group 
health plan, that provides medical and surgical benefits shall provide 
coverage for treatment for eating disorders consistent with the 
provisions of this section.
    ``(b) Prohibitions.--A group health plan, and a health insurance 
issuer offering group health insurance coverage in connection with a 
group health plan, shall not--
            ``(1) deny to an individual eligibility, or continued 
        eligibility, to enroll or to renew coverage under the terms of 
        the plan, solely for the purpose of avoiding the requirement of 
        this section;
            ``(2) deny coverage for treatment of eating disorders, 
        including coverage for residential treatment of eating 
        disorders, if such treatment is medically necessary in 
        accordance with the Practice Guidelines for the Treatment of 
        Patients with Eating Disorders, as most recently published by 
        the American Psychiatric Association;
            ``(3) provide monetary payments, rebates, or other benefits 
        to individuals to encourage such individuals to accept less 
        than the minimum protections available under this section;
            ``(4) penalize or otherwise reduce or limit the 
        reimbursement of a provider because such provider provided care 
        to an individual participant or beneficiary in accordance with 
        this section;
            ``(5) provide incentives (monetary or otherwise) to a 
        provider to induce such provider to provide care to an 
        individual participant or beneficiary in a manner inconsistent 
        with this section; or
            ``(6) deny to an individual participant or beneficiary 
        continued eligibility to enroll or to renew coverage under the 
        terms of the plan, solely because the individual was previously 
        found to have an eating disorder or to have received treatment 
        for an eating disorder.
    ``(c) Out-of-Network Providers.--In the case of a group health 
plan, or health insurance issuer offering group health insurance 
coverage in connection with a group health plan, that provides both 
medical and surgical benefits and coverage for treatment for eating 
disorders, if the plan or coverage provides coverage for medical or 
surgical benefits provided by out-of-network providers, the plan or 
coverage shall provide coverage for treatment for eating disorders 
provided by out-of-network providers in a manner that is consistent 
with the requirements of this section.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed as preventing a group health plan or issuer from imposing 
deductibles, coinsurance, or other cost-sharing in relation to 
treatment for eating disorders, except that such deductibles, 
coinsurance, or other cost-sharing may not be greater than the 
deductibles, coinsurance, or other cost-sharing imposed on other 
comparable medical or surgical services covered under the plan.
    ``(e) Preemption.--Nothing in this section shall be construed to 
preempt any State law in effect on the date of enactment of this 
section with respect to health insurance coverage that requires 
coverage of at least the coverage for treatment for eating disorders 
otherwise required under this section.
    ``(f) Eating Disorders Defined.--For purposes of this section, the 
term `eating disorder' includes anorexia nervosa, bulimia nervosa, 
binge eating disorder, and eating disorders not otherwise specified 
(EDNOS), as defined in the fifth edition of `Diagnostic and Statistical 
Manual of Mental Disorders' or, if applicable, the most recent 
successor edition.''.
            (2) Conforming amendments.--
                    (A) Section 732(a) of such Act (29 U.S.C. 1191a(a)) 
                is amended by striking ``section 711'' and inserting 
                ``sections 711 and 716''.
                    (B) The table of contents in section 1 of such Act 
                is amended by inserting after the item relating to 
                section 714 the following new items:

``Sec. 715. Additional market reforms.
``Sec. 716. Coverage for treatment for eating disorders.''.
            (1) In general.--Subchapter B of chapter 100 of the 
        Internal Revenue Code of 1986, as amended by subsection (f) of 
        section 1563 (relating to conforming amendments) of the Patient 
        Protection and Affordable Care Act (Public Law 111-148), is 
        amended by inserting after section 9815 the following:

``SEC. 9816. COVERAGE FOR TREATMENT FOR EATING DISORDERS.

    ``(a) Coverage.--A group health plan that provides medical and 
surgical benefits shall provide coverage for treatment for eating 
disorders consistent with the provisions of this section.
    ``(b) Prohibitions.--A group health plan shall not--
            ``(1) deny to an individual eligibility, or continued 
        eligibility, to enroll or to renew coverage under the terms of 
        the plan, solely for the purpose of avoiding the requirement of 
        this section;
            ``(2) deny coverage for treatment of eating disorders, 
        including coverage for residential treatment of eating 
        disorders, if such treatment is medically necessary in 
        accordance with the Practice Guidelines for the Treatment of 
        Patients with Eating Disorders, as most recently published by 
        the American Psychiatric Association;
            ``(3) provide monetary payments, rebates, or other benefits 
        to individuals to encourage such individuals to accept less 
        than the minimum protections available under this section;
            ``(4) penalize or otherwise reduce or limit the 
        reimbursement of a provider because such provider provided care 
        to an individual participant or beneficiary in accordance with 
        this section;
            ``(5) provide incentives (monetary or otherwise) to a 
        provider to induce such provider to provide care to an 
        individual participant or beneficiary in a manner inconsistent 
        with this section; or
            ``(6) deny to an individual participant or beneficiary 
        continued eligibility to enroll or to renew coverage under the 
        terms of the plan, solely because the individual was previously 
        found to have an eating disorder or to have received treatment 
        for an eating disorder.
    ``(c) Out-of-Network Providers.--In the case of a group health plan 
that provides both medical and surgical benefits and coverage for 
treatment for eating disorders, if the plan provides coverage for 
medical or surgical benefits provided by out-of-network providers, the 
plan or coverage shall provide coverage for treatment for eating 
disorders provided by out-of-network providers in a manner that is 
consistent with the requirements of this section.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed as preventing a group health plan or issuer from imposing 
deductibles, coinsurance, or other cost-sharing in relation to 
treatment for eating disorders, except that such deductibles, 
coinsurance, or other cost-sharing may not be greater than the 
deductibles, coinsurance, or other cost-sharing imposed on other 
comparable medical or surgical services covered under the plan.
    ``(e) Eating Disorders Defined.--For purposes of this section, the 
term `eating disorder' includes anorexia nervosa, bulimia nervosa, 
binge eating disorder, and eating disorders not otherwise specified 
(EDNOS), as defined in the fifth edition of `Diagnostic and Statistical 
Manual of Mental Disorders' or, if applicable, the most recent 
successor edition.''.
            (2) Clerical amendment.--The table of sections of such 
        subchapter is amended by adding at the end the following new 
        items:

``Sec. 9815. Additional market reforms.
``Sec. 9816. Coverage for treatment for eating disorders.''.
            (3) Conforming amendment.--Section 4980D(d)(1) of the 
        Internal Revenue Code of 1986 is amended by striking ``section 
        9811'' and inserting ``sections 9811 and 9816''.
    (d) Application Under Federal Employees Health Benefits Program 
(FEHBP).--Section 8902 of title 5, United States Code, is amended by 
adding at the end the following new subsection:
    ``(p) A contract may not be made or a plan approved which does not 
comply with the requirements of section 2729 of the Public Health 
Service Act.''.
    (e) Effective Dates.--The amendments made by this section shall 
apply with respect to group health plans and health benefit plans for 
plan years beginning on or after the date that is 6 months after the 
date of the enactment of this Act, and with respect to health insurance 
coverage offered, sold, issued, renewed, in effect, or operated in the 
individual market on or after such date that is 6 months after such 
date of enactment.
    (f) Coordination of Administration.--The Secretary of Labor, the 
Secretary of Health and Human Services, and the Secretary of the 
Treasury shall ensure, through the execution of an interagency 
memorandum of understanding among such Secretaries, that--
            (1) regulations, rulings, and interpretations issued by 
        such Secretaries relating to the same matter over which two or 
        more such Secretaries have responsibility under the provisions 
        of this section (and the amendments made thereby) are 
        administered so as to have the same effect at all times; and
            (2) coordination of policies relating to enforcing the same 
        requirements through such Secretaries in order to have a 
        coordinated enforcement strategy that avoids duplication of 
        enforcement efforts and assigns priorities in enforcement.

        TITLE IV--IMPROVING AVAILABILITY AND ACCESS TO TREATMENT

SEC. 401. MEDICAID COVERAGE FOR EATING DISORDER TREATMENT SERVICES.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d(a)), as amended by section 2301(a)(1) of the Patient Protection 
and Affordable Care Act (Public Law 111-148) and section 1202(b) of the 
Health Care and Education Reconciliation Act of 2010 (Public Law 111-
152), is amended--
            (1) in subsection (a)--
                    (A) in paragraph (28), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (29) as paragraph 
                (30); and
                    (C) by inserting after paragraph (28) the following 
                new paragraph:
            ``(29) eating disorder treatment services (as defined in 
        subsection (ee)(1)); and'';
        and
            (2) by adding at the end the following new subsection:
    ``(ee) Eating Disorder Treatment Services.--
            ``(1) Definition.--The term `eating disorder treatment 
        services' means services relating to diagnosis and treatment of 
        an eating disorder (as defined in section 399OO of the Public 
        Health Service Act), including screening, counseling, 
        pharmacotherapy (including coverage of drugs described in 
        paragraph (2)), and other necessary health care services.
            ``(2) Coverage for pharmacological treatment of eating 
        disorders.--For purposes of paragraph (1), eating disorder 
        treatment services shall include drugs provided as part of care 
        in an inpatient setting, covered outpatient drugs (as defined 
        in section 1927(k)(2)), and non-prescription drugs described in 
        section 1927(d)(2)(A) that are prescribed, in accordance with 
        generally accepted medical guidelines, for treatment of an 
        eating disorder.''.
    (b) Increased FMAP for Eating Disorder Treatment Services.--Section 
1905(b) of the Social Security Act (42 U.S.C. 1396d(b)), as amended by 
section 4106(b) of the Patient Protection and Affordable Care Act, is 
amended--
            (1) by striking ``and'' before ``(5)''; and
            (2) by inserting before the period at the end the 
        following: ``, and (6) the Federal medical assistance 
        percentage shall be equal to the enhanced FMAP described in 
        section 2105(b) with respect to medical assistance for eating 
        disorder treatment services (as defined in subsection (ee)(1)) 
        provided to an individual who is eligible for such assistance 
        and has an eating disorder (as defined in section 399OO of the 
        Public Health Service Act)''.
    (c) Inclusion in EPSDT Services.--Section 1905(r)(1)(B) of such Act 
(42 U.S.C. 1396d(r)(1)(B)) is amended--
            (1) in clause (iv), by striking ``and'' at the end;
            (2) in clause (v), by striking the period at the end and 
        inserting ``, and''; and
            (3) by inserting after clause (v) the following new clause:
                            ``(vi) appropriate diagnostic services 
                        relating to eating disorders (as defined in 
                        section 399OO of the Public Health Service 
                        Act).''.
    (d) Exception From Optional Restriction Under Medicaid Drug 
Coverage.--Section 1927(d)(2)(A) of such Act (42 U.S.C. 1396r-
8(d)(2)(A)) is amended by inserting before the period at the end the 
following: ``, except for drugs that are prescribed, in accordance with 
generally accepted medical guidelines, for the purpose of treatment of 
an individual who is eligible for medical assistance under the State 
plan and has an eating disorder (as defined in section 399OO of the 
Public Health Service Act)''.
    (e) Effective Date.--The amendments made by this section shall 
apply to drugs and services furnished on or after the date of the 
enactment of this Act.

SEC. 402. GRANTS TO SUPPORT PATIENT ADVOCACY.

    Subpart II of part D of title IX of the Public Health Service Act 
(42 U.S.C. 299b-33 et seq.), as amended by section 6301(b) of the 
Patient Protection and Affordable Care Act (Public Law 111-148), is 
further amended by adding at the end the following:

``SEC. 938. GRANTS TO SUPPORT PATIENT ADVOCACY.

    ``(a) Grants.--The Secretary, acting through the Director, shall 
award grants under this section to develop and support patient advocacy 
work to help individuals with eating disorders obtain adequate health 
care services and insurance coverage.
    ``(b) Eligibility.--To be eligible to receive a grant under this 
section, an entity shall--
            ``(1) be a public or nonprofit private entity (including a 
        health department of a State or tribal agency, a community-
        based organization, or an institution of higher education);
            ``(2) prepare and submit to the Secretary an application at 
        such time, in such manner, and containing such information as 
        the Secretary may require, including--
                    ``(A) comprehensive strategies for advocating on 
                behalf of, and working with, individuals with eating 
                disorders or at risk for developing eating disorders;
                    ``(B) a plan for consulting with community-based 
                coalitions, treatment centers, or eating disorder 
                research experts who have experience and expertise in 
                issues related to eating disorders or patient advocacy 
                in providing services under a grant awarded under this 
                section; and
                    ``(C) a plan for financial sustainability involving 
                State, local, and private contributions.
    ``(c) Use of Funds.--Amounts provided under a grant awarded under 
this section shall be used to support patient advocacy work, 
including--
            ``(1) providing education and outreach in community 
        settings regarding eating disorders and associated health 
        problems, especially among low-income, minority, and medically 
        underserved populations;
            ``(2) facilitating access to appropriate, adequate, and 
        timely health care for individuals with eating disorders and 
        associated health problems;
            ``(3) assisting in communication and cooperation between 
        patients and providers;
            ``(4) representing the interests of patients in managing 
        health insurance claims and plans;
            ``(5) providing education and outreach regarding enrollment 
        in health insurance, including enrollment in the Medicare 
        program under title XVIII of the Social Security Act, the 
        Medicaid program under title XIX of such Act, and the 
        Children's Health Insurance Program under title XXI of such 
        Act;
            ``(6) identifying, referring, and enrolling underserved 
        populations in appropriate health care agencies and community-
        based programs and organizations in order to increase access to 
        high-quality health care services;
            ``(7) providing technical assistance, training, and 
        organizational support for patient advocates; and
            ``(8) creating, operating, and participating in State or 
        regional networks of patient advocates.
    ``(d) Requirements of Grantees.--
            ``(1) Limitation on administrative expenses.--A grantee 
        shall not use more than 5 percent of the amounts received under 
        a grant under this section for administrative expenses.
            ``(2) Contribution of funds.--A grantee under this section, 
        and any entity receiving assistance under the grant for 
        training and education, shall contribute non-Federal funds, 
        either directly or through in-kind contributions, to the costs 
        of the activities to be funded under the grant in an amount 
        that is not less than 50 percent of the total cost of such 
        activities.
            ``(3) Reporting to secretary.--A grantee under this section 
        shall submit to the Secretary a report, at such time, in such 
        manner, and containing such information as the Secretary may 
        require, including a description and evaluation of the 
        activities described in subsection (c) carried out by such 
        entity.
    ``(e) Eating Disorder.--In this section, the term `eating disorder' 
has the meaning given such term in section 399OO(e).
    ``(f) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $1,000,000 for each of fiscal 
years 2014 through 2018.''.
                                 <all>