[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 5026 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 531
119th CONGRESS
  2d Session
                                S. 5026

To require warning labels on sugar-sweetened foods and beverages, foods 
  and beverages containing high-intensity sweeteners, ultra-processed 
  foods, and foods high in nutrients of concern, such as added sugar, 
    saturated fat, or sodium, to restrict junk food advertising to 
                               children.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 16, 2026

  Mr. Sanders introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                             July 28, 2026

               Reported by Mr. Cassidy, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
To require warning labels on sugar-sweetened foods and beverages, foods 
  and beverages containing high-intensity sweeteners, ultra-processed 
  foods, and foods high in nutrients of concern, such as added sugar, 
    saturated fat, or sodium, to restrict junk food advertising to 
                               children.

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

<DELETED>SECTION 1. SHORT TITLE; TABLE OF CONTENTS.</DELETED>

<DELETED>    (a) Short Title.--This Act may be cited as the ``Childhood 
Diabetes Reduction Act of 2026''.</DELETED>
<DELETED>    (b) Table of Contents.--The table of contents for this Act 
is as follows:</DELETED>

<DELETED>Sec. 1. Short title; table of contents.
       <DELETED>TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES

<DELETED>Sec. 101. Health warning labeling of foods; restriction on 
                            certain advertisements directed at 
                            children.
<DELETED>Sec. 102. National Institutes of Health research on nutrition 
                            science.
<DELETED>Sec. 103. Nutrition and physical activity public education 
                            campaign.
              <DELETED>TITLE II--FEDERAL TRADE COMMISSION

<DELETED>Sec. 201. Definitions.
<DELETED>Sec. 202. Restrictions on advertisements for junk food 
                            directed at children; required disclosure 
                            of any health and nutrient warning label in 
                            advertisements.
<DELETED>Sec. 203. Restoring the Federal Trade Commission's ability to 
                            promulgate rules on children's advertising.

  <DELETED>TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES</DELETED>

<DELETED>SEC. 101. HEALTH WARNING LABELING OF FOODS; RESTRICTION ON 
              CERTAIN ADVERTISEMENTS DIRECTED AT CHILDREN.</DELETED>

<DELETED>    (a) Front of Package Nutrition Labeling.--Section 403 of 
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343) is amended--
</DELETED>
        <DELETED>    (1) by adding at the end the following:</DELETED>
<DELETED>    ``(z)(1) If it is a sugar-sweetened beverage intended for 
human consumption and is offered for sale, unless its label includes 
the following statement: `Food and Drug Administration Warning: 
Drinking beverages with added sugar can contribute to obesity, type 2 
diabetes, and tooth decay. Not recommended for children.', and such 
statement is--</DELETED>
        <DELETED>    ``(A) enclosed by a rectangular border in bold 
        type and readily legible under ordinary conditions alongside an 
        icon comprised of an exclamation point contained within a 
        triangle; and</DELETED>
        <DELETED>    ``(B) prominently displayed on the front, or the 
        principal display, of the container, using not less than 5 
        percent of the area of the front, or the principal display, of 
        the container, and, as applicable, on 2 sides of any multi-pack 
        packaging.</DELETED>
<DELETED>    ``(2) If it is a food, including a beverage, containing 
any high-intensity sweetener intended for human consumption and is 
offered for sale, unless its label includes the following statement: 
`Food and Drug Administration Warning: Contains high-intensity 
sweetener. Not recommended for children.', and such statement is--
</DELETED>
        <DELETED>    ``(A) enclosed by a rectangular border in bold 
        type and readily legible under ordinary conditions alongside an 
        icon comprised of an exclamation point contained within a 
        triangle; and</DELETED>
        <DELETED>    ``(B) prominently displayed on the front, or the 
        principal display, of the container, using not less than 5 
        percent of the area of the front, or the principal display, of 
        the container, and, as applicable, on 2 sides of any multi-pack 
        packaging.</DELETED>
<DELETED>    ``(3) If it is an ultra-processed food, including a 
beverage, intended for human consumption and is offered for sale, 
unless its label includes the following statement: `Food and Drug 
Administration Warning: Consuming ultra-processed foods and drinks can 
cause weight gain, which increases the risk of obesity and type 2 
diabetes.', and such statement is--</DELETED>
        <DELETED>    ``(A) enclosed by a rectangular border in bold 
        type and readily legible under ordinary conditions alongside an 
        icon comprised of an exclamation point contained within a 
        triangle; and</DELETED>
        <DELETED>    ``(B) prominently displayed on the front, or the 
        principal display, of the container, using not less than 5 
        percent of the area of the front, or the principal display, of 
        the container, and, as applicable, on 2 sides of any multi-pack 
        packaging.</DELETED>
<DELETED>    ``(4) If it is a food, including a beverage, intended for 
human consumption and is offered for sale, and such food contains a 
nutrient of concern, such as added sugar, saturated fat, or sodium, or 
any other nutrient of concern, as the Secretary determines appropriate, 
at a level that increases, for individuals in the general population, 
the risk of disease or a health-related condition, as defined by the 
Secretary, unless its label includes the following statement for each 
nutrient of concern: `High in', followed by the specific nutrient of 
concern, and such statement is--</DELETED>
        <DELETED>    ``(A) enclosed by an octagon border in bold type 
        and readily legible under ordinary conditions; and</DELETED>
        <DELETED>    ``(B) prominently displayed on the front, or the 
        principal display, of the container, using not less than 5 
        percent of the area of the front, or the principal display, of 
        the container, and, as applicable, on 2 sides of any multi-pack 
        packaging.</DELETED>
<DELETED>    ``(5) The Secretary shall promulgate regulations to apply 
the labeling requirements under subparagraphs (1), (2), (3), and (4) 
with respect to food offered for sale by online retailers.</DELETED>
<DELETED>    ``(6) For purposes of this paragraph--</DELETED>
        <DELETED>    ``(A) the term `high-intensity sweetener'--
        </DELETED>
                <DELETED>    ``(i) means any synthetic, naturally 
                occurring, or modified non-nutritive sweetener that is 
                not classified as sugar and is used as an ingredient in 
                manufactured food, or sold on its own to be added to 
                food; and</DELETED>
                <DELETED>    ``(ii) includes acesulfame K, aspartame, 
                advantame, cyclamates, monk fruit, neotame, saccharin, 
                sucralose, stevia, and stevia derivatives;</DELETED>
        <DELETED>    ``(B) the term `sugar-sweetened beverage'--
        </DELETED>
                <DELETED>    ``(i) means any beverage intended for 
                human consumption to which one or more caloric 
                sweeteners has been added and that contains 25 or more 
                calories per 12 fluid ounces of beverage; and</DELETED>
                <DELETED>    ``(ii) includes drinks and beverages 
                commonly referred to as `soda', `pop', `cola', `soft 
                drinks', `sports drinks', `energy drinks', `slushies', 
                `sweetened ice tea', `fruit juice', or any other drinks 
                and beverage, as determined by the Secretary; 
                and</DELETED>
                <DELETED>    ``(iii) does not include--</DELETED>
                        <DELETED>    ``(I) infant formula;</DELETED>
                        <DELETED>    ``(II) any beverage for medical 
                        use;</DELETED>
                        <DELETED>    ``(III) any beverage designed as 
                        supplemental, meal replacement, or sole-source 
                        nutrition that includes proteins, 
                        carbohydrates, and multiple vitamins and 
                        minerals;</DELETED>
                        <DELETED>    ``(IV) any milk product;</DELETED>
                        <DELETED>    ``(V) 100 percent natural fruit or 
                        vegetable juice; or</DELETED>
                        <DELETED>    ``(VI) any alcoholic beverage; 
                        and</DELETED>
        <DELETED>    ``(C) the term `ultra-processed food'--</DELETED>
                <DELETED>    ``(i) means a food, including a beverage, 
                containing one or more industrial ingredients, 
                including surface-active agents, stabilizers and 
                thickeners, propellants, aerating agents and gases, 
                color and coloring adjuncts, emulsifiers and emulsifier 
                salts, flavoring agents and adjuvants, flavor 
                enhancers, surface-finishing, high-intensity 
                sweeteners, and other ingredients, as the Secretary 
                determines appropriate; and</DELETED>
                <DELETED>    ``(ii) does not include--</DELETED>
                        <DELETED>    ``(I) any product that meets the 
                        definition of `healthy' set forth in current 
                        regulations promulgated by the Food and Drug 
                        Administration; or</DELETED>
                        <DELETED>    ``(II) infant formula.''; 
                        and</DELETED>
        <DELETED>    (2) in paragraph (r)--</DELETED>
                <DELETED>    (A) in subparagraph (2)(A)(vi), by 
                inserting ``, including if the Secretary determines 
                that the food is high in added sugar, saturated fat, 
                sodium, or any other nutrient of concern (as determined 
                by the Secretary pursuant to paragraph (z)(4)), or if 
                the food contains high-intensity sweetener or is an 
                ultra-processed food (as defined in paragraph 
                (z)(6)(C))'' before the period at the end; 
                and</DELETED>
                <DELETED>    (B) in subparagraph (3)(A)--</DELETED>
                        <DELETED>    (i) in subclause (i), by striking 
                        ``, and'' and inserting a semicolon;</DELETED>
                        <DELETED>    (ii) in subclause (ii), by 
                        striking the period and inserting ``; and''; 
                        and</DELETED>
                        <DELETED>    (iii) by adding at the end the 
                        following:</DELETED>
        <DELETED>    ``(iii) if the food is not required to include a 
        nutrition warning label under subparagraph (1), (2), (3), or 
        (4) of paragraph (z).''.</DELETED>
<DELETED>    (b) Advertising.--Section 301 of the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 331) is amended by adding at the end the 
following:</DELETED>
<DELETED>    ``(jjj)(1) Marketing or advertising a food for which 
labeling is required under section 403(z), in a manner that reasonably 
appears to be directed at children.</DELETED>
<DELETED>    ``(2) In determining whether any marketing or advertising 
reasonably appears to be directed to children for purposes of 
subparagraph (1), the Secretary shall consider the totality of the 
circumstances, including whether such marketing or advertising uses 
themes or promotional strategies for food described in section 403(z) 
that appeal to children, such as the use of fun or fantasy themes, 
athletes and celebrities, cross-promotions using fictional characters, 
cartoon characters, social media influencers, animation, children's 
music, actors, or situations representing children's daily life, or 
free gifts or toys, contests, interactive games, or mobile or computer 
applications.''.</DELETED>
<DELETED>    (c) Authorization of Appropriations.--There is authorized 
to be appropriated to the Secretary of Health and Human Services 
$5,000,000 for each of fiscal years 2027 through 2031 for purposes of 
promulgating regulations and carrying out enforcement activities with 
respect to the labeling requirements under the amendments made by 
subsections (a) and (b).</DELETED>
<DELETED>    (d) Effective Date.--The amendments made by this section 
shall take effect 1 year after the date of enactment of this 
Act.</DELETED>

<DELETED>SEC. 102. NATIONAL INSTITUTES OF HEALTH RESEARCH ON NUTRITION 
              SCIENCE.</DELETED>

<DELETED>    Part A of title IV of the Public Health Service Act (42 
U.S.C. 281 et seq.) is amended by adding at the end the 
following:</DELETED>

<DELETED>``SEC. 404P. RESEARCH AND COLLABORATION ON NUTRITION 
              SCIENCE.</DELETED>

<DELETED>    ``(a) In General.--The Director of NIH shall expand, 
intensify, and coordinate programs, such as the Nutrition Regulatory 
Science Program, for the conduct and support of research with respect 
to nutrition science, including research on--</DELETED>
        <DELETED>    ``(1) the health effects of ultra-processed foods 
        on consumers;</DELETED>
        <DELETED>    ``(2) the specific food and beverage ingredients, 
        additives, sweeteners, and chemicals within ultra-processed 
        foods that may be harmful to health;</DELETED>
        <DELETED>    ``(3) the safety profile of food and beverage 
        ingredients, additives, sweeteners, and chemicals that have 
        been self-affirmed by food and beverage manufacturers as 
        generally recognized as safe without review of such status by 
        the Food and Drug Administration; and</DELETED>
        <DELETED>    ``(4) the formulation of ultra-processed foods to 
        have hyper-palatable qualities and association with 
        addiction.</DELETED>
<DELETED>    ``(b) Meetings on Nutrition.--</DELETED>
        <DELETED>    ``(1) In general.--Not later than 1 year after the 
        date of enactment of the Childhood Diabetes Reduction Act of 
        2026, and every 5 years thereafter, the Director of NIH, in 
        coordination with the Commissioner of Food and Drugs and the 
        heads of other agencies, as appropriate, shall convene a public 
        meeting for the purpose of discussing research efforts aimed at 
        improving nutrition and reducing the incidence of diet-related 
        chronic disease, with the goal of informing Federal 
        policy.</DELETED>
        <DELETED>    ``(2) Participants.--</DELETED>
                <DELETED>    ``(A) In general.--Each meeting under 
                paragraph (1) shall involve a diverse group of 
                stakeholders, including food scientists and 
                researchers, registered dietitians and nutritionists, 
                clinicians specializing in nutrition-related diseases, 
                Federal stakeholders, and nongovernmental organizations 
                focused on nutrition and health.</DELETED>
                <DELETED>    ``(B) Consideration.--In selecting 
                stakeholders described in subparagraph (A) for 
                participation in each meeting under paragraph (1), the 
                Director of NIH shall ensure that stakeholders who are 
                speaking at the meeting have no financial affiliation 
                with manufacturers of ultra-processed food.</DELETED>
        <DELETED>    ``(3) Topics.--Each meeting under paragraph (1) 
        shall include discussion of--</DELETED>
                <DELETED>    ``(A) current research findings related to 
                nutrition and chronic disease, including the impact of 
                food labeling requirements under section 403(z) of the 
                Federal Food, Drug, and Cosmetic Act;</DELETED>
                <DELETED>    ``(B) any gaps in such research and 
                priorities for future research;</DELETED>
                <DELETED>    ``(C) evidence-based practices for 
                improving nutrition and innovative approaches to 
                prevent and manage chronic conditions through dietary 
                innovations; and</DELETED>
                <DELETED>    ``(D) such other topics as the Director of 
                NIH determines appropriate.</DELETED>
        <DELETED>    ``(4) Report to congress.--The Director NIH, in 
        coordination with the Commissioner of Food and Drugs, shall 
        submit a report on each meeting under paragraph (1) to the 
        Committee on Health, Education, Labor, and Pensions of the 
        Senate and the Committee on Energy and Commerce of the House of 
        Representatives, and shall make each such report publicly 
        available on the website of the National Institutes of 
        Health.</DELETED>
<DELETED>    ``(c) Definition.--In this section, the term `ultra-
processed food' has the meaning given such term in section 403(z)(6) of 
the Federal Food, Drug, and Cosmetic Act.</DELETED>
<DELETED>    ``(d) Authorization of Appropriations.--For the purpose of 
carrying out this section, there are authorized to be appropriated 
$60,000,000 for each fiscal years 2027 through 2031.''.</DELETED>

<DELETED>SEC. 103. NUTRITION AND PHYSICAL ACTIVITY PUBLIC EDUCATION 
              CAMPAIGN.</DELETED>

<DELETED>    Title III of the Public Health Service Act (42 U.S.C. 241 
et seq.) is amended by striking section 399Y and inserting the 
following:</DELETED>

<DELETED>``SEC. 399Y. NUTRITION AND PHYSICAL ACTIVITY PUBLIC EDUCATION 
              CAMPAIGN.</DELETED>

<DELETED>    ``(a) In General.--The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, and in 
collaboration with national, State, Tribal, and local partners, 
physical activity organizations, nutrition experts, physical activity 
experts, health professional organizations, and other organizations, as 
appropriate, shall develop a national public campaign to educate the 
public, including adults, children, and caregivers, concerning--
</DELETED>
        <DELETED>    ``(1) how to read and understand the nutrient 
        warning labels required under subparagraphs (1) through (4) of 
        section 403(z) of the Federal Food, Drug, and Cosmetic 
        Act;</DELETED>
        <DELETED>    ``(2) the health risks associated with obesity, 
        inactivity, and poor nutrition, including consumption of foods 
        described in subparagraphs (1) through (4) of section 403(z) of 
        the Federal Food, Drug, and Cosmetic Act;</DELETED>
        <DELETED>    ``(3) ways to incorporate physical activity into 
        daily living;</DELETED>
        <DELETED>    ``(4) ways to support a healthy lifestyle and 
        reduce the risk of chronic illness, including 
        obesity;</DELETED>
        <DELETED>    ``(5) the benefits of good nutrition; 
        and</DELETED>
        <DELETED>    ``(6) strategies to improve eating and drinking 
        habits, such as identifying and selecting healthier food 
        choices and reducing consumption of added sugars, saturated 
        fat, and sodium.</DELETED>
<DELETED>    ``(b) Authorization of Appropriations.--There are 
authorized to be appropriated to carry out this section $10,000,000 for 
each of the fiscal years 2027 through 2031.''.</DELETED>

         <DELETED>TITLE II--FEDERAL TRADE COMMISSION</DELETED>

<DELETED>SEC. 201. DEFINITIONS.</DELETED>

<DELETED>    In this title:</DELETED>
        <DELETED>    (1) Child.--The term ``child'' means an individual 
        who is under the age of 13.</DELETED>
        <DELETED>    (2) Child-directed advertising.--The term ``child-
        directed advertising'' means any advertisement--</DELETED>
                <DELETED>    (A) that uses themes or promotional 
                strategies that appeal to children, which may include 
                the use of--</DELETED>
                        <DELETED>    (i) fun or fantasy themes, cartoon 
                        characters, social media influencers, 
                        animation, endorsements by celebrities and 
                        athletes, cross-promotions using fictional 
                        characters, children's music, actors, or 
                        situations representing children's daily life; 
                        or</DELETED>
                        <DELETED>    (ii) free gifts or toys, contests, 
                        interactive games, or mobile or computer 
                        applications; or</DELETED>
                <DELETED>    (B) in media for which children comprise 
                at least 30 percent of the audience, as determined by 
                the Commission, that is displayed using--</DELETED>
                        <DELETED>    (i) traditional measured media, 
                        such as television, radio, and printed media; 
                        or</DELETED>
                        <DELETED>    (ii) electronic media, content 
                        created by influencers, online videos, company-
                        sponsored websites, social media, movies, and 
                        video games.</DELETED>
        <DELETED>    (3) Commission.--The term ``Commission'' means the 
        Federal Trade Commission.</DELETED>
        <DELETED>    (4) Junk food.--The term ``junk food'' means 
        products with labeling requirements described in subparagraph 
        (1), (2), (3), or (4) of paragraph (z) of section 403 of the 
        Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343), as added 
        by section 101(a) of this Act.</DELETED>

<DELETED>SEC. 202. RESTRICTIONS ON ADVERTISEMENTS FOR JUNK FOOD 
              DIRECTED AT CHILDREN; REQUIRED DISCLOSURE OF ANY HEALTH 
              AND NUTRIENT WARNING LABEL IN ADVERTISEMENTS.</DELETED>

<DELETED>    (a) Marketing or Advertising Junk Food to Children.--
</DELETED>
        <DELETED>    (1) In general.--It shall be unlawful for any 
        person to market or advertise, or produce or distribute any 
        advertisement or marketing material for, junk food by using 
        child-directed advertising.</DELETED>
        <DELETED>    (2) Considerations.--In determining whether any 
        marketing or advertising uses child-directed advertising for 
        purposes of subparagraph (A), the Commission shall consider the 
        totality of the circumstances.</DELETED>
<DELETED>    (b) Required Disclosure.--It shall be unlawful for any 
person to market or advertise, or produce or distribute any 
advertisement or marketing material for, junk food without including in 
such advertisement or marketing material the relevant mandatory health 
or nutrient warning label or notice described in section 403(z) of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(z)).</DELETED>
<DELETED>    (c) Effective Date.--The prohibitions established in this 
section shall take effect on the date that is 1 year after the date of 
enactment of this Act.</DELETED>
<DELETED>    (d) Enforcement by the Commission.--</DELETED>
        <DELETED>    (1) Unfair or deceptive act or practice.--A 
        violation of this section or a regulation promulgated under 
        this section shall be treated as a violation of a rule defining 
        an unfair or deceptive act or practice under section 
        18(a)(1)(B) of the Federal Trade Commission Act (15 U.S.C. 
        57a(a)(1)(B)).</DELETED>
        <DELETED>    (2) Powers of the commission.--</DELETED>
                <DELETED>    (A) In general.--Except as provided in 
                subparagraph (C), the Commission shall enforce this 
                section in the same manner, by the same means, and with 
                the same jurisdiction, powers, and duties as though all 
                applicable terms and provisions of the Federal Trade 
                Commission Act (15 U.S.C. 41 et seq.) were incorporated 
                into and made a part of this section.</DELETED>
                <DELETED>    (B) Privileges and immunities.--Except as 
                provided in subparagraph (C), any person who violates 
                this section or a regulation promulgated under this 
                section shall be subject to the penalties and entitled 
                to the privileges and immunities provided in the 
                Federal Trade Commission Act (15 U.S.C. 41 et 
                seq.).</DELETED>
                <DELETED>    (C) Common carriers.--Notwithstanding 
                section 4, 5(a)(2), or 6 of the Federal Trade 
                Commission Act (15 U.S.C. 44, 45(a)(2), 46) or any 
                jurisdictional limitation of the Commission, the 
                Commission shall also enforce this Act, in the same 
                manner provided in subparagraphs (A) and (B), with 
                respect to common carriers subject to the 
                Communications Act of 1934 (47 U.S.C. 151 et seq.) and 
                Acts amendatory thereof and supplementary 
                thereto.</DELETED>
                <DELETED>    (D) Authority preserved.--Nothing in this 
                section shall be construed to limit the authority of 
                the Commission under any other provision of 
                law.</DELETED>
                <DELETED>    (E) Rulemaking.--The Commission shall 
                promulgate in accordance with section 553 of title 5, 
                United States Code, such rules as may be necessary to 
                carry out this section.</DELETED>

<DELETED>SEC. 203. RESTORING THE FEDERAL TRADE COMMISSION'S ABILITY TO 
              PROMULGATE RULES ON CHILDREN'S ADVERTISING.</DELETED>

<DELETED>    (a) In General.--Section 18(h) of the Federal Trade 
Commission Act (15 U.S.C. 57a(h)) is repealed.</DELETED>
<DELETED>    (b) Conforming Amendment.--Section 18(a)(1) of such Act is 
amended in the matter preceding subparagraph (A), by striking ``Except 
as provided in subsection (h), the Commission'' and inserting ``The 
Commission''.</DELETED>

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Childhood Diabetes 
Reduction Act of 2026''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.

            TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES

Sec. 101. Front of package nutrition labeling of foods; restriction on 
                            certain advertisements directed at 
                            children.
Sec. 102. National Institutes of Health research on nutrition science.
Sec. 103. Nutrition and physical activity public education campaign.

                   TITLE II--FEDERAL TRADE COMMISSION

Sec. 201. Definitions.
Sec. 202. Restrictions on advertisements for junk food directed at 
                            children; required disclosure of any health 
                            and nutrient warning label in 
                            advertisements.
Sec. 203. Restoring the Federal Trade Commission's ability to 
                            promulgate rules on children's advertising.

            TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES

SEC. 101. FRONT OF PACKAGE NUTRITION LABELING OF FOODS; RESTRICTION ON 
              CERTAIN ADVERTISEMENTS DIRECTED AT CHILDREN.

    (a) Front of Package Nutrition Labeling.--Section 403 of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343) is amended--
            (1) by adding at the end the following:
    ``(z)(1) If it is a sugar-sweetened beverage intended for human 
consumption and is offered for sale, unless its label includes the 
following statement: `Food and Drug Administration Warning: Drinking 
beverages with added sugar can contribute to obesity, type 2 diabetes, 
and tooth decay. Not recommended for children.', and such statement 
is--
            ``(A) enclosed by a rectangular border in bold type and 
        readily legible under ordinary conditions alongside an icon 
        comprised of an exclamation point contained within a triangle; 
        and
            ``(B) prominently displayed on the front, or the principal 
        display, of the container, using not less than 5 percent of the 
        area of the front, or the principal display, of the container, 
        and, as applicable, on 2 sides of any multi-pack packaging.
    ``(2) If it is a food, including a beverage, containing any high-
intensity sweetener intended for human consumption and is offered for 
sale, unless its label includes the following statement: `Food and Drug 
Administration Warning: Contains high-intensity sweetener. Not 
recommended for children.', and such statement is--
            ``(A) enclosed by a rectangular border in bold type and 
        readily legible under ordinary conditions alongside an icon 
        comprised of an exclamation point contained within a triangle; 
        and
            ``(B) prominently displayed on the front, or the principal 
        display, of the container, using not less than 5 percent of the 
        area of the front, or the principal display, of the container, 
        and, as applicable, on 2 sides of any multi-pack packaging.
    ``(3) If it is an ultra-processed food, including a beverage, 
intended for human consumption and is offered for sale, unless its 
label includes the following statement: `Food and Drug Administration 
Warning: Consuming ultra-processed foods and drinks can cause weight 
gain, which increases the risk of obesity and type 2 diabetes.', and 
such statement is--
            ``(A) enclosed by a rectangular border in bold type and 
        readily legible under ordinary conditions alongside an icon 
        comprised of an exclamation point contained within a triangle; 
        and
            ``(B) prominently displayed on the front, or the principal 
        display, of the container, using not less than 5 percent of the 
        area of the front, or the principal display, of the container, 
        and, as applicable, on 2 sides of any multi-pack packaging.
    ``(4) If it is a food, including a beverage, intended for human 
consumption and is offered for sale, and such food contains a nutrient 
of concern, such as added sugar, saturated fat, or sodium, or any other 
nutrient of concern, as the Secretary determines appropriate, at a 
level that increases, for individuals in the general population, the 
risk of disease or a health-related condition, as defined by the 
Secretary, unless its label includes the following statement for each 
nutrient of concern: `High in', followed by the specific nutrient of 
concern, and such statement is--
            ``(A) enclosed by an octagonal border in bold type and 
        readily legible under ordinary conditions; and
            ``(B) prominently displayed on the front, or the principal 
        display, of the container, using not less than 5 percent of the 
        area of the front, or the principal display, of the container, 
        and, as applicable, on 2 sides of any multi-pack packaging.
    ``(5) For purposes of this paragraph--
            ``(A) the term `high-intensity sweetener'--
                    ``(i) means any synthetic, naturally occurring, or 
                modified non-nutritive sweetener that is not classified 
                as sugar and is used as an ingredient in manufactured 
                food, or sold on its own to be added to food; and
                    ``(ii) includes acesulfame K, aspartame, advantame, 
                cyclamates, monk fruit, neotame, saccharin, sucralose, 
                stevia, and stevia derivatives;
            ``(B) the term `sugar-sweetened beverage'--
                    ``(i) means any beverage intended for human 
                consumption to which one or more caloric sweeteners has 
                been added and that contains 25 or more calories per 12 
                fluid ounces of beverage; and
                    ``(ii) includes drinks and beverages commonly 
                referred to as `soda', `pop', `cola', `soft drinks', 
                `sports drinks', `energy drinks', `slushies', 
                `sweetened ice tea', `fruit juice', or any other drinks 
                and beverage, as determined by the Secretary; and
                    ``(iii) does not include--
                            ``(I) any critical food, as defined in 
                        section 201(ss);
                            ``(II) any beverage designed as 
                        supplemental, meal replacement, or sole-source 
                        nutrition that includes proteins, 
                        carbohydrates, and multiple vitamins and 
                        minerals;
                            ``(III) 100 percent natural fruit or 
                        vegetable juice;
                            ``(IV) any alcoholic beverage; or
                            ``(V) any other product that the Secretary 
                        determines appropriate; and
            ``(C) the term `ultra-processed food'--
                    ``(i) means a food, including a beverage, 
                containing one or more industrial ingredients, 
                including surface-active agents, stabilizers and 
                thickeners, propellants, aerating agents and gases, 
                color and coloring adjuncts, emulsifiers and emulsifier 
                salts, flavoring agents and adjuvants, flavor 
                enhancers, surface-finishing, high-intensity 
                sweeteners, and other ingredients, as the Secretary 
                determines appropriate; and
                    ``(ii) does not include--
                            ``(I) any product that meets the definition 
                        of `healthy' set forth in current regulations 
                        promulgated by the Food and Drug 
                        Administration;
                            ``(II) any critical food, as defined in 
                        section 201(ss); or
                            ``(III) any other product that the 
                        Secretary determines appropriate.
    ``(6) The Secretary shall promulgate regulations, as appropriate, 
with respect to the labeling requirements under subparagraphs (1), (2), 
(3), and (4), which may include--
            ``(A) information on minimum font size, spacing in 
        comparison to other required statements, and steps to comply 
        for products with small packaging;
            ``(B) information on how the labeling requirements may be 
        applied to online retailers; and
            ``(C) additional information the Secretary determines to be 
        necessary to assist with compliance with the labeling 
        requirements.''; and
            (2) in paragraph (r)(2)(A)(vi), by inserting ``, including 
        if the Secretary determines that the food is high in added 
        sugar, saturated fat, sodium, or any other nutrient of concern 
        (as determined by the Secretary pursuant to paragraph (z)(4)), 
        or if the food contains high-intensity sweetener or is an 
        ultra-processed food (as defined in paragraph (z)(5)(C))'' 
        before the period at the end.
    (b) Advertising.--Section 301 of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 331) is amended by adding at the end the 
following:
    ``(jjj)(1) Marketing or advertising a food for which labeling is 
required under section 403(z), in a manner that reasonably appears to 
be directed at children.
    ``(2) In determining whether any marketing or advertising 
reasonably appears to be directed to children for purposes of 
subparagraph (1), the Secretary shall consider the totality of the 
circumstances, including whether such marketing or advertising uses 
themes or promotional strategies for food described in section 403(z) 
that appeal to children, such as the use of fun or fantasy themes, 
athletes and celebrities, cross-promotions using fictional characters, 
cartoon characters, social media influencers, animation, children's 
music, actors, or situations representing children's daily life, or 
free gifts or toys, contests, interactive games, or mobile or computer 
applications.''.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to the Secretary of Health and Human Services such sums as 
may be necessary for each of fiscal years 2027 through 2031 for 
purposes of promulgating regulations and carrying out enforcement 
activities with respect to the labeling requirements under the 
amendments made by subsections (a) and (b).
    (d) Effective Date.--The amendments made by this section shall take 
effect 1 year after the date of enactment of this Act.

SEC. 102. NATIONAL INSTITUTES OF HEALTH RESEARCH ON NUTRITION SCIENCE.

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

``SEC. 404P. RESEARCH AND COLLABORATION ON NUTRITION SCIENCE.

    ``(a) In General.--The Director of NIH shall, as appropriate, 
expand, intensify, and coordinate the activities of the National 
Institutes of Health with respect to nutrition science, including basic 
and clinical research on--
            ``(1) the effects of food and dietary patterns, including 
        ultra-processed foods, on health;
            ``(2) the effects of food processing, formulation, 
        ingredients, and additives on health and food consumption;
            ``(3) the biological and health effects of food ingredients 
        and additives, including research to address gaps in available 
        evidence;
            ``(4) the effects of food formulation and processing on 
        eating behavior, energy intake, and patterns of consumption, 
        including relevant biological and behavioral mechanisms; and
            ``(5) evidence-based approaches to improve nutrition and 
        prevent or manage chronic disease related to diet.
    ``(b) Coordination and Stakeholder Input.--In carrying out this 
section, the Director of NIH shall coordinate, as appropriate, with the 
Commissioner of Food and Drugs and the heads of other relevant Federal 
agencies, and may consult with researchers, clinicians, patients, and 
other relevant stakeholders.
    ``(c) Definition.--In this section, the term `ultra-processed food' 
has the meaning given such term in section 403(z)(5) of the Federal 
Food, Drug, and Cosmetic Act.''.

SEC. 103. NUTRITION AND PHYSICAL ACTIVITY PUBLIC EDUCATION CAMPAIGN.

    Section 399Y of the Public Health Service Act (42 U.S.C. 280h-2) is 
amended--
            (1) in the section heading, by inserting ``nutrition and 
        physical activity public'' before ``education campaign'';
            (2) in subsection (a), by striking ``, and in collaboration 
        with'' and all that follows through the period at the end and 
        inserting ``and in coordination with the Office of the 
        Assistant Secretary of Health, shall, as appropriate, conduct 
        or support public education activities concerning nutrition, 
        physical activity, and the prevention of chronic disease 
        related to diet.'';
            (3) by redesignating subsection (b) as subsection (d);
            (4) by inserting after subsection (a) the following:
    ``(b) Activities.--Activities conducted or supported under 
subsection (a) may include the dissemination of evidence-based 
information concerning--
            ``(1) the health risks associated with obesity, inactivity, 
        and poor nutrition;
            ``(2) the relationship between nutrition, physical 
        activity, and chronic disease;
            ``(3) the use of nutrition information, including 
        information provided on food labels, to inform dietary choices; 
        and
            ``(4) strategies to support healthy eating and physical 
        activity.
    ``(c) Coordination.--In carrying out this section, the Secretary 
may coordinate with other relevant Federal agencies and consult with 
State, local, and Tribal public health agencies, health professionals, 
and other relevant stakeholders, as appropriate.''; and
            (5) in subsection (d), as so redesignated, by striking 
        ``2001 through 2005'' and inserting ``2027 through 2031''.

                   TITLE II--FEDERAL TRADE COMMISSION

SEC. 201. DEFINITIONS.

    In this title:
            (1) Child.--The term ``child'' means an individual who is 
        under the age of 13.
            (2) Child-directed advertising.--The term ``child-directed 
        advertising'' means any advertisement--
                    (A) that uses themes or promotional strategies that 
                appeal to children, which may include the use of--
                            (i) fun or fantasy themes, cartoon 
                        characters, social media influencers, 
                        animation, endorsements by celebrities and 
                        athletes, cross-promotions using fictional 
                        characters, children's music, actors, or 
                        situations representing children's daily life; 
                        or
                            (ii) free gifts or toys, contests, 
                        interactive games, or mobile or computer 
                        applications; or
                    (B) in media for which children comprise at least 
                30 percent of the audience, as determined by the 
                Commission, that is displayed using--
                            (i) traditional measured media, such as 
                        television, radio, and printed media; or
                            (ii) electronic media, content created by 
                        influencers, online videos, company-sponsored 
                        websites, social media, movies, and video 
                        games.
            (3) Commission.--The term ``Commission'' means the Federal 
        Trade Commission.
            (4) Junk food.--The term ``junk food'' means products with 
        labeling requirements described in subparagraph (1), (2), (3), 
        or (4) of paragraph (z) of section 403 of the Federal Food, 
        Drug, and Cosmetic Act (21 U.S.C. 343), as added by section 
        101(a) of this Act.

SEC. 202. RESTRICTIONS ON ADVERTISEMENTS FOR JUNK FOOD DIRECTED AT 
              CHILDREN; REQUIRED DISCLOSURE OF ANY HEALTH AND NUTRIENT 
              WARNING LABEL IN ADVERTISEMENTS.

    (a) Marketing or Advertising Junk Food to Children.--
            (1) In general.--It shall be unlawful for any person to 
        market or advertise, or produce or distribute any advertisement 
        or marketing material for, junk food by using child-directed 
        advertising.
            (2) Considerations.--In determining whether any marketing 
        or advertising uses child-directed advertising for purposes of 
        subparagraph (A), the Commission shall consider the totality of 
        the circumstances.
    (b) Required Disclosure.--It shall be unlawful for any person to 
market or advertise, or produce or distribute any advertisement or 
marketing material for, junk food without including in such 
advertisement or marketing material the relevant mandatory health or 
nutrient warning label or notice described in section 403(z) of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(z)).
    (c) Effective Date.--The prohibitions established in this section 
shall take effect on the date that is 1 year after the date of 
enactment of this Act.
    (d) Enforcement by the Commission.--
            (1) Unfair or deceptive act or practice.--A violation of 
        this section or a regulation promulgated under this section 
        shall be treated as a violation of a rule defining an unfair or 
        deceptive act or practice under section 18(a)(1)(B) of the 
        Federal Trade Commission Act (15 U.S.C. 57a(a)(1)(B)).
            (2) Powers of the commission.--
                    (A) In general.--Except as provided in subparagraph 
                (C), the Commission shall enforce this section in the 
                same manner, by the same means, and with the same 
                jurisdiction, powers, and duties as though all 
                applicable terms and provisions of the Federal Trade 
                Commission Act (15 U.S.C. 41 et seq.) were incorporated 
                into and made a part of this section.
                    (B) Privileges and immunities.--Except as provided 
                in subparagraph (C), any person who violates this 
                section or a regulation promulgated under this section 
                shall be subject to the penalties and entitled to the 
                privileges and immunities provided in the Federal Trade 
                Commission Act (15 U.S.C. 41 et seq.).
                    (C) Common carriers.--Notwithstanding section 4, 
                5(a)(2), or 6 of the Federal Trade Commission Act (15 
                U.S.C. 44, 45(a)(2), 46) or any jurisdictional 
                limitation of the Commission, the Commission shall also 
                enforce this Act, in the same manner provided in 
                subparagraphs (A) and (B), with respect to common 
                carriers subject to the Communications Act of 1934 (47 
                U.S.C. 151 et seq.) and Acts amendatory thereof and 
                supplementary thereto.
                    (D) Authority preserved.--Nothing in this section 
                shall be construed to limit the authority of the 
                Commission under any other provision of law.
                    (E) Rulemaking.--The Commission shall promulgate in 
                accordance with section 553 of title 5, United States 
                Code, such rules as may be necessary to carry out this 
                section.

SEC. 203. RESTORING THE FEDERAL TRADE COMMISSION'S ABILITY TO 
              PROMULGATE RULES ON CHILDREN'S ADVERTISING.

    (a) In General.--Section 18(h) of the Federal Trade Commission Act 
(15 U.S.C. 57a(h)) is repealed.
    (b) Conforming Amendment.--Section 18(a)(1) of such Act is amended 
in the matter preceding subparagraph (A), by striking ``Except as 
provided in subsection (h), the Commission'' and inserting ``The 
Commission''.
                                                       Calendar No. 531

119th CONGRESS

  2d Session

                                S. 5026

_______________________________________________________________________

                                 A BILL

To require warning labels on sugar-sweetened foods and beverages, foods 
  and beverages containing high-intensity sweeteners, ultra-processed 
  foods, and foods high in nutrients of concern, such as added sugar, 
    saturated fat, or sodium, to restrict junk food advertising to 
                               children.

_______________________________________________________________________

                             July 28, 2026

                       Reported with an amendment