I 

110TH CONGRESS 

1ST SESSION H. R. 2677 

To establish grants to provide health services for improved nutrition, increased 

physical activity, obesity and eating disorder prevention, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 12, 2007 

Mrs. BONO (for herself, Mrs. LOWEY, Ms. GRANGER, and Mr. RAMSTAD) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To establish grants to provide health services for improved 

nutrition, increased physical activity, obesity and eating 

disorder prevention, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Improved Nutrition 

5 and Physical Activity Act’’ or the ‘‘IMPACT Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress makes the following findings: 

8 (1) In July 2004, the Secretary of Health and 

9 Human Service recognized ‘‘obesity is a critical pubmstockstill on PROD1PC66 with BILLS

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1 lic health problem in our country’’ and under the 

2 medicare program language was removed from the 

3 coverage manual stating that obesity is not an ill4 ness. 

5 (2) The National Health and Nutrition Exam6 ination Survey for 2002 found that an estimated 65 

7 percent of adults are overweight and 31 percent of 

8 adults are obese and 16 percent of children and ado9 lescents in the United States are overweight or 

10 obese. 

11 (3) The Institute of Medicine reported in ‘‘Pre12 venting Childhood Obesity’’ (2004) that approxi13 mately 60 percent of obese children between 5 and 

14 10 years of age have at least one cardiovascular dis15 ease risk factor and 25 percent have two or more 

16 such risk factors. 

17 (4) The Institute of Medicine reports that the 

18 prevalence of overweight and obesity is increasing 

19 among all age groups. There is twice the number of 

20 overweight children between 2 and 5 years of age 

21 and adolescents between 12 and 19 years of age, 

22 and 3 times the number of children between 6 and 

23 11 years of age as there were 30 years ago. 

24 (5) According to the 2004 Institute of Medicine 

25 report, obesity-associated annual hospital costs for 

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1 children and youth more than tripled over 2 decades, 

2 rising from $35,000,000 in the period 1979 through 

3 1981 to $127,000,000 in the period 1997 through 

4 1999. 

5 (6) The Centers for Disease Control and Pre6 vention reports have estimated that as many as 

7 365,000 deaths a year are associated with being 

8 overweight or obese. Overweight and obesity are as9 sociated with an increased risk for heart disease (the 

10 leading cause of death), cancer (the second leading 

11 cause of death), diabetes (the 6th leading cause of 

12 death), and musculoskeletal disorders. 

13 (7) According to the National Institute of Dia14 betes and Digestive and Kidney Diseases, individuals 

15 who are obese have a 50 to 100 percent increased 

16 risk of premature death. 

17 (8) The Healthy People 2010 goals identify 

18 overweight and obesity as one of the Nation’s lead19 ing health problems and include objectives for in20 creasing the proportion of adults who are at a 

21 healthy weight, reducing the proportion of adults 

22 who are obese, and reducing the proportion of chil23 dren and adolescents who are overweight or obese. 

24 (9) Another goal of Healthy People 2010 is to 

25 eliminate health disparities among different segmstockstill on PROD1PC66 with BILLS

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1 ments of the population. Obesity is a health problem 

2 that disproportionally impacts medically underserved 

3 populations. 

4 (10) The 2005 Surgeon General’s report ‘‘The 

5 Year of the Healthy Child’’ lists the treatment and 

6 prevention of obesity as a national priority. 

7 (11) The Institute of Medicine report ‘‘Pre8 venting Childhood Obesity’’ (2004) finds that ‘‘child9 hood obesity is a serious nationwide health problem 

10 requiring urgent attention and a population-based 

11 prevention approach . . .’’. 

12 (12) The Centers for Disease Control and Pre13 vention estimates the annual expenditures related to 

14 overweight and obesity in adults in the United 

15 States to be $264,000,000,000 (exceeding the cost 

16 of tobacco-related illnesses) and appears to be rising 

17 dramatically. This cost can potentially escalate 

18 markedly as obesity rates continue to rise and the 

19 medical complications of obesity are emerging at 

20 even younger ages. Therefore, the total disease bur21 den will most likely increase, as well as the attend22 ant health-related costs. 

23 (13) Weight control programs should promote a 

24 healthy lifestyle including regular physical activity 

25 and healthy eating, as consistently discussed and 

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1 identified in a variety of public and private con2 sensus documents, including the 2001 U.S. Surgeon 

3 General’s report ‘‘A Call To Action’’ and other docu4 ments prepared by the Department of Health and 

5 Human Services and other agencies. 

6 (14) The Institute of Medicine reports that 

7 poor eating habits are a risk factor for the develop8 ment of eating disorders and obesity. In 2002, more 

9 than 35,000,000 Americans experienced limited ac10 cess to nutritious food on a regular basis. The avail11 ability of high-calorie, low nutrient foods have in12 creased in low-income neighborhoods due to many 

13 factors. 

14 (15) Effective interventions for promoting 

15 healthy eating behaviors should promote healthy life16 style and not inadvertently promote unhealthy 

17 weight management techniques. 

18 (16) The National Institutes of Health reports 

19 that eating disorders are commonly associated with 

20 substantial psychological problems, including depres21 sion, substance abuse, and suicide. 

22 (17) The National Association of Anorexia 

23 Nervosa and Associated Disorders estimates there 

24 are 8,000,000 Americans experience eating dismstockstill on PROD1PC66 with BILLS

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1 orders. Eating disorders of all types are more com2 mon in women than men. 

3 (18) The health risks of Binge Eating Disorder 

4 are those associated with obesity and include heart 

5 disease, gall bladder disease, and diabetes. 

6 (19) According to the National Institute of 

7 Mental Health, Binge Eating Disorder is character8 ized by frequent episodes of uncontrolled overeating, 

9 with an estimated 2 to 5 percent of Americans expe10 riencing this disorder in a 6-month period. 

11 (20) Additionally, the National Institute of 

12 Mental Health reports that Anorexia Nervosa, an 

13 eating disorder from which 0.5 to 3.7 percent of 

14 American women will suffer in their lifetime, is asso15 ciated with serious health consequences including 

16 heart failure, kidney failure, osteoporosis, and death. 

17 According to the National Institute of Mental 

18 Health, Anorexia Nervosa has one of the highest 

19 mortality rates of all psychiatric disorders, placing a 

20 young woman with Anorexia Nervosa at 12 times 

21 the risk of death of other women her age. 

22 (21) In 2001, the National Institute of Mental 

23 Health reported that 1.1 to 4.2 percent of American 

24 women will suffer from Bulimia Nervosa in their 

25 lifetime. Bulimia Nervosa is an eating disorder that 

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1 is associated with cardiac, gastrointestinal, and den2 tal problems, including irregular heartbeats, gastric 

3 ruptures, peptic ulcers, and tooth decay. 

4 (22) On the 2003 Youth Risk Behavior Survey, 

5 6 percent of high school students reported recent use 

6 of laxatives or vomiting to control their weight. 

7 (23) The Girl Scout Research Institute found 

8 that most girls have a holistic view of health and be9 lieve physical and emotional health are of equal im10 portance. This connection is reflected in their behav11 ior and attitudes toward diet and exercise. (‘‘The 

12 New Normal?: What Girls Say about Healthy Liv13 ing’’ 2006.) 

14 (24) According to the American Academy of 

15 Pediatrics, the current epidemic of inactivity and the 

16 associated epidemic of obesity are being driven by 

17 multiple factors (societal, technologic, industrial, 

18 commercial, financial) and must be addressed like19 wise on several fronts. Success is more likely to be 

20 achieved by the implementation of sustainable, eco21 nomically viable, culturally acceptable active-living 

22 policies that can be integrated into multiple sectors 

23 of society. (‘‘Pediatrics’’ Vol. 117 No. 5 May 2006, 

24 pp. 1834–1842 (doi:10.1542/peds.2006–0472) (‘‘Acmstockstill on PROD1PC66 with BILLS

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1 tive Healthy Living: Prevention of Childhood Obesity 

2 Through Increased Physical Activity’’)). 

3 (25) The Institute of Medicine reports that tak4 ing action against childhood obesity must address 

5 the factors that influence both eating and physical 

6 activity. According to the Institute of Medicine, 

7 ‘‘[a]lthough a number of organizations, industries, 

8 institutions, and agencies must be involved in de9 signing and implementing changes, efforts cannot 

10 succeed unless they also engage the families, schools, 

11 and communities that create the environments in 

12 which children live and their behaviors are formed’’. 

13 TITLE I—TRAINING GRANTS 

14 SEC. 101. GRANTS TO PROVIDE TRAINING FOR HEALTH 

15 PROFESSION STUDENTS. 

16 Section 747(c)(3) of the Public Health Service Act 

17 (42 U.S.C. 293k(c)(3)) is amended by striking ‘‘and vic18 tims of domestic violence’’ and inserting ‘‘victims of do19 mestic violence, individuals (including children) who are 

20 overweight or obese (as such terms are defined in section 

21 399W(j)) and at-risk for related serious and chronic med22 ical conditions, and individuals who suffer from eating dis23 orders’’. 

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1 SEC. 102. GRANTS TO PROVIDE TRAINING FOR HEALTH 

2 PROFESSIONALS. 

3 Section 399Z of the Public Health Service Act (42 

4 U.S.C. 280h–3) is amended— 

5 (1) in subsection (b), by striking ‘‘2005’’ and 

6 inserting ‘‘2008’’; 

7 (2) by redesignating subsection (b) as sub8 section (c); 

9 (3) by inserting after subsection (a) the fol10 lowing: 

11 ‘‘(b) GRANTS.— 

12 ‘‘(1) IN GENERAL.—The Secretary may award 

13 grants to eligible entities to train primary care phy14 sicians and other licensed or certified health profes15 sionals on how to identify, treat, and prevent obesity 

16 or eating disorders and aid individuals who are over17 weight, obese, or who suffer from eating disorders. 

18 ‘‘(2) APPLICATION.—An entity that desires a 

19 grant under this subsection shall submit an applica20 tion at such time, in such manner, and containing 

21 such information as the Secretary may require, in22 cluding a plan for the use of funds that may be 

23 awarded and an evaluation of the training that will 

24 be provided. 

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1 ‘‘(3) USE OF FUNDS.—An entity that receives 

2 a grant under this subsection shall use the funds 

3 made available through such grant to— 

4 ‘‘(A) use evidence-based findings or rec5 ommendations that pertain to the prevention 

6 and treatment of obesity, being overweight, and 

7 eating disorders to conduct educational con8 ferences, including Internet-based courses and 

9 teleconferences, on— 

10 ‘‘(i) how to treat or prevent obesity, 

11 being overweight, and eating disorders; 

12 ‘‘(ii) the link between obesity, being 

13 overweight, eating disorders and related se14 rious and chronic medical conditions; 

15 ‘‘(iii) how to discuss varied strategies 

16 with patients from at-risk and diverse pop17 ulations to promote positive behavior 

18 change and healthy lifestyles to avoid obe19 sity, being overweight, and eating dis20 orders; 

21 ‘‘(iv) how to identify overweight, 

22 obese, individuals with eating disorders, 

23 and those who are at risk for obesity and 

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1 orders and, therefore, at risk for related 

2 serious and chronic medical conditions; and 

3 ‘‘(v) how to conduct a comprehensive 

4 assessment of individual and familial 

5 health risk factors; and 

6 ‘‘(B) evaluate the effectiveness of the 

7 training provided by such entity in increasing 

8 knowledge and changing attitudes and behav9 iors of trainees.’’; and 

10 (4) in subsection (c) (as so redesignated)— 

11 (A) by striking ‘‘There are authorized to 

12 be appropriated to carry out this section’’ and 

13 all that follows and inserting the following: 

14 ‘‘There are authorized to be appropriated— 

15 ‘‘(1) to carry out subsection (a),’’; and 

16 (B) by adding at the end the following: 

17 ‘‘(2) to carry out subsection (b), $10,000,000 

18 for fiscal year 2008, and such sums as may be nec19 essary for each of fiscal years 2009 through 2012.’’. 

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1 TITLE II—COMMUNITY-BASED 

2 SOLUTIONS TO INCREASE 

3 PHYSICAL ACTIVITY, IM4 PROVE NUTRITION, AND PRO5 MOTE HEALTHY EATING BE6 HAVIORS 

7 SEC. 201. GRANTS TO INCREASE PHYSICAL ACTIVITY, IM8 PROVE NUTRITION, AND PROMOTE HEALTHY 

9 EATING BEHAVIORS. 

10 Part Q of title III of the Public Health Service Act 

11 (42 U.S.C. 280h et seq.) is amended by striking section 

12 399W and inserting the following: 

13 ‘‘SEC. 399W. GRANTS TO INCREASE PHYSICAL ACTIVITY, IM14 PROVE NUTRITION, AND PROMOTE HEALTHY 

15 EATING BEHAVIORS. 

16 ‘‘(a) ESTABLISHMENT.— 

17 ‘‘(1) IN GENERAL.—The Secretary, acting 

18 through the Director of the Centers for Disease 

19 Control and Prevention and in coordination with the 

20 Administrator of the Health Resources and Services 

21 Administration, the Director of the Indian Health 

22 Service, the Secretary of Education, the Secretary of 

23 Agriculture, the Secretary of the Interior, the Direc24 tor of the National Institutes of Health, the Director 

25 of the Office of Women’s Health, and the heads of 

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1 other appropriate agencies, shall award competitive 

2 grants to eligible entities to plan and implement pro3 grams that promote healthy eating behaviors and 

4 physical activity to prevent eating disorders, obesity, 

5 being overweight, and related serious and chronic 

6 medical conditions. Such grants may be awarded to 

7 target at-risk populations including youth, adoles8 cent girls, health disparity populations (as defined in 

9 section 485E(d)), and the underserved. 

10 ‘‘(2) TERM.—The Secretary shall award grants 

11 under this subsection for a period not to exceed 4 

12 years. 

13 ‘‘(b) AWARD OF GRANTS.—An eligible entity desiring 

14 a grant under this section shall submit an application to 

15 the Secretary at such time, in such manner, and con16 taining such information as the Secretary may require, in17 cluding— 

18 ‘‘(1) a plan describing a comprehensive pro19 gram of approaches to encourage healthy eating be20 haviors and healthy levels of physical activity; 

21 ‘‘(2) the manner in which the eligible entity will 

22 coordinate with appropriate State and local authori23 ties and community-based organizations, including— 

24 ‘‘(A) State and local educational agencies; 

25 ‘‘(B) departments of health; 

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1 ‘‘(C) chronic disease directors; 

2 ‘‘(D) State directors of programs under 

3 section 17 of the Child Nutrition Act of 1966 

4 (42 U.S.C. 1786); 

5 ‘‘(E) governors’ councils for physical activ6 ity and good nutrition; 

7 ‘‘(F) State and local parks and recreation 

8 departments; and 

9 ‘‘(G) State and local departments of trans10 portation and city planning; and 

11 ‘‘(H) community-based organizations serv12 ing youth; and 

13 ‘‘(3) the manner in which the applicant will 

14 evaluate the effectiveness of the program carried out 

15 under this section. 

16 ‘‘(c) COORDINATION.—In awarding grants under this 

17 section, the Secretary shall ensure that the proposed pro18 grams are coordinated in substance and format with pro19 grams currently funded through other Federal agencies 

20 and operating within the community including the Phys21 ical Education Program (PEP) of the Department of Edu22 cation. 

23 ‘‘(d) ELIGIBLE ENTITY.—In this section, the term 

24 ‘eligible entity’ means— 

25 ‘‘(1) a city, county, tribe, territory, or State; 

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1 ‘‘(2) a State educational agency; 

2 ‘‘(3) a tribal educational agency; 

3 ‘‘(4) a local educational agency; 

4 ‘‘(5) a federally qualified health center (as de5 fined in section 1861(aa)(4) of the Social Security 

6 Act); 

7 ‘‘(6) a rural health clinic; 

8 ‘‘(7) a health department; 

9 ‘‘(8) an Indian Health Service hospital or clinic; 

10 ‘‘(9) an Indian tribal health facility; 

11 ‘‘(10) an urban Indian facility; 

12 ‘‘(11) any health provider; 

13 ‘‘(12) an accredited university or college; 

14 ‘‘(13) a community-based organization; 

15 ‘‘(14) a local city planning agency; 

16 ‘‘(15) a State or local parks and recreation de17 partment; or 

18 ‘‘(16) any other entity determined appropriate 

19 by the Secretary. 

20 ‘‘(e) USE OF FUNDS.—An eligible entity that receives 

21 a grant under this section shall use the funds made avail22 able through the grant to— 

23 ‘‘(1) carry out community-based activities in24 cluding— 

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1 ‘‘(A) city planning, transportation initia2 tives, and environmental changes that help pro3 mote physical activity, such as increasing the 

4 use of walking or bicycling as a mode of trans5 portation; 

6 ‘‘(B) forming partnerships and activities 

7 with businesses, community-based organiza8 tions, and other entities to increase physical ac9 tivity levels and promote healthy eating behav10 iors in schools and while traveling to and from 

11 schools; 

12 ‘‘(C) forming partnerships with entities, in13 cluding schools, faith-based entities, commu14 nity-based organizations, and other organiza15 tions providing recreational services, to estab16 lish programs that use their facilities or other 

17 resources for after-school, weekend, and sum18 mer community activities, especially those that 

19 promote or involve physical activity; 

20 ‘‘(D) establishing incentives for retail food 

21 stores, farmer’s markets, food co-ops, grocery 

22 stores, and other retail food outlets that offer 

23 fresh fruits and vegetables and other nutritious 

24 foods to encourage such stores and outlets to 

25 locate in economically depressed areas; 

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1 ‘‘(E) forming partnerships with senior cen2 ters, nursing facilities, retirement communities, 

3 and assisted living facilities to establish pro4 grams for older people to foster physical activ5 ity and healthy eating behaviors; 

6 ‘‘(F) forming partnerships with daycare 

7 and after-school entities to establish programs 

8 that promote healthy eating behaviors and 

9 physical activity; 

10 ‘‘(G) developing and evaluating community 

11 educational activities targeting good nutrition 

12 and promoting healthy eating behaviors; and 

13 ‘‘(H) providing, directly or in cooperation 

14 with State and local parks and recreation de15 partments, programs and other opportunities 

16 for daily physical activity; 

17 ‘‘(2) carry out age-appropriate school-based ac18 tivities including— 

19 ‘‘(A) developing and testing educational 

20 curricula and intervention programs designed to 

21 promote healthy eating behaviors and habits in 

22 youth, which may include— 

23 ‘‘(i) after hours physical activity pro24 grams; 

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1 ‘‘(ii) increasing opportunities for stu2 dents to make informed choices regarding 

3 healthy eating behaviors; and 

4 ‘‘(iii) science-based interventions with 

5 multiple components to prevent eating dis6 orders including nutritional content, under7 standing and responding to hunger and sa8 tiety, positive body image development, 

9 positive self-esteem development, and 

10 learning life skills (such as stress manage11 ment, communication skills, problem-solv12 ing and decisionmaking skills), as well as 

13 consideration of cultural and develop14 mental issues, and the role of family, 

15 school, and community; 

16 ‘‘(B) providing education and training to 

17 educational professionals regarding a healthy 

18 lifestyle and a healthy school environment; 

19 ‘‘(C) planning and implementing a healthy 

20 lifestyle curriculum or program with an empha21 sis on healthy eating behaviors and physical ac22 tivity; and 

23 ‘‘(D) planning and implementing healthy 

24 lifestyle classes or programs for parents or 

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1 guardians, with an emphasis on healthy eating 

2 behaviors and physical activity; 

3 ‘‘(3) carry out activities through the local 

4 health care delivery systems including— 

5 ‘‘(A) promoting healthy eating behaviors 

6 and physical activity services to treat or prevent 

7 eating disorders, being overweight, and obesity; 

8 ‘‘(B) providing patient education and coun9 seling to increase physical activity and promote 

10 healthy eating behaviors; and 

11 ‘‘(C) providing community education on 

12 good nutrition and physical activity to develop 

13 a better understanding of the relationship be14 tween diet, physical activity, and eating dis15 orders, obesity, or being overweight; or 

16 ‘‘(4) other activities determined appropriate by 

17 the Secretary (including evaluation or identification 

18 and dissemination of outcomes and best practices). 

19 ‘‘(f) MATCHING FUNDS.—In awarding grants under 

20 subsection (a), the Secretary may give priority to eligible 

21 entities who provide matching contributions. Such non22 Federal contributions may be cash or in kind, fairly evalu23 ated, including plant, equipment, or services. 

24 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary may 

25 set aside an amount not to exceed 10 percent of the total 

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1 amount appropriated for a fiscal year under subsection (k) 

2 to permit the Director of the Centers for Disease Control 

3 and Prevention to provide grantees with technical support 

4 in the development, implementation, and evaluation of 

5 programs under this section and to disseminate informa6 tion about effective strategies and interventions in pre7 venting and treating obesity and eating disorders through 

8 the promotion of healthy eating behaviors and physical ac9 tivity. 

10 ‘‘(h) LIMITATION ON ADMINISTRATIVE COSTS.—An 

11 eligible entity awarded a grant under this section may not 

12 use more than 10 percent of funds awarded under such 

13 grant for administrative expenses. 

14 ‘‘(i) REPORT.—Not later than 6 years after the date 

15 of enactment of the Improved Nutrition and Physical Ac16 tivity Act, the Director of the Centers for Disease Control 

17 and Prevention shall review the results of the grants 

18 awarded under this section and other related research and 

19 identify programs that have demonstrated effectiveness in 

20 promoting healthy eating behaviors and physical activity 

21 in youth. Such review shall include an identification of 

22 model curricula, best practices, and lessons learned, as 

23 well as recommendations for next steps to reduce over24 weight, obesity, and eating disorders. Information derived 

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1 from such review, including model program curricula, shall 

2 be disseminated to the public. 

3 ‘‘(j) DEFINITIONS.—In this section: 

4 ‘‘(1) ANOREXIA NERVOSA.—The term ‘Anorexia 

5 Nervosa’ means an eating disorder characterized by 

6 self-starvation and excessive weight loss. 

7 ‘‘(2) BINGE EATING DISORDER.—The term 

8 ‘binge eating disorder’ means a disorder character9 ized by frequent episodes of uncontrolled eating. 

10 ‘‘(3) BULIMIA NERVOSA.—The term ‘Bulimia 

11 Nervosa’ means an eating disorder characterized by 

12 excessive food consumption, followed by inappro13 priate compensatory behaviors, such as self-induced 

14 vomiting, misuse of laxatives, fasting, or excessive 

15 exercise. 

16 ‘‘(4) EATING DISORDERS.—The term ‘eating 

17 disorders’ means disorders of eating, including Ano18 rexia Nervosa, Bulimia Nervosa, binge eating dis19 order, and eating disorders not otherwise specified. 

20 ‘‘(5) HEALTHY EATING BEHAVIORS.—The term 

21 ‘healthy eating behaviors’ means— 

22 ‘‘(A) eating in quantities adequate to meet, 

23 but not in excess of, daily energy needs; 

24 ‘‘(B) choosing foods to promote health and 

25 prevent disease; 

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1 ‘‘(C) eating comfortably in social environ2 ments that promote healthy relationships with 

3 family, peers, and community; and 

4 ‘‘(D) eating in a manner to acknowledge 

5 internal signals of hunger and satiety. 

6 ‘‘(6) OBESE.—The term ‘obese’ means an adult 

7 with a Body Mass Index (BMI) of 30 kg/m2 or 

8 greater. 

9 ‘‘(7) OVERWEIGHT.—The term ‘overweight’ 

10 means an adult with a Body Mass Index (BMI) of 

11 25 to 29.9 kg/m2 and a child or adolescent with a 

12 BMI at or above the 95th percentile on the revised 

13 Centers for Disease Control and Prevention growth 

14 charts or another appropriate childhood definition, 

15 as defined by the Secretary. 

16 ‘‘(8) YOUTH.—The term ‘youth’ means individ17 uals not more than 18 years old. 

18 ‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 

19 are authorized to be appropriated to carry out this section, 

20 $60,000,000 for fiscal year 2008, and such sums as may 

21 be necessary for each of fiscal years 2009 through 2012. 

22 Of the funds appropriated pursuant to this subsection, the 

23 following amounts shall be set aside for activities related 

24 to eating disorders: 

25 ‘‘(1) $5,000,000 for fiscal year 2008. 

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1 ‘‘(2) $5,500,000 for fiscal year 2009. 

2 ‘‘(3) $6,000,000 for fiscal year 2010. 

3 ‘‘(4) $6,500,000 for fiscal year 2011. 

4 ‘‘(5) $1,000,000 for fiscal year 2012.’’. 

5 SEC. 202. NATIONAL CENTER FOR HEALTH STATISTICS. 

6 Section 306 of the Public Health Service Act (42 

7 U.S.C. 242k) is amended— 

8 (1) in subsection (m)(4)(B), by striking ‘‘sub9 section (n)’’ each place it appears and inserting 

10 ‘‘subsection (o)’’; 

11 (2) by redesignating subsection (n) as sub12 section (o); and 

13 (3) by inserting after subsection (m) the fol14 lowing: 

15 ‘‘(n)(1) The Secretary, acting through the Center, 

16 may provide for the— 

17 ‘‘(A) collection of data for determining the fit18 ness levels and energy expenditure of children and 

19 youth; and 

20 ‘‘(B) analysis of data collected as part of the 

21 National Health and Nutrition Examination Survey 

22 and other data sources. 

23 ‘‘(2) In carrying out paragraph (1), the Secretary, 

24 acting through the Center, may make grants to States, 

25 public entities, and nonprofit entities. 

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1 ‘‘(3) The Secretary, acting through the Center, may 

2 provide technical assistance, standards, and methodologies 

3 to grantees supported by this subsection in order to maxi4 mize the data quality and comparability with other stud5 ies.’’. 

6 SEC. 203. HEALTH DISPARITIES REPORT. 

7 Not later than 18 months after the date of enactment 

8 of this Act, and annually thereafter, the Director of the 

9 Agency for Healthcare Research and Quality shall review 

10 all research that results from the activities carried out 

11 under this Act (and the amendments made by this Act) 

12 and determine if particular information may be important 

13 to the report on health disparities required by section 

14 903(c)(3) of the Public Health Service Act (42 U.S.C. 

15 299a–1(c)(3)). 

16 SEC. 204. PREVENTIVE HEALTH SERVICES BLOCK GRANT. 

17 Section 1904(a)(1) of the Public Health Service Act 

18 (42 U.S.C. 300w–3(a)(1)) is amended by adding at the 

19 end the following: 

20 ‘‘(H) Activities and community education pro21 grams designed to address and prevent overweight, 

22 obesity, and eating disorders through effective pro23 grams to promote healthy eating, and exercise habits 

24 and behaviors.’’. 

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1 SEC. 205. REPORT ON OBESITY AND EATING DISORDERS 

2 RESEARCH. 

3 (a) IN GENERAL.—Not later than 1 year after the 

4 date of enactment of this Act, the Secretary of Health and 

5 Human Services shall submit to the Committee on Health, 

6 Education, Labor, and Pensions of the Senate and the 

7 Committee on Energy and Commerce of the House of 

8 Representatives a report on research conducted on causes 

9 and health implications (including mental health implica10 tions) of being overweight, obesity, and eating disorders. 

11 (b) CONTENT.—The report described in subsection 

12 (a) shall contain— 

13 (1) descriptions on the status of relevant, cur14 rent, ongoing research being conducted in the De15 partment of Health and Human Services including 

16 research at the National Institutes of Health, the 

17 Centers for Disease Control and Prevention, the 

18 Agency for Healthcare Research and Quality, the 

19 Health Resources and Services Administration, and 

20 other offices and agencies; 

21 (2) information about what these studies have 

22 shown regarding the causes, prevention, and treat23 ment of, being overweight, obesity, and eating dis24 orders; and 

25 (3) recommendations on further research that 

26 is needed, including research among diverse popumstockstill on PROD1PC66 with BILLS

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1 lations, the plan of the Department of Health and 

2 Human Services for conducting such research, and 

3 how current knowledge can be disseminated. 

4 SEC. 206. REPORT ON A NATIONAL CAMPAIGN TO CHANGE 

5 CHILDREN’S HEALTH BEHAVIORS AND RE6 DUCE OBESITY. 

7 Section 399Y of the Public Health Service Act (42 

8 U.S.C. 280h–2) is amended— 

9 (1) by redesignating subsection (b) as sub10 section (c); and 

11 (2) by inserting after subsection (a) the fol12 lowing: 

13 ‘‘(b) REPORT.—The Secretary shall evaluate the ef14 fectiveness of the campaign described in subsection (a) in 

15 changing children’s behaviors and reducing obesity and 

16 shall report such results to the Committee on Health, 

17 Education, Labor, and Pensions of the Senate and the 

18 Committee on Energy and Commerce of the House of 

19 Representatives.’’. 

Æ 

mstockstill on PROD1PC66 with BILLS