II 

109TH CONGRESS 

1ST SESSION S. 1325 

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

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

purposes. 

IN THE SENATE OF THE UNITED STATES 

JUNE 28, 2005 

Mr. FRIST (for himself, Mr. BINGAMAN, Mr. DODD, Mrs. CLINTON, Ms. COLLINS, Mr. ALEXANDER, Mr. LUGAR, Ms. MURKOWSKI, and Mr. STEVENS) 

introduced the following bill; which was read twice and referred to the 

Committee on Health, Education, Labor, and Pensions 

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

2 Human Service recognized ‘‘obesity is a critical pub3 lic health problem in our country’’ and under the 

4 medicare program language was removed from the 

5 coverage manual stating that obesity is not an ill6 ness. 

7 (2) The National Health and Nutrition Exam8 ination Survey for 2002 found that an estimated 65 

9 percent of adults are overweight and 31 percent of 

10 adults are obese and 16 percent of children and ado11 lescents in the United States are overweight or 

12 obese. 

13 (3) The Institute of Medicine reported in ‘‘Pre14 venting Childhood Obesity’’ (2004) that approxi15 mately 60 percent of obese children between 5 and 

16 10 years of age have at least one cardiovascular dis17 ease risk factor and 25 percent have two or more 

18 such risk factors. 

19 (4) The Institute of Medicine reports that the 

20 prevalence of overweight and obesity is increasing 

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

22 overweight children between 2 and 5 years of age 

23 and adolescents between 12 and 19 years of age, 

24 and 3 times the number of children between 6 and 

25 11 years of age as there were 30 years ago. 
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1 (5) According to the 2004 Institute of Medicine 

2 report, obesity-associated annual hospital costs for 

3 children and youth more than tripled over 2 decades, 

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

5 1981 to $127,000,000 in the period 1997 through 

6 1999. 

7 (6) The Centers for Disease Control and Pre8 vention reports have estimated that as many as 

9 365,000 deaths a year are associated with being 

10 overweight or obese. Overweight and obesity are as11 sociated with an increased risk for heart disease (the 

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

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

14 death), and musculoskeletal disorders. 

15 (7) According to the National Institute of Dia16 betes and Digestive and Kidney Diseases, individuals 

17 who are obese have a 50 to 100 percent increased 

18 risk of premature death. 

19 (8) The Healthy People 2010 goals identify 

20 overweight and obesity as one of the Nation’s lead21 ing health problems and include objectives for in22 creasing the proportion of adults who are at a 

23 healthy weight, reducing the proportion of adults 

24 who are obese, and reducing the proportion of chil25 dren and adolescents who are overweight or obese. 
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1 (9) Another goal of Healthy People 2010 is to 

2 eliminate health disparities among different seg3 ments of the population. Obesity is a health problem 

4 that disproportionally impacts medically underserved 

5 populations. 

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

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

8 prevention of obesity as a national priority. 

9 (11) The Institute of Medicine report ‘‘Pre10 venting Childhood Obesity’’ (2004) finds that ‘‘child11 hood obesity is a serious nationwide health problem 

12 requiring urgent attention and a population-based 

13 prevention approach. . .’’. 

14 (12) The Centers for Disease Control and Pre15 vention estimates the annual expenditures related to 

16 overweight and obesity in adults in the United 

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

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

19 dramatically. This cost can potentially escalate 

20 markedly as obesity rates continue to rise and the 

21 medical complications of obesity are emerging at 

22 even younger ages. Therefore, the total disease bur23 den will most likely increase, as well as the attend24 ant health-related costs. 
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1 (13) Weight control programs should promote a 

2 healthy lifestyle including regular physical activity 

3 and healthy eating, as consistently discussed and 

4 identified in a variety of public and private con5 sensus documents, including the 2001 U.S. Surgeon 

6 General’s report ‘‘A Call To Action’’ and other docu7 ments prepared by the Department of Health and 

8 Human Services and other agencies. 

9 (14) The Institute of Medicine reports that 

10 poor eating habits are a risk factor for the develop11 ment of eating disorders and obesity. In 2002, more 

12 than 35,000,000 Americans experienced limited ac13 cess to nutritious food on a regular basis. The avail14 ability of high-calorie, low nutrient foods have in15 creased in low-income neighborhoods due to many 

16 factors. 

17 (15) Effective interventions for promoting 

18 healthy eating behaviors should promote healthy life19 style and not inadvertently promote unhealthy 

20 weight management techniques. 

21 (16) The National Institutes of Health reports 

22 that eating disorders are commonly associated with 

23 substantial psychological problems, including depres24 sion, substance abuse, and suicide. 
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1 (17) The National Association of Anorexia 

2 Nervosa and Associated Disorders estimates there 

3 are 8,000,000 Americans experience eating dis4 orders. Eating disorders of all types are more com5 mon in women than men. 

6 (18) The health risks of Binge Eating Disorder 

7 are those associated with obesity and include heart 

8 disease, gall bladder disease, and diabetes. 

9 (19) According to the National Institute of 

10 Mental Health, Binge Eating Disorder is character11 ized by frequent episodes of uncontrolled overeating, 

12 with an estimated 2 to 5 percent of Americans expe13 riencing this disorder in a 6-month period. 

14 (20) Additionally, the National Institute of 

15 Mental Health reports that Anorexia Nervosa, an 

16 eating disorder from which 0.5 to 3.7 percent of 

17 American women will suffer in their lifetime, is asso18 ciated with serious health consequences including 

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

20 According to the National Institute of Mental 

21 Health, Anorexia Nervosa has one of the highest 

22 mortality rates of all psychiatric disorders, placing a 

23 young woman with Anorexia Nervosa at 12 times 

24 the risk of death of other women her age. 
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1 (21) In 2001, the National Institute of Mental 

2 Health reported that 1.1 to 4.2 percent of American 

3 women will suffer from Bulimia Nervosa in their 

4 lifetime. Bulimia Nervosa is an eating disorder that 

5 is associated with cardiac, gastrointestinal, and den6 tal problems, including irregular heartbeats, gastric 

7 ruptures, peptic ulcers, and tooth decay. 

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

9 6 percent of high school students reported recent use 

10 of laxatives or vomiting to control their weight. 

11 TITLE I—TRAINING GRANTS 

12 SEC. 101. GRANTS TO PROVIDE TRAINING FOR HEALTH 

13 PROFESSION STUDENTS. 

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

15 (42 U.S.C. 293k(c)(3)) is amended by striking ‘‘and vic16 tims of domestic violence’’ and inserting ‘‘victims of do17 mestic violence, individuals (including children) who are 

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

19 399W(j)) and at risk for related serious and chronic med20 ical conditions, and individuals who suffer from eating dis21 orders’’. 

22 SEC. 102. GRANTS TO PROVIDE TRAINING FOR HEALTH 

23 PROFESSIONALS. 

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

25 U.S.C. 280h–3) is amended— 
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1 (1) in subsection (b), by striking ‘‘2005’’ and 

2 inserting ‘‘2007’’; 

3 (2) by redesignating subsection (b) as sub4 section (c); and 

5 (3) by inserting after subsection (a) the fol6 lowing: 

7 ‘‘(b) GRANTS.— 

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

9 grants to eligible entities to train primary care phy10 sicians and other licensed or certified health profes11 sionals on how to identify, treat, and prevent obesity 

12 or eating disorders and aid individuals who are over13 weight, obese, or who suffer from eating disorders. 

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

15 grant under this subsection shall submit an applica16 tion at such time, in such manner, and containing 

17 such information as the Secretary may require, in18 cluding a plan for the use of funds that may be 

19 awarded and an evaluation of the training that will 

20 be provided. 

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

22 a grant under this subsection shall use the funds 

23 made available through such grant to— 

24 ‘‘(A) use evidence-based findings or rec25 ommendations that pertain to the prevention 
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1 and treatment of obesity, being overweight, and 

2 eating disorders to conduct educational con3 ferences, including Internet-based courses and 

4 teleconferences, on— 

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

6 being overweight, and eating disorders; 

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

8 overweight, eating disorders and related se9 rious and chronic medical conditions; 

10 ‘‘(iii) how to discuss varied strategies 

11 with patients from at-risk and diverse pop12 ulations to promote positive behavior 

13 change and healthy lifestyles to avoid obe14 sity, being overweight, and eating dis15 orders; 

16 ‘‘(iv) how to identify overweight, 

17 obese, individuals with eating disorders, 

18 and those who are at risk for obesity and 

19 being overweight or suffer from eating dis20 orders and, therefore, at risk for related 

21 serious and chronic medical conditions; and 

22 ‘‘(v) how to conduct a comprehensive 

23 assessment of individual and familial 

24 health risk factors; and 
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1 ‘‘(B) evaluate the effectiveness of the 

2 training provided by such entity in increasing 

3 knowledge and changing attitudes and behav4 iors of trainees. 

5 ‘‘(4) AUTHORIZATION OF APPROPRIATIONS.— 

6 There are authorized to be appropriated to carry out 

7 this subsection, $10,000,000 for fiscal year 2006, 

8 and such sums as may be necessary for each of fis9 cal years 2007 through 2010.’’. 

10 TITLE II—COMMUNITY-BASED 

11 SOLUTIONS TO INCREASE 

12 PHYSICAL ACTIVITY, IM13 PROVE NUTRITION, AND PRO14 MOTE HEALTHY EATING BE15 HAVIORS 

16 SEC. 201. GRANTS TO INCREASE PHYSICAL ACTIVITY, IM17 PROVE NUTRITION, AND PROMOTE HEALTHY 

18 EATING BEHAVIORS. 

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

20 (42 U.S.C. 280h et seq.) is amended by striking section 

21 399W and inserting the following: 

22 ‘‘SEC. 399W. GRANTS TO INCREASE PHYSICAL ACTIVITY, IM23 PROVE NUTRITION, AND PROMOTE HEALTHY 

24 EATING BEHAVIORS. 

25 ‘‘(a) ESTABLISHMENT.— 
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1 ‘‘(1) IN GENERAL.—The Secretary, acting 

2 through the Director of the Centers for Disease 

3 Control and Prevention and in coordination with the 

4 Administrator of the Health Resources and Services 

5 Administration, the Director of the Indian Health 

6 Service, the Secretary of Education, the Secretary of 

7 Agriculture, the Secretary of the Interior, the Direc8 tor of the National Institutes of Health, the Director 

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

10 other appropriate agencies, shall award competitive 

11 grants to eligible entities to plan and implement pro12 grams that promote healthy eating behaviors and 

13 physical activity to prevent eating disorders, obesity, 

14 being overweight, and related serious and chronic 

15 medical conditions. Such grants may be awarded to 

16 target at-risk populations including youth, adoles17 cent girls, health disparity populations (as defined in 

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

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

20 under this subsection for a period not to exceed 4 

21 years. 

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

23 a grant under this section shall submit an application to 

24 the Secretary at such time, in such manner, and con-
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1 taining such information as the Secretary may require, in2 cluding— 

3 ‘‘(1) a plan describing a comprehensive pro4 gram of approaches to encourage healthy eating be5 haviors and healthy levels of physical activity; 

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

7 coordinate with appropriate State and local authori8 ties, including— 

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

10 ‘‘(B) departments of health; 

11 ‘‘(C) chronic disease directors; 

12 ‘‘(D) State directors of programs under 

13 section 17 of the Child Nutrition Act of 1966 

14 (42 U.S.C. 1786); 

15 ‘‘(E) governors’ councils for physical activ16 ity and good nutrition; 

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

18 departments; and 

19 ‘‘(G) State and local departments of trans20 portation and city planning; and 

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

22 evaluate the effectiveness of the program carried out 

23 under this section. 

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

25 section, the Secretary shall ensure that the proposed pro-
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1 grams are coordinated in substance and format with pro2 grams currently funded through other Federal agencies 

3 and operating within the community including the Phys4 ical Education Program (PEP) of the Department of Edu5 cation. 

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

7 ‘eligible entity’ means— 

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

9 ‘‘(2) a State educational agency; 

10 ‘‘(3) a tribal educational agency; 

11 ‘‘(4) a local educational agency; 

12 ‘‘(5) a federally qualified health center (as de13 fined in section 1861(aa)(4) of the Social Security 

14 Act (42 U.S.C. 1395x(aa)(4)); 

15 ‘‘(6) a rural health clinic; 

16 ‘‘(7) a health department; 

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

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

19 ‘‘(10) an urban Indian facility; 

20 ‘‘(11) any health provider; 

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

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

23 ‘‘(14) a local city planning agency; or 

24 ‘‘(15) any other entity determined appropriate 

25 by the Secretary. 
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1 ‘‘(e) USE OF FUNDS.—An eligible entity that receives 

2 a grant under this section shall use the funds made avail3 able through the grant to— 

4 ‘‘(1) carry out community-based activities in5 cluding— 

6 ‘‘(A) city planning, transportation initia7 tives, and environmental changes that help pro8 mote physical activity, such as increasing the 

9 use of walking or bicycling as a mode of trans10 portation; 

11 ‘‘(B) forming partnerships and activities 

12 with businesses and other entities to increase 

13 physical activity levels and promote healthy eat14 ing behaviors at the workplace and while trav15 eling to and from the workplace; 

16 ‘‘(C) forming partnerships with entities, in17 cluding schools, faith-based entities, and other 

18 facilities providing recreational services, to es19 tablish programs that use their facilities for 

20 after school and weekend community activities; 

21 ‘‘(D) establishing incentives for retail food 

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

23 stores, and other retail food outlets that offer 

24 nutritious foods to encourage such stores and 
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1 outlets to locate in economically depressed 

2 areas; 

3 ‘‘(E) forming partnerships with senior cen4 ters, nursing facilities, retirement communities, 

5 and assisted living facilities to establish pro6 grams for older people to foster physical activ7 ity and healthy eating behaviors; 

8 ‘‘(F) forming partnerships with daycare fa9 cilities to establish programs that promote 

10 healthy eating behaviors and physical activity; 

11 and 

12 ‘‘(G) developing and evaluating community 

13 educational activities targeting good nutrition 

14 and promoting healthy eating behaviors; 

15 ‘‘(2) carry out age-appropriate school-based ac16 tivities including— 

17 ‘‘(A) developing and testing educational 

18 curricula and intervention programs designed to 

19 promote healthy eating behaviors and habits in 

20 youth, which may include— 

21 ‘‘(i) after hours physical activity pro22 grams; 

23 ‘‘(ii) increasing opportunities for stu24 dents to make informed choices regarding 

25 healthy eating behaviors; and 
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1 ‘‘(iii) science-based interventions with 

2 multiple components to prevent eating dis3 orders including nutritional content, under4 standing and responding to hunger and sa5 tiety, positive body image development, 

6 positive self-esteem development, and 

7 learning life skills (such as stress manage8 ment, communication skills, problem-solv9 ing and decisionmaking skills), as well as 

10 consideration of cultural and develop11 mental issues, and the role of family, 

12 school, and community; 

13 ‘‘(B) providing education and training to 

14 educational professionals regarding a healthy 

15 lifestyle and a healthy school environment; 

16 ‘‘(C) planning and implementing a healthy 

17 lifestyle curriculum or program with an empha18 sis on healthy eating behaviors and physical ac19 tivity; and 

20 ‘‘(D) planning and implementing healthy 

21 lifestyle classes or programs for parents or 

22 guardians, with an emphasis on healthy eating 

23 behaviors and physical activity; 

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

25 health care delivery systems including— 
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1 ‘‘(A) promoting healthy eating behaviors 

2 and physical activity services to treat or prevent 

3 eating disorders, being overweight, and obesity; 

4 ‘‘(B) providing patient education and coun5 seling to increase physical activity and promote 

6 healthy eating behaviors; and 

7 ‘‘(C) providing community education on 

8 good nutrition and physical activity to develop 

9 a better understanding of the relationship be10 tween diet, physical activity, and eating dis11 orders, obesity, or being overweight; or 

12 ‘‘(4) other activities determined appropriate by 

13 the Secretary (including evaluation or identification 

14 and dissemination of outcomes and best practices). 

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

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

17 entities who provide matching contributions. Such non18 Federal contributions may be cash or in kind, fairly evalu19 ated, including plant, equipment, or services. 

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

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

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

23 to permit the Director of the Centers for Disease Control 

24 and Prevention to provide grantees with technical support 

25 in the development, implementation, and evaluation of 
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1 programs under this section and to disseminate informa2 tion about effective strategies and interventions in pre3 venting and treating obesity and eating disorders through 

4 the promotion of healthy eating behaviors and physical ac5 tivity. 

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

7 eligible entity awarded a grant under this section may not 

8 use more than 10 percent of funds awarded under such 

9 grant for administrative expenses. 

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

11 of enactment of the Improved Nutrition and Physical Ac12 tivity Act, the Director of the Centers for Disease Control 

13 and Prevention shall review the results of the grants 

14 awarded under this section and other related research and 

15 identify programs that have demonstrated effectiveness in 

16 promoting healthy eating behaviors and physical activity 

17 in youth. Such review shall include an identification of 

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

19 well as recommendations for next steps to reduce over20 weight, obesity, and eating disorders. Information derived 

21 from such review, including model program curricula, shall 

22 be disseminated to the public. 

23 ‘‘(j) DEFINITIONS.—In this section: 
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1 ‘‘(1) ANOREXIA NERVOSA.—The term ‘Anorexia 

2 Nervosa’ means an eating disorder characterized by 

3 self-starvation and excessive weight loss. 

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

5 ‘binge eating disorder’ means a disorder character6 ized by frequent episodes of uncontrolled eating. 

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

8 Nervosa’ means an eating disorder characterized by 

9 excessive food consumption, followed by inappro10 priate compensatory behaviors, such as self-induced 

11 vomiting, misuse of laxatives, fasting, or excessive 

12 exercise. 

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

14 disorders’ means disorders of eating, including Ano15 rexia Nervosa, Bulimia Nervosa, and binge eating 

16 disorder. 

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

18 ‘healthy eating behaviors’ means— 

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

20 but not in excess of, daily energy needs; 

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

22 prevent disease; 

23 ‘‘(C) eating comfortably in social environ24 ments that promote healthy relationships with 

25 family, peers, and community; and 
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1 ‘‘(D) eating in a manner to acknowledge 

2 internal signals of hunger and satiety. 

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

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

5 greater. 

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

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

8 25 to 29.9 kg/m2 and a child or adolescent with a 

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

10 Centers for Disease Control and Prevention growth 

11 charts or another appropriate childhood definition, 

12 as defined by the Secretary. 

13 ‘‘(8) YOUTH.—The term ‘youth’ means individ14 uals not more than 18 years old. 

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

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

17 $60,000,000 for fiscal year 2006 and such sums as may 

18 be necessary for each of fiscal years 2007 through 2010. 

19 Of the funds appropriated pursuant to this subsection, the 

20 following amounts shall be set aside for activities related 

21 to eating disorders: 

22 ‘‘(1) $5,000,000 for fiscal year 2006. 

23 ‘‘(2) $5,500,000 for fiscal year 2007. 

24 ‘‘(3) $6,000,000 for fiscal year 2008. 

25 ‘‘(4) $6,500,000 for fiscal year 2009. 
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1 ‘‘(5) $1,000,000 for fiscal year 2010.’’. 

2 SEC. 202. NATIONAL CENTER FOR HEALTH STATISTICS. 

3 Section 306 of the Public Health Service Act (42 

4 U.S.C. 242k) is amended— 

5 (1) in subsection (m)(4)(B), by striking ‘‘sub6 section (n)’’ each place it appears and inserting 

7 ‘‘subsection (o)’’; 

8 (2) by redesignating subsection (n) as sub9 section (o); and 

10 (3) by inserting after subsection (m) the fol11 lowing: 

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

13 may provide for the— 

14 ‘‘(A) collection of data for determining the fit15 ness levels and energy expenditure of children and 

16 youth; and 

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

18 National Health and Nutrition Examination Survey 

19 and other data sources. 

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

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

22 public entities, and nonprofit entities. 

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

24 provide technical assistance, standards, and methodologies 

25 to grantees supported by this subsection in order to maxi-
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1 mize the data quality and comparability with other stud2 ies.’’. 

3 SEC. 203. HEALTH DISPARITIES REPORT. 

4 Not later than 18 months after the date of enactment 

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

6 Agency for Healthcare Research and Quality shall review 

7 all research that results from the activities carried out 

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

9 and determine if particular information may be important 

10 to the report on health disparities required by section 

11 903(c)(3) of the Public Health Service Act (42 U.S.C. 

12 299a–1(c)(3)). 

13 SEC. 204. PREVENTIVE HEALTH SERVICES BLOCK GRANT. 

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

15 (42 U.S.C. 300w–3(a)(1)) is amended by adding at the 

16 end the following: 

17 ‘‘(H) Activities and community education pro18 grams designed to address and prevent overweight, 

19 obesity, and eating disorders through effective pro20 grams to promote healthy eating, and exercise habits 

21 and behaviors.’’. 

22 SEC. 205. REPORT ON OBESITY AND EATING DISORDERS 

23 RESEARCH. 

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

25 date of enactment of this Act, the Secretary of Health and 
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1 Human Services shall submit to the Committee on Health, 

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

3 Committee on Energy and Commerce of the House of 

4 Representatives a report on research conducted on causes 

5 and health implications (including mental health implica6 tions) of being overweight, obesity, and eating disorders. 

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

8 (a) shall contain— 

9 (1) descriptions on the status of relevant, cur10 rent, ongoing research being conducted in the De11 partment of Health and Human Services including 

12 research at the National Institutes of Health, the 

13 Centers for Disease Control and Prevention, the 

14 Agency for Healthcare Research and Quality, the 

15 Health Resources and Services Administration, and 

16 other offices and agencies; 

17 (2) information about what these studies have 

18 shown regarding the causes, prevention, and treat19 ment of, being overweight, obesity, and eating dis20 orders; and 

21 (3) recommendations on further research that 

22 is needed, including research among diverse popu23 lations, the plan of the Department of Health and 

24 Human Services for conducting such research, and 

25 how current knowledge can be disseminated. 
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1 SEC. 206. REPORT ON A NATIONAL CAMPAIGN TO CHANGE 

2 CHILDREN’S HEALTH BEHAVIORS AND RE3 DUCE OBESITY. 

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

5 U.S.C. 280h–2) is amended— 

6 (1) by redesignating subsection (b) as sub7 section (c); and 

8 (2) by inserting after subsection (a) the fol9 lowing: 

10 ‘‘(b) REPORT.—The Secretary shall evaluate the ef11 fectiveness of the campaign described in subsection (a) in 

12 changing children’s behaviors and reducing obesity and 

13 shall report such results to the Committee on Health, 

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

15 Committee on Energy and Commerce of the House of 

16 Representatives.’’. 

Æ