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[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1953 Introduced in House (IH)]

<DOC>

115th CONGRESS
  1st Session
                                H. R. 1953

  To amend title XVIII of the Social Security Act to provide for the 
 coordination of programs to prevent and treat obesity, and for other 
                               purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             April 5, 2017

Mr. Paulsen (for himself, Mr. Kind, Mrs. Napolitano, Mr. Ben Ray Lujan 
of New Mexico, Mr. Cardenas, Mr. Pocan, Mr. Roe of Tennessee, Mr. Heck, 
Mr. Tipton, Mr. Young of Iowa, Mr. Blumenauer, Mr. Cohen, Mr. Ted Lieu 
  of California, Mr. Shimkus, Mr. DeFazio, Mr. Guthrie, Mr. Lewis of 
Georgia, Mr. McGovern, Ms. Jenkins of Kansas, Ms. Bonamici, Mr. Roskam, 
  Mrs. Brooks of Indiana, and Mr. Pascrell) introduced the following 
 bill; which was referred to the Committee on Energy and Commerce, and 
  in addition to the Committee on Ways and Means, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL

 
  To amend title XVIII of the Social Security Act to provide for the 
 coordination of programs to prevent and treat obesity, and for other 
                               purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Treat and Reduce Obesity Act of 
2017''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) According to the Centers for Disease Control, about 34 
        percent of adults aged 65 and over were obese in the period of 
        2009 through 2012, representing almost 15 million people.
            (2) Obesity increases the risk for chronic diseases and 
        conditions, including high blood pressure, heart disease, 
        certain cancers, arthritis, mental illness, lipid disorders, 
        sleep apnea, and type 2 diabetes.
            (3) More than half of Medicare beneficiaries are treated 
        for 5 or more chronic conditions per year. The rate of obesity 
        among Medicare patients doubled from 1987 to 2002, and Medicare 
        spending on obese individuals during that time more than 
        doubled.
            (4) Men and women with obesity at age 65 have decreased 
        life expectancy of 1.6 years for men and 1.4 years for women.
            (5) The direct and indirect cost of obesity is more than 
        $450 billion annually.
            (6) On average, a Medicare beneficiary with obesity costs 
        $1,964 more than a normal-weight beneficiary.
            (7) The prevalence of obesity among older individuals in 
        the United States is growing at a linear rate and, if nothing 
        changes, nearly half of the elderly population of the United 
        States will have obesity in 2030 according to a Congressional 
        Research Report on obesity.

SEC. 3. AUTHORITY TO EXPAND HEALTH CARE PROVIDERS QUALIFIED TO FURNISH 
              INTENSIVE BEHAVIORAL THERAPY.

    Section 1861(ddd) of the Social Security Act (42 U.S.C. 1395x(ddd)) 
is amended by adding at the end the following new paragraph:
            ``(4)(A) Subject to subparagraph (B), the Secretary may, in 
        addition to qualified primary care physicians and other primary 
        care practitioners, cover intensive behavioral therapy for 
        obesity furnished by any of the following:
                    ``(i) A physician (as defined in subsection (r)(1)) 
                who is not a qualified primary care physician.
                    ``(ii) Any other appropriate health care provider 
                (including a physician assistant, nurse practitioner, 
                or clinical nurse specialist (as those terms are 
                defined in subsection (aa)(5)), a clinical 
                psychologist, a registered dietitian or nutrition 
                professional (as defined in subsection (vv))).
                    ``(iii) An evidence-based, community-based 
                lifestyle counseling program approved by the Secretary.
            ``(B) In the case of intensive behavioral therapy for 
        obesity furnished by a provider described in clause (ii) or 
        (iii) of subparagraph (A), the Secretary may only cover such 
        therapy if such therapy is furnished--
                    ``(i) upon referral from, and in coordination with, 
                a physician or primary care practitioner operating in a 
                primary care setting or any other setting specified by 
                the Secretary; and
                    ``(ii) in an office setting, a hospital out-patient 
                department, a community-based site that complies with 
                the Federal regulations concerning the privacy of 
                individually identifiable health information 
                promulgated under section 264(c) of the Health 
                Insurance Portability and Accountability Act of 1996 
                (42 U.S.C. 1320d-2 note), or another setting specified 
                by the Secretary.
            ``(C) In order to ensure a collaborative effort, the 
        coordination described in subparagraph (B)(i) shall include the 
        health care provider or lifestyle counseling program 
        communicating to the referring physician or primary care 
        practitioner any recommendations or treatment plans made 
        regarding the therapy.''.

SEC. 4. MEDICARE PART D COVERAGE OF OBESITY MEDICATION.

    (a) In General.--Section 1860D-2(e)(2)(A) of the Social Security 
Act (42 U.S.C. 1395w-102(e)(2)(A)) is amended by inserting after 
``restricted under section 1927(d)(2),'' the following: ``other than 
subparagraph (A) of such section if the drug is used for the treatment 
of obesity (as defined in section 1861(yy)(2)(C)) or for weight loss 
management for an individual who is overweight (as defined in section 
1861(yy)(2)(F)(i)) and has one or more related comorbidities,''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to plan years beginning on or after the date that is 2 years 
after the date of the enactment of this Act.

SEC. 5. REPORT TO CONGRESS.

    Not later than the date that is 1 year after the date of the 
enactment of this Act, and every 2 years thereafter, the Secretary 
shall submit a report to Congress describing the steps the Secretary 
has taken to implement the Act and provide Congress with 
recommendations for better coordination and leveraging of programs 
within the Department of Health and Human Services and other Federal 
agencies that relate in any way to supporting appropriate research and 
clinical care (such as any interactions between physicians and other 
health care providers and their patients) to treat, reduce, and prevent 
obesity in the adult population.
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