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[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6258 Introduced in House (IH)]

111th CONGRESS
  2d Session
                                H. R. 6258

         To address childhood obesity, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                           September 29, 2010

    Ms. Fudge (for herself, Mr. Cao, Mr. Jackson of Illinois, Mrs. 
Christensen, Mr. Rush, Mr. Payne, Mr. Hare, Mr. Faleomavaega, Mr. Davis 
of Illinois, Mr. Honda, Ms. Roybal-Allard, and Ms. Chu) introduced the 
   following bill; which was referred to the Committee on Energy and 
  Commerce, and in addition to the Committees on Education and Labor, 
  Ways and Means, Natural Resources, Agriculture, the Judiciary, and 
 Financial Services, 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 address childhood 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 ``Fit for LIFE Act of 2010'' or the 
``Fit for Local Investments in the Future of Every Child Act of 2010''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
 TITLE I--IMPROVING THE NUTRITIONAL QUALITY OF AND ACCESS TO FOODS IN 
                    UNDERSERVED AMERICAN COMMUNITIES

   Subtitle A--Nutritional Quality of Foods in Underserved American 
                              Communities

Sec. 101. Food swamps: green and healthy corner store initiative.
Sec. 102. Virtual Farmers Market Program: Making It Easier To Access 
                            Food from the Farm in the City.
Sec. 103. Community Gardening Grant Program: Fresh Foods Grown in Our 
                            Communities by Residents.
Sec. 104. Study to certify the adequacy of cafeteria equipment for the 
                            preparation and storage of foods within the 
                            dietary guidelines.
   Subtitle B--Access to Nutritious and Quality Foods in Underserved 
                          American Communities

Sec. 111. Food deserts: Addressing the Lack of Supermarkets in 
                            Underserved Communities.
Sec. 112. Expansion of the Child Care and Adult Food Care Program to 
                            Increase Availability of After School 
                            Snacks.
Sec. 113. Expansion of the Fresh Fruit and Vegetable Program.
Sec. 114. Expanding Access to the Summer Food Service Program for 
                            Children.
Sec. 115. Grants for expansion of school breakfast programs to improve 
                            the health and education of children.
Sec. 116. Study and report on physical activity and nutritional quality 
                            of meals and snacks served, in juvenile 
                            justice facilities.
Sec. 117. Local food insecurity assessments: assessing the unique 
                            nutritional needs of local communities.
   Subtitle C--Ensuring a Healthy Start for Children in Underserved 
                          American Communities

Sec. 121. Improving Healthy Eating and Physical Activity Among our 
                            Youngest Children.
Sec. 122. Health and fitness school programs: training America's youth 
                            to live healthy lifestyles.
 TITLE II--ADVANCING PREVENTATIVE MEASURES AND TREATMENT OF OBESITY IN 
             ADULTS AND CHILDREN IN UNDERSERVED COMMUNITIES

Sec. 201. Community health and wellness navigators pilot program: 
                            connecting America's health professional 
                            with our schools.
Sec. 202. Requirement to expedite national Medicare coverage 
                            determinations for evidence-based 
                            preventive services.
Sec. 203. Expansion of obesity treatment services under Medicare.
Sec. 204. Coverage of evidence-based preventive services under Medicaid 
                            and SCHIP.
Sec. 205. Coverage of medical nutrition therapy under Medicaid and 
                            SCHIP.
Sec. 206. Clarification of EPSDT inclusion of prevention, screening, 
                            and treatment services for obesity and 
                            overweight; SCHIP coverage.
Sec. 207. National commission on child obesity.
Sec. 208. GAO report.
   TITLE III--ENCOURAGING PHYSICAL ACTIVITY IN UNDERSERVED AMERICAN 
                              COMMUNITIES

Sec. 301. Renovation of foreclosed and abandoned properties to create 
                            spaces that encourage physical activity in 
                            American neighborhoods.
Sec. 302. National youth sports program revitalization.
Sec. 303. Expansion of the Zuni Youth Enrichment Project Summer Camp.
Sec. 304. Making routes to schools in underserved communities safe and 
                            accessible with public participation 
                            through the Community Oriented Policing 
                            Services program.
Sec. 305. Land and Water Conservation Fund Program Grants in Low-Income 
                            Communities and Expand Tribal 
                            Participation.
Sec. 306. Changing Hearts, Attitudes, and Minds by Participating in 
                            Sports (CHAMPS) Program.
Sec. 307. Coordinated School Health Initiatives.
Sec. 308. Rewarding elementary and secondary schools for outstanding 
                            student performance in physical fitness 
                            programs.

 TITLE I--IMPROVING THE NUTRITIONAL QUALITY OF AND ACCESS TO FOODS IN 
                    UNDERSERVED AMERICAN COMMUNITIES

   Subtitle A--Nutritional Quality of Foods in Underserved American 
                              Communities

SEC. 101. FOOD SWAMPS: GREEN AND HEALTHY CORNER STORE INITIATIVE.

    (a) In General.--The Secretary of Agriculture shall carry out a 
program, to be known as the Green and Healthy Corner Store Initiative, 
of awarding grants to units of general local government, nonprofit 
organizations, and tribal governments to assist qualified convenience 
stores to expand and sustain their offering of fruits and vegetables.
    (b) Priority.--In awarding grants under this section, the Secretary 
shall give priority to applicants proposing to provide assistance to 
qualified convenience stores in low-income communities.
    (c) Assistance.--Assistance provided to a qualified convenience 
store pursuant to this section may include the following:
            (1) Seed money for the purchase of fruits and vegetables 
        and for equipment needed to sell fruits and vegetables, such as 
        but not limited to refrigerators.
            (2) Seed money for converting to energy-saving equipment, 
        such as but not limited to energy-efficient lighting and 
        refrigerators and a ductless HVAC system, to minimize the 
        additional energy costs associated with the refrigeration 
        needed to stock fruits and vegetables.
            (3) Educational tools and information on the importance of 
        fresh fruits and vegetables.
            (4) Simple recipes to assist customers in healthy food 
        preparation.
    (d) Requirements for Convenience Stores.--As a condition on receipt 
of funds under this section, a grantee shall agree to ensure that any 
qualified convenience store receiving assistance through the grant 
will--
            (1) maintain its expanded offering of fruits and vegetables 
        for a minimum time to be determined by the Secretary;
            (2) limit the number of its advertisements for alcoholic 
        beverages and cigarettes and offer at least an equal amount of 
        advertising for fruits and vegetables;
            (3) place advertisements for fruits and vegetables 
        prominently in the front of the store;
            (4) advertise that the store is participating in the Green 
        and Healthy Corner Store Initiative; and
            (5) work to partner with rural and urban farmers markets to 
        obtain fruits and vegetables for sale.
    (e) Cooperation Among Stores To Decrease Prices.--The Secretary 
shall encourage grant recipients under this section to encourage 
qualified convenience stores receiving assistance through the grant to 
combine efforts with other convenience stores when ordering fruits and 
vegetables from distributors in an effort to decrease the price of such 
goods.
    (f) Definitions.--In this section:
            (1) The term ``Bureau-funded school'' has the meaning given 
        to such term in section 1141 of the Education Amendments of 
        1978 (25 U.S.C. 2021).
            (2) The terms ``elementary school'', ``local educational 
        agency'', and ``secondary school'' have the meanings given to 
        such terms in section 9101 of the Elementary and Secondary 
        Education Act of 1965 (20 U.S.C. 7801).
            (3) The term ``low-income communities'' includes--
                    (A) communities with a high percentage of children 
                eligible for free and reduced priced lunches under the 
                Richard B. Russell National School Lunch Act (42 U.S.C. 
                1751 et seq.); and
                    (B) any other communities determined by the 
                Secretary to be low-income for purposes of this 
                section.
            (4) The term ``Secretary'' means the Secretary of 
        Agriculture.
            (5) The term ``qualified convenience store'' means a 
        convenience store located within a quarter mile of an 
        elementary school or a secondary school that is a public school 
        or a Bureau-funded school.

SEC. 102. VIRTUAL FARMERS MARKET PROGRAM: MAKING IT EASIER TO ACCESS 
              FOOD FROM THE FARM IN THE CITY.

    (a) Establishment of Grant Program.--From the amounts appropriated 
to carry out this section, the Secretary of Agriculture shall award 
grants, on a competitive basis, to eligible entities to enable such 
entities to carry out a program that provides access to farmers markets 
to communities that are food deserts.
    (b) Use of Funds.--An eligible entity receiving a grant under this 
section shall use such funds for the following:
            (1) Purchasing virtual farmers market software (including 
        computer kiosks and swipe card stations), or entering into a 
        contract with an eligible organization to develop and maintain 
        the technology necessary, to carry out a virtual farmers market 
        program to enable individuals an organizations in communities 
        that are food deserts to order and purchase fruits and 
        vegetables and other healthy food items using such technology.
            (2) Training staff to--
                    (A) assist individuals and organizations in 
                communities that are food deserts to order and purchase 
                food products under the program described in paragraph 
                (1); and
                    (B) purchase and order food products under the 
                program for the eligible entity.
            (3) Packaging food products purchased under the program in 
        manner that makes transportation of the products possible by 
        foot.
            (4) Paying staff to manage the program, and package and 
        assist in the distribution and delivery of food products 
        purchased under the program.
            (5) Raising public awareness about the program.
            (6) Developing simple food preparation strategies and menus 
        for customers of the program.
            (7) Coordinating with the Secretary of Agriculture to 
        develop mechanisms to enable reimbursement under the 
        supplemental nutrition assistance program established under the 
        Food and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.) for 
        purchases made under the program.
            (8) Purchasing or rehabilitating buses, including buses 
        that were formerly used as school buses, that may be used to 
        transport to the eligible entity--
                    (A) the foods ordered and purchased under the 
                program using the technology described in paragraph 
                (1); or
                    (B) other fruits and vegetables that meet the 
                requirements of subsection (e) in order to provide 
                additional opportunities for individuals and 
                organizations in communities that are food deserts to 
                purchase locally grown fruits and vegetables.
    (c) Application.--In order to receive a grant under this section, 
an eligible entity shall submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may require.
    (d) Grant Amount.--A grant awarded under this section may not be 
greater than $10,000.
    (e) Limitations on Food Purchased.--To the extent practicable, the 
majority of food purchased under a virtual farmers market program 
carried out by an eligible entity under this section shall be from 
farmers located within a 50 mile radius of the site where the food is 
ordered and delivered under the program, except in the case where the 
eligible entity demonstrates to the Secretary that no such farmers 
exist or that the farmers are not able to provide a sufficient variety 
or amount of food for the purposes of the program.
    (f) Report.--Not later than 1 year after the first fiscal year in 
which funds are appropriated to carry out this section, the Secretary 
shall report to Congress on the progress made in carrying out programs 
funded by grants under this section, including--
            (1) the number of individuals served by such programs and 
        the barriers and opportunities for additional such programs; 
        and
            (2) how such programs have increased access or encouraged 
        permanent farmers markets to be established near communities 
        that are food deserts.
    (g) Definitions.--In this section--
            (1) Bureau-funded school.--The term ``bureau-funded 
        school'' has the meaning given such term in section 1146 of the 
        Education Amendments of 1978 (25 U.S.C. 2026).
            (2) Eligible entity.--The term ``eligible entity'' means an 
        entity that predominantly serves communities that are food 
        deserts, including--
                    (A) a local educational agency or bureau-funded 
                school;
                    (B) a nonprofit, community-based organization or 
                entity (including a park and recreation department, 
                recreation center, child care facility, or senior 
                center);
                    (C) a convenience store; or
                    (D) other entity that the Secretaries deem to be an 
                eligible entity.
            (3) Eligible organization.--The term ``eligible 
        organization'' means an organization with expertise in 
        developing and maintaining a virtual farmers market.
            (4) Local educational agency.--The term ``local educational 
        agency'' has the meaning given such term in section 9101 of the 
        Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        7801).
            (5) Food desert.--The term ``food desert'' has the meaning 
        given such term in section 7527(a) of the Food, Conservation, 
        and Energy Act of 2008 (Public Law 110-234).
            (6) Secretary.--The term ``Secretary'' means the Secretary 
        of Agriculture.
            (7) Swipe card stations.--The term ``swipe card stations'' 
        shall include support for the use of electronic benefit 
        transfer cards.
            (8) Virtual farmers market.--The term ``virtual farmers 
        market'' means an online grocery store that enables individuals 
        to purchase foods from local farms and distributors.

SEC. 103. COMMUNITY GARDENING GRANT PROGRAM: FRESH FOODS GROWN IN OUR 
              COMMUNITIES BY RESIDENTS.

    (a) Program Established.--From the amounts appropriated to carry 
out this section, the Secretary of Agriculture shall award grants to 
eligible entities to expand, establish, or maintain urban and Native 
American community gardens.
    (b) Application.--In order to receive a grant under this section, 
an eligible entity shall submit to the Secretary an application at such 
time, in such manner, and containing such information as the Secretary 
may require, including--
            (1) an assurance that priority for hiring for jobs created 
        by the expansion, establishment, or maintenance of an urban 
        community garden funded with a grant received under this 
        section will be given to individuals who reside in the 
        community where the garden is located; and
            (2) a demonstration that the eligible entity is committed 
        to providing non-Federal financial or in-kind support (such as, 
        but not limited to, providing a water supply) for the community 
        garden for which the entity receives funds under this section.
    (c) Definitions.--In this section:
            (1) Eligible entity.--The term ``eligible entity'' means--
                    (A) a for profit or nonprofit organization; or
                    (B) a unit of general local government, or tribal 
                government, located on tribal land or in a low-income 
                community.
            (2) Low-income community.--The term ``low-income 
        community'' has the meaning given such term by the Secretary of 
        Agriculture.
            (3) Unit of general local government.--The term ``unit of 
        general local government'' means any city, county, town, 
        township, parish, village, or other general purpose political 
        subdivision of a State.
            (4) State.--The term ``State'' includes, in addition to the 
        several States of the United States, the Commonwealth of Puerto 
        Rico, the District of Columbia, the Virgin Islands, Guam, 
        American Samoa, and the Commonwealth of the Northern Mariana 
        Islands.

SEC. 104. STUDY TO CERTIFY THE ADEQUACY OF CAFETERIA EQUIPMENT FOR THE 
              PREPARATION AND STORAGE OF FOODS WITHIN THE DIETARY 
              GUIDELINES.

    Not later than 4 years after the date of the enactment of this Act 
or the Improving Nutrition for America's Children Act, whichever occurs 
first, from the amounts appropriated to carry out this section, the 
Secretary of Agriculture shall--
            (1) conduct a study--
                    (A) on the adequacy of cafeteria equipment used by 
                schools participating in the school lunch program 
                established under the Richard B. Russell National 
                School Lunch Act (42 U.S.C. 1751 et seq.) to store and 
                prepare fruits and vegetables and other foods that are 
                within the Dietary Guidelines for Americans published 
                under section 301 of the National Nutrition Monitoring 
                and Related Research Act of 1990 (7 U.S.C. 5341); and
                    (B) on the barriers of the schools in acquiring 
                cafeteria equipment that adequately stores and prepares 
                such foods; and
            (2) transmit a report to Congress on--
                    (A) the findings of the study; and
                    (B) any recommendations based on the study, 
                including whether any cafeteria equipments should be 
                updated or exchanged.

   Subtitle B--Access to Nutritious and Quality Foods in Underserved 
                          American Communities

SEC. 111. FOOD DESERTS: ADDRESSING THE LACK OF SUPERMARKETS IN 
              UNDERSERVED COMMUNITIES.

    (a) Establishment of Grant Program.--From the amounts appropriated 
to carry out this section, the Secretary of Agriculture shall award 
grants to local partnerships to establish supermarkets that sell fresh 
fruits and produce in low-income communities located in food deserts.
    (b) Application.--In order to receive a grant under this section, a 
local partnership shall submit an application to the Secretary at such 
time, in such manner, and containing such information as the Secretary 
may require.
    (c) Uses of Funds.--A local partnership shall use grant funds 
received under this section to establish a supermarket in a low-income 
community located in a food desert and assist the supermarket in 
carrying out the following activities:
            (1) Selling fresh fruit and produce at a price comparable 
        to the price of fresh fruits and produce sold at supermarkets 
        in nearby suburban communities.
            (2) Making the supermarket available for youth-centered, 
        hands-on educational instruction and information on healthy 
        cooking and nutrition.
            (3) Providing community outreach services to the low-income 
        community that encourage health and wellness.
    (d) Reporting.--
            (1) Local partnerships.--Not later than 2 years after 
        receiving a grant under this section a local partnership shall 
        submit a report to the Secretary on the success of the 
        supermarket established using such funds.
            (2) Secretary.--Upon receipt of a report under paragraph 
        (1), the Secretary shall transmit such report to Congress.
    (e) Definitions.--In this section:
            (1) Food desert.--The term ``food desert'' has the meaning 
        given such term in section 7527(a) of the Food, Conservation, 
        and Energy Act of 2008 (Public Law 110-234).
            (2) Local partnership.--The term ``local partnership'' 
        means a partnership between--
                    (A) a unit of general local government, a State, or 
                a tribal government; and
                    (B) a public or private organization.
            (3) Low-income community.--The term ``low-income 
        community'' includes a low-income community (as such term is 
        defined by the Secretary) located in an urban area.
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Agriculture.
            (5) Suburban community.--The term ``suburban community'' 
        has the meaning given such term by the Secretary.
            (6) State.--The term ``State'' includes, in addition to the 
        several States of the United States, the Commonwealth of Puerto 
        Rico, the District of Columbia, the Virgin Islands, Guam, 
        American Samoa, and the Commonwealth of the Northern Mariana 
        Islands.
            (7) Supermarket.--The term ``supermarket'' means any 
        establishment under Code 445110 of the North American Industry 
        Classification System.
            (8) Unit of general local government.--The term ``unit of 
        general local government'' means any city, county, town, 
        township, parish, village, or other general purpose political 
        subdivision of a State.

SEC. 112. EXPANSION OF THE CHILD CARE AND ADULT FOOD CARE PROGRAM TO 
              INCREASE AVAILABILITY OF AFTER SCHOOL SNACKS.

    Section 17(r)(5) of the Richard B. Russell National School Lunch 
Act (42 U.S.C. 1766(r)(5)) is amended--
            (1) by striking ``The Secretary'' and inserting the 
        following:
                    ``(A) In general.--Except as provided in 
                subparagraph (B), the Secretary''; and
            (2) by adding at the end the following:
                    ``(B) Program expansion.--Beginning with the first 
                full school year after the date of enactment of the Fit 
                for LIFE Act of 2010, the Secretary shall expand 
                reimbursement under this subsection for meals served 
                under a program to institutions located in any State 
                that elects to participate under this subsection.''.

SEC. 113. EXPANSION OF THE FRESH FRUIT AND VEGETABLE PROGRAM.

    Section 19 of the Richard B. Russell National School Lunch Act (42 
U.S.C. 1769a) is amended--
            (1) in subsection (a), by inserting ``, secondary schools, 
        child care centers, and family child care homes'' after 
        ``elementary schools'';
            (2) in subsection (b), by inserting ``, center, or home'' 
        after each place ``school'' appears;
            (3) in subsection (d)--
                    (A) in the heading, by inserting ``, Centers, or 
                Homes'';
                    (B) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A), by inserting ``, centers, or homes'' after 
                        ``schools'';
                            (ii) in subparagraph (A), by inserting ``, 
                        center, or home'' after ``school'';
                            (iii) in subparagraph (B), by inserting ``, 
                        centers, or homes'' after ``schools'';
                            (iv) by amending subparagraph (C) to read 
                        as follows:;
                    ``(C) ensure that each school selected is an 
                elementary school or secondary school (as such terms 
                are defined in section 9101 of the Elementary and 
                Secondary Education Act of 1965 (20 U.S.C. 7801)), each 
                center selected is a child care center (as such term is 
                defined in section 399OO of the Public Health Service 
                Act), and each home selected is a family child care 
                home (as such term is defined in section 399OO of the 
                Public Health Service Act).''; and
                            (v) in subparagraph (D)--
                                    (I) in the matter preceding clause 
                                (i), by inserting ``, centers, or 
                                homes'' after ``schools'';
                                    (II) in clause (i), by inserting 
                                ``, center, or home'' after ``school''; 
                                and
                                    (III) in clause (ii), by inserting 
                                ``, center, or home'' after ``as 
                                determined by the school'';
                    (C) in paragraph (2), by inserting ``, centers, or 
                homes'' after each place ``schools'' appears; and
                    (D) in paragraph (3), by inserting ``, centers, or 
                homes'' after each place ``schools'' appears; and
            (4) in subsection (e), by inserting ``, center, or home'' 
        after ``school''.

SEC. 114. EXPANDING ACCESS TO THE SUMMER FOOD SERVICE PROGRAM FOR 
              CHILDREN.

    Section 13(a) of the Richard B. Russell National School Lunch (42 
U.S.C. 1761(a)) is amended--
            (1) in paragraph (1)(C), by striking ``50 percent'' and 
        inserting ``40 percent'';
            (2) by repealing paragraph (9);
            (3) in paragraph (10)--
                    (A) in subparagraph (A)--
                            (i) by striking ``The Secretary'' and 
                        inserting ``From the amounts appropriated to 
                        carry out this paragraph, the Secretary''; and
                            (ii) by striking ``not more than 5'';
                    (B) in subparagraph (C), by striking ``fiscal year 
                2006'' and inserting ``fiscal year 2011'';
                    (C) in subparagraph (D)--
                            (i) by striking ``January 1, 2008'' and 
                        inserting ``January 1, 2011''; and
                            (ii) by striking ``January 1, 2009'' and 
                        inserting ``January 1, 2012''; and
                    (D) by striking subparagraph (E); and
            (4) by adding at the end the following:
            ``(11) Start-up and expansion grants.--From the amounts 
        appropriated to carry out this paragraph, the Secretary shall 
        award grants to eligible service institutions in high-poverty 
        districts, as defined by the Secretary, to assist such 
        institutions in participating, or expanding the participation 
        of such institutions, in the program under this section, for 
        the purpose of serving additional children under the 
        program.''.

SEC. 115. GRANTS FOR EXPANSION OF SCHOOL BREAKFAST PROGRAMS TO IMPROVE 
              THE HEALTH AND EDUCATION OF CHILDREN.

    The Child Nutrition Act of 1966 (42 U.S.C. 1771 et seq.) is amended 
by adding at the end the following:

``SEC. 23. GRANTS FOR EXPANSION OF SCHOOL BREAKFAST PROGRAMS TO IMPROVE 
              THE HEALTH AND EDUCATION OF CHILDREN.

    ``(a) Definition of Qualifying School.--In this section, the term 
`qualifying school' means--
            ``(1) a school providing elementary or secondary education 
        where at least 65 percent of the enrolled students are eligible 
        for free or reduced-price school lunches under the school lunch 
        program established under the Richard B. Russell National 
        School Lunch Act (42 U.S.C. 1751 et seq.); or
            ``(2) an after-school program operating on school grounds.
    ``(b) Establishment.--The Secretary shall establish a program under 
which the Secretary shall provide grants, on a competitive basis, to 
local educational agencies or bureau-funded schools for use in 
accordance with this section.
    ``(c) Grants to Local Educational Agencies or Bureau-Funded 
Schools.--The amount of grants provided by the Secretary to local 
educational agencies or bureau-funded schools for a fiscal year under 
this section shall not exceed the lesser of--
            ``(1) the product obtained by multiplying--
                    ``(A) the number of qualifying schools receiving 
                subgrants or other benefits under subsection (d) for 
                the fiscal year; and
                    ``(B) the maximum amount of a subgrant provided to 
                a qualifying school under subsection (d)(3)(B); or
            ``(2) $2,000,000.
    ``(d) Subgrants to Qualifying Schools.--
            ``(1) In general.--A local educational agency or a bureau-
        funded school receiving a grant under this section shall use 
        funds made available under the grant to award subgrants to 
        individual or groups of qualifying schools to carry out 
        activities in accordance with this section.
            ``(2) State and district support.--A local educational 
        agency or a bureau-funded school may allocate a portion of each 
        subgrant to support State or local educational agency or a 
        bureau-funded school activities in support of qualified schools 
        for which it is more efficient or appropriate to support the 
        activities in a centralized manner.
            ``(3) Amount; term.--
                    ``(A) In general.--Except as otherwise provided in 
                this paragraph, a subgrant provided by a local 
                educational agency or a bureau-funded school to a 
                qualifying school under this section shall be in such 
                amount, and shall be provided for such term, as the 
                local educational agency or a bureau-funded school 
                determines appropriate.
                    ``(B) Maximum amount.--The amount of a subgrant 
                provided by a local educational agency or a bureau-
                funded school to a qualifying school under this 
                subsection shall not exceed--
                            ``(i) $50,000 for a single fiscal year; or
                            ``(ii) $100,000 for all fiscal years.
                    ``(C) Maximum grant term.--A local educational 
                agency or a bureau-funded school shall not provide 
                subgrants to a qualifying school under this subsection 
                for more than 5 fiscal years.
    ``(e) Preference.--In providing subgrants under this section, a 
local educational agency or a bureau-funded school shall give priority 
to qualifying schools--
            ``(1) in which 75 percent or more of the students enrolled 
        in such schools are eligible for free or reduced-price school 
        lunches under the school lunch program established under the 
        Richard B. Russell National School Lunch Act (42 U.S.C. 1751 et 
        seq.); and
            ``(2) that demonstrate--
                    ``(A) an intent to use the grants or subgrants to 
                establish or support connections between the qualifying 
                schools and local agricultural producers and food 
                providers;
                    ``(B) that the qualifying schools have established, 
                or intend to establish, a universal free breakfast 
                program; or
                    ``(C) that the qualifying schools have considered, 
                or intend to establish, service methods that make 
                breakfast a part of the school day.
    ``(f) Best Practices.--Prior to awarding grants under this section, 
the Secretary shall make available to State educational agencies and 
local educational agencies or bureau-funded schools information 
regarding the most effective mechanisms by which to increase school 
breakfast participation among eligible children at qualifying schools, 
including best practices of schools who have increased breakfast 
participation..
    ``(g) Application.--
            ``(1) In general.--To be eligible to receive a grant under 
        this section, a local educational agency or a bureau-funded 
        school shall submit to the Secretary an application at such 
        time, in such manner, and containing such information as the 
        Secretary may require.
            ``(2) Administration.--In carrying out this section, the 
        Secretary shall--
                    ``(A) develop an appropriate application process; 
                and
                    ``(B) advertise the availability of funds under 
                this section to qualified schools, local educational 
                agencies or bureau-funded schools, and State 
                educational agencies.
    ``(h) Use of Funds.--
            ``(1) In general.--A qualifying school may use a grant 
        provided under this section--
                    ``(A) to establish, promote, or expand a school 
                breakfast program of the qualifying school under this 
                section, which shall include a nutritional education 
                component;
                    ``(B) to increase the quantity of local or fresh 
                food available under the school breakfast program of 
                the qualifying school under this section;
                    ``(C) to provide school breakfast to students of 
                the qualifying school during the school day; and
                    ``(D) to increase participation in the school 
                breakfast program, including through a universal free 
                breakfast program.
            ``(2) Requirement.--Each activity of a qualifying school 
        under this subsection shall be carried out in accordance with 
        applicable nutritional guidelines and regulations issued by the 
        Secretary.
    ``(i) Maintenance of Effort.--Grants made available under this 
section shall not diminish or otherwise affect the expenditure of funds 
from State and local sources for the maintenance of the school 
breakfast program.
    ``(j) Reports.--
            ``(1) In general.--The Secretary, in consultation with 
        local educational agencies or bureau-funded schools and 
        qualifying schools that receive grants and subgrants under this 
        section, shall submit to Congress an annual report describing 
        the impact of the school breakfast programs of the qualifying 
        schools on classroom performance and environment.
            ``(2) Data collection.--The Secretary shall provide 
        guidance and minimum standards for data collection to grant 
        recipients and any collaborating local institutions of higher 
        education or research entities as necessary to ensure that 
        annual reports under this section are able to provide an 
        adequate qualitative and quantitative evaluation of the grant 
        impacts.
    ``(k) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as are necessary for 
each of fiscal years 2011 through 2015.''.

SEC. 116. STUDY AND REPORT ON PHYSICAL ACTIVITY AND NUTRITIONAL QUALITY 
              OF MEALS AND SNACKS SERVED, IN JUVENILE JUSTICE 
              FACILITIES.

    (a) Study.--The Administrator of the Office of Juvenile Justice and 
Delinquency Prevention, in consultation with the Secretary of 
Agriculture, shall conduct a study on--
            (1) the amount of physical activity by juveniles in 
        juvenile justice facilities, including the types of physical 
        activities in which such juveniles participate, how many hours 
        per day such juveniles participate in physical activities, and 
        the adequacy of the amount and type of physical activity of 
        such juveniles; and
            (2) the nutritional quality of meals and snacks served in 
        juvenile justice facilities.
    (b) Report.--Not later than 2 years after the date of enactment of 
this Act, the Administrator of the Office of Juvenile Justice and 
Delinquency Prevention, in consultation with the Secretary of 
Agriculture, shall submit to Congress a report on the findings of the 
study conducted under subsection (a), including an evaluation of 
whether the amount and type of physical activity by juveniles, and the 
nutritional quality of meals and snacks served, in juvenile justice 
facilities are adequate to ensure the health and wellness of such 
juveniles.

SEC. 117. LOCAL FOOD INSECURITY ASSESSMENTS: ASSESSING THE UNIQUE 
              NUTRITIONAL NEEDS OF LOCAL COMMUNITIES.

    (a) In General.--The Secretary of Health and Human Services shall 
establish a 3-year pilot program to award grants to local and tribal 
governments, on a competitive basis, to allow such local and tribal 
governments, in partnership with the local community organizations 
under subsection (e), to--
            (1) conduct a food security assessment; and
            (2) make an inventory of the system in order to identify 
        the strengths and gaps in such system.
    (b) Data Points for Assessment.--For purposes of conducting an 
Assessment and making an inventory under a grant under subsection (a), 
with respect to the community served by a local or tribal government, 
such government shall examine the following food security and food 
system issues in the community: 
            (1) The prevalence of childhood obesity.
            (2) The availability of safe routes to school for children.
            (3) The quality of food served in school and child care 
        settings.
            (4) The availability of supermarkets.
            (5) The cost and availability of fresh fruits and 
        vegetables.
            (6) The concentration of convenience stores, and other food 
        vendors that sell a disproportionate amount of foods that are 
        not fresh fruits and vegetables.
            (7) The availability of products.
            (8) The concentration of fast food restaurants.
            (9) The availability of green space or recreation areas, 
        and the extent to which such space or areas encourage physical 
        activity by adults and children.
            (10) Any other issues determined to be relevant by the 
        local or tribal government.
            (11) Any other issues determined to be relevant by the 
        Secretary of Health and Human Services.
    (c) Number of Sites.--The Secretary of Health and Human Services, 
in awarding grants under subsection (a), shall award grants to no more 
than--
            (1) 20 local governments; and
            (2) 5 tribal governments.
    (d) Priority.--In awarding grants under subsection (a), the 
Secretary of Health and Human Services shall give priority to those 
local and tribal governments that serve communities with the highest 
concentrations of poverty.
    (e) Requirement of Partnerships.--In order to qualify for a grant 
under subsection (a), a local or tribal government shall demonstrate, 
to the satisfaction of the Secretary of Health and Human Services, that 
the local or tribal government has entered into a partnership (for the 
purpose of conducting an assessment and making an inventory under 
subsection (a)) with at least one of the following local community 
organizations:
            (1) A nonprofit community-based organization or entity.
            (2) A developer or urban planning institution.
            (3) An accredited college or university.

   Subtitle C--Ensuring a Healthy Start for Children in Underserved 
                          American Communities

SEC. 121. IMPROVING HEALTHY EATING AND PHYSICAL ACTIVITY AMONG OUR 
              YOUNGEST CHILDREN.

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

                     ``PART W--HEALTHY KIDS PROGRAM

``SEC. 399OO. DEFINITIONS.

    ``In this part:
            ``(1) Child care center.--The term `child care center' 
        means a center licensed or otherwise authorized to provide 
        child care services for fewer than 24 hours per day per child 
        in a non-residential setting, unless care in excess of 24 hours 
        is due to the nature of the parents' work.
            ``(2) Early learning council.--The term `early learning 
        council' means an early childhood assembly that is established 
        to advise governors, State legislators, or State agency 
        administrators on how best to meet the needs of young children 
        and their families specifically through improvement of programs 
        and services.
            ``(3) Family child care home.--The term `family child care 
        home' means a private family home where home-based child care 
        is provided for a portion of the day, unless care in excess of 
        24 hours is due to the nature of the parents' work, and that is 
        certified, registered, or licensed in the State in which it is 
        located.
            ``(4) Screen time limits.--The term `screen time limits' 
        means policies or guidelines, such as those developed by the 
        American Academy of Pediatrics, designed to reduce the daily 
        amount of time that children spend watching or looking at 
        digital monitors or displays, including television sets, 
        computer monitors, or hand-held gaming devices.
            ``(5) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services.

``SEC. 399OO-1. GRANTS.

    ``(a) In General.--The Secretary, in consultation with appropriate 
entities within the Department of Health and Human Services, shall 
award 3-year competitive grants to 5 State health departments (or other 
appropriate child care licensing entities within such States) to help 
reduce and prevent obesity among the birth to 5 year old population of 
the State in child care settings outside a child's place of residence.
    ``(b) Use of Funds.--State grantees shall use amounts received 
under a grant under this subsection to--
            ``(1) provide, or enter into contracts to provide, training 
        (that meets the requirements of subsection (c)) to the staff of 
        national, State, or community-based organizations with networks 
        of child care centers, or a consortium of child care centers 
        and family child care homes consisting of at least 10 centers, 
        for the purpose of implementing evidence-based or data-informed 
        healthy eating and physical activity policies and practices, 
        including curricula and other interventions; and
            ``(2) provide grants to child care centers and family child 
        care homes, whose staff received the training described in 
        paragraph (1), to implement practice, curricula, and policy 
        changes (that meet the requirements of subsection (d)) that 
        promote healthy eating and physical activity among the birth to 
        5 years of age population.
Preference in awarding grants shall be given to those States that 
demonstrate collaboration between relevant State entities related to 
child care and health and with key stakeholders, such as State early 
learning councils and other community-based organizations working with 
child care centers or family child care homes.
    ``(c) Training Requirements.--
            ``(1) In general.--Training provided under subsection (b) 
        shall--
                    ``(A) include the provision of information 
                concerning age-appropriate healthy eating and physical 
                activity interventions and culturally competent 
                curricula for the birth to 5 years of age population in 
                the State involved, which at a minimum shall include--
                            ``(i) a handbook that includes 
                        recommendations, guidelines, and best practices 
                        for child care centers and family child care 
                        homes relating to healthy eating, physical 
                        activity, and screen time reduction;
                            ``(ii) information about the availability 
                        of and services provided by child care health 
                        consultants; and
                            ``(iii) health and wellness resources 
                        available through the Child Care Bureau and the 
                        Maternal and Child Health Bureau;
                    ``(B) identify, improve upon, and expand nutrition 
                and physical activity best practices targeted to the 
                birth to 5 years of age population in the State 
                involved and identify strategies for incorporating 
                parental education and other parental involvement; and
                    ``(C) provide instruction on how to appropriately 
                model, direct, and encourage child care staff behavior 
                to apply the best practices and strategies identified 
                under subparagraph (B).
            ``(2) Training entities.--A grantee may conduct the 
        training required under this section directly, or may provide 
        such training through a contract with--
                    ``(A) an appropriate national, State, or community 
                organization with relevant expertise;
                    ``(B) a health care provider or professional 
                organization with relevant expertise;
                    ``(C) a university or research center that employs 
                faculty with relevant expertise; or
                    ``(D) any other entity determined appropriate by 
                the State and approved by the Secretary.
            ``(3) Requirement of contract.--If a grantee elects to 
        provide the training under this section through a contract, the 
        grantee shall ensure that a consistent healthy eating and 
        physical activity curriculum is being developed for all child 
        care entities participating in the pilot program in the State.
    ``(d) Practice, Curricula, and Policy Changes.--After training is 
provided as required under subsection (c), a State grantee shall ensure 
that the organizations and consortium involved--
            ``(1) implement, in child care settings, evidence-based or 
        data-informed policy changes that promote healthy eating, 
        physical activity, and appropriate screen time limits among the 
        birth to 5 years of age population;
            ``(2) utilize an evidence-based or data-informed, 
        culturally competent healthy eating and physical activity 
        curriculum in child care settings focusing on such birth to age 
        5 population;
            ``(3) implement programs, activities, and procedures for 
        incorporating parental education and involvement of parents in 
        programs, including disseminating a written parental 
        involvement policy, and coordinating and integrating parental 
        involvement strategies under this section, to the extent 
        feasible and appropriate, with parental involvement strategies 
        under other programs, such as the Head Start program and the 
        Early Head Start Program; and
            ``(4) find innovative ways to remove barriers that exist to 
        providing opportunities for healthy eating and physical 
        activity.
All activities described in this paragraph shall be evidence-based and 
data-informed and be consistent with the curriculum presented through 
training activities described in subsection (c).

``SEC. 399OO-2. GRANTS FOR THE EVALUATION OF PILOT PROGRAMS.

    ``The Secretary shall award competitive grants to Prevention 
Research Centers or universities to evaluate the programs carried out 
with grants under section 399OO-1, including baseline, process, and 
outcome measurements.

``SEC. 399OO-3. COORDINATION.

    ``(a) Interagency Coordination.--To the extent practicable, the 
Secretary shall coordinate activities conducted under this part with 
activities undertaken by the National Prevention, Health Promotion and 
Public Health Council established under section 4001 of the Patient 
Protection and Affordable Care Act (Public Law 111-148). Where 
practicable, such coordination shall--
            ``(1) include the sharing of current and emerging best 
        practices concerning healthy eating, physical activity, and 
        screen time limits that have a population-level impact in 
        promoting nutrition and physical activity in child care 
        settings;
            ``(2) promote the effective implementation and 
        sustainability of such programs; and
            ``(3) avoid unnecessary duplication of effort.
    ``(b) Pilot Coordination.--The Secretary shall designate an 
individual (directly or through contract) to provide technical 
assistance to States and pilot centers in the development, 
implementation, and evaluation of activities and dissemination of 
information described in paragraphs (1), (2), and (3) of subsection 
(a).

``SEC. 399OO-4. EVALUATION AND REPORTING.

    ``(a) Technical Assistance and Information.--The Secretary shall--
            ``(1) provide technical assistance to grantees and other 
        entities providing training under a grant under this part; and
            ``(2) disseminate to health departments and trainers under 
        grants under this part information concerning evidence-based or 
        data-informed approaches, including dissemination of existing 
        toolkits, curricula, and existing or emerging best practices 
        that can be expanded or improved upon through a program 
        conducted under this part.
    ``(b) Evaluation Requirements.--With respect to evaluations 
conducted under section 399OO-2, the Secretary shall ensure that--
            ``(1) evaluation metrics are consistent across all programs 
        funded under this part;
            ``(2) interim outcomes are measured by the number of 
        centers that have implemented policy and environmental 
        strategies that support use of curricula and practices 
        supporting healthy eating, physical activity, and screen time 
        limits;
            ``(3) interim outcomes are measured, to the extent 
        possible, by behavior changes in healthy eating, physical 
        activity, and screen time; and
            ``(4) upon completion of the program, the evaluation shall 
        include an identification of best practices relating to 
        behavior change and reductions in the increasing prevalence of 
        overweight and obesity that could be replicated in other 
        settings.
    ``(c) Dissemination of Information.--Upon the conclusion of the 
programs carried out under this part, the Secretary shall disseminate 
to all appropriate agencies within the Department of Health and Human 
Services evidence, best practices, and lessons learned from grantees. 
Such agencies shall encourage the adoption of the best practices.
    ``(d) Report to Congress.--Not later than 6 months after the 
completion of the pilot program under this part, the Secretary shall 
submit to Congress a report concerning the evaluation of the pilot 
programs, including recommendations as to how lessons learned from such 
programs can be incorporated into future guidance documents developed 
and provided by the Secretary and other Federal agencies, as 
appropriate.

``SEC. 399OO-5. AUTHORIZATION OF APPROPRIATIONS.

    ``There is authorized to be appropriated to carry out this part, 
$2,500,000 for each of fiscal years 2011, 2012 and 2013.''.

SEC. 122. HEALTH AND FITNESS SCHOOL PROGRAMS: TRAINING AMERICA'S YOUTH 
              TO LIVE HEALTHY LIFESTYLES.

    (a) In General.--The Secretaries shall carry out a 2-year pilot 
program consisting of awarding grants to eligible entities for the 
purpose of establishing or expanding evidence-informed health and 
fitness programs in secondary schools in low-income communities.
    (b) Health and Fitness Program Requirements.--As a condition on 
receipt of a grant under this section, an eligible entity shall agree 
that any health and fitness program at a secondary school funded 
through the grant will--
            (1) be conducted in partnership with the secondary school, 
        community entities, local contributors of funds, and tribal 
        councils;
            (2) include services by recent graduates of institutions of 
        higher education who are interested in pursuing graduate 
        degrees in medicine, nursing, nutrition science, exercise 
        physiology, public health, or a related discipline;
            (3) use services by such graduates to supplement rather 
        than supplant the health and fitness curriculum of the 
        secondary school;
            (4) include a highly effective student-mentor intervention 
        and education program conducted by such graduates for a maximum 
        of 2 years of service in 1 secondary school per graduate;
            (5) build a healthier community through wellness activities 
        and increased awareness about and access to healthy foods;
            (6) provide daily health and fitness instruction to both 
        students and faculty;
            (7) conduct an annual in-school health fair using the 
        services of secondary school students with the objective of 
        building a healthier community through wellness activities and 
        increased awareness about and access to healthy foods;
            (8) conduct an annual school-based and an annual community-
        based health fair using the services of secondary school 
        students with the objective of building a healthier community 
        through wellness activities and increased awareness about and 
        access to healthy foods; and
            (9) expose secondary school students to a variety of career 
        choices in wellness and health-related disciplines, including 
        careers in medicine, nursing, nutrition science, and exercise 
        physiology.
    (c) Non-Federal Funds.--The Secretaries shall encourage grantees 
under this section to contribute funds from non-Federal sources to 
increase--
            (1) the number of secondary schools at which health and 
        fitness programs are offered; or
            (2) the longevity of such programs.
    (d) Minimum Number of Schools.--The Secretaries shall ensure that 
grants under this section are used to establish or expand health and 
fitness programs at a total of not less than 20 schools.
    (e) Assessment; Reporting.--As conditions on receipt of a grant 
under this section, an eligible entity shall agree to--
            (1) conduct an annual assessment of health and fitness 
        programs funded through the grant using the Centers for Disease 
        Control and Prevention's School Health Index;
            (2) on an annual basis, report the findings of each 
        assessment under paragraph (1) to the participating school, 
        community partners, local contributors of funds, and tribal 
        councils; and
            (3) not later than the end of fiscal year 2012, submit a 
        report to the Secretaries and an appropriate representative of 
        the Centers for Disease Control and Prevention on the success 
        of the programs in educating children and families and thereby 
        preventing or reducing childhood obesity, including data from 
        each assessment under paragraph (1).
    (f) Definitions.--In this section:
            (1) The term ``secondary school'' has the meaning given to 
        such term in section 9101 of the Elementary and Secondary 
        Education Act of 1965 (20 U.S.C. 7801).
            (2) The term ``eligible entity'' means a nonprofit 
        organization or entity with the ability to meet the 
        requirements applicable to a grantee under this section, as 
        determined by the Secretaries.
            (3) The term ``low-income communities'' includes--
                    (A) communities with a high percentage of children 
                eligible for free and reduced priced lunches under the 
                Richard B. Russell National School Lunch Act (42 U.S.C. 
                1751 et seq.); and
                    (B) any other communities determined by the 
                Secretaries to be low-income for purposes of this 
                section.
            (4) The term ``Secretaries'' means the Secretary of Health 
        and Human Services and the Secretary of Education, acting 
        jointly and in conjunction with the Director of the Centers for 
        Disease Control and Prevention.
    (g) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $1,400,000 for the period of 
fiscal years 2011 through 2012.

 TITLE II--ADVANCING PREVENTATIVE MEASURES AND TREATMENT OF OBESITY IN 
             ADULTS AND CHILDREN IN UNDERSERVED COMMUNITIES

SEC. 201. COMMUNITY HEALTH AND WELLNESS NAVIGATORS PILOT PROGRAM: 
              CONNECTING AMERICA'S HEALTH PROFESSIONAL WITH OUR 
              SCHOOLS.

    (a) In General.--The Secretary of Health and Human Services shall 
award grants to 5 or more States for the establishment of a community 
navigator program, consisting of each such State making subgrants to 1 
or more eligible entities for a local community navigator program 
described in subsection (b).
    (b) Program Description.--A local community navigator program 
described in this subsection shall consist of the following:
            (1) An eligible entity, in partnership with a local 
        educational agency, a bureau-funded school, or a nonprofit 
        health or education organization, will hire and train 2 or more 
        community navigators.
            (2) The community navigators will facilitate a relationship 
        between the eligible entity and the local educational agency, 
        bureau-funded school, or nonprofit health or education 
        organization in low-income communities to ensure increased 
        access to medical care through educating parents and school 
        administrators.
            (3) The community navigators will carry out educational 
        activities for elementary school and secondary school students 
        and their parents in low-income communities with the goal of--
                    (A) increasing familial intake of nutritious meals;
                    (B) increasing physical activity both in and out of 
                the school setting; and
                    (C) increasing access to medical care.
    (c) Report.--Not later than 2 years after the date of the enactment 
of this Act, the Secretary shall submit a report to the Congress on the 
effectiveness of the program under this section.
    (d) Definitions.--In this section:
            (1) The term ``bureau-funded school'' has the meaning given 
        such term in section 1146 of the Education Amendments of 1978 
        (25 U.S.C. 2026).
            (2) The terms ``elementary school'', ``local educational 
        agency'', and ``secondary school'' have the meanings given to 
        such terms in section 9101 of the Elementary and Secondary 
        Education Act of 1965 (20 U.S.C. 7801).
            (3) The term ``eligible entity'' includes a Federally 
        qualified health center (as defined in section 1861(aa) of the 
        Social Security Act (42 U.S.C. 1395x(aa))), a facility operated 
        by the Indian Health Service (including a facility operated by 
        an Indian tribe or tribal organization through a contract or 
        compact with the Service under the Indian Self-Determination 
        and Education Assistance Act (25 U.S.C. 450 et seq.)), a free-
        standing children's hospital that is described in subparagraph 
        (L) or (M) of section 340B(a)(4) of the Public Health Service 
        Act (42 U.S.C. 256b(a)(4)), a non-profit with demonstrated 
        effectiveness in the area of healthcare and with a focus on 
        serving low-income communities, a rural hospital, and a rural 
        health clinic.
            (4) The term ``low-income communities'' includes--
                    (A) communities with a high percentage of children 
                eligible for free and reduced priced lunches under the 
                Richard B. Russell National School Lunch Act (42 U.S.C. 
                1751 et seq.); and
                    (B) any other communities determined by the 
                Secretaries to be low-income for purposes of this 
                section.
            (5) The term ``nonprofit health or education organization'' 
        shall be defined by the Secretary.
            (6) The term ``Secretary'' means the Secretary of Health 
        and Human Services.
            (7) The term ``State'' includes the District of Columbia 
        and any commonwealth, territory, or possession of the United 
        States, including the Commonwealth of Puerto Rico, the Virgin 
        Islands, Guam, American Samoa, and the Commonwealth of the 
        Northern Mariana Islands.
    (e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for fiscal years 2011 and 2012.

SEC. 202. REQUIREMENT TO EXPEDITE NATIONAL MEDICARE COVERAGE 
              DETERMINATIONS FOR EVIDENCE-BASED PREVENTIVE SERVICES.

    (a) In General.--Not later than January 1, 2011, the Secretary of 
Health and Human Services shall issue national Medicare coverage 
determinations for evidence-based preventive and treatment services, 
including services to prevent or treat overweight and obesity that have 
in effect a rating of `A' or `B' (relating to a classification 
representing strongly recommended or recommended services) in the 
current recommendations of the United States Preventive Services Task 
Force (in this section referred to as ``USPSTF'') and clinical services 
for preventing and treating overweight and obesity as defined by the 
National Heart, Lung and Blood Institute's (in this section referred to 
as ``NHLBI'') Clinical Guidelines on the Identification, Evaluation and 
Treatment of Overweight and Obesity in Adults. The Secretary shall 
update such coverage determinations based on future updates to such 
USPSTF and NHLBI guidelines.
    (b) Updating Recommendations.--The Secretary shall instruct--
            (1) the Agency for Healthcare Research and Quality and the 
        USPSTF to update, by not later than one year after the date of 
        the enactment of this Act and at least once every 5 years 
        thereafter, USPSTF recommendations relating to the prevention 
        of overweight and obesity that have in effect a rating of `I' 
        (relating to a classification representing insufficient 
        evidence to make a recommendation for the service involved) to 
        determine if such rating should be upgraded to a rating of 
        ``A'' or ``B''; and
            (2) the National Heart, Lung and Blood Institute to update, 
        by not later than December 31, 2010, and at least once every 3 
        years thereafter, the NHLBI Clinical Guidelines described in 
        subsection (a).

SEC. 203. EXPANSION OF OBESITY TREATMENT SERVICES UNDER MEDICARE.

    (a) Coverage.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x), as amended by section 4103 of the Patient Protection and 
Affordable Care Act (Public Law 111-148), is further amended--
            (1) in subsection (s)(2)--
                    (A) in subparagraph (EE), by striking at the end 
                ``and'';
                    (B) in subparagraph (FF), by adding at the end 
                ``and''; and
                    (C) by adding at the end the following new 
                subparagraph:
                    ``(GG) items and services furnished under an 
                obesity treatment program (as defined in subsection 
                (iii));''; and
            (2) by adding at the end the following new subsection:
    ``(iii) Obesity Treatment Program.--The term `obesity treatment 
program' means--
            ``(1) medical services delivered to eligible individuals 
        under a plan of care for the purpose of reducing body mass 
        index and the associated co-morbidities of obesity, including 
        the following:
                    ``(A) the development of an initial plan of care 
                and subsequent revisions to that plan of care;
                    ``(B) medical and surgical interventions as 
                determined appropriate by the Secretary; and
                    ``(C) additional services for which payment would 
                not otherwise be made under this title that the 
                Secretary may specify that encourage the receipt of, or 
                improve the effectiveness of, the services described in 
                the preceding subparagraphs.
        In carrying out subparagraph (C), the Secretary shall consider 
        recommendations of the United States Preventive Services Task 
        Force; clinical practice guidelines for treatment of 
        overweight, obesity, and severe obesity issued by professional 
        medical societies; and consensus statements and guidelines on 
        effective treatment of overweight, obesity, and severe obesity 
        issued by the National Institutes of Health, professional 
        medical societies, and other authoritative sources (such as 
        those identified in the National Heart Lung and Blood 
        Institute's Clinical Guidelines on the Identification, 
        Evaluation, and Treatment of Overweight and Obesity in Adults).
            ``(2) For purposes of this subsection, the term `eligible 
        individual' means an individual who has--
                    ``(A) been diagnosed with obesity by a physician 
                (as defined in subsection (r)) or provider of services 
                (as defined in subsection (u));
                    ``(B) a body mass index of at least 30; or
                    ``(C) a body mass index of at least 27 with at 
                least one weight-related comorbid condition.
        It is not necessary for such individual to be diagnosed with 
        co-morbidities in addition to the obesity diagnosis or body 
        mass index of at least 30 in order to be considered an 
        `eligible individual' under this subsection.''.
    (b) Payment.--Section 1833(a)(1) of the Social Security Act (42 
U.S.C. 1395l(a)(1)), as amended by section 10501(h)(3)(B) of the 
Patient Protection and Affordable Care Act (Public Law 111-148), is 
amended--
            (1) by striking ``and'' before ``(Z)''; and
            (2) by inserting before the semicolon at the end the 
        following: ``, and (AA) with respect to items and services 
        furnished under an obesity treatment program (as defined in 
        section 1861(iii)), the amount paid shall be 80 percent of the 
        lesser of the actual charge for the services or the amount 
        determined under a fee schedule established by the Secretary 
        for purposes of this subparagraph''.

SEC. 204. COVERAGE OF EVIDENCE-BASED PREVENTIVE SERVICES UNDER MEDICAID 
              AND SCHIP.

    (a) State Option To Provide Medical Assistance for Evidence-Based 
Preventive Services.--
            (1) In general.--Section 1905 of the Social Security Act 
        (42 U.S.C. 1396d)--
                    (A) in subsection (a), as amended by section 
                2301(a) of the Patient Protection and Affordable Care 
                Act, is further amended--
                            (i) in paragraph (28), by striking ``and'' 
                        at the end;
                            (ii) by redesignating paragraph (29) as 
                        paragraph (30); and
                            (iii) by inserting after paragraph (28) the 
                        following:
            ``(29) evidence-based preventive services described in 
        subsection (dd); and''; and
                    (B) as amended by section 10201(c)(6) of the 
                Patient Protection and Affordable Care Act, is further 
                amended by adding at the end the following:
    ``(dd) For purposes of subsection (a)(29), evidence-based 
preventive services described in this subsection are any preventive 
services which the Secretary has determined are reasonable and 
necessary, including, as so determined, diet and exercise counseling, 
healthy weight and obesity counseling, and any other evidence-based, 
effective clinical intervention for obese individuals, including 
pharmacological or surgical services, designed to prevent comorbidities 
of obesity.''.
            (2) Conforming amendment.--Section 1902(a)(10)(C)(iv) of 
        such Act is amended by inserting ``, and (29)'' after ``(24)''.
    (b) State Option To Provide Child Health Assistance for Evidence-
Based Preventive Services.--Section 2110(a) of the Social Security Act 
(42 U.S.C. 1397jj(a)) is amended--
            (1) by redesignating paragraph (28) as paragraph (29); and
            (2) by inserting after paragraph (27) the following:
            ``(28) Evidence-based preventive services described in 
        section 1905(dd).''.

SEC. 205. COVERAGE OF MEDICAL NUTRITION THERAPY UNDER MEDICAID AND 
              SCHIP.

    (a) State Option To Provide Medical Assistance for Medical Therapy 
Services.--
            (1) In general.--Section 1905(a) of the Social Security Act 
        (42 U.S.C. 1396d), as amended by section 204(a), is amended--
                    (A) in paragraph (29), by striking ``and'' at the 
                end;
                    (B) by redesignating paragraph (30) as paragraph 
                (31); and
                    (C) by inserting after paragraph (29) the 
                following:
            ``(30) medical nutrition therapy services (as defined in 
        section 1861(vv)(1)) for individuals with pre-diabetes or 
        obesity, or who are overweight (as defined by the Secretary); 
        and''.
            (2) Conforming amendment.--Section 1902(a)(10)(C)(iv) of 
        such Act, as amended by section 204(a)(2), is amended by 
        striking ``and (29)'' and inserting ``(29), and (30)''.
    (b) State Option To Provide Child Health Assistance for Medical 
Nutrition Therapy Services.--Section 2110(a) of the Social Security Act 
(42 U.S.C. 1397jj(a)), as amended by section 204(b), is amended--
            (1) by redesignating paragraph (29) as paragraph (30); and
            (2) by inserting after paragraph (28) the following:
            ``(29) Medical nutrition therapy services (as defined in 
        section 1861(vv)(1)) for individuals with pre-diabetes or 
        obesity, or who are overweight (as defined by the 
        Secretary).''.

SEC. 206. CLARIFICATION OF EPSDT INCLUSION OF PREVENTION, SCREENING, 
              AND TREATMENT SERVICES FOR OBESITY AND OVERWEIGHT; SCHIP 
              COVERAGE.

    (a) In General.--Section 1905(r)(5) of the Social Security Act (42 
U.S.C. 1396d(r)(5)) is amended by inserting before the period the 
following: ``, including weight and BMI measurement and monitoring, as 
well as appropriate treatment services, including medical nutrition 
therapy services (as defined in section 1861(vv)(1)), physical therapy 
or exercise training, behavioral health counseling, and such other 
evidence based services as recommended by the Secretary (after taking 
into consideration the American Academy of Pediatrics Expert Committee 
Guidelines Regarding the Prevention, Assessment, and Treatment of Child 
and Adolescent Overweight and Obesity)''.
    (b) SCHIP.--
            (1) Required coverage.--Section 2103 (42 U.S.C. 1397cc) is 
        amended--
                    (A) in subsection (a), in the matter preceding 
                paragraph (1), by striking ``and (7)'' and inserting 
                ``(7), and (9)''; and
                    (B) in subsection (c)--
                            (i) by redesignating paragraph (7) as 
                        paragraph (9); and
                            (ii) by inserting after paragraph (6), the 
                        following:
            ``(7) Prevention, screening, and treatment services for 
        obesity and overweight.--The child health assistance provided 
        to a targeted low-income child shall include coverage of weight 
        and BMI measurement and monitoring, as well as appropriate 
        treatment services (including but not limited to) medical 
        nutrition therapy services (as defined in section 1861(vv)(1)), 
        physical therapy or exercise training, behavioral health 
        counseling, and such other evidence based services as 
        recommended by the Secretary. For purposes of the previous 
        sentence the Secretary shall take into consideration the 
        American Academy of Pediatrics Expert Committee Guidelines 
        Regarding the Prevention, Assessment, and Treatment of Child 
        and Adolescent Overweight and Obesity.''.
            (2) Conforming amendment.--Section 2102(a)(7)(B) (42 U.S.C. 
        1397bb(c)(2)) is amended by striking ``section 2103(c)(5)'' and 
        inserting ``paragraphs (5) and (7) of section 2103(c)''.

SEC. 207. NATIONAL COMMISSION ON CHILD OBESITY.

    (a) Establishment.--There is established a commission to be known 
as the National Commission on Child Obesity (in this section referred 
to as the ``Commission'').
    (b) Duties of Commission.--The Commission shall--
            (1) conduct a comprehensive study that examines and 
        assesses the needs of children relating to the prevalence, 
        prevention, and treatment of childhood overweight and obesity, 
        including specific findings relating to--
                    (A) best practices for the prevention and treatment 
                of childhood overweight and obesity;
                    (B) child physical health and mental health;
                    (C) child care in all settings;
                    (D) child welfare;
                    (E) elementary and secondary education;
                    (F) food availability in neighborhoods;
                    (G) access to health care;
                    (H) health care utilization;
                    (I) built environment;
                    (J) parent physical health and education;
                    (K) underserved communities, including tribal 
                communities, health professional shortage areas 
                designated under section 332 of the Public Health 
                Service Act (42 U.S.C. 254e), medically underserved 
                areas (as defined in section 799B of such Act (42 
                U.S.C. 295p), and areas in the Appalachian region (as 
                defined in section 14102(a) of title 40, United States 
                Code);
                    (L) relevant activities in childhood overweight and 
                obesity; and
                    (M) the availability of information on State and 
                Federal supportive nutrition programs, such as the 
                Summer Food Service Program, the Women, Infants, and 
                Children Program, the State Children's Health Insurance 
                Program under title XXI of the Social Security Act, and 
                the Supplemental Nutrition Assistance Program;
            (2) identify, review, and evaluate existing laws, 
        regulations, policies, programs, and public health initiatives 
        relevant to best practices for the prevalence, prevention, and 
        treatment of childhood overweight and obesity;
            (3) identify, review, and evaluate the lessons learned from 
        past laws, regulations, policies, programs, and public health 
        initiatives relevant to the prevalence, prevention, and 
        treatment of childhood overweight and obesity;
            (4) advise on the need to revise laws, regulations, 
        policies, and programs relative to addressing best practices 
        for the prevalence, prevention, and treatment of childhood 
        overweight and obesity at regular intervals as new knowledge is 
        gained;
            (5) include in the interim report required by subsection 
        (i)(1) recommendations on--
                    (A) the appropriate Federal agency to establish the 
                infrastructure for the creation of a comprehensive 
                nationwide registry of patient data associated with 
                children living with obesity;
                    (B) the specific criteria needed for such registry 
                to allow the field of pediatric clinicians access to 
                patient-level, clinical data suitable for research and 
                the development of best practices;
                    (C) the appropriate funding level required for the 
                establishment and implementation of such the registry 
                described in subparagraph (A); and
                    (D) how to capture large-scale data that are 
                currently unavailable on adolescent and child patients 
                who are currently obese; and
            (6) include in the final report required by subsection 
        (i)(3) the Commission's specific findings, conclusions, and 
        recommendations to address the needs of children relating to 
        the prevention and treatment of childhood overweight and 
        obesity, including specific recommendations on--
                    (A) the need for planning and establishing a 
                national resource center for children and obesity; and
                    (B) such coordination of resources and services, 
                administrative actions, policies, regulations, and 
                legislative changes as the Commission considers 
                appropriate.
    (c) Composition.--
            (1) Members.--The Commission shall be composed of 15 
        members, of whom--
                    (A) 3 members, each of a different political party, 
                shall be appointed by the President;
                    (B) 3 members shall be appointed by the majority 
                leader of the Senate;
                    (C) 3 members shall be appointed by the minority 
                leader of the Senate;
                    (D) 3 members shall be appointed by the Speaker of 
                the House of Representatives; and
                    (E) 3 members shall be appointed by the minority 
                leader of the House of Representatives.
            (2) Appointment.--Members of the Commission shall be 
        appointed not later than 6 months after the date of the 
        enactment of this Act.
            (3) Chairperson, vice chairperson, and meetings.--
                    (A) In general.--Not later than 30 days after the 
                date on which all members of the Commission are 
                appointed under paragraph (1), such members shall meet 
                to elect a Chairperson and Vice Chairperson from among 
                such members and shall determine a schedule of 
                Commission meetings.
                    (B) Initial meeting.--The Commission shall meet and 
                begin the operations of the Commission not later than 
                120 days after the appointment of members of the 
                Commission.
            (4) Governmental appointees.--An individual appointed to 
        the Commission may not be an official or employee of the 
        Federal Government.
            (5) Commission representation.--The Commission shall 
        include at least one--
                    (A) representative from each of a nonprofit and 
                for-profit entity with demonstrated expertise in 
                addressing the needs of children relating to the 
                prevalence, prevention, and treatment of childhood 
                overweight and obesity;
                    (B) State or local director of health; and
                    (C) tribal health representative.
            (6) Qualifications.--Members appointed under paragraph (1) 
        may include--
                    (A) individuals involved with providing services to 
                children, including health and other social services;
                    (B) individuals involved with administering health 
                insurance coverage to children;
                    (C) individuals with experience in public health 
                initiatives relating to the prevention and treatment of 
                childhood overweight and obesity, including 
                coordination of resources and services among State and 
                local governments, the Federal Government, and 
                nongovernmental entities;
                    (D) individuals with philanthropic experience 
                focused on the needs of children relating to the 
                prevalence, prevention, and treatment of childhood 
                overweight and obesity; and
                    (E) individuals who have conducted academic 
                research relating to the prevalence, prevention, and 
                treatment of childhood overweight and obesity.
            (7) Quorum and vacancy.--
                    (A) Quorum.--A majority of the members of the 
                Commission shall constitute a quorum, but a lesser 
                number of members may hold hearings.
                    (B) Vacancy.--Any vacancy in the Commission shall 
                not affect its powers and shall be filled in the same 
                manner in which the original appointment was made.
    (d) Powers of Commission.--
            (1) Hearings.--The Commission may hold such hearings, meet 
        and act at such times and places, and receive such evidence as 
        may be necessary to carry out the functions of the Commission.
            (2) Information from federal agencies.--
                    (A) In general.--The Commission may access, to the 
                extent authorized by law, from any executive 
                department, bureau, agency, board, commission, office, 
                independent establishment, or instrumentality of the 
                Federal Government such information, suggestions, 
                estimates, and statistics as the Commission considers 
                necessary to carry out this section.
                    (B) Provision of information.--On written request 
                of the Chairperson of the Commission, each department, 
                bureau, agency, board, commission, office, independent 
                establishment, or instrumentality of the Federal 
                Government shall, to the extent authorized by law, 
                provide the requested information to the Commission.
                    (C) Receipt, handling, storage, and 
                dissemination.--Information shall only be received, 
                handled, stored, and disseminated by members of the 
                Commission and its staff consistent with all applicable 
                statutes, regulations, and Executive orders.
            (3) Assistance from federal agencies.--
                    (A) General services administration.--On request of 
                the Chairperson of the Commission, the Administrator of 
                General Services shall provide to the Commission, on a 
                reimbursable basis, administrative support and other 
                assistance necessary for the Commission to carry out 
                its duties.
                    (B) Other departments and agencies.--In addition to 
                assistance under subparagraph (A), departments and 
                agencies of the United States may provide to the 
                Commission such assistance as they determine advisable 
                and as authorized by law.
            (4) Contracting.--The Commission may enter into financially 
        reasonable contracts to enable the Commission to discharge its 
        duties under this section.
            (5) Postal services.--The Commission may use the United 
        States mails in the same manner and under the same conditions 
        as a department or agency of the United States.
    (e) Staff of Commission.--
            (1) In general.--The Chairperson of the Commission, in 
        consultation with the Vice Chairperson, in accordance with 
        rules agreed upon by the Commission, may appoint and fix the 
        compensation of a staff director, policy director, and 
        administrative assistant (and other staff if agreed upon by a 
        majority of Commission members) to enable the Commission to 
        carry out its functions, in accordance with the provisions of 
        title 5, United States Code, except that no rate of pay fixed 
        under this paragraph may exceed the equivalent of that payable 
        for a position at level V of the Executive Schedule under 
        section 5316 of title 5, United States Code.
            (2) Staff of federal agencies.--Upon request of the 
        Chairperson of the Commission, the head of any executive 
        department, bureau, agency, board, commission, office, 
        independent establishment, or instrumentality of the Federal 
        Government may detail, without reimbursement, any of its 
        personnel to the Commission to assist it in carrying out its 
        duties under this section. Any detail of an employee shall be 
        without interruption or loss of civil service status or 
        privilege.
            (3) Consultant services.--The Commission is authorized to 
        procure (pursuant to a majority vote of the Commission members) 
        the services of experts and consultants in accordance with 
        section 3109 of title 5, United States Code, but at rates not 
        to exceed the daily equivalent of the annual rate of basic pay 
        for level IV of the Executive Schedule under section 5315 of 
        title 5, United States Code.
    (f) Travel Expenses.--Each member of the Commission shall serve 
without compensation, but shall receive travel expenses, including per 
diem in lieu of subsistence, in accordance with applicable provisions 
in the same manner as persons employed intermittently in the Government 
service are allowed expenses under section 5703 of title 5, United 
States Code.
    (g) Applicability of FACA.--The Federal Advisory Committee Act, 
including any provisions applicable to staff, is deemed to apply to the 
Commission.
    (h) Reports of Commission; Termination.--
            (1) Interim report.--The Commission shall, not later than 1 
        year after the date of its first meeting, submit to the 
        President and the Congress an interim report containing 
        specific findings, conclusions, and recommendations required 
        under this section and agreed to by a majority of Commission 
        members.
            (2) Other reports and information.--
                    (A) Reports.--The Commission may issue additional 
                reports as the Commission determines necessary.
                    (B) Information.--The Commission may hold public 
                hearings to collect information and shall make such 
                information available for use by the public.
            (3) Final report.--The Commission shall, not later than 2 
        years after the date of its first meeting, submit to the 
        President and Congress a final report containing specific 
        findings, conclusions, and recommendations required under this 
        section and agreed to by a majority of Commission members.
            (4) Termination.--
                    (A) In general.--Unless reauthorized by statute, 
                the Commission, and all the authorities of this 
                section, shall terminate 180 days after the date on 
                which the final report is submitted under paragraph 
                (3).
                    (B) Records.--Not later than the date of 
                termination of the Commission under subparagraph (A), 
                all records and papers of the Commission shall be 
                delivered to the Archivist of the United States for 
                deposit in the National Archives.
    (i) Definitions.--In this section:
            (1) Obesity.--The term ``obesity'' with respect to children 
        means having a body mass index (BMI) greater than or equal to 
        the 95th percentile for age and sex according to the Centers 
        for Disease Control and Prevention.
            (2) Child; children.--The terms ``child'' and ``children'' 
        mean an individual or individuals, respectively, who have not 
        attained 18 years of age.
    (j) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $1,500,000 for each of fiscal 
years 2011 and 2012.

SEC. 208. GAO REPORT.

    Not later than 2 years after the first appropriation of Federal 
funds to carry out this Act, the Comptroller General of the United 
States shall submit to Congress a report on the effectiveness of the 
activities carried out under this Act in reducing child obesity, which 
shall include an analysis of the costs and the benefits of such 
activities.

   TITLE III--ENCOURAGING PHYSICAL ACTIVITY IN UNDERSERVED AMERICAN 
                              COMMUNITIES

SEC. 301. RENOVATION OF FORECLOSED AND ABANDONED PROPERTIES TO CREATE 
              SPACES THAT ENCOURAGE PHYSICAL ACTIVITY IN AMERICAN 
              NEIGHBORHOODS.

    Section 106(a) of the Housing and Community Development Act of 1974 
(42 U.S.C. 5306(a)) is amended--
            (1) in paragraph (3)--
                    (A) by striking ``(1) and'' and inserting ``(1),''; 
                and
                    (B) by inserting ``and after reserving such amounts 
                for units of general local government, special district 
                governments, and Indian tribes with high foreclosure 
                rates and great infrastructure need under paragraph 
                (4),'' after ``paragraph (2),'';
            (2) by redesignating paragraph (4) as paragraph (5);
            (3) in paragraph (5), as redesignated by paragraph (2) of 
        this section, by striking ``paragraphs (1), (2), and (3)'' and 
        inserting ``paragraphs (1), (2), (3), and (4)''; and
            (4) by inserting after paragraph (3) the following new 
        paragraph:
            ``(4)(A) For each fiscal year, of the amount approved in 
        appropriation Acts under section 103 for grants for such fiscal 
        year (excluding the amounts provided for use in accordance with 
        section 107), the Secretary shall reserve for grants to units 
        of general local government, special district governments, and 
        Indian tribes that the Secretary determines have both high 
        foreclosure rates and the greatest infrastructure needs, based 
        on the scope of the needs, an amount the Secretary determines 
        necessary.
            ``(B) Grants under this paragraph may be used by units of 
        general local government, special district governments, and 
        Indian tribes to--
                    ``(i) renovate foreclosed commercial properties, 
                abandoned commercial properties, or both, to be 
                transformed in community centers, public recreation 
                facilities, swimming pools, or any other type of 
                facility that will encourage indoor physical activity;
                    ``(ii) demolish foreclosed or abandoned commercial 
                and residential properties, or both, to use the sites 
                for--
                            ``(I) the construction of parks, 
                        playgrounds, outdoor swimming pools, tracks, 
                        soccer fields, baseball diamonds, or any other 
                        type of facility that will encourage outdoor 
                        physical activity;
                            ``(II) community gardens or urban farms, 
                        particularly in areas that are food deserts (as 
                        such term is defined in section 7527(a) of the 
                        Food, Conservation, and Energy Act of 2008 
                        (Public Law 110-234); or
                            ``(III) mixed used facilities that are used 
                        for both of the purposes under subclauses (I) 
                        and (II) of this clause; and
                    ``(iii) reconstruct and repair dilapidated 
                sidewalks, bike and pedestrian trails, and indoor and 
                outdoor facilities that encourage physical activity.
            ``(C) In making grants under this paragraph, the Secretary 
        shall give priority among units of general local government, 
        special district governments, and Indian tribes eligible 
        pursuant to subparagraph (A)--
                    ``(i) to units of general local government, special 
                district governments, and Indian tribes that 
                demonstrate the ability and willingness to work with 
                local educational agencies, developers, and other 
                community-based organizations to enter into mixed-use 
                agreements to maximize the use and efficiency of 
                properties renovated, constructed, or reconstructed and 
                repaired through the use of grant funds;
                    ``(ii) to units of general local government, 
                special district governments, and Indian tribes that 
                demonstrate the willingness to recognize and promote 
                the involvement of individuals enrolled in a national 
                service program authorized under the National and 
                Community Service Act of 1990 (42 U.S.C. 12501 et seq.) 
                or the Domestic Volunteer Service Act of 1973 (42 
                U.S.C. 4950 et seq.) in the renovation, construction, 
                or reconstruction and repair of properties through the 
                use of grant funds; and
                    ``(iii) to projects proposed by units of general 
                local government, special district governments, and 
                Indian tribes that are easily accessible, on foot or by 
                public transportation, for persons in low-income 
                communities.
            ``(D) For purposes of this paragraph, the term `special 
        district government' means any organized local entity, known by 
        a variety of titles, including districts, authorities, boards, 
        and commissions, other than a unit of general local government 
        or local educational agency, authorized by State law to provide 
        only one or a limited number of designated functions, and with 
        sufficient administrative and fiscal autonomy to qualify as a 
        separate government unit, as determined by the Secretary.''.

SEC. 302. NATIONAL YOUTH SPORTS PROGRAM REVITALIZATION.

    Section 682(g) of the Community Services Block Grant Act (42 U.S.C. 
9923(g)) is amended by striking ``$15,000,000'' and all that follows 
through ``2003'', and inserting ``$20,000,000 for each of the fiscal 
years 2011 through 2021''.

SEC. 303. EXPANSION OF THE ZUNI YOUTH ENRICHMENT PROJECT SUMMER CAMP.

    (a) In General.--The Secretary of Health and Human Services shall 
establish a 2-year pilot program to provide funds to community-based 
organizations on Indian reservations or tribal lands to plan and 
implement an enrichment program for children (in the form of a summer 
camp and a year-round program) for the purpose of--
            (1) reversing the epidemics of obesity, diabetes, and 
        alcoholism in such areas; and
            (2) to mitigate other problems stemming from the formation 
        of bad habits and the development of low self esteem during 
        childhood.
    (b) Partnerships.--In order to qualify for funding under subsection 
(a), a community-based organization shall demonstrate, to the 
satisfaction of the Secretary of Health and Human Services, that the 
community-based organization has entered into a partnership with 
community entities, local funders, and tribal leaders (including, if 
applicable, the tribal council) to plan and execute an enrichment 
program under subsection (a).
    (c) Number of Sites.--The Secretary of Health and Human Services, 
in providing funding under subsection (a), shall provide funding to no 
more than 20 community-based organizations.
    (d) Model and Camp Requirement.--The enrichment program under 
subsection (a) shall--
            (1) be modeled on similar programs established by the Zuni 
        Youth Enrichment Project; and
            (2) shall include a camp of at least 6 weeks in duration 
        during the summer.
    (e) Specific Camp Requirements.--
            (1) Daily activities.--With respect to children attending a 
        camp under subsection (d)(2), the leader of the organization 
        that receives funds under subsection (a) shall, for each day of 
        the camp, ensure that, such children are--
                    (A) involved in at least 60 minutes of physical 
                activity (with appropriate accommodations made for 
                children with disabilities); and
                    (B) provided with at least two meals that meet 
                national nutritional standards.
            (2) Other activities.--Such leader shall also ensure that--
                    (A) a community gardening activity is included in 
                the activities conducted at the camp; and
                    (B) health and wellness education is provided to 
                the children attending the camp.
    (f) Evaluation.--
            (1) In general.--A community-based organization that 
        receives funding under subsection (a), shall, as a condition of 
        receiving such funding, conduct an evaluation of the enrichment 
        program conducted by such organization.
            (2) Model.--The form, manner, content, and frequency of the 
        evaluation under paragraph (1) shall be modeled on the Zuni 
        Youth Enrichment Project standard project evaluation.
    (g) Report.--Not later than 1 year after the date on which a 
community organization first receives funding under subsection (a) and 
annually thereafter, the organization shall--
            (1) submit a report to the to the Secretary of Health and 
        Human Services on the outcomes of the enrichment program 
        conducted by the organization under this section, including--
                    (A) the findings of the evaluation conducted under 
                subsection (f); and
                    (B) the impact of such enrichment program on the 
                rates of childhood obesity on the reservation or area 
                of tribal land served by the organization; and
            (2) provide a copy of the findings under paragraph (1)(A) 
        to community entities, local funders, tribal leaders 
        (including, if applicable, the tribal council), and the 
        families of children participating in the enrichment program.

SEC. 304. MAKING ROUTES TO SCHOOLS IN UNDERSERVED COMMUNITIES SAFE AND 
              ACCESSIBLE WITH PUBLIC PARTICIPATION THROUGH THE 
              COMMUNITY ORIENTED POLICING SERVICES PROGRAM.

    Section 1701 of the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3796dd) is amended--
            (1) in subsection (b)--
                    (A) in paragraph (16), by striking ``and'' after 
                the semicolon;
                    (B) in paragraph (17), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following new 
                paragraph:
            ``(18) award grants for Safe Routes to School-Community 
        Oriented Policing Services programs, in accordance with 
        subsection (j).''; and
            (2) by adding at the end the following new subsection:
    ``(j) Safe Routes to School-Community Oriented Policing Services 
Programs.--
            ``(1) Grant program.--The Director of the Office of 
        Community Oriented Policing Services, in collaboration with the 
        Secretary of Education, shall award grants to not fewer than 10 
        local and tribal law enforcement agencies in low-income 
        communities for the planning, development, and assessment of 
        Safe Routes to School-Community Oriented Policing Services 
        programs in accordance with this subsection.
            ``(2) Grant period.--Each grant awarded under this 
        subsection shall be for a 3-year period beginning with the 
        first fiscal year that begins after the date of enactment of 
        the Fit for LIFE Act of 2010, and may not be renewed.
            ``(3) Use of grants.--A grant awarded under this subsection 
        shall be used by each grantee to--
                    ``(A) assess the needs of the low-income community 
                served by the grantee with respect to the ability of 
                elementary and secondary school students to get to and 
                from school safely; and
                    ``(B) establish and maintain a Safe Routes to 
                School-Community Oriented Policing Services program 
                that ensures the availability of safe routes to and 
                from school for elementary and secondary school 
                students in underserved communities by addressing the 
                unique personal safety dangers to students in such 
                communities that may cause routes to or from school to 
                be unsafe, such as dangers associated with crime, drug 
                or gang activity, abandoned properties, and the 
                presence of sexual predators.
            ``(4) Reports.--Not later than one year after receiving a 
        grant award under this subsection, and annually thereafter, 
        each grantee shall submit to the Director of the Office of 
        Community Oriented Policing Services a report on the Safe 
        Routes to School-Community Oriented Policing Services program 
        carried out by the grantee that includes--
                    ``(A) a description of the activities carried out 
                with such grant during the preceding year;
                    ``(B) the effectiveness of such activities in 
                ensuring safe routes to and from school for elementary 
                and secondary school students;
                    ``(C) a description of the activities the grantee 
                plans to carry out with such grant in succeeding years; 
                and
                    ``(D) best practices, plans, and findings for 
                purposes of incorporation into urban planning and 
                development in underserved communities in succeeding 
                years.
            ``(5) Definition.--The term `low-income communities' 
        includes--
                    ``(A) communities with a high percentage of 
                children eligible for free and reduced priced lunches 
                under the Richard B. Russell National School Lunch Act 
                (42 U.S.C. 1751 et seq.); and
                    ``(B) any other communities determined by the 
                Director of the Office of Community Oriented Policing 
                Services to be low-income for purposes of this 
                section.''.

SEC. 305. LAND AND WATER CONSERVATION FUND PROGRAM GRANTS IN LOW-INCOME 
              COMMUNITIES AND EXPAND TRIBAL PARTICIPATION.

    Section 6(e) of the Land and Water Conservation Act of 1965 (16 
U.S.C. 460l-8(e)) is amended by adding at the end the following:
            ``(3) Low-income communities and indian reservations.--For 
        development of programs to increase the use of and access to 
        parks and open space in low-income communities and on or near 
        Indian reservations.''.

SEC. 306. CHANGING HEARTS, ATTITUDES, AND MINDS BY PARTICIPATING IN 
              SPORTS (CHAMPS) PROGRAM.

    Part B of title III of the Public Health Service Act is amended by 
inserting after section 317T (42 U.S.C. 247b-22) the following:

``SEC. 317U. CHANGING HEARTS, ATTITUDES, AND MINDS BY PARTICIPATING IN 
              SPORTS (CHAMPS) PROGRAM.

    ``(a) In General.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, may make grants to 
eligible entities to carry out nationally-based or community-based 
qualified childhood obesity prevention initiatives.
    ``(b) Eligible Entities.--To be eligible to seek a grant under this 
section, an entity shall be--
            ``(1) a nationally-based nonprofit organization proposing 
        to implement programs described in subsection (c), each serving 
        at least 1,000 individuals, at 5 or more locations across the 
        Nation; or
            ``(2) a community-based nonprofit organization proposing to 
        implement a program described in subsection (c) serving at 
        least 1,000 individuals.
    ``(c) Qualified Childhood Obesity Prevention Initiative.--To 
qualify as a childhood obesity prevention initiative eligible for 
funding under this section, an initiative shall consist of programs 
that--
            ``(1) serve children or adolescents most at risk for being 
        overweight and obese in predominantly economically 
        disadvantaged communities;
            ``(2) serve children or adolescents during after-school 
        hours, weekends, or summer hours;
            ``(3) provide structured physical fitness activities, 
        including organized sports, which engage each participant in a 
        minimum of 60 minutes of moderate to vigorous physical activity 
        at least three days per week for a period of at least 24 weeks 
        in a given year;
            ``(4) provide adult supervision and guidance or coaches who 
        encourage and teach proper exercise techniques and skills;
            ``(5) combine physical fitness activities with nutritional 
        counseling and education; and
            ``(6) demonstrate measurable results for reducing childhood 
        obesity on the part of participants, including through--
                    ``(A) measurement and study of participants' 
                moderate to vigorous physical activity (MVPA) each day, 
                both as part of the programs funded under this section 
                and on the participants' own initiative;
                    ``(B) increased knowledge of and awareness about 
                the importance of physical activity and exercise as 
                well as the nutritional value of food and beverage 
                choices;
                    ``(C) keeping track of and reporting meaningful 
                reductions in the consumption of food and beverages 
                with low nutritional value, increased consumption of 
                healthy items, and increased levels of unstructured, 
                self-initiated physical activity outside of the 
                programs funded under this section; and
                    ``(D) measurement and study of participants' body 
                mass index (BMI) indicating that--
                            ``(i) children entering programs funded 
                        under this section with a healthy body mass 
                        index maintain it while participating in such 
                        programs; and
                            ``(ii) children participating in such 
                        programs with an unhealthy body mass index halt 
                        any negative trend lines towards obesity or 
                        begin trend lines in a positive direction.
    ``(d) Priority.--In selecting among applicants for grants under 
this section, the Secretary shall give priority to eligible entities 
proposing to carry out programs that will provide additional societal 
benefits, such as--
            ``(1) improvements to academic performance in school;
            ``(2) character building and leadership development;
            ``(3) gang and juvenile delinquency prevention and 
        reduction;
            ``(4) gender equality and female empowerment;
            ``(5) mentoring, volunteerism promotion, and service-
        learning opportunities;
            ``(6) family and community engagement and participation; or
            ``(7) workforce education and career development 
        opportunities.
    ``(e) Distribution of Funds.--Of the amount made available to carry 
out this section for a fiscal year, the Secretary shall award--
            ``(1) not less than 25 percent of such amount to 
        nationally-based nonprofit organizations described in 
        subsection (b)(1); and
            ``(2) not more than 75 percent of such amount to community-
        based nonprofit organizations described in subsection (b)(2).
    ``(f) Cost-Share Requirements.--
            ``(1) In general.--With respect to the costs of a qualified 
        childhood obesity prevention initiative to be carried out under 
        this section--
                    ``(A) in the case of an applicant that is a 
                nationally-based nonprofit organization, a grant under 
                subsection (a) may be made only if the organization 
                agrees to make available (directly or through donations 
                from public or private entities) non-Federal 
                contributions toward such costs in an amount that is 
                not less than one-third of such costs ($1 for each $2 
                of Federal funds provided in the grant); and
                    ``(B) in the case of an applicant that is a 
                community-based nonprofit organization, a grant under 
                subsection (a) may be made only if the organization 
                agrees to make available (directly or through donations 
                from public or private entities) non-Federal 
                contributions toward such costs in an amount that is 
                not less than one-fourth of such costs ($1 for each $3 
                of Federal funds provided in the grant).
            ``(2) Non-federal contributions by subgrantees.--If a 
        nationally-based nonprofit organization chooses to provide 
        grant funds received under this section to a subgrantee to 
        carry out one or more programs as part of the organization's 
        qualified childhood obesity prevention initiative, the 
        organization shall require the subgrantee to make available 
        (directly or through donations from public or private entities) 
        non-Federal contributions toward the costs of such programs in 
        an amount that is not less than one-third of such costs ($1 for 
        each $2 of Federal funds provided in the grant). The amount of 
        non-Federal contributions by subgrantees required under this 
        paragraph is in addition to the amount of non-Federal 
        contributions by the nationally-based nonprofit organization 
        required under paragraph (1).
            ``(3) Determination of amount contributed.--
                    ``(A) In general.--Non-Federal contributions 
                required by paragraph (1) or (2)--
                            ``(i) in the case of a nationally-based 
                        nonprofit organization, shall be made in cash; 
                        and
                            ``(ii) in the case of a subgrantee 
                        described in paragraph (2) or a community-based 
                        nonprofit organization, may be in cash or in 
                        kind, fairly evaluated, including plant, 
                        equipment, or services.
                    ``(B) Exclusion of federal contributions.--Amounts 
                provided by the Federal Government, or services 
                assisted or subsidized to any significant extent by the 
                Federal Government, may not be included in determining 
                the amount of non-Federal contributions required by 
                paragraph (1) or (2).
    ``(g) Report to Congress.--Not later than one year after the first 
appropriation of Federal funds to carry out this section, the Secretary 
shall report to the Congress on the progress made in carrying out 
programs funded by grants under this section.
    ``(h) Best Practices Guidelines.--Based on the results of programs 
funded through grants under this section during the first two fiscal 
years of such funding, the Secretary shall develop publicly-accessible 
best practices guidelines for obesity reduction programs. The Secretary 
shall update these guidelines every two years.
    ``(i) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $50,000,000 for each of fiscal 
years 2011 through 2015.''.

SEC. 307. COORDINATED SCHOOL HEALTH INITIATIVES.

    (a) In General.--From the amounts appropriated to carry out this 
section, the Secretary of Education shall carry out a pilot program to 
award grants to not more than 5 eligible entities to carry out 
coordinated school health initiatives in schools.
    (b) Amount of Grant.--A grant awarded under subsection (a) may not 
exceed $15,000.
    (c) Use of Funds.--An eligible entity receiving a grant under this 
section shall carry out a coordinated school health initiative in each 
school under the jurisdiction of the entity under which the entity 
shall--
            (1) carry out a program, such as a fitnessgram, to assess 
        the physical fitness (including aerobic capacity, muscular 
        strength and endurance, flexibility, and body composition) of 
        each student served by the entity; and
            (2) evaluate such assessments to--
                    (A) establish baselines with respect to aerobic 
                capacity, muscular strength and endurance, flexibility, 
                and body composition that each such student should meet 
                by a certain period; and
                    (B) identify interventions to assist each such 
                student in meeting such baselines;
            (3) review the interventions identified under paragraph 
        (2)(B) to determine the best practices with respect to such 
        interventions;
            (4) use the determinations for best practices under 
        paragraph (3) to implement interventions in each school under 
        the jurisdiction of the entity; and
            (5) not later than 1 year after the implementation of the 
        interventions, assess the physical fitness of each student 
        served by the entity.
    (d) Reporting.--
            (1) Eligible entity.--Each eligible entity receiving a 
        grant under this section shall submit to the Secretary at such 
        time and in such manner as determined by the Secretary, a 
        report on--
                    (A) the initial physical fitness assessments 
                carried out under subsection (c)(1);
                    (B) the interventions implemented under subsection 
                (c)(4); and
                    (C) the physical fitness assessments carried out 
                under subsection (c)(5) after the interventions have 
                been implemented.
            (2) Secretary.--Not later than the first appropriation of 
        Federal funds to carry out this section, the Secretary shall 
        use the reports received under paragraph (1) to prepare and 
        transmit to Congress a report on--
                    (A) the average physical fitness levels of students 
                participating in the coordinated school health 
                initiative under this section--
                            (i) prior to the interventions implemented 
                        by each eligible entity under this section; and
                            (ii) 1 year after the implementation of the 
                        interventions;
                    (B) the best practices with respect to the 
                interventions; and
                    (C) recommendations on how schools and local 
                educational agencies may incorporate such best 
                practices.
    (e) Application.--To receive a grant under this section, an 
eligible entity shall submit an application to the Secretary of 
Education at such time, in such manner, and containing such information 
as the Secretary may require.
    (f) Supplement, Not Supplant.--Funds received under this section 
shall be used to supplement, and not supplant, non-Federal funds that 
would otherwise be used for activities authorized under this section.
    (g) Definitions.--For purposes of this section:
            (1) Eligible entity.--The term ``eligible entity'' means a 
        local educational agency--
                    (A) that serves--
                            (i) a high percentage of students eligible 
                        for free or reduced price lunches under the 
                        Richard B. Russell National School Lunch Act; 
                        or
                            (ii) a community otherwise determined by 
                        the Secretary to be a low-income community; and
                    (B) that forms a partnership with an institution of 
                higher education or a nonprofit health or education 
                organization, as determined by the Secretary, for the 
                purposes of carrying out the coordinated school health 
                initiative described in subsection (c).
            (2) Institution of higher education.--The term 
        ``institution of higher education'' has the meaning given the 
        term in section 101 of the Higher Education Act of 1965 (20 
        U.S.C. 1001).
            (3) Local educational agency.--The term ``local educational 
        agency'' has the meaning given such term in section 9101 of the 
        Elementary and Secondary Education Act of 1965 (20 U.S.C. 
        7801).
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Agriculture.

SEC. 308. REWARDING ELEMENTARY AND SECONDARY SCHOOLS FOR OUTSTANDING 
              STUDENT PERFORMANCE IN PHYSICAL FITNESS PROGRAMS.

    (a) In General.--The Secretary of Health and Human Services may 
make grants to elementary and secondary schools as rewards for their 
students' outstanding performance in the President's Challenge or other 
federally supported physical fitness programs.
    (b) Preference.--In making grants under subsection (a), the 
Secretary shall give preference to elementary and secondary schools 
that--
            (1) have the highest percentage of students earning a 
        Presidential Physical Fitness Award through the President's 
        Challenge; and
            (2) demonstrate the greatest improvement in the number or 
        percentage of students earning the National Physical Fitness 
        Award and the Participant Physical Fitness Award through the 
        President's Challenge.
    (c) Use of Funds.--As a condition on receipt of a grant under this 
section, a school shall agree to use the grant funds for programs and 
activities to further improve the physical fitness of students.
    (d) Application.--To seek a grant under this section, a school 
shall submit an application at such time, in such manner, and 
containing such information as the Secretary may require. At a minimum, 
an application under this subsection shall include--
            (1) a description of the school's programs and activities 
        for improving physical fitness;
            (2) an assurance of compliance with applicable requirements 
        of physical fitness programs of the Department of Health and 
        Human Services; and
            (3) an assessment of physical fitness levels of students in 
        the school before, during, and after implementation such 
        programs.
    (e) Reports.--
            (1) HHS.--Not later than 18 months after the date of the 
        enactment of this Act, and annually thereafter, the Secretary 
        shall submit a report to the Congress on the program of grants 
        under this section, including--
                    (A) a description of best practices by elementary 
                and secondary schools for improving physical fitness; 
                and
                    (B) any recommendations for improving the program 
                under this section.
            (2) GAO.--Not later than 24 months after the date of the 
        enactment of this Act, the Comptroller General of the United 
        States shall complete a study and submit a report to the 
        Congress--
                    (A) analyzing physical fitness levels of students 
                in elementary and secondary schools across the Nation;
                    (B) evaluating the President's Challenge to 
                determine whether the standards for Presidential 
                Physical Fitness Awards, National Physical Fitness 
                Awards, and Participant Physical Fitness Awards are 
                accurate, up-to-date, and appropriate; and
                    (C) evaluating the effectiveness of the awards 
                described in subparagraph (B).
    (f) Definitions.--In this section:
            (1) The term ``elementary and secondary schools'' means 
        public or private elementary schools and secondary schools (as 
        defined in section 9101 of the Elementary and Secondary 
        Education Act of 1965 (20 U.S.C. 7801)).
            (2) The term ``President's Challenge'' refers to the 
        premier program of the President's Council on Fitness, Sports & 
        Nutrition, under the Secretary of Health and Human Services, 
        for increasing physical activity and improving physical 
        fitness.
            (3) The term ``Secretary'' means the Secretary of Health 
        and Human Services.
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