I 

113TH CONGRESS 

2D SESSION H. R. 4765 

To address childhood obesity, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 29, 2014 

Ms. FUDGE (for herself, Mr. ELLISON, Ms. LEE of California, Mr. RICHMOND, 

and Mr. PAYNE) introduced the following bill; which was referred to the 

Committee on Energy and Commerce, and in addition to the Committees 

on Agriculture, Education and the Workforce, the Judiciary, Financial 

Services, and Natural Resources, 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. 

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Fit for Life Act of 

5 2014’’. 

6 SEC. 2. TABLE OF CONTENTS. 

7 The table of contents of this Act is as follows: 

Sec. 1. Short title. 

Sec. 2. Table of contents. 


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TITLE I—IMPROVING THE NUTRITIONAL QUALITY OF AND 

ACCESS TO FOODS IN UNDERSERVED AMERICAN COMMUNITIES 

Subtitle A—Access to Nutritious and Quality Foods in Underserved American 

Communities 

Sec. 101. Nutritious Food Access through mobility and Innovation Program. 

Sec. 102. Expansion of the Fresh Fruit and Vegetable Program. 

Sec. 103. Expanding Access to the Summer Food Service Program for Children. 

Sec. 104. Study and report on physical activity and nutritional quality of meals 

and snacks served, in juvenile justice facilities. 

Sec. 105. Local food insecurity assessments: evaluating the unique nutritional 

needs of local communities. 

Sec. 106. Weekends and holidays without hunger. 

Subtitle B—Ensuring a Healthy Start for Children in Underserved American 

Communities 

Sec. 111. Improving Healthy Eating and Physical Activity Among our Youngest Children. 

Sec. 112. 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 professionals with our schools. 

Sec. 202. Coverage of evidence-based preventive services under Medicaid and 

SCHIP. 

Sec. 203. Coverage of medical nutrition therapy under Medicaid and CHIP. 

Sec. 204. Clarification of EPSDT inclusion of prevention, screening, and treatment services for obesity and overweight; CHIP coverage. 

Sec. 205. National commission on child obesity. 

Sec. 206. 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. School infrastructure healthier upgrades competitive grant. 

Sec. 306. Shared use agreement expansion pilot grant program. 

Sec. 307. Land and Water Conservation Fund Program Grants in Low-Income 

Communities and Expand Tribal Participation. 

Sec. 308. Changing Hearts, Attitudes, and Minds by Participating in Sports 

(CHAMPS) Program. 

Sec. 309. Coordinated School Health Initiatives. 

Sec. 310. Rewarding elementary and secondary schools for outstanding student 

performance in physical fitness programs. 


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1 TITLE I—IMPROVING THE NU2 TRITIONAL QUALITY OF AND 

3 ACCESS TO FOODS IN UNDER4 SERVED AMERICAN COMMU5 NITIES 

6 Subtitle A—Access to Nutritious 

7 and Quality Foods in Under8 served American Communities 

9 SEC. 101. NUTRITIOUS FOOD ACCESS THROUGH MOBILITY 

10 AND INNOVATION PROGRAM. 

11 (a) ADMINISTRATION.—The Secretary of Agriculture 

12 shall carry out a pilot program to make 3-year grants in 

13 accordance with this section to nonprofit organizations, 

14 local government agencies, and accredited colleges and 

15 universities. 

16 (b) ELIGIBILITY.—To be eligible to receive a grant 

17 under this section, a nonprofit organization, local govern18 ment agency, for-profit business, or accredited college or 

19 university shall submit to the Secretary an application in 

20 such form, and containing such information, as the Sec21 retary may require by rule. Such application shall include 

22 an assurance that such applicant will create or expand an 

23 innovative food distribution project that— 


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1 (1) serves an area in which residents have low 

2 income, or an area that is a food desert or food 

3 swamp; 

4 (2) is not a supermarket-based project; 

5 (3) provides for the free or low-cost delivery of 

6 fresh fruits and vegetables to food recipients who 

7 participate in such project; 

8 (4) provides for the acquisition of produce 

9 trucks to distribute food to such recipients without 

10 a delivery charge and without any other service 

11 charge; or 

12 (5) provides for the establishment of a commu13 nity food market (including a food market in a 

14 school) at which fresh fruits and vegetables are sold 

15 to such recipients at a low cost. 

16 (c) PRIORITY.—The Secretary shall give priority to— 

17 (1) eligible applicants that propose to create or 

18 to expand a project that will operate in a geo19 graphical area in which there is a high incidence of 

20 childhood obesity; 

21 (2) eligible applicants that have a proven record 

22 of serving low-income or minority communities; and 

23 (3) organizations with plans for sustainability 

24 plans in place for continuing successful services after 

25 Federal funding lapses. 


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1 (d) REPORTING.—Each recipient of a 3-year grant 

2 made under this section shall submit annually to the Sec3 retary a report that includes an assessment of— 

4 (1) the impact that the recipient’s project has 

5 had on the community involved during the year for 

6 which such report is submitted; and 

7 (2) the prospects of continuing such project 

8 after the 3-year period for which such grant is 

9 made. 

10 SEC. 102. EXPANSION OF THE FRESH FRUIT AND VEGE11 TABLE PROGRAM. 

12 Section 19 of the Richard B. Russell National School 

13 Lunch Act (42 U.S.C. 1769a) is amended— 

14 (1) in subsection (a), by inserting ‘‘, secondary 

15 schools, childcare centers, and family childcare 

16 homes’’ after ‘‘elementary schools’’; 

17 (2) by amending subsection (b) to read as fol18 lows: 

19 ‘‘(b) PROGRAM.—A school, childcare center, or family 

20 childcare home participating in the program— 

21 ‘‘(1) shall make free fruits and vegetables avail22 able to students throughout the school, center, or 

23 home day (or at such other times as are considered 

24 appropriate by the Secretary) in 1 or more areas 

25 designated by the school, center, or home; and 


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1 ‘‘(2) may make free fruits and vegetables in any 

2 other form (such as fresh, frozen, dried, pureed, or 

3 canned) available to students throughout the school, 

4 center, or home day (or at such other times as are 

5 considered appropriate by the Secretary) in 1 or 

6 more areas designated by the school only if such 

7 fruits and vegetables meet any additional nutrition 

8 specifications, as established by the Secretary.’’; 

9 (3) in subsection (d)— 

10 (A) in the heading, by inserting ‘‘, CEN11 TERS, OR HOMES’’; 

12 (B) in paragraph (1)— 

13 (i) in the matter preceding subpara14 graph (A), by inserting ‘‘, centers, or 

15 homes’’ after ‘‘schools’’; 

16 (ii) in subparagraph (A), by inserting 

17 ‘‘, center, or home’’ after ‘‘school’’; 

18 (iii) in subparagraph (B), by inserting 

19 ‘‘, centers, or homes’’ after ‘‘schools’’; 

20 (iv) by amending subparagraph (C) to 

21 read as follows: 

22 ‘‘(C) ensure that each school selected is an 

23 elementary school or secondary school (as such 

24 terms are defined in section 9101 of the Ele25 mentary and Secondary Education Act of 1965 


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1 (20 U.S.C. 7801)), each center selected is a 

2 childcare center (as such term is defined in sec3 tion 399OO of the Public Health Service Act), 

4 and each home selected is a family childcare 

5 home (as such term is defined in section 399OO 

6 of the Public Health Service Act).’’; and 

7 (v) in subparagraph (D)— 

8 (I) in the matter preceding clause 

9 (i), by inserting ‘‘, centers, or homes’’ 

10 after ‘‘schools’’; 

11 (II) in clause (i), by inserting ‘‘, 

12 center, or home’’ after ‘‘school’’; and 

13 (III) in clause (ii), by inserting ‘‘, 

14 center, or home’’ after ‘‘as determined 

15 by the school’’; 

16 (C) in paragraph (2), by inserting ‘‘, cen17 ters, or homes’’ after each place ‘‘schools’’ ap18 pears; and 

19 (D) in paragraph (3), by inserting ‘‘, cen20 ters, or homes’’ after each place ‘‘schools’’ ap21 pears; and 

22 (4) in subsection (e), by inserting ‘‘, center, or 

23 home’’ after ‘‘school’’. 


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1 SEC. 103. EXPANDING ACCESS TO THE SUMMER FOOD 

2 SERVICE PROGRAM FOR CHILDREN. 

3 Section 13(a) of the Richard B. Russell National 

4 School Lunch Act (42 U.S.C. 1761(a)) is amended— 

5 (1) in paragraph (1)(A), by striking ‘‘50 per6 cent’’ each place it appears and inserting ‘‘40 per7 cent’’; 

8 (2) by repealing paragraph (9); and 

9 (3) in paragraph (10)— 

10 (A) in subparagraph (A)— 

11 (i) by striking ‘‘The Secretary’’ and 

12 inserting ‘‘From the amounts appropriated 

13 to carry out this paragraph, the Sec14 retary’’; and 

15 (ii) by striking ‘‘not more than 5’’; 

16 (B) in subparagraph (C), by striking ‘‘fis17 cal year 2006’’ and inserting ‘‘fiscal year 

18 2015’’; 

19 (C) in subparagraph (D)— 

20 (i) by striking ‘‘January 1, 2008’’ and 

21 inserting ‘‘January 1, 2015’’; and 

22 (ii) by striking ‘‘January 1, 2009’’ 

23 and inserting ‘‘January 1, 2016’’; and 

24 (D) by striking subparagraph (E). 


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1 SEC. 104. STUDY AND REPORT ON PHYSICAL ACTIVITY AND 

2 NUTRITIONAL QUALITY OF MEALS AND 

3 SNACKS SERVED IN JUVENILE JUSTICE FA4 CILITIES. 

5 (a) STUDY.—The Administrator of the Office of Ju6 venile Justice and Delinquency Prevention, in consultation 

7 with the Secretary of Agriculture, shall conduct a study 

8 on— 

9 (1) physical activity by juveniles in juvenile jus10 tice facilities, including— 

11 (A) the amount of such physical activity; 

12 (B) the types of physical activities in which 

13 such juveniles participate; 

14 (C) the number of hours per day such ju15 veniles participate in such physical activity; 

16 (D) the degree of inclusiveness for juve17 niles with disabilities in physical activities; 

18 (E) the participation rates for juveniles 

19 with disabilities; and 

20 (F) the adequacy of the amounts and types 

21 of physical activity of such juveniles; and 

22 (2) the nutritional quality of meals and snacks 

23 served in juvenile justice facilities. 

24 (b) REPORT.—Not later than two years after the date 

25 of the enactment of this Act, the Administrator of the Of26 fice of Juvenile Justice and Delinquency Prevention, in 


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1 consultation with the Secretary of Agriculture, shall sub2 mit to Congress a report on the findings of the study con3 ducted under subsection (a), including an evaluation of 

4 whether the amounts and types of physical activity by ju5 veniles, and the nutritional quality of meals and snacks 

6 served, in juvenile justice facilities are adequate to ensure 

7 the health and wellness of such juveniles. 

8 SEC. 105. LOCAL FOOD INSECURITY ASSESSMENTS: EVALU9 ATING THE UNIQUE NUTRITIONAL NEEDS OF 

10 LOCAL COMMUNITIES. 

11 (a) IN GENERAL.—The Secretary of Health and 

12 Human Services shall establish a 3-year pilot program to 

13 award grants to local and tribal governments, on a com14 petitive basis, to allow such local and tribal governments, 

15 in partnership with the local community organizations 

16 under subsection (e), to— 

17 (1) conduct a food security assessment; and 

18 (2) make an inventory of the system in order to 

19 identify the strengths and gaps in such system. 

20 (b) DATA POINTS FOR ASSESSMENT.—For purposes 

21 of conducting an assessment and making an inventory 

22 under a grant under subsection (a), with respect to the 

23 community served by a local or tribal government, such 

24 government shall examine the following food security and 

25 food system issues in the community: 


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1 (1) The prevalence of childhood obesity. 

2 (2) The availability of safe routes to school for 

3 children. 

4 (3) The quality of food served in school and 

5 childcare settings. 

6 (4) The availability of supermarkets. 

7 (5) The cost and availability of fresh fruits and 

8 vegetables. 

9 (6) The concentration of convenience stores and 

10 other food vendors that sell a disproportionate 

11 amount of foods that are not fresh fruits and vegeta12 bles. 

13 (7) The availability of products. 

14 (8) The concentration of fast food restaurants. 

15 (9) The availability of green space or recreation 

16 areas, and the extent to which such space or areas 

17 encourage physical activity by adults and children. 

18 (10) Any other issues determined to be relevant 

19 by the local or tribal government. 

20 (11) Any other issues determined to be relevant 

21 by the Secretary of Health and Human Services. 

22 (c) NUMBER OF SITES.—The Secretary of Health 

23 and Human Services, in awarding grants under subsection 

24 (a), shall award grants to no more than— 

25 (1) 20 local governments; and 


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1 (2) 5 tribal governments. 

2 (d) PRIORITY.—In awarding grants under subsection 

3 (a), the Secretary of Health and Human Services shall 

4 give priority to those local and tribal governments that 

5 serve communities with the highest concentrations of pov6 erty. 

7 (e) REQUIREMENT OF PARTNERSHIPS.—In order to 

8 qualify for a grant under subsection (a), a local or tribal 

9 government shall demonstrate, to the satisfaction of the 

10 Secretary of Health and Human Services, that the local 

11 or tribal government has entered into a partnership (for 

12 the purpose of conducting an assessment and making an 

13 inventory under subsection (a)) with at least one of the 

14 following local community organizations: 

15 (1) A nonprofit, community-based organization 

16 or entity. 

17 (2) A developer or urban planning institution. 

18 (3) An accredited college or university. 

19 (4) A freestanding children’s hospital or center 

20 with expertise in child health and policy. 

21 SEC. 106. WEEKENDS AND HOLIDAYS WITHOUT HUNGER. 

22 Section 18 of the Richard B. Russell National School 

23 Lunch Act (42 U.S.C. 1769) is amended by adding at the 

24 end the following: 


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1 ‘‘(l) WEEKENDS AND HOLIDAYS WITHOUT HUN2 GER.— 

3 ‘‘(1) DEFINITIONS.—In this subsection: 

4 ‘‘(A) AT-RISK SCHOOL CHILD.—The term 

5 ‘at-risk school child’ has the meaning given the 

6 term in section 17(r)(1). 

7 ‘‘(B) ELIGIBLE INSTITUTION.— 

8 ‘‘(i) IN GENERAL.—The term ‘eligible 

9 institution’ means a public or private non10 profit institution that is determined by the 

11 Secretary to be able to meet safe food stor12 age, handling, and delivery standards es13 tablished by the Secretary. 

14 ‘‘(ii) INCLUSIONS.—The term ‘eligible 

15 institution’ includes— 

16 ‘‘(I) an elementary or secondary 

17 school or school food service authority; 

18 ‘‘(II) a food bank or food pantry; 

19 ‘‘(III) a homeless shelter; and 

20 ‘‘(IV) such other type of emer21 gency feeding agency as is approved 

22 by the Secretary. 

23 ‘‘(2) ESTABLISHMENT.—Subject to the avail24 ability of appropriations provided in advance in an 

25 appropriations Act specifically for the purpose of 


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1 carrying out this subsection, the Secretary shall es2 tablish a program under which the Secretary shall 

3 provide commodities, on a competitive basis, to eligi4 ble institutions to provide nutritious food to at-risk 

5 children on weekends and during extended school 

6 holidays during the school year. 

7 ‘‘(3) ELIGIBILITY.— 

8 ‘‘(A) IN GENERAL.—To be eligible to re9 ceive commodities under this subsection, an eli10 gible institution shall submit an application to 

11 the Secretary at such time, in such manner, 

12 and containing such information as the Sec13 retary may determine. 

14 ‘‘(B) PLAN.—An application under sub15 paragraph (A) shall include the plan of the eli16 gible institution for the distribution of nutri17 tious foods to at-risk school children, includ18 ing— 

19 ‘‘(i) methods of food service delivery 

20 to at-risk school children; 

21 ‘‘(ii) assurances that children receiv22 ing foods under the project will not be pub23 licly separated or overtly identified; 


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1 ‘‘(iii) lists of the types of food to be 

2 provided under the project and provisions 

3 to ensure food quality and safety; 

4 ‘‘(iv) information on the number of 

5 at-risk school children to be served and the 

6 per-child cost of providing the children 

7 with food; and 

8 ‘‘(v) such other information as the 

9 Secretary determines to be necessary to as10 sist the Secretary in evaluating projects 

11 that receive commodities under this sub12 section. 

13 ‘‘(4) PRIORITY.—In selecting applications under 

14 this subsection, the Secretary shall give priority to 

15 eligible institutions that— 

16 ‘‘(A) have on-going programs and experi17 ence serving populations with significant pro18 portions of at-risk school children; 

19 ‘‘(B) have a good record of experience in 

20 food delivery and food safety systems; 

21 ‘‘(C) maintain high quality control, ac22 countability, and recordkeeping standards; 

23 ‘‘(D) provide children with readily 

24 consumable food of high nutrient content and 

25 quality; 


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1 ‘‘(E) demonstrate cost efficiencies and the 

2 potential for obtaining supplemental funding 

3 from non-Federal sources to carry out projects; 

4 and 

5 ‘‘(F) demonstrate the ability to continue 

6 projects for the full approved term of the pilot 

7 project period. 

8 ‘‘(5) GUIDELINES.— 

9 ‘‘(A) IN GENERAL.—The Secretary shall 

10 issue guidelines containing the criteria for 

11 projects to receive commodities under this sub12 section. 

13 ‘‘(B) INCLUSIONS.—The guidelines shall, 

14 to the maximum extent practicable within the 

15 funds available and applications submitted, take 

16 into account— 

17 ‘‘(i) geographical variations in project 

18 locations to include qualifying projects in 

19 rural, urban, and suburban areas with high 

20 proportions of families with at-risk school 

21 children; 

22 ‘‘(ii) different types of projects that 

23 offer nutritious foods on weekends and 

24 during school holidays to at-risk school 

25 children; and 


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1 ‘‘(iii) institutional capacity to collect, 

2 maintain, and provide statistically valid in3 formation necessary for the Secretary— 

4 ‘‘(I) to analyze and evaluate the 

5 results of the pilot project; and 

6 ‘‘(II) to make recommendations 

7 to Congress. 

8 ‘‘(6) EVALUATION.— 

9 ‘‘(A) INTERIM EVALUATION.—Not later 

10 than November 30, 2016, the Secretary shall 

11 complete an interim evaluation of the pilot pro12 gram carried out under this subsection. 

13 ‘‘(B) FINAL REPORT.—Not later than De14 cember 31, 2017, the Secretary shall submit to 

15 Congress a final report that contains— 

16 ‘‘(i) an evaluation of the pilot pro17 gram carried out under this subsection; 

18 and 

19 ‘‘(ii) any recommendations of the Sec20 retary for legislative action. 

21 ‘‘(7) FUNDING.— 

22 ‘‘(A) AUTHORIZATION OF APPROPRIA23 TIONS.—There is authorized to be appropriated 

24 to carry out this section such sums as are nec25 essary, to remain available until expended. 


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1 ‘‘(B) AVAILABILITY OF FUNDS.—Not more 

2 than 3 percent of the funds made available 

3 under subparagraph (A) may be used by the 

4 Secretary for expenses associated with review of 

5 the operations and evaluation of the projects 

6 carried out under this subsection.’’. 

7 Subtitle B—Ensuring a Healthy 

8 Start for Children in Under9 served American Communities 

10 SEC. 111. IMPROVING HEALTHY EATING AND PHYSICAL AC11 TIVITY AMONG OUR YOUNGEST CHILDREN. 

12 Title III of the Public Health Service Act (42 U.S.C. 

13 241 et seq.) is amended by adding at the end the fol14 lowing: 

15 ‘‘PART W—HEALTHY KIDS PROGRAM 

16 ‘‘SEC. 399OO. DEFINITIONS. 

17 ‘‘In this part: 

18 ‘‘(1) CHILDCARE CENTER.—The term ‘childcare 

19 center’ means a center licensed or otherwise author20 ized to provide childcare services for fewer than 24 

21 hours per day per child in a nonresidential setting, 

22 unless care in excess of 24 hours is due to the na23 ture of the parents’ work. 

24 ‘‘(2) EARLY LEARNING COUNCIL.—The term 

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1 sembly that is established to advise Governors, State 

2 legislators, or State agency administrators on how 

3 best to meet the needs of young children and their 

4 families specifically through improvement of pro5 grams and services. 

6 ‘‘(3) FAMILY CHILDCARE HOME.—The term 

7 ‘family childcare home’ means a private family home 

8 where home-based childcare is provided for a portion 

9 of the day, unless care in excess of 24 hours is due 

10 to the nature of the parents’ work, and that is cer11 tified, registered, or licensed in the State in which 

12 it is located. 

13 ‘‘(4) SCREEN TIME LIMITS.—The term ‘screen 

14 time limits’ means policies or guidelines, such as 

15 those developed by the American Academy of Pediat16 rics, designed to reduce the daily amount of time 

17 that children spend watching or looking at digital 

18 monitors or displays, including television sets, com19 puter monitors, or hand-held gaming devices. 

20 ‘‘(5) SECRETARY.—The term ‘Secretary’ means 

21 the Secretary of Health and Human Services. 

22 ‘‘SEC. 399OO–1. GRANTS. 

23 ‘‘(a) IN GENERAL.—The Secretary, in consultation 

24 with appropriate entities within the Department of Health 

25 and Human Services, shall award 3-year competitive 


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1 grants to 5 State health departments (or other appro2 priate childcare licensing entities within such States) to 

3 help reduce and prevent obesity among the birth to 5-year4 old population of the State in childcare settings outside 

5 a child’s place of residence. 

6 ‘‘(b) USE OF FUNDS.—State grantees shall use 

7 amounts received under a grant under this subsection to— 

8 ‘‘(1) provide, or enter into contracts to provide, 

9 training (that meets the requirements of subsection 

10 (c)) to the staff of national, State, or community11 based organizations with networks of childcare cen12 ters, or a consortium of childcare centers and family 

13 childcare homes consisting of at least 10 centers, for 

14 the purpose of implementing evidence-based healthy 

15 eating and physical activity policies and practices, 

16 including curricula and other interventions; and 

17 ‘‘(2) provide grants to childcare centers and 

18 family childcare homes, whose staff received the 

19 training described in paragraph (1), to implement 

20 practice, curricula, and policy changes (that meet 

21 the requirements of subsection (d)) that promote 

22 healthy eating and physical activity among the birth 

23 to 5 years of age population. 

24 Preference in awarding grants shall be given to those 

25 States that demonstrate collaboration between relevant 


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1 State entities related to childcare and health and with key 

2 stakeholders, such as State early learning councils and 

3 other community-based organizations working with 

4 childcare centers or family childcare homes. 

5 ‘‘(c) TRAINING REQUIREMENTS.— 

6 ‘‘(1) IN GENERAL.—Training provided under 

7 subsection (b) shall— 

8 ‘‘(A) include the provision of information 

9 concerning age-appropriate healthy eating and 

10 physical activity interventions and culturally 

11 competent curricula for the birth to 5 years of 

12 age population in the State involved, which at 

13 a minimum shall include— 

14 ‘‘(i) a handbook that includes rec15 ommendations, guidelines, and best prac16 tices for childcare centers and family 

17 childcare homes relating to healthy eating, 

18 physical activity, and screen time reduc19 tion; 

20 ‘‘(ii) information about the availability 

21 of and services provided by childcare 

22 health consultants; and 

23 ‘‘(iii) health and wellness resources 

24 available through the Child Care Bureau 


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1 and the Maternal and Child Health Bu2 reau; 

3 ‘‘(B) identify, improve upon, and expand 

4 nutrition and physical activity best practices 

5 targeted to the birth to 5 years of age popu6 lation in the State involved and identify strate7 gies for incorporating parental education and 

8 other parental involvement; and 

9 ‘‘(C) provide instruction on how to appro10 priately model, direct, and encourage childcare 

11 staff behavior to apply the best practices and 

12 strategies identified under subparagraph (B). 

13 ‘‘(2) TRAINING ENTITIES.—A grantee may con14 duct the training required under this section di15 rectly, or may provide such training through a con16 tract with— 

17 ‘‘(A) an appropriate national, State, or 

18 community organization with relevant expertise; 

19 ‘‘(B) a health care provider or professional 

20 organization with relevant expertise; 

21 ‘‘(C) a university or research center that 

22 employs faculty with relevant expertise; or 

23 ‘‘(D) any other entity determined appro24 priate by the State and approved by the Sec25 retary. 


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1 ‘‘(3) REQUIREMENT OF CONTRACT.—If a grant2 ee elects to provide the training under this section 

3 through a contract, the grantee shall ensure that a 

4 consistent healthy eating and physical activity cur5 riculum is being developed for all childcare entities 

6 participating in the pilot program in the State. 

7 ‘‘(d) PRACTICE, CURRICULA, AND POLICY

8 CHANGES.—After training is provided as required under 

9 subsection (c), a State grantee shall ensure that the orga10 nizations and consortia involved— 

11 ‘‘(1) implement, in childcare settings, evidence12 based policy changes that promote healthy eating, 

13 physical activity, and appropriate screen time limits 

14 among the birth to 5 years of age population; 

15 ‘‘(2) utilize an evidence-based, culturally com16 petent healthy eating and physical activity cur17 riculum in childcare settings focusing on such birth 

18 to age 5 population; 

19 ‘‘(3) implement programs, activities, and proce20 dures for incorporating parental education and in21 volvement of parents in programs, including dissemi22 nating a written parental involvement policy, and co23 ordinating and integrating parental involvement 

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1 gies under other programs, such as the Head Start 

2 program and the Early Head Start Program; and 

3 ‘‘(4) find innovative ways to remove barriers 

4 that exist to providing opportunities for healthy eat5 ing and physical activity. 

6 All activities described in this paragraph shall be evidence7 based and be consistent with the curriculum presented 

8 through training activities described in subsection (c). 

9 ‘‘SEC. 399OO–2. GRANTS FOR THE EVALUATION OF PILOT 

10 PROGRAMS. 

11 ‘‘The Secretary shall award competitive grants to 

12 prevention research centers or universities to evaluate the 

13 programs carried out with grants under section 399OO– 

14 1, including baseline, process, and outcome measurements. 

15 ‘‘SEC. 399OO–3. COORDINATION. 

16 ‘‘(a) INTERAGENCY COORDINATION.—To the extent 

17 practicable, the Secretary shall coordinate activities con18 ducted under this part with activities undertaken by the 

19 National Prevention, Health Promotion and Public Health 

20 Council established under section 4001 of the Patient Pro21 tection and Affordable Care Act (Public Law 111–148). 

22 Where practicable, such coordination shall— 

23 ‘‘(1) include the sharing of current and emerg24 ing best practices concerning healthy eating, physical 

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1 lation-level impact in promoting nutrition and phys2 ical activity in childcare settings; 

3 ‘‘(2) promote the effective implementation and 

4 sustainability of such programs; and 

5 ‘‘(3) avoid unnecessary duplication of effort. 

6 ‘‘(b) PILOT COORDINATION.—The Secretary shall 

7 designate an individual (directly or through contract) to 

8 provide technical assistance to States and pilot centers in 

9 the development, implementation, and evaluation of activi10 ties and dissemination of information described in para11 graphs (1), (2), and (3) of subsection (a). 

12 ‘‘SEC. 399OO–4. EVALUATION AND REPORTING. 

13 ‘‘(a) TECHNICAL ASSISTANCE AND INFORMATION.— 

14 The Secretary shall— 

15 ‘‘(1) provide technical assistance to grantees 

16 and other entities providing training under a grant 

17 under this part; and 

18 ‘‘(2) disseminate to health departments and 

19 trainers under grants under this part information 

20 concerning evidence-based approaches, including dis21 semination of existing toolkits, curricula, and exist22 ing or emerging best practices that can be expanded 

23 or improved upon through a program conducted 

24 under this part. 


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1 ‘‘(b) EVALUATION REQUIREMENTS.—With respect to 

2 evaluations conducted under section 399OO–2, the Sec3 retary shall ensure that— 

4 ‘‘(1) evaluation metrics are consistent across all 

5 programs funded under this part; 

6 ‘‘(2) interim outcomes are measured by the 

7 number of centers that have implemented policy and 

8 environmental strategies that support use of cur9 ricula and practices supporting healthy eating, phys10 ical activity, and screen time limits; 

11 ‘‘(3) interim outcomes are measured, to the ex12 tent possible, by behavior changes in healthy eating, 

13 physical activity, and screen time; and 

14 ‘‘(4) upon completion of the program, the eval15 uation shall include an identification of best prac16 tices relating to behavior change and reductions in 

17 the increasing prevalence of overweight and obesity 

18 that could be replicated in other settings. 

19 ‘‘(c) DISSEMINATION OF INFORMATION.—Upon the 

20 conclusion of the programs carried out under this part, 

21 the Secretary shall disseminate to all appropriate agencies 

22 within the Department of Health and Human Services evi23 dence, best practices, and lessons learned from grantees. 

24 Such agencies shall encourage the adoption of the best 

25 practices. 


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1 ‘‘(d) REPORT TO CONGRESS.—Not later than 6 

2 months after the completion of the program under this 

3 part, the Secretary shall submit to Congress a report con4 taining an evaluation of the program, including rec5 ommendations as to how lessons learned from the program 

6 can be incorporated into future guidance documents devel7 oped and provided by the Secretary and other Federal 

8 agencies, as appropriate. 

9 ‘‘SEC. 399OO–5. AUTHORIZATION OF APPROPRIATIONS. 

10 ‘‘There is authorized to be appropriated to carry out 

11 this part, $2,500,000 for each of fiscal years 2015, 2016, 

12 and 2017.’’. 

13 SEC. 112. HEALTH AND FITNESS SCHOOL PROGRAMS: 

14 TRAINING AMERICA’S YOUTH TO LIVE 

15 HEALTHY LIFESTYLES. 

16 (a) IN GENERAL.—The Secretaries shall carry out a 

17 2-year pilot program consisting of awarding grants to eli18 gible entities for the purpose of establishing or expanding 

19 evidence-based health and fitness programs in secondary 

20 schools in low-income communities. 

21 (b) HEALTH AND FITNESS PROGRAM REQUIRE22 MENTS.—As a condition on receipt of a grant under this 

23 section, an eligible entity shall agree that any health and 

24 fitness program at a secondary school funded through the 

25 grant will— 


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1 (1) be conducted in partnership with the sec2 ondary school, community entities, and tribal coun3 cils; 

4 (2) ensure the services provided are inclusive of 

5 students with disabilities; 

6 (3) include services by recent graduates of insti7 tutions of higher education who are interested in 

8 pursuing graduate degrees in medicine, nursing, nu9 trition science, exercise physiology, public health, or 

10 a related discipline; 

11 (4) use services by such graduates to supple12 ment rather than supplant the health and fitness 

13 curriculum of the secondary school; 

14 (5) include a highly effective student-mentor 

15 intervention and education program conducted by 

16 such graduates for a maximum of 2 years of service 

17 in 1 secondary school per graduate; 

18 (6) build a healthier community through 

19 wellness activities and increased awareness about 

20 and access to healthy foods; 

21 (7) provide daily health and fitness instruction 

22 to both students and faculty; 

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1 munity through wellness activities and increased 

2 awareness about and access to healthy foods; 

3 (9) conduct an annual school-based and an an4 nual community-based health and fitness fair using 

5 the services of secondary school students with the 

6 objective of building a healthier community through 

7 wellness activities and increased awareness about 

8 and access to healthy foods; and 

9 (10) expose secondary school students to a vari10 ety of career choices in wellness and health-related 

11 disciplines, including careers in medicine, nursing, 

12 nutrition science, and exercise physiology. 

13 (c) NON-FEDERAL FUNDS.—The Secretaries shall 

14 encourage grantees under this section to contribute funds 

15 from non-Federal sources to increase— 

16 (1) the number of secondary schools at which 

17 health and fitness programs are offered; or 

18 (2) the longevity of such programs. 

19 (d) MINIMUM NUMBER OF SCHOOLS.—The Secre20 taries shall ensure that grants under this section are used 

21 to establish or expand health and fitness programs at a 

22 total of not less than 20 schools. 

23 (e) ASSESSMENT; REPORTING.—As conditions on re24 ceipt of a grant under this section, an eligible entity shall 

25 agree to— 


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1 (1) conduct an annual assessment of health and 

2 fitness programs funded through the grant; 

3 (2) on an annual basis, report the findings of 

4 each assessment under paragraph (1) to the partici5 pating school, community partners, local contribu6 tors of funds, and tribal councils; and 

7 (3) not later than the end of fiscal year 2016, 

8 submit a report to the Secretaries and an appro9 priate representative of the Centers for Disease Con10 trol and Prevention on the success of the programs 

11 in educating children and families and thereby pre12 venting or reducing childhood obesity, including data 

13 from each assessment under paragraph (1). 

14 (f) REPORT TO CONGRESS.—Not later than the end 

15 of fiscal year 2016, the Secretaries shall submit to the 

16 Congress a report that— 

17 (1) summarizes the results achieved through 

18 programs funded under this section; and 

19 (2) includes a summary of the reports sub20 mitted by grant recipients under subsection (e)(3). 

21 (g) DEFINITIONS.—In this section: 

22 (1) The term ‘‘secondary school’’ has the mean23 ing given to such term in section 9101 of the Ele24 mentary and Secondary Education Act of 1965 (20 

25 U.S.C. 7801). 


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1 (2) The term ‘‘eligible entity’’ means a non2 profit organization or entity with the ability to meet 

3 the requirements applicable to a grantee under this 

4 section, as determined by the Secretaries. 

5 (3) The term ‘‘low-income communities’’ in6 cludes— 

7 (A) communities with a high percentage of 

8 children eligible for free and reduced priced 

9 lunches under the Richard B. Russell National 

10 School Lunch Act (42 U.S.C. 1751 et seq.); 

11 and 

12 (B) any other communities determined by 

13 the Secretaries to be low-income for purposes of 

14 this section. 

15 (4) The term ‘‘Secretaries’’ means the Sec16 retary of Health and Human Services and the Sec17 retary of Education, acting jointly and in conjunc18 tion with the Director of the Centers for Disease 

19 Control and Prevention. 

20 (h) AUTHORIZATION OF APPROPRIATIONS.—To carry 

21 out this section, there is authorized to be appropriated 

22 $1,400,000 for the period of fiscal years 2015 through 

23 2016. 


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1 TITLE II—ADVANCING PREVENT2 ATIVE MEASURES AND 

3 TREATMENT OF OBESITY IN 

4 ADULTS AND CHILDREN IN 

5 UNDERSERVED COMMU6 NITIES 

7 SEC. 201. COMMUNITY HEALTH AND WELLNESS NAVIGA8 TORS PILOT PROGRAM: CONNECTING AMER9 ICA’S HEALTH PROFESSIONALS WITH OUR 

10 SCHOOLS. 

11 (a) IN GENERAL.—The Secretary of Health and 

12 Human Services shall award grants to 5 or more States 

13 for the establishment of a community navigator program, 

14 consisting of each such State making subgrants to 1 or 

15 more eligible entities for a local community navigator pro16 gram described in subsection (b). 

17 (b) PROGRAM DESCRIPTION.—A local community 

18 navigator program described in this subsection shall con19 sist of the following: 

20 (1) An eligible entity, in partnership with a 

21 local educational agency, a bureau-funded school, or 

22 a nonprofit health or education organization, will 

23 hire and train 2 or more community navigators. 

24 (2) The community navigators will facilitate a 

25 relationship between the eligible entity and the local 


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1 educational agency, bureau-funded school, or non2 profit health or education organization in low-income 

3 communities to ensure increased access to medical 

4 care through educating parents and school adminis5 trators. 

6 (3) The community navigators will carry out 

7 educational activities for elementary school and sec8 ondary school students and their parents in low-in9 come communities with the goal of— 

10 (A) increasing familial intake of nutritious 

11 meals; 

12 (B) increasing physical activity both in and 

13 out of the school setting; and 

14 (C) increasing access to medical care. 

15 (4) The community navigators will specifically 

16 recognize and address that there are subgroups that 

17 are shown to have particular barriers to physical ac18 tivities, such as persons with disabilities. 

19 (c) REPORT.—Not later than 2 years after the date 

20 of the enactment of this Act, the Secretary shall submit 

21 a report to the Congress on the effectiveness of the pro22 gram under this section. 

23 (d) DEFINITIONS.—In this section: 


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1 (1) The term ‘‘bureau-funded school’’ has the 

2 meaning given such term in section 1146 of the 

3 Education Amendments of 1978 (25 U.S.C. 2026). 

4 (2) The terms ‘‘elementary school’’, ‘‘local edu5 cational agency’’, and ‘‘secondary school’’ have the 

6 meanings given to such terms in section 9101 of the 

7 Elementary and Secondary Education Act of 1965 

8 (20 U.S.C. 7801). 

9 (3) The term ‘‘eligible entity’’ includes a Feder10 ally qualified health center (as defined in section 

11 1861(aa) of the Social Security Act (42 U.S.C. 

12 1395x(aa))), a facility operated by the Indian 

13 Health Service (including a facility operated by an 

14 Indian tribe or tribal organization through a con15 tract or compact with the Service under the Indian 

16 Self-Determination and Education Assistance Act 

17 (25 U.S.C. 450 et seq.)), a free-standing children’s 

18 hospital that is described in subparagraph (L) or 

19 (M) of section 340B(a)(4) of the Public Health 

20 Service Act (42 U.S.C. 256b(a)(4)), a non-profit 

21 with demonstrated effectiveness in the area of health 

22 care and with a focus on serving low-income commu23 nities, a rural hospital, and a rural health clinic. 

24 (4) The term ‘‘low-income communities’’ in25 cludes— 


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1 (A) communities with a high percentage of 

2 children eligible for free and reduced priced 

3 lunches under the Richard B. Russell National 

4 School Lunch Act (42 U.S.C. 1751 et seq.); 

5 and 

6 (B) any other communities determined by 

7 the Secretaries to be low-income for purposes of 

8 this section. 

9 (5) The term ‘‘nonprofit health or education or10 ganization’’ shall be defined by the Secretary. 

11 (6) The term ‘‘Secretary’’ means the Secretary 

12 of Health and Human Services. 

13 (7) The term ‘‘State’’ includes the District of 

14 Columbia and any commonwealth, territory, or pos15 session of the United States, including the Common16 wealth of Puerto Rico, the United States Virgin Is17 lands, Guam, American Samoa, and the Common18 wealth of the Northern Mariana Islands. 

19 (e) AUTHORIZATION OF APPROPRIATIONS.—To carry 

20 out this section, there are authorized to be appropriated 

21 such sums as may be necessary for fiscal years 2015 and 

22 2016. 


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1 SEC. 202. COVERAGE OF EVIDENCE-BASED PREVENTIVE 

2 SERVICES UNDER MEDICAID AND SCHIP. 

3 (a) STATE OPTION TO PROVIDE MEDICAL ASSIST4 ANCE FOR EVIDENCE-BASED PREVENTIVE SERVICES.— 

5 (1) IN GENERAL.—Section 1905 of the Social 

6 Security Act (42 U.S.C. 1396d) is amended— 

7 (A) in subsection (a)— 

8 (i) in paragraph (28), by striking 

9 ‘‘and’’ at the end; 

10 (ii) by redesignating paragraph (29) 

11 as paragraph (30); and 

12 (iii) by inserting after paragraph (28) 

13 the following: 

14 ‘‘(29) evidence-based preventive services de15 scribed in subsection (ee); and’’; and 

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

17 ‘‘(ee) For purposes of subsection (a)(29), evidence18 based preventive services described in this subsection 

19 are— 

20 ‘‘(1) any preventive services which the Sec21 retary has determined are reasonable and necessary 

22 for preventing obesity and comorbidities of obesity, 

23 including diet and exercise counseling, and healthy 

24 weight and obesity counseling; and 

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1 vent comorbidities of obesity, including pharma2 cological or surgical services.’’. 

3 (2) CONFORMING AMENDMENT.—Section 

4 1902(a)(10)(C)(iv) of such Act (42 U.S.C. 

5 1396(a)(10)(C)(iv)) is amended by inserting ‘‘, or 

6 (29)’’ after ‘‘(24)’’. 

7 (b) STATE OPTION TO PROVIDE CHILD HEALTH AS8 SISTANCE FOR EVIDENCE-BASED PREVENTIVE SERV9 ICES.—Section 2110(a) of the Social Security Act (42 

10 U.S.C. 1397jj(a)) is amended— 

11 (1) by redesignating paragraph (28) as para12 graph (29); and 

13 (2) by inserting after paragraph (27) the fol14 lowing: 

15 ‘‘(28) Evidence-based preventive services de16 scribed in section 1905(ee).’’. 

17 SEC. 203. COVERAGE OF MEDICAL NUTRITION THERAPY 

18 UNDER MEDICAID AND CHIP. 

19 (a) STATE OPTION TO PROVIDE MEDICAL ASSIST20 ANCE FOR MEDICAL THERAPY SERVICES.— 

21 (1) IN GENERAL.—Section 1905(a) of the So22 cial Security Act (42 U.S.C. 1396d(a)), as amended 

23 by section 202(a)(1), is amended— 

24 (A) in paragraph (29), by striking ‘‘and’’ 

25 at the end; 


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1 (B) by redesignating paragraph (30) as 

2 paragraph (31); and 

3 (C) by inserting after paragraph (29) the 

4 following: 

5 ‘‘(30) medical nutrition therapy services (as de6 fined in section 1861(vv)(1)) for individuals with 

7 prediabetes or obesity or who are overweight (as de8 fined by the Secretary); and’’. 

9 (2) CONFORMING AMENDMENT.—Section 

10 1902(a)(10)(C)(iv) of such Act (42 U.S.C. 

11 1396(a)(10)(C)(iv)), as amended by section 

12 202(a)(2), is amended by striking ‘‘or (29)’’ and in13 serting ‘‘(29), or (30)’’. 

14 (b) STATE OPTION TO PROVIDE CHILD HEALTH AS15 SISTANCE FOR MEDICAL NUTRITION THERAPY SERV16 ICES.—Section 2110(a) of the Social Security Act (42 

17 U.S.C. 1397jj(a)), as amended by section 202(b), is 

18 amended— 

19 (1) by redesignating paragraph (29) as para20 graph (30); and 

21 (2) by inserting after paragraph (28) the fol22 lowing: 

23 ‘‘(29) Medical nutrition therapy services (as de24 fined in section 1861(vv)(1)) for individuals with 


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1 prediabetes or obesity or who are overweight (as de2 fined by the Secretary).’’. 

3 SEC. 204. CLARIFICATION OF EPSDT INCLUSION OF PRE4 VENTION, SCREENING, AND TREATMENT 

5 SERVICES FOR OBESITY AND OVERWEIGHT; 

6 CHIP COVERAGE. 

7 (a) IN GENERAL.—Section 1905(r) of the Social Se8 curity Act (42 U.S.C. 1396d(r)) is amended— 

9 (1) in paragraph (1)(B)— 

10 (A) in clause (iv), by striking ‘‘and’’ at the 

11 end; 

12 (B) in clause (v), by striking the period at 

13 the end and inserting ‘‘, and’’; and 

14 (C) by adding at the end the following: 

15 ‘‘(vi) weight and BMI measurement 

16 and monitoring.’’; and 

17 (2) in paragraph (5), by inserting ‘‘(including 

18 treatment services related to obesity and body 

19 weight, such as medical nutrition therapy services 

20 (as defined in section 1861(vv)(1)), physical therapy, 

21 exercise training, behavioral health counseling, and 

22 such other evidence-based services as recommended 

23 by the Secretary (taking into consideration the 

24 American Academy of Pediatrics Expert Committee 

25 Guidelines Regarding the Prevention, Assessment, 


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1 and Treatment of Child and Adolescent Overweight 

2 and Obesity and the National Center on Health, 

3 Physical Activity, and Disability’s Physical Activity 

4 Guidelines for Individuals with Disabilities)’’ after 

5 ‘‘screening services’’. 

6 (b) CHIP.— 

7 (1) REQUIRED COVERAGE.—Section 2103 of 

8 the Social Security Act (42 U.S.C. 1397cc) is 

9 amended— 

10 (A) in subsection (a), in the matter pre11 ceding paragraph (1), by striking ‘‘and (7)’’ 

12 and inserting ‘‘(7), and (8)’’; and 

13 (B) in subsection (c)— 

14 (i) by redesignating paragraphs (7) 

15 and (8) as paragraphs (8) and (9), respec16 tively; and 

17 (ii) by inserting after paragraph (6), 

18 the following: 

19 ‘‘(7) PREVENTION, SCREENING, AND TREAT20 MENT SERVICES FOR OVERWEIGHT AND OBESE.— 

21 The child health assistance provided to a targeted 

22 low-income child shall include coverage of weight 

23 and BMI measurement and monitoring, as well as 

24 appropriate treatment services, including medical 

25 nutrition therapy services (as defined in section 


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1 1861(vv)(1)), physical therapy or exercise training, 

2 including steps needed to make such therapy and 

3 training inclusive for persons with disabilities, be4 havioral health counseling, and such other evidence5 based services as recommended by the Secretary. 

6 For purposes of the previous sentence the Secretary 

7 shall take into consideration the American Academy 

8 of Pediatrics Expert Committee Guidelines Regard9 ing the Prevention, Assessment, and Treatment of 

10 Child and Adolescent Overweight and Obesity and 

11 the National Center on Health, Physical Activity, 

12 and Disability’s Physical Activity Guidelines for In13 dividuals with Disabilities.’’. 

14 (2) CONFORMING AMENDMENT.—Section 

15 2102(a)(7)(B) of the Social Security Act (42 U.S.C. 

16 1397bb(c)(2)) is amended by striking ‘‘section 

17 2103(c)(5)’’ and inserting ‘‘paragraphs (5) and (7) 

18 of section 2103(c)’’. 

19 SEC. 205. NATIONAL COMMISSION ON CHILD OBESITY. 

20 (a) ESTABLISHMENT.—There is established a com21 mission to be known as the National Commission on Child 

22 Obesity (in this section referred to as the ‘‘Commission’’). 

23 (b) DUTIES OF COMMISSION.—The Commission 

24 shall— 


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1 (1) conduct a comprehensive study that exam2 ines and assesses the needs of children relating to 

3 the prevalence, prevention, and treatment of child4 hood overweight and obesity, including specific find5 ings relating to— 

6 (A) best practices for the prevention and 

7 treatment of childhood overweight and obesity; 

8 (B) child physical health and mental 

9 health; 

10 (C) childcare in all settings; 

11 (D) child welfare; 

12 (E) elementary and secondary education; 

13 (F) food availability in neighborhoods; 

14 (G) access to health care; 

15 (H) health care utilization; 

16 (I) built environment; 

17 (J) parent physical health and education; 

18 (K) underserved communities, including 

19 tribal communities, health professional shortage 

20 areas designated under section 332 of the Pub21 lic Health Service Act (42 U.S.C. 254e), medi22 cally underserved areas (as defined in section 

23 799B of such Act (42 U.S.C. 295p), and areas 

24 in the Appalachian region (as defined in section 

25 14102(a) of title 40, United States Code); 


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1 (L) relevant activities in childhood over2 weight and obesity; 

3 (M) the availability of information on State 

4 and Federal supportive nutrition programs, 

5 such as the Summer Food Service Program, the 

6 Women, Infants, and Children Program, the 

7 State Children’s Health Insurance Program 

8 under title XXI of the Social Security Act, and 

9 the Supplemental Nutrition Assistance Pro10 gram; and 

11 (N) children with disabilities; 

12 (2) identify, review, and evaluate existing laws, 

13 regulations, policies, programs, and public health ini14 tiatives relevant to best practices for the prevalence, 

15 prevention, and treatment of childhood overweight 

16 and obesity; 

17 (3) identify, review, and evaluate the lessons 

18 learned from past laws, regulations, policies, pro19 grams, and public health initiatives relevant to the 

20 prevalence, prevention, and treatment of childhood 

21 overweight and obesity; 

22 (4) advise on the need to revise laws, regula23 tions, policies, and programs relative to addressing 

24 best practices for the prevalence, prevention, and 


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1 treatment of childhood overweight and obesity at 

2 regular intervals as new knowledge is gained; 

3 (5) include in the interim report required by 

4 subsection (i)(1) recommendations on— 

5 (A) the appropriate Federal agency to es6 tablish the infrastructure for the creation of a 

7 comprehensive nationwide registry of patient 

8 data associated with children living with obe9 sity; 

10 (B) the specific criteria needed for such 

11 registry to allow the field of pediatric clinicians 

12 access to patient-level, clinical data suitable for 

13 research and the development of best practices; 

14 (C) the appropriate funding level required 

15 for the establishment and implementation of 

16 such the registry described in subparagraph 

17 (A); and 

18 (D) how to capture large-scale data that 

19 are currently unavailable on adolescent and 

20 child patients who are currently obese; and 

21 (6) include in the final report required by sub22 section (i)(3) the Commission’s specific findings, 

23 conclusions, and recommendations to address the 

24 needs of children relating to the prevention and 


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1 treatment of childhood overweight and obesity, in2 cluding specific recommendations on— 

3 (A) the need for planning and establishing 

4 a national resource center for children and obe5 sity; and 

6 (B) such coordination of resources and 

7 services, administrative actions, policies, regula8 tions, and legislative changes as the Commis9 sion considers appropriate. 

10 (c) COMPOSITION.— 

11 (1) MEMBERS.—The Commission shall be com12 posed of 15 members, of whom— 

13 (A) 3 members, including at least one from 

14 each major national political party, shall be ap15 pointed by the President; 

16 (B) 3 members shall be appointed by the 

17 majority leader of the Senate; 

18 (C) 3 members shall be appointed by the 

19 minority leader of the Senate; 

20 (D) 3 members shall be appointed by the 

21 Speaker of the House of Representatives; and 

22 (E) 3 members shall be appointed by the 

23 minority leader of the House of Representa24 tives. 


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1 (2) APPOINTMENT.—Members of the Commis2 sion shall be appointed not later than 6 months after 

3 the date of the enactment of this Act. 

4 (3) CHAIRPERSON, VICE CHAIRPERSON, AND

5 MEETINGS.— 

6 (A) IN GENERAL.—Not later than 30 days 

7 after the date on which all members of the 

8 Commission are appointed under paragraph (1), 

9 such members shall meet to elect a Chairperson 

10 and Vice Chairperson from among such mem11 bers and shall determine a schedule of Commis12 sion meetings. 

13 (B) INITIAL MEETING.—The Commission 

14 shall meet and begin the operations of the Com15 mission not later than 120 days after the ap16 pointment of members of the Commission. 

17 (4) GOVERNMENTAL APPOINTEES.—An indi18 vidual appointed to the Commission may not be an 

19 official or employee of the Federal Government. 

20 (5) COMMISSION REPRESENTATION.—The Com21 mission shall include at least one— 

22 (A) representative from each of a nonprofit 

23 and for-profit entity with demonstrated exper24 tise in addressing the needs of children relating 


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1 to the prevalence, prevention, and treatment of 

2 childhood overweight and obesity; 

3 (B) State or local director of health; and 

4 (C) tribal health representative. 

5 (6) QUALIFICATIONS.—Members appointed 

6 under paragraph (1) may include— 

7 (A) individuals involved with providing 

8 services to children, including health and other 

9 social services; 

10 (B) individuals involved with administering 

11 health insurance coverage to children; 

12 (C) individuals with experience in public 

13 health initiatives relating to the prevention and 

14 treatment of childhood overweight and obesity, 

15 including coordination of resources and services 

16 among State and local governments, the Fed17 eral Government, and nongovernmental entities; 

18 (D) individuals with philanthropic experi19 ence focused on the needs of children relating 

20 to the prevalence, prevention, and treatment of 

21 childhood overweight and obesity; 

22 (E) individuals who have conducted aca23 demic research relating to the prevalence, pre24 vention, and treatment of childhood overweight 

25 and obesity; and 


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1 (F) individuals with significant experience 

2 in child health and policy. 

3 (7) QUORUM AND VACANCY.— 

4 (A) QUORUM.—A majority of the members 

5 of the Commission shall constitute a quorum, 

6 but a lesser number of members may hold hear7 ings. 

8 (B) VACANCY.—Any vacancy in the Com9 mission shall not affect its powers and shall be 

10 filled in the same manner in which the original 

11 appointment was made. 

12 (d) POWERS OF COMMISSION.— 

13 (1) HEARINGS.—The Commission may hold 

14 such hearings, meet and act at such times and 

15 places, and receive such evidence as may be nec16 essary to carry out the functions of the Commission. 

17 (2) INFORMATION FROM FEDERAL AGENCIES.— 

18 (A) IN GENERAL.—The Commission may 

19 access, to the extent authorized by law, from 

20 any executive department, bureau, agency, 

21 board, commission, office, independent estab22 lishment, or instrumentality of the Federal Gov23 ernment such information, suggestions, esti24 mates, and statistics as the Commission con25 siders necessary to carry out this section. 


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1 (B) PROVISION OF INFORMATION.—On 

2 written request of the Chairperson of the Com3 mission, each department, bureau, agency, 

4 board, commission, office, independent estab5 lishment, or instrumentality of the Federal Gov6 ernment shall, to the extent authorized by law, 

7 provide the requested information to the Com8 mission. 

9 (C) RECEIPT, HANDLING, STORAGE, AND

10 DISSEMINATION.—Information shall only be re11 ceived, handled, stored, and disseminated by 

12 members of the Commission and its staff con13 sistent with all applicable statutes, regulations, 

14 and Executive orders. 

15 (3) ASSISTANCE FROM FEDERAL AGENCIES.— 

16 (A) GENERAL SERVICES ADMINISTRA17 TION.—On request of the Chairperson of the 

18 Commission, the Administrator of General 

19 Services shall provide to the Commission, on a 

20 reimbursable basis, administrative support and 

21 other assistance necessary for the Commission 

22 to carry out its duties. 

23 (B) OTHER DEPARTMENTS AND AGEN24 CIES.—In addition to assistance under subpara25 graph (A), departments and agencies of the 


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1 United States may provide to the Commission 

2 such assistance as they determine advisable and 

3 as authorized by law. 

4 (4) CONTRACTING.—The Commission may 

5 enter into financially reasonable contracts to enable 

6 the Commission to discharge its duties under this 

7 section. 

8 (5) POSTAL SERVICES.—The Commission may 

9 use the United States mails in the same manner and 

10 under the same conditions as a department or agen11 cy of the United States. 

12 (e) STAFF OF COMMISSION.— 

13 (1) IN GENERAL.—The Chairperson of the 

14 Commission, in consultation with the Vice Chair15 person, in accordance with rules agreed upon by the 

16 Commission, may appoint and fix the compensation 

17 of a staff director, policy director, and administra18 tive assistant (and other staff if agreed upon by a 

19 majority of Commission members) to enable the 

20 Commission to carry out its functions, in accordance 

21 with the provisions of title 5, United States Code, 

22 except that no rate of pay fixed under this para23 graph may exceed the equivalent of that payable for 

24 a position at level V of the Executive Schedule under 

25 section 5316 of title 5, United States Code. 


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1 (2) STAFF OF FEDERAL AGENCIES.—Upon re2 quest of the Chairperson of the Commission, the 

3 head of any executive department, bureau, agency, 

4 board, commission, office, independent establish5 ment, or instrumentality of the Federal Government 

6 may detail, without reimbursement, any of its per7 sonnel to the Commission to assist it in carrying out 

8 its duties under this section. Any detail of an em9 ployee shall be without interruption or loss of civil 

10 service status or privilege. 

11 (3) CONSULTANT SERVICES.—The Commission 

12 is authorized to procure (pursuant to a majority vote 

13 of the Commission members) the services of experts 

14 and consultants in accordance with section 3109 of 

15 title 5, United States Code, but at rates not to ex16 ceed the daily equivalent of the annual rate of basic 

17 pay for level IV of the Executive Schedule under sec18 tion 5315 of title 5, United States Code. 

19 (f) TRAVEL EXPENSES.—Each member of the Com20 mission shall serve without compensation, but shall receive 

21 travel expenses, including per diem in lieu of subsistence, 

22 in accordance with applicable provisions in the same man23 ner as persons employed intermittently in the Government 

24 service are allowed expenses under section 5703 of title 

25 5, United States Code. 


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1 (g) APPLICABILITY OF FACA.—The Federal Advi2 sory Committee Act, including any provisions applicable 

3 to staff, is deemed to apply to the Commission. 

4 (h) REPORTS OF COMMISSION; TERMINATION.— 

5 (1) INTERIM REPORT.—The Commission shall, 

6 not later than 1 year after the date of its first meet7 ing, submit to the President and the Congress an in8 terim report containing specific findings, conclu9 sions, and recommendations required under this sec10 tion and agreed to by a majority of Commission 

11 members. 

12 (2) OTHER REPORTS AND INFORMATION.— 

13 (A) REPORTS.—The Commission may 

14 issue additional reports as the Commission de15 termines necessary. 

16 (B) INFORMATION.—The Commission may 

17 hold public hearings to collect information and 

18 shall make such information available for use 

19 by the public. 

20 (3) FINAL REPORT.—The Commission shall, 

21 not later than 2 years after the date of its first 

22 meeting, submit to the President and Congress a 

23 final report containing specific findings, conclusions, 

24 and recommendations required under this section 


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1 and agreed to by a majority of Commission mem2 bers. 

3 (4) TERMINATION.— 

4 (A) IN GENERAL.—Unless reauthorized by 

5 statute, the Commission, and all the authorities 

6 of this section, shall terminate 180 days after 

7 the date on which the final report is submitted 

8 under paragraph (3). 

9 (B) RECORDS.—Not later than the date of 

10 termination of the Commission under subpara11 graph (A), all records and papers of the Com12 mission shall be delivered to the Archivist of the 

13 United States for deposit in the National Ar14 chives. 

15 (i) DEFINITIONS.—In this section: 

16 (1) OBESITY.—The term ‘‘obesity’’ with respect 

17 to children means having a body mass index (BMI) 

18 greater than or equal to the 95th percentile for age 

19 and sex according to the Centers for Disease Control 

20 and Prevention. 

21 (2) CHILD; CHILDREN.—The terms ‘‘child’’ and 

22 ‘‘children’’ mean an individual or individuals, respec23 tively, who have not attained 18 years of age. 


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1 (j) AUTHORIZATION OF APPROPRIATIONS.—There is 

2 authorized to be appropriated to carry out this section, 

3 $1,500,000 for each of fiscal years 2015 and 2016. 

4 SEC. 206. GAO REPORT. 

5 Not later than 2 years after the first appropriation 

6 of Federal funds to carry out this Act, the Comptroller 

7 General of the United States shall submit to Congress a 

8 report on the effectiveness of the activities carried out 

9 under this Act in reducing child obesity, which shall in10 clude an analysis of the costs and the benefits of such ac11 tivities. 

12 TITLE III—ENCOURAGING PHYS13 ICAL ACTIVITY IN UNDER14 SERVED AMERICAN COMMU15 NITIES 

16 SEC. 301. RENOVATION OF FORECLOSED AND ABANDONED 

17 PROPERTIES TO CREATE SPACES THAT EN18 COURAGE PHYSICAL ACTIVITY IN AMERICAN 

19 NEIGHBORHOODS. 

20 Section 106(a) of the Housing and Community De21 velopment Act of 1974 (42 U.S.C. 5306(a)) is amended— 

22 (1) in paragraph (3)— 

23 (A) by striking ‘‘(1) and’’ and inserting 

24 ‘‘(1),’’; and 


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1 (B) by inserting ‘‘and after reserving such 

2 amounts for units of general local government, 

3 special district governments, and Indian tribes 

4 with high foreclosure rates and great infrastruc5 ture need under paragraph (4),’’ after ‘‘para6 graph (2),’’; 

7 (2) by redesignating paragraph (4) as para8 graph (5); 

9 (3) in paragraph (5), as redesignated by para10 graph (2) of this section, by striking ‘‘paragraphs 

11 (1), (2), and (3)’’ and inserting ‘‘paragraphs (1), 

12 (2), (3), and (4)’’; and 

13 (4) by inserting after paragraph (3) the fol14 lowing new paragraph: 

15 ‘‘(4)(A) For each fiscal year, of the amount ap16 proved in appropriation Acts under section 103 for 

17 grants for such fiscal year (excluding the amounts 

18 provided for use in accordance with section 107), the 

19 Secretary shall reserve for grants to units of general 

20 local government, special district governments, and 

21 Indian tribes that the Secretary determines have 

22 both high foreclosure rates and the greatest infra23 structure needs, based on the scope of the needs, an 

24 amount the Secretary determines necessary. 


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1 ‘‘(B) Grants under this paragraph may be used 

2 by units of general local government, special district 

3 governments, and Indian tribes to— 

4 ‘‘(i) renovate foreclosed commercial prop5 erties, abandoned commercial properties, or 

6 both, to be transformed into community cen7 ters, public recreation facilities, swimming 

8 pools, or any other type of facility that will en9 courage indoor physical activity; 

10 ‘‘(ii) demolish foreclosed or abandoned 

11 commercial and residential properties, or both, 

12 to use the sites for— 

13 ‘‘(I) the construction of parks, play14 grounds, outdoor swimming pools, tracks, 

15 soccer fields, baseball diamonds, or any 

16 other type of facility that will encourage 

17 outdoor physical activity; 

18 ‘‘(II) community gardens or urban 

19 farms, particularly in areas that are food 

20 deserts (as such term is defined in section 

21 7527(a) of the Food, Conservation, and 

22 Energy Act of 2008 (Public Law 110–234; 

23 122 Stat. 2039); or 


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1 ‘‘(III) mixed-use facilities that are 

2 used for both of the purposes under sub3 clauses (I) and (II) of this clause; and 

4 ‘‘(iii) reconstruct and repair dilapidated 

5 sidewalks, bike and pedestrian trails, and in6 door and outdoor facilities that encourage phys7 ical activity. 

8 ‘‘(C) In making grants under this paragraph, 

9 the Secretary shall give priority among units of gen10 eral local government, special district governments, 

11 and Indian tribes eligible pursuant to subparagraph 

12 (A)— 

13 ‘‘(i) to units of general local government, 

14 special district governments, and Indian tribes 

15 that demonstrate the ability and willingness to 

16 work with local educational agencies, devel17 opers, and other community-based organizations 

18 to enter into mixed-use agreements to maximize 

19 the use and efficiency of properties renovated, 

20 constructed, or reconstructed and repaired 

21 through the use of grant funds; 

22 ‘‘(ii) to units of general local government, 

23 special district governments, and Indian tribes 

24 that demonstrate the willingness to recognize 

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1 rolled in a national service program authorized 

2 under the National and Community Service Act 

3 of 1990 (42 U.S.C. 12501 et seq.) or the Do4 mestic Volunteer Service Act of 1973 (42 

5 U.S.C. 4950 et seq.) in the renovation, con6 struction, or reconstruction and repair of prop7 erties through the use of grant funds; 

8 ‘‘(iii) to projects proposed by units of gen9 eral local government, special district govern10 ments, and Indian tribes that are easily acces11 sible, on foot or by public transportation, for 

12 persons in low-income communities; and 

13 ‘‘(iv) to projects proposed by units of gen14 eral local government, special district govern15 ments, and Indian tribes that have particular 

16 accessibility considerations for persons with dis17 abilities. 

18 ‘‘(D) For purposes of this paragraph, the term 

19 ‘special district government’ means any organized 

20 local entity, known by a variety of titles, including 

21 districts, authorities, boards, and commissions, other 

22 than a unit of general local government or local edu23 cational agency, authorized by State law to provide 

24 only one or a limited number of designated func25 tions, and with sufficient administrative and fiscal 


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1 autonomy to qualify as a separate government unit, 

2 as determined by the Secretary.’’. 

3 SEC. 302. NATIONAL YOUTH SPORTS PROGRAM REVITAL4 IZATION. 

5 Section 682(g) of the Community Services Block 

6 Grant Act (42 U.S.C. 9923(g)) is amended by striking 

7 ‘‘$15,000,000’’ and all that follows through ‘‘2003’’ and 

8 inserting ‘‘$20,000,000 for each of the fiscal years 2015 

9 through 2024’’. 

10 SEC. 303. EXPANSION OF THE ZUNI YOUTH ENRICHMENT 

11 PROJECT SUMMER CAMP. 

12 (a) IN GENERAL.—The Secretary of Health and 

13 Human Services shall establish a 2-year pilot program to 

14 provide funds to community-based organizations on Indian 

15 reservations or tribal lands to plan and implement an en16 richment program for children (in the form of a summer 

17 camp and a year-round program) for the purpose of— 

18 (1) reversing the epidemics of obesity, diabetes, 

19 and alcoholism in such areas; and 

20 (2) to mitigate other problems stemming from 

21 the formation of bad habits and the development of 

22 low self-esteem during childhood. 

23 (b) PARTNERSHIPS.—In order to qualify for funding 

24 under subsection (a), a community-based organization 

25 shall demonstrate, to the satisfaction of the Secretary of 


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1 Health and Human Services, that the organization has en2 tered into a partnership with community entities, local 

3 funders, and tribal leaders (including, if applicable, the 

4 tribal council) to plan and execute an enrichment program 

5 under subsection (a). 

6 (c) NUMBER OF SITES.—The Secretary of Health 

7 and Human Services, in providing funding under sub8 section (a), shall provide funding to no more than 20 com9 munity-based organizations. 

10 (d) MODEL AND CAMP REQUIREMENT.—The enrich11 ment program under subsection (a) shall— 

12 (1) be modeled on similar programs established 

13 by the Zuni Youth Enrichment Project; and 

14 (2) shall include a camp of at least 6 weeks in 

15 duration during the summer. 

16 (e) SPECIFIC CAMP REQUIREMENTS.— 

17 (1) DAILY ACTIVITIES.—With respect to chil18 dren attending a camp under subsection (d)(2), the 

19 leader of the organization that receives funds under 

20 subsection (a) shall, for each day of the camp, en21 sure that such children are— 

22 (A) involved in at least 60 minutes of 

23 physical activity (with appropriate accommoda24 tions made for children with disabilities); and 


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1 (B) provided with at least two meals that 

2 meet national nutritional standards. 

3 (2) OTHER ACTIVITIES.—Such leader shall also 

4 ensure that— 

5 (A) a community gardening activity is in6 cluded in the activities conducted at the camp; 

7 and 

8 (B) health and wellness education is pro9 vided to the children attending the camp. 

10 (f) EVALUATION.— 

11 (1) IN GENERAL.—A community-based organi12 zation that receives funding under subsection (a), 

13 shall, as a condition of receiving such funding, con14 duct an evaluation of the enrichment program con15 ducted by such organization. 

16 (2) MODEL.—The form, manner, content, and 

17 frequency of the evaluation under paragraph (1) 

18 shall be modeled on the Zuni Youth Enrichment 

19 Project standard project evaluation. 

20 (g) REPORT.—Not later than 1 year after the date 

21 on which a community organization first receives funding 

22 under subsection (a) and annually thereafter, the organi23 zation shall— 

24 (1) submit a report to the Secretary of Health 

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1 ment program conducted by the organization under 

2 this section, including— 

3 (A) the findings of the evaluation con4 ducted under subsection (f); and 

5 (B) the impact of such enrichment pro6 gram on the rates of childhood obesity on the 

7 reservation or area of tribal land served by the 

8 organization; and 

9 (2) provide a copy of the findings under para10 graph (1)(A) to community entities, local funders, 

11 tribal leaders (including, if applicable, the tribal 

12 council), and the families of children participating in 

13 the enrichment program. 

14 SEC. 304. MAKING ROUTES TO SCHOOLS IN UNDERSERVED 

15 COMMUNITIES SAFE AND ACCESSIBLE WITH 

16 PUBLIC PARTICIPATION THROUGH THE COM17 MUNITY ORIENTED POLICING SERVICES PRO18 GRAM. 

19 Section 1701 of the Omnibus Crime Control and Safe 

20 Streets Act of 1968 (42 U.S.C. 3796dd) is amended— 

21 (1) in subsection (b)— 

22 (A) in paragraph (16), by striking ‘‘and’’ 

23 after the semicolon; 

24 (B) by redesignating paragraph (17) as 

25 paragraph (18), and in such paragraph (18) (as 


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1 so redesignated), by striking ‘‘through (16)’’ 

2 and inserting ‘‘through (17)’’; and 

3 (C) by inserting after paragraph (16) the 

4 following new paragraph: 

5 ‘‘(17) to award grants for Safe Routes to 

6 School-Community Oriented Policing Services pro7 grams, in accordance with subsection (l); and’’; and 

8 (2) by adding at the end the following new sub9 section: 

10 ‘‘(l) SAFE ROUTES TO SCHOOL-COMMUNITY ORI11 ENTED POLICING SERVICES PROGRAMS.— 

12 ‘‘(1) GRANT PROGRAM.—The Director of the 

13 Office of Community Oriented Policing Services, in 

14 collaboration with the Secretary of Education, shall 

15 award grants to not fewer than 10 local and tribal 

16 law enforcement agencies in low-income communities 

17 for the planning, development, and assessment of 

18 Safe Routes to School-Community Oriented Policing 

19 Services programs in accordance with this sub20 section. 

21 ‘‘(2) GRANT PERIOD.—Each grant awarded 

22 under this subsection shall be for a 3-year period be23 ginning with the first fiscal year that begins after 

24 the date of enactment of the Fit for Life Act of 

25 2014, and may not be renewed. 


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1 ‘‘(3) USE OF GRANTS.—A grant awarded under 

2 this subsection shall be used by each grantee to— 

3 ‘‘(A) assess the needs of the low-income 

4 community served by the grantee with respect 

5 to the ability of elementary and secondary 

6 school students to get to and from school safely; 

7 and 

8 ‘‘(B) establish and maintain a Safe Routes 

9 to School-Community Oriented Policing Serv10 ices program that ensures the availability of 

11 safe routes to and from school for elementary 

12 and secondary school students in underserved 

13 communities by addressing the unique personal 

14 safety dangers to students in such communities 

15 that may cause routes to or from school to be 

16 unsafe, such as dangers associated with crime, 

17 drug or gang activity, abandoned properties, 

18 and the presence of sexual predators. 

19 ‘‘(4) REPORTS.—Not later than one year after 

20 receiving a grant award under this subsection, and 

21 annually thereafter, each grantee shall submit to the 

22 Director of the Office of Community Oriented Polic23 ing Services a report on the Safe Routes to School24 Community Oriented Policing Services program car25 ried out by the grantee that includes— 


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1 ‘‘(A) a description of the activities carried 

2 out with such grant during the preceding year; 

3 ‘‘(B) the effectiveness of such activities in 

4 ensuring safe routes to and from school for ele5 mentary and secondary school students; 

6 ‘‘(C) a description of the activities the 

7 grantee plans to carry out with such grant in 

8 succeeding years; and 

9 ‘‘(D) best practices, plans, and findings for 

10 purposes of incorporation into urban planning 

11 and development in underserved communities in 

12 succeeding years. 

13 ‘‘(5) DEFINITION.—The term ‘low-income com14 munities’ includes— 

15 ‘‘(A) communities with a high percentage 

16 of children eligible for free and reduced priced 

17 lunches under the Richard B. Russell National 

18 School Lunch Act (42 U.S.C. 1751 et seq.); 

19 and 

20 ‘‘(B) any other communities determined by 

21 the Director of the Office of Community Ori22 ented Policing Services to be low-income for 

23 purposes of this section.’’. 


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1 SEC. 305. SCHOOL INFRASTRUCTURE HEALTHIER UP2 GRADES COMPETITIVE GRANT. 

3 (a) IN GENERAL.—From the amounts appropriated 

4 to carry out this Act, the Secretary of Education shall 

5 award grants, on a competitive basis, to eligible entities 

6 to upgrade facilities specifically pertaining to healthy eat7 ing and fitness. 

8 (b) AUTHORIZED USE OF FUND.—An eligible entity 

9 receiving a grant under this section shall use such grant 

10 to upgrade facilities specifically pertaining to healthy eat11 ing and fitness, which may include— 

12 (1) building or maintaining school gardens; 

13 (2) renovating outdoor facilities for physical 

14 educations or activity programs; or 

15 (3) upgrading kitchen and cafeteria services to 

16 better prepare and store healthy foods. 

17 (c) PRIORITY.—In awarding grants under this sec18 tion to eligible entities that are local educational agencies, 

19 the Secretary shall give priority to local educational agen20 cies that— 

21 (1) serve a high-percentage of low-income stu22 dents; 

23 (2) serve a high-percentage of students who are 

24 minorities; 

25 (3) serve a high-percentage of students with 

26 childhood obesity; and 


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1 (4) serve schools that have joint use agreements 

2 for afterschool programs or community-wellness 

3 partnerships for afterschool or weekend use. 

4 (d) DEFINITIONS.—In this section: 

5 (1) ELIGIBLE ENTITY.—The term ‘‘eligible enti6 ty’’ means a local educational agency or licensed 

7 childcare centers with evidence-based wellness pro8 grams. 

9 (2) LOCAL EDUCATIONAL AGENCY.—The term 

10 ‘‘local educational agency’’ has the meaning given 

11 the term in section 9101 of the Elementary and Sec12 ondary Education Act of 1965 (20 U.S.C. 7801). 

13 (3) SECRETARY.—The term ‘‘Secretary’’ means 

14 the Secretary of Education. 

15 SEC. 306. SHARED USE AGREEMENT EXPANSION PILOT 

16 GRANT PROGRAM. 

17 (a) IN GENERAL.—From the amounts appropriated 

18 to carry out this section, the Secretary of Education shall 

19 award grants, on a competitive basis, to eligible entities 

20 to supplement programmatic costs, operations, security, 

21 maintenance fees, and other costs associated with out-of22 school use of elementary school or secondary school build23 ings or facilities for physical activity, fitness, and wellness 

24 purposes. 


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1 (b) GRANT TERMS.—Each grant under this section 

2 shall be awarded for a period of not more than 3 years. 

3 (c) TOTAL GRANTS.—The Secretary shall award not 

4 less than 15 grants under this section for each fiscal year 

5 for which funds are appropriated to carry out this section. 

6 (d) PRIORITY.—In awarding grants under this sec7 tion, the Secretary shall give priority to each eligible entity 

8 that— 

9 (1) serves low-income and minority populations; 

10 (2) serves communities with high levels of child11 hood obesity; and 

12 (3) is supporting a joint or shared-use agree13 ment (as described in subsection (e)(2)(A)) that— 

14 (A) was established not more than 5 years 

15 before the eligible entity received a grant under 

16 this section; and 

17 (B) allows the open community use of ele18 mentary school or secondary school buildings or 

19 facilities as opposed to only fee-based sports 

20 league use. 

21 (e) DEFINITIONS.—In this section: 

22 (1) ESEA TERMS.—The terms ‘‘elementary 

23 school’’ and ‘‘secondary school’’ have the meanings 

24 given such terms in section 9101 of the Elementary 


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1 and Secondary Education Act of 1965 (20 U.S.C. 

2 7801). 

3 (2) ELIGIBLE ENTITY.—The term ‘‘eligible enti4 ty’’ means an elementary school, secondary school, 

5 local government, or community partner that has— 

6 (A) adopted or entered into a joint or 

7 shared-use agreement authorizing elementary 

8 school or secondary school buildings or facilities 

9 to be used by community and nonprofit organi10 zations for community programs; and 

11 (B) the ability to use funds to support 

12 such community programs. 

13 (3) SECRETARY.—The term ‘‘Secretary’’ means 

14 the Secretary of Education. 

15 SEC. 307. LAND AND WATER CONSERVATION FUND PRO16 GRAM GRANTS IN LOW-INCOME COMMU17 NITIES AND EXPAND TRIBAL PARTICIPATION. 

18 Section 6(e) of the Land and Water Conservation Act 

19 of 1965 (16 U.S.C. 460l–8(e)) is amended by adding at 

20 the end the following: 

21 ‘‘(3) LOW-INCOME COMMUNITIES AND INDIAN

22 RESERVATIONS.—For development of programs to 

23 increase the use of and access to parks and open 

24 space in low-income communities and on or near In25 dian reservations.’’. 


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1 SEC. 308. CHANGING HEARTS, ATTITUDES, AND MINDS BY 

2 PARTICIPATING IN SPORTS (CHAMPS) PRO3 GRAM. 

4 Part B of title III of the Public Health Service Act 

5 is amended by inserting after section 317T (42 U.S.C. 

6 247b–22) the following: 

7 ‘‘SEC. 317U. CHANGING HEARTS, ATTITUDES, AND MINDS BY 

8 PARTICIPATING IN SPORTS (CHAMPS) PRO9 GRAM. 

10 ‘‘(a) IN GENERAL.—The Secretary, acting through 

11 the Director of the Centers for Disease Control and Pre12 vention, may make grants to eligible entities to carry out 

13 nationally based or community-based qualified childhood 

14 obesity prevention initiatives. 

15 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 

16 grant under this section, an entity shall be— 

17 ‘‘(1) a nationally based nonprofit organization 

18 proposing to implement programs described in sub19 section (c), each serving at least 1,000 individuals, 

20 at 5 or more locations across the Nation; or 

21 ‘‘(2) a community-based nonprofit organization 

22 proposing to implement a program described in sub23 section (c) serving at least 1,000 individuals. 

24 ‘‘(c) QUALIFIED CHILDHOOD OBESITY PREVENTION

25 INITIATIVE.—To qualify as a childhood obesity prevention 


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1 initiative eligible for funding under this section, an initia2 tive shall consist of programs that— 

3 ‘‘(1) serve children or adolescents most at risk 

4 for being overweight and obese in predominantly 

5 economically disadvantaged communities; 

6 ‘‘(2) serve children or adolescents during after7 school hours, weekends, or summer hours; 

8 ‘‘(3) provide structured physical fitness activi9 ties, including organized sports, which engage each 

10 participant in a minimum of 60 minutes of moderate 

11 to vigorous physical activity at least three days per 

12 week for a period of at least 24 weeks in a given 

13 year; 

14 ‘‘(4) provide adult supervision and guidance or 

15 coaches who encourage and teach proper exercise 

16 techniques and skills; 

17 ‘‘(5) combine physical fitness activities with nu18 tritional counseling and education; and 

19 ‘‘(6) demonstrate measurable results for reduc20 ing childhood obesity on the part of participants, in21 cluding through— 

22 ‘‘(A) measurement and study of partici23 pants’ moderate to vigorous physical activity 

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1 grams funded under this section and on the 

2 participants’ own initiative; 

3 ‘‘(B) increased knowledge of and aware4 ness about the importance of physical activity 

5 and exercise as well as the nutritional value of 

6 food and beverage choices; 

7 ‘‘(C) keeping track of and reporting mean8 ingful reductions in the consumption of food 

9 and beverages with low nutritional value, in10 creased consumption of healthy items, and in11 creased levels of unstructured, self-initiated 

12 physical activity outside of the programs funded 

13 under this section; and 

14 ‘‘(D) measurement and study of partici15 pants’ body mass index (BMI) indicating 

16 that— 

17 ‘‘(i) children entering programs fund18 ed under this section with a healthy body 

19 mass index maintain it while participating 

20 in such programs; and 

21 ‘‘(ii) children participating in such 

22 programs with an unhealthy body mass 

23 index halt any negative trend lines toward 

24 obesity or begin trend lines in a positive di25 rection. 


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1 ‘‘(d) PRIORITY.—In selecting among applicants for 

2 grants under this section, the Secretary shall give priority 

3 to eligible entities proposing to carry out programs that 

4 will provide additional societal benefits, such as— 

5 ‘‘(1) effectiveness in working with programs for 

6 ethnic and racial minorities that are evaluated by 

7 independent, third-party evaluators; 

8 ‘‘(2) improvements to academic performance in 

9 school; 

10 ‘‘(3) character building and leadership develop11 ment; 

12 ‘‘(4) gang and juvenile delinquency prevention 

13 and reduction; 

14 ‘‘(5) gender equality and female empowerment; 

15 ‘‘(6) mentoring, volunteerism promotion, and 

16 service-learning opportunities; 

17 ‘‘(7) family and community engagement and 

18 participation; 

19 ‘‘(8) workforce education and career develop20 ment opportunities; or 

21 ‘‘(9) being inclusive of persons with disabilities. 

22 ‘‘(e) DISTRIBUTION OF FUNDS.—Of the amount 

23 made available to carry out this section for a fiscal year, 

24 the Secretary shall award— 


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1 ‘‘(1) not less than 25 percent of such amount 

2 to nationally based nonprofit organizations described 

3 in subsection (b)(1); and 

4 ‘‘(2) not more than 75 percent of such amount 

5 to community-based nonprofit organizations de6 scribed in subsection (b)(2). 

7 ‘‘(f) COST-SHARE REQUIREMENTS.— 

8 ‘‘(1) IN GENERAL.—With respect to the costs of 

9 a qualified childhood obesity prevention initiative to 

10 be carried out under this section— 

11 ‘‘(A) in the case of an applicant that is a 

12 nationally based nonprofit organization, a grant 

13 under subsection (a) may be made only if the 

14 organization agrees to make available (directly 

15 or through donations from public or private en16 tities) non-Federal contributions toward such 

17 costs in an amount that is not less than one18 third of such costs ($1 for each $2 of Federal 

19 funds provided in the grant); and 

20 ‘‘(B) in the case of an applicant that is a 

21 community-based nonprofit organization, a 

22 grant under subsection (a) may be made only if 

23 the organization agrees to make available (di24 rectly or through donations from public or pri25 vate entities) non-Federal contributions toward 


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1 such costs in an amount that is not less than 

2 one-fourth of such costs ($1 for each $3 of Fed3 eral funds provided in the grant). 

4 ‘‘(2) NON-FEDERAL CONTRIBUTIONS BY SUB5 GRANTEES.—If a nationally based nonprofit organi6 zation chooses to provide grant funds received under 

7 this section to a subgrantee to carry out one or more 

8 programs as part of the organization’s qualified 

9 childhood obesity prevention initiative, the organiza10 tion shall require the subgrantee to make available 

11 (directly or through donations from public or private 

12 entities) non-Federal contributions toward the costs 

13 of such programs in an amount that is not less than 

14 one-third of such costs ($1 for each $2 of Federal 

15 funds provided in the grant). The amount of non16 Federal contributions by subgrantees required under 

17 this paragraph is in addition to the amount of non18 Federal contributions by the nationally based non19 profit organization required under paragraph (1). 

20 ‘‘(3) DETERMINATION OF AMOUNT CONTRIB21 UTED.— 

22 ‘‘(A) IN GENERAL.—Non-Federal contribu23 tions required by paragraph (1) or (2)— 


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1 ‘‘(i) in the case of a nationally based 

2 nonprofit organization, shall be made in 

3 cash; and 

4 ‘‘(ii) in the case of a subgrantee de5 scribed in paragraph (2) or a community6 based nonprofit organization, may be in 

7 cash or in kind, fairly evaluated, including 

8 plant, equipment, or services. 

9 ‘‘(B) EXCLUSION OF FEDERAL CONTRIBU10 TIONS.—Amounts provided by the Federal Gov11 ernment, or services assisted or subsidized to 

12 any significant extent by the Federal Govern13 ment, may not be included in determining the 

14 amount of non-Federal contributions required 

15 by paragraph (1) or (2). 

16 ‘‘(g) REPORT TO CONGRESS.—Not later than one 

17 year after the first appropriation of Federal funds to carry 

18 out this section, the Secretary shall report to the Congress 

19 on the progress made in carrying out programs funded 

20 by grants under this section. 

21 ‘‘(h) BEST PRACTICES GUIDELINES.—Based on the 

22 results of programs funded through grants under this sec23 tion during the first two fiscal years of such funding, the 

24 Secretary shall develop publicly accessible best practices 


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1 guidelines for obesity reduction programs. The Secretary 

2 shall update these guidelines every two years. 

3 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—To 

4 carry out this section, there is authorized to be appro5 priated $50,000,000 for each of fiscal years 2015 through 

6 2019.’’. 

7 SEC. 309. COORDINATED SCHOOL HEALTH INITIATIVES. 

8 (a) IN GENERAL.—From the amounts appropriated 

9 to carry out this section, the Secretary of Education shall 

10 carry out a pilot program to award grants to not more 

11 than 5 eligible entities to carry out coordinated school 

12 health initiatives in schools. 

13 (b) AMOUNT OF GRANT.—A grant awarded under 

14 subsection (a) may not exceed $15,000. 

15 (c) USE OF FUNDS.—An eligible entity receiving a 

16 grant under this section shall carry out a coordinated 

17 school health initiative in each school under the jurisdic18 tion of the entity under which the entity shall— 

19 (1) carry out a program, such as a fitness pro20 gram, to assess the physical fitness (including aer21 obic capacity, muscular strength and endurance, 

22 flexibility, and body composition) of each student 

23 served by the entity; and 

24 (2) evaluate such assessments to— 


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1 (A) establish baselines with respect to aer2 obic capacity, muscular strength and endur3 ance, flexibility, and body composition that each 

4 such student should meet by a certain period; 

5 and 

6 (B) identify interventions to assist each 

7 such student, including those with disabilities, 

8 in meeting such baselines; 

9 (3) review the interventions identified under 

10 paragraph (2)(B) to determine the best practices 

11 with respect to such interventions; 

12 (4) use the determinations for best practices 

13 under paragraph (3) to implement interventions in 

14 each school under the jurisdiction of the entity; and 

15 (5) not later than 1 year after the implementa16 tion of the interventions, assess the physical fitness 

17 of each student served by the entity. 

18 (d) REPORTING.— 

19 (1) ELIGIBLE ENTITY.—Each eligible entity re20 ceiving a grant under this section shall submit to the 

21 Secretary at such time and in such manner as deter22 mined by the Secretary, a report on— 

23 (A) the initial physical fitness assessments 

24 carried out under subsection (c)(1); 


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1 (B) the interventions implemented under 

2 subsection (c)(4); and 

3 (C) the physical fitness assessments car4 ried out under subsection (c)(5) after the inter5 ventions have been implemented. 

6 (2) SECRETARY.—Not later than the first ap7 propriation of Federal funds to carry out this sec8 tion, the Secretary shall use the reports received 

9 under paragraph (1) to prepare and transmit to 

10 Congress a report on— 

11 (A) the average physical fitness levels of 

12 students participating in the coordinated school 

13 health initiative under this section— 

14 (i) prior to the interventions imple15 mented by each eligible entity under this 

16 section; and 

17 (ii) 1 year after the implementation of 

18 the interventions; 

19 (B) the best practices with respect to the 

20 interventions; and 

21 (C) recommendations on how schools and 

22 local educational agencies may incorporate such 

23 best practices. 

24 (e) APPLICATION.—To receive a grant under this sec25 tion, an eligible entity shall submit an application to the 


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1 Secretary of Education at such time, in such manner, and 

2 containing such information as the Secretary may require. 

3 (f) SUPPLEMENT, NOT SUPPLANT.—Funds received 

4 under this section shall be used to supplement, and not 

5 supplant, non-Federal funds that would otherwise be used 

6 for activities authorized under this section. 

7 (g) DEFINITIONS.—For purposes of this section: 

8 (1) ELIGIBLE ENTITY.—The term ‘‘eligible enti9 ty’’ means a local educational agency— 

10 (A) that serves— 

11 (i) a high percentage of students eligi12 ble for free or reduced price lunches under 

13 the Richard B. Russell National School 

14 Lunch Act; or 

15 (ii) a community otherwise determined 

16 by the Secretary to be a low-income com17 munity; and 

18 (B) that forms a partnership with an insti19 tution of higher education or a nonprofit health 

20 or education organization, as determined by the 

21 Secretary, for the purposes of carrying out the 

22 coordinated school health initiative described in 

23 subsection (c). 

24 (2) INSTITUTION OF HIGHER EDUCATION.—The 

25 term ‘‘institution of higher education’’ has the 


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1 meaning given the term in section 101 of the Higher 

2 Education Act of 1965 (20 U.S.C. 1001). 

3 (3) LOCAL EDUCATIONAL AGENCY.—The term 

4 ‘‘local educational agency’’ has the meaning given 

5 such term in section 9101 of the Elementary and 

6 Secondary Education Act of 1965 (20 U.S.C. 7801). 

7 (4) SECRETARY.—The term ‘‘Secretary’’ means 

8 the Secretary of Agriculture. 

9 SEC. 310. REWARDING ELEMENTARY AND SECONDARY 

10 SCHOOLS FOR OUTSTANDING STUDENT PER11 FORMANCE IN PHYSICAL FITNESS PRO12 GRAMS. 

13 (a) IN GENERAL.—The Secretary of Health and 

14 Human Services may make grants to elementary and sec15 ondary schools as rewards for their students’ outstanding 

16 performance in the Presidential Youth Fitness Program 

17 or other federally supported physical fitness programs. 

18 (b) PREFERENCE.—In making grants under sub19 section (a), the Secretary shall give preference to elemen20 tary and secondary schools that— 

21 (1) have the highest percentage of students 

22 earning a Presidential Physical Fitness Award 

23 through the Presidential Youth Fitness Program; 

24 (2) demonstrate the greatest improvement in 

25 the number or percentage of students earning the 


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1 National Physical Fitness Award and the Partici2 pant Physical Fitness Award through the Presi3 dential Youth Fitness Program; and 

4 (3) implement evidence-based physical edu5 cation and physical activity policies and programs 

6 that align with the Presidential Youth Fitness Pro7 gram. 

8 (c) ALLOCATION OF FUNDS FOR UNDERPERFORMING

9 SCHOOLS.—Of the amounts made available for grants 

10 under this section for each fiscal year, the Secretary shall 

11 set aside a portion of such amounts for underperforming 

12 elementary and secondary schools that— 

13 (1) are in need of improvement; 

14 (2) meet the requirements of this section; and 

15 (3) have evidence-based physical education and 

16 physical activity policies and programs. 

17 (d) USE OF FUNDS.—As a condition on receipt of 

18 a grant under this section, a school shall agree to use the 

19 grant funds for programs and activities to further improve 

20 the physical fitness of students. 

21 (e) DATA REQUIREMENTS.—As a condition on re22 ceipt of a grant, a school shall agree to report the results 

23 achieved at the school through the Presidential Youth Fit24 ness Program or other Federal physical fitness programs 

25 to the community and the relevant State agency— 


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1 (1) to improve tracking of physical fitness data 

2 across the United States; and 

3 (2) to inform efforts to strengthen local 

4 wellness policies to improve student physical activity 

5 and physical fitness. 

6 (f) APPLICATION.—To seek a grant under this sec7 tion, a school shall submit an application at such time, 

8 in such manner, and containing such information as the 

9 Secretary may require. At a minimum, an application 

10 under this subsection shall include— 

11 (1) a description of the school’s programs and 

12 activities for improving physical fitness; 

13 (2) an assurance of compliance with applicable 

14 requirements of physical fitness programs of the De15 partment of Health and Human Services; and 

16 (3) an assessment of physical fitness levels of 

17 students in the school before, during, and after im18 plementation such programs. 

19 (g) REPORTS.— 

20 (1) HHS.—Not later than 18 months after the 

21 date of the enactment of this Act, and annually 

22 thereafter, the Secretary shall submit a report to the 

23 Congress on the program of grants under this sec24 tion, including— 


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1 (A) a description of best practices by ele2 mentary and secondary schools for improving 

3 physical fitness; and 

4 (B) any recommendations for improving 

5 the program under this section. 

6 (2) GAO.—Not later than 24 months after the 

7 date of the enactment of this Act, the Comptroller 

8 General of the United States shall complete a study 

9 and submit a report to the Congress— 

10 (A) analyzing physical fitness levels of stu11 dents in elementary and secondary schools 

12 across the Nation; 

13 (B) evaluating the President’s Challenge to 

14 determine whether the standards for Presi15 dential Physical Fitness Awards, National 

16 Physical Fitness Awards, and Participant Phys17 ical Fitness Awards are accurate, up-to-date, 

18 and appropriate; and 

19 (C) evaluating the effectiveness of the 

20 awards described in subparagraph (B). 

21 (h) DEFINITIONS.—In this section: 

22 (1) The term ‘‘elementary and secondary 

23 schools’’ means public or private elementary schools 

24 and secondary schools (as defined in section 9101 of 


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1 the Elementary and Secondary Education Act of 

2 1965 (20 U.S.C. 7801)). 

3 (2) The term ‘‘President’s Challenge’’ refers to 

4 the premier program of the President’s Council on 

5 Fitness, Sports & Nutrition, under the Secretary of 

6 Health and Human Services, for increasing physical 

7 activity and improving physical fitness. 

8 (3) The term ‘‘Secretary’’ means the Secretary 

9 of Health and Human Services. 

Æ 


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