I 

112TH CONGRESS 

1ST SESSION H. R. 3291 

To authorize the Secretary of Agriculture to make grants to communitybased organizations and local redevelopment agencies operating in lowincome communities to promote increased access to and consumption 

of fresh fruits, fresh vegetables, and other healthy foods among residents 

of such communities, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 1, 2011 

Ms. VELA ́ZQUEZ introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on 

Agriculture and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions 

as fall within the jurisdiction of the committee concerned 

A BILL 

To authorize the Secretary of Agriculture to make grants 

to community-based organizations and local redevelopment agencies operating in low-income communities to 

promote increased access to and consumption of fresh 

fruits, fresh vegetables, and other healthy foods among 

residents of such communities, 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, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Healthy Foods for 

3 Healthy Living Act’’. 

4 SEC. 2. DEPARTMENT OF AGRICULTURE GRANTS TO PRO5 MOTE GREATER CONSUMPTION OF FRESH 

6 FRUITS, FRESH VEGETABLES, AND OTHER 

7 HEALTHY FOODS IN LOW-INCOME COMMU8 NITIES. 

9 (a) GRANTS AUTHORIZED.—The Secretary of Agri10 culture may make grants for the purposes specified in sub11 section (b) to any of the following: 

12 (1) A community-based organization that oper13 ates in a low-income community and carries out one 

14 or both of the activities described in subsection (b), 

15 as determined by the Secretary. 

16 (2) A local redevelopment agency that is char17 tered, established, or otherwise sanctioned by a 

18 State or local government. 

19 (b) USE OF GRANT AMOUNTS.—The recipient of a 

20 grant under this section shall use the grant amounts for 

21 one or both of the following activities: 

22 (1) To assist in purchasing appropriate equip23 ment or in hiring and training personnel to expand 

24 the inventory of fresh fruits and vegetables or other 

25 healthy food alternatives, as defined by the Depart26 ment of Agriculture, such as healthier dairy and 


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1 non-dairy alternatives to whole milk, 100 percent 

2 pure fruit juices, and products with 0 grams of 

3 transfat, available for residents of a low-income com4 munity. 

5 (2) To carry out consumer education and out6 reach activities to encourage the purchase of prod7 ucts described in paragraph (1), such as by inform8 ing residents of a low-income community about the 

9 health risks associated with high-calorie, low-exercise 

10 lifestyles and the benefits of healthy living. 

11 (c) MAXIMUM GRANT.—A grant under this section 

12 may not exceed $100,000. 

13 (d) COMMUNITY-BASED ORGANIZATION DEFINED.— 

14 In this section, the term ‘‘community-based organization’’ 

15 includes schools, day-care centers, senior centers, commu16 nity health centers, food banks, or emergency feeding or17 ganizations. 

18 (e) AUTHORIZATION OF APPROPRIATIONS.—There is 

19 authorized to be appropriated to the Secretary to carry 

20 out this section $5,000,000 for fiscal year 2012. 

21 SEC. 3. COVERAGE OF ADDITIONAL PRIMARY CARE AND 

22 PREVENTIVE SERVICES UNDER THE MEDI23 CARE AND MEDICAID PROGRAMS. 

24 (a) MEDICARE PROGRAM.— 


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1 (1) IN GENERAL.—Section 1861(ddd) of the 

2 Social Security Act (42 U.S.C. 1395x(ddd)) is 

3 amended— 

4 (A) by adding at the end of paragraph (1) 

5 the following: 

6 ‘‘Such term also includes the primary care and pre7 ventive services described in paragraph (4).’’; and 

8 (B) by adding at the end the following new 

9 paragraph: 

10 ‘‘(4) The primary care and preventive services de11 scribed in this paragraph are the following, insofar as they 

12 are not otherwise covered under this title, when provided 

13 by qualified providers: 

14 ‘‘(A) Services for the prevention and treatment 

15 of obesity and obesity-related disease. 

16 ‘‘(B) Supervised exercise sessions. 

17 ‘‘(C) Exercise stress testing for the purpose of 

18 exercise prescriptions. 

19 ‘‘(D) Lifestyle health improvement education. 

20 ‘‘(E) Culinary arts education for the purpose of 

21 promoting proper nutrition.’’. 

22 (2) CONFORMING AMENDMENTS.—(A) Section 

23 1862(a)(1) of such Act (42 U.S.C. 1395y(a)(1)) is 

24 amended— 


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1 (i) by striking ‘‘and’’ at the end of sub2 paragraph (O); 

3 (ii) by adding ‘‘and’’ at the end of sub4 paragraph (P); and 

5 (iii) by adding at the end the following new 

6 subparagraph: 

7 ‘‘(Q) in the case of additional primary care 

8 and preventive services described in section 

9 1861(ddd)(4), which are performed more fre10 quently than the Secretary may specify;’’. 

11 (B) The first sentence of section 1833(b)(1) of 

12 such Act (42 U.S.C. 1395l(b)(1)) is amended by 

13 striking ‘‘for preventive services’’ and all that follows 

14 through ‘‘for the individual’’ and inserting ‘‘for addi15 tional preventive services (as defined in section 

16 1861(ddd))’’. 

17 (b) MEDICAID PROGRAM.—Section 1905(a) of the 

18 Social Security Act (42 U.S.C. 1396d(a)) is amended— 

19 (1) by striking ‘‘and’’ at the end of paragraph 

20 (28); 

21 (2) by redesignating paragraph (29) as para22 graph (30); and 

23 (3) by inserting after paragraph (28) the fol24 lowing new paragraph: 


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1 ‘‘(29) additional preventive services (as defined 

2 in section 1861(ddd)(1)) which are not otherwise 

3 covered under this subsection; and’’. 

4 (c) EFFECTIVE DATE.—The amendments made by 

5 this section shall take effect on the first day of the first 

6 calendar quarter beginning after the date of the enactment 

7 of this Act, regardless of whether regulations to implement 

8 the amendments are in effect as of such date. 

Æ 


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