‘‘(ii) take the actions described in the 
plan. 
‘‘(4) GRANTS.—For each of 5-fiscal years fol-
lowing the establishment of criteria by the Secretary 
under paragraph (3), the Secretary shall award a 
grant to each school selected under paragraph (2). 
‘‘(5) EVALUATIONS.— 
‘‘(A) IN GENERAL.—The Secretary, acting 
through the Administrator of the Food and Nu-
trition Service, shall conduct an evaluation of a 
representative sample of schools that receive 
grants under this subsection. 
‘‘(B) CONTENT.—The evaluation shall 
measure, at a minimum, the effects of a healthy 
school nutrition environment on— 
‘‘(i) overweight children and obesity; 
‘‘(ii) dietary intake; 
‘‘(iii) nutrition education and behav-
ior; 
‘‘(iv) parental and student attitudes 
and participation; and 
‘‘(v) related funding issues, including 
the cost of maintaining a healthy school 
nutrition environment. 
VerDate Aug 31 2005 
19:42 Jun 09, 2007
Jkt 059200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H2633.IH
H2633
rwilkins on PROD1PC63 with BILLS
‘‘(C) REPORTS.—The Secretary shall sub-
mit to the Committee on Education and the 
Workforce of the House of Representatives and 
the Committee on Agriculture, Nutrition, and 
Forestry of the Senate— 
‘‘(i) an interim report on the activities 
of schools evaluated under this subsection; 
and 
‘‘(ii) a final report on the activities of 
schools evaluated under this subsection. 
‘‘(6) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(A) IN GENERAL.—There are authorized 
to be appropriated such sums as are necessary 
to carry out this subsection for the 5-fiscal year 
following the establishment of criteria by the 
Secretary under paragraph (3), to remain avail-
able until expended. 
‘‘(B) EVALUATIONS.—The Secretary may 
use not more than 10 percent of the total funds 
made available for a fiscal year under subpara-
graph (A) to carry out paragraph (5).’’. 
SEC. 
204. 
BABY 
FRIENDLY 
HOSPITAL-CENTER 
FOR 
BREASTFEEDING EXCELLENCE. 
(a) ESTABLISHMENT OF PROGRAM.—The Director of 
the Office on Women’s Health of the Department of 
VerDate Aug 31 2005 
19:42 Jun 09, 2007
Jkt 059200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H2633.IH
H2633
rwilkins on PROD1PC63 with BILLS
Health and Human Services (referred to in this section 
as the ‘‘Director’’) shall establish a program to be known 
as the ‘‘Baby-Friendly Hospital Initiative’’ (referred to in 
this section as the ‘‘Initiative’’). 
(b) CERTIFICATION PROCESS.—Under the Initiative, 
the Director shall establish a certification process under 
which a hospital can apply for a certification as a ‘‘baby 
friendly hospital/center for breastfeeding excellence’’. Such 
certification process shall be based upon the international 
guidelines of the Baby-Friendly Hospital Initiative estab-
lished by the World Health Organization and United Na-
tions Children’s Fund. 
(c) REQUIREMENTS.— 
(1) IN GENERAL.—To be certified as a baby 
friendly hospital/center for breastfeeding excellence, 
a hospital (as defined for purposes of this section by 
the Director, and which may include birth centers) 
shall carry out the following: 
(A) The hospital shall maintain a written 
breastfeeding policy that is routinely commu-
nicated to all of the healthcare staff of the hos-
pital. 
(B) The hospital shall provide training for 
all healthcare staff in the skills necessary to im-
VerDate Aug 31 2005 
19:42 Jun 09, 2007
Jkt 059200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H2633.IH
H2633
rwilkins on PROD1PC63 with BILLS
plement the policy described in subparagraph 
(A). 
(C) The hospital shall ensure that all preg-
nant women who are patients at the hospital 
are informed about the benefits and manage-
ment of breastfeeding. 
(D) The hospital shall help mothers ini-
tiate breastfeeding within one hour of birth. 
(E) The hospital shall demonstrate to 
mothers how to breastfeed and how to maintain 
lactation, even if the mother is separated from 
her infant. 
(F) The hospital shall give infants no food 
or drink other than breastmilk, unless medically 
indicated. 
(G) The hospital shall implement a ‘‘room-
ing in’’ policy by allowing mothers and infants 
to remain together 24 hours a day in the same 
hospital room. 
(H) The hospital shall encourage unre-
stricted breastfeeding. 
(I) The hospital shall provide no pacifiers 
or artificial nipples to breastfeeding infants. 
(J) The hospital shall foster the establish-
ment of breastfeeding support groups and refer 
VerDate Aug 31 2005 
19:42 Jun 09, 2007
Jkt 059200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H2633.IH
H2633
rwilkins on PROD1PC63 with BILLS
mothers to such groups on discharge from the 
hospital. 
(2) INSPECTION.—A hospital shall be certified 
as a baby friendly hospital/center for breastfeeding 
excellence only upon the completion of an on-site as-
sessment by the Director through which the Director 
has determined that the hospital is in compliance 
with the guidelines used for certification under sub-
section (b). 
(3) VERIFICATION.—Upon being certified as a 
baby friendly hospital/center for breastfeeding excel-
lence, a hospital shall agree to permit the Director 
to conduct on-site assessments to verify the contin-
ued compliance of the hospital with the requirements 
of paragraph (1). 
(d) AUTHORITY FOR AUTOMATIC CERTIFICATION.— 
The Director may automatically certify a hospital as a 
baby friendly hospital/center of breastfeeding excellence if 
such hospital has been designated as a baby-friendly hos-
pital under the Baby-Friendly USA program. 
(e) LIMITATION.—A hospital shall not make any 
claim that such hospital is a baby friendly hospital/center 
of breastfeeding excellence unless such hospital has been 
certified by the Director in accordance with this section. 
VerDate Aug 31 2005 
19:42 Jun 09, 2007
Jkt 059200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H2633.IH
H2633
rwilkins on PROD1PC63 with BILLS
(f) TECHNICAL ASSISTANCE.—The Director shall 
provide, at the request of a hospital seeking a certification 
as a baby friendly hospital/center of breastfeeding excel-
lence, such technical assistance as appropriate to assist 
the requesting hospital to achieve such certification. 
(g) CERTIFICATION COSTS.—Subject to the avail-
ability of appropriations, the Director may provide to a 
hospital that has successfully been certified as a baby 
friendly hospital/center of breastfeeding excellence under 
this Act, a one time award of up to $20,000 to offset the 
cost to such hospital of being certified as a baby friendly 
hospital/center of breastfeeding excellence. 
(h) RECOMMENDATIONS
FOR ACCREDITING ENTI-
TIES.—Not later than 12 months after certifying the first 
baby friendly hospital/center for breastfeeding excellence 
under this section, the Director shall provide to the appro-
priate organizations or entities that are engaged in the 
accreditation of healthcare organizations, recommenda-
tions concerning steps that such accrediting entities may 
take to integrate the baby friendly hospital requirements 
used in the Baby Friendly Hospital Initiative into 
healthcare organization accreditation procedures and re-
quirements. 
VerDate Aug 31 2005 
19:42 Jun 09, 2007
Jkt 059200
PO 00000
Frm 00023
Fmt 6652
Sfmt 6201
E:\BILLS\H2633.IH
H2633
rwilkins on PROD1PC63 with BILLS