I 
112TH CONGRESS 
1ST SESSION H. R. 1448 
To amend the Public Health Service Act with respect to eating disorders, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 8, 2011 
Ms. BALDWIN (for herself, Mr. CONNOLLY of Virginia, Mr. JOHNSON of Geor-
gia, Mr. LOEBSACK, Mrs. MALONEY, Mr. MORAN, Mr. NADLER, Ms. 
SCHAKOWSKY, and Mr. HASTINGS of Florida) introduced the following 
bill; which was referred to the Committee on Energy and Commerce, and 
in addition to the Committees on Ways and Means, Oversight and Gov-
ernment Reform, and Education and the Workforce, 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 con-
cerned 
A BILL 
To amend the Public Health Service Act with respect to 
eating disorders, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Federal Response to 
Eliminate Eating Disorders Act of 2011’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
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Sec. 1. Short title. 
Sec. 2. Table of contents. 
Sec. 3. Findings. 
Sec. 4. Definition. 
TITLE I—RESEARCH 
Sec. 101. Activities to improve eating disorder-related research and funding. 
Sec. 102. Eating disorders surveillance and research program. 
TITLE II—EDUCATION AND PREVENTION 
Sec. 201. Study of mandatory BMI reporting in school. 
Sec. 202. Training and education. 
Sec. 203. Health professional education and training. 
Sec. 204. Education and training for all health professionals. 
Sec. 205. Education and training for school and higher education professionals. 
Sec. 206. Eating disorder research and report. 
Sec. 207. Public service announcements. 
Sec. 208. Sense of Congress. 
TITLE III—TREATMENT 
Sec. 301. Coverage for treatment for eating disorders under group health plans, 
individual health insurance coverage, and FEHBP. 
TITLE IV—IMPROVING AVAILABILITY AND ACCESS TO 
TREATMENT 
Sec. 401. Medicaid coverage for eating disorder treatment services. 
Sec. 402. Grants to support patient advocacy. 
SEC. 3. FINDINGS. 
The Congress finds as follows: 
(1) Risk of death among individuals with ano-
rexia nervosa is 11 times greater than their same 
age peers without anorexia. 
(2) Health consequences such as osteoporosis 
(brittle bones), gastrointestinal complications, and 
dental problems are significant health and financial 
burdens throughout life. 
(3) An estimated 5,000,000 to 10,000,000 
women and girls and 1,000,000 men and boys suffer 
from eating disorders, including anorexia nervosa, 
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bulimia nervosa, and eating disorders not otherwise 
specified (EDNOS) (including binge eating dis-
order). The lifetime prevalence of all eating dis-
orders in America is 0.6 to 4.5 percent. 
(4) Anorexia nervosa is an eating disorder char-
acterized by self-starvation and excessive weight loss. 
An estimated 0.9 percent of American women and 
0.3 percent of American men will suffer from ano-
rexia nervosa in their lifetime. 
(5) Anorexia nervosa is associated with serious 
health consequences including heart failure, kidney 
failure, osteoporosis, and death. 
(6) Bulimia nervosa is an eating disorder char-
acterized by excessive food consumption followed by 
inappropriate compensatory behaviors, such as self- 
induced vomiting, misuse of laxatives, fasting, or ex-
cessive exercise. An estimated 1.5 percent of Amer-
ican women and 0.5 percent of American men will 
suffer from this disorder in their lifetime. 
(7) Bulimia nervosa is associated with cardiac, 
gastrointestinal, and dental problems including ir-
regular heartbeats, gastric rupture, peptic ulcer, 
tooth decay, and death. 
(8) Binge eating disorder is characterized by 
frequent episodes of uncontrolled overeating. Binge 
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eating disorder is common: an estimated 3.5 percent 
of American women and 2.0 percent of American 
men will suffer from this disorder in their lifetime. 
(9) Binge eating is associated with obesity, 
heart disease, gall bladder disease, and diabetes. 
(10) Many more suffer from some, but not all, 
of the symptoms of anorexia nervosa, bulimia 
nervosa, or binge eating disorder, which is referred 
to as eating disorders not otherwise specified 
(EDNOS). Between 4 percent and 20 percent of 
young women practice unhealthy patterns of dieting, 
purging, and binge eating. 
(11) Eating disorders are more common in 
women, but they do occur in men. Rates of binge 
eating disorder are similar in females and males. 
(12) Eating disorders usually appear in adoles-
cence and are associated with substantial psycho-
logical problems, including depression, substance 
abuse, and suicide. Eating disorders also develop in 
younger children and adults, compromising health 
and daily functioning. For children 12 years of age 
and younger, hospitalizations for eating disorders in-
creased by 119 percent between 1999 and 2006. 
(13) Eating disorders are found across races, 
ethnicities, and socioeconomic groups in the United 
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States. White females are more likely to suffer from 
anorexia, while African-American girls are especially 
vulnerable to developing eating disorders that involve 
binge eating. Body dissatisfaction in young girls has 
been shown in White, African-American, Hispanic, 
and Asian girls. 
SEC. 4. DEFINITION. 
In this Act, the term ‘‘eating disorder’’ includes ano-
rexia nervosa, bulimia nervosa, and eating disorders not 
otherwise specified (EDNOS) (including binge eating dis-
order), as defined in the fourth edition of ‘‘Diagnostic and 
Statistical Manual of Mental Disorders’’ or, if applicable, 
the most recent successor edition. 
TITLE I—RESEARCH 
SEC. 101. ACTIVITIES TO IMPROVE EATING DISORDER-RE-
LATED RESEARCH AND FUNDING. 
Title IV of the Public Health Service Act (42 U.S.C. 
281 et seq.) is amended by adding at the end the fol-
lowing: 
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‘‘PART J—EATING DISORDER-RELATED 
ACTIVITIES 
‘‘SEC. 499A. AUTHORITY OF THE DIRECTOR OF THE NA-
TIONAL INSTITUTES OF HEALTH RELATING 
TO EATING DISORDERS. 
‘‘(a) IDENTIFYING TOTAL EXPENDITURES ON EAT-
ING DISORDERS.—The Director of NIH, in coordination 
with the National Institute of Mental Health, the Office 
of Research on Women’s Health, and other institutes of 
the National Institutes of Health, shall identify the total 
amount of expenditures, both intramural and extramural, 
by the National Institutes of Health for eating disorders 
for each of fiscal years 2009 and 2010. 
‘‘(b) BUDGET FOR EATING DISORDERS RESEARCH 
AND COORDINATION OF ACTIVITIES AND PROGRAMS.— 
The Director of NIH, based on the strategic plan devel-
oped under subsection (c), shall— 
‘‘(1) develop and oversee the implementation of 
a scientifically justified budget for research on eat-
ing disorders at the National Institutes of Health; 
‘‘(2) coordinate all research activities and pro-
grams on eating disorders at the institutes, centers, 
and divisions of the National Institutes of Health; 
and 
‘‘(3) evaluate all such activities and programs. 
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‘‘(c) STRATEGIC PLAN FOR EATING DISORDERS RE-
SEARCH.— 
‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this section, the Direc-
tor of NIH shall develop, in consultation with lead-
ing eating disorder researchers, and oversee the im-
plementation of a comprehensive, long-range plan 
for the conduct and support of research on eating 
disorders by the institutes, centers, and divisions of 
the National Institutes of Health. 
‘‘(2) REQUIREMENTS.—The plan developed 
under paragraph (1) shall— 
‘‘(A) be updated on an annual basis; 
‘‘(B) identify critical scientific questions 
related to eating disorders and establish prior-
ities among such questions; 
‘‘(C) based on the priorities established 
under subparagraph (B), specify the short- and 
long-range objectives to be achieved, and esti-
mate the resources needed to achieve these ob-
jectives; 
‘‘(D) evaluate the sufficiency of existing re-
search programs on eating disorders to meet 
the objectives specified under subparagraph (C), 
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and establish objectives, timelines, and criteria 
for evaluating future research programs; 
‘‘(E) be coordinated with the activities of 
the Centers of Excellence receiving funds under 
section 499B(b); and 
‘‘(F) make recommendations for changes 
to existing research programs on eating dis-
orders. 
‘‘(d) BUDGETARY AUTHORITY.— 
‘‘(1) IN
GENERAL.—The Director of NIH 
shall— 
‘‘(A) in accordance with the strategic plan 
developed under subsection (c), annually pre-
pare and submit to Congress a scientifically jus-
tified budget estimate for research on eating 
disorders to be conducted within the agencies of 
the National Institutes of Health, which shall 
include the amount of funds that will be re-
quired for— 
‘‘(i) the continued funding of ongoing 
discretionary program initiatives at the in-
stitutes, centers, and divisions of the Na-
tional Institutes of Health; and 
‘‘(ii) the funding of new and com-
plementary program initiatives; and 
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‘‘(B) receive all research funds for eating 
disorders described in subparagraph (A), and 
allocate those funds to the institutes, centers, 
and divisions of the National Institutes of 
Health. 
‘‘(2) EFFECTIVE
DATE.—Paragraph (1)(B) 
shall become effective in the fiscal year following the 
submission of the first eating disorder budget de-
scribed in paragraph (1)(A). 
‘‘(e) EVALUATION AND REPORT.— 
‘‘(1) EVALUATION.—The Director of NIH shall 
evaluate the effect of this section on the planning 
and coordination of research programs on eating dis-
orders at the institutes, centers, and divisions of the 
National Institutes of Health, and the extent to 
which funding mandated under this section has fol-
lowed the recommendation of the strategic plan de-
veloped under subsection (c). 
‘‘(2) REPORT.—Not later than 1 year after the 
date of enactment of this section, the Director of 
NIH shall prepare and submit to the Committee on 
Energy and Commerce and the Committee on Ap-
propriations of the House of Representatives, and 
the Committee on Health, Education, Labor, and 
Pensions and the Committee on Appropriations of 
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the Senate, a report based on the evaluation de-
scribed in paragraph (1). 
‘‘(f) DEFINITIONS.—In this part, the term ‘eating 
disorder’ includes anorexia nervosa, bulimia nervosa, and 
eating disorders not otherwise specified (EDNOS) (includ-
ing binge eating disorder), as defined in the fourth edition 
of ‘Diagnostic and Statistical Manual of Mental Disorders’ 
or, if applicable, the most recent successor edition. 
‘‘SEC. 499B. EXPANSION, INTENSIFICATION, AND COORDI-
NATION OF ACTIVITIES OF NATIONAL INSTI-
TUTES OF HEALTH WITH RESPECT TO RE-
SEARCH ON EATING DISORDERS. 
‘‘(a) IN GENERAL.— 
‘‘(1) EXPANSION OF ACTIVITIES.—The Director 
of NIH shall expand, intensify, and coordinate the 
activities of the National Institutes of Health with 
respect to research on eating disorders. 
‘‘(2) ADMINISTRATION OF PROGRAM; COORDI-
NATION AMONG AGENCIES.—The Director of NIH 
shall carry out this section acting through the Direc-
tor of the National Institute of Mental Health, and 
in collaboration with the Director of the Eunice 
Kennedy Shriver National Institute of Child Health 
and Human Development, the Director of the Na-
tional Institute of Diabetes and Digestive and Kid-
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ney Diseases, the Director of the Office of Research 
on Women’s Health, and any other agencies or of-
fices of the National Institutes of Health that the 
Director determines appropriate. 
‘‘(3) TASK FORCE.— 
‘‘(A) ESTABLISHMENT.—Before making 
grants under subsection (b) for Centers of Ex-
cellence, the Director of NIH shall establish a 
task force (in this paragraph referred to as the 
‘task force’) consisting of— 
‘‘(i) representatives of the institutes, 
centers, and divisions of the National Insti-
tutes of Health, as determined appropriate 
by the Director; 
‘‘(ii) eating disorders researchers, cli-
nicians, and patient advocacy groups; and 
‘‘(iii) the general public. 
‘‘(B) DUTIES.—The task force shall— 
‘‘(i) assist researchers in developing 
applications and applying for grants and 
contracts to be awarded for Centers of Ex-
cellence under subsection (b); 
‘‘(ii) conduct a thorough examination 
of the field of eating disorders, create a list 
of priorities for eating disorders research, 
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and develop a matrix of action items for 
such research; and 
‘‘(iii) conduct meetings to address 
issues with respect to eating disorders re-
search, including guiding principles of Cen-
ters of Excellence under subsection (b); de-
velopment of strategic research priorities; 
strategies for recruiting new scientists into 
the field of eating disorders and providing 
them with high-quality training; priorities 
and best practices for basic research, clin-
ical research, treatment research, and pre-
vention research; and development of a re-
search infrastructure nationwide. 
‘‘(b) CENTERS OF EXCELLENCE.— 
‘‘(1) GRANTS.— 
‘‘(A) IN GENERAL.—In carrying out sub-
section (a)(1), the Director of NIH shall award 
grants and contracts to public or nonprofit pri-
vate entities, including universities, to— 
‘‘(i) conduct research on eating dis-
orders designed to improve understanding 
of the etiology, early identification, preven-
tion, best treatment, medical and psycho-
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logical sequelae of and recovery from eat-
ing disorders; 
‘‘(ii) conduct training to perform such 
research; and 
‘‘(iii) pay all or part of the cost of 
planning, establishing, improving, and pro-
viding basic operating support for such re-
search and training. 
‘‘(B) CENTERS
OF
EXCELLENCE.—For 
purposes of this section, an entity that receives 
a grant or contract under subparagraph (A) 
shall be referred to as a Center of Excellence. 
‘‘(2) RESEARCH.— 
‘‘(A) IN GENERAL.—Each Center of Excel-
lence shall conduct basic research, clinical re-
search, or both into eating disorders. 
‘‘(B) REQUIREMENTS.—The research con-
ducted by a Center of Excellence pursuant to 
subparagraph (A)— 
‘‘(i) shall be designed to improve un-
derstanding of the etiology, early identi-
fication, prevention, best treatment, med-
ical and psychological sequelae of and re-
covery from eating disorders; 
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‘‘(ii) shall be conducted in the fields of 
basic, clinical, prevention, and intervention 
sciences; and 
‘‘(iii) should include— 
‘‘(I) 
studies 
clarifying 
the 
nosology and assessment of eating dis-
orders; 
‘‘(II) investigations to determine 
the biological, psychosocial, and be-
havioral risk factors that might ap-
pear in early childhood; 
‘‘(III) studies of promising treat-
ments for eating disorders; 
‘‘(IV) evaluation of prevention 
programs for eating disorders; and 
‘‘(V) studies of the medical, psy-
chological, and social sequelae of eat-
ing disorders. 
‘‘(C) EQUAL
REPRESENTATION
OF
RE-
SEARCH AREAS.—In awarding grants and con-
tracts under paragraph (1), the Director of 
NIH shall, to the extent practicable and appro-
priate, ensure that each of the research areas 
required by clauses (i) and (ii) of subparagraph 
(B) are equally represented. 
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‘‘(3) TRAINING
TO
PERFORM
EATING
DIS-
ORDERS
RESEARCH.—Each Center of Excellence 
shall provide at least 3 positions for doctoral level 
and post-doctoral level research trainees. 
‘‘(4) SERVICES FOR PATIENTS.— 
‘‘(A) IN
GENERAL.—A Center of Excel-
lence may expend amounts provided under a 
grant or contract under such paragraph to 
carry out a program to make individuals aware 
of opportunities to participate as subjects in re-
search conducted by such Centers. 
‘‘(B) REFERRALS AND COSTS.—A program 
carried out under subparagraph (A) may, in ac-
cordance with such criteria as the Director of 
NIH may establish, provide to the subjects de-
scribed in such subparagraph, referrals for 
health, mental health, and other services, and 
such patient care costs as are required for re-
search. 
‘‘(C) AVAILABILITY AND ACCESS.—The ex-
tent to which a Center of Excellence can dem-
onstrate availability and access to clinical serv-
ices shall be considered by the Director of NIH 
in decisions about awarding grants or contracts 
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tutions, meeting such requirements as may be pre-
scribed by the Director of NIH. 
‘‘(7) NUMBER; DURATION; ADDITIONAL PERI-
ODS.— 
‘‘(A) IN GENERAL.—The Director of NIH 
shall award grants and contracts to not fewer 
than 3 entities under paragraph (1). 
‘‘(B) DURATION.—Except as provided in 
subparagraph (C), a grant or contract awarded 
under paragraph (1) shall not exceed a period 
of 5 years. 
‘‘(C) ADDITIONAL PERIODS.— 
‘‘(i) EXTENSION.—The period of a 
grant or contract awarded under para-
graph (1) may be extended 1 or more addi-
tional periods not exceeding a total of 5 
years if the operations of the Center of Ex-
cellence involved have been reviewed by an 
appropriate technical and scientific peer 
review group (including investigators from 
the field of eating disorders) established by 
the Director of NIH and the group has 
recommended to the Director that such pe-
riod should be extended. 
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‘‘(ii) AMOUNT.—The amount of any 
grant or contract under paragraph (1) for 
an additional period described in clause (i) 
shall not exceed $2,000,000 per fiscal year. 
‘‘(D) PUBLIC INPUT.—In carrying out this 
section, the Director of NIH shall provide for a 
means through which the public can obtain in-
formation on the existing and planned pro-
grams and activities of the National Institutes 
of Health with respect to eating disorders and 
through which the Director can receive com-
ments from the public regarding such programs 
and activities. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$20,000,000 for each of fiscal years 2012 through 2016. 
Amounts appropriated under this subsection shall be in 
addition to any other amounts appropriated for such pur-
pose. 
‘‘SEC. 499C. COLLABORATIVE PROGRAMS OF RESEARCH IN 
EATING DISORDERS. 
‘‘(a) IN GENERAL.—The Director of NIH, acting 
through the Director of the National Institute of Mental 
Health, the Director of the National Institute of Diabetes 
and Digestive and Kidney Diseases, the Director of the 
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Eunice Kennedy Shriver National Institute of Child 
Health and Human Development, the Director of the Of-
fice of Research on Women’s Health, and any other agen-
cies or offices of the National Institutes of Health that 
the Director determines appropriate, in consultation with 
leading eating disorders researchers and clinicians, shall 
award grants and contracts to public or nonprofit private 
entities to pay all or part of the cost of planning, estab-
lishing, improving, and providing basic operating support 
for collaborative programs of research in eating disorders. 
‘‘(b) RESEARCH.—Each program established under 
subsection (a)— 
‘‘(1) shall conduct basic research, clinical re-
search, or both into eating disorders; and 
‘‘(2) should conduct investigations into the 
cause, diagnosis, early detection, prevention and 
treatment of and recovery from eating disorders. 
‘‘(c) COORDINATION OF PROGRAMS.— 
‘‘(1) IN GENERAL.—The Director of NIH shall, 
as appropriate, provide for the coordination of infor-
mation among programs established under sub-
section (a), and Centers of Excellence receiving 
funding under section 499B, and ensure regular 
communication between such programs and Centers. 
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‘‘(2) PERIODIC
REPORTS.—The Director of 
NIH may require the periodic preparation of reports 
on the activities of the programs established under 
subsection (a) and the submission of such reports to 
the Director. 
‘‘(3) COLLECTION AND STORAGE OF DATA.— 
The Director of NIH shall establish and fund mech-
anisms and entities for collecting, storing, and co-
ordinating data collected by the programs estab-
lished under subsection (a) and data generated from 
public and private research partnerships. 
‘‘(d) ORGANIZATION.—Each program that receives 
funding under subsection (a) shall be formed from a con-
sortium of cooperating institutions, meeting such require-
ments as may be prescribed by the Director of NIH. 
‘‘(e) NUMBER AND DURATION.— 
‘‘(1) IN GENERAL.—The Director shall provide 
for the establishment of not fewer than 4 programs 
under subsection (a). 
‘‘(2) DURATION.—Except as provided in para-
graph (3), a grant or contract awarded under sub-
section (a) shall not exceed a period of 5 years. 
‘‘(3) ADDITIONAL PERIODS.— 
‘‘(A) EXTENSION.—The period of a grant 
or contract awarded under subsection (a) may 
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be extended for 1 or more additional periods 
not exceeding 5 years if the operations of the 
program involved have been reviewed by an ap-
propriate technical and scientific peer review 
group established by the Director of NIH and 
the group has recommended to the Director 
that such period should be extended. 
‘‘(B) AMOUNT.—The amount of any grant 
or contract under subsection (a) for an addi-
tional period described in subparagraph (A) 
shall not exceed $2,000,000 per fiscal year. 
‘‘(f) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as precluding or otherwise affecting 
funding for any research on eating disorders in addition 
to the research funded under this section. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$20,000,000 for each of fiscal years 2012 through 2016. 
Amounts appropriated under this subsection shall be in 
addition to any other amounts appropriated for such pur-
pose.’’. 
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SEC. 102. EATING DISORDERS SURVEILLANCE AND RE-
SEARCH PROGRAM. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by adding at the end thereof the 
following: 
‘‘PART W—PROGRAMS RELATING TO EATING 
DISORDERS 
‘‘SEC. 399OO. EATING DISORDERS SURVEILLANCE AND RE-
SEARCH PROGRAM. 
‘‘(a) NATIONAL EATING DISORDERS SURVEILLANCE 
PROGRAM.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention and in consultation with 
leading eating disorders researchers and clinicians— 
‘‘(A) shall provide for the collection, anal-
ysis, and reporting of epidemiological data on 
eating disorders through the existing surveil-
lance programs of the Centers, such as the Be-
havioral Risk Factor Surveillance System; 
‘‘(B) shall make recommendations to en-
hance existing surveillance programs of the 
Centers, such as the Behavioral Risk Factor 
Surveillance System, to more accurately collect 
epidemiological data on disordered eating and 
eating disorders; 
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‘‘(C) may award grants and cooperative 
agreements and may provide direct technical as-
sistance to eligible entities for the collection, 
analysis, and reporting of such data; and 
‘‘(D) shall examine and improve require-
ments for reporting deaths on death certificates 
to accurately account for those cases in which 
an eating disorder is the underlying or contrib-
uting cause of death. 
‘‘(2) ELIGIBILITY.—To be eligible to receive a 
grant or cooperative agreement under paragraph 
(1)(C), an entity shall be a public or nonprofit pri-
vate entity (including a health department of a State 
or political subdivisions of a State, a university, or 
any other educational institution), and submit to the 
Secretary an application at such time, in such man-
ner, and containing such information as the Sec-
retary may require. 
‘‘(b) CENTER
OF EATING DISORDERS EPIDEMI-
OLOGY.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall establish a Center of 
Eating Disorders Epidemiology for the purpose of 
collecting and analyzing information on— 
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‘‘(A) the number, incidence, incidence 
trends over time, correlates, mortality, and 
causes of eating disorders; 
‘‘(B) the effects of eating disorders on 
quality of life, including disability adjusted life 
years (DALY) and quality adjusted life years 
(QALY); and 
‘‘(C) economic analysis of the costs of eat-
ing disorders in the United States, including 
years of productive life lost, missed days of 
work, reduced work productivity, costs of med-
ical and mental health treatment, prescriptions, 
other medications, hospitalizations, costs of 
medical and psychiatric comorbidities, costs to 
family, and costs to society. 
‘‘(2) GRANTS; COOPERATIVE
AGREEMENTS.— 
The Center of Eating Disorders Epidemiology under 
paragraph (1) shall be established and operated 
through the awarding of grants or cooperative agree-
ments to one or more public or nonprofit private en-
tities that conduct research, which may include a 
university or other educational entity. 
‘‘(3) REQUIREMENTS.—To be eligible to receive 
a grant or cooperative agreement under paragraph 
(2), an entity shall submit to the Secretary an appli-
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cation containing such agreements and information 
as the Secretary may require, including an agree-
ment that the Center of Eating Disorders Epidemi-
ology will operate in accordance with the following: 
‘‘(A) The Center will collect, analyze, and 
report eating disorders data according to guide-
lines prescribed by the Director of the Centers 
for Disease Control and Prevention, after con-
sultation with relevant State and local public 
health officials, private sector eating disorder 
researchers and clinicians, and advocates for 
those with eating disorders. 
‘‘(B) The Center will assist with the devel-
opment and coordination of State eating dis-
orders surveillance efforts within a region. 
‘‘(C) The Center will identify eligible cases 
and controls through its surveillance systems 
and conduct research into factors which may 
cause or increase the risk of eating disorders. 
‘‘(D) The Center will develop or extend an 
area of special research expertise (including ge-
netics, environmental exposures, and other rel-
evant research specialty areas). 
‘‘(c) 
CLEARINGHOUSE.—The 
Secretary, 
acting 
through the Director of the Centers for Disease Control 
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and Prevention and in consultation with leading eating 
disorders researchers and clinicians, shall carry out the 
following: 
‘‘(1) ESTABLISHMENT.—The Secretary shall es-
tablish a clearinghouse within the Centers for Dis-
ease Control and Prevention for the collection and 
storage of data generated from the monitoring pro-
grams established under this section and part J of 
title IV. Through the clearinghouse, the Centers for 
Disease Control and Prevention shall serve as the 
coordinating agency for eating disorders surveillance 
activities. The functions of such clearinghouse shall 
include facilitating the coordination of research and 
policy development relating to the prevention, treat-
ment, and epidemiology of eating disorders. 
‘‘(2) FACILITATION OF RESEARCH.—The Sec-
retary shall provide for the establishment of a pro-
gram under which samples of tissues and genetic 
and other biological materials that are of use in re-
search on eating disorders are donated, collected, 
preserved, and made available for such research. 
Such program shall be carried out in accordance 
with accepted scientific and medical standards for 
the donation, collection, and preservation of such 
samples, and shall be conducted so that the tissues 
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and other materials saved, as well as any database 
compiled from such tissues and materials, are avail-
able to researchers at a reasonable cost. 
‘‘(3) COORDINATION.—The Centers for Disease 
Control and Prevention shall coordinate research 
and surveillance activities of such Centers with the 
National Institutes of Health, other appropriate 
Federal agencies, and interested nonprofit private 
entities, which shall be updated as determined ap-
propriate by the Secretary. 
‘‘(d) DEFINITION.—In this section, the term ‘eating 
disorder’ includes anorexia nervosa, bulimia nervosa, and 
eating disorders not otherwise specified (EDNOS) (includ-
ing binge eating disorder), as defined in the fourth edition 
of ‘Diagnostic and Statistical Manual of Mental Disorders’ 
or, if applicable, the most recent successor edition. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$2,000,000 for each of fiscal years 2012 through 2016.’’. 
TITLE II—EDUCATION AND 
PREVENTION 
SEC. 201. STUDY OF MANDATORY BMI REPORTING IN 
SCHOOL. 
Not later than 1 year after the date of the enactment 
of this Act, the Director of the Centers for Disease Control 
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and Prevention, in consultation with the Secretary of Edu-
cation and leading eating disorders researchers and clini-
cians, shall conduct a study and submit a report to the 
Congress on— 
(1) measuring the body mass index (in this sec-
tion referred to as ‘‘BMI’’) of students for those 
schools (at any level including pre-schools, kinder-
gartens, elementary schools, secondary schools, and 
institutions of higher education) that are measuring 
the BMI of students; 
(2) the impacts (both positive and negative) on 
students of such measures, including unhealthy 
weight control behaviors, perceptions of body image, 
eating disorder symptoms, and the incidence of teas-
ing or bullying based on body size; and 
(3) the impacts (both positive and negative) of 
reporting the results of such measures to the par-
ents of such students. 
SEC. 202. TRAINING AND EDUCATION. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Office 
on Women’s Health of the Department of Health and 
Human Services and in consultation with the Secretary 
of Education and with the Task Force for Health Profes-
sions established under section 399Z(b) of the Public 
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Health Service Act (as added by section 203(a)(2) of this 
Act), shall— 
(1) expand the BodyWise Handbook and re-
lated fact sheets and resource lists available on the 
public Internet site of the National Women’s Health 
Information Center sponsored by the Office on 
Women’s Health, to include— 
(A) updated findings and conclusions as 
needed; and 
(B) thorough information about eating dis-
orders relating to males as well as females; 
(2) incorporate, as appropriate, information 
from such BodyWise Handbook and related facts 
sheets and resource lists into the curriculum of the 
BodyWorks obesity prevention program developed by 
the Office on Women’s Health and training modules 
used in such obesity prevention program; and 
(3) promote and make publicly available 
(whether through a public Internet site or other 
method that does not impose a fee on users) the 
BodyWise Handbook and related fact sheets and re-
source lists, as updated under paragraph (1), and 
the BodyWorks obesity prevention program, as up-
dated under paragraph (2), including for purposes of 
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educating universities and nonprofit entities on eat-
ing disorders. 
(b) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated $1,000,000 to carry out 
subsection (a). 
SEC. 203. HEALTH PROFESSIONAL EDUCATION AND TRAIN-
ING. 
Section 399Z of the Public Health Service Act (42 
U.S.C. 280h–3) is amended— 
(1) by redesignating subsection (b) as sub-
section (d); and 
(2) by inserting after subsection (a) the fol-
lowing new subsections: 
‘‘(b) TASK FORCE ON EATING DISORDERS.— 
‘‘(1) ESTABLISHMENT.—The Secretary, acting 
through the Administrator of the Health Resources 
and Services Administration and one or more of the 
Centers of Excellence receiving funds under section 
499B(b), shall establish a Task Force for Health 
Professions (in this subsection referred to as the 
‘task force’) comprised of experts in the field of eat-
ing disorders (including researchers, clinicians, care 
providers, and experts in eating disorders education 
and prevention), individuals with eating disorders, 
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and individuals with family members who have eat-
ing disorders. 
‘‘(2) DUTIES.—The task force shall— 
‘‘(A) develop, based on the BodyWise 
Handbook and related fact sheets and resource 
lists available on the public Internet site of the 
National Women’s Health Information Center 
sponsored by the Office on Women’s Health of 
the Department of Health and Human Services 
and updated under section 202(a)(1) of the 
Federal Response to Eliminate Eating Dis-
orders Act of 2011, an evidence-based or 
emerging best-practices training program for 
health professionals on eating disorders; 
‘‘(B) award grants for implementation of 
such evidence-based training program; and 
‘‘(C) provide training and technical assist-
ance to grant recipients. 
‘‘(3) REPORT.—Not later than 6 years after the 
date of the enactment of this subsection, the task 
force shall submit to the Congress and make publicly 
available a report on the training program developed 
under paragraph (2) and the results achieved 
through grants awarded for implementation of such 
program. 
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‘‘(c) DEFINITION.—In this section, the term ‘eating 
disorder’ has the meaning given such term in section 
399OO(d).’’; and 
(3) by amending subsection (d) (as so redesig-
nated) to read as follows: 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated— 
‘‘(1) to carry out subsection (a), $1,000,000 for 
fiscal year 2012 and $500,000 for each of fiscal 
years 2013 through 2016; and 
‘‘(2) to carry out subsection (b), $10,000,000 
for each of fiscal years 2012 through 2016.’’. 
SEC. 204. EDUCATION AND TRAINING FOR ALL HEALTH 
PROFESSIONALS. 
Section 399Z of the Public Health Service Act (42 
U.S.C. 280h–3), as amended by section 203(a), is further 
amended— 
(1) by redesignating subsections (c) and (d) as 
subsections (d) and (e), respectively; 
(2) by inserting after subsection (b) the fol-
lowing new subsection: 
‘‘(c) GRANTS REGARDING EATING DISORDERS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to eligible entities to integrate training into 
existing curricula for primary care physicians and 
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other licensed or certified health and mental health 
professionals on how to identify, refer, treat, and 
prevent eating disorders and aid individuals who suf-
fer from eating disorders. 
‘‘(2) APPLICATION.—An entity that desires a 
grant under this subsection shall submit to the Sec-
retary an application at such time, in such manner, 
and containing such information as the Secretary 
may require, including a plan for the use of funds 
that may be awarded and an evaluation of the train-
ing that will be provided. 
‘‘(3) USE OF FUNDS.—An entity that receives 
a grant under this subsection shall use the funds 
made available through such grant to— 
‘‘(A) use the training program developed 
by the Task Force for Health Professions under 
subsection (b)(2)(A), evidence-based findings, 
promising emerging best practices, or rec-
ommendations that pertain to the prevention 
and treatment of eating disorders to conduct 
educational training and conferences, including 
Internet-based courses and teleconferences, 
on— 
‘‘(i) how to treat or prevent eating 
disorders; 
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‘‘(ii) how to discuss varied strategies 
with patients from at-risk and diverse pop-
ulations to promote positive behavior 
change and healthy lifestyles to prevent 
eating disorders; 
‘‘(iii) how to identify individuals with 
eating disorders, and those who are at risk 
for suffering from eating disorders and, 
therefore, at risk for related serious and 
chronic medical and mental health condi-
tions; and 
‘‘(iv) how to conduct a comprehensive 
assessment of individual and familial 
health risk factors; and 
‘‘(B) evaluate and report to the Task 
Force for Health Professions on the effective-
ness of the training provided by such entity in 
increasing knowledge and changing attitudes 
and behaviors of trainees.’’; and 
(3) in subsection (e) (as so redesignated)— 
(A) in paragraph (1), at the end by strik-
ing ‘‘and’’; 
(B) in paragraph (2), at the end by strik-
ing the period and inserting ‘‘; and’’; and 
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(C) by adding at the end the following new 
paragraph: 
‘‘(3) to carry out subsection (c), $10,000,000 
for each of fiscal years 2012 through 2016.’’. 
SEC. 205. EDUCATION AND TRAINING FOR SCHOOL AND 
HIGHER EDUCATION PROFESSIONALS. 
(a) TASK FORCE ON EATING DISORDERS PREVEN-
TION IN EDUCATIONAL INSTITUTIONS.— 
(1) ESTABLISHMENT.—Not later than 1 year 
after the date of the enactment of this Act, the Sec-
retary of Health and Human Services, in consulta-
tion with Centers of Excellence receiving funds 
under section 499B of the Public Health Service Act 
(as added by section 101 of this Act) and experts in 
eating disorder prevention and treatment, shall es-
tablish a Task Force on Eating Disorders Preven-
tion in Educational Institutions (in this subsection 
referred to as the ‘‘task force’’). 
(2) DUTIES.—The task force shall— 
(A) expand upon and incorporate informa-
tion from the BodyWise eating disorder initia-
tive implemented by the Office on Women’s 
Health of the Department of Health and 
Human Services to develop and provide training 
on eating disorders identification and preven-
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tion for students, faculty, coaches, and staff in 
kindergartens, elementary schools, secondary 
schools, and institutions of higher education; 
(B) develop a program of educational semi-
nars on eating disorders identification and pre-
vention for use by grant recipients under sub-
section (b); and 
(C) provide training to grant recipients 
under subsection (b) on implementing such a 
program, including by integration into existing 
applicable training curricula. 
(b) GRANTS.— 
(1) AUTHORIZATION.—The Secretary of Health 
and Human Services, acting through the Adminis-
trator of the Substance Abuse and Mental Health 
Services Administration, shall award grants to eligi-
ble entities— 
(A) to conduct educational seminars on 
eating disorders identification and prevention; 
and 
(B) to make resources available to individ-
uals affected by eating disorders. 
(2) EDUCATIONAL SEMINARS.—As a condition 
on the receipt of a grant under this subsection, an 
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eligible entity shall agree to conduct educational 
seminars under paragraph (1)(A)— 
(A) in accordance with the program devel-
oped under subsection (a)(2)(B) by the Task 
Force on Eating Disorders Prevention in Edu-
cational Institutions; and 
(B) taking into consideration educational 
materials made available through the BodyWise 
eating disorder initiative of the Department of 
Health and Human Services and relevant re-
search on eating disorders. 
(3) ELIGIBLE ENTITY.—In this subsection, the 
term ‘‘eligible entity’’ means any State, territory, or 
possession of the United States, the District of Co-
lumbia, any Indian tribe or tribal organization (as 
defined in subsections (e) and (l), respectively, of 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b)), or a public 
or private educational institution, including an insti-
tution of higher education. 
SEC. 206. EATING DISORDER RESEARCH AND REPORT. 
Not later than 18 months after the date of the enact-
ment of this Act, the National Center for Education Sta-
tistics and the National Center for Health Statistics shall 
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conduct a study on the impact of eating disorders on edu-
cational advancement and achievement. The study shall— 
(1) determine the prevalence of eating disorders 
among students and the morbidity and mortality 
rates associated with eating disorders; 
(2) evaluate the extent to which students with 
eating disorders are more likely to miss school, have 
delayed rates of social, emotional, and physical de-
velopment, or have reduced academic performance; 
(3) report on current State and local programs 
to prevent eating disorders, as well as evaluate the 
value of such programs; and 
(4) make recommendations on measures that 
could be undertaken by the Congress, the Depart-
ment of Education, States, and local educational 
agencies to strengthen eating disorder prevention 
and awareness programs. 
SEC. 207. PUBLIC SERVICE ANNOUNCEMENTS. 
(a) IN GENERAL.—The Director of the National In-
stitute of Mental Health shall conduct a program of public 
service announcements to educate the public on— 
(1) the types of eating disorders; 
(2) the seriousness of eating disorders (includ-
ing prevalence, comorbidities, and physical and men-
tal health consequences); 
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(3) how to detect, address, refer for help, and 
prevent eating disorders; 
(4) discrimination and bullying based on body 
size; 
(5) the effects of media on self esteem and body 
image; and 
(6) the signs and symptoms of eating disorders. 
(b) COLLABORATION.—The Director of the National 
Institute of Mental Health shall conduct the program 
under subsection (a) in collaboration with— 
(1) Centers of Excellence receiving funds under 
section 499B of the Public Health Service Act, as 
added by section 101; and 
(2) community-based national nonprofit re-
sources that— 
(A) support individuals affected by eating 
disorders; and 
(B) work to prevent eating disorders and 
address body image and weight issues. 
(c) ANNOUNCEMENT REQUIREMENTS.—In carrying 
out the program of public service announcements required 
by subsection (a), the Director of the National Institute 
of Mental Health shall ensure that such announcements— 
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(1) address the full spectrum of eating dis-
orders for both sexes and a variety of ethnicities and 
age groups; 
(2) do not promote or aggravate eating dis-
orders, such as by incorporating images, specific be-
haviors, or statistics that make eating disorders 
seem attractive; 
(3) feature— 
(A) real people who are or were affected by 
eating disorders, including individuals who have 
died of such disorders; and 
(B) not actors or models in place of such 
people; 
(4) make clear that— 
(A) eating disorders are not a choice, but 
are serious and often deadly illnesses; and 
(B) individuals affected by eating disorders 
need to seek help; and 
(5) provide information on how and where to 
seek help for the treatment of eating disorders. 
SEC. 208. SENSE OF CONGRESS. 
It is the sense of the Congress that— 
(1) federally funded campaigns to fight obesity 
should address eating disorders; and 
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(2) federally funded studies on obesity should 
include questions relating to eating disorders. 
TITLE III—TREATMENT 
SEC. 301. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS UNDER GROUP HEALTH PLANS, IN-
DIVIDUAL HEALTH INSURANCE COVERAGE, 
AND FEHBP. 
(a) GROUP HEALTH PLANS.— 
(1) PUBLIC
HEALTH
SERVICE
ACT
AMEND-
MENTS.—Subpart 2 of part A of title XXVII of the 
Public Health Service Act is amended by adding at 
the end the following new section: 
‘‘SEC. 2708. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS. 
‘‘(a) COVERAGE.—A group health plan, and a health 
insurance issuer offering group health insurance coverage 
in connection with a group health plan, that provides med-
ical and surgical benefits shall provide coverage for treat-
ment for eating disorders consistent with the provisions 
of this section. 
‘‘(b) PROHIBITIONS.—A group health plan, and a 
health insurance issuer offering group health insurance 
coverage in connection with a group health plan, shall 
not— 
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‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan, solely for the purpose of 
avoiding the requirement of this section; 
‘‘(2) deny coverage for treatment of eating dis-
orders, including coverage for residential treatment 
of eating disorders, if such treatment is medically 
necessary in accordance with the Practice Guidelines 
for the Treatment of Patients with Eating Dis-
orders, as most recently published by the American 
Psychiatric Association; 
‘‘(3) provide monetary payments, rebates, or 
other benefits to individuals to encourage such indi-
viduals to accept less than the minimum protections 
available under this section; 
‘‘(4) penalize or otherwise reduce or limit the 
reimbursement of a provider because such provider 
provided care to an individual participant or bene-
ficiary in accordance with this section; 
‘‘(5) provide incentives (monetary or otherwise) 
to a provider to induce such provider to provide care 
to an individual participant or beneficiary in a man-
ner inconsistent with this section; or 
‘‘(6) deny to an individual participant or bene-
ficiary continued eligibility to enroll or to renew cov-
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erage under the terms of the plan, solely because the 
individual was previously found to have an eating 
disorder or to have received treatment for an eating 
disorder. 
‘‘(c) OUT-OF-NETWORK PROVIDERS.—In the case of 
a group health plan, or health insurance issuer offering 
group health insurance coverage in connection with a 
group health plan, that provides both medical and surgical 
benefits and coverage for treatment for eating disorders, 
if the plan or coverage provides coverage for medical or 
surgical benefits provided by out-of-network providers, the 
plan or coverage shall provide coverage for treatment for 
eating disorders provided by out-of-network providers in 
a manner that is consistent with the requirements of this 
section. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as preventing a group health plan 
or issuer from imposing deductibles, coinsurance, or other 
cost-sharing in relation to treatment for eating disorders, 
except that such deductibles, coinsurance, or other cost- 
sharing may not be greater than the deductibles, coinsur-
ance, or other cost-sharing imposed on other comparable 
medical or surgical services covered under the plan. 
‘‘(e) PREEMPTION.—Nothing in this section shall be 
construed to preempt any State law in effect on the date 
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of enactment of this section with respect to health insur-
ance coverage that requires coverage of at least the cov-
erage for treatment for eating disorders otherwise re-
quired under this section. 
‘‘(f) EATING DISORDERS DEFINED.—For purposes 
of this section, the term ‘eating disorder’ includes anorexia 
nervosa, bulimia nervosa, and eating disorders not other-
wise specified (EDNOS) (including binge eating disorder), 
as defined in the fourth edition of ‘Diagnostic and Statis-
tical Manual of Mental Disorders’ or, if applicable, the 
most recent successor edition.’’. 
(2) ERISA AMENDMENTS.—(A) Subpart B of 
part 7 of subtitle B of title I of the Employee Re-
tirement Income Security Act of 1974 is amended by 
adding at the end the following new section: 
‘‘SEC. 714. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS. 
‘‘(a) COVERAGE.—A group health plan, and a health 
insurance issuer offering group health insurance coverage 
in connection with a group health plan, that provides med-
ical and surgical benefits shall provide coverage for treat-
ment for eating disorders consistent with the provisions 
of this section. 
‘‘(b) PROHIBITIONS.—A group health plan, and a 
health insurance issuer offering group health insurance 
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coverage in connection with a group health plan, shall 
not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan, solely for the purpose of 
avoiding the requirement of this section; 
‘‘(2) deny coverage for treatment of eating dis-
orders, including coverage for residential treatment 
of eating disorders, if such treatment is medically 
necessary in accordance with the Practice Guidelines 
for the Treatment of Patients with Eating Dis-
orders, as most recently published by the American 
Psychiatric Association; 
‘‘(3) provide monetary payments, rebates, or 
other benefits to individuals to encourage such indi-
viduals to accept less than the minimum protections 
available under this section; 
‘‘(4) penalize or otherwise reduce or limit the 
reimbursement of a provider because such provider 
provided care to an individual participant or bene-
ficiary in accordance with this section; 
‘‘(5) provide incentives (monetary or otherwise) 
to a provider to induce such provider to provide care 
to an individual participant or beneficiary in a man-
ner inconsistent with this section; or 
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‘‘(6) deny to an individual participant or bene-
ficiary continued eligibility to enroll or to renew cov-
erage under the terms of the plan, solely because the 
individual was previously found to have an eating 
disorder or to have received treatment for an eating 
disorder. 
‘‘(c) OUT-OF-NETWORK PROVIDERS.—In the case of 
a group health plan, or health insurance issuer offering 
group health insurance coverage in connection with a 
group health plan, that provides both medical and surgical 
benefits and coverage for treatment for eating disorders, 
if the plan or coverage provides coverage for medical or 
surgical benefits provided by out-of-network providers, the 
plan or coverage shall provide coverage for treatment for 
eating disorders provided by out-of-network providers in 
a manner that is consistent with the requirements of this 
section. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as preventing a group health plan 
or issuer from imposing deductibles, coinsurance, or other 
cost-sharing in relation to treatment for eating disorders, 
except that such deductibles, coinsurance, or other cost- 
sharing may not be greater than the deductibles, coinsur-
ance, or other cost-sharing imposed on other comparable 
medical or surgical services covered under the plan. 
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‘‘(e) PREEMPTION.—Nothing in this section shall be 
construed to preempt any State law in effect on the date 
of enactment of this section with respect to health insur-
ance coverage that requires coverage of at least the cov-
erage for treatment for eating disorders otherwise re-
quired under this section. 
‘‘(f) EATING DISORDERS DEFINED.—For purposes 
of this section, the term ‘eating disorder’ includes anorexia 
nervosa, bulimia nervosa, and eating disorders not other-
wise specified (EDNOS) (including binge eating disorder), 
as defined in the fourth edition of ‘Diagnostic and Statis-
tical Manual of Mental Disorders’ or, if applicable, the 
most recent successor edition.’’. 
(B) Section 732(a) of such Act (29 U.S.C. 
1191a(a)) is amended by striking ‘‘section 711’’ and 
inserting ‘‘sections 711 and 714’’. 
(C) The table of contents in section 1 of such 
Act is amended by inserting after the item relating 
to section 713 the following new item: 
‘‘Sec. 714. Coverage for treatment for eating disorders.’’. 
(3) 
INTERNAL
REVENUE
CODE
AMEND-
MENTS.—(A) Subchapter B of chapter 100 of the 
Internal Revenue Code of 1986 is amended by in-
serting after section 9812 the following: 
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‘‘SEC. 9813. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS. 
‘‘(a) COVERAGE.—A group health plan that provides 
medical and surgical benefits shall provide coverage for 
treatment for eating disorders consistent with the provi-
sions of this section. 
‘‘(b) PROHIBITIONS.—A group health plan shall 
not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan, solely for the purpose of 
avoiding the requirement of this section; 
‘‘(2) deny coverage for treatment of eating dis-
orders, including coverage for residential treatment 
of eating disorders, if such treatment is medically 
necessary in accordance with the Practice Guidelines 
for the Treatment of Patients with Eating Dis-
orders, as most recently published by the American 
Psychiatric Association; 
‘‘(3) provide monetary payments, rebates, or 
other benefits to individuals to encourage such indi-
viduals to accept less than the minimum protections 
available under this section; 
‘‘(4) penalize or otherwise reduce or limit the 
reimbursement of a provider because such provider 
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provided care to an individual participant or bene-
ficiary in accordance with this section; 
‘‘(5) provide incentives (monetary or otherwise) 
to a provider to induce such provider to provide care 
to an individual participant or beneficiary in a man-
ner inconsistent with this section; or 
‘‘(6) deny to an individual participant or bene-
ficiary continued eligibility to enroll or to renew cov-
erage under the terms of the plan, solely because the 
individual was previously found to have an eating 
disorder or to have received treatment for an eating 
disorder. 
‘‘(c) OUT-OF-NETWORK PROVIDERS.—In the case of 
a group health plan that provides both medical and sur-
gical benefits and coverage for treatment for eating dis-
orders, if the plan provides coverage for medical or sur-
gical benefits provided by out-of-network providers, the 
plan or coverage shall provide coverage for treatment for 
eating disorders provided by out-of-network providers in 
a manner that is consistent with the requirements of this 
section. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as preventing a group health plan 
or issuer from imposing deductibles, coinsurance, or other 
cost-sharing in relation to treatment for eating disorders, 
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except that such deductibles, coinsurance, or other cost- 
sharing may not be greater than the deductibles, coinsur-
ance, or other cost-sharing imposed on other comparable 
medical or surgical services covered under the plan. 
‘‘(e) EATING DISORDERS DEFINED.—For purposes 
of this section, the term ‘eating disorder’ includes anorexia 
nervosa, bulimia nervosa, and eating disorders not other-
wise specified (EDNOS) (including binge eating disorder), 
as defined in the fourth edition of ‘Diagnostic and Statis-
tical Manual of Mental Disorders’ or, if applicable, the 
most recent successor edition.’’. 
(B) The table of sections of such subchapter is 
amended by inserting after the item relating to sec-
tion 9812 the following new item: 
‘‘Sec. 9813. Coverage for treatment for eating disorders.’’. 
(C) Section 4980D(d)(1) of such Code is 
amended by striking ‘‘section 9811’’ and inserting 
‘‘sections 9811 and 9813’’. 
(b) APPLICATION TO INDIVIDUAL HEALTH INSUR-
ANCE COVERAGE.—(1) Part B of title XXVII of the Pub-
lic Health Service Act is amended by inserting after sec-
tion 2753 the following new section: 
‘‘SEC. 2754. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS. 
‘‘The provisions of section 2708 shall apply to health 
insurance coverage offered by a health insurance issuer 
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in the individual market in the same manner as it applies 
to health insurance coverage offered by a health insurance 
issuer in connection with a group health plan in the small 
or large group market.’’. 
(2) Section 2762(b)(2) of such Act (42 U.S.C. 
300gg–62(b)(2)) is amended by striking ‘‘section 2751’’ 
and inserting ‘‘sections 2751 and 2754’’. 
(c) APPLICATION
UNDER
FEDERAL
EMPLOYEES 
HEALTH BENEFITS PROGRAM (FEHBP).—Section 8902 
of title 5, United States Code, is amended by adding at 
the end the following new subsection: 
‘‘(p) A contract may not be made or a plan approved 
which does not comply with the requirements of section 
2708 of the Public Health Service Act.’’. 
(d) EFFECTIVE DATES.— 
(1) The amendments made by subsections (a) 
and (c) shall apply with respect to group health 
plans and health benefit plans for plan years begin-
ning on or after the date that is 6 months after the 
date of the enactment of this Act. 
(2) The amendments made by subsection (b) 
shall apply with respect to health insurance coverage 
offered, sold, issued, renewed, in effect, or operated 
in the individual market on or after the date that is 
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6 months after the date of the enactment of this 
Act. 
(e) COORDINATION OF ADMINISTRATION.—The Sec-
retary of Labor, the Secretary of Health and Human Serv-
ices, and the Secretary of the Treasury shall ensure, 
through the execution of an interagency memorandum of 
understanding among such Secretaries, that— 
(1) regulations, rulings, and interpretations 
issued by such Secretaries relating to the same mat-
ter over which two or more such Secretaries have re-
sponsibility under the provisions of this section (and 
the amendments made thereby) are administered so 
as to have the same effect at all times; and 
(2) coordination of policies relating to enforcing 
the same requirements through such Secretaries in 
order to have a coordinated enforcement strategy 
that avoids duplication of enforcement efforts and 
assigns priorities in enforcement. 
TITLE 
IV—IMPROVING 
AVAIL-
ABILITY 
AND 
ACCESS 
TO 
TREATMENT 
SEC. 401. MEDICAID COVERAGE FOR EATING DISORDER 
TREATMENT SERVICES. 
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d(a)), as amended by section 
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2301(a)(1) of the Patient Protection and Affordable Care 
Act (Public Law 111–148) and section 1202(b) of the 
Health Care and Education Reconciliation Act of 2010 
(Public Law 111–152), is amended— 
(1) in subsection (a)— 
(A) in paragraph (28), by striking ‘‘and’’ 
at the end; 
(B) by redesignating paragraph (29) as 
paragraph (30); and 
(C) by inserting after paragraph (28) the 
following new paragraph: 
‘‘(29) eating disorder treatment services (as de-
fined in subsection (ee)(1)); and’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(ee) EATING DISORDER TREATMENT SERVICES.— 
‘‘(1) DEFINITION.—The term ‘eating disorder 
treatment services’ means services relating to diag-
nosis and treatment of an eating disorder (as de-
fined in section 399OO of the Public Health Service 
Act), 
including 
screening, 
counseling, 
pharmacotherapy (including coverage of drugs de-
scribed in paragraph (2)), and other necessary 
health care services. 
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‘‘(2) 
COVERAGE
FOR
PHARMACOLOGICAL 
TREATMENT OF EATING DISORDERS.—For purposes 
of paragraph (1), eating disorder treatment services 
shall include drugs provided as part of care in an in-
patient setting, covered outpatient drugs (as defined 
in section 1927(k)(2)), and non-prescription drugs 
described in section 1927(d)(2)(A) that are pre-
scribed, in accordance with generally accepted med-
ical guidelines, for treatment of an eating disorder.’’. 
(b) INCREASED
FMAP FOR
EATING
DISORDER 
TREATMENT SERVICES.—Section 1905(b) of the Social 
Security Act (42 U.S.C. 1396d(b)), as amended by section 
4106(b) of the Patient Protection and Affordable Care 
Act, is amended— 
(1) by striking ‘‘and’’ before ‘‘(5)’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, and (6) the Federal medical assistance 
percentage shall be equal to the enhanced FMAP de-
scribed in section 2105(b) with respect to medical 
assistance for eating disorder treatment services (as 
defined in subsection (ee)(1)) provided to an indi-
vidual who is eligible for such assistance and has an 
eating disorder (as defined in section 399OO of the 
Public Health Service Act)’’. 
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(c) INCLUSION
IN
EPSDT SERVICES.—Section 
1905(r)(1)(B) of such Act (42 U.S.C. 1396d(r)(1)(B)) is 
amended— 
(1) in clause (iv), by striking ‘‘and’’ at the end; 
(2) in clause (v), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by inserting after clause (v) the following 
new clause: 
‘‘(vi) appropriate diagnostic services 
relating to eating disorders (as defined in 
section 399OO of the Public Health Serv-
ice Act).’’. 
(d) EXCEPTION
FROM
OPTIONAL
RESTRICTION 
UNDER
MEDICAID
DRUG
COVERAGE.—Section 
1927(d)(2)(A) of such Act (42 U.S.C. 1396r–8(d)(2)(A)) 
is amended by inserting before the period at the end the 
following: ‘‘, except for drugs that are prescribed, in ac-
cordance with generally accepted medical guidelines, for 
the purpose of treatment of an individual who is eligible 
for medical assistance under the State plan and has an 
eating disorder (as defined in section 399OO of the Public 
Health Service Act)’’. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall apply to drugs and services furnished 
on or after the date of the enactment of this Act. 
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SEC. 402. GRANTS TO SUPPORT PATIENT ADVOCACY. 
Subpart II of part D of title IX of the Public Health 
Service Act, as amended by section 6301(b) of the Patient 
Protection and Affordable Care Act (Public Law 111– 
148), is further amended by adding at the end the fol-
lowing: 
‘‘SEC. 938. GRANTS TO SUPPORT PATIENT ADVOCACY. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Director, shall award grants under this section to develop 
and support patient advocacy work to help individuals with 
eating disorders obtain adequate health care services and 
insurance coverage. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under this section, an entity shall— 
‘‘(1) be a public or nonprofit private entity (in-
cluding a health department of a State or tribal 
agency, a community-based organization, or an insti-
tution of higher education); 
‘‘(2) prepare and submit to the Secretary an 
application at such time, in such manner, and con-
taining such information as the Secretary may re-
quire, including— 
‘‘(A) comprehensive strategies for advo-
cating on behalf of, and working with, individ-
uals with eating disorders or at risk for devel-
oping eating disorders; 
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‘‘(B) a plan for consulting with commu-
nity-based coalitions, treatment centers, or eat-
ing disorder research experts who have experi-
ence and expertise in issues related to eating 
disorders or patient advocacy in providing serv-
ices under a grant awarded under this section; 
and 
‘‘(C) a plan for financial sustainability in-
volving State, local, and private contributions. 
‘‘(c) USE OF FUNDS.—Amounts provided under a 
grant awarded under this section shall be used to support 
patient advocacy work, including— 
‘‘(1) providing education and outreach in com-
munity settings regarding eating disorders and asso-
ciated health problems, especially among low-income, 
minority, and medically underserved populations; 
‘‘(2) facilitating access to appropriate, ade-
quate, and timely health care for individuals with 
eating disorders and associated health problems; 
‘‘(3) assisting in communication and coopera-
tion between patients and providers; 
‘‘(4) representing the interests of patients in 
managing health insurance claims and plans; 
‘‘(5) providing education and outreach regard-
ing enrollment in health insurance, including enroll-
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