guidelines for treatment of overweight, obesity, and 
severe obesity issued by professional medical soci-
eties; and consensus statements and guidelines on 
effective treatment of overweight, obesity, and severe 
obesity issued by the National Institutes of Health, 
professional medical societies, and other authori-
tative sources (such as those identified in the Na-
tional Heart Lung and Blood Institute’s Clinical 
Guidelines on the Identification, Evaluation, and 
Treatment of Overweight and Obesity in Adults). 
‘‘(2) For purposes of this subsection, the term 
‘eligible individual’ means an individual who has— 
‘‘(A) been diagnosed with obesity by a phy-
sician (as defined in subsection (r)) or provider 
of services (as defined in subsection (u)); 
‘‘(B) a body mass index of at least 30; or 
‘‘(C) a body mass index of at least 27 with 
at least one weight-related comorbid condition. 
It is not necessary for such individual to be diag-
nosed with co-morbidities in addition to the obesity 
diagnosis or body mass index of at least 30 in order 
to be considered an ‘eligible individual’ under this 
subsection.’’. 
(b) PAYMENT.—Section 1833(a)(1) of the Social Se-
curity Act (42 U.S.C. 1395l(a)(1)), as amended by section 
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10501(h)(3)(B) of the Patient Protection and Affordable 
Care Act (Public Law 111–148), is amended— 
(1) by striking ‘‘and’’ before ‘‘(Z)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (AA) with respect to items and 
services furnished under an obesity treatment pro-
gram (as defined in section 1861(iii)), the amount 
paid shall be 80 percent of the lesser of the actual 
charge for the services or the amount determined 
under a fee schedule established by the Secretary for 
purposes of this subparagraph’’. 
SEC. 204. COVERAGE OF EVIDENCE-BASED PREVENTIVE 
SERVICES UNDER MEDICAID AND SCHIP. 
(a) STATE OPTION TO PROVIDE MEDICAL ASSIST-
ANCE FOR EVIDENCE-BASED PREVENTIVE SERVICES.— 
(1) IN GENERAL.—Section 1905 of the Social 
Security Act (42 U.S.C. 1396d) is amended— 
(A) in subsection (a)— 
(i) in paragraph (28), by striking 
‘‘and’’ at the end; 
(ii) by redesignating paragraph (29) 
as paragraph (30); and 
(iii) by inserting after paragraph (28) 
the following: 
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‘‘(29) evidence-based preventive services de-
scribed in subsection (ee); and’’; and 
(B) by adding at the end the following: 
‘‘(ee) For purposes of subsection (a)(29), evidence- 
based preventive services described in this subsection 
are— 
‘‘(1) any preventive services which the Sec-
retary has determined are reasonable and necessary 
for preventing obesity and comorbidities of obesity, 
including diet and exercise counseling, healthy 
weight and obesity counseling; and 
‘‘(2) any other evidence-based, effective clinical 
intervention for obese individuals designed to pre-
vent comorbidities of obesity, including pharma-
cological or surgical services.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1902(a)(10)(C)(iv) of such Act is amended by in-
serting ‘‘, or (29)’’ after ‘‘(24)’’. 
(b) STATE OPTION TO PROVIDE CHILD HEALTH AS-
SISTANCE
FOR EVIDENCE-BASED PREVENTIVE SERV-
ICES.—Section 2110(a) of the Social Security Act (42 
U.S.C. 1397jj(a)) is amended— 
(1) by redesignating paragraph (28) as para-
graph (29); and 
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(2) by inserting after paragraph (27) the fol-
lowing: 
‘‘(28) Evidence-based preventive services de-
scribed in section 1905(ee).’’. 
SEC. 205. COVERAGE OF MEDICAL NUTRITION THERAPY 
UNDER MEDICAID AND SCHIP. 
(a) STATE OPTION TO PROVIDE MEDICAL ASSIST-
ANCE FOR MEDICAL THERAPY SERVICES.— 
(1) IN GENERAL.—Section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d), as amended by 
section 204(a)(1), is amended— 
(A) in paragraph (29), by striking ‘‘and’’ 
at the end; 
(B) by redesignating paragraph (30) as 
paragraph (31); and 
(C) by inserting after paragraph (29) the 
following: 
‘‘(30) medical nutrition therapy services (as de-
fined in section 1861(vv)(1)) for individuals with 
pre-diabetes or obesity or who are overweight (as de-
fined by the Secretary); and’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1902(a)(10)(C)(iv) of such Act, as amended by sec-
tion 204(a)(2), is amended by striking ‘‘or (29)’’ 
and inserting ‘‘(29), or (30)’’. 
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(b) STATE OPTION TO PROVIDE CHILD HEALTH AS-
SISTANCE
FOR MEDICAL NUTRITION THERAPY SERV-
ICES.—Section 2110(a) of the Social Security Act (42 
U.S.C. 1397jj(a)), as amended by section 204(b), is 
amended— 
(1) by redesignating paragraph (29) as para-
graph (30); and 
(2) by inserting after paragraph (28) the fol-
lowing: 
‘‘(29) Medical nutrition therapy services (as de-
fined in section 1861(vv)(1)) for individuals with 
pre-diabetes or obesity or who are overweight (as de-
fined by the Secretary).’’. 
SEC. 206. CLARIFICATION OF EPSDT INCLUSION OF PRE-
VENTION, 
SCREENING, 
AND 
TREATMENT 
SERVICES FOR OBESITY AND OVERWEIGHT; 
SCHIP COVERAGE. 
(a) IN GENERAL.—Section 1905(r) of the Social Se-
curity Act (42 U.S.C. 1396d(r)) is amended— 
(1) in paragraph (1)(B)— 
(A) in clause (iv), by striking ‘‘and’’ at the 
end; 
(B) in clause (v), by striking the period at 
the end and inserting ‘‘, and’’; and 
(C) by adding at the end the following: 
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‘‘(vi) weight and BMI measurement 
and monitoring.’’. 
(2) in paragraph (5), by inserting ‘‘ (including 
treatment services related to obesity and body 
weight, such as medical nutrition therapy services 
(as defined in section 1861(vv)(1)), physical therapy, 
exercise training, behavioral health counseling, and 
such other evidence-based services as recommended 
by the Secretary (taking into consideration the 
American Academy of Pediatrics Expert Committee 
Guidelines Regarding the Prevention, Assessment, 
and Treatment of Child and Adolescent Overweight 
and Obesity)’’ after ‘‘screening services’’. 
(b) SCHIP.— 
(1) REQUIRED COVERAGE.—Section 2103 (42 
U.S.C. 1397cc) is amended— 
(A) in subsection (a), in the matter pre-
ceding paragraph (1), by striking ‘‘and (7)’’ 
and inserting ‘‘(7), and (9)’’; and 
(B) in subsection (c)— 
(i) by redesignating paragraph (7) as 
paragraph (9); and 
(ii) by inserting after paragraph (6), 
the following: 
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‘‘(7) PREVENTION, SCREENING, AND
TREAT-
MENT SERVICES FOR OBESITY AND OVERWEIGHT.— 
The child health assistance provided to a targeted 
low-income child shall include coverage of weight 
and BMI measurement and monitoring, as well as 
appropriate treatment services, including medical 
nutrition therapy services (as defined in section 
1861(vv)(1)), physical therapy or exercise training, 
behavioral health counseling, and such other evi-
dence based services as recommended by the Sec-
retary. For purposes of the previous sentence the 
Secretary shall take into consideration the American 
Academy of Pediatrics Expert Committee Guidelines 
Regarding the Prevention, Assessment, and Treat-
ment of Child and Adolescent Overweight and Obe-
sity.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
2102(a)(7)(B) (42 U.S.C. 1397bb(c)(2)) is amended 
by striking ‘‘section 2103(c)(5)’’ and inserting 
‘‘paragraphs (5) and (7) of section 2103(c)’’. 
SEC. 207. NATIONAL COMMISSION ON CHILD OBESITY. 
(a) ESTABLISHMENT.—There is established a com-
mission to be known as the National Commission on Child 
Obesity (in this section referred to as the ‘‘Commission’’). 
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(b) DUTIES
OF
COMMISSION.—The Commission 
shall— 
(1) conduct a comprehensive study that exam-
ines and assesses the needs of children relating to 
the prevalence, prevention, and treatment of child-
hood overweight and obesity, including specific find-
ings relating to— 
(A) best practices for the prevention and 
treatment of childhood overweight and obesity; 
(B) child physical health and mental 
health; 
(C) child care in all settings; 
(D) child welfare; 
(E) elementary and secondary education; 
(F) food availability in neighborhoods; 
(G) access to health care; 
(H) health care utilization; 
(I) built environment; 
(J) parent physical health and education; 
(K) underserved communities, including 
tribal communities, health professional shortage 
areas designated under section 332 of the Pub-
lic Health Service Act (42 U.S.C. 254e), medi-
cally underserved areas (as defined in section 
799B of such Act (42 U.S.C. 295p), and areas 
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in the Appalachian region (as defined in section 
14102(a) of title 40, United States Code); 
(L) relevant activities in childhood over-
weight and obesity; and 
(M) the availability of information on State 
and Federal supportive nutrition programs, 
such as the Summer Food Service Program, the 
Women, Infants, and Children Program, the 
State Children’s Health Insurance Program 
under title XXI of the Social Security Act, and 
the Supplemental Nutrition Assistance Pro-
gram; 
(2) identify, review, and evaluate existing laws, 
regulations, policies, programs, and public health ini-
tiatives relevant to best practices for the prevalence, 
prevention, and treatment of childhood overweight 
and obesity; 
(3) identify, review, and evaluate the lessons 
learned from past laws, regulations, policies, pro-
grams, and public health initiatives relevant to the 
prevalence, prevention, and treatment of childhood 
overweight and obesity; 
(4) advise on the need to revise laws, regula-
tions, policies, and programs relative to addressing 
best practices for the prevalence, prevention, and 
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treatment of childhood overweight and obesity at 
regular intervals as new knowledge is gained; 
(5) include in the interim report required by 
subsection (i)(1) recommendations on— 
(A) the appropriate Federal agency to es-
tablish the infrastructure for the creation of a 
comprehensive nationwide registry of patient 
data associated with children living with obe-
sity; 
(B) the specific criteria needed for such 
registry to allow the field of pediatric clinicians 
access to patient-level, clinical data suitable for 
research and the development of best practices; 
(C) the appropriate funding level required 
for the establishment and implementation of 
such the registry described in subparagraph 
(A); and 
(D) how to capture large-scale data that 
are currently unavailable on adolescent and 
child patients who are currently obese; and 
(6) include in the final report required by sub-
section (i)(3) the Commission’s specific findings, 
conclusions, and recommendations to address the 
needs of children relating to the prevention and 
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treatment of childhood overweight and obesity, in-
cluding specific recommendations on— 
(A) the need for planning and establishing 
a national resource center for children and obe-
sity; and 
(B) such coordination of resources and 
services, administrative actions, policies, regula-
tions, and legislative changes as the Commis-
sion considers appropriate. 
(c) COMPOSITION.— 
(1) MEMBERS.—The Commission shall be com-
posed of 15 members, of whom— 
(A) 3 members, each of a different political 
party, shall be appointed by the President; 
(B) 3 members shall be appointed by the 
majority leader of the Senate; 
(C) 3 members shall be appointed by the 
minority leader of the Senate; 
(D) 3 members shall be appointed by the 
Speaker of the House of Representatives; and 
(E) 3 members shall be appointed by the 
minority leader of the House of Representa-
tives. 
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(2) APPOINTMENT.—Members of the Commis-
sion shall be appointed not later than 6 months after 
the date of the enactment of this Act. 
(3) CHAIRPERSON, VICE
CHAIRPERSON, AND 
MEETINGS.— 
(A) IN GENERAL.—Not later than 30 days 
after the date on which all members of the 
Commission are appointed under paragraph (1), 
such members shall meet to elect a Chairperson 
and Vice Chairperson from among such mem-
bers and shall determine a schedule of Commis-
sion meetings. 
(B) INITIAL MEETING.—The Commission 
shall meet and begin the operations of the Com-
mission not later than 120 days after the ap-
pointment of members of the Commission. 
(4) GOVERNMENTAL
APPOINTEES.—An indi-
vidual appointed to the Commission may not be an 
official or employee of the Federal Government. 
(5) COMMISSION REPRESENTATION.—The Com-
mission shall include at least one— 
(A) representative from each of a nonprofit 
and for-profit entity with demonstrated exper-
tise in addressing the needs of children relating 
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(F) individuals with significant experience 
in child health and policy. 
(7) QUORUM AND VACANCY.— 
(A) QUORUM.—A majority of the members 
of the Commission shall constitute a quorum, 
but a lesser number of members may hold hear-
ings. 
(B) VACANCY.—Any vacancy in the Com-
mission shall not affect its powers and shall be 
filled in the same manner in which the original 
appointment was made. 
(d) POWERS OF COMMISSION.— 
(1) HEARINGS.—The Commission may hold 
such hearings, meet and act at such times and 
places, and receive such evidence as may be nec-
essary to carry out the functions of the Commission. 
(2) INFORMATION FROM FEDERAL AGENCIES.— 
(A) IN GENERAL.—The Commission may 
access, to the extent authorized by law, from 
any executive department, bureau, agency, 
board, commission, office, independent estab-
lishment, or instrumentality of the Federal Gov-
ernment such information, suggestions, esti-
mates, and statistics as the Commission con-
siders necessary to carry out this section. 
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(B) PROVISION
OF
INFORMATION.—On 
written request of the Chairperson of the Com-
mission, each department, bureau, agency, 
board, commission, office, independent estab-
lishment, or instrumentality of the Federal Gov-
ernment shall, to the extent authorized by law, 
provide the requested information to the Com-
mission. 
(C) RECEIPT, HANDLING, STORAGE, AND 
DISSEMINATION.—Information shall only be re-
ceived, handled, stored, and disseminated by 
members of the Commission and its staff con-
sistent with all applicable statutes, regulations, 
and Executive orders. 
(3) ASSISTANCE FROM FEDERAL AGENCIES.— 
(A) 
GENERAL
SERVICES
ADMINISTRA-
TION.—On request of the Chairperson of the 
Commission, the Administrator of General 
Services shall provide to the Commission, on a 
reimbursable basis, administrative support and 
other assistance necessary for the Commission 
to carry out its duties. 
(B) OTHER
DEPARTMENTS
AND
AGEN-
CIES.—In addition to assistance under subpara-
graph (A), departments and agencies of the 
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United States may provide to the Commission 
such assistance as they determine advisable and 
as authorized by law. 
(4) 
CONTRACTING.—The 
Commission 
may 
enter into financially reasonable contracts to enable 
the Commission to discharge its duties under this 
section. 
(5) POSTAL SERVICES.—The Commission may 
use the United States mails in the same manner and 
under the same conditions as a department or agen-
cy of the United States. 
(e) STAFF OF COMMISSION.— 
(1) IN
GENERAL.—The Chairperson of the 
Commission, in consultation with the Vice Chair-
person, in accordance with rules agreed upon by the 
Commission, may appoint and fix the compensation 
of a staff director, policy director, and administra-
tive assistant (and other staff if agreed upon by a 
majority of Commission members) to enable the 
Commission to carry out its functions, in accordance 
with the provisions of title 5, United States Code, 
except that no rate of pay fixed under this para-
graph may exceed the equivalent of that payable for 
a position at level V of the Executive Schedule under 
section 5316 of title 5, United States Code. 
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(2) STAFF OF FEDERAL AGENCIES.—Upon re-
quest of the Chairperson of the Commission, the 
head of any executive department, bureau, agency, 
board, commission, office, independent establish-
ment, or instrumentality of the Federal Government 
may detail, without reimbursement, any of its per-
sonnel to the Commission to assist it in carrying out 
its duties under this section. Any detail of an em-
ployee shall be without interruption or loss of civil 
service status or privilege. 
(3) CONSULTANT SERVICES.—The Commission 
is authorized to procure (pursuant to a majority vote 
of the Commission members) the services of experts 
and consultants in accordance with section 3109 of 
title 5, United States Code, but at rates not to ex-
ceed the daily equivalent of the annual rate of basic 
pay for level IV of the Executive Schedule under sec-
tion 5315 of title 5, United States Code. 
(f) TRAVEL EXPENSES.—Each member of the Com-
mission shall serve without compensation, but shall receive 
travel expenses, including per diem in lieu of subsistence, 
in accordance with applicable provisions in the same man-
ner as persons employed intermittently in the Government 
service are allowed expenses under section 5703 of title 
5, United States Code. 
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(g) APPLICABILITY OF FACA.—The Federal Advi-
sory Committee Act, including any provisions applicable 
to staff, is deemed to apply to the Commission. 
(h) REPORTS OF COMMISSION; TERMINATION.— 
(1) INTERIM REPORT.—The Commission shall, 
not later than 1 year after the date of its first meet-
ing, submit to the President and the Congress an in-
terim report containing specific findings, conclu-
sions, and recommendations required under this sec-
tion and agreed to by a majority of Commission 
members. 
(2) OTHER REPORTS AND INFORMATION.— 
(A) 
REPORTS.—The 
Commission 
may 
issue additional reports as the Commission de-
termines necessary. 
(B) INFORMATION.—The Commission may 
hold public hearings to collect information and 
shall make such information available for use 
by the public. 
(3) FINAL
REPORT.—The Commission shall, 
not later than 2 years after the date of its first 
meeting, submit to the President and Congress a 
final report containing specific findings, conclusions, 
and recommendations required under this section 
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and agreed to by a majority of Commission mem-
bers. 
(4) TERMINATION.— 
(A) IN GENERAL.—Unless reauthorized by 
statute, the Commission, and all the authorities 
of this section, shall terminate 180 days after 
the date on which the final report is submitted 
under paragraph (3). 
(B) RECORDS.—Not later than the date of 
termination of the Commission under subpara-
graph (A), all records and papers of the Com-
mission shall be delivered to the Archivist of the 
United States for deposit in the National Ar-
chives. 
(i) DEFINITIONS.—In this section: 
(1) OBESITY.—The term ‘‘obesity’’ with respect 
to children means having a body mass index (BMI) 
greater than or equal to the 95th percentile for age 
and sex according to the Centers for Disease Control 
and Prevention. 
(2) CHILD; CHILDREN.—The terms ‘‘child’’ and 
‘‘children’’ mean an individual or individuals, respec-
tively, who have not attained 18 years of age. 
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(j) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
$1,500,000 for each of fiscal years 2012 and 2013. 
SEC. 208. GAO REPORT. 
Not later than 2 years after the first appropriation 
of Federal funds to carry out this Act, the Comptroller 
General of the United States shall submit to Congress a 
report on the effectiveness of the activities carried out 
under this Act in reducing child obesity, which shall in-
clude an analysis of the costs and the benefits of such ac-
tivities. 
TITLE III—ENCOURAGING PHYS-
ICAL 
ACTIVITY 
IN 
UNDER-
SERVED AMERICAN COMMU-
NITIES 
SEC. 301. RENOVATION OF FORECLOSED AND ABANDONED 
PROPERTIES TO CREATE SPACES THAT EN-
COURAGE PHYSICAL ACTIVITY IN AMERICAN 
NEIGHBORHOODS. 
Section 106(a) of the Housing and Community De-
velopment Act of 1974 (42 U.S.C. 5306(a)) is amended— 
(1) in paragraph (3)— 
(A) by striking ‘‘(1) and’’ and inserting 
‘‘(1),’’; and 
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(B) by inserting ‘‘and after reserving such 
amounts for units of general local government, 
special district governments, and Indian tribes 
with high foreclosure rates and great infrastruc-
ture need under paragraph (4),’’ after ‘‘para-
graph (2),’’; 
(2) by redesignating paragraph (4) as para-
graph (5); 
(3) in paragraph (5), as redesignated by para-
graph (2) of this section, by striking ‘‘paragraphs 
(1), (2), and (3)’’ and inserting ‘‘paragraphs (1), 
(2), (3), and (4)’’; and 
(4) by inserting after paragraph (3) the fol-
lowing new paragraph: 
‘‘(4)(A) For each fiscal year, of the amount ap-
proved in appropriation Acts under section 103 for 
grants for such fiscal year (excluding the amounts 
provided for use in accordance with section 107), the 
Secretary shall reserve for grants to units of general 
local government, special district governments, and 
Indian tribes that the Secretary determines have 
both high foreclosure rates and the greatest infra-
structure needs, based on the scope of the needs, an 
amount the Secretary determines necessary. 
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‘‘(B) Grants under this paragraph may be used 
by units of general local government, special district 
governments, and Indian tribes to— 
‘‘(i) renovate foreclosed commercial prop-
erties, abandoned commercial properties, or 
both, to be transformed in community centers, 
public recreation facilities, swimming pools, or 
any other type of facility that will encourage in-
door physical activity; 
‘‘(ii) demolish foreclosed or abandoned 
commercial and residential properties, or both, 
to use the sites for— 
‘‘(I) the construction of parks, play-
grounds, outdoor swimming pools, tracks, 
soccer fields, baseball diamonds, or any 
other type of facility that will encourage 
outdoor physical activity; 
‘‘(II) community gardens or urban 
farms, particularly in areas that are food 
deserts (as such term is defined in section 
7527(a) of the Food, Conservation, and 
Energy Act of 2008 (Public Law 110–234; 
122 Stat. 2039); or 
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‘‘(III) mixed used facilities that are 
used for both of the purposes under sub-
clauses (I) and (II) of this clause; and 
‘‘(iii) reconstruct and repair dilapidated 
sidewalks, bike and pedestrian trails, and in-
door and outdoor facilities that encourage phys-
ical activity. 
‘‘(C) In making grants under this paragraph, 
the Secretary shall give priority among units of gen-
eral local government, special district governments, 
and Indian tribes eligible pursuant to subparagraph 
(A)— 
‘‘(i) to units of general local government, 
special district governments, and Indian tribes 
that demonstrate the ability and willingness to 
work with local educational agencies, devel-
opers, and other community-based organizations 
to enter into mixed-use agreements to maximize 
the use and efficiency of properties renovated, 
constructed, or reconstructed and repaired 
through the use of grant funds; 
‘‘(ii) to units of general local government, 
special district governments, and Indian tribes 
that demonstrate the willingness to recognize 
and promote the involvement of individuals en-
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rolled in a national service program authorized 
under the National and Community Service Act 
of 1990 (42 U.S.C. 12501 et seq.) or the Do-
mestic Volunteer Service Act of 1973 (42 
U.S.C. 4950 et seq.) in the renovation, con-
struction, or reconstruction and repair of prop-
erties through the use of grant funds; and 
‘‘(iii) to projects proposed by units of gen-
eral local government, special district govern-
ments, and Indian tribes that are easily acces-
sible, on foot or by public transportation, for 
persons in low-income communities. 
‘‘(D) For purposes of this paragraph, the term 
‘special district government’ means any organized 
local entity, known by a variety of titles, including 
districts, authorities, boards, and commissions, other 
than a unit of general local government or local edu-
cational agency, authorized by State law to provide 
only one or a limited number of designated func-
tions, and with sufficient administrative and fiscal 
autonomy to qualify as a separate government unit, 
as determined by the Secretary.’’. 
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SEC. 302. NATIONAL YOUTH SPORTS PROGRAM REVITAL-
IZATION. 
Section 682(g) of the Community Services Block 
Grant Act (42 U.S.C. 9923(g)) is amended by striking 
‘‘$15,000,000’’ and all that follows through ‘‘2003’’ and 
inserting ‘‘$20,000,000 for each of the fiscal years 2012 
through 2021’’. 
SEC. 303. EXPANSION OF THE ZUNI YOUTH ENRICHMENT 
PROJECT SUMMER CAMP. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall establish a 2-year pilot program to 
provide funds to community-based organizations on Indian 
reservations or tribal lands to plan and implement an en-
richment program for children (in the form of a summer 
camp and a year-round program) for the purpose of— 
(1) reversing the epidemics of obesity, diabetes, 
and alcoholism in such areas; and 
(2) to mitigate other problems stemming from 
the formation of bad habits and the development of 
low self-esteem during childhood. 
(b) PARTNERSHIPS.—In order to qualify for funding 
under subsection (a), a community-based organization 
shall demonstrate, to the satisfaction of the Secretary of 
Health and Human Services, that the organization has en-
tered into a partnership with community entities, local 
funders, and tribal leaders (including, if applicable, the 
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tribal council) to plan and execute an enrichment program 
under subsection (a). 
(c) NUMBER OF SITES.—The Secretary of Health 
and Human Services, in providing funding under sub-
section (a), shall provide funding to no more than 20 com-
munity-based organizations. 
(d) MODEL AND CAMP REQUIREMENT.—The enrich-
ment program under subsection (a) shall— 
(1) be modeled on similar programs established 
by the Zuni Youth Enrichment Project; and 
(2) shall include a camp of at least 6 weeks in 
duration during the summer. 
(e) SPECIFIC CAMP REQUIREMENTS.— 
(1) DAILY ACTIVITIES.—With respect to chil-
dren attending a camp under subsection (d)(2), the 
leader of the organization that receives funds under 
subsection (a) shall, for each day of the camp, en-
sure that, such children are— 
(A) involved in at least 60 minutes of 
physical activity (with appropriate accommoda-
tions made for children with disabilities); and 
(B) provided with at least two meals that 
meet national nutritional standards. 
(2) OTHER ACTIVITIES.—Such leader shall also 
ensure that— 
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(A) a community gardening activity is in-
cluded in the activities conducted at the camp; 
and 
(B) health and wellness education is pro-
vided to the children attending the camp. 
(f) EVALUATION.— 
(1) IN GENERAL.—A community-based organi-
zation that receives funding under subsection (a), 
shall, as a condition of receiving such funding, con-
duct an evaluation of the enrichment program con-
ducted by such organization. 
(2) MODEL.—The form, manner, content, and 
frequency of the evaluation under paragraph (1) 
shall be modeled on the Zuni Youth Enrichment 
Project standard project evaluation. 
(g) REPORT.—Not later than 1 year after the date 
on which a community organization first receives funding 
under subsection (a) and annually thereafter, the organi-
zation shall— 
(1) submit a report to the to the Secretary of 
Health and Human Services on the outcomes of the 
enrichment program conducted by the organization 
under this section, including— 
(A) the findings of the evaluation con-
ducted under subsection (f); and 
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(B) the impact of such enrichment pro-
gram on the rates of childhood obesity on the 
reservation or area of tribal land served by the 
organization; and 
(2) provide a copy of the findings under para-
graph (1)(A) to community entities, local funders, 
tribal leaders (including, if applicable, the tribal 
council), and the families of children participating in 
the enrichment program. 
SEC. 304. MAKING ROUTES TO SCHOOLS IN UNDERSERVED 
COMMUNITIES SAFE AND ACCESSIBLE WITH 
PUBLIC PARTICIPATION THROUGH THE COM-
MUNITY ORIENTED POLICING SERVICES PRO-
GRAM. 
Section 1701 of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3796dd) is amended— 
(1) in subsection (b)— 
(A) in paragraph (16), by striking ‘‘and’’ 
after the semicolon; 
(B) by redesignating paragraph (17) as 
paragraph (18), and in such paragraph (18) (as 
so redesignated), by striking ‘‘through (16)’’ 
and inserting ‘‘through (17)’’; and 
(C) by inserting after paragraph (16) the 
following new paragraph: 
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‘‘(17) to award grants for Safe Routes to 
School-Community Oriented Policing Services pro-
grams, in accordance with subsection (j); and’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(j) SAFE ROUTES
TO SCHOOL-COMMUNITY ORI-
ENTED POLICING SERVICES PROGRAMS.— 
‘‘(1) GRANT PROGRAM.—The Director of the 
Office of Community Oriented Policing Services, in 
collaboration with the Secretary of Education, shall 
award grants to not fewer than 10 local and tribal 
law enforcement agencies in low-income communities 
for the planning, development, and assessment of 
Safe Routes to School-Community Oriented Policing 
Services programs in accordance with this sub-
section. 
‘‘(2) GRANT
PERIOD.—Each grant awarded 
under this subsection shall be for a 3-year period be-
ginning with the first fiscal year that begins after 
the date of enactment of the Fit for Life Act of 
2011, and may not be renewed. 
‘‘(3) USE OF GRANTS.—A grant awarded under 
this subsection shall be used by each grantee to— 
‘‘(A) assess the needs of the low-income 
community served by the grantee with respect 
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to the ability of elementary and secondary 
school students to get to and from school safely; 
and 
‘‘(B) establish and maintain a Safe Routes 
to School-Community Oriented Policing Serv-
ices program that ensures the availability of 
safe routes to and from school for elementary 
and secondary school students in underserved 
communities by addressing the unique personal 
safety dangers to students in such communities 
that may cause routes to or from school to be 
unsafe, such as dangers associated with crime, 
drug or gang activity, abandoned properties, 
and the presence of sexual predators. 
‘‘(4) REPORTS.—Not later than one year after 
receiving a grant award under this subsection, and 
annually thereafter, each grantee shall submit to the 
Director of the Office of Community Oriented Polic-
ing Services a report on the Safe Routes to School- 
Community Oriented Policing Services program car-
ried out by the grantee that includes— 
‘‘(A) a description of the activities carried 
out with such grant during the preceding year; 
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‘‘(B) the effectiveness of such activities in 
ensuring safe routes to and from school for ele-
mentary and secondary school students; 
‘‘(C) a description of the activities the 
grantee plans to carry out with such grant in 
succeeding years; and 
‘‘(D) best practices, plans, and findings for 
purposes of incorporation into urban planning 
and development in underserved communities in 
succeeding years. 
‘‘(5) DEFINITION.—The term ‘low-income com-
munities’ includes— 
‘‘(A) communities with a high percentage 
of children eligible for free and reduced priced 
lunches under the Richard B. Russell National 
School Lunch Act (42 U.S.C. 1751 et seq.); 
and 
‘‘(B) any other communities determined by 
the Director of the Office of Community Ori-
ented Policing Services to be low-income for 
purposes of this section.’’. 
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SEC. 305. LAND AND WATER CONSERVATION FUND PRO-
GRAM 
GRANTS 
IN 
LOW-INCOME 
COMMU-
NITIES AND EXPAND TRIBAL PARTICIPATION. 
Section 6(e) of the Land and Water Conservation Act 
of 1965 (16 U.S.C. 460l–8(e)) is amended by adding at 
the end the following: 
‘‘(3) LOW-INCOME COMMUNITIES AND INDIAN 
RESERVATIONS.—For development of programs to 
increase the use of and access to parks and open 
space in low-income communities and on or near In-
dian reservations.’’. 
SEC. 306. CHANGING HEARTS, ATTITUDES, AND MINDS BY 
PARTICIPATING IN SPORTS (CHAMPS) PRO-
GRAM. 
Part B of title III of the Public Health Service Act 
is amended by inserting after section 317T (42 U.S.C. 
247b–22) the following: 
‘‘SEC. 317U. CHANGING HEARTS, ATTITUDES, AND MINDS BY 
PARTICIPATING IN SPORTS (CHAMPS) PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, may make grants to eligible entities to carry out 
nationally-based or community-based qualified childhood 
obesity prevention initiatives. 
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‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 
grant under this section, an entity shall be— 
‘‘(1) a nationally-based nonprofit organization 
proposing to implement programs described in sub-
section (c), each serving at least 1,000 individuals, 
at 5 or more locations across the Nation; or 
‘‘(2) a community-based nonprofit organization 
proposing to implement a program described in sub-
section (c) serving at least 1,000 individuals. 
‘‘(c) QUALIFIED CHILDHOOD OBESITY PREVENTION 
INITIATIVE.—To qualify as a childhood obesity prevention 
initiative eligible for funding under this section, an initia-
tive shall consist of programs that— 
‘‘(1) serve children or adolescents most at risk 
for being overweight and obese in predominantly 
economically disadvantaged communities; 
‘‘(2) serve children or adolescents during after- 
school hours, weekends, or summer hours; 
‘‘(3) provide structured physical fitness activi-
ties, including organized sports, which engage each 
participant in a minimum of 60 minutes of moderate 
to vigorous physical activity at least three days per 
week for a period of at least 24 weeks in a given 
year; 
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‘‘(4) provide adult supervision and guidance or 
coaches who encourage and teach proper exercise 
techniques and skills; 
‘‘(5) combine physical fitness activities with nu-
tritional counseling and education; and 
‘‘(6) demonstrate measurable results for reduc-
ing childhood obesity on the part of participants, in-
cluding through— 
‘‘(A) measurement and study of partici-
pants’ moderate to vigorous physical activity 
(MVPA) each day, both as part of the pro-
grams funded under this section and on the 
participants’ own initiative; 
‘‘(B) increased knowledge of and aware-
ness about the importance of physical activity 
and exercise as well as the nutritional value of 
food and beverage choices; 
‘‘(C) keeping track of and reporting mean-
ingful reductions in the consumption of food 
and beverages with low nutritional value, in-
creased consumption of healthy items, and in-
creased levels of unstructured, self-initiated 
physical activity outside of the programs funded 
under this section; and 
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‘‘(D) measurement and study of partici-
pants’ body mass index (BMI) indicating 
that— 
‘‘(i) children entering programs fund-
ed under this section with a healthy body 
mass index maintain it while participating 
in such programs; and 
‘‘(ii) children participating in such 
programs with an unhealthy body mass 
index halt any negative trend lines towards 
obesity or begin trend lines in a positive di-
rection. 
‘‘(d) PRIORITY.—In selecting among applicants for 
grants under this section, the Secretary shall give priority 
to eligible entities proposing to carry out programs that 
will provide additional societal benefits, such as— 
‘‘(1) improvements to academic performance in 
school; 
‘‘(2) character building and leadership develop-
ment; 
‘‘(3) gang and juvenile delinquency prevention 
and reduction; 
‘‘(4) gender equality and female empowerment; 
‘‘(5) mentoring, volunteerism promotion, and 
service-learning opportunities; 
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‘‘(6) family and community engagement and 
participation; or 
‘‘(7) workforce education and career develop-
ment opportunities. 
‘‘(e) DISTRIBUTION
OF FUNDS.—Of the amount 
made available to carry out this section for a fiscal year, 
the Secretary shall award— 
‘‘(1) not less than 25 percent of such amount 
to nationally-based nonprofit organizations described 
in subsection (b)(1); and 
‘‘(2) not more than 75 percent of such amount 
to community-based nonprofit organizations de-
scribed in subsection (b)(2). 
‘‘(f) COST-SHARE REQUIREMENTS.— 
‘‘(1) IN GENERAL.—With respect to the costs of 
a qualified childhood obesity prevention initiative to 
be carried out under this section— 
‘‘(A) in the case of an applicant that is a 
nationally-based nonprofit organization, a grant 
under subsection (a) may be made only if the 
organization agrees to make available (directly 
or through donations from public or private en-
tities) non-Federal contributions toward such 
costs in an amount that is not less than one- 
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third of such costs ($1 for each $2 of Federal 
funds provided in the grant); and 
‘‘(B) in the case of an applicant that is a 
community-based 
nonprofit 
organization, 
a 
grant under subsection (a) may be made only if 
the organization agrees to make available (di-
rectly or through donations from public or pri-
vate entities) non-Federal contributions toward 
such costs in an amount that is not less than 
one-fourth of such costs ($1 for each $3 of Fed-
eral funds provided in the grant). 
‘‘(2) NON-FEDERAL
CONTRIBUTIONS
BY
SUB-
GRANTEES.—If a nationally-based nonprofit organi-
zation chooses to provide grant funds received under 
this section to a subgrantee to carry out one or more 
programs as part of the organization’s qualified 
childhood obesity prevention initiative, the organiza-
tion shall require the subgrantee to make available 
(directly or through donations from public or private 
entities) non-Federal contributions toward the costs 
of such programs in an amount that is not less than 
one-third of such costs ($1 for each $2 of Federal 
funds provided in the grant). The amount of non- 
Federal contributions by subgrantees required under 
this paragraph is in addition to the amount of non- 
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Federal contributions by the nationally-based non-
profit organization required under paragraph (1). 
‘‘(3) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.— 
‘‘(A) IN GENERAL.—Non-Federal contribu-
tions required by paragraph (1) or (2)— 
‘‘(i) in the case of a nationally-based 
nonprofit organization, shall be made in 
cash; and 
‘‘(ii) in the case of a subgrantee de-
scribed in paragraph (2) or a community- 
based nonprofit organization, may be in 
cash or in kind, fairly evaluated, including 
plant, equipment, or services. 
‘‘(B) EXCLUSION OF FEDERAL CONTRIBU-
TIONS.—Amounts provided by the Federal Gov-
ernment, or services assisted or subsidized to 
any significant extent by the Federal Govern-
ment, may not be included in determining the 
amount of non-Federal contributions required 
by paragraph (1) or (2). 
‘‘(g) REPORT TO CONGRESS.—Not later than one 
year after the first appropriation of Federal funds to carry 
out this section, the Secretary shall report to the Congress 
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on the progress made in carrying out programs funded 
by grants under this section. 
‘‘(h) BEST PRACTICES GUIDELINES.—Based on the 
results of programs funded through grants under this sec-
tion during the first two fiscal years of such funding, the 
Secretary shall develop publicly-accessible best practices 
guidelines for obesity reduction programs. The Secretary 
shall update these guidelines every two years. 
‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $50,000,000 for each of fiscal years 2012 through 
2016.’’. 
SEC. 307. COORDINATED SCHOOL HEALTH INITIATIVES. 
(a) IN GENERAL.—From the amounts appropriated 
to carry out this section, the Secretary of Education shall 
carry out a pilot program to award grants to not more 
than 5 eligible entities to carry out coordinated school 
health initiatives in schools. 
(b) AMOUNT OF GRANT.—A grant awarded under 
subsection (a) may not exceed $15,000. 
(c) USE OF FUNDS.—An eligible entity receiving a 
grant under this section shall carry out a coordinated 
school health initiative in each school under the jurisdic-
tion of the entity under which the entity shall— 
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(1) carry out a program, such as a fitnessgram, 
to assess the physical fitness (including aerobic ca-
pacity, muscular strength and endurance, flexibility, 
and body composition) of each student served by the 
entity; and 
(2) evaluate such assessments to— 
(A) establish baselines with respect to aer-
obic capacity, muscular strength and endur-
ance, flexibility, and body composition that each 
such student should meet by a certain period; 
and 
(B) identify interventions to assist each 
such student in meeting such baselines; 
(3) review the interventions identified under 
paragraph (2)(B) to determine the best practices 
with respect to such interventions; 
(4) use the determinations for best practices 
under paragraph (3) to implement interventions in 
each school under the jurisdiction of the entity; and 
(5) not later than 1 year after the implementa-
tion of the interventions, assess the physical fitness 
of each student served by the entity. 
(d) REPORTING.— 
(1) ELIGIBLE ENTITY.—Each eligible entity re-
ceiving a grant under this section shall submit to the 
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Secretary at such time and in such manner as deter-
mined by the Secretary, a report on— 
(A) the initial physical fitness assessments 
carried out under subsection (c)(1); 
(B) the interventions implemented under 
subsection (c)(4); and 
(C) the physical fitness assessments car-
ried out under subsection (c)(5) after the inter-
ventions have been implemented. 
(2) SECRETARY.—Not later than the first ap-
propriation of Federal funds to carry out this sec-
tion, the Secretary shall use the reports received 
under paragraph (1) to prepare and transmit to 
Congress a report on— 
(A) the average physical fitness levels of 
students participating in the coordinated school 
health initiative under this section— 
(i) prior to the interventions imple-
mented by each eligible entity under this 
section; and 
(ii) 1 year after the implementation of 
the interventions; 
(B) the best practices with respect to the 
interventions; and 
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(C) recommendations on how schools and 
local educational agencies may incorporate such 
best practices. 
(e) APPLICATION.—To receive a grant under this sec-
tion, an eligible entity shall submit an application to the 
Secretary of Education at such time, in such manner, and 
containing such information as the Secretary may require. 
(f) SUPPLEMENT, NOT SUPPLANT.—Funds received 
under this section shall be used to supplement, and not 
supplant, non-Federal funds that would otherwise be used 
for activities authorized under this section. 
(g) DEFINITIONS.—For purposes of this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means a local educational agency— 
(A) that serves— 
(i) a high percentage of students eligi-
ble for free or reduced price lunches under 
the Richard B. Russell National School 
Lunch Act; or 
(ii) a community otherwise determined 
by the Secretary to be a low-income com-
munity; and 
(B) that forms a partnership with an insti-
tution of higher education or a nonprofit health 
or education organization, as determined by the 
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Secretary, for the purposes of carrying out the 
coordinated school health initiative described in 
subsection (c). 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
(3) LOCAL EDUCATIONAL AGENCY.—The term 
‘‘local educational agency’’ has the meaning given 
such term in section 9101 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7801). 
(4) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Agriculture. 
SEC. 308. REWARDING ELEMENTARY AND SECONDARY 
SCHOOLS FOR OUTSTANDING STUDENT PER-
FORMANCE 
IN 
PHYSICAL 
FITNESS 
PRO-
GRAMS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may make grants to elementary and sec-
ondary schools as rewards for their students’ outstanding 
performance in the President’s Challenge or other feder-
ally supported physical fitness programs. 
(b) PREFERENCE.—In making grants under sub-
section (a), the Secretary shall give preference to elemen-
tary and secondary schools that— 
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(1) have the highest percentage of students 
earning a Presidential Physical Fitness Award 
through the President’s Challenge; and 
(2) demonstrate the greatest improvement in 
the number or percentage of students earning the 
National Physical Fitness Award and the Partici-
pant Physical Fitness Award through the Presi-
dent’s Challenge. 
(c) USE OF FUNDS.—As a condition on receipt of a 
grant under this section, a school shall agree to use the 
grant funds for programs and activities to further improve 
the physical fitness of students. 
(d) APPLICATION.—To seek a grant under this sec-
tion, a school shall submit an application at such time, 
in such manner, and containing such information as the 
Secretary may require. At a minimum, an application 
under this subsection shall include— 
(1) a description of the school’s programs and 
activities for improving physical fitness; 
(2) an assurance of compliance with applicable 
requirements of physical fitness programs of the De-
partment of Health and Human Services; and 
(3) an assessment of physical fitness levels of 
students in the school before, during, and after im-
plementation such programs. 
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(e) REPORTS.— 
(1) HHS.—Not later than 18 months after the 
date of the enactment of this Act, and annually 
thereafter, the Secretary shall submit a report to the 
Congress on the program of grants under this sec-
tion, including— 
(A) a description of best practices by ele-
mentary and secondary schools for improving 
physical fitness; and 
(B) any recommendations for improving 
the program under this section. 
(2) GAO.—Not later than 24 months after the 
date of the enactment of this Act, the Comptroller 
General of the United States shall complete a study 
and submit a report to the Congress— 
(A) analyzing physical fitness levels of stu-
dents in elementary and secondary schools 
across the Nation; 
(B) evaluating the President’s Challenge to 
determine whether the standards for Presi-
dential Physical Fitness Awards, National 
Physical Fitness Awards, and Participant Phys-
ical Fitness Awards are accurate, up-to-date, 
and appropriate; and 
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(C) evaluating the effectiveness of the 
awards described in subparagraph (B). 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘elementary and secondary 
schools’’ means public or private elementary schools 
and secondary schools (as defined in section 9101 of 
the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 7801)). 
(2) The term ‘‘President’s Challenge’’ refers to 
the premier program of the President’s Council on 
Fitness, Sports & Nutrition, under the Secretary of 
Health and Human Services, for increasing physical 
activity and improving physical fitness. 
(3) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
Æ 
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