SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT. 
Section 519B of the Public Health Service Act (42 
U.S.C. 290bb–25b) is amended by striking subsections (a) 
through (f) and inserting the following: 
‘‘(a) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘alcohol beverage industry’ 
means the brewers, vintners, distillers, importers, 
distributors, and retail or online outlets that sell or 
serve beer, wine, and distilled spirits. 
‘‘(2) The term ‘school-based prevention’ means 
programs, which are institutionalized, and run by 
staff members or school-designated persons or orga-
nizations in any grade of school, kindergarten 
through 12th grade. 
‘‘(3) The term ‘youth’ means persons under the 
age of 21. 
‘‘(b) SENSE OF CONGRESS.—It is the sense of the 
Congress that: 
‘‘(1) A multifaceted effort is needed to more 
successfully address the problem of underage drink-
ing in the United States. A coordinated approach to 
prevention, intervention, treatment, enforcement, 
and research is key to making progress. This section 
recognizes the need for a focused national effort, 
and addresses particulars of the Federal portion of 
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that effort, as well as Federal support for State ac-
tivities. 
‘‘(2) The Secretary shall continue to conduct 
research and collect data on the short- and long- 
range impact of alcohol use and abuse upon adoles-
cent brain development and other organ systems. 
‘‘(3) States and communities, including colleges 
and universities, are encouraged to adopt com-
prehensive prevention approaches, including— 
‘‘(A) evidence-based screening, programs, 
and curricula; 
‘‘(B) brief intervention strategies; 
‘‘(C) consistent policy enforcement; and 
‘‘(D) science-based strategies to reduce un-
derage drinking. 
‘‘(4) Public health groups, consumer groups, 
and the alcohol beverage industry should continue 
and expand evidence-based efforts to prevent and re-
duce underage drinking. 
‘‘(5) The entertainment industries and social 
media platforms have a powerful impact on youth, 
and they should use rating systems and marketing 
codes to reduce the likelihood that underage audi-
ences will be exposed to movies, recordings, tele-
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vision programs, or social media with unsuitable al-
cohol content. 
‘‘(6) The National Collegiate Athletic Associa-
tion, its member colleges and universities, and ath-
letic conferences should affirm a commitment to a 
policy of discouraging alcohol use among underage 
students and other young fans. 
‘‘(7) Alcohol is a unique product and should be 
regulated differently than other products by the 
States and Federal Government. States have pri-
mary authority to regulate alcohol distribution and 
sale, and the Federal Government should support 
and supplement these State efforts. States also have 
a responsibility to fight youth access to alcohol and 
reduce underage drinking. Continued State regula-
tion and licensing of the manufacture, importation, 
sale, distribution, transportation, and storage of al-
coholic beverages are clearly in the public interest 
and are critical to promoting responsible consump-
tion, preventing illegal access to alcohol by persons 
under 21 years of age from commercial and non-
commercial sources, maintaining industry integrity 
and an orderly marketplace, and furthering effective 
State tax collection. 
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‘‘(8) The age-21 minimum drinking law, en-
acted in 1984, has been a remarkably effective pub-
lic health and safety policy, as evidenced by the fact 
that the percentage of 12th graders who have drunk 
alcohol in the past month has fallen by one-half 
since the enactment of such law. 
‘‘(9) The age-21 law has also has been signifi-
cantly effective in reducing drinking and driving 
traffic fatalities, as the National Highway Traffic 
Safety Administration (NHTSA) estimates that the 
age-21 law has saved over 31,000 lives since its in-
ception. 
‘‘(10) Community awareness, support, and mo-
bilization provide an important context for the effec-
tive enforcement of the age-21 minimum drinking 
law. 
‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN-
NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN-
TION AND ENFORCEMENT ACTIVITIES.— 
‘‘(1) INTERAGENCY COORDINATING COMMITTEE 
ON THE PREVENTION OF UNDERAGE DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary, in col-
laboration with the Federal officials specified in 
subparagraph (B), shall continue to support 
and enhance the efforts of the interagency co-
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ordinating committee, that began operating in 
2004, focusing on underage drinking (referred 
to in this subsection as the ‘Committee’). 
‘‘(B) OTHER AGENCIES.—The officials re-
ferred to in subparagraph (A) are the Secretary 
of Education, the Attorney General, the Sec-
retary of Transportation, the Secretary of the 
Treasury, the Secretary of Defense, the Sur-
geon General, the Director of the Centers for 
Disease Control and Prevention, the Director of 
the National Institute on Alcohol Abuse and Al-
coholism, the Assistant Secretary for Mental 
Health and Substance Use, the Director of the 
National Institute on Drug Abuse, the Assist-
ant Secretary for Children and Families, the 
Director of the Office of National Drug Control 
Policy, the Administrator of the National High-
way Traffic Safety Administration, the Admin-
istrator of the Office of Juvenile Justice and 
Delinquency Prevention, the Chairman of the 
Federal Trade Commission, and such other 
Federal officials as the Secretary of Health and 
Human Services determines to be appropriate. 
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