orders. Eating disorders of all types are more com-
mon in women than men. 
(18) The health risks of Binge Eating Disorder 
are those associated with obesity and include heart 
disease, gall bladder disease, and diabetes. 
(19) According to the National Institute of 
Mental Health, Binge Eating Disorder is character-
ized by frequent episodes of uncontrolled overeating, 
with an estimated 2 to 5 percent of Americans expe-
riencing this disorder in a 6-month period. 
(20) Additionally, the National Institute of 
Mental Health reports that Anorexia Nervosa, an 
eating disorder from which 0.5 to 3.7 percent of 
American women will suffer in their lifetime, is asso-
ciated with serious health consequences including 
heart failure, kidney failure, osteoporosis, and death. 
According to the National Institute of Mental 
Health, Anorexia Nervosa has one of the highest 
mortality rates of all psychiatric disorders, placing a 
young woman with Anorexia Nervosa at 12 times 
the risk of death of other women her age. 
(21) In 2001, the National Institute of Mental 
Health reported that 1.1 to 4.2 percent of American 
women will suffer from Bulimia Nervosa in their 
lifetime. Bulimia Nervosa is an eating disorder that 
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is associated with cardiac, gastrointestinal, and den-
tal problems, including irregular heartbeats, gastric 
ruptures, peptic ulcers, and tooth decay. 
(22) On the 2003 Youth Risk Behavior Survey, 
6 percent of high school students reported recent use 
of laxatives or vomiting to control their weight. 
(23) The Girl Scout Research Institute found 
that most girls have a holistic view of health and be-
lieve physical and emotional health are of equal im-
portance. This connection is reflected in their behav-
ior and attitudes toward diet and exercise. (‘‘The 
New Normal?: What Girls Say about Healthy Liv-
ing’’ 2006.) 
(24) According to the American Academy of 
Pediatrics, the current epidemic of inactivity and the 
associated epidemic of obesity are being driven by 
multiple factors (societal, technologic, industrial, 
commercial, financial) and must be addressed like-
wise on several fronts. Success is more likely to be 
achieved by the implementation of sustainable, eco-
nomically viable, culturally acceptable active-living 
policies that can be integrated into multiple sectors 
of society. (‘‘Pediatrics’’ Vol. 117 No. 5 May 2006, 
pp. 1834–1842 (doi:10.1542/peds.2006–0472) (‘‘Ac-
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tive Healthy Living: Prevention of Childhood Obesity 
Through Increased Physical Activity’’)). 
(25) The Institute of Medicine reports that tak-
ing action against childhood obesity must address 
the factors that influence both eating and physical 
activity. According to the Institute of Medicine, 
‘‘[a]lthough a number of organizations, industries, 
institutions, and agencies must be involved in de-
signing and implementing changes, efforts cannot 
succeed unless they also engage the families, schools, 
and communities that create the environments in 
which children live and their behaviors are formed’’. 
TITLE I—TRAINING GRANTS 
SEC. 101. GRANTS TO PROVIDE TRAINING FOR HEALTH 
PROFESSION STUDENTS. 
Section 747(c)(3) of the Public Health Service Act 
(42 U.S.C. 293k(c)(3)) is amended by striking ‘‘and vic-
tims of domestic violence’’ and inserting ‘‘victims of do-
mestic violence, individuals (including children) who are 
overweight or obese (as such terms are defined in section 
399W(j)) and at-risk for related serious and chronic med-
ical conditions, and individuals who suffer from eating dis-
orders’’. 
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SEC. 102. GRANTS TO PROVIDE TRAINING FOR HEALTH 
PROFESSIONALS. 
Section 399Z of the Public Health Service Act (42 
U.S.C. 280h–3) is amended— 
(1) in subsection (b), by striking ‘‘2005’’ and 
inserting ‘‘2008’’; 
(2) by redesignating subsection (b) as sub-
section (c); 
(3) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to eligible entities to train primary care phy-
sicians and other licensed or certified health profes-
sionals on how to identify, treat, and prevent obesity 
or eating disorders and aid individuals who are over-
weight, obese, or who suffer from eating disorders. 
‘‘(2) APPLICATION.—An entity that desires a 
grant under this subsection shall submit an applica-
tion at such time, in such manner, and containing 
such information as the Secretary may require, in-
cluding a plan for the use of funds that may be 
awarded and an evaluation of the training that will 
be provided. 
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‘‘(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 evidence-based findings or rec-
ommendations that pertain to the prevention 
and treatment of obesity, being overweight, and 
eating disorders to conduct educational con-
ferences, including Internet-based courses and 
teleconferences, on— 
‘‘(i) how to treat or prevent obesity, 
being overweight, and eating disorders; 
‘‘(ii) the link between obesity, being 
overweight, eating disorders and related se-
rious and chronic medical conditions; 
‘‘(iii) how to discuss varied strategies 
with patients from at-risk and diverse pop-
ulations to promote positive behavior 
change and healthy lifestyles to avoid obe-
sity, being overweight, and eating dis-
orders; 
‘‘(iv) how to identify overweight, 
obese, individuals with eating disorders, 
and those who are at risk for obesity and 
being overweight or suffer from eating dis-
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orders and, therefore, at risk for related 
serious and chronic medical conditions; and 
‘‘(v) how to conduct a comprehensive 
assessment of individual and familial 
health risk factors; and 
‘‘(B) evaluate the effectiveness of the 
training provided by such entity in increasing 
knowledge and changing attitudes and behav-
iors of trainees.’’; and 
(4) in subsection (c) (as so redesignated)— 
(A) by striking ‘‘There are authorized to 
be appropriated to carry out this section’’ and 
all that follows and inserting the following: 
‘‘There are authorized to be appropriated— 
‘‘(1) to carry out subsection (a),’’; and 
(B) by adding at the end the following: 
‘‘(2) to carry out subsection (b), $10,000,000 
for fiscal year 2008, and such sums as may be nec-
essary for each of fiscal years 2009 through 2012.’’. 
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TITLE 
II—COMMUNITY-BASED 
SOLUTIONS 
TO 
INCREASE 
PHYSICAL 
ACTIVITY, 
IM-
PROVE NUTRITION, AND PRO-
MOTE HEALTHY EATING BE-
HAVIORS 
SEC. 201. GRANTS TO INCREASE PHYSICAL ACTIVITY, IM-
PROVE NUTRITION, AND PROMOTE HEALTHY 
EATING BEHAVIORS. 
Part Q of title III of the Public Health Service Act 
(42 U.S.C. 280h et seq.) is amended by striking section 
399W and inserting the following: 
‘‘SEC. 399W. GRANTS TO INCREASE PHYSICAL ACTIVITY, IM-
PROVE NUTRITION, AND PROMOTE HEALTHY 
EATING BEHAVIORS. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention and in coordination with the 
Administrator of the Health Resources and Services 
Administration, the Director of the Indian Health 
Service, the Secretary of Education, the Secretary of 
Agriculture, the Secretary of the Interior, the Direc-
tor of the National Institutes of Health, the Director 
of the Office of Women’s Health, and the heads of 
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other appropriate agencies, shall award competitive 
grants to eligible entities to plan and implement pro-
grams that promote healthy eating behaviors and 
physical activity to prevent eating disorders, obesity, 
being overweight, and related serious and chronic 
medical conditions. Such grants may be awarded to 
target at-risk populations including youth, adoles-
cent girls, health disparity populations (as defined in 
section 485E(d)), and the underserved. 
‘‘(2) TERM.—The Secretary shall award grants 
under this subsection for a period not to exceed 4 
years. 
‘‘(b) AWARD OF GRANTS.—An eligible entity desiring 
a grant under this section shall submit an application to 
the Secretary at such time, in such manner, and con-
taining such information as the Secretary may require, in-
cluding— 
‘‘(1) a plan describing a comprehensive pro-
gram of approaches to encourage healthy eating be-
haviors and healthy levels of physical activity; 
‘‘(2) the manner in which the eligible entity will 
coordinate with appropriate State and local authori-
ties and community-based organizations, including— 
‘‘(A) State and local educational agencies; 
‘‘(B) departments of health; 
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‘‘(C) chronic disease directors; 
‘‘(D) State directors of programs under 
section 17 of the Child Nutrition Act of 1966 
(42 U.S.C. 1786); 
‘‘(E) governors’ councils for physical activ-
ity and good nutrition; 
‘‘(F) State and local parks and recreation 
departments; and 
‘‘(G) State and local departments of trans-
portation and city planning; and 
‘‘(H) community-based organizations serv-
ing youth; and 
‘‘(3) the manner in which the applicant will 
evaluate the effectiveness of the program carried out 
under this section. 
‘‘(c) COORDINATION.—In awarding grants under this 
section, the Secretary shall ensure that the proposed pro-
grams are coordinated in substance and format with pro-
grams currently funded through other Federal agencies 
and operating within the community including the Phys-
ical Education Program (PEP) of the Department of Edu-
cation. 
‘‘(d) ELIGIBLE ENTITY.—In this section, the term 
‘eligible entity’ means— 
‘‘(1) a city, county, tribe, territory, or State; 
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‘‘(2) a State educational agency; 
‘‘(3) a tribal educational agency; 
‘‘(4) a local educational agency; 
‘‘(5) a federally qualified health center (as de-
fined in section 1861(aa)(4) of the Social Security 
Act); 
‘‘(6) a rural health clinic; 
‘‘(7) a health department; 
‘‘(8) an Indian Health Service hospital or clinic; 
‘‘(9) an Indian tribal health facility; 
‘‘(10) an urban Indian facility; 
‘‘(11) any health provider; 
‘‘(12) an accredited university or college; 
‘‘(13) a community-based organization; 
‘‘(14) a local city planning agency; 
‘‘(15) a State or local parks and recreation de-
partment; or 
‘‘(16) any other entity determined appropriate 
by the Secretary. 
‘‘(e) USE OF FUNDS.—An eligible entity that receives 
a grant under this section shall use the funds made avail-
able through the grant to— 
‘‘(1) carry out community-based activities in-
cluding— 
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‘‘(A) city planning, transportation initia-
tives, and environmental changes that help pro-
mote physical activity, such as increasing the 
use of walking or bicycling as a mode of trans-
portation; 
‘‘(B) forming partnerships and activities 
with businesses, community-based organiza-
tions, and other entities to increase physical ac-
tivity levels and promote healthy eating behav-
iors in schools and while traveling to and from 
schools; 
‘‘(C) forming partnerships with entities, in-
cluding schools, faith-based entities, commu-
nity-based organizations, and other organiza-
tions providing recreational services, to estab-
lish programs that use their facilities or other 
resources for after-school, weekend, and sum-
mer community activities, especially those that 
promote or involve physical activity; 
‘‘(D) establishing incentives for retail food 
stores, farmer’s markets, food co-ops, grocery 
stores, and other retail food outlets that offer 
fresh fruits and vegetables and other nutritious 
foods to encourage such stores and outlets to 
locate in economically depressed areas; 
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‘‘(E) forming partnerships with senior cen-
ters, nursing facilities, retirement communities, 
and assisted living facilities to establish pro-
grams for older people to foster physical activ-
ity and healthy eating behaviors; 
‘‘(F) forming partnerships with daycare 
and after-school entities to establish programs 
that promote healthy eating behaviors and 
physical activity; 
‘‘(G) developing and evaluating community 
educational activities targeting good nutrition 
and promoting healthy eating behaviors; and 
‘‘(H) providing, directly or in cooperation 
with State and local parks and recreation de-
partments, programs and other opportunities 
for daily physical activity; 
‘‘(2) carry out age-appropriate school-based ac-
tivities including— 
‘‘(A) developing and testing educational 
curricula and intervention programs designed to 
promote healthy eating behaviors and habits in 
youth, which may include— 
‘‘(i) after hours physical activity pro-
grams; 
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‘‘(ii) increasing opportunities for stu-
dents to make informed choices regarding 
healthy eating behaviors; and 
‘‘(iii) science-based interventions with 
multiple components to prevent eating dis-
orders including nutritional content, under-
standing and responding to hunger and sa-
tiety, positive body image development, 
positive 
self-esteem 
development, 
and 
learning life skills (such as stress manage-
ment, communication skills, problem-solv-
ing and decisionmaking skills), as well as 
consideration of cultural and develop-
mental issues, and the role of family, 
school, and community; 
‘‘(B) providing education and training to 
educational professionals regarding a healthy 
lifestyle and a healthy school environment; 
‘‘(C) planning and implementing a healthy 
lifestyle curriculum or program with an empha-
sis on healthy eating behaviors and physical ac-
tivity; and 
‘‘(D) planning and implementing healthy 
lifestyle classes or programs for parents or 
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guardians, with an emphasis on healthy eating 
behaviors and physical activity; 
‘‘(3) carry out activities through the local 
health care delivery systems including— 
‘‘(A) promoting healthy eating behaviors 
and physical activity services to treat or prevent 
eating disorders, being overweight, and obesity; 
‘‘(B) providing patient education and coun-
seling to increase physical activity and promote 
healthy eating behaviors; and 
‘‘(C) providing community education on 
good nutrition and physical activity to develop 
a better understanding of the relationship be-
tween diet, physical activity, and eating dis-
orders, obesity, or being overweight; or 
‘‘(4) other activities determined appropriate by 
the Secretary (including evaluation or identification 
and dissemination of outcomes and best practices). 
‘‘(f) MATCHING FUNDS.—In awarding grants under 
subsection (a), the Secretary may give priority to eligible 
entities who provide matching contributions. Such non- 
Federal contributions may be cash or in kind, fairly evalu-
ated, including plant, equipment, or services. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary may 
set aside an amount not to exceed 10 percent of the total 
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amount appropriated for a fiscal year under subsection (k) 
to permit the Director of the Centers for Disease Control 
and Prevention to provide grantees with technical support 
in the development, implementation, and evaluation of 
programs under this section and to disseminate informa-
tion about effective strategies and interventions in pre-
venting and treating obesity and eating disorders through 
the promotion of healthy eating behaviors and physical ac-
tivity. 
‘‘(h) LIMITATION ON ADMINISTRATIVE COSTS.—An 
eligible entity awarded a grant under this section may not 
use more than 10 percent of funds awarded under such 
grant for administrative expenses. 
‘‘(i) REPORT.—Not later than 6 years after the date 
of enactment of the Improved Nutrition and Physical Ac-
tivity Act, the Director of the Centers for Disease Control 
and Prevention shall review the results of the grants 
awarded under this section and other related research and 
identify programs that have demonstrated effectiveness in 
promoting healthy eating behaviors and physical activity 
in youth. Such review shall include an identification of 
model curricula, best practices, and lessons learned, as 
well as recommendations for next steps to reduce over-
weight, obesity, and eating disorders. Information derived 
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from such review, including model program curricula, shall 
be disseminated to the public. 
‘‘(j) DEFINITIONS.—In this section: 
‘‘(1) ANOREXIA NERVOSA.—The term ‘Anorexia 
Nervosa’ means an eating disorder characterized by 
self-starvation and excessive weight loss. 
‘‘(2) BINGE
EATING
DISORDER.—The term 
‘binge eating disorder’ means a disorder character-
ized by frequent episodes of uncontrolled eating. 
‘‘(3) BULIMIA
NERVOSA.—The term ‘Bulimia 
Nervosa’ means an eating disorder characterized by 
excessive food consumption, followed by inappro-
priate compensatory behaviors, such as self-induced 
vomiting, misuse of laxatives, fasting, or excessive 
exercise. 
‘‘(4) EATING
DISORDERS.—The term ‘eating 
disorders’ means disorders of eating, including Ano-
rexia Nervosa, Bulimia Nervosa, binge eating dis-
order, and eating disorders not otherwise specified. 
‘‘(5) HEALTHY EATING BEHAVIORS.—The term 
‘healthy eating behaviors’ means— 
‘‘(A) eating in quantities adequate to meet, 
but not in excess of, daily energy needs; 
‘‘(B) choosing foods to promote health and 
prevent disease; 
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‘‘(C) eating comfortably in social environ-
ments that promote healthy relationships with 
family, peers, and community; and 
‘‘(D) eating in a manner to acknowledge 
internal signals of hunger and satiety. 
‘‘(6) OBESE.—The term ‘obese’ means an adult 
with a Body Mass Index (BMI) of 30 kg/m2 or 
greater. 
‘‘(7) OVERWEIGHT.—The term ‘overweight’ 
means an adult with a Body Mass Index (BMI) of 
25 to 29.9 kg/m2 and a child or adolescent with a 
BMI at or above the 95th percentile on the revised 
Centers for Disease Control and Prevention growth 
charts or another appropriate childhood definition, 
as defined by the Secretary. 
‘‘(8) YOUTH.—The term ‘youth’ means individ-
uals not more than 18 years old. 
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$60,000,000 for fiscal year 2008, and such sums as may 
be necessary for each of fiscal years 2009 through 2012. 
Of the funds appropriated pursuant to this subsection, the 
following amounts shall be set aside for activities related 
to eating disorders: 
‘‘(1) $5,000,000 for fiscal year 2008. 
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‘‘(2) $5,500,000 for fiscal year 2009. 
‘‘(3) $6,000,000 for fiscal year 2010. 
‘‘(4) $6,500,000 for fiscal year 2011. 
‘‘(5) $1,000,000 for fiscal year 2012.’’. 
SEC. 202. NATIONAL CENTER FOR HEALTH STATISTICS. 
Section 306 of the Public Health Service Act (42 
U.S.C. 242k) is amended— 
(1) in subsection (m)(4)(B), by striking ‘‘sub-
section (n)’’ each place it appears and inserting 
‘‘subsection (o)’’; 
(2) by redesignating subsection (n) as sub-
section (o); and 
(3) by inserting after subsection (m) the fol-
lowing: 
‘‘(n)(1) The Secretary, acting through the Center, 
may provide for the— 
‘‘(A) collection of data for determining the fit-
ness levels and energy expenditure of children and 
youth; and 
‘‘(B) analysis of data collected as part of the 
National Health and Nutrition Examination Survey 
and other data sources. 
‘‘(2) In carrying out paragraph (1), the Secretary, 
acting through the Center, may make grants to States, 
public entities, and nonprofit entities. 
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‘‘(3) The Secretary, acting through the Center, may 
provide technical assistance, standards, and methodologies 
to grantees supported by this subsection in order to maxi-
mize the data quality and comparability with other stud-
ies.’’. 
SEC. 203. HEALTH DISPARITIES REPORT. 
Not later than 18 months after the date of enactment 
of this Act, and annually thereafter, the Director of the 
Agency for Healthcare Research and Quality shall review 
all research that results from the activities carried out 
under this Act (and the amendments made by this Act) 
and determine if particular information may be important 
to the report on health disparities required by section 
903(c)(3) of the Public Health Service Act (42 U.S.C. 
299a–1(c)(3)). 
SEC. 204. PREVENTIVE HEALTH SERVICES BLOCK GRANT. 
Section 1904(a)(1) of the Public Health Service Act 
(42 U.S.C. 300w–3(a)(1)) is amended by adding at the 
end the following: 
‘‘(H) Activities and community education pro-
grams designed to address and prevent overweight, 
obesity, and eating disorders through effective pro-
grams to promote healthy eating, and exercise habits 
and behaviors.’’. 
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SEC. 205. REPORT ON OBESITY AND EATING DISORDERS 
RESEARCH. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the 
Committee on Energy and Commerce of the House of 
Representatives a report on research conducted on causes 
and health implications (including mental health implica-
tions) of being overweight, obesity, and eating disorders. 
(b) CONTENT.—The report described in subsection 
(a) shall contain— 
(1) descriptions on the status of relevant, cur-
rent, ongoing research being conducted in the De-
partment of Health and Human Services including 
research at the National Institutes of Health, the 
Centers for Disease Control and Prevention, the 
Agency for Healthcare Research and Quality, the 
Health Resources and Services Administration, and 
other offices and agencies; 
(2) information about what these studies have 
shown regarding the causes, prevention, and treat-
ment of, being overweight, obesity, and eating dis-
orders; and 
(3) recommendations on further research that 
is needed, including research among diverse popu-
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lations, the plan of the Department of Health and 
Human Services for conducting such research, and 
how current knowledge can be disseminated. 
SEC. 206. REPORT ON A NATIONAL CAMPAIGN TO CHANGE 
CHILDREN’S HEALTH BEHAVIORS AND RE-
DUCE OBESITY. 
Section 399Y of the Public Health Service Act (42 
U.S.C. 280h–2) is amended— 
(1) by redesignating subsection (b) as sub-
section (c); and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) REPORT.—The Secretary shall evaluate the ef-
fectiveness of the campaign described in subsection (a) in 
changing children’s behaviors and reducing obesity and 
shall report such results to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the 
Committee on Energy and Commerce of the House of 
Representatives.’’. 
Æ 
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