233 
in terms of acute care costs avoided due to dis-
ease prevention; and 
(C) patient satisfaction under the dem-
onstration projects. 
(2) REPORT.—Not later than 6 months after 
the date on which the demonstration program under 
this section ends, the Secretary shall prepare and 
submit to Congress a report on the demonstration 
program together with— 
(A) recommendations on whether the dem-
onstration program should be expanded in 
terms of its success in disease prevention and 
the cost effectiveness of the demonstration pro-
gram; and 
(B) such recommendations for legislation 
or administrative action as the Secretary deter-
mines appropriate. 
(g) FUNDING.—The Secretary shall provide for the 
transfer from the Federal Supplementary Medical Insur-
ance Trust Fund under section 1841 of the Social Secu-
rity Act (42 U.S.C. 1395t) of such funds, not to exceed 
$50,000,000, as are necessary for the costs of carrying 
out the demonstration program under this Act. 
(h) DEFINITIONS.—In this section: 
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234 
(1) APPROPRIATE ENTITY.—The term ‘‘appro-
priate entity’’ means— 
(A) a chronic care improvement program; 
(B) a hospital; and 
(C) any other entity that the Secretary de-
termines appropriate based on clinical, finan-
cial, or other requirements appropriate to carry 
out the purposes of the demonstration program 
under this section. 
(2) ELIGIBLE BENEFICIARY.—The term ‘‘eligi-
ble beneficiary’’ means an individual who— 
(A) is entitled to benefits under part A of 
title XVIII of the Social Security Act or en-
rolled under part B of such title; and 
(B) has 2 or more risk factors associated 
with— 
(i) chronic obstructive pulmonary dis-
ease; 
(ii) diabetes; or 
(iii) any other chronic condition that 
the Secretary determines would be appro-
priate for the purpose of providing signifi-
cant potential cost benefits to the medicare 
program through the prevention of such 
condition. 
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235 
SEC. 405. PREVENTIVE HEALTH SERVICES FOR WOMEN. 
Section 1509 of the Public Health Service Act (42 
U.S.C. 300n–4a) is amended to read as follows: 
‘‘SEC. 1509. ESTABLISHMENT OF PROGRAM FOR ADDI-
TIONAL PREVENTIVE HEALTH SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, may, through a competitive review process, award 
grants to States that have received grants under section 
1501 for a fiscal year, to enable such State to carry out 
programs— 
‘‘(1) to provide preventive health services, in ad-
dition to the services authorized in such section 
1501, for diseases such as cardiovascular diseases, 
osteoporosis, and obesity; 
‘‘(2) to provide screenings, such as screening 
for blood pressure, cholesterol, and osteoporosis, and 
other services that the Secretary, acting through the 
Director of the Centers for Disease Control and Pre-
vention, determines to be appropriate and feasible; 
‘‘(3) for health education, counseling, and inter-
ventions for behavioral risk factors, such as physical 
inactivity and poor nutrition, and diseases referred 
to in paragraph (1); 
‘‘(4) to provide appropriate referrals for medical 
treatment of women receiving services pursuant to 
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paragraph (1) through (3), and ensuring, to the ex-
tent practicable, the provision of appropriate follow- 
up services; and 
‘‘(5) to evaluate the activities conducted under 
paragraphs (1) through (4) through appropriate sur-
veillance, research, or program monitoring activities. 
‘‘(b) STATUS AS PARTICIPANT IN PROGRAM REGARD-
ING BREAST
AND CERVICAL CANCER.—The Secretary 
may not make a grant to a State under subsection (a) 
unless the State involved agrees that services under the 
grant will be provided in conjunction with entities that are 
screening women for breast or cervical cancer pursuant 
to a grant under section 1501. 
‘‘(c) APPLICABILITY
OF PROVISIONS.—The provi-
sions of this title shall apply to a grant under subsection 
(a) to the same extent and in the same manner as such 
provisions apply to a grant under section 1501. 
‘‘(d) FUNDING.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated such sums as may be necessary to 
carry out this section for fiscal year 2007 and for 
each subsequent fiscal year. 
‘‘(2) LIMITATION REGARDING FUNDING WITH 
RESPECT TO BREAST AND CERVICAL CANCER.—No 
additional resources shall be appropriated for a fis-
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cal year under paragraph (1) unless the amount ap-
propriated under section 1510(a) for such fiscal year 
is at least $173,920,000.’’. 
TITLE V—HELP (HEALTHY LIFE-
STYLES 
AND 
PREVENTION) 
AMERICA TRUST FUND 
SEC. 501. HELP (HEALTHY LIFESTYLES AND PREVENTION) 
AMERICA TRUST FUND. 
(a) CREATION OF TRUST FUND.—There is estab-
lished in the Treasury of the United States a trust fund 
to be known as the ‘‘HeLP (Healthy Lifestyles and Pre-
vention) America Trust Fund’’ (referred to in this section 
as the ‘‘Trust Fund’’), consisting of such amounts as may 
be appropriated or credited to the Trust Fund as provided 
in this section. 
(b) TRANSFERS TO TRUST FUND.—There is hereby 
appropriated to the Trust Fund an amount equivalent 
to— 
(1) the increase in revenues received in the 
Treasury as the result of the amendment made by 
section 304 of this Act, 
(2) the increase in revenues received in the 
Treasury as the result of the amendments made by 
title II of this Act, and 
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(3) the receipts paid by tobacco companies 
under subtitle B of title III of this Act. 
(c) DISTRIBUTION OF AMOUNTS IN TRUST FUND.— 
(1) MANDATORY EXPENDITURES.—On a fiscal 
year basis (beginning with fiscal year 2007) and 
without further appropriation the Secretary of the 
Treasury shall distribute from amounts in the Trust 
Fund such amounts as are necessary to provide for 
the Federal expenditures attributable to the fol-
lowing: 
(A) The amendments made to the Fruit 
and Vegetable Program by section 101 of this 
Act. 
(B) Smoking cessation drugs under title 
XIX of the Social Security Act as identified by 
the Secretary of Health and Human Services. 
(C) Coverage of smoking cessation under 
the Federal Employee Health Benefits Program 
under chapter 89 of title 5, United States Code 
(as amended by section 402(c)). 
(D) The amendments made to the medi-
care program under title XVIII of the Social 
Security Act by sections 401 and 402 of this 
Act. 
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(E) The preventive health care demonstra-
tion program carried out under section 404 of 
this Act. 
Such amounts shall be in addition to any other 
amounts appropriated for such purposes. 
(2) DISCRETIONARY EXPENDITURES.—Amounts 
in the Trust Fund not to exceed $2,050,000,000 
shall be available, as provided in appropriation Acts, 
for each fiscal year (beginning with fiscal year 2007) 
only for purposes of making expenditures to carry 
out the following: 
(A) School nutrition environment enhance-
ment grants under section 18(l) of the Richard 
B. Russell National School Lunch Act (as 
added by section 103). 
(B) Community grants to prevent and re-
duce the incidence of chronic disease under sec-
tion 399P of the Public Health Service Act (as 
added by section 211). 
(C) The preventive medicine and public 
health training grant program carried out 
under section 747A of the Public Health Serv-
ice Act (as added by section 212). 
(D) Federal-State tobacco counter-adver-
tising programs under section 399Q of the Pub-
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240 
lic Health Service Act (as added by section 
305). 
(E) Preventive health services for women, 
including well-integrated screening and evalua-
tion for women across the Nation, under section 
1509 of the Public Health Service Act (as 
added by section 405). 
(F) Carol M. White Physical Education 
Program under subpart 10 of part D of title V 
of the Elementary and Secondary Education 
Act of 1965. 
(G) Research regarding obesity under sec-
tion 601 of this Act. 
(H) Expanded Food and Nutrition Edu-
cation Program under section 3175 of title 23, 
United States Code. 
(I) The following programs under the au-
thority of the Secretary of Health and Human 
Services through the Centers for Disease Con-
trol and Prevention: 
(i) Nutrition and physical activity 
grants. 
(ii) Division of Adolescent and School 
Health. 
(iii) Verb Campaign. 
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(iv) Prevention research centers. 
(v) 5-a-day programs. 
(vi) Steps to a healthier United 
States. 
(J) Access to local foods and school gar-
dens, as authorized by section 122 of the Child 
Nutrition and WIC Reauthorization Act of 
2004 (Public Law 108–265). 
(d) APPLICATION OF CERTAIN RULES.—For pur-
poses of this section, rules similar to the rules of sections 
9601 and 9602 of the Internal Revenue Code of 1986 shall 
apply. 
TITLE VI—RESEARCH 
SEC. 601. EXPANSION OF RESEARCH REGARDING OBESITY. 
The Secretary of Health and Human Services shall, 
based on the conclusions of the United States Preventive 
Services Task Force on Obesity, conduct research on obe-
sity prevention, treatment, and control with regard to the 
following: 
(1) The effectiveness of physical activity and di-
etary counseling with children and adolescents in the 
primary care setting to prevent, treat, and control 
obesity. 
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(2) The cost-effectiveness of intensive dietary 
and physical activity counseling to prevent, treat, 
and control obesity in a variety of populations. 
(3) The effectiveness of dietary and physical ac-
tivity counseling among children and adolescents, 
low income populations, and minority groups in the 
primary care setting to prevent, treat, and control 
obesity. 
(4) The effectiveness of the assessment of obe-
sity by a primary care physician and subsequent re-
ferral for obesity counseling to a nonaffiliated obe-
sity expert or specialist. 
Æ 
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