the National Football League’s Monday Night Foot-
ball broadcasts combined (925). 
(17) The IOM report recommended that col-
leges and universities ban alcohol advertising and 
promotion on campus in order to demonstrate their 
commitment to discouraging alcohol use among un-
derage students. 
(18) According to the Government Account-
ability Office (‘‘GAO’’), the Federal Government 
spends $1.8 billion annually to combat youth drug 
use and $71 million to prevent underage alcohol use. 
(19) The GAO concluded that there is a lack of 
reporting about how these funds are specifically ex-
pended, inadequate collaboration among the agen-
cies, and no central coordinating group or office to 
oversee how the funds are expended or to determine 
the effectiveness of these efforts. 
(20) There are at least three major, annual, 
government funded national surveys in the United 
States that include underage drinking data: the Na-
tional Household Survey on Drug Use and Health, 
Monitoring the Future, and the Youth Risk Behav-
ior Survey. These surveys do not use common indi-
cators to allow for direct comparison of youth alco-
hol consumption patterns. Analyses of recent years’ 
data do, however, show similar results. 
(21) Research shows that school-based and 
community-based interventions can reduce underage 
drinking and associated problems, and that positive 
outcomes can be achieved by combining environ-
mental and institutional change with theory-based 
health education—a comprehensive, community-
based approach. 
(22) Studies show that a minority of youth who 
need treatment for their alcohol problems receive 
such services. Further, insufficient information ex-
ists to properly assist clinicians and other providers 
in their youth treatment efforts. 
SEC. 3. DEFINITIONS. 
For purposes of this Act: 
(1) The term ‘‘binge drinking’’ means a pattern 
of drinking alcohol that brings blood alcohol con-
centration (BAC) to 0.08 gm percent or above. For 
the typical adult, this pattern corresponds to con-
suming 5 or more drinks (male), or 4 or more drinks 
(female), in about 2 hours. 
(2) The term ‘‘heavy drinking’’ means five or 
more drinks on the same occasion in the past 30 
days.
(3) The term ‘‘frequent heavy drinking’’ means 
five or more drinks on at least five occasions in the 
last 30 days. 
(4) The term ‘‘alcoholic beverage industry’’ 
means the brewers, vintners, distillers, importers, 
distributors, and retail outlets that sell and serve 
beer, wine, and distilled spirits. 
(5) The term ‘‘school-based prevention’’ means 
programs, which are institutionalized, and run by 
staff members or school-designated persons or orga-
nizations in every grade of school, kindergarten 
through 12th grade. 
(6) The term ‘‘youth’’ means persons under the 
age of 21. 
(7) The term ‘‘IOM report’’ means the report 
released in September 2003 by the National Re-
search Council, Institute of Medicine, and entitled 
‘‘Reducing Underage Drinking: A Collective Respon-
sibility’’. 
TITLE I—SENSE OF CONGRESS 
SEC. 101. SENSE OF CONGRESS. 
It is the sense of the Congress that: 
(1) A multi-faceted effort is needed to more 
successfully address the problem of underage drink-
ing in the United States. A coordinated approach to
prevention, intervention, treatment, and research is 
key to making progress. This Act recognizes the 
need for a focused national effort, and addresses 
particulars of the Federal portion of that effort. 
(2) 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) environmental changes that limit un-
derage access to alcohol. 
(3) Public health and consumer groups have 
played an important role in drawing the Nation’s at-
tention to the health crisis of underage drinking. 
Working at the Federal, State, and community lev-
els, and motivated by grass-roots support, they have 
initiated effective prevention programs that have 
made significant progress in the battle against un-
derage drinking. 
(4) The alcohol beverage industry has developed 
and paid for national education and awareness mes-
sages on illegal underage drinking directed to par-
ents as well as consumers generally. According to