‘‘(3) REQUIREMENT OF CONTRACT.—If a grant-
ee elects to provide the training under this section 
through a contract, the grantee shall ensure that a 
consistent healthy eating and physical activity cur-
riculum is being developed for all childcare entities 
participating in the pilot program in the State. 
‘‘(d) 
PRACTICE, 
CURRICULA, 
AND
POLICY 
CHANGES.—After training is provided as required under 
subsection (c), a State grantee shall ensure that the orga-
nizations and consortia involved— 
‘‘(1) implement, in childcare settings, evidence- 
based policy changes that promote healthy eating, 
physical activity, and appropriate screen time limits 
among the birth to 5 years of age population; 
‘‘(2) utilize an evidence-based, culturally com-
petent healthy eating and physical activity cur-
riculum in childcare settings focusing on such birth 
to age 5 population; 
‘‘(3) implement programs, activities, and proce-
dures for incorporating parental education and in-
volvement of parents in programs, including dissemi-
nating a written parental involvement policy, and co-
ordinating and integrating parental involvement 
strategies under this section, to the extent feasible 
and appropriate, with parental involvement strate-
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gies under other programs, such as the Head Start 
program and the Early Head Start Program; and 
‘‘(4) find innovative ways to remove barriers 
that exist to providing opportunities for healthy eat-
ing and physical activity. 
All activities described in this paragraph shall be evidence- 
based and be consistent with the curriculum presented 
through training activities described in subsection (c). 
‘‘SEC. 399OO–2. GRANTS FOR THE EVALUATION OF PILOT 
PROGRAMS. 
‘‘The Secretary shall award competitive grants to 
prevention research centers or universities to evaluate the 
programs carried out with grants under section 399OO– 
1, including baseline, process, and outcome measurements. 
‘‘SEC. 399OO–3. COORDINATION. 
‘‘(a) INTERAGENCY COORDINATION.—To the extent 
practicable, the Secretary shall coordinate activities con-
ducted under this part with activities undertaken by the 
National Prevention, Health Promotion and Public Health 
Council established under section 4001 of the Patient Pro-
tection and Affordable Care Act (Public Law 111–148). 
Where practicable, such coordination shall— 
‘‘(1) include the sharing of current and emerg-
ing best practices concerning healthy eating, physical 
activity, and screen time limits that have a popu-
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lation-level impact in promoting nutrition and phys-
ical activity in childcare settings; 
‘‘(2) promote the effective implementation and 
sustainability of such programs; and 
‘‘(3) avoid unnecessary duplication of effort. 
‘‘(b) PILOT COORDINATION.—The Secretary shall 
designate an individual (directly or through contract) to 
provide technical assistance to States and pilot centers in 
the development, implementation, and evaluation of activi-
ties and dissemination of information described in para-
graphs (1), (2), and (3) of subsection (a). 
‘‘SEC. 399OO–4. EVALUATION AND REPORTING. 
‘‘(a) TECHNICAL ASSISTANCE AND INFORMATION.— 
The Secretary shall— 
‘‘(1) provide technical assistance to grantees 
and other entities providing training under a grant 
under this part; and 
‘‘(2) disseminate to health departments and 
trainers under grants under this part information 
concerning evidence-based approaches, including dis-
semination of existing toolkits, curricula, and exist-
ing or emerging best practices that can be expanded 
or improved upon through a program conducted 
under this part. 
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‘‘(b) EVALUATION REQUIREMENTS.—With respect to 
evaluations conducted under section 399OO–2, the Sec-
retary shall ensure that— 
‘‘(1) evaluation metrics are consistent across all 
programs funded under this part; 
‘‘(2) interim outcomes are measured by the 
number of centers that have implemented policy and 
environmental strategies that support use of cur-
ricula and practices supporting healthy eating, phys-
ical activity, and screen time limits; 
‘‘(3) interim outcomes are measured, to the ex-
tent possible, by behavior changes in healthy eating, 
physical activity, and screen time; and 
‘‘(4) upon completion of the program, the eval-
uation shall include an identification of best prac-
tices relating to behavior change and reductions in 
the increasing prevalence of overweight and obesity 
that could be replicated in other settings. 
‘‘(c) DISSEMINATION OF INFORMATION.—Upon the 
conclusion of the programs carried out under this part, 
the Secretary shall disseminate to all appropriate agencies 
within the Department of Health and Human Services evi-
dence, best practices, and lessons learned from grantees. 
Such agencies shall encourage the adoption of the best 
practices. 
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‘‘(d) REPORT
TO CONGRESS.—Not later than 6 
months after the completion of the program under this 
part, the Secretary shall submit to Congress a report con-
taining an evaluation of the program, including rec-
ommendations as to how lessons learned from the program 
can be incorporated into future guidance documents devel-
oped and provided by the Secretary and other Federal 
agencies, as appropriate. 
‘‘SEC. 399OO–5. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this part, $2,500,000 for each of fiscal years 2015, 2016, 
and 2017.’’. 
SEC. 112. HEALTH AND FITNESS SCHOOL PROGRAMS: 
TRAINING 
AMERICA’S 
YOUTH 
TO 
LIVE 
HEALTHY LIFESTYLES. 
(a) IN GENERAL.—The Secretaries shall carry out a 
2-year pilot program consisting of awarding grants to eli-
gible entities for the purpose of establishing or expanding 
evidence-based health and fitness programs in secondary 
schools in low-income communities. 
(b) HEALTH
AND FITNESS PROGRAM REQUIRE-
MENTS.—As a condition on receipt of a grant under this 
section, an eligible entity shall agree that any health and 
fitness program at a secondary school funded through the 
grant will— 
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(1) be conducted in partnership with the sec-
ondary school, community entities, and tribal coun-
cils; 
(2) ensure the services provided are inclusive of 
students with disabilities; 
(3) include services by recent graduates of insti-
tutions of higher education who are interested in 
pursuing graduate degrees in medicine, nursing, nu-
trition science, exercise physiology, public health, or 
a related discipline; 
(4) use services by such graduates to supple-
ment rather than supplant the health and fitness 
curriculum of the secondary school; 
(5) include a highly effective student-mentor 
intervention and education program conducted by 
such graduates for a maximum of 2 years of service 
in 1 secondary school per graduate; 
(6) build a healthier community through 
wellness activities and increased awareness about 
and access to healthy foods; 
(7) provide daily health and fitness instruction 
to both students and faculty; 
(8) conduct an annual in-school health and fit-
ness fair using the services of secondary school stu-
dents with the objective of building a healthier com-
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munity through wellness activities and increased 
awareness about and access to healthy foods; 
(9) conduct an annual school-based and an an-
nual community-based health and fitness fair using 
the services of secondary school students with the 
objective of building a healthier community through 
wellness activities and increased awareness about 
and access to healthy foods; and 
(10) expose secondary school students to a vari-
ety of career choices in wellness and health-related 
disciplines, including careers in medicine, nursing, 
nutrition science, and exercise physiology. 
(c) NON-FEDERAL FUNDS.—The Secretaries shall 
encourage grantees under this section to contribute funds 
from non-Federal sources to increase— 
(1) the number of secondary schools at which 
health and fitness programs are offered; or 
(2) the longevity of such programs. 
(d) MINIMUM NUMBER OF SCHOOLS.—The Secre-
taries shall ensure that grants under this section are used 
to establish or expand health and fitness programs at a 
total of not less than 20 schools. 
(e) ASSESSMENT; REPORTING.—As conditions on re-
ceipt of a grant under this section, an eligible entity shall 
agree to— 
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(1) conduct an annual assessment of health and 
fitness programs funded through the grant; 
(2) on an annual basis, report the findings of 
each assessment under paragraph (1) to the partici-
pating school, community partners, local contribu-
tors of funds, and tribal councils; and 
(3) not later than the end of fiscal year 2016, 
submit a report to the Secretaries and an appro-
priate representative of the Centers for Disease Con-
trol and Prevention on the success of the programs 
in educating children and families and thereby pre-
venting or reducing childhood obesity, including data 
from each assessment under paragraph (1). 
(f) REPORT TO CONGRESS.—Not later than the end 
of fiscal year 2016, the Secretaries shall submit to the 
Congress a report that— 
(1) summarizes the results achieved through 
programs funded under this section; and 
(2) includes a summary of the reports sub-
mitted by grant recipients under subsection (e)(3). 
(g) DEFINITIONS.—In this section: 
(1) The term ‘‘secondary school’’ has the mean-
ing given to such term in section 9101 of the Ele-
mentary and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
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(2) The term ‘‘eligible entity’’ means a non-
profit organization or entity with the ability to meet 
the requirements applicable to a grantee under this 
section, as determined by the Secretaries. 
(3) The term ‘‘low-income communities’’ in-
cludes— 
(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 Secretaries to be low-income for purposes of 
this section. 
(4) The term ‘‘Secretaries’’ means the Sec-
retary of Health and Human Services and the Sec-
retary of Education, acting jointly and in conjunc-
tion with the Director of the Centers for Disease 
Control and Prevention. 
(h) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$1,400,000 for the period of fiscal years 2015 through 
2016. 
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TITLE II—ADVANCING PREVENT-
ATIVE 
MEASURES 
AND 
TREATMENT OF OBESITY IN 
ADULTS AND CHILDREN IN 
UNDERSERVED 
COMMU-
NITIES 
SEC. 201. COMMUNITY HEALTH AND WELLNESS NAVIGA-
TORS PILOT PROGRAM: CONNECTING AMER-
ICA’S HEALTH PROFESSIONALS WITH OUR 
SCHOOLS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall award grants to 5 or more States 
for the establishment of a community navigator program, 
consisting of each such State making subgrants to 1 or 
more eligible entities for a local community navigator pro-
gram described in subsection (b). 
(b) PROGRAM DESCRIPTION.—A local community 
navigator program described in this subsection shall con-
sist of the following: 
(1) An eligible entity, in partnership with a 
local educational agency, a bureau-funded school, or 
a nonprofit health or education organization, will 
hire and train 2 or more community navigators. 
(2) The community navigators will facilitate a 
relationship between the eligible entity and the local 
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