‘‘(5) the age, gender, height, and weight of each 
person vaccinated to calculate the body mass index 
of such person.’’. 
(2) REPORTING.—Subsection (b) of such sec-
tion is amended— 
(A) in paragraph (1)— 
(i) by striking ‘‘and’’ at the end of 
subparagraph (B); 
(ii) by redesignating subparagraph 
(C) as subparagraph (D); and 
(iii) by inserting after subparagraph 
(B) the following new subparagraph: 
‘‘(C) the information recorded under sub-
section (a)(5), and’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(4) Each health provider shall also report to 
the relevant department of the State in which such 
health care provider practices the data collected 
under subsection (a)(5).’’. 
(b) GRANTS FOR BODY MASS INDEX DATA ANAL-
YSIS.— 
(1) ESTABLISHMENT.—The Secretary of Health 
and Human Services (in this subsection referred to 
as the ‘‘Secretary’’) may make grants to not more 
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than 20 eligible entities to analyze body mass index 
(in this section referred to as ‘‘BMI’’) measurements 
of children, ages 2 through 18. 
(2) ELIGIBILITY.—An eligible entity for pur-
poses of this section is a State (including the Dis-
trict of Columbia, the Commonwealth of Puerto 
Rico, and each territory of the United States) that 
has a statewide immunization information system 
that— 
(A) has the capacity to store basic demo-
graphic information (including date of birth, 
gender, and geographic area of residence), 
height, weight, and immunization data for each 
resident of the State; 
(B) is accessible to doctors, nurses, other 
licensed health care professionals, and officials 
of the relevant department in the State charged 
with maintaining health and immunization 
records; and 
(C) has the capacity to integrate large 
amounts of data for the analysis of BMI meas-
urements. 
(3) USE OF FUNDS.—A State that receives a 
grant under this section shall use the grant for the 
following purposes: 
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(A) Analyzing the effectiveness of obesity 
prevention programs and wellness policies car-
ried out in the State. 
(B) Purchasing new computers, computer 
equipment, and software to upgrade computers 
to be used for a statewide immunization infor-
mation system. 
(C) The hiring and employment of per-
sonnel to maintain and analyze BMI data. 
(D) The development and implementation 
of training programs for health care profes-
sionals to aid such professionals in taking BMI 
measurements and discussing such measure-
ments with patients. 
(E) Providing information to parents and 
legal guardians in accordance with paragraph 
(5)(B). 
(4) SELECTION CRITERIA.—In selecting recipi-
ents of grants under this section, the Secretary shall 
give priority to States in which a high percentage of 
public and private health care providers submit data 
to a statewide immunization information system 
that— 
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(A) contains immunization data for not 
less than 20 percent of the population of such 
State that is under the age of 18; and 
(B) includes data collected from men and 
women who are of a wide variety of ages and 
who reside in a wide variety of geographic areas 
in a State (as determined by the Secretary). 
(5) CONDITIONS.—As a condition of receiving a 
grant under this section, a State shall— 
(A) ensure that BMI measurements will be 
recorded for children ages 2 through 18— 
(i) on an annual basis by a licensed 
physician, nurse, nurse practitioner, or 
physicians assistant during an annual 
physical examination, wellness visit, or 
similar visit with a physician; and 
(ii) in accordance with data collection 
protocols published by the American Acad-
emy of Pediatrics in the 2007 Expert Com-
mittee Recommendations; and 
(B) for each child in the State for whom 
such measurements indicate a BMI greater 
than the 95th percentile for such child’s age 
and gender, provide to the parents or legal 
guardians of such child information on how to 
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lower BMI and information on State and local 
obesity prevention programs. 
(6) REPORTS.— 
(A) REPORTS TO THE SECRETARY.—Not 
later than 5 years after the receipt of a grant 
under this section, the State receiving such 
grant shall submit to the Secretary the fol-
lowing reports: 
(i) A report containing an analysis of 
BMI data collected using the grant, includ-
ing— 
(I) the differences in obesity 
trends by gender, disability, geo-
graphic area (as determined by the 
State), and socioeconomic status with-
in such State; and 
(II) the demographic groups and 
geographic areas most affected by 
obesity within such State. 
(ii) A report containing an analysis of 
the effectiveness of obesity prevention pro-
grams and State wellness policies, includ-
ing— 
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(I) an analysis of the success of 
such programs and policies prior to 
the receipt of the grant; and 
(II) a discussion of the means to 
determine the most effective strategies 
to combat obesity in the geographic 
areas identified under clause (i). 
(B) REPORT TO CONGRESS AND CERTAIN 
EXECUTIVE AGENCIES.—Not later than 1 year 
after the Secretary receives all the reports re-
quired pursuant to subparagraph (A), the Sec-
retary shall submit to the Secretary of Edu-
cation, the Secretary of Agriculture, and to 
Congress a report that contains the following: 
(i) An analysis of trends in childhood 
obesity, including how such trends vary 
across regions of the United States, and 
how such trends vary by gender and socio-
economic status. 
(ii) A description of any programs 
that— 
(I) the Secretary has determined 
significantly lower childhood obesity 
rates for certain geographic areas in 
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the United States, including urban, 
rural, and suburban areas; and 
(II) the Secretary recommends to 
be implemented by the States (includ-
ing States that did not receive a grant 
under this section). 
(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to the Sec-
retary such sums as may be necessary to carry out 
this section for each of fiscal years 2013 through 
2018. 
Æ 
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