I 
110TH CONGRESS 
1ST SESSION H. R. 2633 
To improve the health of Americans and reduce health care costs by reori-
enting the Nation’s health care system toward prevention, wellness, and 
self care. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 7, 2007 
Mr. UDALL of New Mexico (for himself, Mr. MORAN of Virginia, and Mr. 
MCGOVERN) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committees on 
Ways and Means, Education and Labor, Oversight and Government Re-
form, House Administration, and Transportation and Infrastructure, for 
a period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To improve the health of Americans and reduce health care 
costs by reorienting the Nation’s health care system to-
ward prevention, wellness, and self care. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Healthy Lifestyles and Prevention America Act’’ or the 
‘‘HeLP America Act’’. 
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(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
TITLE I—CHILDHOOD OBESITY 
Sec. 101. Federal Task Force on Childhood Obesity. 
TITLE II—HEALTHIER KIDS AND SCHOOLS 
Sec. 201. Fresh fruit and vegetable program. 
Sec. 202. Food of minimal nutritional value. 
Sec. 203. School nutrition environment enhancement grants. 
Sec. 204. Baby friendly hospital-center for breastfeeding excellence. 
Sec. 205. Intervention to strengthen families and build children’s resilience. 
Sec. 206. Grants for the integration of schools and mental health systems. 
Sec. 207. Grants for the promotion of university-community partnerships to in-
crease youth competencies and reduce youth problem behaviors 
in communities. 
Sec. 208. Reservations for Early Head Start programs. 
TITLE III—HEALTHIER COMMUNITIES AND WORKPLACES 
Subtitle A—Incentives for a Healthy Workforce 
Sec. 301. Short title. 
Sec. 302. Tax credit to employers for costs of implementing wellness programs. 
Sec. 303. CDC and employer-based wellness programs. 
Sec. 304. Employer-provided off-premises health club services. 
Subtitle B—Healthy Communities 
CHAPTER 1—PROVISIONS TO IMPROVE THE HEALTH OF COMMUNITIES 
Sec. 311. Healthy community grants. 
Sec. 312. Promoting the health and wellness of individuals with disabilities 
through community sports programs. 
Sec. 313. Safe and complete streets. 
Sec. 314. National assessment of mental health needs. 
Sec. 315. Preventive medicine and public health training grant program. 
Sec. 316. Task force for the Promotion of Breastfeeding in the Workplace. 
Sec. 317. Lactation accommodation and breastfeeding promotion at work. 
CHAPTER 2—PROMOTING LIFELONG ACTIVE COMMUNITIES 
Sec. 321. Short title. 
Sec. 322. Purpose. 
Sec. 323. Definition of Secretary. 
SUBCHAPTER A—NATIONAL PROGRAM PROMOTING LIFELONG ACTIVE 
COMMUNITIES 
Sec. 331. Development of community play index. 
Sec. 332. Sense of the House of Representatives regarding funding. 
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SUBCHAPTER B—MODEL COMMUNITIES OF PLAY IMPLEMENTATION GRANTS 
Sec. 341. Model communities of play implementation grants. 
TITLE IV—RESPONSIBLE MARKETING AND CONSUMER 
AWARENESS 
Subtitle A—General Provisions 
Sec. 401. Nutrition labeling of restaurant foods. 
Sec. 402. Rulemaking authority for advertising to children. 
Sec. 403. Food advertising in schools. 
Sec. 404. Disallowance of deductions for advertising and marketing expenses 
relating to tobacco product use. 
Sec. 405. Federal-state tobacco counter-advertising programs. 
Subtitle B—Penalties for Failure To Reduce Teen Smoking 
Sec. 411. Child cigarette use surveys. 
Sec. 412. Cigarette use reduction goal and noncompliance. 
Sec. 413. Enforcement. 
Subtitle C—Food Guidance 
Sec. 421. Front-label food guidance systems. 
TITLE V—REIMBURSEMENT AND COVERAGE OF PREVENTIVE 
SERVICES 
Sec. 501. Coverage of substance use (other than tobacco), diet, exercise, injury 
prevention, and dental health counseling. 
Sec. 502. Medicare coverage of medical nutrition therapy services for people 
with pre-diabetes. 
Sec. 503. Preventive mental health screenings. 
Sec. 504. Encouragement of cessation of tobacco use. 
Sec. 505. Recognition of school-based health centers as model for delivery of 
primary care for children under the medicaid and State chil-
dren’s health insurance programs. 
Sec. 506. Preventive health care demonstration program. 
Sec. 507. Preventive health services for women. 
Sec. 508. Promoting cessation of tobacco use by pregnant women under the 
medicaid program. 
TITLE VI—HELP (HEALTHY LIFESTYLES AND PREVENTION) 
AMERICA TRUST FUND 
Sec. 601. HELP (Healthy Lifestyles and Prevention) America Trust Fund. 
TITLE VII—RESEARCH 
Sec. 701. Expansion of research regarding obesity. 
Sec. 702. Incorporation of physical activity into Federal programs. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
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(1) Health care costs in the United States are 
rising rapidly. Per capita health spending in the 
United States is 56 percent higher than the median 
country that is a member of the Organization for 
Economic Cooperation and Development. 
(2) According to the Centers for Medicare and 
Medicaid Services, total health care spending in the 
United States in 2004 was $1,800,000,000,000 and 
is expected to rise to $3,600,000,000,000 by 2014. 
Furthermore, chronic disease accounts for approxi-
mately 75 percent of health care costs annually. 
(3) The United States spends less than 2 per-
cent of annual health care expenditures on preven-
tion 
(4) Reducing and preventing the incidence of 
chronic disease is one means by which to reduce 
health care costs in the United States. 
(5) More than 1,700,000 Americans die of a 
chronic disease each year, accounting for nearly 70 
percent of all deaths in the United States. 
(6) The economic impact of chronic disease can 
be seen in the annual costs associated with cardio-
vascular disease and stroke ($352,000,000,000), 
obesity 
($117,000,000,000), 
cancer 
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($171,600,000,000), 
and 
diabetes 
($132,000,000,000). 
(7) Obesity related health conditions cost em-
ployers nearly $13,000,000,000 in health care and 
other indirect costs. 
(8) Health promotion investments by employers 
on average yield a return of $3 for every $1 invested 
in a program. 
(9) Being overweight or obese increase the risk 
of diabetes, heart disease, stroke, several types of 
cancer and other health problems. 
(10) An estimated 65 percent of adults and 15 
percent of children and adolescents in the United 
States are overweight or obese. 
(11) The rates of obesity have doubled in chil-
dren and tripled in teens since the 1980’s. 
(12) Almost 40 percent of Americans are sed-
entary. More than 1⁄3 of young people in grades 9 
through 12 do not regularly engage in vigorous-in-
tensity physical activity. 
(13) Only 1 in 5 young people eat the rec-
ommended 5 daily servings of fruits and vegetables. 
(14) Food and beverage advertisers collectively 
spend $10,000,000,000 to $12,000,000,000 a year 
to reach children and youth. 
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