I 
108TH CONGRESS 
1ST SESSION H. R. 1022
To provide assistance for the development of indoor disease prevention and 
health promotion centers in urban and rural areas throughout the United 
States. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2003
Mr. SANDERS (for himself, Ms. MILLENDER-MCDONALD, and Mr. TOWNS) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committee on Education and 
the Workforce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
To provide assistance for the development of indoor disease 
prevention and health promotion centers in urban and 
rural areas throughout the United States.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Urban and Rural Dis-
ease Prevention and Health Promotion Act of 2003’’. 
SEC. 2. CONGRESSIONAL FINDINGS. 
The Congress finds that—
(1) in 1999, 61 percent of adults in the United 
States were overweight or obese; 
(2) all age, racial, and ethnic groups, and both 
genders, have experienced increases in the percent-
age of persons who are overweight or obese; 
(3) each year in the United States, approxi-
mately 300,000 deaths are associated with obesity; 
(4) overweight and obesity are associated with 
heart disease, certain types of cancer, type 2 diabe-
tes, stroke, arthritis, breathing problems, and psy-
chological disorders, such as depression; 
(5) in 2000, the economic cost of obesity in the 
United States was approximately $117,000,000,000; 
(6) it is recommended that American adults ac-
cumulate at least 30 minutes, and American chil-
dren accumulate at least 60 minutes, of moderate 
physical activity most days of the week, though more 
may be needed to prevent weight gain, to lose 
weight, or to maintain weight loss; 
(7) less than one-third of American adults en-
gage in these recommended amounts of physical ac-
tivity; 
(8) 40 percent of adults in the United States do 
not participate in any leisure-time physical activity;
(9) physical activity is important in preventing 
and treating overweight and obesity and is extremely 
helpful in maintaining weight loss, especially when 
combined with healthy eating; 
(10) there is a direct positive relationship be-
tween the level of individual and community use of 
public recreational facilities and services, access to 
and condition of such facilities, and the diversity and 
quality of services relative to current and potential 
uses; and 
(11) medical and other research document a di-
rect positive relationship between active recreation 
and disease prevention and general wellness. 
SEC. 3. GRANT AND LOAN PROGRAM FOR INDOOR DISEASE 
PREVENTION AND HEALTH PROMOTION CEN-
TERS. 
(a) AUTHORITY.—The Secretary of Housing and 
Urban Development may make grants and loans in accord-
ance with this Act to eligible entities under section 4 for 
the development of indoor centers for disease prevention 
and health promotion. 
(b) CENTERS.—For purposes of this Act, the term 
‘‘indoor disease prevention and health promotion center’’ 
means a structure or facility, or a portion thereof, that—
(1) is used principally as an indoor recreational 
facility providing services, programs, and activities 
that result in disease prevention and health pro-
motion, including direct recreation services for indi-
viduals and groups, information on public and per-
sonal health and wellness, health screening, and 
other necessary services in collaboration with public 
and private health professionals and other entities; 
(2) is owned or controlled by the eligible entity 
that receives the grant or loan under this Act; 
(3) is available for use by, and provides services 
to, residents of the jurisdiction of such eligible entity 
free of charge or at a charge not exceeding that nec-
essary to provide for operation and maintenance of 
the facility and for appropriate public recreation 
services; and 
(4) is subject to such legally binding and en-
forceable commitments, as the Secretary shall re-
quire, to ensure that the structure or facility, or por-
tion thereof, is used as provided in paragraph (1) for 
the 25-year period beginning upon the receipt of a 
grant or loan made under this Act; except that the 
Secretary may, upon the request of an entity that 
received a grant or loan under this Act, waive the
applicability of such commitments if the Secretary 
finds that—
(A) environmental or other conditions have 
substantially reduced the public value of the fa-
cility or public access to the facility; or 
(B) the site or facility has substantially de-
teriorated, through no fault of the entity that 
received the grant or loan, and such entity en-
ters into an agreement with the Secretary to 
obtain or provide a replacement facility that 
generally provides access to services for persons 
that were served at the original facility. 
SEC. 4. ELIGIBLE ENTITIES. 
Grants and loans under this Act may be made only 
to the following entities: 
(1) A unit of general local government. 
(2) An official State, metropolitan, regional, or 
other area agency, district, public-purpose corpora-
tion, or other limited-purpose political subdivision of 
a State, that is empowered under State or local laws 
or under an interstate compact or agreement to 
manage, administer, or provide public parks and rec-
reational facilities. 
(3) Public authorities or agencies associated 
with economic or community development or restora-
tion, whose activities support capital investments for 
public recreation. 
SEC. 5. ELIGIBLE USES OF ASSISTANCE. 
Amounts from a grant or loan under this Act may 
be used only for the development of indoor centers for dis-
ease prevention and health promotion, which shall include 
the following activities: 
(1) Planning. 
(2) Design. 
(3) Site acquisition, preparation, and construc-
tion. 
(4) Assessment of, and response to, site envi-
ronmental conditions. 
(5) Landscaping. 
(6) New construction. 
(7) Rehabilitation of existing recreational struc-
tures and facilities. 
(8) Enhancement and expansion of public infra-
structure. 
(9) Acquisition and conversion of existing non-
recreational structures and facilities. 
SEC. 6. GRANT AND LOAN REQUIREMENTS. 
(a) AMOUNT.—The Secretary may not make a grant 
or loan under this Act for any fiscal year to any eligible
entity that has received a grant or loan during any of the 
preceding three fiscal years. 
(b) LOANS.—Loans made with amounts made avail-
able under this Act shall be subject to the following re-
quirements: 
(1) NO
INTEREST
LOANS.—Loans shall not 
bear interest. 
(2) TERM.—Loans shall have a term to matu-
rity not to exceed 10 years. 
(3) REVOLVING
LOAN
FUND.—Loan amounts 
repaid to the Secretary shall be available to the Sec-
retary, without fiscal year limitation, for making ad-
ditional loans under this Act. 
(4) OTHER CONDITIONS.—Loans shall be sub-
ject to such other terms and conditions as the Sec-
retary may establish. 
(c) APPLICATIONS.—The Secretary shall provide for 
eligible entities to submit applications for grants and loans 
under this Act. 
(d) SELECTION CRITERIA.—Not later than 60 days 
after the date of the enactment of this Act, the Secretary 
shall cause to be published in the Federal Register a list 
of criteria for the selection of applicant eligible entities 
for grants and loans under this Act. Such criteria shall 
be based upon factors that the Secretary considers are ap-
propriate to determine need among communities for Fed-
eral financial assistance for development of indoor disease 
prevention and health promotion centers. 
(e) REVIEW OF APPLICATIONS AND SELECTION.—
(1) REVIEW PANEL.—The Secretary shall ap-
point a panel of experts in the fields of public recre-
ation, public health, and community health care to 
review applications for grants and loans under this 
Act and to make recommendations to the Secretary 
for selection of such applications for grants and 
loans based upon the criteria established pursuant to 
subsection (d). 
(2) SELECTION.—The Secretary shall select eli-
gible entities that have submitted applications for 
grants and loans under this Act to receive such as-
sistance, based upon the criteria established pursu-
ant to subsection (d) and taking into consideration 
the recommendations of the panel established pursu-
ant to paragraph (1) of this subsection. 
SEC. 7. ALLOCATION OF AMOUNTS. 
(a) REGIONAL ALLOCATION.—Of any amounts made 
available for assistance under this Act for each fiscal 
year—
(1) 50 percent shall be made available for 
grants and loans for the development of indoor dis-
ease prevention and health promotion centers that 
will be located in units of general local government 
having a population of 50,000 or less; and 
(2) 50 percent shall be made available for 
grants and loans for the development of indoor dis-
ease prevention and health promotion centers that 
will be located in units of general local government 
having a population of more than 50,000. 
(b) ALLOCATION FOR GRANTS AND LOANS.—Of any 
amounts made available for assistance under this Act for 
each fiscal year, the Secretary shall make not more than 
10 percent available for loans under this Act. 
SEC. 8. MATCHING FUNDS REQUIREMENT. 
(a) IN GENERAL.—The amount of a grant made 
under this Act by the Secretary to any eligible entity may 
not exceed the amount that the eligible entity certifies, as 
the Secretary shall require, that the entity will contribute 
from non-Federal sources for the activities under section 
5. 
(b) SUPPLEMENTAL FUNDS.—In determining the 
amount contributed for purposes of meeting the require-
ment under subsection (a), an eligible entity may include 
the value of any donated material or building, the value 
of any lease on a building, and the value of any adminis-
trative or other costs incurred by an eligible entity relating
to carrying out the activities assisted with amounts pro-
vided under this Act and amounts contributed under this 
section. 
SEC. 9. LABOR. 
(a) IN GENERAL.—Any contract for activities de-
scribed in section 5 for an indoor center for disease pre-
vention and health promotion that is developed in whole 
or in part with amounts made available under this Act 
shall contain—
(1) a provision requiring that not less than the 
wages prevailing in the locality, as determined or 
adopted (subsequent to a determination under appli-
cable State or local law) by the Secretary, shall be 
paid to all architects, technical engineers, draftsmen, 
and technicians employed in the development of the 
center involved; and 
(2) a provision requiring that not less than the 
wages prevailing in the locality, as predetermined by 
the Secretary of Labor pursuant to subchapter IV of 
chapter 31 of title 40, United States Code (40 
U.S.C. 3141 et seq.), shall be paid to all laborers 
and mechanics employed in the development of the 
center involved. 
(b) COMPLIANCE.—Each eligible entity receiving as-
sistance under this Act shall require certification as to
compliance with the provisions of this section before mak-
ing any payment under such contract. 
(c) INAPPLICABILITY TO VOLUNTEERS.—Subsection 
(a) shall not apply if the individual receives no compensa-
tion or is paid expenses, reasonable benefits, or a nominal 
fee to perform the services for which the individual volun-
teered and such persons are not otherwise employed at any 
time in the development work. 
SEC. 10. DEFINITIONS. 
For purposes of this Act, the following definitions 
shall apply: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means any entity that, under section 4, is eligi-
ble to receive a grant or loan under this Act. 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Housing and Urban Development. 
(3) UNIT OF GENERAL LOCAL GOVERNMENT.—
The term ‘‘unit of general local government’’ means 
any city, town, township, county, parish, village, or 
other general purpose political subdivision of a 
State. 
SEC. 11. AUTHORIZATION OF APPROPRIATIONS. 
There is authorized to be appropriated to the Sec-
retary for grants and loans under this Act—
(1) $100,000,000 for fiscal year 2004;
(2) $125,000,000 for fiscal year 2005; 
(3) $150,000,000 for fiscal year 2006; 
(4) $175,000,000 for fiscal year 2007; and 
(5) $200,000,000 for fiscal year 2008. 
SEC. 12. REGULATIONS. 
The Secretary may issue any regulations necessary 
to carry out this Act.
Æ