I 
109TH CONGRESS 
2D SESSION 
H. R. 5952 
To increase access to and consumption of fresh fruits, vegetables, and healthy 
alternatives in low-income communities with high incidences of obesity 
and obesity-related disease. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 27, 2006 
Ms. VELA´ZQUEZ (for herself, Mr. OWENS, Mr. SERRANO, Mr. RANGEL, Mr. 
LIPINSKI, and Ms. BORDALLO) introduced the following bill; which was 
referred to the Committee on Energy and Commerce, and in addition to 
the Committees on Small Business and Ways and Means, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To increase access to and consumption of fresh fruits, vegeta-
bles, and healthy alternatives in low-income communities 
with high incidences of obesity and obesity-related dis-
ease. 
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 ‘‘Bodegas as Catalysts 
for Healthy Living Act’’. 
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SEC. 2. GRANTS FOR SMALL BUSINESSES AND CONSUMER 
EDUCATION AND OUTREACH. 
(a) PROGRAM REQUIRED.—The Administrator of the 
Small Business Administration shall carry out a program 
under which the Administrator makes grants to any of the 
following: 
(1) A locally-based organization that represents 
small business concerns. 
(2) A local redevelopment agency that is char-
tered, established, or otherwise sanctioned by a 
State or local government. 
(b) USE OF GRANT AMOUNTS.—The recipient of a 
grant under this section shall use the grant amounts for 
one or more of the following activities: 
(1) To provide, to independently owned and op-
erated small business concerns, such as bodegas and 
corner stores, assistance (such as assistance in pur-
chasing appropriate equipment, or assistance in hir-
ing and training personnel) in expanding their inven-
tory to include one or more of the following prod-
ucts: 
(A) Fresh fruits and vegetables. 
(B) Healthy alternatives (as defined by the 
Department of Agriculture) such as whole milk 
alternatives, pure fruit juices, and products 
with 0 grams of transfat). 
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(2) To provide, to community-based organiza-
tions, such as community health centers, assistance 
in carrying out consumer education and outreach ac-
tivities to encourage the purchase of such products, 
such as by informing communities about the health 
risks associated with high-calorie, low-exercise life-
styles and the benefits of healthy living. 
(c) COLLABORATION REQUIRED.—A small business 
concern may receive assistance in expanding inventory 
under subsection (b)(1) only if the small business concern 
works in collaboration with one or more community-based 
organizations in expanding that inventory. A community- 
based organization may receive assistance in carrying out 
activities under subsection (b)(2) only if the community- 
based organization works in collaboration with one or 
more small business concerns in carrying out those activi-
ties. 
(d) MAXIMUM GRANT.—A grant under this section 
may not exceed $100,000. 
(e) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$5,000,000 for fiscal year 2007. 
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SEC. 3. COVERAGE OF ADDITIONAL PRIMARY CARE AND 
PREVENTIVE SERVICES UNDER THE MEDI-
CARE AND MEDICAID PROGRAMS. 
(a) MEDICARE PROGRAM.— 
(1) IN GENERAL.—Section 1861 of the Social 
Security Act (42 U.S.C. 1395x) is amended— 
(A) in subsection (s)(2), by adding at the 
end the following new subparagraph: 
‘‘(BB) additional primary and preventive 
services described in subsection (ccc);’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘Additional Primary and Preventive Services 
‘‘(ccc) The term ‘additional primary and preventive 
services’ means such primary and preventive services that 
are not otherwise covered under this title as the Secretary 
shall specify when provided by qualified providers, as spec-
ified by the Secretary. Such term includes the following: 
‘‘(1) Services for the prevention and treatment 
of obesity and obesity-related disease. 
‘‘(2) Supervised exercise sessions. 
‘‘(3) Exercise stress testing for the purpose of 
exercise prescriptions. 
‘‘(4) Lifestyle modification education. 
‘‘(5) Culinary arts education for the purpose of 
promoting proper nutrition.’’. 
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(2) CONFORMING AMENDMENTS.—(A) Section 
1862(a)(1) of such Act (42 U.S.C. 1395y(a)(1)) is 
amended— 
(i) by striking ‘‘and’’ at the end of sub-
paragraph (M); 
(ii) by adding ‘‘and’’ at the end of sub-
paragraph (N); and 
(iii) by adding at the end the following new 
subparagraph: 
‘‘(O) in the case of additional primary care 
and preventive services, which are performed 
more frequently than the Secretary may speci-
fy;’’. 
(B) Section 1833(b)(5) of such Act (42 U.S.C. 
1395l(b)(5)) is amended by inserting ‘‘or additional 
primary care or preventive services (as defined in 
section 1861(ccc))’’ after ‘‘(jj))’’. 
(b) MEDICAID PROGRAM.—Section 1905(a) of the 
Social Security Act (42 U.S.C. 1396d(a)) is amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(27); 
(2) by redesignating paragraph (28) as para-
graph (29); and 
(3) by inserting after paragraph (27) the fol-
lowing new paragraph: 
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‘‘(28) additional primary care and preventive 
services (as defined in section 1861(ccc)) which are 
not otherwise covered under this subsection; and’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the first day of the first 
calendar quarter beginning after the date of the enactment 
of this Act, with regard to whether regulations to imple-
ment such amendments are in effect as of such date. 
Æ 
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