I 
111TH CONGRESS 
2D SESSION 
H. R. 6258 
To address childhood obesity, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 29, 2010 
Ms. FUDGE
(for herself, Mr. CAO, Mr. JACKSON
of Illinois, Mrs. 
CHRISTENSEN, Mr. RUSH, Mr. PAYNE, Mr. HARE, Mr. FALEOMAVAEGA, 
Mr. DAVIS of Illinois, Mr. HONDA, Ms. ROYBAL-ALLARD, and Ms. CHU) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committees on Education and 
Labor, Ways and Means, Natural Resources, Agriculture, the Judiciary, 
and Financial Services, 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 committee concerned 
A BILL 
To address childhood obesity, and for other purposes. 
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 ‘‘Fit for LIFE Act of 
2010’’ or the ‘‘Fit for Local Investments in the Future 
of Every Child Act of 2010’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
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Sec. 1. Short title. 
Sec. 2. Table of contents. 
TITLE I—IMPROVING THE NUTRITIONAL QUALITY OF AND 
ACCESS TO FOODS IN UNDERSERVED AMERICAN COMMUNITIES 
Subtitle A—Nutritional Quality of Foods in Underserved American 
Communities 
Sec. 101. Food swamps: green and healthy corner store initiative. 
Sec. 102. Virtual Farmers Market Program: Making It Easier To Access Food 
from the Farm in the City. 
Sec. 103. Community Gardening Grant Program: Fresh Foods Grown in Our 
Communities by Residents. 
Sec. 104. Study to certify the adequacy of cafeteria equipment for the prepara-
tion and storage of foods within the dietary guidelines. 
Subtitle B—Access to Nutritious and Quality Foods in Underserved American 
Communities 
Sec. 111. Food deserts: Addressing the Lack of Supermarkets in Underserved 
Communities. 
Sec. 112. Expansion of the Child Care and Adult Food Care Program to In-
crease Availability of After School Snacks. 
Sec. 113. Expansion of the Fresh Fruit and Vegetable Program. 
Sec. 114. Expanding Access to the Summer Food Service Program for Chil-
dren. 
Sec. 115. Grants for expansion of school breakfast programs to improve the 
health and education of children. 
Sec. 116. Study and report on physical activity and nutritional quality of meals 
and snacks served, in juvenile justice facilities. 
Sec. 117. Local food insecurity assessments: assessing the unique nutritional 
needs of local communities. 
Subtitle C—Ensuring a Healthy Start for Children in Underserved American 
Communities 
Sec. 121. Improving Healthy Eating and Physical Activity Among our Young-
est Children. 
Sec. 122. Health and fitness school programs: training America’s youth to live 
healthy lifestyles. 
TITLE II—ADVANCING PREVENTATIVE MEASURES AND TREAT-
MENT OF OBESITY IN ADULTS AND CHILDREN IN UNDER-
SERVED COMMUNITIES 
Sec. 201. Community health and wellness navigators pilot program: connecting 
America’s health professional with our schools. 
Sec. 202. Requirement to expedite national Medicare coverage determinations 
for evidence-based preventive services. 
Sec. 203. Expansion of obesity treatment services under Medicare. 
Sec. 204. Coverage of evidence-based preventive services under Medicaid and 
SCHIP. 
Sec. 205. Coverage of medical nutrition therapy under Medicaid and SCHIP. 
Sec. 206. Clarification of EPSDT inclusion of prevention, screening, and treat-
ment services for obesity and overweight; SCHIP coverage. 
Sec. 207. National commission on child obesity. 
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Sec. 208. GAO report. 
TITLE III—ENCOURAGING PHYSICAL ACTIVITY IN UNDERSERVED 
AMERICAN COMMUNITIES 
Sec. 301. Renovation of foreclosed and abandoned properties to create spaces 
that encourage physical activity in American neighborhoods. 
Sec. 302. National youth sports program revitalization. 
Sec. 303. Expansion of the Zuni Youth Enrichment Project Summer Camp. 
Sec. 304. Making routes to schools in underserved communities safe and acces-
sible with public participation through the Community Oriented 
Policing Services program. 
Sec. 305. Land and Water Conservation Fund Program Grants in Low-Income 
Communities and Expand Tribal Participation. 
Sec. 306. Changing Hearts, Attitudes, and Minds by Participating in Sports 
(CHAMPS) Program. 
Sec. 307. Coordinated School Health Initiatives. 
Sec. 308. Rewarding elementary and secondary schools for outstanding student 
performance in physical fitness programs. 
TITLE I—IMPROVING THE NU-
TRITIONAL QUALITY OF AND 
ACCESS TO FOODS IN UNDER-
SERVED AMERICAN COMMU-
NITIES 
Subtitle A—Nutritional Quality of 
Foods in Underserved American 
Communities 
SEC. 101. FOOD SWAMPS: GREEN AND HEALTHY CORNER 
STORE INITIATIVE. 
(a) IN GENERAL.—The Secretary of Agriculture shall 
carry out a program, to be known as the Green and 
Healthy Corner Store Initiative, of awarding grants to 
units of general local government, nonprofit organizations, 
and tribal governments to assist qualified convenience 
stores to expand and sustain their offering of fruits and 
vegetables. 
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(b) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to applicants pro-
posing to provide assistance to qualified convenience stores 
in low-income communities. 
(c) ASSISTANCE.—Assistance provided to a qualified 
convenience store pursuant to this section may include the 
following: 
(1) Seed money for the purchase of fruits and 
vegetables and for equipment needed to sell fruits 
and vegetables, such as but not limited to refrig-
erators. 
(2) Seed money for converting to energy-saving 
equipment, such as but not limited to energy-effi-
cient lighting and refrigerators and a ductless 
HVAC system, to minimize the additional energy 
costs associated with the refrigeration needed to 
stock fruits and vegetables. 
(3) Educational tools and information on the 
importance of fresh fruits and vegetables. 
(4) Simple recipes to assist customers in 
healthy food preparation. 
(d) REQUIREMENTS FOR CONVENIENCE STORES.— 
As a condition on receipt of funds under this section, a 
grantee shall agree to ensure that any qualified conven-
ience store receiving assistance through the grant will— 
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(1) maintain its expanded offering of fruits and 
vegetables for a minimum time to be determined by 
the Secretary; 
(2) limit the number of its advertisements for 
alcoholic beverages and cigarettes and offer at least 
an equal amount of advertising for fruits and vege-
tables; 
(3) place advertisements for fruits and vegeta-
bles prominently in the front of the store; 
(4) advertise that the store is participating in 
the Green and Healthy Corner Store Initiative; and 
(5) work to partner with rural and urban farm-
ers markets to obtain fruits and vegetables for sale. 
(e) COOPERATION AMONG STORES TO DECREASE 
PRICES.—The Secretary shall encourage grant recipients 
under this section to encourage qualified convenience 
stores receiving assistance through the grant to combine 
efforts with other convenience stores when ordering fruits 
and vegetables from distributors in an effort to decrease 
the price of such goods. 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘Bureau-funded school’’ has the 
meaning given to such term in section 1141 of the 
Education Amendments of 1978 (25 U.S.C. 2021). 
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(2) The terms ‘‘elementary school’’, ‘‘local edu-
cational agency’’, and ‘‘secondary school’’ have the 
meanings given to such terms in section 9101 of the 
Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7801). 
(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 Secretary to be low-income for purposes of 
this section. 
(4) The term ‘‘Secretary’’ means the Secretary 
of Agriculture. 
(5) The term ‘‘qualified convenience store’’ 
means a convenience store located within a quarter 
mile of an elementary school or a secondary school 
that is a public school or a Bureau-funded school. 
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SEC. 102. VIRTUAL FARMERS MARKET PROGRAM: MAKING 
IT EASIER TO ACCESS FOOD FROM THE FARM 
IN THE CITY. 
(a) ESTABLISHMENT OF GRANT PROGRAM.—From 
the amounts appropriated to carry out this section, the 
Secretary of Agriculture shall award grants, on a competi-
tive basis, to eligible entities to enable such entities to 
carry out a program that provides access to farmers mar-
kets to communities that are food deserts. 
(b) USE OF FUNDS.—An eligible entity receiving a 
grant under this section shall use such funds for the fol-
lowing: 
(1) Purchasing virtual farmers market software 
(including computer kiosks and swipe card stations), 
or entering into a contract with an eligible organiza-
tion to develop and maintain the technology nec-
essary, to carry out a virtual farmers market pro-
gram to enable individuals an organizations in com-
munities that are food deserts to order and purchase 
fruits and vegetables and other healthy food items 
using such technology. 
(2) Training staff to— 
(A) assist individuals and organizations in 
communities that are food deserts to order and 
purchase food products under the program de-
scribed in paragraph (1); and 
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(B) purchase and order food products 
under the program for the eligible entity. 
(3) Packaging food products purchased under 
the program in manner that makes transportation of 
the products possible by foot. 
(4) Paying staff to manage the program, and 
package and assist in the distribution and delivery 
of food products purchased under the program. 
(5) Raising public awareness about the pro-
gram. 
(6) Developing simple food preparation strate-
gies and menus for customers of the program. 
(7) Coordinating with the Secretary of Agri-
culture to develop mechanisms to enable reimburse-
ment under the supplemental nutrition assistance 
program established under the Food and Nutrition 
Act of 2008 (7 U.S.C. 2011 et seq.) for purchases 
made under the program. 
(8) Purchasing or rehabilitating buses, includ-
ing buses that were formerly used as school buses, 
that may be used to transport to the eligible enti-
ty— 
(A) the foods ordered and purchased under 
the program using the technology described in 
paragraph (1); or 
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(B) other fruits and vegetables that meet 
the requirements of subsection (e) in order to 
provide additional opportunities for individuals 
and organizations in communities that are food 
deserts to purchase locally grown fruits and 
vegetables. 
(c) APPLICATION.—In order to receive a grant under 
this section, an eligible entity shall submit an application 
to the Secretary at such time, in such manner, and con-
taining such information as the Secretary may require. 
(d) GRANT AMOUNT.—A grant awarded under this 
section may not be greater than $10,000. 
(e) LIMITATIONS ON FOOD PURCHASED.—To the ex-
tent practicable, the majority of food purchased under a 
virtual farmers market program carried out by an eligible 
entity under this section shall be from farmers located 
within a 50 mile radius of the site where the food is or-
dered and delivered under the program, except in the case 
where the eligible entity demonstrates to the Secretary 
that no such farmers exist or that the farmers are not 
able to provide a sufficient variety or amount of food for 
the purposes of the program. 
(f) REPORT.—Not later than 1 year after the first 
fiscal year in which funds are appropriated to carry out 
this section, the Secretary shall report to Congress on the 
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