‘‘(A) an appropriate national, State, or 
community organization with relevant expertise; 
‘‘(B) a health care provider or professional 
organization with relevant expertise; 
‘‘(C) a university or research center that 
employs faculty with relevant expertise; or 
‘‘(D) any other entity determined appro-
priate by the State and approved by the Sec-
retary. 
‘‘(3) REQUIREMENT OF CONTRACT.—If a grant-
ee elects to provide the training under this section 
through a contract, the grantee shall ensure that a 
consistent healthy eating and physical activity cur-
riculum is being developed for all child care entities 
participating in the pilot program in the State. 
‘‘(d) 
PRACTICE, 
CURRICULA, 
AND
POLICY 
CHANGES.—After training is provided as required under 
subsection (c), a State grantee shall ensure that the orga-
nizations and consortium involved— 
‘‘(1) implement, in child care settings, evidence- 
based or data-informed policy changes that promote 
healthy eating, physical activity, and appropriate 
screen time limits among the birth to 5 years of age 
population; 
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‘‘(2) utilize an evidence-based or data-informed, 
culturally competent healthy eating and physical ac-
tivity curriculum in child care settings focusing on 
such birth to age 5 population; 
‘‘(3) implement programs, activities, and proce-
dures for incorporating parental education and in-
volvement of parents in programs, including dissemi-
nating a written parental involvement policy, and co-
ordinating and integrating parental involvement 
strategies under this section, to the extent feasible 
and appropriate, with parental involvement strate-
gies under other programs, such as the Head Start 
program and the Early Head Start Program; and 
‘‘(4) find innovative ways to remove barriers 
that exist to providing opportunities for healthy eat-
ing and physical activity. 
All activities described in this paragraph shall be evidence- 
based and data-informed and be consistent with the cur-
riculum presented through training activities described in 
subsection (c). 
‘‘SEC. 399OO–2. GRANTS FOR THE EVALUATION OF PILOT 
PROGRAMS. 
‘‘The Secretary shall award competitive grants to 
Prevention Research Centers or universities to evaluate 
the programs carried out with grants under section 
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399OO–1, including baseline, process, and outcome meas-
urements. 
‘‘SEC. 399OO–3. COORDINATION. 
‘‘(a) INTERAGENCY COORDINATION.—To the extent 
practicable, the Secretary shall coordinate activities con-
ducted under this part with activities undertaken by the 
National Prevention, Health Promotion and Public Health 
Council established under section 4001 of the Patient Pro-
tection and Affordable Care Act (Public Law 111–148). 
Where practicable, such coordination shall— 
‘‘(1) include the sharing of current and emerg-
ing best practices concerning healthy eating, physical 
activity, and screen time limits that have a popu-
lation-level impact in promoting nutrition and phys-
ical activity in child care settings; 
‘‘(2) promote the effective implementation and 
sustainability of such programs; and 
‘‘(3) avoid unnecessary duplication of effort. 
‘‘(b) PILOT COORDINATION.—The Secretary shall 
designate an individual (directly or through contract) to 
provide technical assistance to States and pilot centers in 
the development, implementation, and evaluation of activi-
ties and dissemination of information described in para-
graphs (1), (2), and (3) of subsection (a). 
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‘‘SEC. 399OO–4. EVALUATION AND REPORTING. 
‘‘(a) TECHNICAL ASSISTANCE AND INFORMATION.— 
The Secretary shall— 
‘‘(1) provide technical assistance to grantees 
and other entities providing training under a grant 
under this part; and 
‘‘(2) disseminate to health departments and 
trainers under grants under this part information 
concerning evidence-based or data-informed ap-
proaches, including dissemination of existing tool-
kits, curricula, and existing or emerging best prac-
tices that can be expanded or improved upon 
through a program conducted under this part. 
‘‘(b) EVALUATION REQUIREMENTS.—With respect to 
evaluations conducted under section 399OO–2, the Sec-
retary shall ensure that— 
‘‘(1) evaluation metrics are consistent across all 
programs funded under this part; 
‘‘(2) interim outcomes are measured by the 
number of centers that have implemented policy and 
environmental strategies that support use of cur-
ricula and practices supporting healthy eating, phys-
ical activity, and screen time limits; 
‘‘(3) interim outcomes are measured, to the ex-
tent possible, by behavior changes in healthy eating, 
physical activity, and screen time; and 
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‘‘(4) upon completion of the program, the eval-
uation shall include an identification of best prac-
tices relating to behavior change and reductions in 
the increasing prevalence of overweight and obesity 
that could be replicated in other settings. 
‘‘(c) DISSEMINATION OF INFORMATION.—Upon the 
conclusion of the programs carried out under this part, 
the Secretary shall disseminate to all appropriate agencies 
within the Department of Health and Human Services evi-
dence, best practices, and lessons learned from grantees. 
Such agencies shall encourage the adoption of the best 
practices. 
‘‘(d) REPORT
TO CONGRESS.—Not later than 6 
months after the completion of the pilot program under 
this part, the Secretary shall submit to Congress a report 
concerning the evaluation of the pilot programs, including 
recommendations as to how lessons learned from such pro-
grams can be incorporated into future guidance docu-
ments developed and provided by the Secretary and other 
Federal agencies, as appropriate. 
‘‘SEC. 399OO–5. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this part, $2,500,000 for each of fiscal years 2012, 2013, 
and 2014.’’. 
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SEC. 112. HEALTH AND FITNESS SCHOOL PROGRAMS: 
TRAINING 
AMERICA’S 
YOUTH 
TO 
LIVE 
HEALTHY LIFESTYLES. 
(a) IN GENERAL.—The Secretaries shall carry out a 
2-year pilot program consisting of awarding grants to eli-
gible entities for the purpose of establishing or expanding 
evidence-informed health and fitness programs in sec-
ondary schools in low-income communities. 
(b) HEALTH
AND FITNESS PROGRAM REQUIRE-
MENTS.—As a condition on receipt of a grant under this 
section, an eligible entity shall agree that any health and 
fitness program at a secondary school funded through the 
grant will— 
(1) be conducted in partnership with the sec-
ondary school, community entities, local contributors 
of funds, and tribal councils; 
(2) include services by recent graduates of insti-
tutions of higher education who are interested in 
pursuing graduate degrees in medicine, nursing, nu-
trition science, exercise physiology, public health, or 
a related discipline; 
(3) use services by such graduates to supple-
ment rather than supplant the health and fitness 
curriculum of the secondary school; 
(4) include a highly effective student-mentor 
intervention and education program conducted by 
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such graduates for a maximum of 2 years of service 
in 1 secondary school per graduate; 
(5) build a healthier community through 
wellness activities and increased awareness about 
and access to healthy foods; 
(6) provide daily health and fitness instruction 
to both students and faculty; 
(7) conduct an annual in-school health fair 
using the services of secondary school students with 
the objective of building a healthier community 
through wellness activities and increased awareness 
about and access to healthy foods; 
(8) conduct an annual school-based and an an-
nual community-based health fair using the services 
of secondary school students with the objective of 
building a healthier community through wellness ac-
tivities and increased awareness about and access to 
healthy foods; and 
(9) expose secondary school students to a vari-
ety of career choices in wellness and health-related 
disciplines, including careers in medicine, nursing, 
nutrition science, and exercise physiology. 
(c) NON-FEDERAL FUNDS.—The Secretaries shall 
encourage grantees under this section to contribute funds 
from non-Federal sources to increase— 
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(1) the number of secondary schools at which 
health and fitness programs are offered; or 
(2) the longevity of such programs. 
(d) MINIMUM NUMBER OF SCHOOLS.—The Secre-
taries shall ensure that grants under this section are used 
to establish or expand health and fitness programs at a 
total of not less than 20 schools. 
(e) ASSESSMENT; REPORTING.—As conditions on re-
ceipt of a grant under this section, an eligible entity shall 
agree to— 
(1) conduct an annual assessment of health and 
fitness programs funded through the grant using the 
Centers for Disease Control and Prevention’s School 
Health Index; 
(2) on an annual basis, report the findings of 
each assessment under paragraph (1) to the partici-
pating school, community partners, local contribu-
tors of funds, and tribal councils; and 
(3) not later than the end of fiscal year 2013, 
submit a report to the Secretaries and an appro-
priate representative of the Centers for Disease Con-
trol and Prevention on the success of the programs 
in educating children and families and thereby pre-
venting or reducing childhood obesity, including data 
from each assessment under paragraph (1). 
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(f) DEFINITIONS.—In this section: 
(1) The term ‘‘secondary school’’ has the mean-
ing given to such term in section 9101 of the Ele-
mentary and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
(2) The term ‘‘eligible entity’’ means a non-
profit organization or entity with the ability to meet 
the requirements applicable to a grantee under this 
section, as determined by the Secretaries. 
(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 Secretaries to be low-income for purposes of 
this section. 
(4) The term ‘‘Secretaries’’ means the Sec-
retary of Health and Human Services and the Sec-
retary of Education, acting jointly and in conjunc-
tion with the Director of the Centers for Disease 
Control and Prevention. 
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(g) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$1,400,000 for the period of fiscal years 2012 through 
2013. 
TITLE II—ADVANCING PREVENT-
ATIVE 
MEASURES 
AND 
TREATMENT OF OBESITY IN 
ADULTS AND CHILDREN IN 
UNDERSERVED 
COMMU-
NITIES 
SEC. 201. COMMUNITY HEALTH AND WELLNESS NAVIGA-
TORS PILOT PROGRAM: CONNECTING AMER-
ICA’S HEALTH PROFESSIONAL WITH OUR 
SCHOOLS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall award grants to 5 or more States 
for the establishment of a community navigator program, 
consisting of each such State making subgrants to 1 or 
more eligible entities for a local community navigator pro-
gram described in subsection (b). 
(b) PROGRAM DESCRIPTION.—A local community 
navigator program described in this subsection shall con-
sist of the following: 
(1) An eligible entity, in partnership with a 
local educational agency, a bureau-funded school, or 
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a nonprofit health or education organization, will 
hire and train 2 or more community navigators. 
(2) The community navigators will facilitate a 
relationship between the eligible entity and the local 
educational agency, bureau-funded school, or non-
profit health or education organization in low-income 
communities to ensure increased access to medical 
care through educating parents and school adminis-
trators. 
(3) The community navigators will carry out 
educational activities for elementary school and sec-
ondary school students and their parents in low-in-
come communities with the goal of— 
(A) increasing familial intake of nutritious 
meals; 
(B) increasing physical activity both in and 
out of the school setting; and 
(C) increasing access to medical care. 
(c) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary shall submit 
a report to the Congress on the effectiveness of the pro-
gram under this section. 
(d) DEFINITIONS.—In this section: 
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(1) The term ‘‘bureau-funded school’’ has the 
meaning given such term in section 1146 of the 
Education Amendments of 1978 (25 U.S.C. 2026). 
(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 ‘‘eligible entity’’ includes a Feder-
ally qualified health center (as defined in section 
1861(aa) of the Social Security Act (42 U.S.C. 
1395x(aa))), a facility operated by the Indian 
Health Service (including a facility operated by an 
Indian tribe or tribal organization through a con-
tract or compact with the Service under the Indian 
Self-Determination and Education Assistance Act 
(25 U.S.C. 450 et seq.)), a free-standing children’s 
hospital that is described in subparagraph (L) or 
(M) of section 340B(a)(4) of the Public Health 
Service Act (42 U.S.C. 256b(a)(4)), a non-profit 
with demonstrated effectiveness in the area of 
healthcare and with a focus on serving low-income 
communities, a rural hospital, and a rural health 
clinic. 
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(4) 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 Secretaries to be low-income for purposes of 
this section. 
(5) The term ‘‘nonprofit health or education or-
ganization’’ shall be defined by the Secretary. 
(6) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(7) The term ‘‘State’’ includes the District of 
Columbia and any commonwealth, territory, or pos-
session of the United States, including the Common-
wealth of Puerto Rico, the Virgin Islands, Guam, 
American Samoa, and the Commonwealth of the 
Northern Mariana Islands. 
(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for fiscal years 2012 and 
2013. 
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SEC. 202. REQUIREMENT TO EXPEDITE NATIONAL MEDI-
CARE COVERAGE DETERMINATIONS FOR EVI-
DENCE-BASED PREVENTIVE SERVICES. 
(a) IN GENERAL.—Not later than January 1, 2012, 
the Secretary of Health and Human Services shall issue 
national Medicare coverage determinations for evidence- 
based preventive and treatment services, including services 
to prevent or treat overweight and obesity that have in 
effect a rating of ‘A’ or ‘B’ (relating to a classification 
representing strongly recommended or recommended serv-
ices) in the current recommendations of the United States 
Preventive Services Task Force (in this section referred 
to as ‘‘USPSTF’’) and clinical services for preventing and 
treating overweight and obesity as defined by the National 
Heart, Lung and Blood Institute’s (in this section referred 
to as ‘‘NHLBI’’) Clinical Guidelines on the Identification, 
Evaluation and Treatment of Overweight and Obesity in 
Adults. The Secretary shall update such coverage deter-
minations based on future updates to such USPSTF and 
NHLBI guidelines. 
(b) UPDATING RECOMMENDATIONS.—The Secretary 
shall instruct— 
(1) the Agency for Healthcare Research and 
Quality and the USPSTF to update, by not later 
than one year after the date of the enactment of this 
Act and at least once every 5 years thereafter, 
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USPSTF recommendations relating to the preven-
tion of overweight and obesity that have in effect a 
rating of ‘I’ (relating to a classification representing 
insufficient evidence to make a recommendation for 
the service involved) to determine if such rating 
should be upgraded to a rating of ‘‘A’’ or ‘‘B’’; and 
(2) the National Heart, Lung and Blood Insti-
tute to update, by not later than December 31, 
2010, and at least once every 3 years thereafter, the 
NHLBI Clinical Guidelines described in subsection 
(a). 
SEC. 203. EXPANSION OF OBESITY TREATMENT SERVICES 
UNDER MEDICARE. 
(a) COVERAGE.—Section 1861 of the Social Security 
Act (42 U.S.C. 1395x), as amended by section 4103 of 
the Patient Protection and Affordable Care Act (Public 
Law 111–148), is further amended— 
(1) in subsection (s)(2)— 
(A) in subparagraph (EE), by striking at 
the end ‘‘and’’; 
(B) in subparagraph (FF), by adding at 
the end ‘‘and’’; and 
(C) by adding at the end the following new 
subparagraph: 
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‘‘(GG) items and services furnished under 
an obesity treatment program (as defined in 
subsection (iii));’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(iii) OBESITY TREATMENT PROGRAM.—The term 
‘obesity treatment program’ means— 
‘‘(1) medical services delivered to eligible indi-
viduals under a plan of care for the purpose of re-
ducing body mass index and the associated co- 
morbidities of obesity, including— 
‘‘(A) the development of an initial plan of 
care and subsequent revisions to that plan of 
care; 
‘‘(B) medical and surgical interventions as 
determined appropriate by the Secretary; and 
‘‘(C) additional services for which payment 
would not otherwise be made under this title 
that the Secretary may specify that encourage 
the receipt of, or improve the effectiveness of, 
the services described in the preceding subpara-
graphs. 
In carrying out subparagraph (C), the Secretary 
shall consider recommendations of the United States 
Preventive Services Task Force; clinical practice 
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