I 
110TH CONGRESS 
1ST SESSION H. R. 2045 
To help promote the national recommendation of physical activity to kids, 
families, and communities across the United States. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 25, 2007 
Mr. UDALL of Colorado (for himself, Ms. GRANGER, Mr. BOSWELL, Mr. 
MCINTYRE, and Mr. CUMMINGS) introduced the following bill; which was 
referred to the Committee on Energy and Commerce 
A BILL 
To help promote the national recommendation of physical 
activity to kids, families, and communities across 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 ‘‘Promoting Lifelong 
Active Communities Every Day Act’’ or the ‘‘PLAY Every 
Day Act’’. 
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SEC. 2. PURPOSE. 
The purpose of this Act is to help children, families 
and communities achieve the national recommendation of 
60 minutes of physical activity every day. 
SEC. 3. FINDINGS. 
Congress makes the following findings: 
(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 
for countries that are members of the Organization 
for Economic Co-operation 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) Chief executive officers rank health care 
costs as their number 1 economic pressure, and 
McKinsey and Company predicts that by 2008 the 
health care costs of the Fortune 500 companies will 
be greater than their net profits, if current trends 
continue. 
(4) Since the 1970s, the percentage rate of obe-
sity has more than doubled for preschool children 
aged 2–5 years and adolescents aged 12–19 years, 
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and it has more than tripled for children aged 6–11 
years. 
(5) The Institute of Medicine reported that in 
2004, approximately 9,000,000 children over 6 years 
of age were obese. 
(6) The Centers for Disease Control and Pre-
vention reported in 2000 that only 8 percent of ele-
mentary schools, 6.4 percent of middle and junior 
high schools, and 5.8 percent of senior high schools 
offer daily physical education or its equivalent for 
the entire school year for students in all grades of 
the school. 
(7) The Centers for Disease Control and Pre-
vention reported in 2000 that less than 50 percent 
of all schools offered any intramural activities or 
physical activity clubs for students. 
(8) A 2002 survey reported that 61.5 percent 
of children do not participate in any organized phys-
ical activity outside of school hours. 
(9) The Institute of Medicine reported in ‘‘Pre-
venting Childhood Obesity’’ (2004) that in 1969, an 
average of 48 percent of all students walked or bicy-
cled to school. In 1999, only 19 percent of children 
walked to or from school and 6 percent rode bicycles 
to school. 
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(10) Between 1977 and 1995, trips made by 
walking declined by 40 percent for adults while driv-
ing trips increased to almost 90 percent of the total. 
(11) The Institute of Medicine reported that 
due to vehicular traffic, high crime rates, and lack 
of sidewalks or open spaces, children often do not 
have safe places to play outside in many neighbor-
hoods. 
(12) Currently, many governmental, scientific, 
and public health agencies recommend that school- 
age children and adolescents engage in at least 60 
minutes of moderate to vigorous physical activity 
that is developmentally appropriate and enjoyable, 
and which involves a variety of activities, on most, 
preferably all, days of the week. 
SEC. 4. DEFINITION OF SECRETARY. 
In this Act, the term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services. 
TITLE I—NATIONAL PROGRAM 
PROMOTING 
LIFELONG 
AC-
TIVE COMMUNITIES 
SEC. 101. DEVELOPMENT OF COMMUNITY PLAY INDEX. 
(a) COMMUNITY PLAY INDEX.—The Secretary, act-
ing through the Director of the Centers for Disease Con-
trol and Prevention, shall develop a well-validated commu-
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nity measurement tool, which shall be known as the ‘‘Com-
munity Play Index’’, that can measure the policy, pro-
gram, or environmental barriers in communities to partici-
pating in physical activity. The Community Play Index 
shall include— 
(1) cross-cutting measurements that— 
(A) examine barriers to physical activities 
across multiple settings, including homes, after 
school and child care sites, schools, the commu-
nity at-large, and worksites; and 
(B) focus on the— 
(i) availability of adequate spaces and 
places for physical activity; 
(ii) availability of, and access to, qual-
ity physical activity and physical education 
programs; and 
(iii) the availability of programs, ac-
tivities, and leaders to educate about the 
importance of physical activity for the com-
munity; and 
(2) additional measurements to assist economi-
cally and culturally diverse communities in exam-
ining the social determinants of health. 
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(b) GUIDANCE AND TRAINING.—The Secretary shall 
provide guidance and develop training on utilizing the 
Community Play Index. 
SEC. 102. SENSE OF THE CONGRESS REGARDING FUNDING. 
It is the sense of the Congress that the Secretary, 
acting through the Director of the Centers for Disease 
Control and Prevention, shall carry out this title using any 
additional and available funds provided to the Secretary 
for the steps to a healthier United States program carried 
out by the Centers for Disease Control and Prevention. 
TITLE II—MODEL COMMUNITIES 
OF PLAY IMPLEMENTATION 
GRANTS 
SEC. 201. MODEL COMMUNITIES OF PLAY IMPLEMENTA-
TION GRANTS. 
(a) PROGRAM AUTHORIZED.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease 
Control and Prevention, shall award 3 grants to 
State health departments to enable the State health 
departments to work in partnership with eligible 
community-based coalitions to plan and implement 
model communities of play that— 
(A) increase the physical spaces and places 
available for physical activity; 
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(B) increase the opportunities for children 
and families to participate in quality play, and 
the number of children and families partici-
pating in quality play; and 
(C) increase knowledge and awareness 
about the importance of individuals achieving 
60 minutes of recommended physical activity 
every day. 
(2) AMOUNT
OF
GRANTS.—A grant awarded 
under this subsection shall be in the amount of 
$250,000. If the amounts appropriated under this 
Act for a fiscal year are not sufficient to support 3 
grants at such level, the Secretary shall ratably re-
duce the amount of all grants. 
(b) APPLICATION.—A State health department desir-
ing a grant under subsection (a) shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
(c) COORDINATION.—In awarding grants under sub-
section (a), the Secretary shall ensure that the proposed 
programs assisted under each grant are coordinated in 
substance and format with programs currently funded 
through other Federal departments and agencies, includ-
ing— 
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(1) State-based nutrition and physical activity 
programs, comprehensive school health education 
programs, and community-based health and wellness 
programs of the Centers for Disease Control and 
Prevention; 
(2) the physical education programs under sub-
part 10 of part D of title V of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7261 
et seq.; 
(3) the safe routes to schools program under 
section 1404 of the Safe, Accountable, Flexible, Effi-
cient Transportation Equity Act: A Legacy for 
Users (23 U.S.C. 402 note; 119 Stat. 1228); and 
(4) other health and wellness programs oper-
ating within the community. 
(d) PARTNERSHIP WITH COMMUNITY COALITIONS.— 
A State health department receiving a grant under sub-
section (a) shall use grant funds to carry out the activities 
described in subsection (e) in partnership with 1 or more 
community coalitions that meet all of the following re-
quirements: 
(1) The community coalition is comprised of a 
representative sampling of community partners, in-
cluding not less than half of the different types of 
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individuals or entities described in subparagraphs 
(A) through (O): 
(A) A community-based organization that 
focuses on children and youth, preventive 
health, physical activity, or physical education. 
(B) A local parks and recreation depart-
ment. 
(C) A local health department. 
(D) A local educational agency, as defined 
in section 9101 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 
7801). 
(E) A local city planning agency. 
(F) A local health care provider. 
(G) A 4-year institution of higher edu-
cation, as defined in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
(H) A tribal health facility, where applica-
ble. 
(I) A tribal educational agency, where ap-
plicable. 
(J) A federally qualified health center or 
rural health clinic, where applicable. 
(K) A hospital. 
(L) A faith-based organization. 
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(M) A policymaker or elected official. 
(N) A community planning organization. 
(O) A business. 
(2) The community coalition completed and 
submitted to the State health department— 
(A) a Community Play Index developed 
under section 101 for the community that iden-
tifies the gaps and barriers to physical activity 
in the community to children and youth; and 
(B) a community action plan describing 
the programs, policy, and environmental change 
strategies that will be implemented with grant 
funds to help children and youth in the commu-
nity reach the recommended 60 minutes of 
physical activity every day. 
(3) The community coalition provided— 
(A) documentation to the State health de-
partment on the manner in which the coalition 
will coordinate with appropriate State and local 
authorities, including— 
(i) State or local health departments; 
(ii) State educational agencies or local 
educational agencies, as defined in section 
9101 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801); 
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(iii) State or local parks and recre-
ation departments or associations; 
(iv) State or local departments of 
transportation or city planning; 
(v) community foundations; and 
(vi) any other entities determined to 
be appropriate by the Secretary; and 
(B) a description of the manner in which 
the coalition will evaluate the effectiveness of 
the programs carried out with grant funds. 
(e) AUTHORIZED ACTIVITIES.—A State health de-
partment that receives a grant under subsection (a) shall 
use funds available through the grant to carry out the fol-
lowing activities: 
(1) Train community-based coalitions on how to 
utilize the Community Play Index to measure the 
program, policy, and environmental barriers to pro-
moting lifelong physical activity for youth. 
(2) Work in partnership with community coali-
tions described in subsection (d) to enable the com-
munity coalitions to carry out the coalition’s commu-
nity action plan and promote a model community of 
play, which may include the following: 
(A) Enabling the maximum use of, or the 
creation of spaces and places for, physical activ-
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ity for children, families, and communities be-
fore, during, and after school or work, which 
may include increasing the number of— 
(i) programs that increase the number 
of safe streets and sidewalks in the com-
munity to walk and bike to school, work, 
or other community destinations, such as 
recreation sites, parks, or community cen-
ters; 
(ii) schools, faith-based organizations, 
and recreational facilities serving the com-
munity that provide programming on phys-
ical activity and physical education before, 
during, or after school; 
(iii) schools serving the community 
that provide recess, physical education, and 
physical activity for children and youth; 
(iv) day care, child care, and after 
school care sites in the community that 
provide physical activity for children and 
youth; 
(v) venues in the community that pro-
vide co-curricular physical activity pro-
grams, including sports fields and courts, 
especially venues for all-inclusive intra-
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mural programs and physical activity 
clubs; 
(vi) playgrounds and activity sites in 
the community for young children, includ-
ing sites that offer programs that provide 
physical activity instruction that meet the 
various needs and interests of all students, 
including those with illness, injury, and 
physical and developmental disabilities, as 
well as those that live sedentary lifestyles 
or with a disinterest in traditional team 
sports; 
(vii) capital improvement projects that 
increase opportunities for physical activity 
in the community; and 
(viii) networks of walking and cycling 
trails where trails do not exist in the com-
munity, that offer both a functional alter-
native to automobile travel and an oppor-
tunity for exercise, recreation, and commu-
nity connectedness. 
(B) Enhancing opportunities and access 
for children and youth in the community to par-
ticipate in quality physical activity and physical 
education programs before, during, and after 
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school, which may include increasing the num-
ber of— 
(i) school and after school care sites 
in the community that implement proven 
health curricula, physical education (in-
cluding developing innovative approaches 
to teaching and staffing, physical edu-
cation), and physical activity programming; 
(ii) children and youth in the commu-
nity that are able to participate in physical 
education or activity during and after 
school, by ensuring that adequate equip-
ment is available to such children and 
youth; 
(iii) scholarships to low-income chil-
dren and youth for physical activity pro-
grams; 
(iv) education and training programs 
for education, recreation, leisure, child 
care, and coaching professionals regarding 
quality physical education and physical ac-
tivity programs and policies; 
(v) training programs to assist physi-
cians in— 
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(I) carefully communicating the 
results of body mass index (BMI) 
tests to parents and, in an age-appro-
priate manner, to the children and 
youth themselves; 
(II) providing information to 
families so they may make informed 
decisions about physical activity and 
nutrition; and 
(III) explaining the benefits asso-
ciated with physical activity and the 
risks associated with childhood over-
weight and obesity; 
(vi) assessment tools used to measure 
the quality of physical activity, sports, and 
intramural sports programs; 
(vii) guidelines and informational ma-
terials used by teachers, parents, care-
givers, and health-care professionals who 
are interested in promoting physical activ-
ity for infants, toddlers, and preschoolers; 
and 
(viii) guidelines and informational ma-
terials used to promote physical activity 
with the intent of improving the current 
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health, fitness, and wellness of preadoles-
cent children (ages 6 through 12) as well 
as to promote lifelong physical activity. 
(C) Identifying, engaging and mobilizing 
community leaders, decision-makers, experts, 
and the media to raise awareness and educate 
the public about the importance of securing 60 
minutes of physical activity every day, which 
may include increasing the number of— 
(i) school and after school care faculty 
and staff, including coaches, that serve as 
positive role models for students regarding 
regular physical activity; 
(ii) businesses that serve as role mod-
els by providing physical space and incen-
tives for employees to participate in phys-
ical activity; 
(iii) businesses that serve as role mod-
els to communities by— 
(I) providing support to intra-
mural teams, clubs, sports leagues, 
playgrounds, trails, biking and walk-
ing paths, and fields and venues for 
sports, play, and physical activity; 
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(II) incorporating built environ-
ment strategies into new construction 
of facilities; 
(III) adopting safe routes to 
school programs; 
(IV) providing bike racks at the 
office; and 
(V) encouraging the use of the 
stairs; 
(iv) insurers that provide incentives 
for maintaining healthy body weight, in-
cluding offering screening and obesity pre-
vention services in routine clinical practice; 
(v) groups representing low-income in-
dividuals or individuals with disabilities, 
that can promote and secure safer and 
more accessible sites for activity; 
(vi) consumer research-driven mar-
keting strategies for ongoing initiatives 
and interventions that enhance physical ac-
tivity for children and youth; 
(vii) products and opportunities pro-
vided or offered by leisure, entertainment, 
and recreation industries that promote reg-
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ular physical activity and reduce sedentary 
behaviors; 
(viii) media advocacy training pro-
grams for public health and exercise sci-
entists so as to empower the scientists to 
disseminate their knowledge to a broad au-
dience; and 
(ix) campaigns to foster awareness 
about the health benefits of regular phys-
ical activity of not less than 60 minutes a 
day for all children and youth. 
(3) To support the evaluation of the community 
action plans of the community coalitions and the ac-
tivities carried out under this Act. 
(f) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this title 
$750,000 for fiscal year 2008. 
Æ 
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