‘‘(3) provide structured physical fitness activi-
ties, including organized sports, which engage each 
participant in a minimum of 60 minutes of moderate 
to vigorous physical activity at least three days per 
week for a period of at least 24 weeks in a given 
year; 
‘‘(4) provide adult supervision and guidance or 
coaches who encourage and teach proper exercise 
techniques and skills; 
‘‘(5) combine physical fitness activities with nu-
tritional counseling and education; and 
‘‘(6) demonstrate measurable results for reduc-
ing childhood obesity on the part of participants, in-
cluding through— 
‘‘(A) measurement and study of partici-
pants’ moderate to vigorous physical activity 
(MVPA) each day, both as part of the pro-
grams funded under this section and on the 
participants’ own initiative; 
‘‘(B) increased knowledge of and aware-
ness about the importance of physical activity 
and exercise as well as the nutritional value of 
food and beverage choices; 
‘‘(C) keeping track of and reporting mean-
ingful reductions in the consumption of food 
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and beverages with low nutritional value, in-
creased consumption of healthy items, and in-
creased levels of unstructured, self-initiated 
physical activity outside of the programs funded 
under this section; and 
‘‘(D) measurement and study of partici-
pants’ body mass index (BMI) indicating 
that— 
‘‘(i) children entering programs fund-
ed under this section with a healthy body 
mass index maintain it while participating 
in such programs; and 
‘‘(ii) children participating in such 
programs with an unhealthy body mass 
index halt any negative trend lines towards 
obesity or begin trend lines in a positive di-
rection. 
‘‘(d) PRIORITY.—In selecting among applicants for 
grants under this section, the Secretary shall give priority 
to eligible entities proposing to carry out programs that 
will provide additional societal benefits, such as— 
‘‘(1) improvements to academic performance in 
school; 
‘‘(2) character building and leadership develop-
ment; 
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‘‘(3) gang and juvenile delinquency prevention 
and reduction; 
‘‘(4) gender equality and female empowerment; 
‘‘(5) mentoring, volunteerism promotion, and 
service-learning opportunities; 
‘‘(6) family and community engagement and 
participation; or 
‘‘(7) workforce education and career develop-
ment opportunities. 
‘‘(e) DISTRIBUTION
OF FUNDS.—Of the amount 
made available to carry out this section for a fiscal year, 
the Secretary shall award— 
‘‘(1) not less than 25 percent of such amount 
to nationally-based nonprofit organizations described 
in subsection (b)(1); and 
‘‘(2) not more than 75 percent of such amount 
to community-based nonprofit organizations de-
scribed in subsection (b)(2). 
‘‘(f) COST-SHARE REQUIREMENTS.— 
‘‘(1) IN GENERAL.—With respect to the costs of 
a qualified childhood obesity prevention initiative to 
be carried out under this section— 
‘‘(A) in the case of an applicant that is a 
nationally-based nonprofit organization, a grant 
under subsection (a) may be made only if the 
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organization agrees to make available (directly 
or through donations from public or private en-
tities) non-Federal contributions toward such 
costs in an amount that is not less than one- 
third of such costs ($1 for each $2 of Federal 
funds provided in the grant); and 
‘‘(B) in the case of an applicant that is a 
community-based 
nonprofit 
organization, 
a 
grant under subsection (a) may be made only if 
the organization agrees to make available (di-
rectly or through donations from public or pri-
vate entities) non-Federal contributions toward 
such costs in an amount that is not less than 
one-fourth of such costs ($1 for each $3 of Fed-
eral funds provided in the grant). 
‘‘(2) NON-FEDERAL
CONTRIBUTIONS
BY
SUB-
GRANTEES.—If a nationally-based nonprofit organi-
zation chooses to provide grant funds received under 
this section to a subgrantee to carry out one or more 
programs as part of the organization’s qualified 
childhood obesity prevention initiative, the organiza-
tion shall require the subgrantee to make available 
(directly or through donations from public or private 
entities) non-Federal contributions toward the costs 
of such programs in an amount that is not less than 
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one-third of such costs ($1 for each $2 of Federal 
funds provided in the grant). The amount of non- 
Federal contributions by subgrantees required under 
this paragraph is in addition to the amount of non- 
Federal contributions by the nationally-based non-
profit organization required under paragraph (1). 
‘‘(3) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.— 
‘‘(A) IN GENERAL.—Non-Federal contribu-
tions required by paragraph (1) or (2)— 
‘‘(i) in the case of a nationally-based 
nonprofit organization, shall be made in 
cash; and 
‘‘(ii) in the case of a subgrantee de-
scribed in paragraph (2) or a community- 
based nonprofit organization, may be in 
cash or in kind, fairly evaluated, including 
plant, equipment, or services. 
‘‘(B) EXCLUSION OF FEDERAL CONTRIBU-
TIONS.—Amounts provided by the Federal Gov-
ernment, or services assisted or subsidized to 
any significant extent by the Federal Govern-
ment, may not be included in determining the 
amount of non-Federal contributions required 
by paragraph (1) or (2). 
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‘‘(g) REPORT TO CONGRESS.—Not later than one 
year after the first appropriation of Federal funds to carry 
out this section, the Secretary shall report to the Congress 
on the progress made in carrying out programs funded 
by grants under this section. 
‘‘(h) BEST PRACTICES GUIDELINES.—Based on the 
results of programs funded through grants under this sec-
tion during the first two fiscal years of such funding, the 
Secretary shall develop publicly-accessible best practices 
guidelines for obesity reduction programs. The Secretary 
shall update these guidelines every two years. 
‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $50,000,000 for each of fiscal years 2011 through 
2015.’’. 
SEC. 307. COORDINATED SCHOOL HEALTH INITIATIVES. 
(a) IN GENERAL.—From the amounts appropriated 
to carry out this section, the Secretary of Education shall 
carry out a pilot program to award grants to not more 
than 5 eligible entities to carry out coordinated school 
health initiatives in schools. 
(b) AMOUNT OF GRANT.—A grant awarded under 
subsection (a) may not exceed $15,000. 
(c) USE OF FUNDS.—An eligible entity receiving a 
grant under this section shall carry out a coordinated 
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(B) the best practices with respect to the 
interventions; and 
(C) recommendations on how schools and 
local educational agencies may incorporate such 
best practices. 
(e) APPLICATION.—To receive a grant under this sec-
tion, an eligible entity shall submit an application to the 
Secretary of Education at such time, in such manner, and 
containing such information as the Secretary may require. 
(f) SUPPLEMENT, NOT SUPPLANT.—Funds received 
under this section shall be used to supplement, and not 
supplant, non-Federal funds that would otherwise be used 
for activities authorized under this section. 
(g) DEFINITIONS.—For purposes of this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means a local educational agency— 
(A) that serves— 
(i) a high percentage of students eligi-
ble for free or reduced price lunches under 
the Richard B. Russell National School 
Lunch Act; or 
(ii) a community otherwise determined 
by the Secretary to be a low-income com-
munity; and 
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(B) that forms a partnership with an insti-
tution of higher education or a nonprofit health 
or education organization, as determined by the 
Secretary, for the purposes of carrying out the 
coordinated school health initiative described in 
subsection (c). 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
(3) LOCAL EDUCATIONAL AGENCY.—The term 
‘‘local educational agency’’ has the meaning given 
such term in section 9101 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7801). 
(4) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Agriculture. 
SEC. 308. REWARDING ELEMENTARY AND SECONDARY 
SCHOOLS FOR OUTSTANDING STUDENT PER-
FORMANCE 
IN 
PHYSICAL 
FITNESS 
PRO-
GRAMS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may make grants to elementary and sec-
ondary schools as rewards for their students’ outstanding 
performance in the President’s Challenge or other feder-
ally supported physical fitness programs. 
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(b) PREFERENCE.—In making grants under sub-
section (a), the Secretary shall give preference to elemen-
tary and secondary schools that— 
(1) have the highest percentage of students 
earning a Presidential Physical Fitness Award 
through the President’s Challenge; and 
(2) demonstrate the greatest improvement in 
the number or percentage of students earning the 
National Physical Fitness Award and the Partici-
pant Physical Fitness Award through the Presi-
dent’s Challenge. 
(c) USE OF FUNDS.—As a condition on receipt of a 
grant under this section, a school shall agree to use the 
grant funds for programs and activities to further improve 
the physical fitness of students. 
(d) APPLICATION.—To seek a grant under this sec-
tion, a school shall submit an application at such time, 
in such manner, and containing such information as the 
Secretary may require. At a minimum, an application 
under this subsection shall include— 
(1) a description of the school’s programs and 
activities for improving physical fitness; 
(2) an assurance of compliance with applicable 
requirements of physical fitness programs of the De-
partment of Health and Human Services; and 
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(3) an assessment of physical fitness levels of 
students in the school before, during, and after im-
plementation such programs. 
(e) REPORTS.— 
(1) HHS.—Not later than 18 months after the 
date of the enactment of this Act, and annually 
thereafter, the Secretary shall submit a report to the 
Congress on the program of grants under this sec-
tion, including— 
(A) a description of best practices by ele-
mentary and secondary schools for improving 
physical fitness; and 
(B) any recommendations for improving 
the program under this section. 
(2) GAO.—Not later than 24 months after the 
date of the enactment of this Act, the Comptroller 
General of the United States shall complete a study 
and submit a report to the Congress— 
(A) analyzing physical fitness levels of stu-
dents in elementary and secondary schools 
across the Nation; 
(B) evaluating the President’s Challenge to 
determine whether the standards for Presi-
dential Physical Fitness Awards, National 
Physical Fitness Awards, and Participant Phys-
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ical Fitness Awards are accurate, up-to-date, 
and appropriate; and 
(C) evaluating the effectiveness of the 
awards described in subparagraph (B). 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘elementary and secondary 
schools’’ means public or private elementary schools 
and secondary schools (as defined in section 9101 of 
the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 7801)). 
(2) The term ‘‘President’s Challenge’’ refers to 
the premier program of the President’s Council on 
Fitness, Sports & Nutrition, under the Secretary of 
Health and Human Services, for increasing physical 
activity and improving physical fitness. 
(3) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
Æ 
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