(ii) a discussion of the means to de-
termine the most effective strategies to 
combat obesity in the geographic areas 
identified under subparagraph (A). 
(2) REPORT TO CONGRESS AND CERTAIN EXEC-
UTIVE AGENCIES.—Not later than 1 year after the 
Secretary receives all the reports required pursuant 
to paragraph (1), the Secretary shall submit to the 
Secretary of Education, the Secretary of Agriculture, 
and to Congress a report that contains the following: 
(A) An analysis of trends in childhood obe-
sity, including how such trends vary across re-
gions of the United States, and how such 
trends vary by gender and socioeconomic status. 
(B) A description of any programs that— 
(i) the Secretary has determined sig-
nificantly lower childhood obesity rates for 
certain geographic areas in the United 
States, including urban, rural, and subur-
ban areas; and 
(ii) the Secretary recommends to be 
implemented by the States (including 
States that did not receive a grant under 
this section). 
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(g) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary such sums 
as may be necessary to carry out this section for each of 
fiscal years 2010 through 2015. 
SEC. 103. REQUIREMENT TO EXPEDITE NATIONAL MEDI-
CARE COVERAGE DETERMINATIONS FOR EVI-
DENCE-BASED PREVENTIVE SERVICES. 
(a) IN GENERAL.—Not later than January 1, 2011, 
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. 
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(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, 
USPSTF recommendations relating to the preven-
tion of overweight and obesity that have in effect a 
rating of ‘‘I’’ (relating to a classification rep-
resenting insufficient evidence to make a rec-
ommendation 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. 104. 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)— 
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(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: 
‘‘(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 the following: 
‘‘(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 
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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 
guidelines for treatment of overweight, obesity, and 
severe obesity issued by professional medical soci-
eties; and consensus statements and guidelines on 
effective treatment of overweight, obesity, and severe 
obesity issued by the National Institutes of Health, 
professional medical societies, and other authori-
tative sources (such as those identified in the Na-
tional Heart Lung and Blood Institute’s Clinical 
Guidelines on the Identification, Evaluation, and 
Treatment of Overweight and Obesity in Adults). 
‘‘(2) For purposes of this subsection, the term 
‘eligible individual’ means an individual who has: 
‘‘(A) been diagnosed with obesity by a phy-
sician (as defined in subsection (r)) or provider 
of services (as defined in subsection (u)); 
‘‘(B) a body mass index of at least 30; or 
‘‘(C) a body mass index of at least 27 with 
at least one weight-related comorbid condition. 
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