possession of the United States, the District of Co-
lumbia, any Indian tribe or tribal organization (as 
defined in subsections (e) and (l), respectively, of 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b)), or a public 
or private educational institution, including an insti-
tution of higher education. 
SEC. 206. EATING DISORDER RESEARCH AND REPORT. 
Not later than 18 months after the date of the enact-
ment of this Act, the National Center for Education Sta-
tistics and the National Center for Health Statistics shall 
conduct a study on the impact of eating disorders on edu-
cational advancement and achievement. The study shall— 
(1) determine the prevalence of eating disorders 
among students and the morbidity and mortality 
rates associated with eating disorders; 
(2) evaluate the extent to which students with 
eating disorders are more likely to miss school, have 
delayed rates of social, emotional, and physical de-
velopment, or have reduced academic performance; 
(3) report on current State and local programs 
to prevent eating disorders, as well as evaluate the 
value of such programs; and 
(4) make recommendations on measures that 
could be undertaken by the Congress, the Depart-
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00038
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
ment of Education, States, and local educational 
agencies to strengthen eating disorder prevention 
and awareness programs. 
SEC. 207. PUBLIC SERVICE ANNOUNCEMENTS. 
(a) IN GENERAL.—The Director of the National In-
stitute of Mental Health shall conduct a program of public 
service announcements to educate the public on— 
(1) the types of eating disorders; 
(2) the seriousness of eating disorders (includ-
ing prevalence, comorbidities, and physical and men-
tal health consequences); 
(3) how to detect, address, refer for help, and 
prevent eating disorders; 
(4) discrimination and bullying based on body 
size; 
(5) the effects of media on self esteem and body 
image; and 
(6) the signs and symptoms of eating disorders. 
(b) COLLABORATION.—The Director of the National 
Institute of Mental Health shall conduct the program 
under subsection (a) in collaboration with— 
(1) Centers of Excellence receiving funds under 
section 499B of the Public Health Service Act, as 
added by section 101; and 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00039
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
(2) community-based national nonprofit re-
sources that— 
(A) support individuals affected by eating 
disorders; and 
(B) work to prevent eating disorders and 
address body image and weight issues. 
(c) ANNOUNCEMENT REQUIREMENTS.—In carrying 
out the program of public service announcements required 
by subsection (a), the Director of the National Institute 
of Mental Health shall ensure that such announcements— 
(1) address the full spectrum of eating dis-
orders for both sexes and a variety of ethnicities and 
age groups; 
(2) do not promote or aggravate eating dis-
orders, such as by incorporating images, specific be-
haviors, or statistics that make eating disorders 
seem attractive; 
(3) feature— 
(A) real people who are or were affected by 
eating disorders, including individuals who have 
died of such disorders; and 
(B) not actors or models in place of such 
people; 
(4) make clear that— 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00040
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
(A) eating disorders are not a choice, but 
are serious and often deadly illnesses; and 
(B) individuals affected by eating disorders 
need to seek help; and 
(5) provide information on how and where to 
seek help for the treatment of eating disorders. 
SEC. 208. SENSE OF CONGRESS. 
It is the sense of the Congress that— 
(1) federally funded campaigns to fight obesity 
should address eating disorders; and 
(2) federally funded studies on obesity should 
include questions relating to eating disorders. 
TITLE III—TREATMENT 
SEC. 301. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS UNDER GROUP HEALTH PLANS, IN-
DIVIDUAL HEALTH INSURANCE COVERAGE, 
AND FEHBP. 
(a) PUBLIC HEALTH SERVICE ACT AMENDMENTS.— 
(1) IN GENERAL.—Title XXVII of the Public 
Health Service Act is amended by inserting after 
section 2728 (42 U.S.C. 300gg–28), as redesignated 
by section 1001(2) of the Patient Protection and Af-
fordable Care Act (Public Law 111–148), the fol-
lowing new section: 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00041
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
‘‘SEC. 2729. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS. 
‘‘(a) COVERAGE.—A group health plan, and a health 
insurance issuer offering group or individual health insur-
ance coverage, that provides medical and surgical benefits 
shall provide coverage for treatment for eating disorders 
consistent with the provisions of this section. 
‘‘(b) PROHIBITIONS.—A group health plan, and a 
health insurance issuer offering group or individual health 
insurance coverage, shall not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan, solely for the purpose of 
avoiding the requirement of this section; 
‘‘(2) deny coverage for treatment of eating dis-
orders, including coverage for residential treatment 
of eating disorders, if such treatment is medically 
necessary in accordance with the Practice Guidelines 
for the Treatment of Patients with Eating Dis-
orders, as most recently published by the American 
Psychiatric Association; 
‘‘(3) provide monetary payments, rebates, or 
other benefits to individuals to encourage such indi-
viduals to accept less than the minimum protections 
available under this section; 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00042
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
‘‘(4) penalize or otherwise reduce or limit the 
reimbursement of a provider because such provider 
provided care to an individual participant or bene-
ficiary in accordance with this section; 
‘‘(5) provide incentives (monetary or otherwise) 
to a provider to induce such provider to provide care 
to an individual participant or beneficiary in a man-
ner inconsistent with this section; or 
‘‘(6) deny to an individual participant or bene-
ficiary continued eligibility to enroll or to renew cov-
erage under the terms of the plan, solely because the 
individual was previously found to have an eating 
disorder or to have received treatment for an eating 
disorder. 
‘‘(c) OUT-OF-NETWORK PROVIDERS.—In the case of 
a group health plan, or health insurance issuer offering 
group or individual health insurance coverage, that pro-
vides both medical and surgical benefits and coverage for 
treatment for eating disorders, if the plan or coverage pro-
vides coverage for medical or surgical benefits provided by 
out-of-network providers, the plan or coverage shall pro-
vide coverage for treatment for eating disorders provided 
by out-of-network providers in a manner that is consistent 
with the requirements of this section. 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00043
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as preventing a group health plan 
or issuer from imposing deductibles, coinsurance, or other 
cost-sharing in relation to treatment for eating disorders, 
except that such deductibles, coinsurance, or other cost- 
sharing may not be greater than the deductibles, coinsur-
ance, or other cost-sharing imposed on other comparable 
medical or surgical services covered under the plan. 
‘‘(e) PREEMPTION.—Nothing in this section shall be 
construed to preempt any State law in effect on the date 
of enactment of this section with respect to health insur-
ance coverage that requires coverage of at least the cov-
erage for treatment for eating disorders otherwise re-
quired under this section. 
‘‘(f) EATING DISORDERS DEFINED.—For purposes 
of this section, the term ‘eating disorder’ includes anorexia 
nervosa, bulimia nervosa, binge eating disorder, and eat-
ing disorders not otherwise specified (EDNOS), as defined 
in the fifth edition of ‘Diagnostic and Statistical Manual 
of Mental Disorders’ or, if applicable, the most recent suc-
cessor edition.’’. 
(2) TREATMENT OF INDIVIDUAL MARKET BE-
FORE 2014.—For purposes of applying section 2729 
of the Public Health Service Act, as inserted by 
paragraph (1), to individual health insurance cov-
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00044
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
erage before 2014, the provisions of such section 
shall be treated as also included under part B of 
title XXVII of the Public Health Service Act. 
(b) ERISA AMENDMENTS.— 
(1) IN GENERAL.—Subpart B of part 7 of sub-
title B of title I of the Employee Retirement Income 
Security Act of 1974 (29 U.S.C. 1185 et seq.) is 
amended by adding at the end the following new sec-
tion: 
‘‘SEC. 716. COVERAGE FOR TREATMENT FOR EATING DIS-
ORDERS. 
‘‘(a) COVERAGE.—A group health plan, and a health 
insurance issuer offering group health insurance coverage 
in connection with a group health plan, that provides med-
ical and surgical benefits shall provide coverage for treat-
ment for eating disorders consistent with the provisions 
of this section. 
‘‘(b) PROHIBITIONS.—A group health plan, and a 
health insurance issuer offering group health insurance 
coverage in connection with a group health plan, shall 
not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan, solely for the purpose of 
avoiding the requirement of this section; 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00045
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
‘‘(2) deny coverage for treatment of eating dis-
orders, including coverage for residential treatment 
of eating disorders, if such treatment is medically 
necessary in accordance with the Practice Guidelines 
for the Treatment of Patients with Eating Dis-
orders, as most recently published by the American 
Psychiatric Association; 
‘‘(3) provide monetary payments, rebates, or 
other benefits to individuals to encourage such indi-
viduals to accept less than the minimum protections 
available under this section; 
‘‘(4) penalize or otherwise reduce or limit the 
reimbursement of a provider because such provider 
provided care to an individual participant or bene-
ficiary in accordance with this section; 
‘‘(5) provide incentives (monetary or otherwise) 
to a provider to induce such provider to provide care 
to an individual participant or beneficiary in a man-
ner inconsistent with this section; or 
‘‘(6) deny to an individual participant or bene-
ficiary continued eligibility to enroll or to renew cov-
erage under the terms of the plan, solely because the 
individual was previously found to have an eating 
disorder or to have received treatment for an eating 
disorder. 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00046
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
‘‘(c) OUT-OF-NETWORK PROVIDERS.—In the case of 
a group health plan, or health insurance issuer offering 
group health insurance coverage in connection with a 
group health plan, that provides both medical and surgical 
benefits and coverage for treatment for eating disorders, 
if the plan or coverage provides coverage for medical or 
surgical benefits provided by out-of-network providers, the 
plan or coverage shall provide coverage for treatment for 
eating disorders provided by out-of-network providers in 
a manner that is consistent with the requirements of this 
section. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as preventing a group health plan 
or issuer from imposing deductibles, coinsurance, or other 
cost-sharing in relation to treatment for eating disorders, 
except that such deductibles, coinsurance, or other cost- 
sharing may not be greater than the deductibles, coinsur-
ance, or other cost-sharing imposed on other comparable 
medical or surgical services covered under the plan. 
‘‘(e) PREEMPTION.—Nothing in this section shall be 
construed to preempt any State law in effect on the date 
of enactment of this section with respect to health insur-
ance coverage that requires coverage of at least the cov-
erage for treatment for eating disorders otherwise re-
quired under this section. 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00047
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS
‘‘(f) EATING DISORDERS DEFINED.—For purposes 
of this section, the term ‘eating disorder’ includes anorexia 
nervosa, bulimia nervosa, binge eating disorder, and eat-
ing disorders not otherwise specified (EDNOS), as defined 
in the fifth edition of ‘Diagnostic and Statistical Manual 
of Mental Disorders’ or, if applicable, the most recent suc-
cessor edition.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 732(a) of such Act (29 U.S.C. 
1191a(a)) is amended by striking ‘‘section 711’’ 
and inserting ‘‘sections 711 and 716’’. 
(B) The table of contents in section 1 of 
such Act is amended by inserting after the item 
relating to section 714 the following new items: 
‘‘Sec. 715. Additional market reforms. 
‘‘Sec. 716. Coverage for treatment for eating disorders.’’. 
(1) IN
GENERAL.—Subchapter B of chapter 
100 of the Internal Revenue Code of 1986, as 
amended by subsection (f) of section 1563 (relating 
to conforming amendments) of the Patient Protec-
tion and Affordable Care Act (Public Law 111–148), 
is amended by inserting after section 9815 the fol-
lowing: 
VerDate Mar 15 2010 
20:44 May 28, 2013
Jkt 029200
PO 00000
Frm 00048
Fmt 6652
Sfmt 6201
E:\BILLS\H2101.IH
H2101
tkelley on DSK3SPTVN1PROD with BILLS