I 
112TH CONGRESS 
1ST SESSION H. R. 3291 
To authorize the Secretary of Agriculture to make grants to community- 
based organizations and local redevelopment agencies operating in low- 
income communities to promote increased access to and consumption 
of fresh fruits, fresh vegetables, and other healthy foods among residents 
of such communities, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 1, 2011 
Ms. VELA´ZQUEZ introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committees on 
Agriculture and Ways and Means, for a period to be subsequently deter-
mined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To authorize the Secretary of Agriculture to make grants 
to community-based organizations and local redevelop-
ment agencies operating in low-income communities to 
promote increased access to and consumption of fresh 
fruits, fresh vegetables, and other healthy foods among 
residents of such communities, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Healthy Foods for 
Healthy Living Act’’. 
SEC. 2. DEPARTMENT OF AGRICULTURE GRANTS TO PRO-
MOTE GREATER CONSUMPTION OF FRESH 
FRUITS, FRESH VEGETABLES, AND OTHER 
HEALTHY FOODS IN LOW-INCOME COMMU-
NITIES. 
(a) GRANTS AUTHORIZED.—The Secretary of Agri-
culture may make grants for the purposes specified in sub-
section (b) to any of the following: 
(1) A community-based organization that oper-
ates in a low-income community and carries out one 
or both of the activities described in subsection (b), 
as determined by the Secretary. 
(2) A local redevelopment agency that is char-
tered, established, or otherwise sanctioned by a 
State or local government. 
(b) USE OF GRANT AMOUNTS.—The recipient of a 
grant under this section shall use the grant amounts for 
one or both of the following activities: 
(1) To assist in purchasing appropriate equip-
ment or in hiring and training personnel to expand 
the inventory of fresh fruits and vegetables or other 
healthy food alternatives, as defined by the Depart-
ment of Agriculture, such as healthier dairy and 
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non-dairy alternatives to whole milk, 100 percent 
pure fruit juices, and products with 0 grams of 
transfat, available for residents of a low-income com-
munity. 
(2) To carry out consumer education and out-
reach activities to encourage the purchase of prod-
ucts described in paragraph (1), such as by inform-
ing residents of a low-income community about the 
health risks associated with high-calorie, low-exercise 
lifestyles and the benefits of healthy living. 
(c) MAXIMUM GRANT.—A grant under this section 
may not exceed $100,000. 
(d) COMMUNITY-BASED ORGANIZATION DEFINED.— 
In this section, the term ‘‘community-based organization’’ 
includes schools, day-care centers, senior centers, commu-
nity health centers, food banks, or emergency feeding or-
ganizations. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to the Secretary to carry 
out this section $5,000,000 for fiscal year 2012. 
SEC. 3. COVERAGE OF ADDITIONAL PRIMARY CARE AND 
PREVENTIVE SERVICES UNDER THE MEDI-
CARE AND MEDICAID PROGRAMS. 
(a) MEDICARE PROGRAM.— 
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(1) IN
GENERAL.—Section 1861(ddd) of the 
Social Security Act (42 U.S.C. 1395x(ddd)) is 
amended— 
(A) by adding at the end of paragraph (1) 
the following: 
‘‘Such term also includes the primary care and pre-
ventive services described in paragraph (4).’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(4) The primary care and preventive services de-
scribed in this paragraph are the following, insofar as they 
are not otherwise covered under this title, when provided 
by qualified providers: 
‘‘(A) Services for the prevention and treatment 
of obesity and obesity-related disease. 
‘‘(B) Supervised exercise sessions. 
‘‘(C) Exercise stress testing for the purpose of 
exercise prescriptions. 
‘‘(D) Lifestyle health improvement education. 
‘‘(E) Culinary arts education for the purpose of 
promoting proper nutrition.’’. 
(2) CONFORMING AMENDMENTS.—(A) Section 
1862(a)(1) of such Act (42 U.S.C. 1395y(a)(1)) is 
amended— 
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‘‘(29) additional preventive services (as defined 
in section 1861(ddd)(1)) which are not otherwise 
covered under this subsection; and’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the first day of the first 
calendar quarter beginning after the date of the enactment 
of this Act, regardless of whether regulations to implement 
the amendments are in effect as of such date. 
Æ 
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