I 
110TH CONGRESS 
1ST SESSION H. R. 2677 
To establish grants to provide health services for improved nutrition, increased 
physical activity, obesity and eating disorder prevention, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 12, 2007 
Mrs. BONO (for herself, Mrs. LOWEY, Ms. GRANGER, and Mr. RAMSTAD) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce 
A BILL 
To establish grants to provide health services for improved 
nutrition, increased physical activity, obesity and eating 
disorder prevention, and for other purposes. 
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 ‘‘Improved Nutrition 
and Physical Activity Act’’ or the ‘‘IMPACT Act’’. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) In July 2004, the Secretary of Health and 
Human Service recognized ‘‘obesity is a critical pub-
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lic health problem in our country’’ and under the 
medicare program language was removed from the 
coverage manual stating that obesity is not an ill-
ness. 
(2) The National Health and Nutrition Exam-
ination Survey for 2002 found that an estimated 65 
percent of adults are overweight and 31 percent of 
adults are obese and 16 percent of children and ado-
lescents in the United States are overweight or 
obese. 
(3) The Institute of Medicine reported in ‘‘Pre-
venting Childhood Obesity’’ (2004) that approxi-
mately 60 percent of obese children between 5 and 
10 years of age have at least one cardiovascular dis-
ease risk factor and 25 percent have two or more 
such risk factors. 
(4) The Institute of Medicine reports that the 
prevalence of overweight and obesity is increasing 
among all age groups. There is twice the number of 
overweight children between 2 and 5 years of age 
and adolescents between 12 and 19 years of age, 
and 3 times the number of children between 6 and 
11 years of age as there were 30 years ago. 
(5) According to the 2004 Institute of Medicine 
report, obesity-associated annual hospital costs for 
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children and youth more than tripled over 2 decades, 
rising from $35,000,000 in the period 1979 through 
1981 to $127,000,000 in the period 1997 through 
1999. 
(6) The Centers for Disease Control and Pre-
vention reports have estimated that as many as 
365,000 deaths a year are associated with being 
overweight or obese. Overweight and obesity are as-
sociated with an increased risk for heart disease (the 
leading cause of death), cancer (the second leading 
cause of death), diabetes (the 6th leading cause of 
death), and musculoskeletal disorders. 
(7) According to the National Institute of Dia-
betes and Digestive and Kidney Diseases, individuals 
who are obese have a 50 to 100 percent increased 
risk of premature death. 
(8) The Healthy People 2010 goals identify 
overweight and obesity as one of the Nation’s lead-
ing health problems and include objectives for in-
creasing the proportion of adults who are at a 
healthy weight, reducing the proportion of adults 
who are obese, and reducing the proportion of chil-
dren and adolescents who are overweight or obese. 
(9) Another goal of Healthy People 2010 is to 
eliminate health disparities among different seg-
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ments of the population. Obesity is a health problem 
that disproportionally impacts medically underserved 
populations. 
(10) The 2005 Surgeon General’s report ‘‘The 
Year of the Healthy Child’’ lists the treatment and 
prevention of obesity as a national priority. 
(11) The Institute of Medicine report ‘‘Pre-
venting Childhood Obesity’’ (2004) finds that ‘‘child-
hood obesity is a serious nationwide health problem 
requiring urgent attention and a population-based 
prevention approach . . .’’. 
(12) The Centers for Disease Control and Pre-
vention estimates the annual expenditures related to 
overweight and obesity in adults in the United 
States to be $264,000,000,000 (exceeding the cost 
of tobacco-related illnesses) and appears to be rising 
dramatically. This cost can potentially escalate 
markedly as obesity rates continue to rise and the 
medical complications of obesity are emerging at 
even younger ages. Therefore, the total disease bur-
den will most likely increase, as well as the attend-
ant health-related costs. 
(13) Weight control programs should promote a 
healthy lifestyle including regular physical activity 
and healthy eating, as consistently discussed and 
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identified in a variety of public and private con-
sensus documents, including the 2001 U.S. Surgeon 
General’s report ‘‘A Call To Action’’ and other docu-
ments prepared by the Department of Health and 
Human Services and other agencies. 
(14) The Institute of Medicine reports that 
poor eating habits are a risk factor for the develop-
ment of eating disorders and obesity. In 2002, more 
than 35,000,000 Americans experienced limited ac-
cess to nutritious food on a regular basis. The avail-
ability of high-calorie, low nutrient foods have in-
creased in low-income neighborhoods due to many 
factors. 
(15) Effective interventions for promoting 
healthy eating behaviors should promote healthy life-
style and not inadvertently promote unhealthy 
weight management techniques. 
(16) The National Institutes of Health reports 
that eating disorders are commonly associated with 
substantial psychological problems, including depres-
sion, substance abuse, and suicide. 
(17) The National Association of Anorexia 
Nervosa and Associated Disorders estimates there 
are 8,000,000 Americans experience eating dis-
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