I 116th CONGRESS 2d Session H. R. 5683 IN THE HOUSE OF REPRESENTATIVES January 27, 2020 Ms. Norton introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to provide for a national program to conduct and support activities toward the goal of significantly reducing the number of cases of overweight and obesity among individuals in the United States.

1. Short title This Act may be cited as the Promoting Healthier Lifelong Improvements in Food and Exercise Act of 2020 or the LIFE Act . 2. Findings The Congress finds as follows: (1) Data from the Centers for Disease Control and Prevention shows that in 2015–2016 close to 40 percent of adults in the United States were obese and 71.6 percent of Americans were overweight or obese. Approximately 7.7 percent of adults were severely obese. (2) Data from two National Health and Nutrition Examination Surveys shows that the prevalence of obesity among adults increased from 15.0 percent in 1976–1980 to 39.8 percent in 2015–2016. (3) In 2015–2016, the prevalence of obesity among youth aged 2–19 was 18.5 percent and affected approximately 13,700,000 children and adolescents. (4) The percentage of children and adolescents who are obese has increased since 1971–1974, when the percentage was 5 percent. (5) In 2018, only 53.3 percent of United States adults aged 18–64 met the 2008 Federal guidelines for aerobic activity. The 2008 Federal Physical Activity Guidelines for American Adults recommends 150 minutes a week of moderate-intensity aerobic physical activity or 75 minutes a week of vigorous-intensity aerobic physical activity. (6) The rising rates of obesity portend greater disease and health conditions, including hypertension, high total cholesterol, Type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoporosis, sleep apnea, respiratory problems, and some cancers, such as endometrial, breast, and colon cancer. (7) Many underlying factors have been linked to the increase in obesity, such as increasing portion sizes, eating out more often, increased consumption of sugar-sweetened drinks, increasing television, computer, and electronic gaming time, changing labor markets, and fear of crime, which prevents outdoor exercise. (8) Chronic diseases account for 1,700,000, or 70 percent, of all deaths in the United States each year. Although chronic diseases are among the most common and costly health problems, they are also among the most preventable. Adopting a healthy lifestyle, such as eating nutritious foods and engaging in physical activity, can prevent or control the devastating effects of these diseases. (9) In 2008, overall medical costs related to obesity for United States adults were estimated to be as high as $147,000,000,000. People who were obese had medical costs that were on average $1,429 higher than the cost for people of normal body weight. 3. Reduction in prevalence of overweight and obesity Part B of title III of the Public Health Service Act ( 42 U.S.C. 243 et seq.) is amended by inserting after section 317T the following section: 317U. Reduction in prevalence of overweight and obesity (a) In general The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall carry out a national program to conduct and support activities regarding individuals who are overweight or obese in order to make progress toward the goal of significantly reducing the number of cases of overweight and obesity among individuals in the United States. (b) Certain activities In carrying out subsection (a), the Secretary shall (directly or through grants or contracts) carry out the following with respect to individuals who are overweight or obese: (1) Activities to train health professionals to recognize that patients are overweight or obese and to recommend prevention activities regarding such condition, including educating patients on— (A) the relationship between such condition and cardiovascular disease, diabetes, and other health conditions; and (B) the benefits of proper nutrition and regular physical activities. (2) Activities to educate the public with respect to the condition of being overweight or obese, including the development of a strategy for a public awareness campaign. (3) The development and demonstration of intervention strategies for use at worksites and in community settings such as hospitals and community health centers. (c) Authorization of appropriations For the purpose of carrying out this section, there are authorized to be appropriated $25,000,000 for fiscal year 2021, and such sums as may be necessary for each of fiscal years 2022 and 2023. .