II 118th CONGRESS 1st Session S. 3171 IN THE SENATE OF THE UNITED STATES October 31, 2023 Mr. Booker introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To amend the Public Health Service Act to promote healthy eating and physical activity among children.

1. Short title This Act may be cited as the Reducing Obesity in Youth Act of 2023 . 2. Purposes The purposes of this Act are to— (1) establish a program that will enhance the training and knowledge of early care and education providers and influence practices, policies, and environments in early care and education settings to support healthy eating and physical activity for children ages birth through 5, including by addressing the growing threat of food insecurity; (2) provide support to States on ways to link early care and education programs to nutrition supports; (3) monitor progress of healthy eating and physical activity promotion in early care and education settings; and (4) identify emerging, and expand existing, approaches to engaging families and parents of children ages birth to 5 in healthy eating and physical activity. 3. Healthy Kids Program Title III of the Public Health Service Act ( 42 U.S.C. 241 et seq. ) is amended by adding at the end the following: W Healthy Kids Program 399OO. Grant program to improve healthy eating and physical activity and to address food insecurity among children (a) In general The Secretary, acting through the Director of the Centers for Disease Control and Prevention and in coordination with the Assistant Secretary for the Administration for Children and Families, shall award 5-year competitive grants to one or more eligible entities to improve healthy eating and physical activity and to address food insecurity among children ages birth through 5 years in early care and education settings. (b) Eligibility To be eligible to receive a grant under subsection (a), an entity shall— (1) be— (A) a nonprofit organization with expertise in early childhood health and childhood obesity prevention; (B) an institution of higher education or research center that employs faculty with relevant expertise and has expertise in training early care and education providers; or (C) a consortium of entities described in subparagraphs (A) and (B) that submit a single application to carry out activities under the grant jointly; and (2) submit to the Director an application at such time, in such manner, and containing such information as the Director may require. (c) Use of funds (1) In general An entity shall use amounts received under a grant under this section to work directly with implementing partners, which may include States, territories, Indian Tribes, municipalities, and nonprofit organizations, to— (A) create sustainable programs to train early care and education providers through direct coaching and peer-learning, access to quality technical assistance, and professional development opportunities that are focused on healthy eating, physical activity, addressing food insecurity, and other topics that support children’s healthy development, as determined by the Director; (B) build State capacity through training, technical assistance, and resources to integrate the promotion of healthy eating and physical activity into existing early care and education programs, systems, and initiatives, including linking early care and education programs to new and existing resources for nutrition supports, with a focus on promoting equity; or (C) test innovative or evidence-informed approaches to promoting healthy habits and healthy child development in early care and education settings, which may include linking early care and education and health care providers, enhancing early care and education staff wellness, enhancing access to quality foods in the early care and education settings, and engaging families of children ages birth to 5 years served in the early care and education programs supported by a grant under this section. (2) Implementing partners In selecting States, territories, Indian tribes, municipalities, or nonprofit organizations to be implementing partners under a grant under this section, a grantee shall ensure that such partners, collectively— (A) serve populations that are racially, ethnically, socioeconomically, and geographically diverse; and (B) represent a mix of rural and urban settings. (3) National independent evaluator From the amounts appropriated to carry out this section, and prior to awarding any grants under paragraph (1), the Director shall enter into a contract with an external entity to create a single, uniform process to— (A) ensure that entities that receive grants under paragraph (1) comply with the requirements of this section; and (B) evaluate the outcomes of the grant activities carried out by each participating entity. (d) Tracking State progress The Director may use amounts appropriated under subsection (f)(2) to enter into contracts with, or award grants to, institutions of higher education, nonprofit organizations, or other entities with relevant monitoring and surveillance expertise, for purposes of— (1) tracking State progress in obesity prevention policies and practices of early care and education programs in States where grantees are present; and (2) measuring changes in food security within exposed groups. (e) Report Not later than 1 year after the completion of the grant program, the Secretary shall submit to Congress a report on the results of the programs, activities, and surveillance carried out under such grant program, including best practices and lessons derived from the experiences of grantees with respect to reducing and preventing food insecurity and obesity and overweight among children ages birth through 5 years in the early care and education settings. (f) Definitions In this section— (1) the term Director means the Director of the Centers for Disease Control and Prevention; and (2) the term early care and education means programs and activities that serve children ages birth through 5 years either through in-home or out-of-home settings, including childcare programs, Head Start programs, family childcare, and pre-kindergarten programs. (g) Authorization of appropriations There is authorized to be appropriated to carry out this section— (1) $5,000,000 for each of fiscal years 2024 through 2028; and (2) $1,700,000 for fiscal year 2024, to be used to track State progress in obesity prevention and food security policies and practices of early care and education programs in a sentinel set of States as provided for in subsection (d). .