S 3260 ISCommentsClose CommentsPermalink

To enhance and further research into the prevention and treatment of eating disorders, to improve access to treatment of eating disorders, and for other purposes.CommentsClose CommentsPermalink

April 26, 2010CommentsClose CommentsPermalink

Mr. HARKIN (for himself, Ms. KLOBUCHAR, and Mr. FRANKEN) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and PensionsCommentsClose CommentsPermalink

To enhance and further research into the prevention and treatment of eating disorders, to improve access to treatment of eating disorders, and for other purposes.CommentsClose CommentsPermalink

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,CommentsClose CommentsPermalink

SECTION 1. SHORT TITLE.

This Act may be cited as the ‘Federal Response to Eliminate Eating Disorders Act’.CommentsClose CommentsPermalink

SEC. 2. FINDINGS.

Congress finds as follows:CommentsClose CommentsPermalink





(1) Estimates, based on current research, indicate that at least 5,000,000 people in the United States suffer from eating disorders including anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorders not otherwise specified (referred to in this Act as ‘EDNOS’).CommentsClose CommentsPermalink





(2) Anecdotal evidence suggests that as many as 11,000,000 people in the United States, including 1,000,000 males, may suffer from eating disorders.CommentsClose CommentsPermalink





(3) Eating disorders occur in all nations and in all populations, and among people of all ages and races and of both genders.CommentsClose CommentsPermalink





(4) Eating disorders are diseases with grave health consequences and high rates of mortality.CommentsClose CommentsPermalink





(5) Health consequences associated with eating disorders include heart failure and other serious cardiac conditions, electrolyte imbalance, kidney failure, osteoporosis, debilitating tooth decay, and gastrointestinal disorders, including esophageal inflammation and rupture, gastric rupture, peptic ulcers, and pancreatitis.CommentsClose CommentsPermalink





(6) Anorexia nervosa has one of the highest overall mortality rates of any mental illness. According to the National Institute of Mental Health, 1 in 10 people with anorexia nervosa will die of starvation, cardiac arrest, or another medical complication.CommentsClose CommentsPermalink





(7) The risk of death among adolescents with anorexia nervosa is 11 times greater than in disease-free adolescents.CommentsClose CommentsPermalink





(8) Anorexia nervosa has the highest suicide rate of all mental illnesses.CommentsClose CommentsPermalink





(9) New research suggests that bulimia nervosa has a much higher rate of mortality than is reflected in current statistics, because of the failure to identify the underlying eating disorder.CommentsClose CommentsPermalink





(10) Binge eating disorder is the most common eating disorder, with an estimated 3.5 percent of American women and 2 percent of American men expected to suffer from this disorder in their lifetime. Binge eating disorder is characterized by frequent episodes of uncontrolled overeating and is associated with obesity, heart disease, gall bladder disease, and diabetes.CommentsClose CommentsPermalink





(11) Research demonstrates that there is a significant genetic component to the development of eating disorders.CommentsClose CommentsPermalink





(12) Certain populations, including adolescent females and athletes of both genders, are at higher risk of developing an eating disorder.CommentsClose CommentsPermalink





(13) Different types of eating disorders may affect certain races and genders disproportionately.CommentsClose CommentsPermalink





(14) Despite the serious health consequences and the high risk of death, Federal research funding for eating disorders has lagged behind research concerning other diseases, when compared by the number of individuals affected by, and the relative health consequences of, the diseases.CommentsClose CommentsPermalink





(15) The ability of individuals suffering from eating disorders, particularly bulimia nervosa, binge eating disorder, and EDNOS to access appropriate treatment is unacceptably low.CommentsClose CommentsPermalink





(16) The development of an eating disorder is frequently preceded by unhealthy weight control behaviors commonly identified as disordered eating, including skipping meals, using diet pills, taking laxatives, self-induced vomiting, and fasting. Such disordered eating behaviors should be included in enhanced research prevention and training efforts.CommentsClose CommentsPermalink

SEC. 3. PURPOSES.

The purposes of this Act are--CommentsClose CommentsPermalink





(1) to expand research into the prevention of eating disorders;CommentsClose CommentsPermalink





(2) to expand research on effective treatment and intervention of eating disorders and to support evidence-based programs designed to prevent eating disorders;CommentsClose CommentsPermalink





(3) to expand research on the causes, courses, and outcomes of eating disorders;CommentsClose CommentsPermalink





(4) to increase the number of people properly screened and diagnosed with an eating disorder;CommentsClose CommentsPermalink





(5) to improve training and education of health care and behavioral care providers and of school personnel at all levels of elementary and secondary education;CommentsClose CommentsPermalink





(6) to improve surveillance and data systems for tracking the prevalence, severity, and economic costs of eating disorders; andCommentsClose CommentsPermalink





(7) to enhance access to comprehensive treatment for eating disorders.CommentsClose CommentsPermalink

TITLE I--EATING DISORDER DETECTION AND RESEARCHCommentsClose CommentsPermalink

SEC. 101. EXPANSION AND COORDINATION OF THE ACTIVITIES OF THE NATIONAL INSTITUTE OF HEALTH AND THE NATIONAL INSTITUTE OF MENTAL HEALTH WITH RESPECT TO RESEARCH ON EATING DISORDERS.

Part B of title IV of the Public Health Service Act (42 U.S.C. 284 et seq.), as amended by section 4305(b) of the Patient Protection and Affordable Care Act (Public Law 111-148), is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 409K. EXPANSION AND COORDINATION OF ACTIVITIES WITH RESPECT TO RESEARCH ON EATING DISORDERS.

‘(a) In General- The Director of NIH, pursuant to the general authority of such director, shall expand, intensify, and coordinate the activities of the National Institutes of Health with respect to research on eating disorders.CommentsClose CommentsPermalink





‘(b) Grants- The Director of NIH may award grants to public or private entities to pay all or part of the cost of planning, establishing, improving, and providing basic operating support for such entities to establish consortia in eating disorder research and to carry out the activities described in subsection (e).CommentsClose CommentsPermalink





‘(c) Eligible Entities- To be eligible to receive a grant under this section, an entity shall--CommentsClose CommentsPermalink





‘(1) be public or nonprofit private entity (including a health department of a State, a political subdivision of a State, or an institution of higher education); andCommentsClose CommentsPermalink





‘(2) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.CommentsClose CommentsPermalink





‘(d) Requirements of Consortia-CommentsClose CommentsPermalink





‘(1) IN GENERAL- Each consortium established as described in subsection (b) may use the facilities of a single lead institution, or may be formed from several cooperating institutions, meeting such requirements as may be prescribed by the Director of NIH.CommentsClose CommentsPermalink





‘(2) COORDINATION OF CONSORTIA- The Director of NIH--CommentsClose CommentsPermalink





‘(A) may, as appropriate, provide for the coordination of information among consortia established under subsection (b); andCommentsClose CommentsPermalink





‘(B) shall ensure regular communication between members of the various consortia established using grants awarded under this section.CommentsClose CommentsPermalink





‘(3) REPORTS- The Director of NIH shall require each consortium to periodically prepare and submit to such director reports on the activities of such consortium.CommentsClose CommentsPermalink





‘(e) Activities- Each consortium receiving a grant under subsection (b) shall conduct basic, clinical, epidemiological, population-based, or translational research regarding eating disorders, which may include research related to--CommentsClose CommentsPermalink





‘(1) the identification and classification of eating disorders and disordered eating;CommentsClose CommentsPermalink





‘(2) the causes, diagnosis, and early detection of eating disorders;CommentsClose CommentsPermalink





‘(3) the treatment of eating disorders, including the development and evaluation of new treatments and best practices;CommentsClose CommentsPermalink





‘(4) the conditions or diseases related to, or arising from, an eating disorder; andCommentsClose CommentsPermalink





‘(5) the evaluation of existing prevention programs and the development of reliable prevention and screening programs.CommentsClose CommentsPermalink





‘(f) Collaboration- The Secretary, acting through the Director of NIH and the Director of the National Institute of Mental Health, shall identify relevant Federal agencies (including the other institutes and centers of the National Institutes of Health, the Centers for Medicare & Medicaid Services, the Centers for Disease Control and Prevention, the Agency for Healthcare Research and Quality, the Substance Abuse and Mental Health Services Administration, the Health Resources and Services Administration, and the Office on Women’s Health) that shall collaborate with respect to activities conducted under subsection (d).CommentsClose CommentsPermalink





‘(g) Public Input- The Director of NIH shall provide for a mechanism--CommentsClose CommentsPermalink





‘(1) to educate and disseminate information on the existing and planned programs and research activities of the National Institutes of Health with respect to eating disorders; andCommentsClose CommentsPermalink





‘(2) through which the Director of NIH may receive comments from the public regarding such programs and activities.CommentsClose CommentsPermalink





‘(h) Dissemination of Information- The Director of NIH shall provide for a mechanism for making the results and information generated by the consortia publicly available, such as through the Internet.CommentsClose CommentsPermalink





‘(i) Definition- For purposes of this section, the term ‘eating disorder’ has the meaning given such term in section 399OO(e).CommentsClose CommentsPermalink





‘(j) Authorization of Appropriations- To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.’.CommentsClose CommentsPermalink

SEC. 102. INTERAGENCY COORDINATING COUNCIL; SURVEILLANCE AND RESEARCH PROGRAM; STUDY ON ECONOMIC COST.

Title III of the Public Health Service Act (42 U.S.C. 241 et seq.), as amended by section 4303 of the Patient Protection and Affordable Care Act (Public Law 111-148), is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘PART W--PROGRAMS RELATING TO EATING DISORDERS

‘SEC. 399OO. INTERAGENCY EATING DISORDERS COORDINATING COUNCIL.

‘(a) Establishment- There is established within the Department of Health and Human Services the Interagency Eating Disorders Coordinating Council (referred to in this section as the ‘Coordinating Council’).CommentsClose CommentsPermalink





‘(b) Responsibilities- The Coordinating Council shall--CommentsClose CommentsPermalink





‘(1) develop and annually update a summary of advances in eating disorder research concerning causes of, prevention of, early screening for, treatment and access to services related to, and supports for individuals affected by, eating disorders;CommentsClose CommentsPermalink





‘(2) monitor Federal activities with respect to eating disorders;CommentsClose CommentsPermalink





‘(3) make recommendations to the Secretary regarding any appropriate changes to such activities, and to the Director of NIH, with respect to the strategic plan developed under paragraph (4);CommentsClose CommentsPermalink





‘(4) develop and annually update a strategic plan for the conduct of, and support for, eating disorder research, including proposed budgetary recommendations; andCommentsClose CommentsPermalink





‘(5) submit to Congress the strategic plan developed under paragraph (4) and all updates to such plan.CommentsClose CommentsPermalink





‘(c) Membership-CommentsClose CommentsPermalink





‘(1) CHAIRPERSON- The Director of NIH shall serve as the chairperson of the Coordinating Council and shall be responsible for the leadership and oversight of the activities of the Coordinating Council.CommentsClose CommentsPermalink





‘(2) MEMBERS IN GENERAL- The Coordinating Council shall be composed of--CommentsClose CommentsPermalink





‘(A) representatives of--CommentsClose CommentsPermalink





‘(i) the Agency for Healthcare Research and Quality;CommentsClose CommentsPermalink





‘(ii) the Substance Abuse and Mental Health Administration;CommentsClose CommentsPermalink





‘(iii) the research institutes at the National Institutes of Health, as the Director of NIH determines appropriate;CommentsClose CommentsPermalink





‘(iv) the Health Resources and Services Administration;CommentsClose CommentsPermalink





‘(v) the Centers for Medicare & Medicaid Services;CommentsClose CommentsPermalink





‘(vi) the Office of Women’s Health;CommentsClose CommentsPermalink





‘(vii) the Centers for Disease Control and Prevention; andCommentsClose CommentsPermalink





‘(viii) the Department of Education; andCommentsClose CommentsPermalink





‘(B) the additional members appointed under paragraph (3).CommentsClose CommentsPermalink





‘(3) ADDITIONAL MEMBERS- Not fewer than 1/3 of the total membership of the Coordinating Council shall be composed of non-Federal public members to be appointed by the Secretary, including representatives of--CommentsClose CommentsPermalink





‘(A) academic medical centers or schools of medicine, nursing, or other health professions;CommentsClose CommentsPermalink





‘(B) health care professionals who are actively involved in the treatment of eating disorders;CommentsClose CommentsPermalink





‘(C) researchers with expertise in eating disorders; andCommentsClose CommentsPermalink





‘(D) at least 2 individuals with a past or present diagnosis of an eating disorder or parents of individuals with a past or present diagnosis of an eating disorder.CommentsClose CommentsPermalink





‘(d) Administrative Support; Terms of Service; Other Provisions-CommentsClose CommentsPermalink





‘(1) ADMINISTRATIVE SUPPORT- The Coordinating Council shall receive necessary and appropriate administrative support from the Secretary.CommentsClose CommentsPermalink





‘(2) TERMS OF SERVICE- Members of the Coordinating Council appointed under subsection (c)(2) shall serve for a term of 4 years, and may be reappointed for one or more additional 4 year-terms. Any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term. A member may serve after the expiration of the member’s term until a successor has taken office.CommentsClose CommentsPermalink





‘(3) MEETINGS-CommentsClose CommentsPermalink





‘(A) IN GENERAL- The Coordinating Council shall meet at the call of the chairperson or upon the request of the Secretary. The Coordinating Council shall meet not fewer than 2 times each year.CommentsClose CommentsPermalink





‘(B) NOTICE- Notice of any upcoming meeting of the Coordinating Council shall be published in the Federal Register.CommentsClose CommentsPermalink





‘(C) PUBLIC ACCESS- Each meeting of the Coordinating Council shall be open to the public and shall include appropriate periods of time for questions by the public.CommentsClose CommentsPermalink





‘(4) SUBCOMMITTEES- In carrying out its functions the Coordinating Council may establish subcommittees and convene workshops and conferences.CommentsClose CommentsPermalink





‘(e) Eating Disorder- In this part, the term ‘eating disorder’ includes anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorders not otherwise specified, as defined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders or any subsequent edition.CommentsClose CommentsPermalink





‘(f) Authorization of Appropriations- To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.CommentsClose CommentsPermalink

‘SEC. 399OO-1. EATING DISORDER SURVEILLANCE AND RESEARCH PROGRAM.

‘(a) In General- The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall award grants or cooperative agreements to eligible entities for the purpose of improving the collection, analysis and reporting of State epidemiological data on eating disorders.CommentsClose CommentsPermalink





‘(b) Activities- An eligible entity shall assist with the development and coordination of eating disorder surveillance efforts within a region and may--CommentsClose CommentsPermalink





‘(1) provide for the collection, analysis, and reporting of epidemiological data on eating disorders through the existing surveillance programs;CommentsClose CommentsPermalink





‘(2) develop recommendations to enhance existing surveillance programs to more accurately collect epidemiological data on disordered eating and eating disorders, including the number, incidence, trends, correlates, mortality, and causes of eating disorders and the effects of eating disorders on quality of life;CommentsClose CommentsPermalink





‘(3) develop recommendations to improve requirements for ensuring that eating disorders are accurately recorded as underlying and contributing causes of death; andCommentsClose CommentsPermalink





‘(4) assist with the development and coordination of surveillance efforts within a region.CommentsClose CommentsPermalink





‘(c) Eligible Entities- To be eligible to receive an award under this section, an entity shall--CommentsClose CommentsPermalink





‘(1) be a public or nonprofit private entity (including a health department of a State, a political subdivision of a State, or an institution of higher education); andCommentsClose CommentsPermalink





‘(2) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.CommentsClose CommentsPermalink





‘(d) Technical Assistance- In making awards under this section, the Secretary may provide direct technical assistance in lieu of cash.CommentsClose CommentsPermalink





‘(e) Reports- Each entity awarded a grant or cooperative agreement under this section shall submit to the Secretary a report describing the activities conducted using grant funds and providing recommendations for improving the collection, analysis, and reporting of epidemiological data on eating disorders.CommentsClose CommentsPermalink





‘(f) Authorization of Appropriations- To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.CommentsClose CommentsPermalink

‘SEC. 399OO-2. STUDY REGARDING ECONOMIC COSTS OF EATING DISORDERS.

‘The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall conduct a study evaluating the economic costs of eating disorders. Such study may examine years of productive life lost, missed days of work, reduced work productivity, costs of medical and mental health treatment, costs to family, and costs to society as a result of eating disorders.’.CommentsClose CommentsPermalink

TITLE II--EATING DISORDER EDUCATION AND PREVENTION; STUDIES ON EATING DISORDERS AND BODY MASS INDEX; PUBLIC SERVICE ANNOUNCEMENTSCommentsClose CommentsPermalink

SEC. 201. GRANTS TO PREVENT EATING DISORDERS.

Title III of the Public Health Service Act (42 U.S.C. 241 et seq.), as amended by section 102, is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 399OO-3. GRANTS TO PREVENT EATING DISORDERS.

‘(a) In General- The Secretary, acting through the Director of the Centers for Disease Control and Prevention and in coordination with the Administrator of the Health Resources and Services Administration, shall award grants to eligible entities to plan, implement, and evaluate programs to prevent eating disorders and obesity and the acute and chronic medical conditions that accompany such conditions, and to promote healthy body image and appropriate nutrition-based eating behaviors.CommentsClose CommentsPermalink





‘(b) Eligibility- To be eligible to receive a grant under this section, an entity shall--CommentsClose CommentsPermalink





‘(1) be a State, local or tribal educational agency, an accredited institution of higher education, a State or local health department, or a community based organization; andCommentsClose CommentsPermalink





‘(2) submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require.CommentsClose CommentsPermalink





‘(c) Use of Funds- An entity receiving a grant under this section shall fund development and testing of school-, clinic-, community-, or health department-based programs designed to promote healthy eating behaviors and to prevent eating disorders including--CommentsClose CommentsPermalink





‘(1) developing evidence-based interventions to prevent eating disorders, including educational or intervention programs regarding nutritional content, understanding and responding to hunger and satiety, positive body image development, positive self-esteem development, and life skills, that take into account cultural and developmental issues and the role of family, school, and community;CommentsClose CommentsPermalink





‘(2) planning and implementing a healthy lifestyle curriculum or program with an emphasis on healthy eating behaviors, physical activity, and emotional wellness, the connection between emotional and physical health, and the prevention of bullying based on body size, shape, and weight;CommentsClose CommentsPermalink





‘(3) forming partnerships with parents and caregivers to educate adults about identifying unhealthy eating behaviors and promoting healthy eating behaviors, physical activity, and emotional wellness; andCommentsClose CommentsPermalink





‘(4) integrating eating disorder prevention and awareness in physical education, health, education, athletic training programs, and after-school recreational sports programs, to the extent possible.CommentsClose CommentsPermalink





‘(d) Requirements of Grant Recipients-CommentsClose CommentsPermalink





‘(1) LIMITATION ON ADMINISTRATIVE EXPENSES- A recipient of a grant under this section shall not use more than 10 percent of the amounts received under a grant under this section for administrative expenses.CommentsClose CommentsPermalink





‘(2) CONTRIBUTION OF FUNDS- A recipient of a grant under this section, and any entity receiving assistance under the grant for training and education, shall contribute non-Federal funds, either directly or through in-kind contributions, to the costs of the activities to be funded under the grant in an amount that is not less than 10 percent of the total cost of such activities.CommentsClose CommentsPermalink





‘(3) EVALUATION- Each recipient of a grant under this section shall provide to the Secretary, in such form and manner as the Secretary shall specify, relevant data and an evaluation of the activities of the grant recipient in promoting healthy eating behaviors and preventing eating disorders. Evaluation reports shall be made publicly available, such as through the Internet.CommentsClose CommentsPermalink





‘(e) Technical Assistance- The Secretary may set aside an amount not to exceed 1 percent of the total amount appropriated for a fiscal year to provide grantees with technical support in the development, implementation, and evaluation of programs under this section and to disseminate information about preventing and treating eating disorders and obesity.CommentsClose CommentsPermalink

‘SEC. 399OO-4. STUDY OF EATING DISORDERS IN ELEMENTARY SCHOOLS, SECONDARY SCHOOLS, AND INSTITUTIONS OF HIGHER EDUCATION.

‘Not later than 18 months after the date of enactment of the Federal Response to Eliminate Eating Disorders Act, the National Center for Health Statistics of the Centers for Disease Control and Prevention and the National Center for Education Statistics of the Department of Education shall conduct a joint study, or enter into a contract to have a study conducted, on the impact eating disorders have on educational advancement and achievement. The study shall--CommentsClose CommentsPermalink





‘(1) determine the incidence of eating disorders and disordered eating among students, and the morbidity and mortality rates associated with eating disorders;CommentsClose CommentsPermalink





‘(2) evaluate the extent to which students with eating disorders are more likely to miss school, have delayed rates of development, or have reduced cognitive skills;CommentsClose CommentsPermalink





‘(3) report on current State and local programs to increase awareness about the dangers of eating disorders among youth and to prevent eating disorders and the risk factors for eating disorders, and evaluate the value of such programs; andCommentsClose CommentsPermalink





‘(4) make recommendations on measures that could be undertaken by Congress, the Department of Education, States, and local educational agencies to strengthen eating disorder prevention and awareness programs including development of best practices.CommentsClose CommentsPermalink

‘SEC. 399OO-5. STUDY OF THE SUITABILITY OF MANDATING BODY MASS INDEX REPORTING IN ELEMENTARY SCHOOLS AND SECONDARY SCHOOLS.

‘Not later than 18 months after the date of enactment of the Federal Response to Eliminate Eating Disorders Act, the Director of the Centers for Disease Control and Prevention, in consultation with the Secretary of Education, shall conduct a study on mandatory reporting of body mass index, including--CommentsClose CommentsPermalink





‘(1) how many schools are currently conducting such measuring; andCommentsClose CommentsPermalink





‘(2) the impacts on students of such measures, which may include student and parent reactions to such reports, including changes in physical activity, a focus on nutrition, a focus on body image, the use of weight control behaviors, eating disorder symptoms, and the incidence of teasing or bullying based on body size.CommentsClose CommentsPermalink

‘SEC. 399OO-6. PUBLIC SERVICE ADVERTISEMENTS.

‘The Secretary, in consultation with the Director of the National Institutes of Health and the Secretary of Education, shall carry out a program to develop, distribute, and promote the broadcasting of public service announcements to improve public awareness of, and to promote the identification and prevention, of eating disorders.CommentsClose CommentsPermalink

‘SEC. 399OO-7. AUTHORIZATION OF APPROPRIATIONS.

‘To carry out sections 399OO-3, 399OO-4, 399OO-5, and 399OO-6, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2011 through 2015.’.CommentsClose CommentsPermalink

SEC. 202. SENSE OF THE SENATE.

It is the sense of the Senate that critically necessary programs to reduce obesity in children may also unintentionally increase the unhealthy weight control behaviors that can lead to development of eating disorders, and that federally funded programs to combat obesity should take this connection into consideration.CommentsClose CommentsPermalink

TITLE III--IMPROVING TRAINING IN HEALTH PROFESSIONS, EDUCATION, AND RELATED FIELDSCommentsClose CommentsPermalink

SEC. 301. GRANTS FOR HEALTH PROFESSIONALS.

Part D of title VII of the Public Health Service Act (42 U.S.C. 294 et seq.), as amended by section 4305(c) of the Patient Protection and Affordable Care Act (Public Law 111-148), is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 760. GRANTS FOR HEALTH PROFESSIONALS.

‘(a) Grants- The Secretary, acting through the Director of the Health Resources and Services Administration, shall award grants under this section to develop interdisciplinary training and education programs that provide undergraduate, graduate, post-graduate medical, nursing (including advanced practice nursing students), dental, mental and behavioral health, pharmacy, and other health professions students or residents with an understanding of, and clinical skills pertinent to identifying and treating, eating disorders.CommentsClose CommentsPermalink





‘(b) Eligibility- To be eligible to receive a grant under this section an entity shall--CommentsClose CommentsPermalink





‘(1) be an accredited school of allopathic or osteopathic medicine, or an accredited school of nursing, public health, social work, dentistry, behavioral and mental health, or pharmacy, or an accredited medical, dental, or nursing residency program;CommentsClose CommentsPermalink





‘(2) prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including--CommentsClose CommentsPermalink





‘(A) information to demonstrate that the applicant will employ an evidence-based approach for training health professionals on eating disorders;CommentsClose CommentsPermalink





‘(B) strategies for the dissemination and sharing of curricula and other educational materials developed under the grant to other interested health professions schools, national resource repositories for materials on eating disorders, and health services continuing education providers;CommentsClose CommentsPermalink





‘(C) a plan for consulting with community-based coalitions, treatment centers, or eating disorder research experts who have experience and expertise in issues related to eating disorders, for services provided under the program carried out under the grant; andCommentsClose CommentsPermalink





‘(D) a plan for making the information and curricula publicly available to health professionals, such as through the Internet.CommentsClose CommentsPermalink





‘(c) Use of Funds-CommentsClose CommentsPermalink





‘(1) REQUIRED USES- Amounts provided under a grant awarded under this section shall be used to fund interdisciplinary training and education projects that are designed to train medical, nursing, and other health professions students and residents to identify and provide appropriate health care services (including mental or behavioral health care services and referrals to appropriate community services) to individuals who have eating disorders.CommentsClose CommentsPermalink





‘(2) PERMISSIVE USE- Amounts provided under a grant under this section may be used to offer community-based training opportunities in rural areas for medical, nursing, and other health professions students and residents on eating disorders, which may include the use of distance learning networks and other available technologies needed to reach isolated rural areas.CommentsClose CommentsPermalink





‘(d) Requirements of Grantees-CommentsClose CommentsPermalink





‘(1) LIMITATION ON ADMINISTRATIVE EXPENSES- A grantee shall not use more than 10 percent of the amounts received under a grant under this section for administrative expenses.CommentsClose CommentsPermalink





‘(2) CONTRIBUTION OF FUNDS- A grantee under this section, and any entity receiving assistance under the grant for training and education, shall contribute non-Federal funds, either directly or through in-kind contributions, to the costs of the activities to be funded under the grant in an amount that is not less than 10 percent of the total cost of such activities.CommentsClose CommentsPermalink





‘(e) Eating Disorder- In this section, the term ‘eating disorder’ has the meaning given such term in section 399OO(e).CommentsClose CommentsPermalink





‘(f) Authorization of Appropriations- There are authorized to be appropriated to carry out this section such sums as may be necessary for fiscal years 2011 through 2015.’.CommentsClose CommentsPermalink

SEC. 302. TRAINING IN ELEMENTARY AND SECONDARY SCHOOLS.

Section 5131(a) of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7215(a)) is amended by adding at the end the following:CommentsClose CommentsPermalink





‘(28) Programs to improve the identification of students with eating disorders (as defined in section 399OO of the Public Health Service Act), increase awareness of such disorders among parents and students, and train educators (including teachers, school nurses, school social workers, coaches, school counselors, and administrators) on effective eating disorder prevention, screening, detection and assistance methods.’.CommentsClose CommentsPermalink

TITLE IV--IMPROVING AVAILABILITY AND ACCESS TO TREATMENTCommentsClose CommentsPermalink

SEC. 401. MEDICAID COVERAGE FOR EATING DISORDER TREATMENT SERVICES.

(a) In General- Section 1905 of the Social Security Act (42 U.S.C. 1396d(a)), as amended by section 2301(a)(1) of the Patient Protection and Affordable Care Act (Public Law 111-148) and section 1202(b) of the Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), is amended--CommentsClose CommentsPermalink





(1) in subsection (a)--CommentsClose CommentsPermalink





(A) in paragraph (28), by striking ‘and’ at the end;CommentsClose CommentsPermalink





(B) by redesignating paragraph (29) as paragraph (30); andCommentsClose CommentsPermalink





(C) by inserting after paragraph (28) the following new paragraph:CommentsClose CommentsPermalink





‘(29) eating disorder treatment services (as defined in subsection (ee)(1)); and’; andCommentsClose CommentsPermalink





(2) by adding at the end the following new subsection:CommentsClose CommentsPermalink





‘(ee) Eating Disorder Treatment Services-CommentsClose CommentsPermalink





‘(1) DEFINITION- The term ‘eating disorder treatment services’ means services relating to diagnosis and treatment of an eating disorder (as defined in section 399OO of the Public Health Service Act), including screening, counseling, pharmacotherapy (including coverage of drugs described in paragraph (2)), and other necessary health care services.CommentsClose CommentsPermalink





‘(2) COVERAGE FOR PHARMACOLOGICAL TREATMENT OF EATING DISORDERS- For purposes of paragraph (1), eating disorder treatment services shall include drugs provided as part of care in an inpatient setting, covered outpatient drugs (as defined in section 1927(k)(2)), and non-prescription drugs described in section 1927(d)(2)(A) that are prescribed, in accordance with generally accepted medical guidelines, for treatment of an eating disorder.’.CommentsClose CommentsPermalink





(b) Increased FMAP for Eating Disorder Treatment Services- Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)), as amended by section 4106(b) of the Patient Protection and Affordable Care Act, is amended--CommentsClose CommentsPermalink





(1) by striking ‘and’ before ‘(5)’; andCommentsClose CommentsPermalink





(2) by inserting before the period at the end the following: ‘, and (6) the Federal medical assistance percentage shall be equal to the enhanced FMAP described in section 2105(b) with respect to medical assistance for eating disorder treatment services (as defined in subsection (ee)(1)) provided to an individual who is eligible for such assistance and has an eating disorder (as defined in section 399OO of the Public Health Service Act)’.CommentsClose CommentsPermalink





(c) Inclusion in EPSDT Services- Section 1905(r)(1)(B) of such Act (42 U.S.C. 1396d(r)(1)(B)) is amended--CommentsClose CommentsPermalink





(1) in clause (iv), by striking ‘and’ at the end;CommentsClose CommentsPermalink





(2) in clause (v), by striking the period at the end and inserting ‘; and’; andCommentsClose CommentsPermalink





(3) by inserting after clause (v) the following new clause:CommentsClose CommentsPermalink





‘(vi) appropriate diagnostic services relating to eating disorders (as defined in section 399OO of the Public Health Service Act).’.CommentsClose CommentsPermalink





(d) Exception From Optional Restriction Under Medicaid Drug Coverage- Section 1927(d)(2)(A) of such Act (42 U.S.C. 1396r-8(d)(2)(A)) is amended by inserting before the period at the end the following: ‘, except for drugs that are prescribed, in accordance with generally accepted medical guidelines, for the purpose of treatment of an individual who is eligible for medical assistance under the State plan and has an eating disorder (as defined in section 399OO of the Public Health Service Act)’.CommentsClose CommentsPermalink





(e) Effective Date- The amendments made by this section shall apply to drugs and services furnished on or after October 1, 2010.CommentsClose CommentsPermalink

SEC. 402. GRANTS TO SUPPORT PATIENT ADVOCACY.

Subpart II of part D of title IX of the Public Health Service Act, as amended by section 6301(b) of the Patient Protection and Affordable Care Act (Public Law 111-148), is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 938. GRANTS TO SUPPORT PATIENT ADVOCACY.

‘(a) Grants- The Secretary, acting through the Director, shall award grants under this section to develop and support patient advocacy work to help individuals with eating disorders obtain adequate health care services and insurance coverage.CommentsClose CommentsPermalink





‘(b) Eligibility- To be eligible to receive a grant under this section, an entity shall--CommentsClose CommentsPermalink





‘(1) be a public or nonprofit private entity (including a health department of a State or tribal agency, a community-based organization, or an institution of higher education);CommentsClose CommentsPermalink





‘(2) prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including--CommentsClose CommentsPermalink





‘(A) comprehensive strategies for advocating on behalf of, and working with, individuals with eating disorders or at risk for developing eating disorders;CommentsClose CommentsPermalink





‘(B) a plan for consulting with community-based coalitions, treatment centers, or eating disorder research experts who have experience and expertise in issues related to eating disorders or patient advocacy in providing services under a grant awarded under this section; andCommentsClose CommentsPermalink





‘(C) a plan for financial sustainability involving State, local, and private contributions.CommentsClose CommentsPermalink





‘(c) Use of Funds- Amounts provided under a grant awarded under this section shall be used to support patient advocacy work, including--CommentsClose CommentsPermalink





‘(1) providing education and outreach in community settings regarding eating disorders and associated health problems, especially among low-income, minority, and medically underserved populations;CommentsClose CommentsPermalink





‘(2) facilitating access to appropriate, adequate, and timely health care for individuals with eating disorders and associated health problems;CommentsClose CommentsPermalink





‘(3) assisting in communication and cooperation between patients and providers;CommentsClose CommentsPermalink





‘(4) representing the interests of patients in managing health insurance claims and plans;CommentsClose CommentsPermalink





‘(5) providing education and outreach regarding enrollment in health insurance, including enrollment in the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and the Children’s Health Insurance Program under title XXI of such Act;CommentsClose CommentsPermalink





‘(6) identifying, referring, and enrolling underserved populations in appropriate health care agencies and community-based programs and organizations in order to increase access to high-quality health care services;CommentsClose CommentsPermalink





‘(7) providing technical assistance, training, and organizational support for patient advocates; andCommentsClose CommentsPermalink





‘(8) creating, operating, and participating in State or regional networks of patient advocates.CommentsClose CommentsPermalink





‘(d) Requirements of Grantees-CommentsClose CommentsPermalink





‘(1) LIMITATION ON ADMINISTRATIVE EXPENSES- A grantee shall not use more than 5 percent of the amounts received under a grant under this section for administrative expenses.CommentsClose CommentsPermalink





‘(2) CONTRIBUTION OF FUNDS- A grantee under this section, and any entity receiving assistance under the grant for training and education, shall contribute non-Federal funds, either directly or through in-kind contributions, to the costs of the activities to be funded under the grant in an amount that is not less than 75 percent of the total cost of such activities.CommentsClose CommentsPermalink





‘(3) REPORTING TO SECRETARY- A grantee under this section shall submit to the Secretary a report, at such time, in such manner, and containing such information as the Secretary may require, including a description and evaluation of the activities described in subsection (c) carried out by such entity.CommentsClose CommentsPermalink





‘(e) Eating Disorder- In this section, the term ‘eating disorder’ has the meaning given such term in section 399OO(e).CommentsClose CommentsPermalink





‘(f) Authorization of Appropriations- To carry out this section, there are authorized to be appropriated such sums as may be necessary for fiscal years 2011 through 2015.’.CommentsClose CommentsPermalink