S 174 ISCommentsClose CommentsPermalink

112th CONGRESSCommentsClose CommentsPermalink

1st SessionCommentsClose CommentsPermalink

S. 174CommentsClose CommentsPermalink

To improve the health of Americans and reduce health care costs by reorienting the Nation’s health care system toward prevention, wellness, and health promotion.CommentsClose CommentsPermalink

IN THE SENATE OF THE UNITED STATESCommentsClose CommentsPermalink

January 25 (legislative day, January 5), 2011CommentsClose CommentsPermalink

Mr. HARKIN introduced the following bill; which was read twice and referred to the Committee on FinanceCommentsClose CommentsPermalink

A BILLCommentsClose CommentsPermalink

To improve the health of Americans and reduce health care costs by reorienting the Nation’s health care system toward prevention, wellness, and health promotion.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; TABLE OF CONTENTS.

(a) Short Title- This Act may be cited as the ‘Healthy Lifestyles and Prevention America Act’ or the ‘HeLP America Act’.CommentsClose CommentsPermalink





(b) Table of Contents- The table of contents of this Act is as follows:CommentsClose CommentsPermalink





Sec. 1. Short title; table of contents.CommentsClose CommentsPermalink

TITLE I--HEALTHIER KIDS AND SCHOOLS

Sec. 101. Nutrition and physical activity in child care quality improvement.CommentsClose CommentsPermalink





Sec. 102. Access to local foods and school gardens at preschools and child care.CommentsClose CommentsPermalink





Sec. 103. Fresh fruit and vegetable program.CommentsClose CommentsPermalink





Sec. 104. Equal physical activity opportunities for students with disabilities.CommentsClose CommentsPermalink

TITLE II--HEALTHIER COMMUNITIES AND WORKPLACES

Subtitle A--Creating Healthier Communities

Sec. 201. Technical assistance for the development of joint use agreements.CommentsClose CommentsPermalink





Sec. 202. Community sports programs for individuals with disabilities.CommentsClose CommentsPermalink





Sec. 203. Community gardens.CommentsClose CommentsPermalink





Sec. 204. Physical activity guidelines for Americans.CommentsClose CommentsPermalink





Sec. 205. Tobacco taxes parity.CommentsClose CommentsPermalink





Sec. 206. Leveraging and coordinating federal resources for improved health.CommentsClose CommentsPermalink

Subtitle B--Incentives for a Healthier Workforce

Sec. 211. Tax credit to employers for costs of implementing wellness programs.CommentsClose CommentsPermalink





Sec. 212. Employer-provided off-premises athletic facilities.CommentsClose CommentsPermalink





Sec. 213. Task force for the promotion of breastfeeding in the workplace.CommentsClose CommentsPermalink





Sec. 214. Improving healthy eating and active living options in Federal workplaces.CommentsClose CommentsPermalink

TITLE III--RESPONSIBLE MARKETING AND CONSUMER AWARENESS

Sec. 301. Guidelines for reduction in sodium content in certain foods.CommentsClose CommentsPermalink





Sec. 302. Nutrition labeling for food products sold principally for use in restaurants or other retail food establishments.CommentsClose CommentsPermalink





Sec. 303. Front-label food guidance systems.CommentsClose CommentsPermalink





Sec. 304. Rulemaking authority for advertising to children.CommentsClose CommentsPermalink





Sec. 305. Health literacy: research, coordination and dissemination.CommentsClose CommentsPermalink





Sec. 306. Disallowance of deductions for advertising and marketing expenses relating to tobacco product use.CommentsClose CommentsPermalink





Sec. 307. Incentives to reduce tobacco use.CommentsClose CommentsPermalink

TITLE IV--EXPANDED COVERAGE OF PREVENTIVE SERVICES

Sec. 401. Required coverage of preventive services under the Medicaid program.CommentsClose CommentsPermalink





Sec. 402. Coverage for comprehensive workplace wellness program and preventive services.CommentsClose CommentsPermalink





Sec. 403. Health professional education and training in healthy eating.CommentsClose CommentsPermalink

TITLE V--RESEARCH

Sec. 501. Grants for Body Mass Index data analysis.CommentsClose CommentsPermalink





Sec. 502. National assessment of mental health needs.CommentsClose CommentsPermalink

TITLE I--HEALTHIER KIDS AND SCHOOLSCommentsClose CommentsPermalink

SEC. 101. NUTRITION AND PHYSICAL ACTIVITY IN CHILD CARE QUALITY IMPROVEMENT.

Section 658G of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858e) is amended--CommentsClose CommentsPermalink





(1) by striking ‘choice, and’ and inserting ‘choice,’; andCommentsClose CommentsPermalink





(2) by inserting after ‘referral services)’ the following: ‘, and the provision of resources to enable eligible child care providers to meet, exceed, or sustain success in meeting or exceeding Federal or State high-quality program standards relating to health, mental health, nutrition, physical activity, and physical development’.CommentsClose CommentsPermalink

SEC. 102. ACCESS TO LOCAL FOODS AND SCHOOL GARDENS AT PRESCHOOLS AND CHILD CARE.

Section 18(g) of the Richard B. Russell National School Lunch Act (42 U.S.C. 1769(g)) is amended--CommentsClose CommentsPermalink





(1) by redesignating paragraphs (1) through (4) as paragraphs (2) through (5), respectively;CommentsClose CommentsPermalink





(2) by inserting before paragraph (2) (as redesignated by paragraph (1)) the following:CommentsClose CommentsPermalink





‘(1) DEFINITIONS- In this subsection:CommentsClose CommentsPermalink





‘(A) CHILD CARE CENTER- The term ‘child care center’ means a child care center participating in the program under section 17 (other than a child care center that solely participates in the program under subsection (r) of that section).CommentsClose CommentsPermalink





‘(B) SPONSORING ORGANIZATION- The term ‘sponsoring organization’ means an institution described in subparagraphs (C), (D), or (E) of section 17(a)(2).’;CommentsClose CommentsPermalink





(3) in paragraph (2) (as so redesignated)--CommentsClose CommentsPermalink





(A) in the paragraph heading, by striking ‘in general’ and inserting ‘assistance’;CommentsClose CommentsPermalink





(B) in the matter preceding subparagraph (A), by inserting ‘, child care centers, sponsoring organizations for home-based care,’ after ‘schools’; andCommentsClose CommentsPermalink





(C) in subparagraph (A), by inserting ‘, child care centers, sponsoring organizations for home-based care,’ after ‘schools’;CommentsClose CommentsPermalink





(4) in paragraph (3) (as so redesignated), by striking ‘paragraph (1)’ and inserting ‘paragraph (2)’; andCommentsClose CommentsPermalink





(5) in paragraph (4) (as so redesignated)--CommentsClose CommentsPermalink





(A) in subparagraph (A)(i)--CommentsClose CommentsPermalink





(i) in subclause (I), by striking ‘or’;CommentsClose CommentsPermalink





(ii) in subclause (II), by striking the period at the end and inserting ‘; or’; andCommentsClose CommentsPermalink





(iii) by adding at the end the following:CommentsClose CommentsPermalink





‘(III) a consortium of at least 2 child care centers or sponsoring organizations for home-based care with hands-on vegetable gardening and nutrition education that is incorporated into the curriculum for 1 or more age groups at 2 or more eligible centers or family child care homes supported by sponsoring organizations for home-based care.’; andCommentsClose CommentsPermalink





(B) in subparagraph (F), by striking ‘paragraph (1)(H)’ and inserting ‘paragraph (2)(H)’.CommentsClose CommentsPermalink

SEC. 103. FRESH FRUIT AND VEGETABLE PROGRAM.

Section 19 of the Richard B. Russell National School Lunch Act (42 U.S.C. 1769a) is amended--CommentsClose CommentsPermalink





(1) by striking subsections (c) and (d) and inserting the following:CommentsClose CommentsPermalink





‘(c) School Participation-CommentsClose CommentsPermalink





‘(1) IN GENERAL- Each State shall carry out the program in each elementary school (as defined in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801)) in the State--CommentsClose CommentsPermalink





‘(A) in which not less than 50 percent of the students are eligible for free or reduced price meals under this Act; andCommentsClose CommentsPermalink





‘(B) that submits an application in accordance with paragraph (2).CommentsClose CommentsPermalink





‘(2) APPLICATION-CommentsClose CommentsPermalink





‘(A) IN GENERAL- An interested elementary school shall submit to the State an application containing--CommentsClose CommentsPermalink





‘(i) information pertaining to the percentage of students enrolled in the school who are eligible for free or reduced price school lunches under this Act;CommentsClose CommentsPermalink





‘(ii) a certification of support for participation in the program signed by the school food manager, the school principal, and the district superintendent (or equivalent positions, as determined by the school);CommentsClose CommentsPermalink





‘(iii) a plan for implementation of the program, including efforts to integrate activities carried out under this section with other efforts to promote sound health and nutrition, reduce overweight and obesity, or promote physical activity; andCommentsClose CommentsPermalink





‘(iv) such other information as may be requested by the Secretary.CommentsClose CommentsPermalink





‘(B) PARTNERSHIPS- Each State shall encourage interested elementary schools to submit a plan for implementation of the program that includes a partnership with 1 or more entities that will provide non-Federal resources (including entities representing the fruit and vegetable industry).’;CommentsClose CommentsPermalink





(2) by striking subsection (i) and inserting the following:CommentsClose CommentsPermalink





‘(i) Funding-CommentsClose CommentsPermalink





‘(1) IN GENERAL- Out of any funds in the Treasury not otherwise appropriated, the Secretary of the Treasury shall transfer to the Secretary to carry out this section such sums as are necessary, to remain available until expended.CommentsClose CommentsPermalink





‘(2) RECEIPT AND ACCEPTANCE- The Secretary shall be entitled to receive, shall accept, and shall use to carry out this section the funds transferred under paragraph (1), without further appropriation.’; andCommentsClose CommentsPermalink





(3) by redesignating subsections (e) through (i) as subsections (d) through (h), respectively.CommentsClose CommentsPermalink

SEC. 104. EQUAL PHYSICAL ACTIVITY OPPORTUNITIES FOR STUDENTS WITH DISABILITIES.

(a) In General- Title V of the Rehabilitation Act of 1973 (29 U.S.C. 791 et seq.) is amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 511. EQUAL PHYSICAL ACTIVITY OPPORTUNITIES FOR STUDENTS WITH DISABILITIES.

‘(a) In General- The Secretary shall promote equal opportunities for students with disabilities to be included and to participate in physical education and extracurricular athletics implemented in, or in conjunction with, elementary schools, secondary schools, and institutions of higher education, by ensuring the provision of appropriate technical assistance and guidance for schools and institutions described in this subsection and their personnel.CommentsClose CommentsPermalink





‘(b) Technical Assistance and Guidance- The provision of technical assistance and guidance described in subsection (a) shall include--CommentsClose CommentsPermalink





‘(1) providing technical assistance to elementary schools, secondary schools, local educational agencies, State educational agencies, and institutions of higher education, regarding--CommentsClose CommentsPermalink





‘(A) inclusion and participation of students with disabilities, in a manner equal to that of the other students, in physical education opportunities (including classes), and extracurricular athletics opportunities, including technical assistance on providing reasonable modifications to policies, practices, and procedures, and providing supports to ensure such inclusion and participation;CommentsClose CommentsPermalink





‘(B) provision of adaptive sports programs, in the physical education and extracurricular athletics opportunities, including programs with competitive sports leagues or competitions, for students with disabilities; andCommentsClose CommentsPermalink





‘(C) responsibilities of the schools, institutions, and agencies involved under section 504, the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.), and any other applicable Federal law to provide students with disabilities equal access to extracurricular athletics;CommentsClose CommentsPermalink





‘(2) facilitating information sharing among the schools, institutions, and agencies, and students with disabilities, on ways to provide inclusive opportunities in physical education and extracurricular athletics for students with disabilities; andCommentsClose CommentsPermalink





‘(3) monitoring the extent to which physical education and extracurricular athletics opportunities for students with disabilities are implemented in, or in conjunction with, elementary schools, secondary schools, and institutions of higher education.CommentsClose CommentsPermalink





‘(c) Definitions- In this section:CommentsClose CommentsPermalink





‘(1) AGENCIES- The terms ‘local educational agency’ and ‘State educational agency’ have the meanings given the terms in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).CommentsClose CommentsPermalink





‘(2) SCHOOLS- The terms ‘elementary school’, ‘secondary school’, and ‘institution of higher education’ mean an elementary school, secondary school, or institution of higher education, respectively (as defined in section 9101 of the Elementary and Secondary Education Act of 1965), that receives or has 1 or more students that receive, Federal financial assistance.CommentsClose CommentsPermalink





‘(3) STUDENT WITH A DISABILITY-CommentsClose CommentsPermalink





‘(A) IN GENERAL- The term ‘student with a disability’ means an individual who--CommentsClose CommentsPermalink





‘(i) attends an elementary school, secondary school, or institution of higher education; andCommentsClose CommentsPermalink





‘(ii) who--CommentsClose CommentsPermalink





‘(I) is eligible for, and receiving, special education or related services under part B of the Individuals with Disabilities Education Act (20 U.S.C. 1411 et seq.); orCommentsClose CommentsPermalink





‘(II) is an individual with a disability, for purposes of section 504 or the Americans with Disabilities Act of 1990.CommentsClose CommentsPermalink





‘(B) STUDENTS WITH DISABILITIES- The term ‘students with disabilities’ means more than 1 student with a disability.’.CommentsClose CommentsPermalink





(b) Table of Contents- The table of contents in section 1(b) of the Rehabilitation Act of 1973 is amended by inserting after the item relating to section 509 the following:CommentsClose CommentsPermalink





‘Sec. 510. Establishment of standards for accessible medical diagnostic equipment.CommentsClose CommentsPermalink





‘Sec. 511. Equal physical activity opportunities for students with disabilities.’.CommentsClose CommentsPermalink

TITLE II--HEALTHIER COMMUNITIES AND WORKPLACESCommentsClose CommentsPermalink

Subtitle A--Creating Healthier CommunitiesCommentsClose CommentsPermalink

SEC. 201. TECHNICAL ASSISTANCE FOR THE DEVELOPMENT OF JOINT USE AGREEMENTS.

(a) In General- The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention and in coordination with the Secretary of Education and in consultation with leading national experts and organizations advancing healthy living in the school environment, shall develop and disseminate guidelines and best practices, including model documents, and provide technical assistance to elementary and secondary schools to assist such schools with the development of joint use agreements so as to address liability, operational and management, and cost issues that may otherwise impede the ability of community members to use school facilities for recreational and nutritional purposes during nonschool hours.CommentsClose CommentsPermalink





(b) Definition- In this section, the term ‘joint use agreement’ means a formal agreement between an elementary or secondary school and another entity relating to the use of the school’s facilities, equipment, or property, including recreational and food services facilities, equipment, and property, by individuals other than the school’s students or staff.CommentsClose CommentsPermalink

SEC. 202. COMMUNITY SPORTS PROGRAMS FOR INDIVIDUALS WITH DISABILITIES.

Part P of title III of the Public Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 399V-5. COMMUNITY SPORTS PROGRAMS FOR INDIVIDUALS WITH DISABILITIES.

‘(a) In General-CommentsClose CommentsPermalink





‘(1) INDIVIDUAL WITH A DISABILITY DEFINED- For purposes of this section, the term ‘individual with a disability’ means any person who has a disability as defined in section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102).CommentsClose CommentsPermalink





‘(2) INDIVIDUAL WITH A PHYSICAL DISABILITY- The term ‘individual with a physical disability’ means an individual with a disability that has a physical or visual disability.CommentsClose CommentsPermalink





‘(3) COMMUNITY SPORTS GRANTS PROGRAM- The Secretary, in collaboration with the National Advisory Committee on Community Sports Programs for Individuals with Disabilities, may award grants on a competitive basis to public and nonprofit private entities to implement community-based, sports and athletic programs for individuals with disabilities, including youth with disabilities.CommentsClose CommentsPermalink





‘(b) Application- To be eligible to receive a grant under this section, a public or nonprofit private entity shall submit to the Secretary an application at such time, in such manner, and containing such agreements, assurances, and information as the Secretary determines to be necessary to carry out this section.CommentsClose CommentsPermalink





‘(c) Authorized Activities- Amounts awarded under a grant under subsection (a) shall be used for--CommentsClose CommentsPermalink





‘(1) community-based sports programs, leagues, or competitions in individual or team sports for individuals with physical disabilities;CommentsClose CommentsPermalink





‘(2) regional sports programs or competitions in individual or team sports for individuals with physical disabilities;CommentsClose CommentsPermalink





‘(3) the development of competitive team and individual sports programs for individuals with disabilities at the high school and collegiate level; orCommentsClose CommentsPermalink





‘(4) the development of mentoring programs to encourage participation in sports programs for individuals with disabilities, including individuals with recently acquired disabilities.CommentsClose CommentsPermalink





‘(d) Priorities-CommentsClose CommentsPermalink





‘(1) ADVISORY COMMITTEE- The Secretary shall establish a National Advisory Committee on Community Sports Programs for Individuals with Disabilities that shall--CommentsClose CommentsPermalink





‘(A) establish priorities for the implementation of this section;CommentsClose CommentsPermalink





‘(B) review grant proposals;CommentsClose CommentsPermalink





‘(C) make recommendations for distribution of the available appropriated funds to specific applicants; andCommentsClose CommentsPermalink





‘(D) annually evaluate the progress of programs carried out under this section in implementing such priorities.CommentsClose CommentsPermalink





‘(2) REPRESENTATION- The Advisory Committee established under paragraph (1) shall include representatives of--CommentsClose CommentsPermalink





‘(A) the Department of Health and Human Services Office on Disability;CommentsClose CommentsPermalink





‘(B) the United States Surgeon General;CommentsClose CommentsPermalink





‘(C) the Centers for Disease Control and Prevention;CommentsClose CommentsPermalink





‘(D) disabled sports organizations;CommentsClose CommentsPermalink





‘(E) organizations that represent the interests of individuals with disabilities; andCommentsClose CommentsPermalink





‘(F) individuals with disabilities (including athletes with physical disabilities) or their family members.CommentsClose CommentsPermalink





‘(e) Dissemination of Information- The Secretary shall disseminate information about the availability of grants under this section in a manner that is designed to reach public entities and nonprofit private organizations that are dedicated to providing outreach, advocacy, or independent living services to individuals with disabilities.CommentsClose CommentsPermalink





‘(f) Technical Assistance- The Secretary, in conjunction with the United States Olympic Committee and disabled sports organizations, shall establish a technical assistance center to provide training, support, and information to grantees under this section on establishing and operating community sports programs for individuals with disabilities.CommentsClose CommentsPermalink





‘(g) Report to Congress- Not later than 180 days after the date of the enactment of this section, and annually thereafter, the Secretary shall submit to Congress a report summarizing activities, findings, outcomes, and recommendations resulting from the grant projects funded under this section during the year for which the report is being prepared.CommentsClose CommentsPermalink





‘(h) Authorization of Appropriations-CommentsClose CommentsPermalink





‘(1) IN GENERAL- To carry out this section, there are authorized to be appropriated such sums as may be necessary.CommentsClose CommentsPermalink





‘(2) LIMITATION- Not to exceed 10 percent of the amount appropriated in each fiscal year shall be used to carry out activities under subsection (c)(4).’.CommentsClose CommentsPermalink

SEC. 203. COMMUNITY GARDENS.

Subtitle D of title X of the Food, Conservation, and Energy Act of 2008 (Public Law 110-246; 122 Stat. 2109) is amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 10405. COMMUNITY GARDEN GRANT PROGRAM.

‘(a) Definitions- In this section:CommentsClose CommentsPermalink





‘(1) ELIGIBLE ENTITY- The term ‘eligible entity’ means--CommentsClose CommentsPermalink





‘(A) a nonprofit organization; orCommentsClose CommentsPermalink





‘(B) a unit of general local government, or tribal government, located on tribal land or in a low-income community.CommentsClose CommentsPermalink





‘(2) LOW-INCOME COMMUNITY- The term ‘low-income community’ means--CommentsClose CommentsPermalink





‘(A) a community in which not less than 50 percent of children are eligible for free or reduced priced meals under the Richard B. Russell National School Lunch Act (42 U.S.C. 1751 et seq.); orCommentsClose CommentsPermalink





‘(B) any other community determined by the Secretary to be low-income for purposes of this section.CommentsClose CommentsPermalink





‘(3) UNIT OF GENERAL LOCAL GOVERNMENT- The term ‘unit of general local government’ has the meaning given the term in section 102 of the Housing and Community Development Act of 1974 (42 U.S.C. 5302).CommentsClose CommentsPermalink





‘(b) Program Established- Using such amounts as are appropriated to carry out this section, the Secretary shall award grants to eligible entities to expand, establish, or maintain community gardens.CommentsClose CommentsPermalink





‘(c) Application- To be considered for a grant under this section, an eligible entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including--CommentsClose CommentsPermalink





‘(1) an assurance that priority for hiring for jobs created by the expansion, establishment, or maintenance of a community garden funded with a grant received under this section will be given to individuals who reside in the community in which the garden is located; andCommentsClose CommentsPermalink





‘(2) a demonstration that the eligible entity is committed to providing non-Federal financial or in-kind support (such as providing a water supply) for the community garden for which the entity receives funds under this section.’.CommentsClose CommentsPermalink

SEC. 204. PHYSICAL ACTIVITY GUIDELINES FOR AMERICANS.

(a) Report-CommentsClose CommentsPermalink





(1) IN GENERAL- At least every 5 years, the Secretary of Health and Human Services (in this Act referred to as the ‘Secretary’) shall publish a report entitled ‘Physical Activity Guidelines for Americans’. Each such report shall contain physical activity information and guidelines for the general public, and shall be promoted by each Federal agency in carrying out any Federal health program.CommentsClose CommentsPermalink





(2) BASIS OF GUIDELINES- The information and guidelines contained in each report required under paragraph (1) shall be based on the preponderance of the scientific and medical knowledge which is current at the time the report is prepared, and shall include guidelines for identified population subgroups, including children, if the preponderance of scientific and medical knowledge indicates those subgroups require different levels of physical activity.CommentsClose CommentsPermalink





(b) Approval by Secretary-CommentsClose CommentsPermalink





(1) REVIEW- Any Federal agency that proposes to issue any physical activity guidance for the general population or identified population subgroups shall submit the text of such guidance to the Secretary for a 60-day review period.CommentsClose CommentsPermalink





(2) BASIS OF REVIEW-CommentsClose CommentsPermalink





(A) IN GENERAL- During the 60-day review period established in paragraph (1), the Secretary shall review and approve or disapprove such guidance to assure that the guidance either is consistent with the ‘Physical Activity Guidelines for Americans’ or that the guidance is based on medical or new scientific knowledge which is determined to be valid by the Secretary. If after such 60-day review period the Secretary has not notified the proposing agency that such guidance has been disapproved, then such guidance may be issued by the agency. If the Secretary disapproves such guidance, it shall be returned to the agency. If the Secretary finds that such guidance is inconsistent with the ‘Physical Activity Guidelines for Americans’ and so notifies the proposing agency, such agency shall follow the procedures set forth in this subsection before disseminating such proposal to the public in final form. If after such 60-day period, the Secretary disapproves such guidance as inconsistent with the ‘Physical Activity Guidelines for Americans’ the proposing agency shall--CommentsClose CommentsPermalink





(i) publish a notice in the Federal Register of the availability of the full text of the proposal and the preamble of such proposal which shall explain the basis and purpose for the proposed physical activity guidance;CommentsClose CommentsPermalink





(ii) provide in such notice for a public comment period of 30 days; andCommentsClose CommentsPermalink





(iii) make available for public inspection and copying during normal business hours any comment received by the agency during such comment period.CommentsClose CommentsPermalink





(B) REVIEW OF COMMENTS- After review of comments received during the comment period, the Secretary may approve for dissemination by the proposing agency a final version of such physical activity guidance along with an explanation of the basis and purpose for the final guidance which addresses significant and substantive comments as determined by the proposing agency.CommentsClose CommentsPermalink





(C) ANNOUNCEMENT- Any such final physical activity guidance to be disseminated under subparagraph (B) shall be announced in a notice published in the Federal Register, before public dissemination along with an address where copies may be obtained.CommentsClose CommentsPermalink





(D) NOTIFICATION OF DISAPPROVAL- If after the 30-day period for comment as provided under subparagraph (A)(ii), the Secretary disapproves a proposed physical activity guidance, the Secretary shall notify the Federal agency submitting such guidance of such disapproval, and such guidance may not be issued, except as provided in subparagraph (E).CommentsClose CommentsPermalink





(E) REVIEW OF DISAPPROVAL- If a proposed physical activity guidance is disapproved by the Secretary under subparagraph (D), the Federal agency proposing such guidance may, within 15 days after receiving notification of such disapproval under subparagraph (D), request the Secretary to review such disapproval. Within 15 days after receiving a request for such a review, the Secretary shall conduct such review. If, pursuant to such review, the Secretary approves such proposed physical activity guidance, such guidance may be issued by the Federal agency.CommentsClose CommentsPermalink





(3) DEFINITIONS- In this subsection:CommentsClose CommentsPermalink





(A) The term ‘physical activity guidance for the general population’ does not include any rule or regulation issued by a Federal agency.CommentsClose CommentsPermalink





(B) The term ‘identified population subgroups’ shall include, but not be limited to, groups based on factors such as age, sex, race, or physical disability.CommentsClose CommentsPermalink





(c) Existing Authority Not Affected- This section does not place any limitations on--CommentsClose CommentsPermalink





(1) the conduct or support of any scientific or medical research by any Federal agency; orCommentsClose CommentsPermalink





(2) the presentation of any scientific or medical findings or the exchange or review of scientific or medical information by any Federal agency.CommentsClose CommentsPermalink

SEC. 205. TOBACCO TAXES PARITY.

(a) Increase in Excise Tax on Small Cigarettes and Small Cigars-CommentsClose CommentsPermalink





(1) Section 5701(a)(1) of the Internal Revenue Code of 1986 is amended by striking ‘$50.33’ and inserting ‘$77.83’.CommentsClose CommentsPermalink





(2) Section 5701(b)(1) of the Internal Revenue Code of 1986 is amended by striking ‘$50.33’ and inserting ‘$77.83’CommentsClose CommentsPermalink





(b) Tax Parity for Pipe Tobacco and Roll-Your-Own Tobacco-CommentsClose CommentsPermalink





(1) Section 5701(f) of the Internal Revenue Code of 1986 is amended by striking ‘$2.8311 cents’ and inserting ‘$38.32’.CommentsClose CommentsPermalink





(2) Section 5701(g) of the Internal Revenue Code of 1986 is amended by striking ‘$24.78’ and inserting ‘$38.32’.CommentsClose CommentsPermalink





(c) Clarification of Definition of Small Cigars- Paragraphs (1) and (2) of section 5701(a) of the Internal Revenue Code of 1986 are each amended by striking ‘three pounds per thousand’ and inserting ‘four and one-half pounds per thousand’.CommentsClose CommentsPermalink





(d) Clarification of Definition of Cigarette- Paragraph (2) of section 5702(b) of the Internal Revenue Code of 1986 is amended by insert before the final period the following: ‘, which includes any roll for smoking containing tobacco that weighs no more than four and a half pounds per thousand, unless it is wrapped in whole tobacco leaf and does not have a cellulose acetate or other cigarette-style filter’.CommentsClose CommentsPermalink





(e) Tax Parity for Smokeless Tobacco-CommentsClose CommentsPermalink





(1) Section 5701(e) of the Internal Revenue Code of 1986 is amended--CommentsClose CommentsPermalink





(A) in paragraph (1), by striking ‘$1.51’ and inserting ‘$20.75’;CommentsClose CommentsPermalink





(B) in paragraph (2), by striking ‘50.33 cents’ and inserting ‘$8.30’; andCommentsClose CommentsPermalink





(C) by adding at the end the following:CommentsClose CommentsPermalink





‘(3) SMOKELESS TOBACCO SOLD IN DISCRETE SINGLE-USE UNITS- On discrete single-use units, $77.83 per each 1,000 single-use units.’.CommentsClose CommentsPermalink





(2) Section 5702(m) of the Internal Revenue Code of 1986 is amended--CommentsClose CommentsPermalink





(A) in paragraph (1), ‘or chewing tobacco’ and inserting ‘chewing tobacco, discrete single-use unit’;CommentsClose CommentsPermalink





(B) in paragraphs (2) and (3), by inserting ‘that is not a discrete single-use unit’ before the period in each such paragraph;CommentsClose CommentsPermalink





(C) by adding at the end the following:CommentsClose CommentsPermalink





‘(4) DISCRETE SINGLE-USE UNIT- The term ‘discrete single-use unit’ means any product containing tobacco that--CommentsClose CommentsPermalink





‘(A) is intended or expected to be consumed without being combusted; andCommentsClose CommentsPermalink





‘(B) is in the form of a lozenge, tablet, pill, pouch, dissolvable strip, or other discrete single-use or single-dose unit.’.CommentsClose CommentsPermalink





(f) Clarifying Other Tobacco Tax Definitions-CommentsClose CommentsPermalink





(1) TOBACCO PRODUCT DEFINITION- Section 5702(c) of the Internal Revenue Code of 1986 is amended by inserting before the period the following: ‘, and any other product containing tobacco that is intended or expected to be consumed’.CommentsClose CommentsPermalink





(2) CIGARETTE PAPER DEFINITION- Section 5702(e) of the Internal Revenue Code of 1986 is amended by striking ‘except tobacco,’ and inserting ‘or cigar’.CommentsClose CommentsPermalink





(3) CIGARETTE TUBE DEFINITION- Section 5702(f) of the Internal Revenue Code of 1986 is amended by inserting before the period ‘or cigars’.CommentsClose CommentsPermalink





(4) IMPORTER DEFINITION- Section 5702(k) of the Internal Revenue Code of 1986 is amended by inserting ‘or any other tobacco product’ after ‘cigars or cigarettes’.CommentsClose CommentsPermalink





(g) Floor Stocks Taxes-CommentsClose CommentsPermalink





(1) IMPOSITION OF TAX- On tobacco products manufactured in or imported into the United States which are removed before any tax increase date and held on such date for sale by any person, there is hereby imposed a tax in an amount equal to the excess of--CommentsClose CommentsPermalink





(A) the tax which would be imposed under section 5701 of the Internal Revenue Code of 1986 on the article if the article had been removed on such date, overCommentsClose CommentsPermalink





(B) the prior tax (if any) imposed under section 5701 of such Code on such article.CommentsClose CommentsPermalink





(2) CREDIT AGAINST TAX- Each person shall be allowed as a credit against the taxes imposed by paragraph (1) an amount equal to $500. Such credit shall not exceed the amount of taxes imposed by paragraph (1) on such date for which such person is liable.CommentsClose CommentsPermalink





(3) LIABILITY FOR TAX AND METHOD OF PAYMENT-CommentsClose CommentsPermalink





(A) LIABILITY FOR TAX- A person holding tobacco products on any tax increase date to which any tax imposed by paragraph (1) applies shall be liable for such tax.CommentsClose CommentsPermalink





(B) METHOD OF PAYMENT- The tax imposed by paragraph (1) shall be paid in such manner as the Secretary shall prescribe by regulations.CommentsClose CommentsPermalink





(C) TIME FOR PAYMENT- The tax imposed by paragraph (1) shall be paid on or before the date that is 120 days after the effective date of the tax rate increase.CommentsClose CommentsPermalink





(4) ARTICLES IN FOREIGN TRADE ZONES- Notwithstanding the Act of June 18, 1934 (commonly known as the Foreign Trade Zone Act, 48 Stat. 998, 19 U.S.C. 81a et seq.) or any other provision of law, any article which is located in a foreign trade zone on any tax increase date shall be subject to the tax imposed by paragraph (1) if--CommentsClose CommentsPermalink





(A) internal revenue taxes have been determined, or customs duties liquidated, with respect to such article before such date pursuant to a request made under the 1st proviso of section 3(a) of such Act, orCommentsClose CommentsPermalink





(B) such article is held on such date under the supervision of an officer of the United States Customs and Border Protection of the Department of Homeland Security pursuant to the 2d proviso of such section 3(a).CommentsClose CommentsPermalink





(5) DEFINITIONS- For purposes of this subsection--CommentsClose CommentsPermalink





(A) IN GENERAL- Any term used in this subsection which is also used in section 5702 of such Code shall have the same meaning as such term has in such section.CommentsClose CommentsPermalink





(B) TAX INCREASE DATE- The term ‘tax increase date’ means the effective date of any increase in any tobacco product excise tax rate pursuant to the amendments made by this section.CommentsClose CommentsPermalink





(C) SECRETARY- The term ‘Secretary’ means the Secretary of the Treasury or the Secretary’s delegate.CommentsClose CommentsPermalink





(6) CONTROLLED GROUPS- Rules similar to the rules of section 5061(e)(3) of such Code shall apply for purposes of this subsection.CommentsClose CommentsPermalink





(7) OTHER LAWS APPLICABLE- All provisions of law, including penalties, applicable with respect to the taxes imposed by section 5701 of such Code shall, insofar as applicable and not inconsistent with the provisions of this subsection, apply to the floor stocks taxes imposed by paragraph (1), to the same extent as if such taxes were imposed by such section 5701. The Secretary may treat any person who bore the ultimate burden of the tax imposed by paragraph (1) as the person to whom a credit or refund under such provisions may be allowed or made.CommentsClose CommentsPermalink





(h) Effective Date- The amendments made by this section shall apply to articles removed (as defined in section 5702(j) of the Internal Revenue Code of 1986) after December 31, 2010.CommentsClose CommentsPermalink

SEC. 206. LEVERAGING AND COORDINATING FEDERAL RESOURCES FOR IMPROVED HEALTH.

(a) Health Impacts of Non-Health Legislation-CommentsClose CommentsPermalink





(1) IN GENERAL- Not later than 6 months after the date of enactment of this Act, the National Prevention, Health Promotion and Public Health Council, shall enter into a contract with the Institute of Medicine of the National Academy of Sciences for the conduct of a study to assess the potential health impacts of major non-health related legislation that is likely to be considered by Congress within a year of completion of the study. Such study shall identify the ways in which such legislation involved is likely to impact the health of Americans and shall contain recommendations to Congress on ways to maximize the positive health impacts and minimize the negative health impacts.CommentsClose CommentsPermalink





(2) TIMING- The timing of the study under paragraph (1) shall be provide for in a manner that ensures that the results of the study will be available at least 3 months prior to the consideration of the legislation involved by Congress.CommentsClose CommentsPermalink





(3) GUIDELINES- To the extent practicable, the Council under paragraph (1) shall ensure that the study conducted under this subsection complies with the consensus guidelines on how to carry out a health impact assessment, including stakeholder engagement guidelines, such as the HIA of the Americas Practice Guidelines and guidelines promulgated by the World Health Organization and other consensus bodies.CommentsClose CommentsPermalink





(4) REPORT- Upon completion of the study under this subsection, the Institute of Medicine shall submit to the Council under paragraph (1), and make available to the general public, a report that--CommentsClose CommentsPermalink





(A) summarizes the direct, indirect, and cumulative health impacts identified in the assessment; andCommentsClose CommentsPermalink





(B) contains recommendations for how to maximize positive health impacts and minimize negative health impacts of the legislation involved.CommentsClose CommentsPermalink





(5) TYPE OF LEGISLATION- For purposes of this subsection, the term ‘non-health related legislation’ shall have the meaning given such term by the Council under paragraph (1), and shall include legislation that is likely to have impacts on the health of Americans where such impacts are not likely to be considered by Congress to the extent required by their scope without the conduct of an assessment under this subsection. Examples of major non-health related legislation that could be the subject of the study include reauthorizations of the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU; Public Law 109-59), the Food, Conservation, and Energy Act of 2008 (Public Law 110-246), and the Elementary and Secondary Education Act of 1965 (20 U.S.C. 6301 et seq.).CommentsClose CommentsPermalink





(b) Improving Health Impacts of Federal Agency Activities-CommentsClose CommentsPermalink





(1) IN GENERAL- The Secretary, acting through the Director of the Centers for Disease Control and Prevention and in coordination with the National Prevention, Health Promotion and Public Health Council, shall detail employees of the Department of Health and Human Services to policy and program planning offices of other Federal departments and agencies, including the Department of Transportation, the Department of Housing and Urban Development, the Department of Agriculture, the Department of Education, and the Department of the Interior, in order to assist those departments and agencies to consider the impacts of their activities on the health of the populations served and to assist with the integration of health goals into the activities of the departments and agencies, as appropriate.CommentsClose CommentsPermalink





(2) DUTIES- Employees detailed under paragraph (1) shall assist with assessments of the potential impacts of the programs and activities of the department or agency involved on the health and well-being of the populations served, the development of metrics and performance standards that can be incorporated, as appropriate, into the activities, performance measurements, and grant and contract standards of the department or agency, and the development of the report detailed in paragraph (3).CommentsClose CommentsPermalink





(3) REPORTS- Not later than 1 year after the date of enactment of this Act, and annually thereafter, each department and agency with a detailee under this section shall submit to the National Prevention, Health Promotion and Public Health Council, the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report detailing the health impacts of the department or agency’s activities and any plans to improve those impacts.CommentsClose CommentsPermalink

Subtitle B--Incentives for a Healthier WorkforceCommentsClose CommentsPermalink

SEC. 211. TAX CREDIT TO EMPLOYERS FOR COSTS OF IMPLEMENTING WELLNESS PROGRAMS.

(a) In General- Subpart D of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986 is amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 45S. WELLNESS PROGRAM CREDIT.

‘(a) Allowance of Credit-CommentsClose CommentsPermalink





‘(1) IN GENERAL- For purposes of section 38, the wellness program credit determined under this section for any taxable year during the credit period with respect to an employer is an amount equal to 50 percent of the costs paid or incurred by the employer in connection with a qualified wellness program during the taxable year.CommentsClose CommentsPermalink





‘(2) LIMITATION- The amount of credit allowed under paragraph (1) for any taxable year shall not exceed the sum of--CommentsClose CommentsPermalink





‘(A) the product of $200 and the number of employees of the employer not in excess of 200 employees, plusCommentsClose CommentsPermalink





‘(B) the product of $100 and the number of employees of the employer in excess of 200 employees.CommentsClose CommentsPermalink





‘(b) Qualified Wellness Program- For purposes of this section--CommentsClose CommentsPermalink





‘(1) QUALIFIED WELLNESS PROGRAM- The term ‘qualified wellness program’ means a program which--CommentsClose CommentsPermalink





‘(A) consists of any 3 of the wellness program components described in subsection (c), andCommentsClose CommentsPermalink





‘(B) which is certified by the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury and Secretary of Labor, as a qualified wellness program under this section.CommentsClose CommentsPermalink





‘(2) PROGRAMS MUST BE CONSISTENT WITH RESEARCH AND BEST PRACTICES-CommentsClose CommentsPermalink





‘(A) IN GENERAL- The Secretary of Health and Human Services shall not certify a program as a qualified wellness program unless the program--CommentsClose CommentsPermalink





‘(i) is consistent with evidence-based research and best practices, as identified by persons with expertise in employer health promotion and wellness programs,CommentsClose CommentsPermalink





‘(ii) includes multiple, evidence-based strategies which are based on the existing and emerging research and careful scientific reviews, including the Guide to Community Preventive Services, the Guide to Clinical Preventive Services, and the National Registry for Effective Programs, andCommentsClose CommentsPermalink





‘(iii) includes strategies which focus on employee populations with a disproportionate burden of health problems.CommentsClose CommentsPermalink





‘(B) PERIODIC UPDATING AND REVIEW- The Secretary of Health and Human Services shall establish procedures for periodic review and recertifications of programs under this subsection. Such procedures shall require revisions of programs if necessary to ensure compliance with the requirements of this section and require updating of the programs to the extent the Secretary, in consultation with the Secretary of the Treasury and the Secretary of Labor, determines necessary to reflect new scientific findings.CommentsClose CommentsPermalink





‘(3) HEALTH LITERACY- The Secretary of Health and Human Services shall, as part of the certification process, encourage employers to make the programs culturally competent and to meet the health literacy needs of the employees covered by the programs.CommentsClose CommentsPermalink





‘(c) Wellness Program Components- For purposes of this section, the wellness program components described in this subsection are the following:CommentsClose CommentsPermalink





‘(1) HEALTH AWARENESS COMPONENT- A health awareness component which provides for the following:CommentsClose CommentsPermalink





‘(A) HEALTH EDUCATION- The dissemination of health information which addresses the specific needs and health risks of employees.CommentsClose CommentsPermalink





‘(B) HEALTH SCREENINGS- The opportunity for periodic screenings for health problems and referrals for appropriate follow up measures.CommentsClose CommentsPermalink





‘(2) EMPLOYEE ENGAGEMENT COMPONENT- An employee engagement component which provides for--CommentsClose CommentsPermalink





‘(A) the establishment of a committee to actively engage employees in worksite wellness programs through worksite assessments and program planning, delivery, evaluation, and improvement efforts, andCommentsClose CommentsPermalink





‘(B) the tracking of employee participation.CommentsClose CommentsPermalink





‘(3) BEHAVIORAL CHANGE COMPONENT- A behavioral change component which provides for altering employee lifestyles to encourage healthy living through counseling, seminars, on-line programs, or self-help materials which provide technical assistance and problem solving skills. Such component may include programs relating to--CommentsClose CommentsPermalink





‘(A) tobacco use,CommentsClose CommentsPermalink





‘(B) overweight and obesity,CommentsClose CommentsPermalink





‘(C) stress management,CommentsClose CommentsPermalink





‘(D) physical activity,CommentsClose CommentsPermalink





‘(E) nutrition,CommentsClose CommentsPermalink





‘(F) substance abuse,CommentsClose CommentsPermalink





‘(G) depression, andCommentsClose CommentsPermalink





‘(H) mental health promotion (including anxiety).CommentsClose CommentsPermalink





‘(4) SUPPORTIVE ENVIRONMENT COMPONENT- A supportive environment component which includes the following:CommentsClose CommentsPermalink





‘(A) ON-SITE POLICIES- Policies and services at the worksite which promote a healthy lifestyle, including policies relating to--CommentsClose CommentsPermalink





‘(i) tobacco use at the worksite,CommentsClose CommentsPermalink





‘(ii) the nutrition of food available at the worksite through cafeterias and vending options,CommentsClose CommentsPermalink





‘(iii) minimizing stress and promoting positive mental health in the workplace,CommentsClose CommentsPermalink





‘(iv) where applicable, accessible and attractive stairs, andCommentsClose CommentsPermalink





‘(v) the encouragement of physical activity before, during, and after work hours.CommentsClose CommentsPermalink





‘(B) PARTICIPATION INCENTIVES-CommentsClose CommentsPermalink





‘(i) IN GENERAL- Qualified incentive benefits for each employee who participates in the health screenings described in paragraph (1)(B) or the behavioral change programs described in paragraph (3).CommentsClose CommentsPermalink





‘(ii) QUALIFIED INCENTIVE BENEFIT- For purposes of clause (i), the term ‘qualified incentive benefit’ means any benefit which is approved by the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury and the Secretary of Labor. Such benefit may include an adjustment in health insurance premiums or co-pays.CommentsClose CommentsPermalink





‘(C) EMPLOYEE INPUT- The opportunity for employees to participate in the management of any qualified wellness program to which this section applies.CommentsClose CommentsPermalink





‘(d) Participation Requirement-CommentsClose CommentsPermalink





‘(1) IN GENERAL- No credit shall be allowed under subsection (a) unless the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury and Secretary of Labor, as a part of any certification described in subsection (b), that each wellness program component of the qualified wellness program applies to all qualified employees of the employer. The Secretary of Health and Human Services shall prescribe rules under which an employer shall not be treated as failing to meet the requirements of this subsection merely because the employer provides specialized programs for employees with specific health needs or unusual employment requirements or provides a pilot program to test new wellness strategies.CommentsClose CommentsPermalink





‘(2) QUALIFIED EMPLOYEE- For purposes of paragraph (1), the term ‘qualified employee’ means an employee who works an average of not less than 25 hours per week during the taxable year.CommentsClose CommentsPermalink





‘(e) Other Definitions and Special Rules- For purposes of this section--CommentsClose CommentsPermalink





‘(1) EMPLOYEE AND EMPLOYER-CommentsClose CommentsPermalink





‘(A) PARTNERS AND PARTNERSHIPS- The term ‘employee’ includes a partner and the term ‘employer’ includes a partnership.CommentsClose CommentsPermalink





‘(B) CERTAIN RULES TO APPLY- Rules similar to the rules of section 52 shall apply.CommentsClose CommentsPermalink





‘(2) CERTAIN COSTS NOT INCLUDED- Costs paid or incurred by an employer for food or health insurance shall not be taken into account under subsection (a).CommentsClose CommentsPermalink





‘(3) NO CREDIT WHERE GRANT AWARDED- No credit shall be allowable under subsection (a) with respect to any qualified wellness program of any taxpayer (other than an eligible employer described in subsection (f)(2)(A)) who receives a grant provided by the United States, a State, or a political subdivision of a State for use in connection with such program. The Secretary shall prescribe rules providing for the waiver of this paragraph with respect to any grant which does not constitute a significant portion of the funding for the qualified wellness program.CommentsClose CommentsPermalink





‘(4) CREDIT PERIOD-CommentsClose CommentsPermalink





‘(A) IN GENERAL- The term ‘credit period’ means the period of 10 consecutive taxable years beginning with the taxable year in which the qualified wellness program is first certified under this section.CommentsClose CommentsPermalink





‘(B) SPECIAL RULE FOR EXISTING PROGRAMS- In the case of an employer (or predecessor) which operates a wellness program for its employees on the date of the enactment of this section, subparagraph (A) shall be applied by substituting ‘3 consecutive taxable years’ for ‘10 consecutive taxable years’. The Secretary shall prescribe rules under which this subsection shall not apply if an employer is required to make substantial modifications in the existing wellness program in order to qualify such program for certification as a qualified wellness program.CommentsClose CommentsPermalink





‘(C) CONTROLLED GROUPS- For purposes of this paragraph, all persons treated as a single employer under subsection (b), (c), (m), or (o) of section 414 shall be treated as a single employer.CommentsClose CommentsPermalink





‘(f) Portion of Credit Made Refundable-CommentsClose CommentsPermalink





‘(1) IN GENERAL- In the case of an eligible employer of an employee, the aggregate credits allowed to a taxpayer under subpart C shall be increased by the lesser of--CommentsClose CommentsPermalink





‘(A) the credit which would be allowed under this section without regard to this subsection and the limitation under section 38(c), orCommentsClose CommentsPermalink





‘(B) the amount by which the aggregate amount of credits allowed by this subpart (determined without regard to this subsection) would increase if the limitation imposed by section 38(c) for any taxable year were increased by the amount of employer payroll taxes imposed on the taxpayer during the calendar year in which the taxable year begins.CommentsClose CommentsPermalink





The amount of the credit allowed under this subsection shall not be treated as a credit allowed under this subpart and shall reduce the amount of the credit otherwise allowable under subsection (a) without regard to section 38(c).CommentsClose CommentsPermalink





‘(2) ELIGIBLE EMPLOYER- For purposes of this subsection, the term ‘eligible employer’ means an employer which is--CommentsClose CommentsPermalink





‘(A) a State or political subdivision thereof, the District of Columbia, a possession of the United States, or an agency or instrumentality of any of the foregoing, orCommentsClose CommentsPermalink





‘(B) any organization described in section 501(c) of the Internal Revenue Code of 1986 which is exempt from taxation under section 501(a) of such Code.CommentsClose CommentsPermalink





‘(3) EMPLOYER PAYROLL TAXES- For purposes of this subsection--CommentsClose CommentsPermalink





‘(A) IN GENERAL- The term ‘employer payroll taxes’ means the taxes imposed by--CommentsClose CommentsPermalink





‘(i) section 3111(b), andCommentsClose CommentsPermalink





‘(ii) sections 3211(a) and 3221(a) (determined at a rate equal to the rate under section 3111(b)).CommentsClose CommentsPermalink





‘(B) SPECIAL RULE- A rule similar to the rule of section 24(d)(2)(C) shall apply for purposes of subparagraph (A).CommentsClose CommentsPermalink





‘(g) Termination- This section shall not apply to any amount paid or incurred after December 31, 2017.’.CommentsClose CommentsPermalink





(b) Treatment as General Business Credit- Subsection (b) of section 38 of the Internal Revenue Code of 1986 is amended by striking ‘plus’ at the end of paragraph (35), by striking the period at the end of paragraph (36) and inserting ‘, plus’, and by adding at the end the following:CommentsClose CommentsPermalink





‘(37) the wellness program credit determined under section 45S.’.CommentsClose CommentsPermalink





(c) Denial of Double Benefit- Section 280C of the Internal Revenue Code of 1986 is amended by adding at the end the following new subsection:CommentsClose CommentsPermalink





‘(j) Wellness Program Credit-CommentsClose CommentsPermalink





‘(1) IN GENERAL- No deduction shall be allowed for that portion of the costs paid or incurred for a qualified wellness program (within the meaning of section 45S) allowable as a deduction for the taxable year which is equal to the amount of the credit allowable for the taxable year under section 45S.CommentsClose CommentsPermalink





‘(2) SIMILAR RULE WHERE TAXPAYER CAPITALIZES RATHER THAN DEDUCTS EXPENSES- If--CommentsClose CommentsPermalink





‘(A) the amount of the credit determined for the taxable year under section 45S, exceedsCommentsClose CommentsPermalink





‘(B) the amount allowable as a deduction for such taxable year for a qualified wellness program,CommentsClose CommentsPermalink





the amount chargeable to capital account for the taxable year for such expenses shall be reduced by the amount of such excess.CommentsClose CommentsPermalink





‘(3) CONTROLLED GROUPS- In the case of a corporation which is a member of a controlled group of corporations (within the meaning of section 41(f)(5)) or a trade or business which is treated as being under common control with other trades or business (within the meaning of section 41(f)(1)(B)), this subsection shall be applied under rules prescribed by the Secretary similar to the rules applicable under subparagraphs (A) and (B) of section 41(f)(1).’.CommentsClose CommentsPermalink





(d) Clerical Amendment- The table of sections for subpart D of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986 is amended by adding at the end the following:CommentsClose CommentsPermalink





‘Sec. 45S. Wellness program credit.’.CommentsClose CommentsPermalink





(e) Effective Date- The amendments made by this section shall apply to taxable years beginning after the date of enactment of this Act.CommentsClose CommentsPermalink





(f) Outreach-CommentsClose CommentsPermalink





(1) IN GENERAL- The Secretary of the Treasury, in conjunction with the Director of the Centers for Disease Control and members of the business community, shall institute an outreach program to inform businesses about the availability of the wellness program credit under section 45S of the Internal Revenue Code of 1986 as well as to educate businesses on how to develop programs according to recognized and promising practices and on how to measure the success of implemented programs.CommentsClose CommentsPermalink





(2) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be appropriated such sums as are necessary to carry out the outreach program described in paragraph (1).CommentsClose CommentsPermalink

SEC. 212. EMPLOYER-PROVIDED OFF-PREMISES ATHLETIC FACILITIES.

(a) Treatment as Fringe Benefit- Subparagraph (A) of section 132(j)(4) of the Internal Revenue Code of 1986 is amended to read as follows:CommentsClose CommentsPermalink





‘(A) IN GENERAL- Gross income shall not include--CommentsClose CommentsPermalink





‘(i) the value of any on-premises athletic facility provided by an employer to its employees, andCommentsClose CommentsPermalink





‘(ii) so much of the fees, dues, or membership expenses paid by an employer to an athletic or fitness facility described in subparagraph (C) on behalf of its employees as does not exceed $900 per employee per year.’.CommentsClose CommentsPermalink





(b) Athletic Facilities Described- Paragraph (4) of section 132(j) of the Internal Revenue Code of 1986 is amended by adding at the end the following new subparagraph:CommentsClose CommentsPermalink





‘(C) CERTAIN ATHLETIC OR FITNESS FACILITIES DESCRIBED- For purposes of subparagraph (A)(ii), an athletic or fitness facility described in this subparagraph is a facility--CommentsClose CommentsPermalink





‘(i) which provides instruction in a program of physical exercise, offers facilities for the preservation, maintenance, encouragement, or development of physical fitness, or is the site of such a program of a State or local government,CommentsClose CommentsPermalink





‘(ii) which is not a private club owned and operated by its members,CommentsClose CommentsPermalink





‘(iii) which does not offer golf, hunting, sailing, or riding facilities,CommentsClose CommentsPermalink





‘(iv) whose health or fitness facility is not incidental to its overall function and purpose, andCommentsClose CommentsPermalink





‘(v) which is fully compliant with the State of jurisdiction and Federal anti-discrimination laws.’.CommentsClose CommentsPermalink





(c) Exclusion Applies to Highly Compensated Employees Only If No Discrimination- Section 132(j)(1) of the Internal Revenue Code of 1986 is amended--CommentsClose CommentsPermalink





(1) by striking ‘Paragraphs (1) and (2) of subsection (a)’ and inserting ‘Subsections (a)(1), (a)(2), and (j)(4)’, andCommentsClose CommentsPermalink





(2) by striking the heading thereof through ‘APPLY’ and inserting ‘CERTAIN EXCLUSIONS APPLY’.CommentsClose CommentsPermalink





(d) Employer Deduction for Dues to Certain Athletic Facilities-CommentsClose CommentsPermalink





(1) IN GENERAL- Paragraph (3) of section 274(a) of the Internal Revenue Code of 1986 is amended by adding at the end the following new sentence: ‘The preceding sentence shall not apply to so much of the fees, dues, or membership expenses paid to athletic or fitness facilities (within the meaning of section 132(j)(4)(C)) as does not exceed $900 per employee per year.’.CommentsClose CommentsPermalink





(2) CONFORMING AMENDMENT- The last sentence of section 274(e)(4) of such Code is amended by inserting ‘the first sentence of’ before ‘subsection (a)(3)’.CommentsClose CommentsPermalink





(e) Effective Date- The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act.CommentsClose CommentsPermalink

SEC. 213. TASK FORCE FOR THE PROMOTION OF BREASTFEEDING IN THE WORKPLACE.

(a) Establishment- The Secretary of Health and Human Services and the Secretary of Labor, or their designees, shall convene a task force for the purpose of promoting breastfeeding among working mothers (referred to in this section as the ‘Task Force’).CommentsClose CommentsPermalink





(b) Membership- The Task Force shall be composed of members who are--CommentsClose CommentsPermalink





(1) expert staff from the Department of Labor with expertise in workforce issues;CommentsClose CommentsPermalink





(2) expert staff from the Department of Health and Human Services with expertise in the areas of breastfeeding and breastfeeding promotion;CommentsClose CommentsPermalink





(3) members of the United States Breastfeeding Committee;CommentsClose CommentsPermalink





(4) expert staff from the Department of Agriculture; andCommentsClose CommentsPermalink





(5) appointed by the Secretary of Health and Human Services and the Secretary of Labor, including--CommentsClose CommentsPermalink





(A) working mothers who have experience in working and breastfeeding; andCommentsClose CommentsPermalink





(B) representatives of the human resource departments of both large and small employers that have successfully promoted breastfeeding and breastmilk pumping support at work.CommentsClose CommentsPermalink





(c) Period of Appointment; Vacancies- Members shall be appointed for the life of the Task Force. Any vacancy in the Task Force shall not affects its powers, but shall be filled in the same manner as the original appointment.CommentsClose CommentsPermalink





(d) Chair- The Task Force shall be chaired jointly by the Secretary of Health and Human Services and the Secretary of Labor, or their designees.CommentsClose CommentsPermalink





(e) Duties of the Task Force-CommentsClose CommentsPermalink





(1) EXAMINATION- Consistent with the Department of Health and Human Services Blueprint for Action on Breastfeeding (2000), the Task Force shall examine the following issues:CommentsClose CommentsPermalink





(A) The challenges that mothers face with continuing breastfeeding when the mothers return to work after giving birth.CommentsClose CommentsPermalink





(B) The challenges that employers face in accommodating mothers who seek to continue to breastfeed or to express milk when the mothers re-enter the workforce, including different challenges that mothers of varying socio-economic status and in different professions may face.CommentsClose CommentsPermalink





(C) The benefits that accrue to mothers, babies, and to employers when mothers are able to continue to breastfeed or to express breastmilk at work after the mothers have re-entered the workforce.CommentsClose CommentsPermalink





(D) Federal and State statutes that may have the effect of reducing breastfeeding and breastfeeding retention rates among working mothers.CommentsClose CommentsPermalink





(2) REPORTS-CommentsClose CommentsPermalink





(A) IN GENERAL- Not later than 1 year after the date of enactment of this section, the Task Force shall issue a public report with recommendations on the following:CommentsClose CommentsPermalink





(i) Steps that can be taken to promote breastfeeding among working mothers and to remove barriers to breastfeeding among working mothers.CommentsClose CommentsPermalink





(ii) Potential ways in which the Federal Government can work with employers to promote breastfeeding among working mothers.CommentsClose CommentsPermalink





(iii) Areas in which changes to existing Federal, State, or local laws would likely have the effect of making it easier for working mothers to breastfeed or would remove impediments to breastfeeding that currently exist in such laws.CommentsClose CommentsPermalink





(iv) Whether or not increased rates of breastfeeding among working mothers would likely have the result of reducing health care costs among such mothers and their children, and, in particular, whether increased rates of breastfeeding would be likely to result in lower Federal expenditures on health care for such mothers and their children.CommentsClose CommentsPermalink





(v) Areas in which the Federal Government, through increased efforts by Federal agencies, or changes to existing Federal law, can and should increase the Federal Government’s efforts to promote breastfeeding among working mothers.CommentsClose CommentsPermalink





(B) COPY TO CONGRESS- Upon completion of the report described in subparagraph (A), the Task Force shall submit a copy of the report to the Committee on Health, Education, Labor, and Pensions of the Senate, the Committee on Appropriations of the Senate, the Committee on Education and the Workforce of the House of Representatives, and the Committee on Appropriations of the House of Representatives.CommentsClose CommentsPermalink





(f) Powers of the Task Force-CommentsClose CommentsPermalink





(1) HEARINGS- The Task Force may hold such hearings, sit and act at such times and places, take such testimony, and receive such evidence as the Task Force considers advisable to carry out this section.CommentsClose CommentsPermalink





(2) INFORMATION FROM FEDERAL AGENCIES- The Task Force may secure directly from any Federal department or agency such information as the Task Force considers necessary to carry out this section. Upon request of the Chair of the Task Force, the head of such department or agency shall furnish such information to the Task Force.CommentsClose CommentsPermalink





(3) POSTAL SERVICES- The Task Force may use the United States mails in the same manner and under the same conditions as other departments and agencies of the Federal Government.CommentsClose CommentsPermalink





(4) DONATIONS- The Task Force may accept, use, and dispose of donations of services or property.CommentsClose CommentsPermalink





(g) Operating Expenses- The operating expenses of the Task Force, including travel expenses for members of the Task Force, shall be paid for from the general operating expenses funds of the Secretary of Health and Human Services and the Secretary of Labor.CommentsClose CommentsPermalink

SEC. 214. IMPROVING HEALTHY EATING AND ACTIVE LIVING OPTIONS IN FEDERAL WORKPLACES.

(a) Menu Labeling in Federal Food Establishments-CommentsClose CommentsPermalink





(1) IN GENERAL-CommentsClose CommentsPermalink





(A) EXECUTIVE AND JUDICIAL BUILDINGS- Section 403(q) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(q)) is amended by adding at the end the following:CommentsClose CommentsPermalink





‘(6)(A) The requirements of subparagraph (5)(H) shall apply--CommentsClose CommentsPermalink





‘(i) to a restaurant or similar retail food establishment located in a Federal building in the same manner as such subparagraph applies to a restaurant or similar retail food establishment that is part of a chain with 20 or more locations, as described in subparagraph (5)(H)(i); andCommentsClose CommentsPermalink





‘(ii) to a person that operates a vending machine located in a Federal building in the same manner as such subparagraph applies to a person who is engaged in the business of owning or operating 20 or more vending machines, as described in subparagraph (5)(H)(viii).CommentsClose CommentsPermalink





‘(B) In this subparagraph, the term ‘Federal building’ means a building that is--CommentsClose CommentsPermalink





‘(i) under the control of the Federal agency (as defined in section 102 of title 40, United States Code);CommentsClose CommentsPermalink





‘(ii) owned by the Federal Government; andCommentsClose CommentsPermalink





‘(iii) located in a State, the District of Columbia, Puerto Rico, or a territory or possession of the United States.’.CommentsClose CommentsPermalink





(B) APPLICABILITY- The requirement in the amendment made by paragraph (1) shall apply to restaurants or similar retail food establishments and vending machines located in a Federal building beginning 12 months after the date of enactment of this Act.CommentsClose CommentsPermalink





(2) CONGRESSIONAL BUILDINGS- The Architect of the Capitol, in coordination with the Committee on Rules and Administration of the Senate and the Committee on House Administration of the House of Representatives, shall establish a program to apply the requirements of section 403(q)(5)(H) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(q)(5)(H)) (as amended by paragraph (1)) to--CommentsClose CommentsPermalink





(A) food that is served in restaurants or other similar retail food establishments that are located in Congressional buildings and installations;CommentsClose CommentsPermalink





(B) food that is sold through vending machines that are operated in Congressional buildings and installations; andCommentsClose CommentsPermalink





(C) food that is served to individuals within Congressional buildings and installations pursuant to a contract with a private entity.CommentsClose CommentsPermalink





(b) Nutritional Standards for Food in Federal Buildings-CommentsClose CommentsPermalink





(1) EXECUTIVE AND JUDICIAL BUILDINGS- Subchapter V of chapter 5 of subtitle I of title 40, United States Code, is amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 594. NUTRITIONAL STANDARDS FOR FOOD IN FEDERAL BUILDINGS.

‘(a) In General- The Administrator of General Services, in consultation with the Secretary of Health and Human Services, shall establish, by regulation, nutritional standards for all food products provided at Federal buildings and installations (including food products provided by contractors or vending machines).CommentsClose CommentsPermalink





‘(b) Use of Amounts- Amounts appropriated to an executive agency for installation, repair, and maintenance, generally, may be used to achieve compliance with the regulations promulgated pursuant to this section.CommentsClose CommentsPermalink





‘(c) Liability- Nothing in this section increases or enlarges the tort liability of the Federal Government for any injury to an individual or damage to property.’.CommentsClose CommentsPermalink





(2) CONGRESSIONAL BUILDINGS- The Architect of the Capitol, in coordination with the Committee on Rules and Administration of the Senate and the Committee on House Administration of the House of Representatives shall establish nutritional standards for all food products provided at Congressional buildings and installations (including food products provided by contractors or vending machines).CommentsClose CommentsPermalink





(c) Encouragement of Use of Stairs-CommentsClose CommentsPermalink





(1) EXECUTIVE AND JUDICIAL BUILDINGS- Subchapter V of chapter 5 of subtitle I of title 40, United States Code, as amended by subsection (b), is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 595. ENCOURAGEMENT OF USE OF STAIRS.

‘(a) In General- Each Federal agency shall install point-of-decision prompts encouraging individuals to use stairs wherever practicable at each relevant building and installation that is--CommentsClose CommentsPermalink





‘(1) under the control of the Federal agency;CommentsClose CommentsPermalink





‘(2) owned by the Federal Government; andCommentsClose CommentsPermalink





‘(3) located in a State, the District of Columbia, Puerto Rico, or a territory or possession of the United States.CommentsClose CommentsPermalink





‘(b) Reimbursement- Subsection (a) may be carried out by--CommentsClose CommentsPermalink





‘(1) reimbursement to a State or political subdivision of a State, the District of Columbia, Puerto Rico, or a territory or possession of the United States; orCommentsClose CommentsPermalink





‘(2) a means other than reimbursement.CommentsClose CommentsPermalink





‘(c) Regulations- Subsection (a) shall be carried out in accordance with such regulations as the Administrator of General Services may promulgate, with the approval of the Director of the Office of Management and Budget.CommentsClose CommentsPermalink





‘(d) Use of Amounts- Amounts appropriated to a Federal agency for installation, repair, and maintenance, generally, shall be available to carry out this section.CommentsClose CommentsPermalink





‘(e) Liability- Nothing in this section increases or enlarges the tort liability of the Federal Government for any injury to an individual or damage to property.’.CommentsClose CommentsPermalink





(2) CONGRESSIONAL BUILDINGS- The Architect of the Capitol shall implement a program to install point-of-decision prompts encouraging individuals to use stairs wherever practicable in Congressional buildings and installations in the same manner as established under section 595 of title 40, United States Code (as added by paragraph (1)).CommentsClose CommentsPermalink





(d) Accommodations for Bicycle Commuters-CommentsClose CommentsPermalink





(1) EXECUTIVE AND JUDICIAL FEDERAL BUILDINGS- Subchapter V of chapter 5 of subtitle I of title 40, United States Code, as amended by subsection (c), is further amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 596. ACCOMMODATIONS FOR BICYCLE COMMUTERS.

‘(a) In General- Each Federal agency shall install and maintain a bicycle storage area and equipment (such as a bicycle rack) and a shower for bicycle commuters at each relevant parking structure that is--CommentsClose CommentsPermalink





‘(1) under the control of the Federal agency;CommentsClose CommentsPermalink





‘(2) owned by the Federal Government; andCommentsClose CommentsPermalink





‘(3) located in a State, the District of Columbia, Puerto Rico, or a territory or possession of the United States.CommentsClose CommentsPermalink





‘(b) Reimbursement- Subsection (a) may be carried out by--CommentsClose CommentsPermalink





‘(1) reimbursement to a State or political subdivision of a State, the District of Columbia, Puerto Rico, or a territory or possession of the United States; orCommentsClose CommentsPermalink





‘(2) a means other than reimbursement.CommentsClose CommentsPermalink





‘(c) Regulations- Subsection (a) shall be carried out in accordance with such regulations as the Administrator of General Services may promulgate, with the approval of the Director of the Office of Management and Budget.CommentsClose CommentsPermalink





‘(d) Use of Amounts- Amounts appropriated to a Federal agency for installation, repair, and maintenance, generally, shall be available to carry out this section.CommentsClose CommentsPermalink





‘(e) Liability- Nothing in this section increases or enlarges the tort liability of the Federal Government for any injury to an individual or damage to property.’.CommentsClose CommentsPermalink





(2) CONGRESSIONAL BUILDINGS- The Architect of the Capitol, in coordination with the Sergeant at Arms and Doorkeeper of the Senate, the Sergeant at Arms of the House of Representatives, and the United States Capitol Police, shall implement, within their respective jurisdictions, a program to make accommodations for bicycle commuters on the United States Capitol complex in the same manner as established under section 596 of title 40, United States Code (as added by paragraph (1)).CommentsClose CommentsPermalink

TITLE III--RESPONSIBLE MARKETING AND CONSUMER AWARENESSCommentsClose CommentsPermalink

SEC. 301. GUIDELINES FOR REDUCTION IN SODIUM CONTENT IN CERTAIN FOODS.

(a) In General- Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall promulgate regulations establishing guidelines for the reduction, over a 2 year period, in the sodium content of processed food and restaurant food following, as appropriate, the recommendations made by the Institute of Medicine report entitled ‘Strategies to Reduce Sodium Intake in the United States’.CommentsClose CommentsPermalink





(b) Definitions- For purposes of this section--CommentsClose CommentsPermalink





(1) the term ‘processed food’ has the meaning given such term in section 201(gg) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321(gg)); andCommentsClose CommentsPermalink





(2) the term ‘restaurant food’ means food subject to the requirements of section 403(q)(5)(H) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(q)(5)(H)).CommentsClose CommentsPermalink

SEC. 302. NUTRITION LABELING FOR FOOD PRODUCTS SOLD PRINCIPALLY FOR USE IN RESTAURANTS OR OTHER RETAIL FOOD ESTABLISHMENTS.

Section 403(q)(5) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(q)(5)) is amended by striking clause (G).CommentsClose CommentsPermalink

SEC. 303. FRONT-LABEL FOOD GUIDANCE SYSTEMS.

(a) In General- Not later than 6 months after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the ‘Secretary’) shall begin soliciting public comments regarding--CommentsClose CommentsPermalink





(1) the use of retail front-label food guidance systems to convey nutrition information to the public using logos, symbols, signs, emblems, insignia, or other graphic representations on the labeling of food intended for human consumption that are intended to provide simple, standardized, and understandable nutrition information to the public in graphic form;CommentsClose CommentsPermalink





(2) appropriate nutrition standards by which a retail front-label food guidance system may convey the relative nutritional value of different foods in simple graphic form; andCommentsClose CommentsPermalink





(3) whether American consumers would be better served by establishing a single, standardized retail front-label food guidance system regulated by the Food and Drug Administration, or by allowing individual food companies, trade associations, nonprofit organizations, and others to continue to develop their own retail front-label food guidance systems.CommentsClose CommentsPermalink





(b) Effect on Nutrition Facts Panel- In soliciting public comments under subsection (a), the Secretary shall inform the public that any retail front-label food guidance system is intended to supplement, not replace, the Nutrition Facts Panel that appears on food labels pursuant to section 403(q) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 343(q)).CommentsClose CommentsPermalink





(c) Proposed Regulation- Not later than 12 months following the closure of the public comment solicitation period under subsection (a), the Secretary shall--CommentsClose CommentsPermalink





(1) publish a notice in the Federal Register that summarizes the public comments and describes the suggested retail front-label food guidance systems received through such solicitation; andCommentsClose CommentsPermalink





(2) publish proposed regulations that--CommentsClose CommentsPermalink





(A) establish a single, standardized retail front-label food guidance system; orCommentsClose CommentsPermalink





(B) establish the conditions under which individual food companies, trade associations, nonprofit organizations, and other entities may continue to develop their own retail front-label food guidance systems.CommentsClose CommentsPermalink

SEC. 304. RULEMAKING AUTHORITY FOR ADVERTISING TO CHILDREN.

(a) Purpose- The purpose of this section is to restore the authority of the Federal Trade Commission to issue regulations that restrict the marketing or advertising of foods and beverages to children under the age of 18 years if the Federal Trade Commission determines that there is evidence that consumption of certain foods and beverages is detrimental to the health of children.CommentsClose CommentsPermalink





(b) Authority- Section 18 of the Federal Trade Commission Act (15 U.S.C. 57a) is amended--CommentsClose CommentsPermalink





(1) in subsection (a), by striking ‘Except as provided in subsection (h), the’ and inserting ‘The’;CommentsClose CommentsPermalink





(2) by amending subsection (b) to read as follows:CommentsClose CommentsPermalink





‘(b) Procedure Applicable- When prescribing a rule under subsection (a)(1)(B) of this section, the Commission shall proceed in accordance with section 553 of title 5 (without regard to any reference in such section to sections 556 and 557 of such title).’;CommentsClose CommentsPermalink





(3) by striking subsections (c), (f), (h), (i), and (j);CommentsClose CommentsPermalink





(4) by striking subsection (d) and inserting the following:CommentsClose CommentsPermalink





‘(c) When any rule under subsection (a)(1)(B) takes effect a subsequent violation thereof shall constitute an unfair or deceptive act or practice in violation of section 5(a)(1) of this Act, unless the Commission otherwise expressly provides in such rule.’;CommentsClose CommentsPermalink





(5) by redesignating subsections (e) and (g) as subsections (d) and (e), respectively; andCommentsClose CommentsPermalink





(6) in subsection (d), as redesignated--CommentsClose CommentsPermalink





(A) in paragraph (1)(B), by striking ‘the transcript required by subsection (c)(5),’;CommentsClose CommentsPermalink





(B) in paragraph (3), by striking ‘error)’ and all that follows through the period at the end and inserting ‘error).’; andCommentsClose CommentsPermalink





(C) in paragraph (5), by striking subparagraph (C).CommentsClose CommentsPermalink

SEC. 305. HEALTH LITERACY: RESEARCH, COORDINATION AND DISSEMINATION.

(a) In General- Part A of title IX of the Public Health Service Act (42 U.S.C. 299 et seq.) is amended by adding at the end the following:CommentsClose CommentsPermalink

‘SEC. 904. HEALTH LITERACY: RESEARCH, COORDINATION AND DISSEMINATION.

‘(a) Definition- In this section, the term ‘health literacy’ means a consumer’s ability to obtain, process, and understand basic health information and services needed to make appropriate health care decisions and the adaptation of services to enhance a consumer’s understanding and navigation of applicable health care services.CommentsClose CommentsPermalink





‘(b) Health Literacy Program-CommentsClose CommentsPermalink





‘(1) ESTABLISHMENT- The Director shall establish within the Agency a program (referred to in this section as the ‘program’) to strengthen health literacy by improving measurement, research, development, and information dissemination.CommentsClose CommentsPermalink





‘(2) DUTIES- In carrying out the program, the Director shall--CommentsClose CommentsPermalink





‘(A) gather health literacy resources from public and private sources and make such resources available to researchers, health care providers, and the general public;CommentsClose CommentsPermalink





‘(B) identify and fill research gaps relating to health literacy that have direct applicability to--CommentsClose CommentsPermalink





‘(i) prevention;CommentsClose CommentsPermalink





‘(ii) self-management of chronic disease;CommentsClose CommentsPermalink





‘(iii) quality improvement;CommentsClose CommentsPermalink





‘(iv) the barriers to health literacy;CommentsClose CommentsPermalink





‘(v) relationships between health literacy and health disparities, particularly with respect to language and cultural competency; andCommentsClose CommentsPermalink





‘(vi) the utilization of information on comparative effectiveness of health treatments;CommentsClose CommentsPermalink





‘(C) sponsor demonstration and evaluation projects with respect to interventions and tools designed to strengthen health literacy, including projects focused on--CommentsClose CommentsPermalink





‘(i) the provision of simplified, patient-centered written materials;CommentsClose CommentsPermalink





‘(ii) technology-based communication techniques;CommentsClose CommentsPermalink





‘(iii) consumer navigation services; andCommentsClose CommentsPermalink





‘(iv) the training of health professional providers;CommentsClose CommentsPermalink





‘(D) give preference to health literacy initiatives that--CommentsClose CommentsPermalink





‘(i) focus on the particular needs of vulnerable populations such as the elderly, racial and ethnic minorities, children, individuals with limited English proficiency, and individuals with disabilities; andCommentsClose CommentsPermalink





‘(ii) partner with institutions in the community such as schools, libraries, senior centers, literacy groups, recreation centers, early childhood education centers, area health education centers, and public assistance programs;CommentsClose CommentsPermalink





‘(E) assist appropriate Federal agencies in establishing specific objectives and strategies for carrying out the program, in monitoring the programs of such agencies, and incorporating health literacy into research design, human subjects protections, and informed consent in clinical research;CommentsClose CommentsPermalink





‘(F) seek to enter into implementation partnerships with organizations and agencies, including other agencies within the Department of Health and Human Services, such as the Centers for Medicare & Medicaid Services and the Health Resources and Services Administration, the Office of the Surgeon General, the Joint Commission on the Accreditation of Healthcare Organizations, the Office of the National Coordinator for Health Information Technology, and the National Committee for Quality Assurance, to promote the adoption of interventions and tools developed under this section, particularly in the training of health professionals; andCommentsClose CommentsPermalink





‘(G) coordinate with other agencies within the Department of Health and Human Services to collect data that monitors national trends in health literacy by including relevant items in surveys such as the Medical Expenditure Panel Survey, the National Health Interview Survey, and the National Hospital Discharge Survey.CommentsClose CommentsPermalink





‘(3) REPORT- The Agency for Healthcare Research and Quality shall annually submit to Congress a report that includes--CommentsClose CommentsPermalink





‘(A) a comprehensive and detailed description of the operations, activities, financial condition, and accomplishments of the Agency in the field of health literacy; andCommentsClose CommentsPermalink





‘(B) a description of how plans for the operation of the program for the succeeding fiscal year will facilitate achievement of the goals of the program.CommentsClose CommentsPermalink





‘(4) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be appropriated to carry out this subsection such sums as may be necessary for each of fiscal years 2012 through 2016.CommentsClose CommentsPermalink





‘(c) State Health Literacy Grants-CommentsClose CommentsPermalink





‘(1) GRANTS- The Director of the Agency shall award grants to eligible entities to facilitate State and community efforts to strengthen health literacy.CommentsClose CommentsPermalink





‘(2) USE OF FUNDS- An entity receiving a grant under this subsection shall use amounts received under such grant to--CommentsClose CommentsPermalink





‘(A) support efforts to monitor and strengthen health literacy within a State or community;CommentsClose CommentsPermalink





‘(B) assist public and private efforts in the State or community in coordinating and delivering health literacy services;CommentsClose CommentsPermalink





‘(C) encourage partnerships among State and local governments, community organizations, non-profit entities, academic institutions, and businesses to coordinate efforts to strengthen health literacy;CommentsClose CommentsPermalink





‘(D) provide technical and policy assistance to State and local governments and service providers; andCommentsClose CommentsPermalink





‘(E) monitor and evaluate programs conducted under this grant.CommentsClose CommentsPermalink





‘(3) REPORT- Not later than September 30 of each fiscal year for which a grant is received by an entity under this section, the entity shall submit to the Director a report that describes the programs supported by the grant and the results of monitoring and evaluation of those programs.CommentsClose CommentsPermalink





‘(4) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be appropriated such sums as may be necessary to carry out this subsection for each of fiscal years 2012 through 2016.’.CommentsClose CommentsPermalink





(b) Institute of Medicine Study and Report-CommentsClose CommentsPermalink





(1) STUDY- The Secretary of Health and Human Services shall seek to enter into a contract with the Institute of Medicine to conduct a study identifying opportunities within the Department of Health and Human Services to strengthen the health literacy of health care providers and health care consumers in accordance with the Patient Protection and Affordable Care Act (Public Law 111-148).CommentsClose CommentsPermalink





(2) REPORT- A contract entered into under paragraph (1) shall include a provision requiring the Institute of Medicine, not later than 1 year after the date of enactment of this Act, to submit a report concerning the results of the study conducted under paragraph (1) to the Secretary of Health and Human Services and the appropriate committees of Congress.’.CommentsClose CommentsPermalink

SEC. 306. DISALLOWANCE OF DEDUCTIONS FOR ADVERTISING AND MARKETING EXPENSES RELATING TO TOBACCO PRODUCT USE.

(a) In General- Part IX of subchapter B of chapter 1 of subtitle A of the Internal Revenue Code of 1986 (relating to items not deductible) is amended by adding at the end the following new section:CommentsClose CommentsPermalink

‘SEC. 280I. DISALLOWANCE OF DEDUCTION FOR ADVERTISING AND MARKETING EXPENSES RELATING TO TOBACCO PRODUCT USE.

‘No deduction shall be allowed under this chapter for expenses relating to advertising or marketing cigars, cigarettes, smokeless tobacco, pipe tobacco, or any other tobacco product. For purposes of this section, any term used in this section which is also used in section 5702 shall have the same meaning given such term by section 5702.’.CommentsClose CommentsPermalink





(b) Conforming Amendment- The table of sections for such part IX is amended by adding after the item relating to section 280H the following new item:CommentsClose CommentsPermalink





‘Sec. 280I. Disallowance of deduction for tobacco advertising and marketing expenses.’.CommentsClose CommentsPermalink





(c) Effective Date- The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act.CommentsClose CommentsPermalink

SEC. 307. INCENTIVES TO REDUCE TOBACCO USE.

(a) Child Tobacco Use Surveys-CommentsClose CommentsPermalink





(1) ANNUAL PERFORMANCE SURVEY-CommentsClose CommentsPermalink





(A) IN GENERAL- Not later than August 31, 2012, and annually thereafter, the Secretary of Health and Human Services (referred to in this section as the ‘Secretary’) shall publish the results of an annual tobacco use survey, to be carried out not later than 18 months after the date of enactment of this Act and completed on an annual basis thereafter, to determine--CommentsClose CommentsPermalink





(i) the percentage of all young individuals who used tobacco products within the 30-day period prior to the conduct of the survey involved; andCommentsClose CommentsPermalink





(ii) the percentage of young individuals who identify each brand of each type of tobacco product as the usual brand used within such 30-day period.CommentsClose CommentsPermalink





(B) YOUNG INDIVIDUALS- For the purposes of this section, the term ‘young individuals’ means individuals who are under 18 years of age.CommentsClose CommentsPermalink





(2) SIZE AND METHODOLOGY-CommentsClose CommentsPermalink





(A) IN GENERAL- The survey referred to in paragraph (1) may be the National Survey on Drug Use and Health or shall at least be comparable in size and methodology to the NSDUH that was completed in 2009 to measure the use of cigarettes (by brand) by youths under 18 years of age within the 30-day period prior to the conduct of the study.CommentsClose CommentsPermalink





(B) CONCLUSIVE ACCURATENESS- A survey using the methodology described in subparagraph (A) shall be deemed conclusively proper, correct, and accurate for purposes of this section.CommentsClose CommentsPermalink





(C) DEFINITION- In this section, the term ‘National Survey on Drug Use and Health’ or ‘NSDUH’ means the annual nationwide survey of randomly selected individuals, aged 12 and older, conducted by the Substance Abuse and Mental Health Services Administration.CommentsClose CommentsPermalink





(3) REDUCTION- The Secretary, based on a comparison of the results of the first annual tobacco product survey referred to in paragraph (1) and the most recent NSDUH referred to in paragraph (2)(A) completed prior to the date of enactment of this Act, shall determine the percentage reduction (if any) in youth tobacco use for each manufacturer of tobacco products.CommentsClose CommentsPermalink





(4) PARTICIPATION IN SURVEY- Notwithstanding any other provision of law, the Secretary may conduct a survey under this subsection involving minors if the results of such survey with respect to such minors are kept confidential and not disclosed.CommentsClose CommentsPermalink





(5) NONAPPLICABILITY- Chapter 35 of title 44, United States Code, shall not apply to information required for the purposes of carrying out this section.CommentsClose CommentsPermalink





(b) Tobacco Use Reduction Goal and Noncompliance-CommentsClose CommentsPermalink





(1) GOAL- It shall be the tobacco use reduction goal that youth tobacco use be reduced by at least 5 percent or a level determined significantly sufficient by the Secretary between the most recent NSDUH referred to in subsection (a)(2)(A) and the completion of the first annual cigarette survey (and such subsequent surveys as compared to the previous year’s survey) referred to in subsection (a)(1).CommentsClose CommentsPermalink





(2) NONCOMPLIANCE-CommentsClose CommentsPermalink





(A) INDUSTRY-WIDE PENALTY- If the Secretary determines that the tobacco use reduction goal under paragraph (1) has not been achieved, the Secretary shall, not later than September 10, 2012, and September 10 of each year thereafter, impose an industry-wide penalty on the manufacturers of cigarettes in an amount that is in the aggregate equal to $3,000,000,000.CommentsClose CommentsPermalink





(B) PAYMENT- The industry-wide penalty imposed under this subsection shall be paid by each manufacturer based on the brand share among youth ages 12-17 (as determined by the survey described in subsection (a)(1)) as such percentage relates to the total amount to be paid by all manufacturers.CommentsClose CommentsPermalink





(C) FINAL DETERMINATION- The determination of the Secretary as to the amount and allocation of a surcharge under this section shall be final and the manufacturer shall pay such surcharge within 10 days of the date on which the manufacturer is assessed. Such payment shall be retained by the Secretary pending final judicial review of what, if any, change in the surcharge is appropriate.CommentsClose CommentsPermalink





(D) LIMITATION- With respect to cigarettes, a manufacturer with a market share of 1 percent or less of youth tobacco use shall not be liable for the payment of a surcharge under this paragraph.CommentsClose CommentsPermalink





(E) USE OF AMOUNTS- Amounts collected under subparagraph (A) shall be deposited into the Prevention and Public Health Fund established under section 4002 of the Patient Protection and Affordable Care Act (42 U.S.C. 300u-11). Such funds shall remain available for transfer through September 30th of the fifth fiscal year following their collection, subject to the terms and conditions of such section 4002.CommentsClose CommentsPermalink





(3) PENALTIES NONDEDUCTIBLE- The payment of penalties under this section shall not be considered to be an ordinary and necessary expense in carrying on a trade or business for purposes of the Internal Revenue Code of 1986 and shall not be deductible.CommentsClose CommentsPermalink





(4) JUDICIAL REVIEW-CommentsClose CommentsPermalink





(A) AFTER PAYMENT- A manufacturer of cigarettes may seek judicial review of any action under this section only after the assessment involved has been paid by the manufacturer to the Department of the Treasury and only in the United States District Court for the District of Columbia.CommentsClose CommentsPermalink





(B) REVIEW BY ATTORNEY GENERAL- Prior to the filing of an action by a manufacturer seeking judicial review of an action under this section, the manufacturer shall notify the Attorney General of such intent to file and the Attorney General shall have 30 days in which to respond to the action.CommentsClose CommentsPermalink





(C) REVIEW- The amount of any surcharge paid under this section shall be subject to judicial review by the United States Court of Appeals for the District of Columbia Circuit, based on the arbitrary and capricious standard of section 706 of title 5, United States Code. Notwithstanding any other provision of law, no court shall have the authority to stay any surcharge payment due to the Secretary under this section pending judicial review until the Secretary has made or failed to make a compliance determination, as described under this section, that has adversely affected the person seeking the review.CommentsClose CommentsPermalink





(c) Enforcement-CommentsClose CommentsPermalink





(1) INITIAL PENALTY- There is hereby imposed an initial penalty on the failure of any manufacturer to make any payment required under this section not later than a period determined sufficient by the Secretary after the date on which such payment is due.CommentsClose CommentsPermalink





(2) AMOUNT OF PENALTY- The amount of the penalty imposed by paragraph (1) on any failure with respect to a manufacturer shall be an amount equal to 2 percent of the penalty owed under subsection (b) for each day during the noncompliance period.CommentsClose CommentsPermalink





(3) NONCOMPLIANCE PERIOD- For purposes of this subsection, the term ‘noncompliance period’ means, with respect to any failure to make the surcharge payment required under this section, the period--CommentsClose CommentsPermalink





(A) beginning on the due date for such payment; andCommentsClose CommentsPermalink





(B) ending on the date on which such payment is paid in fall.CommentsClose CommentsPermalink





(4) LIMITATIONS- No penalty shall be imposed by paragraph (1) on--CommentsClose CommentsPermalink





(A) any failure to make a surcharge payment under this section during any period for which it is established to the satisfaction of the Secretary that none of the persons responsible for such failure knew or, exercising reasonable diligence, would have known, that such failure existed; orCommentsClose CommentsPermalink





(B) any manufacturer that produces less than 1 percent of cigarettes used by youth in that year (as determined by the annual survey).CommentsClose CommentsPermalink

TITLE IV--EXPANDED COVERAGE OF PREVENTIVE SERVICESCommentsClose CommentsPermalink

SEC. 401. REQUIRED COVERAGE OF PREVENTIVE SERVICES UNDER THE MEDICAID PROGRAM.

(a) Mandatory Coverage- Section 1905 of the Social Security Act (42 U.S.C. 1396d), as amended by section 4107(a)(1) of the Patient Protection and Affordable Care Act (Public Law 111-148), is amended--CommentsClose CommentsPermalink





(1) in subsection (a)(4)--CommentsClose CommentsPermalink





(A) by striking ‘and’ before ‘(D)’; andCommentsClose CommentsPermalink





(B) by inserting before the semicolon at the end the following new subparagraph: ‘; and (E) preventive services described in subsection (ee);’; andCommentsClose CommentsPermalink





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





‘(ee) Preventive Services- For purposes of subsection (a)(4)(E), the preventives services described in this subsection are diagnostic, screening, preventive, and rehabilitative services not otherwise described in subsection (a) or (r) that the Secretary determines are appropriate for individuals entitled to medical assistance under this title, including--CommentsClose CommentsPermalink





‘(1) evidence-based services that are assigned a grade of A or B by the United States Preventive Services Task Force; andCommentsClose CommentsPermalink





‘(2) with respect to an adult individual, approved vaccines recommended for routine use by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.’.CommentsClose CommentsPermalink





(b) Elimination of Cost-Sharing-CommentsClose CommentsPermalink





(1) Subsections (a)(2)(D) and (b)(2)(D) of section 1916 of the Social Security Act (42 U.S.C. 1396o) are each amended by inserting ‘preventive services described in section 1905(ee),’ after ‘emergency services (as defined by the Secretary),’.CommentsClose CommentsPermalink





(2) Section 1916A(a)(1) of such Act (42 U.S.C. 1396o-1(a)(1)) is amended by inserting ‘, preventive services described in section 1905(ee),’ after ‘subsection (c)’.CommentsClose CommentsPermalink





(c) Conforming Amendment- Effective as if included in the enactment of the Patient Protection and Affordable Care Act (Public Law 111-148), the provisions of, and amendments made by, section 4106 of such Act are repealed.CommentsClose CommentsPermalink





(d) Interval Period for Inclusion of New Recommendations in State Plans- With respect to a recommendation issued on or after the date of enactment of this Act by an organization described in subsection (ee) of section 1905 of the Social Security Act for a preventive service included under such subsection, the Secretary of Health and Human Services shall establish a minimum interval period, which shall be not less than 12 months, between the date on which the recommendation is issued and the plan year for which a State plan for medical assistance under title XIX of the Social Security Act shall be required to include such preventive service.CommentsClose CommentsPermalink





(e) Effective Date-CommentsClose CommentsPermalink





(1) IN GENERAL- Except as provided in paragraph (2), the amendments made by subsections (a) and (b) take effect on the date of enactment of this Act.CommentsClose CommentsPermalink





(2) EXTENSION OF EFFECTIVE DATE FOR STATE LAW AMENDMENT- In the case of a State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) which the Secretary of Health and Human Services determines requires State legislation or State regulation in order for the plan to meet the additional requirements imposed by the amendments made by subsections (a) and (b), the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session is considered to be a separate regular session of the State legislature.CommentsClose CommentsPermalink

SEC. 402. COVERAGE FOR COMPREHENSIVE WORKPLACE WELLNESS PROGRAM AND PREVENTIVE SERVICES.

Section 8904(a) of title 5, United States Code, is amended--CommentsClose CommentsPermalink





(1) in paragraph (1), by adding at the end the following:CommentsClose CommentsPermalink





‘(G) Comprehensive workplace wellness program benefits that meet the requirements of section 10408 of the Patient Protection and Affordable Care Act (Public Law 111-148).CommentsClose CommentsPermalink





‘(H) Preventive services benefits deemed an ‘A’ or ‘B’ service by the United States Preventive Services Taskforce.CommentsClose CommentsPermalink





‘(I) Immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individuals involved.CommentsClose CommentsPermalink





‘(J) With respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration of the Department of Health and Human Services.’; andCommentsClose CommentsPermalink





(2) in paragraph (2), by adding at the end the following:CommentsClose CommentsPermalink





‘(G) Comprehensive workplace wellness program benefits that meet the requirements of section 10408 of the Patient Protection and Affordable Care Act (Public Law 111-148).CommentsClose CommentsPermalink





‘(H) Preventive services benefits deemed an ‘A’ or ‘B’ service by the United States Preventive Services Taskforce.CommentsClose CommentsPermalink





‘(I) Immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individuals involved.CommentsClose CommentsPermalink





‘(J) With respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration of the Department of Health and Human Services.’.CommentsClose CommentsPermalink

SEC. 403. HEALTH PROFESSIONAL EDUCATION AND TRAINING IN HEALTHY EATING.

Part Q of title III of the Public Health Service Act (42 U.S.C. 280h et seq.) is amended by striking section 399Z and inserting the following:CommentsClose CommentsPermalink

‘SEC. 399Z. HEALTH PROFESSIONAL EDUCATION AND TRAINING IN HEALTHY EATING.

‘(a) In General- The Secretary, acting through the Director of the Centers for Disease Control and Prevention, in collaboration with the Administrator of the Health Resources and Services Administration and the heads of other agencies, and in consultation with appropriate health professional associations, shall develop and carry out a program to educate and train health professionals in effective strategies to--CommentsClose CommentsPermalink





‘(1) better identify patients at-risk of becoming overweight or obese or developing an eating disorder;CommentsClose CommentsPermalink





‘(2) detect overweight or obesity or eating disorders among a diverse patient population;CommentsClose CommentsPermalink





‘(3) counsel, refer, or treat patients with overweight or obesity or an eating disorder;CommentsClose CommentsPermalink





‘(4) educate patients and the families of patients about effective strategies to establish healthy eating habits and appropriate levels of physical activity; andCommentsClose CommentsPermalink





‘(5) assist in the creation and administration of community-based overweight and obesity and eating disorder prevention efforts.CommentsClose CommentsPermalink





‘(b) Eating Disorder- In this section, 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





‘(c) Authorization of Appropriations- There are authorized to be appropriated to carry out this section such sums as may be necessary for each of the fiscal years 2012 through 2016.’.CommentsClose CommentsPermalink

TITLE V--RESEARCHCommentsClose CommentsPermalink

SEC. 501. GRANTS FOR BODY MASS INDEX DATA ANALYSIS.

(a) Establishment- The Secretary of Health and Human Services may make grants to not more than 20 eligible entities to analyze body mass index (hereinafter in this section referred to as ‘BMI’) measurements of children, ages 2 through 18.CommentsClose CommentsPermalink





(b) Eligibility- An eligible entity for purposes of this section is a State (including the District of Columbia, the Commonwealth of Puerto Rico, and each territory of the United States) that has a statewide immunization information system that--CommentsClose CommentsPermalink





(1) has the capacity to store basic demographic information (including date of birth, gender, and geographic area of residence), height, weight, and immunization data for each resident of the State;CommentsClose CommentsPermalink





(2) is accessible to doctors, nurses, other licensed medical professionals, and officials of the relevant department in the State charged with maintaining health and immunization records; andCommentsClose CommentsPermalink





(3) has the capacity to integrate large amounts of data for the analysis of BMI measurements.CommentsClose CommentsPermalink





(c) Use of Funds- A State that receives a grant under this section shall use the grant for the following purposes:CommentsClose CommentsPermalink





(1) Analyzing the effectiveness of obesity prevention programs and wellness policies carried out in the State.CommentsClose CommentsPermalink





(2) Purchasing new computers, computer equipment, and software to upgrade computers to be used for a statewide immunization information system.CommentsClose CommentsPermalink





(3) The hiring and employment of personnel to maintain and analyze BMI data.CommentsClose CommentsPermalink





(4) The development and implementation of training programs for medical professionals to aid such professionals in taking BMI measurements and discussing such measurements with patients.CommentsClose CommentsPermalink





(5) Providing information to parents and legal guardians in accordance with subsection (e)(2).CommentsClose CommentsPermalink





(d) Selection Criteria- In selecting recipients of grants under this section, the Secretary shall give priority to States in which a high percentage of public and private health care providers submit data to a statewide immunization information system that--CommentsClose CommentsPermalink





(1) contains immunization data for not less than 20 percent of the population of such State that is under the age of 18; andCommentsClose CommentsPermalink





(2) includes data collected from men and women who are of a wide variety of ages and who reside in a wide variety of geographic areas in a State (as determined by the Secretary).CommentsClose CommentsPermalink





(e) Conditions- As a condition of receiving a grant under this section, a State shall--CommentsClose CommentsPermalink





(1) ensure that BMI measurements will be recorded for children ages 2 through 18--CommentsClose CommentsPermalink





(A) on an annual basis by a licensed physician, nurse, nurse practitioner, or physicians assistant during an annual physical examination, wellness visit, or similar visit with a physician; andCommentsClose CommentsPermalink





(B) in accordance with data collection protocols published by the American Academy of Pediatrics in the 2007 Expert Committee Recommendations; andCommentsClose CommentsPermalink





(2) for each child in the State for whom such measurements indicate a BMI greater than the 95th percentile for such child’s age and gender, provide to the parents or legal guardians of such child information on how to lower BMI and information on State and local obesity prevention programs.CommentsClose CommentsPermalink





(f) Reports-CommentsClose CommentsPermalink





(1) REPORTS TO THE SECRETARY- Not later than 5 years after the receipt of a grant under this section, the State receiving such grant shall submit to the Secretary the following reports:CommentsClose CommentsPermalink





(A) A report containing an analysis of BMI data collected using the grant, including--CommentsClose CommentsPermalink





(i) the differences in obesity trends by gender, disability, geographic area (as determined by the State), and socioeconomic status within such State; andCommentsClose CommentsPermalink





(ii) the demographic groups and geographic areas most affected by obesity within such State.CommentsClose CommentsPermalink





(B) A report containing an analysis of the effectiveness of obesity prevention programs and State wellness policies, including--CommentsClose CommentsPermalink





(i) an analysis of the success of such programs and policies prior to the receipt of the grant; andCommentsClose CommentsPermalink





(ii) a discussion of the means to determine the most effective strategies to combat obesity in the geographic areas identified under subparagraph (A).CommentsClose CommentsPermalink





(2) REPORT TO CONGRESS AND CERTAIN EXECUTIVE AGENCIES- Not later than 1 year after the Secretary receives all the reports required pursuant to paragraph (1), the Secretary shall submit to the Secretary of Education, the Secretary of Agriculture, and to Congress a report that contains the following:CommentsClose CommentsPermalink





(A) An analysis of trends in childhood obesity, including how such trends vary across regions of the United States, and how such trends vary by gender and socioeconomic status.CommentsClose CommentsPermalink





(B) A description of any programs that--CommentsClose CommentsPermalink





(i) the Secretary has determined significantly lower childhood obesity rates for certain geographic areas in the United States, including urban, rural, and suburban areas; andCommentsClose CommentsPermalink





(ii) the Secretary recommends to be implemented by the States (including States that did not receive a grant under this section).CommentsClose CommentsPermalink





(g) Authorization of Appropriations- There is authorized to be appropriated to the Secretary such sums as may be necessary to carry out this section for each of fiscal years 2012 through 2016.CommentsClose CommentsPermalink