Fit for LIFE Act of 2014 - Requires the Secretary of Agriculture (USDA) to make grants to create or expand the offering of an innovative food distribution project that:
Amends the Richard B. Russell National School Lunch Act to: (1) expand the availability of free fruits and vegetables in elementary and secondary schools, child care centers, and family child care homes; (2) expand summer food service programs for children; and (3) establish a program providing nutritious food to at-risk school children on weekends and during extended school holidays during the school year.
Directs the Administrator of the Office of Juvenile Justice and Delinquency Prevention to study physical activity by juveniles in juvenile justice facilities and the nutritional quality of meals and snacks served in the facilities.
Requires the Secretary of Health and Human Services (HHS) to establish a grant program to enable local and tribal governments to conduct food security assessments.
Amends the Public Health Service Act to require the Secretary of HHS to establish programs to reduce and prevent obesity in children.
Requires the Secretaries of Education and HHS to award grants for health and fitness programs in secondary schools in low-income communities.
Requires the Secretary of HHS to award grants to states for a community navigator program.
Expands coverage of obesity treatment and prevention programs and services in federal programs.
Establishes the National Commission on Child Obesity.
Sets forth grant programs to increase physical activity in low-income communities and schools and prevent childhood obesity, including through the upgrading of educational facilities and child care centers and community use of elementary and secondary school buildings.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4765 Introduced in House (IH)]
113th CONGRESS
2d Session
H. R. 4765
To address childhood obesity, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 29, 2014
Ms. Fudge (for herself, Mr. Ellison, Ms. Lee of California, Mr.
Richmond, and Mr. Payne) introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committees on Agriculture, Education and the Workforce, the
Judiciary, Financial Services, and Natural Resources, for a period to
be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To address childhood obesity, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Fit for Life Act of 2014''.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
TITLE I--IMPROVING THE NUTRITIONAL QUALITY OF AND ACCESS TO FOODS IN
UNDERSERVED AMERICAN COMMUNITIES
Subtitle A--Access to Nutritious and Quality Foods in Underserved
American Communities
Sec. 101. Nutritious Food Access through mobility and Innovation
Program.
Sec. 102. Expansion of the Fresh Fruit and Vegetable Program.
Sec. 103. Expanding Access to the Summer Food Service Program for
Children.
Sec. 104. Study and report on physical activity and nutritional quality
of meals and snacks served, in juvenile
justice facilities.
Sec. 105. Local food insecurity assessments: evaluating the unique
nutritional needs of local communities.
Sec. 106. Weekends and holidays without hunger.
Subtitle B--Ensuring a Healthy Start for Children in Underserved
American Communities
Sec. 111. Improving Healthy Eating and Physical Activity Among our
Youngest Children.
Sec. 112. Health and fitness school programs: training America's youth
to live healthy lifestyles.
TITLE II--ADVANCING PREVENTATIVE MEASURES AND TREATMENT OF OBESITY IN
ADULTS AND CHILDREN IN UNDERSERVED COMMUNITIES
Sec. 201. Community health and wellness navigators pilot program:
connecting America's health professionals
with our schools.
Sec. 202. Coverage of evidence-based preventive services under Medicaid
and SCHIP.
Sec. 203. Coverage of medical nutrition therapy under Medicaid and
CHIP.
Sec. 204. Clarification of EPSDT inclusion of prevention, screening,
and treatment services for obesity and
overweight; CHIP coverage.
Sec. 205. National commission on child obesity.
Sec. 206. GAO report.
TITLE III--ENCOURAGING PHYSICAL ACTIVITY IN UNDERSERVED AMERICAN
COMMUNITIES
Sec. 301. Renovation of foreclosed and abandoned properties to create
spaces that encourage physical activity in
American neighborhoods.
Sec. 302. National youth sports program revitalization.
Sec. 303. Expansion of the Zuni Youth Enrichment Project Summer Camp.
Sec. 304. Making routes to schools in underserved communities safe and
accessible with public participation
through the Community Oriented Policing
Services program.
Sec. 305. School infrastructure healthier upgrades competitive grant.
Sec. 306. Shared use agreement expansion pilot grant program.
Sec. 307. Land and Water Conservation Fund Program Grants in Low-Income
Communities and Expand Tribal
Participation.
Sec. 308. Changing Hearts, Attitudes, and Minds by Participating in
Sports (CHAMPS) Program.
Sec. 309. Coordinated School Health Initiatives.
Sec. 310. Rewarding elementary and secondary schools for outstanding
student performance in physical fitness
programs.
TITLE I--IMPROVING THE NUTRITIONAL QUALITY OF AND ACCESS TO FOODS IN
UNDERSERVED AMERICAN COMMUNITIES
Subtitle A--Access to Nutritious and Quality Foods in Underserved
American Communities
SEC. 101. NUTRITIOUS FOOD ACCESS THROUGH MOBILITY AND INNOVATION
PROGRAM.
(a) Administration.--The Secretary of Agriculture shall carry out a
pilot program to make 3-year grants in accordance with this section to
nonprofit organizations, local government agencies, and accredited
colleges and universities.
(b) Eligibility.--To be eligible to receive a grant under this
section, a nonprofit organization, local government agency, for-profit
business, or accredited college or university shall submit to the
Secretary an application in such form, and containing such information,
as the Secretary may require by rule. Such application shall include an
assurance that such applicant will create or expand an innovative food
distribution project that--
(1) serves an area in which residents have low income, or
an area that is a food desert or food swamp;
(2) is not a supermarket-based project;
(3) provides for the free or low-cost delivery of fresh
fruits and vegetables to food recipients who participate in
such project;
(4) provides for the acquisition of produce trucks to
distribute food to such recipients without a delivery charge
and without any other service charge; or
(5) provides for the establishment of a community food
market (including a food market in a school) at which fresh
fruits and vegetables are sold to such recipients at a low
cost.
(c) Priority.--The Secretary shall give priority to--
(1) eligible applicants that propose to create or to expand
a project that will operate in a geographical area in which
there is a high incidence of childhood obesity;
(2) eligible applicants that have a proven record of
serving low-income or minority communities; and
(3) organizations with plans for sustainability plans in
place for continuing successful services after Federal funding
lapses.
(d) Reporting.--Each recipient of a 3-year grant made under this
section shall submit annually to the Secretary a report that includes
an assessment of--
(1) the impact that the recipient's project has had on the
community involved during the year for which such report is
submitted; and
(2) the prospects of continuing such project after the 3-
year period for which such grant is made.
SEC. 102. EXPANSION OF THE FRESH FRUIT AND VEGETABLE PROGRAM.
Section 19 of the Richard B. Russell National School Lunch Act (42
U.S.C. 1769a) is amended--
(1) in subsection (a), by inserting ``, secondary schools,
childcare centers, and family childcare homes'' after
``elementary schools'';
(2) by amending subsection (b) to read as follows:
``(b) Program.--A school, childcare center, or family childcare
home participating in the program--
``(1) shall make free fruits and vegetables available to
students throughout the school, center, or home day (or at such
other times as are considered appropriate by the Secretary) in
1 or more areas designated by the school, center, or home; and
``(2) may make free fruits and vegetables in any other form
(such as fresh, frozen, dried, pureed, or canned) available to
students throughout the school, center, or home day (or at such
other times as are considered appropriate by the Secretary) in
1 or more areas designated by the school only if such fruits
and vegetables meet any additional nutrition specifications, as
established by the Secretary.'';
(3) in subsection (d)--
(A) in the heading, by inserting ``, Centers, or
Homes'';
(B) in paragraph (1)--
(i) in the matter preceding subparagraph
(A), by inserting ``, centers, or homes'' after
``schools'';
(ii) in subparagraph (A), by inserting ``,
center, or home'' after ``school'';
(iii) in subparagraph (B), by inserting ``,
centers, or homes'' after ``schools'';
(iv) by amending subparagraph (C) to read
as follows:
``(C) ensure that each school selected is an
elementary school or secondary school (as such terms
are defined in section 9101 of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 7801)), each
center selected is a childcare center (as such term is
defined in section 399OO of the Public Health Service
Act), and each home selected is a family childcare home
(as such term is defined in section 399OO of the Public
Health Service Act).''; and
(v) in subparagraph (D)--
(I) in the matter preceding clause
(i), by inserting ``, centers, or
homes'' after ``schools'';
(II) in clause (i), by inserting
``, center, or home'' after ``school'';
and
(III) in clause (ii), by inserting
``, center, or home'' after ``as
determined by the school'';
(C) in paragraph (2), by inserting ``, centers, or
homes'' after each place ``schools'' appears; and
(D) in paragraph (3), by inserting ``, centers, or
homes'' after each place ``schools'' appears; and
(4) in subsection (e), by inserting ``, center, or home''
after ``school''.
SEC. 103. EXPANDING ACCESS TO THE SUMMER FOOD SERVICE PROGRAM FOR
CHILDREN.
Section 13(a) of the Richard B. Russell National School Lunch Act
(42 U.S.C. 1761(a)) is amended--
(1) in paragraph (1)(A), by striking ``50 percent'' each
place it appears and inserting ``40 percent'';
(2) by repealing paragraph (9); and
(3) in paragraph (10)--
(A) in subparagraph (A)--
(i) by striking ``The Secretary'' and
inserting ``From the amounts appropriated to
carry out this paragraph, the Secretary''; and
(ii) by striking ``not more than 5'';
(B) in subparagraph (C), by striking ``fiscal year
2006'' and inserting ``fiscal year 2015'';
(C) in subparagraph (D)--
(i) by striking ``January 1, 2008'' and
inserting ``January 1, 2015''; and
(ii) by striking ``January 1, 2009'' and
inserting ``January 1, 2016''; and
(D) by striking subparagraph (E).
SEC. 104. STUDY AND REPORT ON PHYSICAL ACTIVITY AND NUTRITIONAL QUALITY
OF MEALS AND SNACKS SERVED IN JUVENILE JUSTICE
FACILITIES.
(a) Study.--The Administrator of the Office of Juvenile Justice and
Delinquency Prevention, in consultation with the Secretary of
Agriculture, shall conduct a study on--
(1) physical activity by juveniles in juvenile justice
facilities, including--
(A) the amount of such physical activity;
(B) the types of physical activities in which such
juveniles participate;
(C) the number of hours per day such juveniles
participate in such physical activity;
(D) the degree of inclusiveness for juveniles with
disabilities in physical activities;
(E) the participation rates for juveniles with
disabilities; and
(F) the adequacy of the amounts and types of
physical activity of such juveniles; and
(2) the nutritional quality of meals and snacks served in
juvenile justice facilities.
(b) Report.--Not later than two years after the date of the
enactment of this Act, the Administrator of the Office of Juvenile
Justice and Delinquency Prevention, in consultation with the Secretary
of Agriculture, shall submit to Congress a report on the findings of
the study conducted under subsection (a), including an evaluation of
whether the amounts and types of physical activity by juveniles, and
the nutritional quality of meals and snacks served, in juvenile justice
facilities are adequate to ensure the health and wellness of such
juveniles.
SEC. 105. LOCAL FOOD INSECURITY ASSESSMENTS: EVALUATING THE UNIQUE
NUTRITIONAL NEEDS OF LOCAL COMMUNITIES.
(a) In General.--The Secretary of Health and Human Services shall
establish a 3-year pilot program to award grants to local and tribal
governments, on a competitive basis, to allow such local and tribal
governments, in partnership with the local community organizations
under subsection (e), to--
(1) conduct a food security assessment; and
(2) make an inventory of the system in order to identify
the strengths and gaps in such system.
(b) Data Points for Assessment.--For purposes of conducting an
assessment and making an inventory under a grant under subsection (a),
with respect to the community served by a local or tribal government,
such government shall examine the following food security and food
system issues in the community:
(1) The prevalence of childhood obesity.
(2) The availability of safe routes to school for children.
(3) The quality of food served in school and childcare
settings.
(4) The availability of supermarkets.
(5) The cost and availability of fresh fruits and
vegetables.
(6) The concentration of convenience stores and other food
vendors that sell a disproportionate amount of foods that are
not fresh fruits and vegetables.
(7) The availability of products.
(8) The concentration of fast food restaurants.
(9) The availability of green space or recreation areas,
and the extent to which such space or areas encourage physical
activity by adults and children.
(10) Any other issues determined to be relevant by the
local or tribal government.
(11) Any other issues determined to be relevant by the
Secretary of Health and Human Services.
(c) Number of Sites.--The Secretary of Health and Human Services,
in awarding grants under subsection (a), shall award grants to no more
than--
(1) 20 local governments; and
(2) 5 tribal governments.
(d) Priority.--In awarding grants under subsection (a), the
Secretary of Health and Human Services shall give priority to those
local and tribal governments that serve communities with the highest
concentrations of poverty.
(e) Requirement of Partnerships.--In order to qualify for a grant
under subsection (a), a local or tribal government shall demonstrate,
to the satisfaction of the Secretary of Health and Human Services, that
the local or tribal government has entered into a partnership (for the
purpose of conducting an assessment and making an inventory under
subsection (a)) with at least one of the following local community
organizations:
(1) A nonprofit, community-based organization or entity.
(2) A developer or urban planning institution.
(3) An accredited college or university.
(4) A freestanding children's hospital or center with
expertise in child health and policy.
SEC. 106. WEEKENDS AND HOLIDAYS WITHOUT HUNGER.
Section 18 of the Richard B. Russell National School Lunch Act (42
U.S.C. 1769) is amended by adding at the end the following:
``(l) Weekends and Holidays Without Hunger.--
``(1) Definitions.--In this subsection:
``(A) At-risk school child.--The term `at-risk
school child' has the meaning given the term in section
17(r)(1).
``(B) Eligible institution.--
``(i) In general.--The term `eligible
institution' means a public or private
nonprofit institution that is determined by the
Secretary to be able to meet safe food storage,
handling, and delivery standards established by
the Secretary.
``(ii) Inclusions.--The term `eligible
institution' includes--
``(I) an elementary or secondary
school or school food service
authority;
``(II) a food bank or food pantry;
``(III) a homeless shelter; and
``(IV) such other type of emergency
feeding agency as is approved by the
Secretary.
``(2) Establishment.--Subject to the availability of
appropriations provided in advance in an appropriations Act
specifically for the purpose of carrying out this subsection,
the Secretary shall establish a program under which the
Secretary shall provide commodities, on a competitive basis, to
eligible institutions to provide nutritious food to at-risk
children on weekends and during extended school holidays during
the school year.
``(3) Eligibility.--
``(A) In general.--To be eligible to receive
commodities under this subsection, an eligible
institution shall submit an application to the
Secretary at such time, in such manner, and containing
such information as the Secretary may determine.
``(B) Plan.--An application under subparagraph (A)
shall include the plan of the eligible institution for
the distribution of nutritious foods to at-risk school
children, including--
``(i) methods of food service delivery to
at-risk school children;
``(ii) assurances that children receiving
foods under the project will not be publicly
separated or overtly identified;
``(iii) lists of the types of food to be
provided under the project and provisions to
ensure food quality and safety;
``(iv) information on the number of at-risk
school children to be served and the per-child
cost of providing the children with food; and
``(v) such other information as the
Secretary determines to be necessary to assist
the Secretary in evaluating projects that
receive commodities under this subsection.
``(4) Priority.--In selecting applications under this
subsection, the Secretary shall give priority to eligible
institutions that--
``(A) have on-going programs and experience serving
populations with significant proportions of at-risk
school children;
``(B) have a good record of experience in food
delivery and food safety systems;
``(C) maintain high quality control,
accountability, and recordkeeping standards;
``(D) provide children with readily consumable food
of high nutrient content and quality;
``(E) demonstrate cost efficiencies and the
potential for obtaining supplemental funding from non-
Federal sources to carry out projects; and
``(F) demonstrate the ability to continue projects
for the full approved term of the pilot project period.
``(5) Guidelines.--
``(A) In general.--The Secretary shall issue
guidelines containing the criteria for projects to
receive commodities under this subsection.
``(B) Inclusions.--The guidelines shall, to the
maximum extent practicable within the funds available
and applications submitted, take into account--
``(i) geographical variations in project
locations to include qualifying projects in
rural, urban, and suburban areas with high
proportions of families with at-risk school
children;
``(ii) different types of projects that
offer nutritious foods on weekends and during
school holidays to at-risk school children; and
``(iii) institutional capacity to collect,
maintain, and provide statistically valid
information necessary for the Secretary--
``(I) to analyze and evaluate the
results of the pilot project; and
``(II) to make recommendations to
Congress.
``(6) Evaluation.--
``(A) Interim evaluation.--Not later than November
30, 2016, the Secretary shall complete an interim
evaluation of the pilot program carried out under this
subsection.
``(B) Final report.--Not later than December 31,
2017, the Secretary shall submit to Congress a final
report that contains--
``(i) an evaluation of the pilot program
carried out under this subsection; and
``(ii) any recommendations of the Secretary
for legislative action.
``(7) Funding.--
``(A) Authorization of appropriations.--There is
authorized to be appropriated to carry out this section
such sums as are necessary, to remain available until
expended.
``(B) Availability of funds.--Not more than 3
percent of the funds made available under subparagraph
(A) may be used by the Secretary for expenses
associated with review of the operations and evaluation
of the projects carried out under this subsection.''.
Subtitle B--Ensuring a Healthy Start for Children in Underserved
American Communities
SEC. 111. IMPROVING HEALTHY EATING AND PHYSICAL ACTIVITY AMONG OUR
YOUNGEST CHILDREN.
Title III of the Public Health Service Act (42 U.S.C. 241 et seq.)
is amended by adding at the end the following:
``PART W--HEALTHY KIDS PROGRAM
``SEC. 399OO. DEFINITIONS.
``In this part:
``(1) Childcare center.--The term `childcare center' means
a center licensed or otherwise authorized to provide childcare
services for fewer than 24 hours per day per child in a
nonresidential setting, unless care in excess of 24 hours is
due to the nature of the parents' work.
``(2) Early learning council.--The term `early learning
council' means an early childhood assembly that is established
to advise Governors, State legislators, or State agency
administrators on how best to meet the needs of young children
and their families specifically through improvement of programs
and services.
``(3) Family childcare home.--The term `family childcare
home' means a private family home where home-based childcare is
provided for a portion of the day, unless care in excess of 24
hours is due to the nature of the parents' work, and that is
certified, registered, or licensed in the State in which it is
located.
``(4) Screen time limits.--The term `screen time limits'
means policies or guidelines, such as those developed by the
American Academy of Pediatrics, designed to reduce the daily
amount of time that children spend watching or looking at
digital monitors or displays, including television sets,
computer monitors, or hand-held gaming devices.
``(5) Secretary.--The term `Secretary' means the Secretary
of Health and Human Services.
``SEC. 399OO-1. GRANTS.
``(a) In General.--The Secretary, in consultation with appropriate
entities within the Department of Health and Human Services, shall
award 3-year competitive grants to 5 State health departments (or other
appropriate childcare licensing entities within such States) to help
reduce and prevent obesity among the birth to 5-year-old population of
the State in childcare settings outside a child's place of residence.
``(b) Use of Funds.--State grantees shall use amounts received
under a grant under this subsection to--
``(1) provide, or enter into contracts to provide, training
(that meets the requirements of subsection (c)) to the staff of
national, State, or community-based organizations with networks
of childcare centers, or a consortium of childcare centers and
family childcare homes consisting of at least 10 centers, for
the purpose of implementing evidence-based healthy eating and
physical activity policies and practices, including curricula
and other interventions; and
``(2) provide grants to childcare centers and family
childcare homes, whose staff received the training described in
paragraph (1), to implement practice, curricula, and policy
changes (that meet the requirements of subsection (d)) that
promote healthy eating and physical activity among the birth to
5 years of age population.
Preference in awarding grants shall be given to those States that
demonstrate collaboration between relevant State entities related to
childcare and health and with key stakeholders, such as State early
learning councils and other community-based organizations working with
childcare centers or family childcare homes.
``(c) Training Requirements.--
``(1) In general.--Training provided under subsection (b)
shall--
``(A) include the provision of information
concerning age-appropriate healthy eating and physical
activity interventions and culturally competent
curricula for the birth to 5 years of age population in
the State involved, which at a minimum shall include--
``(i) a handbook that includes
recommendations, guidelines, and best practices
for childcare centers and family childcare
homes relating to healthy eating, physical
activity, and screen time reduction;
``(ii) information about the availability
of and services provided by childcare health
consultants; and
``(iii) health and wellness resources
available through the Child Care Bureau and the
Maternal and Child Health Bureau;
``(B) identify, improve upon, and expand nutrition
and physical activity best practices targeted to the
birth to 5 years of age population in the State
involved and identify strategies for incorporating
parental education and other parental involvement; and
``(C) provide instruction on how to appropriately
model, direct, and encourage childcare staff behavior
to apply the best practices and strategies identified
under subparagraph (B).
``(2) Training entities.--A grantee may conduct the
training required under this section directly, or may provide
such training through a contract with--
``(A) an appropriate national, State, or community
organization with relevant expertise;
``(B) a health care provider or professional
organization with relevant expertise;
``(C) a university or research center that employs
faculty with relevant expertise; or
``(D) any other entity determined appropriate by
the State and approved by the Secretary.
``(3) Requirement of contract.--If a grantee elects to
provide the training under this section through a contract, the
grantee shall ensure that a consistent healthy eating and
physical activity curriculum is being developed for all
childcare entities participating in the pilot program in the
State.
``(d) Practice, Curricula, and Policy Changes.--After training is
provided as required under subsection (c), a State grantee shall ensure
that the organizations and consortia involved--
``(1) implement, in childcare settings, evidence-based
policy changes that promote healthy eating, physical activity,
and appropriate screen time limits among the birth to 5 years
of age population;
``(2) utilize an evidence-based, culturally competent
healthy eating and physical activity curriculum in childcare
settings focusing on such birth to age 5 population;
``(3) implement programs, activities, and procedures for
incorporating parental education and involvement of parents in
programs, including disseminating a written parental
involvement policy, and coordinating and integrating parental
involvement strategies under this section, to the extent
feasible and appropriate, with parental involvement strategies
under other programs, such as the Head Start program and the
Early Head Start Program; and
``(4) find innovative ways to remove barriers that exist to
providing opportunities for healthy eating and physical
activity.
All activities described in this paragraph shall be evidence-based and
be consistent with the curriculum presented through training activities
described in subsection (c).
``SEC. 399OO-2. GRANTS FOR THE EVALUATION OF PILOT PROGRAMS.
``The Secretary shall award competitive grants to prevention
research centers or universities to evaluate the programs carried out
with grants under section 399OO-1, including baseline, process, and
outcome measurements.
``SEC. 399OO-3. COORDINATION.
``(a) Interagency Coordination.--To the extent practicable, the
Secretary shall coordinate activities conducted under this part with
activities undertaken by the National Prevention, Health Promotion and
Public Health Council established under section 4001 of the Patient
Protection and Affordable Care Act (Public Law 111-148). Where
practicable, such coordination shall--
``(1) include the sharing of current and emerging best
practices concerning healthy eating, physical activity, and
screen time limits that have a population-level impact in
promoting nutrition and physical activity in childcare
settings;
``(2) promote the effective implementation and
sustainability of such programs; and
``(3) avoid unnecessary duplication of effort.
``(b) Pilot Coordination.--The Secretary shall designate an
individual (directly or through contract) to provide technical
assistance to States and pilot centers in the development,
implementation, and evaluation of activities and dissemination of
information described in paragraphs (1), (2), and (3) of subsection
(a).
``SEC. 399OO-4. EVALUATION AND REPORTING.
``(a) Technical Assistance and Information.--The Secretary shall--
``(1) provide technical assistance to grantees and other
entities providing training under a grant under this part; and
``(2) disseminate to health departments and trainers under
grants under this part information concerning evidence-based
approaches, including dissemination of existing toolkits,
curricula, and existing or emerging best practices that can be
expanded or improved upon through a program conducted under
this part.
``(b) Evaluation Requirements.--With respect to evaluations
conducted under section 399OO-2, the Secretary shall ensure that--
``(1) evaluation metrics are consistent across all programs
funded under this part;
``(2) interim outcomes are measured by the number of
centers that have implemented policy and environmental
strategies that support use of curricula and practices
supporting healthy eating, physical activity, and screen time
limits;
``(3) interim outcomes are measured, to the extent
possible, by behavior changes in healthy eating, physical
activity, and screen time; and
``(4) upon completion of the program, the evaluation shall
include an identification of best practices relating to
behavior change and reductions in the increasing prevalence of
overweight and obesity that could be replicated in other
settings.
``(c) Dissemination of Information.--Upon the conclusion of the
programs carried out under this part, the Secretary shall disseminate
to all appropriate agencies within the Department of Health and Human
Services evidence, best practices, and lessons learned from grantees.
Such agencies shall encourage the adoption of the best practices.
``(d) Report to Congress.--Not later than 6 months after the
completion of the program under this part, the Secretary shall submit
to Congress a report containing an evaluation of the program, including
recommendations as to how lessons learned from the program can be
incorporated into future guidance documents developed and provided by
the Secretary and other Federal agencies, as appropriate.
``SEC. 399OO-5. AUTHORIZATION OF APPROPRIATIONS.
``There is authorized to be appropriated to carry out this part,
$2,500,000 for each of fiscal years 2015, 2016, and 2017.''.
SEC. 112. HEALTH AND FITNESS SCHOOL PROGRAMS: TRAINING AMERICA'S YOUTH
TO LIVE HEALTHY LIFESTYLES.
(a) In General.--The Secretaries shall carry out a 2-year pilot
program consisting of awarding grants to eligible entities for the
purpose of establishing or expanding evidence-based health and fitness
programs in secondary schools in low-income communities.
(b) Health and Fitness Program Requirements.--As a condition on
receipt of a grant under this section, an eligible entity shall agree
that any health and fitness program at a secondary school funded
through the grant will--
(1) be conducted in partnership with the secondary school,
community entities, and tribal councils;
(2) ensure the services provided are inclusive of students
with disabilities;
(3) include services by recent graduates of institutions of
higher education who are interested in pursuing graduate
degrees in medicine, nursing, nutrition science, exercise
physiology, public health, or a related discipline;
(4) use services by such graduates to supplement rather
than supplant the health and fitness curriculum of the
secondary school;
(5) include a highly effective student-mentor intervention
and education program conducted by such graduates for a maximum
of 2 years of service in 1 secondary school per graduate;
(6) build a healthier community through wellness activities
and increased awareness about and access to healthy foods;
(7) provide daily health and fitness instruction to both
students and faculty;
(8) conduct an annual in-school health and fitness fair
using the services of secondary school students with the
objective of building a healthier community through wellness
activities and increased awareness about and access to healthy
foods;
(9) conduct an annual school-based and an annual community-
based health and fitness fair using the services of secondary
school students with the objective of building a healthier
community through wellness activities and increased awareness
about and access to healthy foods; and
(10) expose secondary school students to a variety of
career choices in wellness and health-related disciplines,
including careers in medicine, nursing, nutrition science, and
exercise physiology.
(c) Non-Federal Funds.--The Secretaries shall encourage grantees
under this section to contribute funds from non-Federal sources to
increase--
(1) the number of secondary schools at which health and
fitness programs are offered; or
(2) the longevity of such programs.
(d) Minimum Number of Schools.--The Secretaries shall ensure that
grants under this section are used to establish or expand health and
fitness programs at a total of not less than 20 schools.
(e) Assessment; Reporting.--As conditions on receipt of a grant
under this section, an eligible entity shall agree to--
(1) conduct an annual assessment of health and fitness
programs funded through the grant;
(2) on an annual basis, report the findings of each
assessment under paragraph (1) to the participating school,
community partners, local contributors of funds, and tribal
councils; and
(3) not later than the end of fiscal year 2016, submit a
report to the Secretaries and an appropriate representative of
the Centers for Disease Control and Prevention on the success
of the programs in educating children and families and thereby
preventing or reducing childhood obesity, including data from
each assessment under paragraph (1).
(f) Report to Congress.--Not later than the end of fiscal year
2016, the Secretaries shall submit to the Congress a report that--
(1) summarizes the results achieved through programs funded
under this section; and
(2) includes a summary of the reports submitted by grant
recipients under subsection (e)(3).
(g) Definitions.--In this section:
(1) The term ``secondary school'' has the meaning given to
such term in section 9101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801).
(2) The term ``eligible entity'' means a nonprofit
organization or entity with the ability to meet the
requirements applicable to a grantee under this section, as
determined by the Secretaries.
(3) The term ``low-income communities'' includes--
(A) communities with a high percentage of children
eligible for free and reduced priced lunches under the
Richard B. Russell National School Lunch Act (42 U.S.C.
1751 et seq.); and
(B) any other communities determined by the
Secretaries to be low-income for purposes of this
section.
(4) The term ``Secretaries'' means the Secretary of Health
and Human Services and the Secretary of Education, acting
jointly and in conjunction with the Director of the Centers for
Disease Control and Prevention.
(h) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $1,400,000 for the period of
fiscal years 2015 through 2016.
TITLE II--ADVANCING PREVENTATIVE MEASURES AND TREATMENT OF OBESITY IN
ADULTS AND CHILDREN IN UNDERSERVED COMMUNITIES
SEC. 201. COMMUNITY HEALTH AND WELLNESS NAVIGATORS PILOT PROGRAM:
CONNECTING AMERICA'S HEALTH PROFESSIONALS WITH OUR
SCHOOLS.
(a) In General.--The Secretary of Health and Human Services shall
award grants to 5 or more States for the establishment of a community
navigator program, consisting of each such State making subgrants to 1
or more eligible entities for a local community navigator program
described in subsection (b).
(b) Program Description.--A local community navigator program
described in this subsection shall consist of the following:
(1) An eligible entity, in partnership with a local
educational agency, a bureau-funded school, or a nonprofit
health or education organization, will hire and train 2 or more
community navigators.
(2) The community navigators will facilitate a relationship
between the eligible entity and the local educational agency,
bureau-funded school, or nonprofit health or education
organization in low-income communities to ensure increased
access to medical care through educating parents and school
administrators.
(3) The community navigators will carry out educational
activities for elementary school and secondary school students
and their parents in low-income communities with the goal of--
(A) increasing familial intake of nutritious meals;
(B) increasing physical activity both in and out of
the school setting; and
(C) increasing access to medical care.
(4) The community navigators will specifically recognize
and address that there are subgroups that are shown to have
particular barriers to physical activities, such as persons
with disabilities.
(c) Report.--Not later than 2 years after the date of the enactment
of this Act, the Secretary shall submit a report to the Congress on the
effectiveness of the program under this section.
(d) Definitions.--In this section:
(1) The term ``bureau-funded school'' has the meaning given
such term in section 1146 of the Education Amendments of 1978
(25 U.S.C. 2026).
(2) The terms ``elementary school'', ``local educational
agency'', and ``secondary school'' have the meanings given to
such terms in section 9101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801).
(3) The term ``eligible entity'' includes a Federally
qualified health center (as defined in section 1861(aa) of the
Social Security Act (42 U.S.C. 1395x(aa))), a facility operated
by the Indian Health Service (including a facility operated by
an Indian tribe or tribal organization through a contract or
compact with the Service under the Indian Self-Determination
and Education Assistance Act (25 U.S.C. 450 et seq.)), a free-
standing children's hospital that is described in subparagraph
(L) or (M) of section 340B(a)(4) of the Public Health Service
Act (42 U.S.C. 256b(a)(4)), a non-profit with demonstrated
effectiveness in the area of health care and with a focus on
serving low-income communities, a rural hospital, and a rural
health clinic.
(4) The term ``low-income communities'' includes--
(A) communities with a high percentage of children
eligible for free and reduced priced lunches under the
Richard B. Russell National School Lunch Act (42 U.S.C.
1751 et seq.); and
(B) any other communities determined by the
Secretaries to be low-income for purposes of this
section.
(5) The term ``nonprofit health or education organization''
shall be defined by the Secretary.
(6) The term ``Secretary'' means the Secretary of Health
and Human Services.
(7) The term ``State'' includes the District of Columbia
and any commonwealth, territory, or possession of the United
States, including the Commonwealth of Puerto Rico, the United
States Virgin Islands, Guam, American Samoa, and the
Commonwealth of the Northern Mariana Islands.
(e) Authorization of Appropriations.--To carry out this section,
there are authorized to be appropriated such sums as may be necessary
for fiscal years 2015 and 2016.
SEC. 202. COVERAGE OF EVIDENCE-BASED PREVENTIVE SERVICES UNDER MEDICAID
AND SCHIP.
(a) State Option To Provide Medical Assistance for Evidence-Based
Preventive Services.--
(1) In general.--Section 1905 of the Social Security Act
(42 U.S.C. 1396d) is amended--
(A) in subsection (a)--
(i) in paragraph (28), by striking ``and''
at the end;
(ii) by redesignating paragraph (29) as
paragraph (30); and
(iii) by inserting after paragraph (28) the
following:
``(29) evidence-based preventive services described in
subsection (ee); and''; and
(B) by adding at the end the following:
``(ee) For purposes of subsection (a)(29), evidence-based
preventive services described in this subsection are--
``(1) any preventive services which the Secretary has
determined are reasonable and necessary for preventing obesity
and comorbidities of obesity, including diet and exercise
counseling, and healthy weight and obesity counseling; and
``(2) any other evidence-based, effective, clinical
intervention for obese individuals designed to prevent
comorbidities of obesity, including pharmacological or surgical
services.''.
(2) Conforming amendment.--Section 1902(a)(10)(C)(iv) of
such Act (42 U.S.C. 1396(a)(10)(C)(iv)) is amended by inserting
``, or (29)'' after ``(24)''.
(b) State Option To Provide Child Health Assistance for Evidence-
Based Preventive Services.--Section 2110(a) of the Social Security Act
(42 U.S.C. 1397jj(a)) is amended--
(1) by redesignating paragraph (28) as paragraph (29); and
(2) by inserting after paragraph (27) the following:
``(28) Evidence-based preventive services described in
section 1905(ee).''.
SEC. 203. COVERAGE OF MEDICAL NUTRITION THERAPY UNDER MEDICAID AND
CHIP.
(a) State Option To Provide Medical Assistance for Medical Therapy
Services.--
(1) In general.--Section 1905(a) of the Social Security Act
(42 U.S.C. 1396d(a)), as amended by section 202(a)(1), is
amended--
(A) in paragraph (29), by striking ``and'' at the
end;
(B) by redesignating paragraph (30) as paragraph
(31); and
(C) by inserting after paragraph (29) the
following:
``(30) medical nutrition therapy services (as defined in
section 1861(vv)(1)) for individuals with prediabetes or
obesity or who are overweight (as defined by the Secretary);
and''.
(2) Conforming amendment.--Section 1902(a)(10)(C)(iv) of
such Act (42 U.S.C. 1396(a)(10)(C)(iv)), as amended by section
202(a)(2), is amended by striking ``or (29)'' and inserting
``(29), or (30)''.
(b) State Option To Provide Child Health Assistance for Medical
Nutrition Therapy Services.--Section 2110(a) of the Social Security Act
(42 U.S.C. 1397jj(a)), as amended by section 202(b), is amended--
(1) by redesignating paragraph (29) as paragraph (30); and
(2) by inserting after paragraph (28) the following:
``(29) Medical nutrition therapy services (as defined in
section 1861(vv)(1)) for individuals with prediabetes or
obesity or who are overweight (as defined by the Secretary).''.
SEC. 204. CLARIFICATION OF EPSDT INCLUSION OF PREVENTION, SCREENING,
AND TREATMENT SERVICES FOR OBESITY AND OVERWEIGHT; CHIP
COVERAGE.
(a) In General.--Section 1905(r) of the Social Security Act (42
U.S.C. 1396d(r)) is amended--
(1) in paragraph (1)(B)--
(A) in clause (iv), by striking ``and'' at the end;
(B) in clause (v), by striking the period at the
end and inserting ``, and''; and
(C) by adding at the end the following:
``(vi) weight and BMI measurement and
monitoring.''; and
(2) in paragraph (5), by inserting ``(including treatment
services related to obesity and body weight, such as medical
nutrition therapy services (as defined in section 1861(vv)(1)),
physical therapy, exercise training, behavioral health
counseling, and such other evidence-based services as
recommended by the Secretary (taking into consideration the
American Academy of Pediatrics Expert Committee Guidelines
Regarding the Prevention, Assessment, and Treatment of Child
and Adolescent Overweight and Obesity and the National Center
on Health, Physical Activity, and Disability's Physical
Activity Guidelines for Individuals with Disabilities)'' after
``screening services''.
(b) CHIP.--
(1) Required coverage.--Section 2103 of the Social Security
Act (42 U.S.C. 1397cc) is amended--
(A) in subsection (a), in the matter preceding
paragraph (1), by striking ``and (7)'' and inserting
``(7), and (8)''; and
(B) in subsection (c)--
(i) by redesignating paragraphs (7) and (8)
as paragraphs (8) and (9), respectively; and
(ii) by inserting after paragraph (6), the
following:
``(7) Prevention, screening, and treatment services for
overweight and obese.--The child health assistance provided to
a targeted low-income child shall include coverage of weight
and BMI measurement and monitoring, as well as appropriate
treatment services, including medical nutrition therapy
services (as defined in section 1861(vv)(1)), physical therapy
or exercise training, including steps needed to make such
therapy and training inclusive for persons with disabilities,
behavioral health counseling, and such other evidence-based
services as recommended by the Secretary. For purposes of the
previous sentence the Secretary shall take into consideration
the American Academy of Pediatrics Expert Committee Guidelines
Regarding the Prevention, Assessment, and Treatment of Child
and Adolescent Overweight and Obesity and the National Center
on Health, Physical Activity, and Disability's Physical
Activity Guidelines for Individuals with Disabilities.''.
(2) Conforming amendment.--Section 2102(a)(7)(B) of the
Social Security Act (42 U.S.C. 1397bb(c)(2)) is amended by
striking ``section 2103(c)(5)'' and inserting ``paragraphs (5)
and (7) of section 2103(c)''.
SEC. 205. NATIONAL COMMISSION ON CHILD OBESITY.
(a) Establishment.--There is established a commission to be known
as the National Commission on Child Obesity (in this section referred
to as the ``Commission'').
(b) Duties of Commission.--The Commission shall--
(1) conduct a comprehensive study that examines and
assesses the needs of children relating to the prevalence,
prevention, and treatment of childhood overweight and obesity,
including specific findings relating to--
(A) best practices for the prevention and treatment
of childhood overweight and obesity;
(B) child physical health and mental health;
(C) childcare in all settings;
(D) child welfare;
(E) elementary and secondary education;
(F) food availability in neighborhoods;
(G) access to health care;
(H) health care utilization;
(I) built environment;
(J) parent physical health and education;
(K) underserved communities, including tribal
communities, health professional shortage areas
designated under section 332 of the Public Health
Service Act (42 U.S.C. 254e), medically underserved
areas (as defined in section 799B of such Act (42
U.S.C. 295p), and areas in the Appalachian region (as
defined in section 14102(a) of title 40, United States
Code);
(L) relevant activities in childhood overweight and
obesity;
(M) the availability of information on State and
Federal supportive nutrition programs, such as the
Summer Food Service Program, the Women, Infants, and
Children Program, the State Children's Health Insurance
Program under title XXI of the Social Security Act, and
the Supplemental Nutrition Assistance Program; and
(N) children with disabilities;
(2) identify, review, and evaluate existing laws,
regulations, policies, programs, and public health initiatives
relevant to best practices for the prevalence, prevention, and
treatment of childhood overweight and obesity;
(3) identify, review, and evaluate the lessons learned from
past laws, regulations, policies, programs, and public health
initiatives relevant to the prevalence, prevention, and
treatment of childhood overweight and obesity;
(4) advise on the need to revise laws, regulations,
policies, and programs relative to addressing best practices
for the prevalence, prevention, and treatment of childhood
overweight and obesity at regular intervals as new knowledge is
gained;
(5) include in the interim report required by subsection
(i)(1) recommendations on--
(A) the appropriate Federal agency to establish the
infrastructure for the creation of a comprehensive
nationwide registry of patient data associated with
children living with obesity;
(B) the specific criteria needed for such registry
to allow the field of pediatric clinicians access to
patient-level, clinical data suitable for research and
the development of best practices;
(C) the appropriate funding level required for the
establishment and implementation of such the registry
described in subparagraph (A); and
(D) how to capture large-scale data that are
currently unavailable on adolescent and child patients
who are currently obese; and
(6) include in the final report required by subsection
(i)(3) the Commission's specific findings, conclusions, and
recommendations to address the needs of children relating to
the prevention and treatment of childhood overweight and
obesity, including specific recommendations on--
(A) the need for planning and establishing a
national resource center for children and obesity; and
(B) such coordination of resources and services,
administrative actions, policies, regulations, and
legislative changes as the Commission considers
appropriate.
(c) Composition.--
(1) Members.--The Commission shall be composed of 15
members, of whom--
(A) 3 members, including at least one from each
major national political party, shall be appointed by
the President;
(B) 3 members shall be appointed by the majority
leader of the Senate;
(C) 3 members shall be appointed by the minority
leader of the Senate;
(D) 3 members shall be appointed by the Speaker of
the House of Representatives; and
(E) 3 members shall be appointed by the minority
leader of the House of Representatives.
(2) Appointment.--Members of the Commission shall be
appointed not later than 6 months after the date of the
enactment of this Act.
(3) Chairperson, vice chairperson, and meetings.--
(A) In general.--Not later than 30 days after the
date on which all members of the Commission are
appointed under paragraph (1), such members shall meet
to elect a Chairperson and Vice Chairperson from among
such members and shall determine a schedule of
Commission meetings.
(B) Initial meeting.--The Commission shall meet and
begin the operations of the Commission not later than
120 days after the appointment of members of the
Commission.
(4) Governmental appointees.--An individual appointed to
the Commission may not be an official or employee of the
Federal Government.
(5) Commission representation.--The Commission shall
include at least one--
(A) representative from each of a nonprofit and
for-profit entity with demonstrated expertise in
addressing the needs of children relating to the
prevalence, prevention, and treatment of childhood
overweight and obesity;
(B) State or local director of health; and
(C) tribal health representative.
(6) Qualifications.--Members appointed under paragraph (1)
may include--
(A) individuals involved with providing services to
children, including health and other social services;
(B) individuals involved with administering health
insurance coverage to children;
(C) individuals with experience in public health
initiatives relating to the prevention and treatment of
childhood overweight and obesity, including
coordination of resources and services among State and
local governments, the Federal Government, and
nongovernmental entities;
(D) individuals with philanthropic experience
focused on the needs of children relating to the
prevalence, prevention, and treatment of childhood
overweight and obesity;
(E) individuals who have conducted academic
research relating to the prevalence, prevention, and
treatment of childhood overweight and obesity; and
(F) individuals with significant experience in
child health and policy.
(7) Quorum and vacancy.--
(A) Quorum.--A majority of the members of the
Commission shall constitute a quorum, but a lesser
number of members may hold hearings.
(B) Vacancy.--Any vacancy in the Commission shall
not affect its powers and shall be filled in the same
manner in which the original appointment was made.
(d) Powers of Commission.--
(1) Hearings.--The Commission may hold such hearings, meet
and act at such times and places, and receive such evidence as
may be necessary to carry out the functions of the Commission.
(2) Information from federal agencies.--
(A) In general.--The Commission may access, to the
extent authorized by law, from any executive
department, bureau, agency, board, commission, office,
independent establishment, or instrumentality of the
Federal Government such information, suggestions,
estimates, and statistics as the Commission considers
necessary to carry out this section.
(B) Provision of information.--On written request
of the Chairperson of the Commission, each department,
bureau, agency, board, commission, office, independent
establishment, or instrumentality of the Federal
Government shall, to the extent authorized by law,
provide the requested information to the Commission.
(C) Receipt, handling, storage, and
dissemination.--Information shall only be received,
handled, stored, and disseminated by members of the
Commission and its staff consistent with all applicable
statutes, regulations, and Executive orders.
(3) Assistance from federal agencies.--
(A) General services administration.--On request of
the Chairperson of the Commission, the Administrator of
General Services shall provide to the Commission, on a
reimbursable basis, administrative support and other
assistance necessary for the Commission to carry out
its duties.
(B) Other departments and agencies.--In addition to
assistance under subparagraph (A), departments and
agencies of the United States may provide to the
Commission such assistance as they determine advisable
and as authorized by law.
(4) Contracting.--The Commission may enter into financially
reasonable contracts to enable the Commission to discharge its
duties under this section.
(5) Postal services.--The Commission may use the United
States mails in the same manner and under the same conditions
as a department or agency of the United States.
(e) Staff of Commission.--
(1) In general.--The Chairperson of the Commission, in
consultation with the Vice Chairperson, in accordance with
rules agreed upon by the Commission, may appoint and fix the
compensation of a staff director, policy director, and
administrative assistant (and other staff if agreed upon by a
majority of Commission members) to enable the Commission to
carry out its functions, in accordance with the provisions of
title 5, United States Code, except that no rate of pay fixed
under this paragraph may exceed the equivalent of that payable
for a position at level V of the Executive Schedule under
section 5316 of title 5, United States Code.
(2) Staff of federal agencies.--Upon request of the
Chairperson of the Commission, the head of any executive
department, bureau, agency, board, commission, office,
independent establishment, or instrumentality of the Federal
Government may detail, without reimbursement, any of its
personnel to the Commission to assist it in carrying out its
duties under this section. Any detail of an employee shall be
without interruption or loss of civil service status or
privilege.
(3) Consultant services.--The Commission is authorized to
procure (pursuant to a majority vote of the Commission members)
the services of experts and consultants in accordance with
section 3109 of title 5, United States Code, but at rates not
to exceed the daily equivalent of the annual rate of basic pay
for level IV of the Executive Schedule under section 5315 of
title 5, United States Code.
(f) Travel Expenses.--Each member of the Commission shall serve
without compensation, but shall receive travel expenses, including per
diem in lieu of subsistence, in accordance with applicable provisions
in the same manner as persons employed intermittently in the Government
service are allowed expenses under section 5703 of title 5, United
States Code.
(g) Applicability of FACA.--The Federal Advisory Committee Act,
including any provisions applicable to staff, is deemed to apply to the
Commission.
(h) Reports of Commission; Termination.--
(1) Interim report.--The Commission shall, not later than 1
year after the date of its first meeting, submit to the
President and the Congress an interim report containing
specific findings, conclusions, and recommendations required
under this section and agreed to by a majority of Commission
members.
(2) Other reports and information.--
(A) Reports.--The Commission may issue additional
reports as the Commission determines necessary.
(B) Information.--The Commission may hold public
hearings to collect information and shall make such
information available for use by the public.
(3) Final report.--The Commission shall, not later than 2
years after the date of its first meeting, submit to the
President and Congress a final report containing specific
findings, conclusions, and recommendations required under this
section and agreed to by a majority of Commission members.
(4) Termination.--
(A) In general.--Unless reauthorized by statute,
the Commission, and all the authorities of this
section, shall terminate 180 days after the date on
which the final report is submitted under paragraph
(3).
(B) Records.--Not later than the date of
termination of the Commission under subparagraph (A),
all records and papers of the Commission shall be
delivered to the Archivist of the United States for
deposit in the National Archives.
(i) Definitions.--In this section:
(1) Obesity.--The term ``obesity'' with respect to children
means having a body mass index (BMI) greater than or equal to
the 95th percentile for age and sex according to the Centers
for Disease Control and Prevention.
(2) Child; children.--The terms ``child'' and ``children''
mean an individual or individuals, respectively, who have not
attained 18 years of age.
(j) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $1,500,000 for each of fiscal
years 2015 and 2016.
SEC. 206. GAO REPORT.
Not later than 2 years after the first appropriation of Federal
funds to carry out this Act, the Comptroller General of the United
States shall submit to Congress a report on the effectiveness of the
activities carried out under this Act in reducing child obesity, which
shall include an analysis of the costs and the benefits of such
activities.
TITLE III--ENCOURAGING PHYSICAL ACTIVITY IN UNDERSERVED AMERICAN
COMMUNITIES
SEC. 301. RENOVATION OF FORECLOSED AND ABANDONED PROPERTIES TO CREATE
SPACES THAT ENCOURAGE PHYSICAL ACTIVITY IN AMERICAN
NEIGHBORHOODS.
Section 106(a) of the Housing and Community Development Act of 1974
(42 U.S.C. 5306(a)) is amended--
(1) in paragraph (3)--
(A) by striking ``(1) and'' and inserting ``(1),'';
and
(B) by inserting ``and after reserving such amounts
for units of general local government, special district
governments, and Indian tribes with high foreclosure
rates and great infrastructure need under paragraph
(4),'' after ``paragraph (2),'';
(2) by redesignating paragraph (4) as paragraph (5);
(3) in paragraph (5), as redesignated by paragraph (2) of
this section, by striking ``paragraphs (1), (2), and (3)'' and
inserting ``paragraphs (1), (2), (3), and (4)''; and
(4) by inserting after paragraph (3) the following new
paragraph:
``(4)(A) For each fiscal year, of the amount approved in
appropriation Acts under section 103 for grants for such fiscal
year (excluding the amounts provided for use in accordance with
section 107), the Secretary shall reserve for grants to units
of general local government, special district governments, and
Indian tribes that the Secretary determines have both high
foreclosure rates and the greatest infrastructure needs, based
on the scope of the needs, an amount the Secretary determines
necessary.
``(B) Grants under this paragraph may be used by units of
general local government, special district governments, and
Indian tribes to--
``(i) renovate foreclosed commercial properties,
abandoned commercial properties, or both, to be
transformed into community centers, public recreation
facilities, swimming pools, or any other type of
facility that will encourage indoor physical activity;
``(ii) demolish foreclosed or abandoned commercial
and residential properties, or both, to use the sites
for--
``(I) the construction of parks,
playgrounds, outdoor swimming pools, tracks,
soccer fields, baseball diamonds, or any other
type of facility that will encourage outdoor
physical activity;
``(II) community gardens or urban farms,
particularly in areas that are food deserts (as
such term is defined in section 7527(a) of the
Food, Conservation, and Energy Act of 2008
(Public Law 110-234; 122 Stat. 2039); or
``(III) mixed-use facilities that are used
for both of the purposes under subclauses (I)
and (II) of this clause; and
``(iii) reconstruct and repair dilapidated
sidewalks, bike and pedestrian trails, and indoor and
outdoor facilities that encourage physical activity.
``(C) In making grants under this paragraph, the Secretary
shall give priority among units of general local government,
special district governments, and Indian tribes eligible
pursuant to subparagraph (A)--
``(i) to units of general local government, special
district governments, and Indian tribes that
demonstrate the ability and willingness to work with
local educational agencies, developers, and other
community-based organizations to enter into mixed-use
agreements to maximize the use and efficiency of
properties renovated, constructed, or reconstructed and
repaired through the use of grant funds;
``(ii) to units of general local government,
special district governments, and Indian tribes that
demonstrate the willingness to recognize and promote
the involvement of individuals enrolled in a national
service program authorized under the National and
Community Service Act of 1990 (42 U.S.C. 12501 et seq.)
or the Domestic Volunteer Service Act of 1973 (42
U.S.C. 4950 et seq.) in the renovation, construction,
or reconstruction and repair of properties through the
use of grant funds;
``(iii) to projects proposed by units of general
local government, special district governments, and
Indian tribes that are easily accessible, on foot or by
public transportation, for persons in low-income
communities; and
``(iv) to projects proposed by units of general
local government, special district governments, and
Indian tribes that have particular accessibility
considerations for persons with disabilities.
``(D) For purposes of this paragraph, the term `special
district government' means any organized local entity, known by
a variety of titles, including districts, authorities, boards,
and commissions, other than a unit of general local government
or local educational agency, authorized by State law to provide
only one or a limited number of designated functions, and with
sufficient administrative and fiscal autonomy to qualify as a
separate government unit, as determined by the Secretary.''.
SEC. 302. NATIONAL YOUTH SPORTS PROGRAM REVITALIZATION.
Section 682(g) of the Community Services Block Grant Act (42 U.S.C.
9923(g)) is amended by striking ``$15,000,000'' and all that follows
through ``2003'' and inserting ``$20,000,000 for each of the fiscal
years 2015 through 2024''.
SEC. 303. EXPANSION OF THE ZUNI YOUTH ENRICHMENT PROJECT SUMMER CAMP.
(a) In General.--The Secretary of Health and Human Services shall
establish a 2-year pilot program to provide funds to community-based
organizations on Indian reservations or tribal lands to plan and
implement an enrichment program for children (in the form of a summer
camp and a year-round program) for the purpose of--
(1) reversing the epidemics of obesity, diabetes, and
alcoholism in such areas; and
(2) to mitigate other problems stemming from the formation
of bad habits and the development of low self-esteem during
childhood.
(b) Partnerships.--In order to qualify for funding under subsection
(a), a community-based organization shall demonstrate, to the
satisfaction of the Secretary of Health and Human Services, that the
organization has entered into a partnership with community entities,
local funders, and tribal leaders (including, if applicable, the tribal
council) to plan and execute an enrichment program under subsection
(a).
(c) Number of Sites.--The Secretary of Health and Human Services,
in providing funding under subsection (a), shall provide funding to no
more than 20 community-based organizations.
(d) Model and Camp Requirement.--The enrichment program under
subsection (a) shall--
(1) be modeled on similar programs established by the Zuni
Youth Enrichment Project; and
(2) shall include a camp of at least 6 weeks in duration
during the summer.
(e) Specific Camp Requirements.--
(1) Daily activities.--With respect to children attending a
camp under subsection (d)(2), the leader of the organization
that receives funds under subsection (a) shall, for each day of
the camp, ensure that such children are--
(A) involved in at least 60 minutes of physical
activity (with appropriate accommodations made for
children with disabilities); and
(B) provided with at least two meals that meet
national nutritional standards.
(2) Other activities.--Such leader shall also ensure that--
(A) a community gardening activity is included in
the activities conducted at the camp; and
(B) health and wellness education is provided to
the children attending the camp.
(f) Evaluation.--
(1) In general.--A community-based organization that
receives funding under subsection (a), shall, as a condition of
receiving such funding, conduct an evaluation of the enrichment
program conducted by such organization.
(2) Model.--The form, manner, content, and frequency of the
evaluation under paragraph (1) shall be modeled on the Zuni
Youth Enrichment Project standard project evaluation.
(g) Report.--Not later than 1 year after the date on which a
community organization first receives funding under subsection (a) and
annually thereafter, the organization shall--
(1) submit a report to the Secretary of Health and Human
Services on the outcomes of the enrichment program conducted by
the organization under this section, including--
(A) the findings of the evaluation conducted under
subsection (f); and
(B) the impact of such enrichment program on the
rates of childhood obesity on the reservation or area
of tribal land served by the organization; and
(2) provide a copy of the findings under paragraph (1)(A)
to community entities, local funders, tribal leaders
(including, if applicable, the tribal council), and the
families of children participating in the enrichment program.
SEC. 304. MAKING ROUTES TO SCHOOLS IN UNDERSERVED COMMUNITIES SAFE AND
ACCESSIBLE WITH PUBLIC PARTICIPATION THROUGH THE
COMMUNITY ORIENTED POLICING SERVICES PROGRAM.
Section 1701 of the Omnibus Crime Control and Safe Streets Act of
1968 (42 U.S.C. 3796dd) is amended--
(1) in subsection (b)--
(A) in paragraph (16), by striking ``and'' after
the semicolon;
(B) by redesignating paragraph (17) as paragraph
(18), and in such paragraph (18) (as so redesignated),
by striking ``through (16)'' and inserting ``through
(17)''; and
(C) by inserting after paragraph (16) the following
new paragraph:
``(17) to award grants for Safe Routes to School-Community
Oriented Policing Services programs, in accordance with
subsection (l); and''; and
(2) by adding at the end the following new subsection:
``(l) Safe Routes to School-Community Oriented Policing Services
Programs.--
``(1) Grant program.--The Director of the Office of
Community Oriented Policing Services, in collaboration with the
Secretary of Education, shall award grants to not fewer than 10
local and tribal law enforcement agencies in low-income
communities for the planning, development, and assessment of
Safe Routes to School-Community Oriented Policing Services
programs in accordance with this subsection.
``(2) Grant period.--Each grant awarded under this
subsection shall be for a 3-year period beginning with the
first fiscal year that begins after the date of enactment of
the Fit for Life Act of 2014, and may not be renewed.
``(3) Use of grants.--A grant awarded under this subsection
shall be used by each grantee to--
``(A) assess the needs of the low-income community
served by the grantee with respect to the ability of
elementary and secondary school students to get to and
from school safely; and
``(B) establish and maintain a Safe Routes to
School-Community Oriented Policing Services program
that ensures the availability of safe routes to and
from school for elementary and secondary school
students in underserved communities by addressing the
unique personal safety dangers to students in such
communities that may cause routes to or from school to
be unsafe, such as dangers associated with crime, drug
or gang activity, abandoned properties, and the
presence of sexual predators.
``(4) Reports.--Not later than one year after receiving a
grant award under this subsection, and annually thereafter,
each grantee shall submit to the Director of the Office of
Community Oriented Policing Services a report on the Safe
Routes to School-Community Oriented Policing Services program
carried out by the grantee that includes--
``(A) a description of the activities carried out
with such grant during the preceding year;
``(B) the effectiveness of such activities in
ensuring safe routes to and from school for elementary
and secondary school students;
``(C) a description of the activities the grantee
plans to carry out with such grant in succeeding years;
and
``(D) best practices, plans, and findings for
purposes of incorporation into urban planning and
development in underserved communities in succeeding
years.
``(5) Definition.--The term `low-income communities'
includes--
``(A) communities with a high percentage of
children eligible for free and reduced priced lunches
under the Richard B. Russell National School Lunch Act
(42 U.S.C. 1751 et seq.); and
``(B) any other communities determined by the
Director of the Office of Community Oriented Policing
Services to be low-income for purposes of this
section.''.
SEC. 305. SCHOOL INFRASTRUCTURE HEALTHIER UPGRADES COMPETITIVE GRANT.
(a) In General.--From the amounts appropriated to carry out this
Act, the Secretary of Education shall award grants, on a competitive
basis, to eligible entities to upgrade facilities specifically
pertaining to healthy eating and fitness.
(b) Authorized Use of Fund.--An eligible entity receiving a grant
under this section shall use such grant to upgrade facilities
specifically pertaining to healthy eating and fitness, which may
include--
(1) building or maintaining school gardens;
(2) renovating outdoor facilities for physical educations
or activity programs; or
(3) upgrading kitchen and cafeteria services to better
prepare and store healthy foods.
(c) Priority.--In awarding grants under this section to eligible
entities that are local educational agencies, the Secretary shall give
priority to local educational agencies that--
(1) serve a high-percentage of low-income students;
(2) serve a high-percentage of students who are minorities;
(3) serve a high-percentage of students with childhood
obesity; and
(4) serve schools that have joint use agreements for
afterschool programs or community-wellness partnerships for
afterschool or weekend use.
(d) Definitions.--In this section:
(1) Eligible entity.--The term ``eligible entity'' means a
local educational agency or licensed childcare centers with
evidence-based wellness programs.
(2) Local educational agency.--The term ``local educational
agency'' has the meaning given the term in section 9101 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
7801).
(3) Secretary.--The term ``Secretary'' means the Secretary
of Education.
SEC. 306. SHARED USE AGREEMENT EXPANSION PILOT GRANT PROGRAM.
(a) In General.--From the amounts appropriated to carry out this
section, the Secretary of Education shall award grants, on a
competitive basis, to eligible entities to supplement programmatic
costs, operations, security, maintenance fees, and other costs
associated with out-of-school use of elementary school or secondary
school buildings or facilities for physical activity, fitness, and
wellness purposes.
(b) Grant Terms.--Each grant under this section shall be awarded
for a period of not more than 3 years.
(c) Total Grants.--The Secretary shall award not less than 15
grants under this section for each fiscal year for which funds are
appropriated to carry out this section.
(d) Priority.--In awarding grants under this section, the Secretary
shall give priority to each eligible entity that--
(1) serves low-income and minority populations;
(2) serves communities with high levels of childhood
obesity; and
(3) is supporting a joint or shared-use agreement (as
described in subsection (e)(2)(A)) that--
(A) was established not more than 5 years before
the eligible entity received a grant under this
section; and
(B) allows the open community use of elementary
school or secondary school buildings or facilities as
opposed to only fee-based sports league use.
(e) Definitions.--In this section:
(1) ESEA terms.--The terms ``elementary school'' and
``secondary school'' have the meanings given such terms in
section 9101 of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 7801).
(2) Eligible entity.--The term ``eligible entity'' means an
elementary school, secondary school, local government, or
community partner that has--
(A) adopted or entered into a joint or shared-use
agreement authorizing elementary school or secondary
school buildings or facilities to be used by community
and nonprofit organizations for community programs; and
(B) the ability to use funds to support such
community programs.
(3) Secretary.--The term ``Secretary'' means the Secretary
of Education.
SEC. 307. LAND AND WATER CONSERVATION FUND PROGRAM GRANTS IN LOW-INCOME
COMMUNITIES AND EXPAND TRIBAL PARTICIPATION.
Section 6(e) of the Land and Water Conservation Act of 1965 (16
U.S.C. 460l-8(e)) is amended by adding at the end the following:
``(3) Low-income communities and indian reservations.--For
development of programs to increase the use of and access to
parks and open space in low-income communities and on or near
Indian reservations.''.
SEC. 308. CHANGING HEARTS, ATTITUDES, AND MINDS BY PARTICIPATING IN
SPORTS (CHAMPS) PROGRAM.
Part B of title III of the Public Health Service Act is amended by
inserting after section 317T (42 U.S.C. 247b-22) the following:
``SEC. 317U. CHANGING HEARTS, ATTITUDES, AND MINDS BY PARTICIPATING IN
SPORTS (CHAMPS) PROGRAM.
``(a) In General.--The Secretary, acting through the Director of
the Centers for Disease Control and Prevention, may make grants to
eligible entities to carry out nationally based or community-based
qualified childhood obesity prevention initiatives.
``(b) Eligible Entities.--To be eligible to seek a grant under this
section, an entity shall be--
``(1) a nationally based nonprofit organization proposing
to implement programs described in subsection (c), each serving
at least 1,000 individuals, at 5 or more locations across the
Nation; or
``(2) a community-based nonprofit organization proposing to
implement a program described in subsection (c) serving at
least 1,000 individuals.
``(c) Qualified Childhood Obesity Prevention Initiative.--To
qualify as a childhood obesity prevention initiative eligible for
funding under this section, an initiative shall consist of programs
that--
``(1) serve children or adolescents most at risk for being
overweight and obese in predominantly economically
disadvantaged communities;
``(2) serve children or adolescents during after-school
hours, weekends, or summer hours;
``(3) provide structured physical fitness activities,
including organized sports, which engage each participant in a
minimum of 60 minutes of moderate to vigorous physical activity
at least three days per week for a period of at least 24 weeks
in a given year;
``(4) provide adult supervision and guidance or coaches who
encourage and teach proper exercise techniques and skills;
``(5) combine physical fitness activities with nutritional
counseling and education; and
``(6) demonstrate measurable results for reducing childhood
obesity on the part of participants, including through--
``(A) measurement and study of participants'
moderate to vigorous physical activity (MVPA) each day,
both as part of the programs funded under this section
and on the participants' own initiative;
``(B) increased knowledge of and awareness about
the importance of physical activity and exercise as
well as the nutritional value of food and beverage
choices;
``(C) keeping track of and reporting meaningful
reductions in the consumption of food and beverages
with low nutritional value, increased consumption of
healthy items, and increased levels of unstructured,
self-initiated physical activity outside of the
programs funded under this section; and
``(D) measurement and study of participants' body
mass index (BMI) indicating that--
``(i) children entering programs funded
under this section with a healthy body mass
index maintain it while participating in such
programs; and
``(ii) children participating in such
programs with an unhealthy body mass index halt
any negative trend lines toward obesity or
begin trend lines in a positive direction.
``(d) Priority.--In selecting among applicants for grants under
this section, the Secretary shall give priority to eligible entities
proposing to carry out programs that will provide additional societal
benefits, such as--
``(1) effectiveness in working with programs for ethnic and
racial minorities that are evaluated by independent, third-
party evaluators;
``(2) improvements to academic performance in school;
``(3) character building and leadership development;
``(4) gang and juvenile delinquency prevention and
reduction;
``(5) gender equality and female empowerment;
``(6) mentoring, volunteerism promotion, and service-
learning opportunities;
``(7) family and community engagement and participation;
``(8) workforce education and career development
opportunities; or
``(9) being inclusive of persons with disabilities.
``(e) Distribution of Funds.--Of the amount made available to carry
out this section for a fiscal year, the Secretary shall award--
``(1) not less than 25 percent of such amount to nationally
based nonprofit organizations described in subsection (b)(1);
and
``(2) not more than 75 percent of such amount to community-
based nonprofit organizations described in subsection (b)(2).
``(f) Cost-Share Requirements.--
``(1) In general.--With respect to the costs of a qualified
childhood obesity prevention initiative to be carried out under
this section--
``(A) in the case of an applicant that is a
nationally based nonprofit organization, a grant under
subsection (a) may be made only if the organization
agrees to make available (directly or through donations
from public or private entities) non-Federal
contributions toward such costs in an amount that is
not less than one-third of such costs ($1 for each $2
of Federal funds provided in the grant); and
``(B) in the case of an applicant that is a
community-based nonprofit organization, a grant under
subsection (a) may be made only if the organization
agrees to make available (directly or through donations
from public or private entities) non-Federal
contributions toward such costs in an amount that is
not less than one-fourth of such costs ($1 for each $3
of Federal funds provided in the grant).
``(2) Non-federal contributions by subgrantees.--If a
nationally based nonprofit organization chooses to provide
grant funds received under this section to a subgrantee to
carry out one or more programs as part of the organization's
qualified childhood obesity prevention initiative, the
organization shall require the subgrantee to make available
(directly or through donations from public or private entities)
non-Federal contributions toward the costs of such programs in
an amount that is not less than one-third of such costs ($1 for
each $2 of Federal funds provided in the grant). The amount of
non-Federal contributions by subgrantees required under this
paragraph is in addition to the amount of non-Federal
contributions by the nationally based nonprofit organization
required under paragraph (1).
``(3) Determination of amount contributed.--
``(A) In general.--Non-Federal contributions
required by paragraph (1) or (2)--
``(i) in the case of a nationally based
nonprofit organization, shall be made in cash;
and
``(ii) in the case of a subgrantee
described in paragraph (2) or a community-based
nonprofit organization, may be in cash or in
kind, fairly evaluated, including plant,
equipment, or services.
``(B) Exclusion of federal contributions.--Amounts
provided by the Federal Government, or services
assisted or subsidized to any significant extent by the
Federal Government, may not be included in determining
the amount of non-Federal contributions required by
paragraph (1) or (2).
``(g) Report to Congress.--Not later than one year after the first
appropriation of Federal funds to carry out this section, the Secretary
shall report to the Congress on the progress made in carrying out
programs funded by grants under this section.
``(h) Best Practices Guidelines.--Based on the results of programs
funded through grants under this section during the first two fiscal
years of such funding, the Secretary shall develop publicly accessible
best practices guidelines for obesity reduction programs. The Secretary
shall update these guidelines every two years.
``(i) Authorization of Appropriations.--To carry out this section,
there is authorized to be appropriated $50,000,000 for each of fiscal
years 2015 through 2019.''.
SEC. 309. COORDINATED SCHOOL HEALTH INITIATIVES.
(a) In General.--From the amounts appropriated to carry out this
section, the Secretary of Education shall carry out a pilot program to
award grants to not more than 5 eligible entities to carry out
coordinated school health initiatives in schools.
(b) Amount of Grant.--A grant awarded under subsection (a) may not
exceed $15,000.
(c) Use of Funds.--An eligible entity receiving a grant under this
section shall carry out a coordinated school health initiative in each
school under the jurisdiction of the entity under which the entity
shall--
(1) carry out a program, such as a fitness program, to
assess the physical fitness (including aerobic capacity,
muscular strength and endurance, flexibility, and body
composition) of each student served by the entity; and
(2) evaluate such assessments to--
(A) establish baselines with respect to aerobic
capacity, muscular strength and endurance, flexibility,
and body composition that each such student should meet
by a certain period; and
(B) identify interventions to assist each such
student, including those with disabilities, in meeting
such baselines;
(3) review the interventions identified under paragraph
(2)(B) to determine the best practices with respect to such
interventions;
(4) use the determinations for best practices under
paragraph (3) to implement interventions in each school under
the jurisdiction of the entity; and
(5) not later than 1 year after the implementation of the
interventions, assess the physical fitness of each student
served by the entity.
(d) Reporting.--
(1) Eligible entity.--Each eligible entity receiving a
grant under this section shall submit to the Secretary at such
time and in such manner as determined by the Secretary, a
report on--
(A) the initial physical fitness assessments
carried out under subsection (c)(1);
(B) the interventions implemented under subsection
(c)(4); and
(C) the physical fitness assessments carried out
under subsection (c)(5) after the interventions have
been implemented.
(2) Secretary.--Not later than the first appropriation of
Federal funds to carry out this section, the Secretary shall
use the reports received under paragraph (1) to prepare and
transmit to Congress a report on--
(A) the average physical fitness levels of students
participating in the coordinated school health
initiative under this section--
(i) prior to the interventions implemented
by each eligible entity under this section; and
(ii) 1 year after the implementation of the
interventions;
(B) the best practices with respect to the
interventions; and
(C) recommendations on how schools and local
educational agencies may incorporate such best
practices.
(e) Application.--To receive a grant under this section, an
eligible entity shall submit an application to the Secretary of
Education at such time, in such manner, and containing such information
as the Secretary may require.
(f) Supplement, Not Supplant.--Funds received under this section
shall be used to supplement, and not supplant, non-Federal funds that
would otherwise be used for activities authorized under this section.
(g) Definitions.--For purposes of this section:
(1) Eligible entity.--The term ``eligible entity'' means a
local educational agency--
(A) that serves--
(i) a high percentage of students eligible
for free or reduced price lunches under the
Richard B. Russell National School Lunch Act;
or
(ii) a community otherwise determined by
the Secretary to be a low-income community; and
(B) that forms a partnership with an institution of
higher education or a nonprofit health or education
organization, as determined by the Secretary, for the
purposes of carrying out the coordinated school health
initiative described in subsection (c).
(2) Institution of higher education.--The term
``institution of higher education'' has the meaning given the
term in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001).
(3) Local educational agency.--The term ``local educational
agency'' has the meaning given such term in section 9101 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
7801).
(4) Secretary.--The term ``Secretary'' means the Secretary
of Agriculture.
SEC. 310. REWARDING ELEMENTARY AND SECONDARY SCHOOLS FOR OUTSTANDING
STUDENT PERFORMANCE IN PHYSICAL FITNESS PROGRAMS.
(a) In General.--The Secretary of Health and Human Services may
make grants to elementary and secondary schools as rewards for their
students' outstanding performance in the Presidential Youth Fitness
Program or other federally supported physical fitness programs.
(b) Preference.--In making grants under subsection (a), the
Secretary shall give preference to elementary and secondary schools
that--
(1) have the highest percentage of students earning a
Presidential Physical Fitness Award through the Presidential
Youth Fitness Program;
(2) demonstrate the greatest improvement in the number or
percentage of students earning the National Physical Fitness
Award and the Participant Physical Fitness Award through the
Presidential Youth Fitness Program; and
(3) implement evidence-based physical education and
physical activity policies and programs that align with the
Presidential Youth Fitness Program.
(c) Allocation of Funds for Underperforming Schools.--Of the
amounts made available for grants under this section for each fiscal
year, the Secretary shall set aside a portion of such amounts for
underperforming elementary and secondary schools that--
(1) are in need of improvement;
(2) meet the requirements of this section; and
(3) have evidence-based physical education and physical
activity policies and programs.
(d) Use of Funds.--As a condition on receipt of a grant under this
section, a school shall agree to use the grant funds for programs and
activities to further improve the physical fitness of students.
(e) Data Requirements.--As a condition on receipt of a grant, a
school shall agree to report the results achieved at the school through
the Presidential Youth Fitness Program or other Federal physical
fitness programs to the community and the relevant State agency--
(1) to improve tracking of physical fitness data across the
United States; and
(2) to inform efforts to strengthen local wellness policies
to improve student physical activity and physical fitness.
(f) Application.--To seek a grant under this section, a school
shall submit an application at such time, in such manner, and
containing such information as the Secretary may require. At a minimum,
an application under this subsection shall include--
(1) a description of the school's programs and activities
for improving physical fitness;
(2) an assurance of compliance with applicable requirements
of physical fitness programs of the Department of Health and
Human Services; and
(3) an assessment of physical fitness levels of students in
the school before, during, and after implementation such
programs.
(g) Reports.--
(1) HHS.--Not later than 18 months after the date of the
enactment of this Act, and annually thereafter, the Secretary
shall submit a report to the Congress on the program of grants
under this section, including--
(A) a description of best practices by elementary
and secondary schools for improving physical fitness;
and
(B) any recommendations for improving the program
under this section.
(2) GAO.--Not later than 24 months after the date of the
enactment of this Act, the Comptroller General of the United
States shall complete a study and submit a report to the
Congress--
(A) analyzing physical fitness levels of students
in elementary and secondary schools across the Nation;
(B) evaluating the President's Challenge to
determine whether the standards for Presidential
Physical Fitness Awards, National Physical Fitness
Awards, and Participant Physical Fitness Awards are
accurate, up-to-date, and appropriate; and
(C) evaluating the effectiveness of the awards
described in subparagraph (B).
(h) Definitions.--In this section:
(1) The term ``elementary and secondary schools'' means
public or private elementary schools and secondary schools (as
defined in section 9101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7801)).
(2) The term ``President's Challenge'' refers to the
premier program of the President's Council on Fitness, Sports &
Nutrition, under the Secretary of Health and Human Services,
for increasing physical activity and improving physical
fitness.
(3) The term ``Secretary'' means the Secretary of Health
and Human Services.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Agriculture, Education and the Workforce, the Judiciary, Financial Services, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Agriculture, Education and the Workforce, the Judiciary, Financial Services, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Agriculture, Education and the Workforce, the Judiciary, Financial Services, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Agriculture, Education and the Workforce, the Judiciary, Financial Services, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Agriculture, Education and the Workforce, the Judiciary, Financial Services, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
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Referred to the Committee on Energy and Commerce, and in addition to the Committees on Agriculture, Education and the Workforce, the Judiciary, Financial Services, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Sponsor introductory remarks on measure. (CR E891)
Referred to the Subcommittee on Health.
Referred to the Subcommittee Indian and Alaska Native Affairs.
Referred to the Subcommittee on Public Lands and Environmental Regulation.
Referred to the Subcommittee on Department Operations, Oversight, and Nutrition.
Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations.
Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education.