Home > 105th Congressional Bills > S. 1172 (rfh) For the relief of Sylvester Flis. ...S. 1172 (rfh) For the relief of Sylvester Flis. ...
108th CONGRESS
1st Session
S. 1172
To establish grants to provide health services for improved nutrition,
increased physical activity, obesity prevention, and for other
purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 3, 2003
Mr. Frist (for himself, Mr. Bingaman, Mr. Dodd, Mr. DeWine, Mrs.
Clinton, Mr. Warner, Mrs. Murray, Mr. Lugar, Ms. Landrieu, Mr.
Sessions, and Mr. Alexander) introduced the following bill; which was
read twice and referred to the Committee on Health, Education, Labor
and Pensions
_______________________________________________________________________
A BILL
To establish grants to provide health services for improved nutrition,
increased physical activity, obesity prevention, 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 ``Improved Nutrition and Physical
Activity Act'' or the ``IMPACT Act''.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) An estimated 61 percent of adults and 13 percent of
children and adolescents in the Nation are overweight or obese.
(2) The prevalence of obesity and being overweight is
increasing among all age groups. There are twice the number of
overweight children and 3 times the number of overweight
adolescents as there were 29 years ago.
(3) An estimated 300,000 deaths a year are associated with
being overweight or obese.
(4) Obesity and being overweight are associated with an
increased risk for heart disease (the leading cause of death),
cancer (the second leading cause of death), diabetes (the 6th
leading cause of death), and musculoskeletal disorders.
(5) Individuals who are obese have a 50 to 100 percent
increased risk of premature death.
(6) The Healthy People 2010 goals identify obesity and
being overweight as one of the Nation's leading health problems
and include objectives of increasing the proportion of adults
who are at a healthy weight, reducing the proportion of adults
who are obese, and reducing the proportion of children and
adolescents who are overweight or obese.
(7) Another goal of Healthy People 2010 is to eliminate
health disparities among different segments of the population.
Obesity is a health problem that disproportionally impacts
medically underserved populations.
(8) The United States Surgeon General's report ``A Call To
Action'' lists the treatment and prevention of obesity as a top
national priority.
(9) The estimated direct and indirect annual cost of
obesity in the United States is $117,000,000,000 (exceeding the
cost of tobacco-related illnesses) and appears to be rising
dramatically. This cost can potentially escalate markedly as
obesity rates continue to rise and the medical complications of
obesity are emerging at even younger ages. Therefore, the total
disease burden will most likely increase, as well as the
attendant health-related costs.
(10) Weight control programs should promote a healthy
lifestyle including regular physical activity and healthy
eating, as consistently discussed and identified in a variety
of public and private consensus documents, including ``A Call
To Action'' and other documents prepared by the Department of
Health and Human Services and other agencies.
(11) Eating preferences and habits are established in
childhood.
(12) Poor eating habits are a risk factor for the
development of eating disorders and obesity.
(13) Simply urging overweight individuals to be thin has
not reduced the prevalence of obesity and may result in other
problems including body dissatisfaction, low self-esteem, and
eating disorders.
(14) Effective interventions for promoting healthy eating
behaviors should promote healthy lifestyle and not
inadvertently promote unhealthy weight management techniques.
(15) Binge Eating is associated with obesity, heart
disease, gall bladder disease, and diabetes.
(16) Anorexia Nervosa, an eating disorder from which 0.5 to
3.7 percent of American women will suffer in their lifetime, is
associated with serious health consequences including heart
failure, kidney failure, osteoporosis, and death. In fact,
Anorexia Nervosa has the highest mortality rate of all
psychiatric disorders, placing a young woman with Anorexia at
18 times the risk of death of other women her age.
(17) Anorexia Nervosa and Bulimia Nervosa usually appears
in adolescence.
(18) Bulimia Nervosa, an eating disorder from which an
estimated 1.1 to 4.2 percent of American women will suffer in
their lifetime, is associated with cardiac, gastrointestinal,
and dental problems, including irregular heartbeats, gastric
ruptures, peptic ulcers, and tooth decay.
(19) On the 1999 Youth Risk Behavior Survey, 7.5 percent of
high school girls reported recent use of laxatives or vomiting
to control their weight.
(20) Binge Eating Disorder is characterized by frequent
episodes of uncontrolled overeating, with an estimated 2 to 5
percent of Americans experiencing this disorder in a 6-month
period.
(21) Eating disorders are commonly associated with
substantial psychological problems, including depression,
substance abuse, and suicide.
(22) Eating disorders of all types are more common in women
than men.
TITLE I--TRAINING GRANTS
SEC. 101. GRANTS TO PROVIDE TRAINING FOR HEALTH PROFESSION STUDENTS.
Section 747(c)(3) of title VII of the Public Health Service Act (42
U.S.C. 293k(c)(3)) is amended by striking ``and victims of domestic
violence'' and inserting ``victims of domestic violence, individuals
(including children) who are overweight or obese (as such terms are
defined in section 399W(j)) and at risk for related serious and chronic
medical conditions, and individuals who suffer from eating disorders''.
SEC. 102. GRANTS TO PROVIDE TRAINING FOR HEALTH PROFESSIONALS.
Section 399Z of the Public Health Service Act (42 U.S.C. 280h-3) is
amended--
(1) in subsection (b), by striking ``2005'' and inserting
``2007'';
(2) by redesignating subsection (b) as subsection (c); and
(3) by inserting after subsection (a) the following:
``(b) Grants.--
``(1) In general.--The Secretary may award grants to
eligible entities to train primary care physicians and other
licensed or certified health professionals on how to identify,
treat, and prevent obesity or eating disorders and aid
individuals who are overweight, obese, or who suffer from
eating disorders.
``(2) Application.--An entity that desires a grant under
this subsection shall submit an application at such time, in
such manner, and containing such information as the Secretary
may require, including a plan for the use of funds that may be
awarded and an evaluation of the training that will be
provided.
``(3) Use of funds.--An entity that receives a grant under
this subsection shall use the funds made available through such
grant to--
``(A) use evidence-based findings or
recommendations that pertain to the prevention and
treatment of obesity, being overweight, and eating
disorders to conduct educational conferences, including
Internet-based courses and teleconferences, on--
``(i) how to treat or prevent obesity,
being overweight, and eating disorders;
``(ii) the link between obesity and being
overweight and related serious and chronic
medical conditions;
``(iii) how to discuss varied strategies
with patients from at-risk and diverse
populations to promote positive behavior change
and healthy lifestyles to avoid obesity, being
overweight, and eating disorders;
``(iv) how to identify overweight and obese
patients and those who are at risk for obesity
and being overweight or suffer from eating
disorders and, therefore, at risk for related
serious and chronic medical conditions; and
``(v) how to conduct a comprehensive
assessment of individual and familial health
risk factors; and
``(B) evaluate the effectiveness of the training
provided by such entity in increasing knowledge and
changing attitudes and behaviors of trainees.''.
TITLE II--COMMUNITY-BASED SOLUTIONS TO INCREASE PHYSICAL ACTIVITY AND
IMPROVE NUTRITION
SEC. 201. GRANTS TO INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION.
Part Q of title III of the Public Health Service Act (42 U.S.C.
280h et seq.) is amended by striking section 399W and inserting the
following:
``SEC. 399W. GRANTS TO INCREASE PHYSICAL ACTIVITY AND IMPROVE
NUTRITION.
``(a) Establishment.--
``(1) In general.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention and
in coordination with the Administrator of the Health Resources
and Services Administration, the Director of the Indian Health
Service, the Secretary of Education, the Secretary of
Agriculture, the Secretary of the Interior, the Director of the
National Institutes of Health, the Director of the Office of
Women's Health, and the heads of other appropriate agencies,
shall award competitive grants to eligible entities to plan and
implement programs that promote healthy eating behaviors and
physical activity to prevent eating disorders, obesity, being
overweight, and related serious and chronic medical conditions.
Such grants may be awarded to target at-risk populations
including youth, adolescent girls, racial and ethnic
minorities, and the underserved.
``(2) Term.--The Secretary shall award grants under this
subsection for a period not to exceed 4 years.
``(b) Award of Grants.--An eligible entity desiring a grant under
this section shall submit an application to the Secretary at such time,
in such manner, and containing such information as the Secretary may
require, including--
``(1) a plan describing a comprehensive program of
approaches to encourage healthy eating behaviors and healthy
levels of physical activity;
``(2) the manner in which the eligible entity will
coordinate with appropriate State and local authorities,
including--
``(A) State and local educational agencies;
``(B) departments of health;
``(C) chronic disease directors;
``(D) State directors of programs under section 17
of the Child Nutrition Act of 1966 (42 U.S.C. 1786);
``(E) 5-a-day coordinators;
``(F) governors' councils for physical activity and
good nutrition; and
``(G) State and local parks and recreation
departments; and
``(3) the manner in which the applicant will evaluate the
effectiveness of the program carried out under this section.
``(c) Coordination.--In awarding grants under this section, the
Secretary shall ensure that the proposed programs are coordinated in
substance and format with programs currently funded through other
Federal agencies and operating within the community including the
Physical Education Program (PEP) of the Department of Education.
``(d) Eligible Entity.--In this section, the term `eligible entity'
means--
``(1) a city, county, tribe, territory, or State;
``(2) a State educational agency;
``(3) a tribal educational agency;
``(4) a local educational agency;
``(5) a federally qualified health center (as defined in
section 1861(aa)(4) of the Social Security Act (42 U.S.C.
1395x(aa)(4));
``(6) a rural health clinic;
``(7) a health department;
``(8) an Indian Health Service hospital or clinic;
``(9) an Indian tribal health facility;
``(10) an urban Indian facility;
``(11) any health care service provider;
``(12) an accredited university or college; or
``(13) any other entity determined appropriate by the
Secretary.
``(e) Use of Funds.--An eligible entity that receives a grant under
this section shall use the funds made available through the grant to--
``(1) carry out community-based activities including--
``(A) planning and implementing environmental
changes that promote physical activity;
``(B) forming partnerships and activities with
businesses and other entities to increase physical
activity levels and promote healthy eating behaviors at
the workplace and while traveling to and from the
workplace;
``(C) forming partnerships with entities, including
schools, faith-based entities, and other facilities
providing recreational services, to establish programs
that use their facilities for after school and weekend
community activities;
``(D) establishing incentives for retail food
stores, farmer's markets, food coops, grocery stores,
and other retail food outlets that offer nutritious
foods to encourage such stores and outlets to locate in
economically depressed areas;
``(E) forming partnerships with senior centers and
nursing homes to establish programs for older people to
foster physical activity and healthy eating behaviors;
``(F) forming partnerships with day care facilities
to establish programs that promote healthy eating
behaviors and physical activity; and
``(G) providing community educational activities
targeting good nutrition;
``(2) carry out age-appropriate school-based activities
including--
``(A) developing and testing educational curricula
and intervention programs designed to promote healthy
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