,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #baja  ,,in ,,the ,,house ,,of  
,,representatives  ,may #bb1 #bjac ,mr4 
,deutch 7for himself1 ,mr4 ,connolly1   
,mr4 ,conyers1 ,mr4 ,ellison1 ,ms4      
,frankel of ,florida1 ,mr4 ,hastings of 
,florida1 ,mr4 ,johnson of ,georgia1    
,mrs4 ,mc,carthy of ,new ,york1 ,mr4    
,moran1 ,mr4 ,nolan1 ,ms4 ,pingree of   
,maine1 ,mr4 ,polis1 ,ms4 ,schwartz1    
,ms4 ,wasserman ,schultz1 ,mrs4 ,carolyn
 ,b4 ,maloney of ,new ,york1 and ,mr4   
,murphy of ,florida7 introduced the     
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committees on  
,ways and ,means1 ,oversight and        
,government ,reform1 and ,education and 
the ,workforce1 for a period to be      
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend the ,public ,health
 ,service ,act with respect to eating   

disorders1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,federal ,response to ,eliminate    
,eating ,disorders ,act of #bjac4  #b4  
,table of contents ,the table of        
contents of this ,act is as follows3    
,sec4 #a4 ,short title4 ,sec4 #b4 ,table
 of contents4 ,sec4 #c4 ,findings4 ,sec4
 #d4 ,definition4 ,title ,i--,research  
,sec4 #aja4 ,activities to improve      
eating disorder-related research and    
funding4 ,sec4 #ajb4 ,eating disorders  
surveillance and research program4      
,title ,,ii--,education and ,prevention 
,sec4 #bja4 ,study of mandatory ,,bmi   
reporting in school4 ,sec4 #bjb4        
,training and education4 ,sec4 #bjc4    
,health professional education and      
training4 ,sec4 #bjd4 ,education and    
training for all health professionals4  
,sec4 #bje4 ,education and training for 
school and higher education             
professionals4 ,sec4 #bjf4 ,eating      
disorder research and report4 ,sec4     
#bjg4 ,public service announcements4    

,sec4 #bjh4 ,sense of ,congress4 ,title 
,,iii--,treatment ,sec4 #cja4 ,coverage 
for treatment for eating disorders under
 group health plans1 individual health  
insurance coverage1 and ,,fehbp4 ,title 
,,iv--,improving ,availability and      
,access to ,treatment ,sec4 #dja4       
,medicaid coverage for eating disorder  
treatment services4 ,sec4 #djb4 ,grants 
to support patient advocacy4  #c4       
,findings ,the ,congress finds as       
follows3  7#a7 ,risk of death among     
individuals with anorexia nervosa is #ah
 times greater than their same age peers
 without anorexia4  7#b7 ,health        
consequences such as osteoporosis       
7brittle bones71 gastrointestinal       
complications1 and dental problems are  
significant health and financial burdens
 throughout life4  7#c7 ,an estimated   
#ad million people suffer from earing   
disorders1 including anorexia nervosa1  
bulimia nervosa1 and eating disorders   
not otherwise specified 7,,ednos7       
7including binge eating disorder74 ,the 

lifetime prevalence of all eating       
disorders in ,america is #j4f to #d4e   
percent4  7#d7 ,eating disorders are    
real1 treatable medical illnesses4 ,they
 frequently coexist with other illnesses
 such as depression1 substance abuse1 or
 anxiety disorders4 ,eating disorders   
can become life-threatening if a person 
does not receive treatment4  7#e7       
,anorexia nervosa is an eating disorder 
characterized by self-starvation and    
excessive weight loss4 ,an estimated    
#j4i percent of ,american women and #j4c
 percent of ,american men will suffer   
from anorexia nervosa in their lifetime4
  7#f7 ,anorexia nervosa is associated  
with serious health consequences        
including heart failure1 kidney failure1
 osteoporosis1 and death4  7#g7 ,bulimia
 nervosa is an eating disorder          
characterized by excessive food         
consumption followed by inappropriate   
compensatory behaviors1 such as         
self-induced vomiting1 misuse of        
laxatives1 fasting1 or excessive        

exercise4 ,an estimated #a4e percent of 
,american women and #j4e percent of     
,american men will suffer from this     
disorder in their lifetime4  7#h7       
,bulimia nervosa is associated with     
cardiac1 gastrointestinal1 and dental   
problems including irregular heartbeats1
 gastric rupture1 peptic ulcer1 tooth   
decay1 and death4  7#i7 ,binge eating   
disorder is characterized by frequent   
episodes of uncontrolled overeating4    
,binge eating disorder is common3 an    
estimated #c4e percent of ,american     
women and #b4j percent of ,american men 
will suffer from this disorder in their 
lifetime4  7#aj7 ,binge eating is       
associated with obesity1 heart disease1 
gall bladder disease1 and diabetes4     
7#aa7 ,many more suffer from some1 but  
not all1 of the symptoms of anorexia    
nervosa1 bulimia nervosa1 or binge      
eating disorder1 which is referred to as
 eating disorders not otherwise         
specified 7,,ednos74 ,between #d percent
 and #bj percent of young women practice

 unhealthy patterns of dieting1 purging1
 and binge eating4  7#ab7 ,eating       
disorders are more common in women1 but 
they do occur in men4 ,rates of binge   
eating disorder are similar in females  
and males4  7#ac7 ,eating disorders     
usually appear in adolescence and are   
associated with substantial             
psychological problems1 including       
depression1 substance abuse1 and        
suicide4 ,eating disorders also develop 
in younger children and adults1         
compromising health and daily           
functioning4 ,for children #ab years of 
age and younger1 hospitalizations for   
eating disorders increased by #aai      
percent between #aiii and #bjjf4  7#ad7 
,eating disorders are found across      
races1 ethnicities1 and socioeconomic   
groups in the ,united ,states4 ,white   
females are more likely to suffer from  
anorexia1 while ,african-,american girls
 are especially vulnerable to developing
 eating disorders that involve binge    
eating4 ,body dissatisfaction in young  

girls has been shown in ,white1         
,african-,american1 ,hispanic1 and      
,asian girls4  #d4 ,definition ,in this 
,act1 the term eating disorder includes 
anorexia nervosa1 bulimia nervosa1 binge
 eating disorder1 and eating disorders  
not otherwise specified 7,,ednos71 as   
defined in the fifth edition of         
,diagnostic and ,statistical ,manual of 
,mental ,disorders or1 if applicable1   
the most recent successor edition4  ,i  
,research  #aja4 ,activities to improve 
eating disorder-related research and    
funding ,title ,,iv of the ,public      
,health ,service ,act 7#db ,u4,s4,c4    
#bha et seq47 is amended by adding at   
the end the following3  ,j ,eating      
disorder-related activities  #dii;,a4   
,authority of the director of the       
national institutes of health relating  
to eating disorders  7a7 ,identifying   
total expenditures on eating disorders  
,the ,director of ,,nih1 in coordination
 with the ,national ,institute of       
,mental ,health1 the ,office of         

,research on ,women's ,health1 and other
 institutes of the ,national ,institutes
 of ,health1 shall identify the total   
amount of expenditures1 both intramural 
and extramural1 by the ,national        
,institutes of ,health for eating       
disorders for each of fiscal years #bjaa
 and #bjab4  7b7 ,budget for eating     
disorders research and coordination of  
activities and programs ,the ,director  
of ,,nih1 based on the strategic plan   
developed under subsection 7c71 shall-- 
7#a7 develop and oversee the            
implementation of a scientifically      
justified budget for research on eating 
disorders at the ,national ,institutes  
of ,health2  7#b7 coordinate all        
research activities and programs on     
eating disorders at the institutes1     
centers1 and divisions of the ,national 
,institutes of ,health2 and  7#c7       
evaluate all such activities and        
programs4  7c7 ,strategic plan for      
eating disorders research  7#a7 ,in     
general ,not later than #a year after   

the date of the enactment of this       
section1 the ,director of ,,nih shall   
develop1 in consultation with leading   
eating disorder researchers1 and oversee
 the implementation of a comprehensive1 
long-range plan for the conduct and     
support of research on eating disorders 
by the institutes1 centers1 and         
divisions of the ,national ,institutes  
of ,health4  7#b7 ,requirements ,the    
plan developed under paragraph 7#a7     
shall--  7,a7 be updated on an annual   
basis2  7,b7 identify critical          
scientific questions related to eating  
disorders and establish priorities among
 such questions2  7,c7 based on the     
priorities established under            
subparagraph 7,b71 specify the short-   
and long-range objectives to be         
achieved1 and estimate the resources    
needed to achieve these objectives2     
7,d7 evaluate the sufficiency of        
existing research programs on eating    
disorders to meet the objectives        
specified under subparagraph 7,c71 and  

establish objectives1 timelines1 and    
criteria for evaluating future research 
programs2  7,e7 be coordinated with the 
activities of the ,centers of           
,excellence receiving funds under       
section #dii;,b7b72 and  7,f7 make      
recommendations for changes to existing 
research programs on eating disorders4  
7d7 ,budgetary authority  7#a7 ,in      
general ,the ,director of ,,nih shall-- 
7,a7 in accordance with the strategic   
plan developed under subsection 7c71    
annually prepare and submit to ,congress
 a scientifically justified budget      
estimate for research on eating         
disorders to be conducted within the    
agencies of the ,national ,institutes of
 ,health1 which shall include the amount
 of funds that will be required for--   
7i7 the continued funding of ongoing    
discretionary program initiatives at the
 institutes1 centers1 and divisions of  
the ,national ,institutes of ,health2   
and  7ii7 the funding of new and        
complementary program initiatives2 and  

7,b7 receive all research funds for     
eating disorders described in           
subparagraph 7,a71 and allocate those   
funds to the institutes1 centers1 and   
divisions of the ,national ,institutes  
of ,health4  7#b7 ,effective date       
,paragraph 7#a77;,b7 shall become       
effective in the fiscal year following  
the submission of the first eating      
disorder budget described in paragraph  
7#a77;,a74  7e7 ,evaluation and report  
7#a7 ,evaluation ,the ,director of ,,nih
 shall evaluate the effect of this      
section on the planning and coordination
 of research programs on eating         
disorders at the institutes1 centers1   
and divisions of the ,national          
,institutes of ,health1 and the extent  
to which funding mandated under this    
section has followed the recommendation 
of the strategic plan developed under   
subsection 7c74  7#b7 ,report ,not later
 than #a year after the date of         
enactment of this section1 the ,director
 of ,,nih shall prepare and submit to   

the ,committee on ,energy and ,commerce 
and the ,committee on ,appropriations of
 the ,house of ,representatives1 and the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions and the ,committee
 on ,appropriations of the ,senate1 a   
report based on the evaluation described
 in paragraph 7#a74  7f7 ,definitions   
,in this part1 the term eating disorder 
includes anorexia nervosa1 bulimia      
nervosa1 binge eating disorder1 and     
eating disorders not otherwise specified
 7,,ednos71 as defined in the fifth     
edition of ,diagnostic and ,statistical 
,manual of ,mental ,disorders or1 if    
applicable1 the most recent successor   
edition4  #dii;,b4 ,expansion1          
intensification1 and coordination of    
activities of national institutes of    
health with respect to research on      
eating disorders  7a7 ,in general  7#a7 
,expansion of activities ,the ,director 
of ,,nih shall expand1 intensify1 and   
coordinate the activities of the        
,national ,institutes of ,health with   

respect to research on eating disorders4
  7#b7 ,administration of program2      
coordination among agencies ,the        
,director of ,,nih shall carry out this 
section acting through the ,director of 
the ,national ,institute of ,mental     
,health1 and in collaboration with the  
,director of the ,eunice ,kennedy       
,shriver ,national ,institute of ,child 
,health and ,human ,development1 the    
,director of the ,national ,institute of
 ,diabetes and ,digestive and ,kidney   
,diseases1 the ,director of the ,office 
of ,research on ,women's ,health1 and   
any other agencies or offices of the    
,national ,institutes of ,health that   
the ,director determines appropriate4   
7#c7 ,task force  7,a7 ,establishment   
,before making grants under subsection  
7b7 for ,centers of ,excellence1 the    
,director of ,,nih shall establish a    
task force 7in this paragraph referred  
to as the task force7 consisting of--   
7i7 representatives of the institutes1  
centers1 and divisions of the ,national 

,institutes of ,health1 as determined   
appropriate by the ,director2  7ii7     
eating disorders researchers1           
clinicians1 and patient advocacy groups2
 and  7iii7 the general public4  7,b7   
,duties ,the task force shall--  7i7    
assist researchers in developing        
applications and applying for grants and
 contracts to be awarded for ,centers of
 ,excellence under subsection 7b72  7ii7
 conduct a thorough examination of the  
field of eating disorders1 create a list
 of priorities for eating disorders     
research1 and develop a matrix of action
 items for such research2 and  7iii7    
conduct meetings to address issues with 
respect to eating disorders research1   
including guiding principles of ,centers
 of ,excellence under subsection 7b72   
development of strategic research       
priorities2 strategies for recruiting   
new scientists into the field of eating 
disorders and providing them with       
high-quality training2 priorities and   
best practices for basic research1      

clinical research1 treatment research1  
and prevention research2 and development
 of a research infrastructure           
nationwide4  7b7 ,centers of excellence 
7#a7 ,grants  7,a7 ,in general ,in      
carrying out subsection 7a77#a71 the    
,director of ,,nih shall award grants   
and contracts to public or nonprofit    
private entities1 including             
universities1 to--  7i7 conduct research
 on eating disorders designed to improve
 understanding of the etiology1 early   
identification1 prevention1 best        
treatment1 medical and psychological    
sequelae of and recovery from eating    
disorders2  7ii7 conduct training to    
perform such research2 and  7iii7 pay   
all or part of the cost of planning1    
establishing1 improving1 and providing  
basic operating support for such        
research and training4  7,b7 ,centers of
 ,excellence ,for purposes of this      
section1 an entity that receives a grant
 or contract under subparagraph 7,a7    
shall be referred to as a ,center of    

,excellence4  7#b7 ,research  7,a7 ,in  
general ,each ,center of ,excellence    
shall conduct basic research1 clinical  
research1 or both into eating disorders4
  7,b7 ,requirements ,the research      
conducted by a ,center of ,excellence   
pursuant to subparagraph 7,a7--  7i7    
shall be designed to improve            
understanding of the etiology1 early    
identification1 prevention1 best        
treatment1 medical and psychological    
sequelae of and recovery from eating    
disorders2  7ii7 shall be conducted in  
the fields of basic1 clinical1          
prevention1 and intervention sciences2  
and  7iii7 should include--  7,i7       
studies clarifying the nosology and     
assessment of eating disorders2  7,,ii7 
investigations to determine the         
biological1 psychosocial1 and behavioral
 risk factors that might appear in early
 childhood2  7,,iii7 studies of         
promising treatments for eating         
disorders2  7,,iv7 evaluation of        
prevention programs for eating          

disorders2 and  7,v7 studies of the     
medical1 psychological1 and social      
sequelae of eating disorders4  7,c7     
,equal representation of research areas 
,in awarding grants and contracts under 
paragraph 7#a71 the ,director of ,,nih  
shall1 to the extent practicable and    
appropriate1 ensure that each of the    
research areas required by clauses 7i7  
and 7ii7 of subparagraph 7,b7 are       
equally represented4  7#c7 ,training to 
perform eating disorders research ,each 
,center of ,excellence shall provide at 
least #c positions for doctoral level   
and post-doctoral level research        
trainees4  7#d7 ,services for patients  
7,a7 ,in general ,a ,center of          
,excellence may expend amounts provided 
under a grant or contract under such    
paragraph to carry out a program to make
 individuals aware of opportunities to  
participate as subjects in research     
conducted by such ,centers4  7,b7       
,referrals and costs ,a program carried 
out under subparagraph 7,a7 may1 in     

accordance with such criteria as the    
,director of ,,nih may establish1       
provide to the subjects described in    
such subparagraph1 referrals for health1
 mental health1 and other services1 and 
such patient care costs as are required 
for research4  7,c7 ,availability and   
access ,the extent to which a ,center of
 ,excellence can demonstrate            
availability and access to clinical     
services shall be considered by the     
,director of ,,nih in decisions about   
awarding grants or contracts to         
applicants that meet the scientific     
criteria for funding under this section4
  7#e7 ,coordination of ,centers of     
,excellence  7,a7 ,in general ,the      
,director of the ,national ,institute of
 ,mental ,health shall1 as appropriate1 
provide for the coordination of         
information among ,centers of           
,excellence and ensure regular          
communication between such ,centers4    
7,b7 ,periodic reports ,the ,director of
 the ,national ,institute of ,mental    

,health may require the periodic        
preparation of reports on the activities
 of ,centers of ,excellence and the     
submission of such reports to the       
,director4  7,c7 ,collection and storage
 of data ,the ,director of the ,national
 ,institute of ,mental ,health shall    
establish and fund mechanisms and       
entities for collecting1 storing1 and   
coordinating data collected by ,centers 
of ,excellence and data generated from  
public and private research             
partnerships4  7#f7 ,organization ,each 
,center of ,excellence shall use the    
facilities of a single institution1 or  
be formed from a consortium of          
cooperating institutions1 meeting such  
requirements as may be prescribed by the
 ,director of ,,nih4  7#g7 ,number2     
duration2 additional periods  7,a7 ,in  
general ,the ,director of ,,nih shall   
award grants and contracts to not fewer 
than #c entities under paragraph 7#a74  
7,b7 ,duration ,except as provided in   
subparagraph 7,c71 a grant or contract  

awarded under paragraph 7#a7 shall not  
exceed a period of #e years4  7,c7      
,additional periods  7i7 ,extension ,the
 period of a grant or contract awarded  
under paragraph 7#a7 may be extended one
 or more additional periods not         
exceeding a total of #e years if the    
operations of the ,center of ,excellence
 involved have been reviewed by an      
appropriate technical and scientific    
peer review group 7including            
investigators from the field of eating  
disorders7 established by the ,director 
of ,,nih and the group has recommended  
to the ,director that such period should
 be extended4  7ii7 ,amount ,the amount 
of any grant or contract under paragraph
 7#a7 for an additional period described
 in clause 7i7 shall not exceed         
#b1jjj1jjj per fiscal year4  7,d7       
,public input ,in carrying out this     
section1 the ,director of ,,nih shall   
provide for a means through which the   
public can obtain information on the    
existing and planned programs and       

activities of the ,national ,institutes 
of ,health with respect to eating       
disorders and through which the         
,director can receive comments from the 
public regarding such programs and      
activities4  7c7 ,authorization of      
appropriations ,there is authorized to  
be appropriated to carry out this       
section1 #bj1jjj1jjj for each of fiscal 
years #bjad through #bjah4 ,amounts     
appropriated under this subsection shall
 be in addition to any other amounts    
appropriated for such purpose4  #dii;,c4
 ,collaborative programs of research in 
eating disorders  7a7 ,in general ,the  
,director of ,,nih1 acting through the  
,director of the ,national ,institute of
 ,mental ,health1 the ,director of the  
,national ,institute of ,diabetes and   
,digestive and ,kidney ,diseases1 the   
,director of the ,eunice ,kennedy       
,shriver ,national ,institute of ,child 
,health and ,human ,development1 the    
,director of the ,office of ,research on
 ,women's ,health1 and any other        

agencies or offices of the ,national    
,institutes of ,health that the         
,director determines appropriate1 in    
consultation with leading eating        
disorders researchers and clinicians1   
shall award grants and contracts to     
public or nonprofit private entities to 
pay all or part of the cost of planning1
 establishing1 improving1 and providing 
basic operating support for             
collaborative programs of research in   
eating disorders4  7b7 ,research ,each  
program established under subsection    
7a7--  7#a7 shall conduct basic         
research1 clinical research1 or both    
into eating disorders2 and  7#b7 should 
conduct investigations into the cause1  
diagnosis1 early detection1 prevention  
and treatment of and recovery from      
eating disorders4  7c7 ,coordination of 
programs  7#a7 ,in general ,the         
,director of ,,nih shall1 as            
appropriate1 provide for the            
coordination of information among       
programs established under subsection   

7a71 and ,centers of ,excellence        
receiving funding under section #dii;,b1
 and ensure regular communication       
between such programs and ,centers4     
7#b7 ,periodic reports ,the ,director of
 ,,nih may require the periodic         
preparation of reports on the activities
 of the programs established under      
subsection 7a7 and the submission of    
such reports to the ,director4  7#c7    
,collection and storage of data ,the    
,director of ,,nih shall establish and  
fund mechanisms and entities for        
collecting1 storing1 and coordinating   
data collected by the programs          
established under subsection 7a7 and    
data generated from public and private  
research partnerships4  7d7             
,organization ,each program that        
receives funding under subsection 7a7   
shall be formed from a consortium of    
cooperating institutions1 meeting such  
requirements as may be prescribed by the
 ,director of ,,nih4  7e7 ,number and   
duration  7#a7 ,in general ,the         

,director shall provide for the         
establishment of not fewer than #d      
programs under subsection 7a74  7#b7    
,duration ,except as provided in        
paragraph 7#c71 a grant or contract     
awarded under subsection 7a7 shall not  
exceed a period of #e years4  7#c7      
,additional periods  7,a7 ,extension    
,the period of a grant or contract      
awarded under subsection 7a7 may be     
extended for one or more additional     
periods not exceeding #e years if the   
operations of the program involved have 
been reviewed by an appropriate         
technical and scientific peer review    
group established by the ,director of   
,,nih and the group has recommended to  
the ,director that such period should be
 extended4  7,b7 ,amount ,the amount of 
any grant or contract under subsection  
7a7 for an additional period described  
in subparagraph 7,a7 shall not exceed   
#b1jjj1jjj per fiscal year4  7f7 ,rule  
of construction ,nothing in this section
 shall be construed as precluding or    

otherwise affecting funding for any     
research on eating disorders in addition
 to the research funded under this      
section4  7g7 ,authorization of         
appropriations ,there is authorized to  
be appropriated to carry out this       
section1 #bj1jjj1jjj for each of fiscal 
years #bjad through #bjah4 ,amounts     
appropriated under this subsection shall
 be in addition to any other amounts    
appropriated for such purpose4  4  #ajb4
 ,eating disorders surveillance and     
research program ,title ,,iii of the    
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bda et seq47 is amended by   
adding at the end thereof the following3
  ,w ,programs relating to eating       
disorders  #cii,,oo4 ,eating disorders  
surveillance and research program  7a7  
,national eating disorders surveillance 
program  7#a7 ,in general ,the          
,secretary1 acting through the ,director
 of the ,centers for ,disease ,control  
and ,prevention and in consultation with
 leading eating disorders researchers   

and clinicians--  7,a7 shall provide for
 the collection1 analysis1 and reporting
 of epidemiological data on eating      
disorders through the existing          
surveillance programs of the ,centers1  
such as the ,behavioral ,risk ,factor   
,surveillance ,system2  7,b7 shall make 
recommendations to enhance existing     
surveillance programs of the ,centers1  
such as the ,behavioral ,risk ,factor   
,surveillance ,system1 to more          
accurately collect epidemiological data 
on disordered eating and eating         
disorders2  7,c7 may award grants and   
cooperative agreements and may provide  
direct technical assistance to eligible 
entities for the collection1 analysis1  
and reporting of such data2 and  7,d7   
shall examine and improve requirements  
for reporting deaths on death           
certificates to accurately account for  
those cases in which an eating disorder 
is the underlying or contributing cause 
of death4  7#b7 ,eligibility ,to be     
eligible to receive a grant or          

cooperative agreement under paragraph   
7#a77;,c71 an entity shall be a public  
or nonprofit private entity 7including a
 health department of a ,state or       
political subdivisions of a ,state1 a   
university1 or any other educational    
institution71 and submit to the         
,secretary an application at such time1 
in such manner1 and containing such     
information as the ,secretary may       
require4  7b7 ,center of eating         
disorders epidemiology  7#a7 ,in general
 ,the ,secretary1 acting through the    
,director of the ,centers for ,disease  
,control and ,prevention1 shall         
establish a ,center of ,eating          
,disorders ,epidemiology for the purpose
 of collecting and analyzing information
 on--  7,a7 the number1 incidence1      
incidence trends over time1 correlates1 
mortality1 and causes of eating         
disorders2  7,b7 the effects of eating  
disorders on quality of life1 including 
disability adjusted life years 7,,daly7 
and quality adjusted life years         

7,,qaly72 and  7,c7 economic analysis of
 the costs of eating disorders in the   
,united ,states1 including years of     
productive life lost1 missed days of    
work1 reduced work productivity1 costs  
of medical and mental health treatment1 
prescriptions1 other medications1       
hospitalizations1 costs of medical and  
psychiatric comorbidities1 costs to     
family1 and costs to society4  7#b7     
,grants2 cooperative agreements ,the    
,center of ,eating ,disorders           
,epidemiology under paragraph 7#a7 shall
 be established and operated through the
 awarding of grants or cooperative      
agreements to one or more public or     
nonprofit private entities that conduct 
research1 which may include a university
 or other educational entity4  7#c7     
,requirements ,to be eligible to receive
 a grant or cooperative agreement under 
paragraph 7#b71 an entity shall submit  
to the ,secretary an application        
containing such agreements and          
information as the ,secretary may       

require1 including an agreement that the
 ,center of ,eating ,disorders          
,epidemiology will operate in accordance
 with the following3  7,a7 ,the ,center 
will collect1 analyze1 and report eating
 disorders data according to guidelines 
prescribed by the ,director of the      
,centers for ,disease ,control and      
,prevention1 after consultation with    
relevant ,state and local public health 
officials1 private sector eating        
disorder researchers and clinicians1 and
 advocates for those with eating        
disorders4  7,b7 ,the ,center will      
assist with the development and         
coordination of ,state eating disorders 
surveillance efforts within a region4   
7,c7 ,the ,center will identify eligible
 cases and controls through its         
surveillance systems and conduct        
research into factors which may cause or
 increase the risk of eating disorders4 
7,d7 ,the ,center will develop or extend
 an area of special research expertise  
7including genetics1 environmental      

exposures1 and other relevant research  
specialty areas74  7c7 ,clearinghouse   
,the ,secretary1 acting through the     
,director of the ,centers for ,disease  
,control and ,prevention and in         
consultation with leading eating        
disorders researchers and clinicians1   
shall carry out the following3  7#a7    
,establishment ,the ,secretary shall    
establish a clearinghouse within the    
,centers for ,disease ,control and      
,prevention for the collection and      
storage of data generated from the      
monitoring programs established under   
this section and part ,j of title ,,iv4 
,through the clearinghouse1 the ,centers
 for ,disease ,control and ,prevention  
shall serve as the coordinating agency  
for eating disorders surveillance       
activities4 ,the functions of such      
clearinghouse shall include facilitating
 the coordination of research and policy
 development relating to the prevention1
 treatment1 and epidemiology of eating  
disorders4  7#b7 ,facilitation of       

research ,the ,secretary shall provide  
for the establishment of a program under
 which samples of tissues and genetic   
and other biological materials that are 
of use in research on eating disorders  
are donated1 collected1 preserved1 and  
made available for such research4 ,such 
program shall be carried out in         
accordance with accepted scientific and 
medical standards for the donation1     
collection1 and preservation of such    
samples1 and shall be conducted so that 
the tissues and other materials saved1  
as well as any database compiled from   
such tissues and materials1 are         
available to researchers at a reasonable
 cost4  7#c7 ,coordination ,the ,centers
 for ,disease ,control and ,prevention  
shall coordinate research and           
surveillance activities of such ,centers
 with the ,national ,institutes of      
,health1 other appropriate ,federal     
agencies1 and interested nonprofit      
private entities1 which shall be updated
 as determined appropriate by the       

,secretary4  7d7 ,definition ,in this   
section1 the term eating disorder       
includes anorexia nervosa1 bulimia      
nervosa1 binge eating disorder1 and     
eating disorders not otherwise specified
 7,,ednos71 as defined in the fifth     
edition of ,diagnostic and ,statistical 
,manual of ,mental ,disorders or1 if    
applicable1 the most recent successor   
edition4  7e7 ,authorization of         
appropriations ,there is authorized to  
be appropriated to carry out this       
section1 #b1jjj1jjj for each of fiscal  
years #bjad through #bjah4  4  ,,ii     
,education and ,prevention  #bja4 ,study
 of mandatory ,,bmi reporting in school 
,not later than #a year after the date  
of the enactment of this ,act1 the      
,director of the ,centers for ,disease  
,control and ,prevention1 in            
consultation with the ,secretary of     
,education and leading eating disorders 
researchers and clinicians1 shall       
conduct a study and submit a report to  
the ,congress on--  7#a7 measuring the  

body mass index 7in this section        
referred to as ,,bmi7 of students for   
those schools 7at any level including   
pre-schools1 kindergartens1 elementary  
schools1 secondary schools1 and         
institutions of higher education7 that  
are measuring the ,,bmi of students2    
7#b7 the impacts 7both positive and     
negative7 on students of such measures1 
including unhealthy weight control      
behaviors1 perceptions of body image1   
eating disorder symptoms1 and the       
incidence of teasing or bullying based  
on body size2 and  7#c7 the impacts     
7both positive and negative7 of         
reporting the results of such measures  
to the parents of such students4  #bjb4 
,training and education  7a7 ,in general
 ,the ,secretary of ,health and ,human  
,services1 acting through the ,director 
of the ,office on ,women's ,health of   
the ,department of ,health and ,human   
,services and in consultation with the  
,secretary of ,education and with the   
,task ,force for ,health ,professions   

established under section #cii,z7b7 of  
the ,public ,health ,service ,act 7as   
added by section #bjc7;a77#b7 of this   
,act71 shall--  7#a7 expand the         
,body,wise ,handbook and related fact   
sheets and resource lists available on  
the public ,internet site of the        
,national ,women's ,health ,information 
,center sponsored by the ,office on     
,women's ,health1 to include--  7,a7    
updated findings and conclusions as     
needed2 and  7,b7 thorough information  
about eating disorders relating to males
 as well as females2  7#b7 incorporate1 
as appropriate1 information from such   
,body,wise ,handbook and related facts  
sheets and resource lists into the      
curriculum of the ,body,works obesity   
prevention program developed by the     
,office on ,women's ,health and training
 modules used in such obesity prevention
 program2 and  7#c7 promote and make    
publicly available 7whether through a   
public ,internet site or other method   
that does not impose a fee on users7 the

 ,body,wise ,handbook and related fact  
sheets and resource lists1 as updated   
under paragraph 7#a71 and the           
,body,works obesity prevention program1 
as updated under paragraph 7#b71        
including for purposes of educating     
universities and nonprofit entities on  
eating disorders4  7b7 ,authorization of
 appropriations ,there is authorized to 
be appropriated #a1jjj1jjj to carry out 
subsection 7a74  #bjc4 ,health          
professional education and training     
,section #cii,z of the ,public ,health  
,service ,act 7#db ,u4,s4,c4 #bhj;h-#c7 
is amended--  7#a7 by redesignating     
subsection 7b7 as subsection 7d72 and   
7#b7 by inserting after subsection 7a7  
the following new subsections3  7b7     
,task force on eating disorders  7#a7   
,establishment ,the ,secretary1 acting  
through the ,administrator of the       
,health ,resources and ,services        
,administration and one or more of the  
,centers of ,excellence receiving funds 
under section #dii;,b7b71 shall         

establish a ,task ,force for ,health    
,professions 7in this subsection        
referred to as the task force7 comprised
 of experts in the field of eating      
disorders 7including researchers1       
clinicians1 care providers1 and experts 
in eating disorders education and       
prevention71 individuals with eating    
disorders1 and individuals with family  
members who have eating disorders4  7#b7
 ,duties ,the task force shall--  7,a7  
develop1 based on the ,body,wise        
,handbook and related fact sheets and   
resource lists available on the public  
,internet site of the ,national ,women's
 ,health ,information ,center sponsored 
by the ,office on ,women's ,health of   
the ,department of ,health and ,human   
,services and updated under section     
#bjb7;a77#a7 of the ,federal ,response  
to ,eliminate ,eating ,disorders ,act of
 #bjac1 an evidence-based or emerging   
best-practices training program for     
health professionals on eating          
disorders2  7,b7 award grants for       

implementation of such evidence-based   
training program2 and  7,c7 provide     
training and technical assistance to    
grant recipients4  7#c7 ,report ,not    
later than #f years after the date of   
the enactment of this subsection1 the   
task force shall submit to the ,congress
 and make publicly available a report on
 the training program developed under   
paragraph 7#b7 and the results achieved 
through grants awarded for              
implementation of such program4  7c7    
,definition ,in this section1 the term  
eating disorder has the meaning given   
such term in section #cii,,oo7d74  2 and
  7#c7 by amending subsection 7d7 7as so
 redesignated7 to read as follows3  7d7 
,authorization of appropriations ,there 
are authorized to be appropriated--     
7#a7 to carry out subsection 7a71       
#a1jjj1jjj for fiscal year #bjad and    
#ejj1jjj for each of fiscal years #bjae 
through #bjah2 and  7#b7 to carry out   
subsection 7b71 #aj1jjj1jjj for each of 
fiscal years #bjad through #bjah4  4    

#bjd4 ,education and training for all   
health professionals ,section #cii,z of 
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bhj;h-#c71 as amended by     
section #bjc7;a71 is further amended--  
7#a7 by redesignating subsections 7c7   
and 7d7 as subsections 7d7 and 7e71     
respectively2  7#b7 by inserting after  
subsection 7b7 the following new        
subsection3  7c7 ,grants regarding      
eating disorders  7#a7 ,in general ,the 
,secretary may award grants to eligible 
entities to integrate training into     
existing curricula for primary care     
physicians and other licensed or        
certified health and mental health      
professionals on how to identify1 refer1
 treat1 and prevent eating disorders and
 aid individuals who suffer from eating 
disorders4  7#b7 ,application ,an entity
 that desires a grant under this        
subsection shall submit to the          
,secretary an application at such time1 
in such manner1 and containing such     
information as the ,secretary may       

require1 including a plan for the use of
 funds that may be awarded and an       
evaluation of the training that will be 
provided4  7#c7 ,use of funds ,an entity
 that receives a grant under this       
subsection shall use the funds made     
available through such grant to--  7,a7 
use the training program developed by   
the ,task ,force for ,health            
,professions under subsection           
7b77#b77;,a71 evidence-based findings1  
promising emerging best practices1 or   
recommendations that pertain to the     
prevention and treatment of eating      
disorders to conduct educational        
training and conferences1 including     
,internet-based courses and             
teleconferences1 on--  7i7 how to treat 
or prevent eating disorders2  7ii7 how  
to discuss varied strategies with       
patients from at-risk and diverse       
populations to promote positive behavior
 change and healthy lifestyles to       
prevent eating disorders2  7iii7 how to 
identify individuals with eating        

disorders1 and those who are at risk for
 suffering from eating disorders and1   
therefore1 at risk for related serious  
and chronic medical and mental health   
conditions2 and  7iv7 how to conduct a  
comprehensive assessment of individual  
and familial health risk factors2 and   
7,b7 evaluate and report to the ,task   
,force for ,health ,professions on the  
effectiveness of the training provided  
by such entity in increasing knowledge  
and changing attitudes and behaviors of 
trainees4  2 and  7#c7 in subsection 7e7
 7as so redesignated7--  7,a7 in        
paragraph 7#a71 at the end by striking  
and2  7,b7 in paragraph 7#b71 at the end
 by striking the period and inserting 2 
and2 and  7,c7 by adding at the end the 
following new paragraph3  7#c7 to carry 
out subsection 7c71 #aj1jjj1jjj for each
 of fiscal years #bjad through #bjah4  4
  #bje4 ,education and training for     
school and higher education             
professionals  7a7 ,task ,force on      
,eating ,disorders ,prevention in       

,educational ,institutions  7#a7        
,establishment ,not later than #a year  
after the date of the enactment of this 
,act1 the ,secretary of ,health and     
,human ,services1 in consultation with  
,centers of ,excellence receiving funds 
under section #dii;,b of the ,public    
,health ,service ,act 7as added by      
section #aja of this ,act7 and experts  
in eating disorder prevention and       
treatment1 shall establish a ,task      
,force on ,eating ,disorders ,prevention
 in ,educational ,institutions 7in this 
subsection referred to as the task      
force74  7#b7 ,duties ,the task force   
shall--  7,a7 expand upon and           
incorporate information from the        
,body,wise eating disorder initiative   
implemented by the ,office on ,women's  
,health of the ,department of ,health   
and ,human ,services to develop and     
provide training on eating disorders    
identification and prevention for       
students1 faculty1 coaches1 and staff in
 kindergartens1 elementary schools1     

secondary schools1 and institutions of  
higher education2  7,b7 develop a       
program of educational seminars on      
eating disorders identification and     
prevention for use by grant recipients  
under subsection 7b72 and  7,c7 provide 
training to grant recipients under      
subsection 7b7 on implementing such a   
program1 including by integration into  
existing applicable training curricula4 
7b7 ,grants  7#a7 ,authorization ,the   
,secretary of ,health and ,human        
,services1 acting through the           
,administrator of the ,substance ,abuse 
and ,mental ,health ,services           
,administration1 shall award grants to  
eligible entities--  7,a7 to conduct    
educational seminars on eating disorders
 identification and prevention2 and     
7,b7 to make resources available to     
individuals affected by eating          
disorders4  7#b7 ,educational seminars  
,as a condition on the receipt of a     
grant under this subsection1 an eligible
 entity shall agree to conduct          

educational seminars under paragraph    
7#a77;,a7--  7,a7 in accordance with the
 program developed under subsection     
7a77#b77;,b7 by the ,task ,force on     
,eating ,disorders ,prevention in       
,educational ,institutions2 and  7,b7   
taking into consideration educational   
materials made available through the    
,body,wise eating disorder initiative of
 the ,department of ,health and ,human  
,services and relevant research on      
eating disorders4  7#c7 ,eligible entity
 ,in this subsection1 the term eligible 
entity means any ,state1 territory1 or  
possession of the ,united ,states1 the  
,district of ,columbia1 any ,indian     
tribe or tribal organization 7as defined
 in subsections 7e7 and 7l71            
respectively1 of section #d of the      
,indian ,self-,determination and        
,education ,assistance ,act 7#be        
,u4,s4,c4 #dej;b771 or a public or      
private educational institution1        
including an institution of higher      
education4  #bjf4 ,eating disorder      

research and report ,not later than #ah 
months after the date of the enactment  
of this ,act1 the ,national ,center for 
,education ,statistics and the ,national
 ,center for ,health ,statistics shall  
conduct a study on the impact of eating 
disorders on educational advancement and
 achievement4 ,the study shall--  7#a7  
determine the prevalence of eating      
disorders among students and the        
morbidity and mortality rates associated
 with eating disorders2  7#b7 evaluate  
the extent to which students with eating
 disorders are more likely to miss      
school1 have delayed rates of social1   
emotional1 and physical development1 or 
have reduced academic performance2  7#c7
 report on current ,state and local     
programs to prevent eating disorders1 as
 well as evaluate the value of such     
programs2 and  7#d7 make recommendations
 on measures that could be undertaken by
 the ,congress1 the ,department of      
,education1 ,states1 and local          
educational agencies to strengthen      

eating disorder prevention and awareness
 programs4  #bjg4 ,public service       
announcements  7a7 ,in general ,the     
,director of the ,national ,institute of
 ,mental ,health shall conduct a program
 of public service announcements to     
educate the public on--  7#a7 the types 
of eating disorders2  7#b7 the          
seriousness of eating disorders         
7including prevalence1 comorbidities1   
and physical and mental health          
consequences72  7#c7 how to detect1     
address1 refer for help1 and prevent    
eating disorders2  7#d7 discrimination  
and bullying based on body size2  7#e7  
the effects of media on self esteem and 
body image2 and  7#f7 the signs and     
symptoms of eating disorders4  7b7      
,collaboration ,the ,director of the    
,national ,institute of ,mental ,health 
shall conduct the program under         
subsection 7a7 in collaboration with--  
7#a7 ,centers of ,excellence receiving  
funds under section #dii;,b of the      
,public ,health ,service ,act1 as added 

by section #aja2 and  7#b7              
community-based national nonprofit      
resources that--  7,a7 support          
individuals affected by eating          
disorders2 and  7,b7 work to prevent    
eating disorders and address body image 
and weight issues4  7c7 ,announcement   
requirements ,in carrying out the       
program of public service announcements 
required by subsection 7a71 the         
,director of the ,national ,institute of
 ,mental ,health shall ensure that such 
announcements--  7#a7 address the full  
spectrum of eating disorders for both   
sexes and a variety of ethnicities and  
age groups2  7#b7 do not promote or     
aggravate eating disorders1 such as by  
incorporating images1 specific          
behaviors1 or statistics that make      
eating disorders seem attractive2  7#c7 
feature--  7,a7 real people who are or  
were affected by eating disorders1      
including individuals who have died of  
such disorders2 and  7,b7 not actors or 
models in place of such people2  7#d7   

make clear that--  7,a7 eating disorders
 are not a choice1 but are serious and  
often deadly illnesses2 and  7,b7       
individuals affected by eating disorders
 need to seek help2 and  7#e7 provide   
information on how and where to seek    
help for the treatment of eating        
disorders4  #bjh4 ,sense of ,congress   
,it is the sense of the ,congress that--
  7#a7 federally funded campaigns to    
fight obesity should address eating     
disorders2 and  7#b7 federally funded   
studies on obesity should include       
questions relating to eating disorders4 
,,iii ,treatment  #cja4 ,coverage for   
treatment for eating disorders under    
group health plans1 individual health   
insurance coverage1 and ,,fehbp  7a7    
,public ,health ,service ,act amendments
  7#a7 ,in general ,title ,,xxvii of the
 ,public ,health ,service ,act is       
amended by inserting after section #bgbh
 7#db ,u4,s4,c4 #cjj;gg-#bh71 as        
redesignated by section #ajja7b7 of the 
,patient ,protection and ,affordable    

,care ,act 7,public ,law #aaa-adh71 the 
following new section3  #bgbi4 ,coverage
 for treatment for eating disorders  7a7
 ,coverage ,a group health plan1 and a  
health insurance issuer offering group  
or individual health insurance coverage1
 that provides medical and surgical     
benefits shall provide coverage for     
treatment for eating disorders          
consistent with the provisions of this  
section4  7b7 ,prohibitions ,a group    
health plan1 and a health insurance     
issuer offering group or individual     
health insurance coverage1 shall not--  
7#a7 deny to an individual eligibility1 
or continued eligibility1 to enroll or  
to renew coverage under the terms of the
 plan1 solely for the purpose of        
avoiding the requirement of this        
section2  7#b7 deny coverage for        
treatment of eating disorders1 including
 coverage for residential treatment of  
eating disorders1 if such treatment is  
medically necessary in accordance with  
the ,practice ,guidelines for the       

,treatment of ,patients with ,eating    
,disorders1 as most recently published  
by the ,american ,psychiatric           
,association2  7#c7 provide monetary    
payments1 rebates1 or other benefits to 
individuals to encourage such           
individuals to accept less than the     
minimum protections available under this
 section2  7#d7 penalize or otherwise   
reduce or limit the reimbursement of a  
provider because such provider provided 
care to an individual participant or    
beneficiary in accordance with this     
section2  7#e7 provide incentives       
7monetary or otherwise7 to a provider to
 induce such provider to provide care to
 an individual participant or           
beneficiary in a manner inconsistent    
with this section2 or  7#f7 deny to an  
individual participant or beneficiary   
continued eligibility to enroll or to   
renew coverage under the terms of the   
plan1 solely because the individual was 
previously found to have an eating      
disorder or to have received treatment  

for an eating disorder4  7c7            
,out-of-,network providers ,in the case 
of a group health plan1 or health       
insurance issuer offering group or      
individual health insurance coverage1   
that provides both medical and surgical 
benefits and coverage for treatment for 
eating disorders1 if the plan or        
coverage provides coverage for medical  
or surgical benefits provided by        
out-of-network providers1 the plan or   
coverage shall provide coverage for     
treatment for eating disorders provided 
by out-of-network providers in a manner 
that is consistent with the requirements
 of this section4  7d7 ,rule of         
construction ,nothing in this section   
shall be construed as preventing a group
 health plan or issuer from imposing    
deductibles1 coinsurance1 or other      
cost-sharing in relation to treatment   
for eating disorders1 except that such  
deductibles1 coinsurance1 or other      
cost-sharing may not be greater than the
 deductibles1 coinsurance1 or other     

cost-sharing imposed on other comparable
 medical or surgical services covered   
under the plan4  7e7 ,preemption        
,nothing in this section shall be       
construed to preempt any ,state law in  
effect on the date of enactment of this 
section with respect to health insurance
 coverage that requires coverage of at  
least the coverage for treatment for    
eating disorders otherwise required     
under this section4  7f7 ,eating        
disorders defined ,for purposes of this 
section1 the term eating disorder       
includes anorexia nervosa1 bulimia      
nervosa1 binge eating disorder1 and     
eating disorders not otherwise specified
 7,,ednos71 as defined in the fifth     
edition of ,diagnostic and ,statistical 
,manual of ,mental ,disorders or1 if    
applicable1 the most recent successor   
edition4  4  7#b7 ,treatment of         
individual market before #bjad ,for     
purposes of applying section #bgbi of   
the ,public ,health ,service ,act1 as   
inserted by paragraph 7#a71 to          

individual health insurance coverage    
before #bjad1 the provisions of such    
section shall be treated as also        
included under part ,b of title ,,xxvii 
of the ,public ,health ,service ,act4   
7b7 ,,erisa amendments  7#a7 ,in general
 ,subpart ,b of part #g of subtitle ,b  
of title ,i of the ,employee ,retirement
 ,income ,security ,act of #aigd 7#bi   
,u4,s4,c4 #aahe et seq47 is amended by  
adding at the end the following new     
section3  #gaf4 ,coverage for treatment 
for eating disorders  7a7 ,coverage ,a  
group health plan1 and a health         
insurance issuer offering group health  
insurance coverage in connection with a 
group health plan1 that provides medical
 and surgical benefits shall provide    
coverage for treatment for eating       
disorders consistent with the provisions
 of this section4  7b7 ,prohibitions ,a 
group health plan1 and a health         
insurance issuer offering group health  
insurance coverage in connection with a 
group health plan1 shall not--  7#a7    

deny to an individual eligibility1 or   
continued eligibility1 to enroll or to  
renew coverage under the terms of the   
plan1 solely for the purpose of avoiding
 the requirement of this section2  7#b7 
deny coverage for treatment of eating   
disorders1 including coverage for       
residential treatment of eating         
disorders1 if such treatment is         
medically necessary in accordance with  
the ,practice ,guidelines for the       
,treatment of ,patients with ,eating    
,disorders1 as most recently published  
by the ,american ,psychiatric           
,association2  7#c7 provide monetary    
payments1 rebates1 or other benefits to 
individuals to encourage such           
individuals to accept less than the     
minimum protections available under this
 section2  7#d7 penalize or otherwise   
reduce or limit the reimbursement of a  
provider because such provider provided 
care to an individual participant or    
beneficiary in accordance with this     
section2  7#e7 provide incentives       

7monetary or otherwise7 to a provider to
 induce such provider to provide care to
 an individual participant or           
beneficiary in a manner inconsistent    
with this section2 or  7#f7 deny to an  
individual participant or beneficiary   
continued eligibility to enroll or to   
renew coverage under the terms of the   
plan1 solely because the individual was 
previously found to have an eating      
disorder or to have received treatment  
for an eating disorder4  7c7            
,out-of-,network providers ,in the case 
of a group health plan1 or health       
insurance issuer offering group health  
insurance coverage in connection with a 
group health plan1 that provides both   
medical and surgical benefits and       
coverage for treatment for eating       
disorders1 if the plan or coverage      
provides coverage for medical or        
surgical benefits provided by           
out-of-network providers1 the plan or   
coverage shall provide coverage for     
treatment for eating disorders provided 

by out-of-network providers in a manner 
that is consistent with the requirements
 of this section4  7d7 ,rule of         
construction ,nothing in this section   
shall be construed as preventing a group
 health plan or issuer from imposing    
deductibles1 coinsurance1 or other      
cost-sharing in relation to treatment   
for eating disorders1 except that such  
deductibles1 coinsurance1 or other      
cost-sharing may not be greater than the
 deductibles1 coinsurance1 or other     
cost-sharing imposed on other comparable
 medical or surgical services covered   
under the plan4  7e7 ,preemption        
,nothing in this section shall be       
construed to preempt any ,state law in  
effect on the date of enactment of this 
section with respect to health insurance
 coverage that requires coverage of at  
least the coverage for treatment for    
eating disorders otherwise required     
under this section4  7f7 ,eating        
disorders defined ,for purposes of this 
section1 the term eating disorder       

includes anorexia nervosa1 bulimia      
nervosa1 binge eating disorder1 and     
eating disorders not otherwise specified
 7,,ednos71 as defined in the fifth     
edition of ,diagnostic and ,statistical 
,manual of ,mental ,disorders or1 if    
applicable1 the most recent successor   
edition4  4  7#b7 ,conforming amendments
  7,a7 ,section #gcb7;a7 of such ,act   
7#bi ,u4,s4,c4 #aaia;a7a77 is amended by
 striking section #gaa and inserting    
sections #gaa and #gaf4  7,b7 ,the table
 of contents in section #a of such ,act 
is amended by inserting after the item  
relating to section #gad the following  
new items3  ,sec4 #gae4 ,additional     
market reforms4 ,sec4 #gaf4 ,coverage   
for treatment for eating disorders4  4  
7c7 ,internal ,revenue ,code amendments 
7#a7 ,in general ,subchapter ,b of      
chapter #ajj of the ,internal ,revenue  
,code of #aihf1 as amended by subsection
 7f7 of section #aefc 7relating to      
conforming amendments7 of the ,patient  
,protection and ,affordable ,care ,act  

7,public ,law #aaa-adh71 is amended by  
inserting after section #ihae the       
following3  #ihaf4 ,coverage for        
treatment for eating disorders  7a7     
,coverage ,a group health plan that     
provides medical and surgical benefits  
shall provide coverage for treatment for
 eating disorders consistent with the   
provisions of this section4  7b7        
,prohibitions ,a group health plan shall
 not--  7#a7 deny to an individual      
eligibility1 or continued eligibility1  
to enroll or to renew coverage under the
 terms of the plan1 solely for the      
purpose of avoiding the requirement of  
this section2  7#b7 deny coverage for   
treatment of eating disorders1 including
 coverage for residential treatment of  
eating disorders1 if such treatment is  
medically necessary in accordance with  
the ,practice ,guidelines for the       
,treatment of ,patients with ,eating    
,disorders1 as most recently published  
by the ,american ,psychiatric           
,association2  7#c7 provide monetary    

payments1 rebates1 or other benefits to 
individuals to encourage such           
individuals to accept less than the     
minimum protections available under this
 section2  7#d7 penalize or otherwise   
reduce or limit the reimbursement of a  
provider because such provider provided 
care to an individual participant or    
beneficiary in accordance with this     
section2  7#e7 provide incentives       
7monetary or otherwise7 to a provider to
 induce such provider to provide care to
 an individual participant or           
beneficiary in a manner inconsistent    
with this section2 or  7#f7 deny to an  
individual participant or beneficiary   
continued eligibility to enroll or to   
renew coverage under the terms of the   
plan1 solely because the individual was 
previously found to have an eating      
disorder or to have received treatment  
for an eating disorder4  7c7            
,out-of-,network providers ,in the case 
of a group health plan that provides    
both medical and surgical benefits and  

coverage for treatment for eating       
disorders1 if the plan provides coverage
 for medical or surgical benefits       
provided by out-of-network providers1   
the plan or coverage shall provide      
coverage for treatment for eating       
disorders provided by out-of-network    
providers in a manner that is consistent
 with the requirements of this section4 
7d7 ,rule of construction ,nothing in   
this section shall be construed as      
preventing a group health plan or issuer
 from imposing deductibles1 coinsurance1
 or other cost-sharing in relation to   
treatment for eating disorders1 except  
that such deductibles1 coinsurance1 or  
other cost-sharing may not be greater   
than the deductibles1 coinsurance1 or   
other cost-sharing imposed on other     
comparable medical or surgical services 
covered under the plan4  7e7 ,eating    
disorders defined ,for purposes of this 
section1 the term eating disorder       
includes anorexia nervosa1 bulimia      
nervosa1 binge eating disorder1 and     

eating disorders not otherwise specified
 7,,ednos71 as defined in the fifth     
edition of ,diagnostic and ,statistical 
,manual of ,mental ,disorders or1 if    
applicable1 the most recent successor   
edition4  4  7#b7 ,clerical amendment   
,the table of sections of such          
subchapter is amended by adding at the  
end the following new items3  ,sec4     
#ihae4 ,additional market reforms4 ,sec4
 #ihaf4 ,coverage for treatment for     
eating disorders4  4  7#c7 ,conforming  
amendment ,section #dihj;,d7d77#a7 of   
the ,internal ,revenue ,code of #aihf is
 amended by striking section #ihaa and  
inserting sections #ihaa and #ihaf4  7d7
 ,application under ,federal ,employees 
,health ,benefits ,program 7,,fehbp7    
,section #hijb of title #e1 ,united     
,states ,code1 is amended by adding at  
the end the following new subsection3   
7p7 ,a contract may not be made or a    
plan approved which does not comply with
 the requirements of section #bgbi of   
the ,public ,health ,service ,act4  4   

7e7 ,effective ,dates ,the amendments   
made by this section shall apply with   
respect to group health plans and health
 benefit plans for plan years beginning 
on or after the date that is #f months  
after the date of the enactment of this 
,act1 and with respect to health        
insurance coverage offered1 sold1       
issued1 renewed1 in effect1 or operated 
in the individual market on or after    
such date that is #f months after such  
date of enactment4  7f7 ,coordination of
 ,administration ,the ,secretary of     
,labor1 the ,secretary of ,health and   
,human ,services1 and the ,secretary of 
the ,treasury shall ensure1 through the 
execution of an interagency memorandum  
of understanding among such             
,secretaries1 that--  7#a7 regulations1 
rulings1 and interpretations issued by  
such ,secretaries relating to the same  
matter over which two or more such      
,secretaries have responsibility under  
the provisions of this section 7and the 
amendments made thereby7 are            

administered so as to have the same     
effect at all times2 and  7#b7          
coordination of policies relating to    
enforcing the same requirements through 
such ,secretaries in order to have a    
coordinated enforcement strategy that   
avoids duplication of enforcement       
efforts and assigns priorities in       
enforcement4  ,,iv ,improving           
availability and access to treatment    
#dja4 ,medicaid coverage for eating     
disorder treatment services  7a7 ,in    
general ,section #aije of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;d7a771 as amended by section      
#bcja7;a77#a7 of the ,patient           
,protection and ,affordable ,care ,act  
7,public ,law #aaa-adh7 and section     
#abjb7;b7 of the ,health ,care and      
,education ,reconciliation ,act of #bjaj
 7,public ,law #aaa-aeb71 is amended--  
7#a7 in subsection 7a7--  7,a7 in       
paragraph 7#bh71 by striking and at the 
end2  7,b7 by redesignating paragraph   
7#bi7 as paragraph 7#cj72 and  7,c7 by  

inserting after paragraph 7#bh7 the     
following new paragraph3  7#bi7 eating  
disorder treatment services 7as defined 
in subsection 7ee77#a772 and  2  and    
7#b7 by adding at the end the following 
new subsection3  7ee7 ,eating disorder  
treatment services  7#a7 ,definition    
,the term eating disorder treatment     
services means services relating to     
diagnosis and treatment of an eating    
disorder 7as defined in section #cii,,oo
 of the ,public ,health ,service ,act71 
including screening1 counseling1        
pharmacotherapy 7including coverage of  
drugs described in paragraph 7#b771 and 
other necessary health care services4   
7#b7 ,coverage for pharmacological      
treatment of eating disorders ,for      
purposes of paragraph 7#a71 eating      
disorder treatment services shall       
include drugs provided as part of care  
in an inpatient setting1 covered        
outpatient drugs 7as defined in section 
#aibg7k77#b771 and non-prescription     
drugs described in section              

#aibg7;d77#b77;,a7 that are prescribed1 
in accordance with generally accepted   
medical guidelines1 for treatment of an 
eating disorder4  4  7b7 ,increased     
,,fmap for eating disorder treatment    
services ,section #aije7;b7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7b771 as amended by section      
#dajf7;b7 of the ,patient ,protection   
and ,affordable ,care ,act1 is amended--
  7#a7 by striking and before 7#e72 and 
7#b7 by inserting before the period at  
the end the following3 1 and 7#f7 the   
,federal medical assistance percentage  
shall be equal to the enhanced ,,fmap   
described in section #baje7;b7 with     
respect to medical assistance for eating
 disorder treatment services 7as defined
 in subsection 7ee77#a77 provided to an 
individual who is eligible for such     
assistance and has an eating disorder   
7as defined in section #cii,,oo of the  
,public ,health ,service ,act74  7c7    
,inclusion in ,,epsdt services ,section 
#aije7r77#a77;,b7 of such ,act 7#db     

,u4,s4,c4 #acif;d7r77#a77;,b77 is       
amended--  7#a7 in clause 7iv71 by      
striking and at the end2  7#b7 in clause
 7v71 by striking the period at the end 
and inserting 1 and2 and  7#c7 by       
inserting after clause 7v7 the following
 new clause3  7vi7 appropriate          
diagnostic services relating to eating  
disorders 7as defined in section        
#cii,,oo of the ,public ,health ,service
 ,act74  4  7d7 ,exception from optional
 restriction under ,medicaid drug       
coverage ,section #aibg7;d77#b77;,a7 of 
such ,act 7#db ,u4,s4,c4                
#acifr-#h7;d77#b77;,a77 is amended by   
inserting before the period at the end  
the following3 1 except for drugs that  
are prescribed1 in accordance with      
generally accepted medical guidelines1  
for the purpose of treatment of an      
individual who is eligible for medical  
assistance under the ,state plan and has
 an eating disorder 7as defined in      
section #cii,,oo of the ,public ,health 
,service ,act74  7e7 ,effective date    

,the amendments made by this section    
shall apply to drugs and services       
furnished on or after the date of the   
enactment of this ,act4  #djb4 ,grants  
to support patient advocacy ,subpart    
,,ii of part ,d of title ,,ix of the    
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bii;b-#cc et seq471 as       
amended by section #fcja7;b7 of the     
,patient ,protection and ,affordable    
,care ,act 7,public ,law #aaa-adh71 is  
further amended by adding at the end the
 following3  #ich4 ,grants to support   
patient advocacy  7a7 ,grants ,the      
,secretary1 acting through the          
,director1 shall award grants under this
 section to develop and support patient 
advocacy work to help individuals with  
eating disorders obtain adequate health 
care services and insurance coverage4   
7b7 ,eligibility ,to be eligible to     
receive a grant under this section1 an  
entity shall--  7#a7 be a public or     
nonprofit private entity 7including a   
health department of a ,state or tribal 

agency1 a community-based organization1 
or an institution of higher education72 
7#b7 prepare and submit to the          
,secretary an application at such time1 
in such manner1 and containing such     
information as the ,secretary may       
require1 including--  7,a7 comprehensive
 strategies for advocating on behalf of1
 and working with1 individuals with     
eating disorders or at risk for         
developing eating disorders2  7,b7 a    
plan for consulting with community-based
 coalitions1 treatment centers1 or      
eating disorder research experts who    
have experience and expertise in issues 
related to eating disorders or patient  
advocacy in providing services under a  
grant awarded under this section2 and   
7,c7 a plan for financial sustainability
 involving ,state1 local1 and private   
contributions4  7c7 ,use of funds       
,amounts provided under a grant awarded 
under this section shall be used to     
support patient advocacy work1          
including--  7#a7 providing education   

and outreach in community settings      
regarding eating disorders and          
associated health problems1 especially  
among low-income1 minority1 and         
medically underserved populations2  7#b7
 facilitating access to appropriate1    
adequate1 and timely health care for    
individuals with eating disorders and   
associated health problems2  7#c7       
assisting in communication and          
cooperation between patients and        
providers2  7#d7 representing the       
interests of patients in managing health
 insurance claims and plans2  7#e7      
providing education and outreach        
regarding enrollment in health          
insurance1 including enrollment in the  
,medicare program under title ,,xviii of
 the ,social ,security ,act1 the        
,medicaid program under title ,,xix of  
such ,act1 and the ,children's ,health  
,insurance ,program under title ,,xxi of
 such ,act2  7#f7 identifying1          
referring1 and enrolling underserved    
populations in appropriate health care  

agencies and community-based programs   
and organizations in order to increase  
access to high-quality health care      
services2  7#g7 providing technical     
assistance1 training1 and organizational
 support for patient advocates2 and     
7#h7 creating1 operating1 and           
participating in ,state or regional     
networks of patient advocates4  7d7     
,requirements of grantees  7#a7         
,limitation on administrative expenses  
,a grantee shall not use more than #e   
percent of the amounts received under a 
grant under this section for            
administrative expenses4  7#b7          
,contribution of funds ,a grantee under 
this section1 and any entity receiving  
assistance under the grant for training 
and education1 shall contribute         
non-,federal funds1 either directly or  
through in-kind contributions1 to the   
costs of the activities to be funded    
under the grant in an amount that is not
 less than #ej percent of the total cost
 of such activities4  7#c7 ,reporting to

 ,secretary ,a grantee under this       
section shall submit to the ,secretary a
 report1 at such time1 in such manner1  
and containing such information as the  
,secretary may require1 including a     
description and evaluation of the       
activities described in subsection 7c7  
carried out by such entity4  7e7 ,eating
 disorder ,in this section1 the term    
eating disorder has the meaning given   
such term in section #cii,,oo7e74  7f7  
,authorization of appropriations ,to    
carry out this section1 there are       
authorized to be appropriated #a1jjj1jjj
 for each of fiscal years #bjad through 
#bjah4  4