,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #baja  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bb1 #bjac ,mr4  
,deut* 7= himself1 ,mr4 ,connolly1 ,mr4 
,cony]s1 ,mr4 ,ellison1 ,ms4 ,frankel ( 
,florida1 ,mr4 ,ha/+s ( ,florida1 ,mr4  
,johnson ( ,georgia1 ,mrs4 ,mc,carthy ( 
,new ,york1 ,mr4 ,moran1 ,mr4 ,nolan1   
,ms4 ,p+ree ( ,ma9e1 ,mr4 ,polis1 ,ms4  
,s*w>tz1 ,ms4 ,wass]man ,s*ultz1 ,mrs4  
,c>olyn ,b4 ,maloney ( ,new ,york1 &    
,mr4 ,murphy ( ,florida7 introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,ways &    
,means1 ,ov]sight & ,gov]nm5t ,re=m1 &  
,education & ! ,work=ce1 = a p]iod to be
 subsequ5tly det]m9$ by ! ,speak]1 9 ea*
 case = consid]ation ( su* provisions z 
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d ! ,public  
,heal? ,s]vice ,act ) respect to eat+   
disord]s1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,f$]al  
,response to ,elim9ate ,eat+ ,disord]s  

,act ( #bjac4  #b4 ,table ( cont5ts ,!  
table ( cont5ts ( ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table 
( cont5ts4 ,sec4 #c4 ,f9d+s4 ,sec4 #d4  
,def9ition4 ,title ,i--,rese>* ,sec4    
#aja4 ,activities to improve eat+       
disord]-relat$ rese>* & fund+4 ,sec4    
#ajb4 ,eat+ disord]s surveillance &     
rese>* program4 ,title ,,ii--,education 
& ,prev5tion ,sec4 #bja4 ,/udy ( m&atory
 ,,bmi report+ 9 s*ool4 ,sec4 #bjb4     
,tra9+ & education4 ,sec4 #bjc4 ,heal?  
pr(essional education & tra9+4 ,sec4    
#bjd4 ,education & tra9+ = all heal?    
pr(essionals4 ,sec4 #bje4 ,education &  
tra9+ = s*ool & high] education         
pr(essionals4 ,sec4 #bjf4 ,eat+ disord] 
rese>* & report4 ,sec4 #bjg4 ,public    
s]vice ann\ncem5ts4 ,sec4 #bjh4 ,s5se ( 
,congress4 ,title ,,iii--,treatm5t ,sec4
 #cja4 ,cov]age = treatm5t = eat+       
disord]s "u gr\p heal? plans1 individual
 heal? insurance cov]age1 & ,,fehbp4    
,title ,,iv--,improv+ ,availability &   
,access to ,treatm5t ,sec4 #dja4        

,m$icaid cov]age = eat+ disord] treatm5t
 s]vices4 ,sec4 #djb4 ,grants to support
 pati5t advocacy4  #c4 ,f9d+s ,!        
,congress f9ds z foll[s3  7#a7 ,risk (  
dea? among individuals ) anorexia n]vosa
 is #ah times great] ?an _! same age    
pe]s )\t anorexia4  7#b7 ,heal?         
consequ5ces su* z o/eoporosis 7brittle  
bones71 ga/ro9te/9al complications1 &   
d5tal problems are significant heal? &  
f9ancial burd5s ?r\gh\t life4  7#c7 ,an 
e/imat$ #ad million p suff] f e>+       
disord]s1 includ+ anorexia n]vosa1      
bulimia n]vosa1 & eat+ disord]s n       
o!rwise specifi$ 7,,ednos7 7includ+ b+e 
eat+ disord]74 ,! lifetime preval5ce (  
all eat+ disord]s 9 ,am]ica is #j4f to  
#d4e p]c5t4  7#d7 ,eat+ disord]s are    
real1 treatable m$ical illnesses4 ,!y   
frequ5tly coexi/ ) o!r illnesses su* z  
depression1 sub/ance abuse1 or anxiety  
disord]s4 ,eat+ disord]s c become       
life-?reat5+ if a p]son does n receive  
treatm5t4  7#e7 ,anorexia n]vosa is an  
eat+ disord] *>act]iz$ by self-/>vation 

& excessive weight loss4 ,an e/imat$    
#j4i p]c5t ( ,am]ican wom5 & #j4c p]c5t 
( ,am]ican m5 w suff] f anorexia n]vosa 
9 _! lifetime4  7#f7 ,anorexia n]vosa is
 associat$ ) s]i\s heal? consequ5ces    
includ+ he>t failure1 kidney failure1   
o/eoporosis1 & dea?4  7#g7 ,bulimia     
n]vosa is an eat+ disord] *>act]iz$ by  
excessive food consumption foll[$ by    
inappropriate comp5satory behaviors1 su*
 z self-induc$ vomit+1 misuse (         
laxatives1 fa/+1 or excessive ex]cise4  
,an e/imat$ #a4e p]c5t ( ,am]ican wom5 &
 #j4e p]c5t ( ,am]ican m5 w suff] f ?is 
disord] 9 _! lifetime4  7#h7 ,bulimia   
n]vosa is associat$ ) c>diac1           
ga/ro9te/9al1 & d5tal problems includ+  
irregul> he>tbeats1 ga/ric rupture1     
peptic ulc]1 too? decay1 & dea?4  7#i7  
,b+e eat+ disord] is *>act]iz$ by       
frequ5t episodes ( uncontroll$ ov]eat+4 
,b+e eat+ disord] is common3 an e/imat$ 
#c4e p]c5t ( ,am]ican wom5 & #b4j p]c5t 
( ,am]ican m5 w suff] f ?is disord] 9 _!
 lifetime4  7#aj7 ,b+e eat+ is associat$

 ) obesity1 he>t disease1 gall bladd]   
disease1 & diabetes4  7#aa7 ,_m m suff] 
f "s1 b n all1 ( ! symptoms ( anorexia  
n]vosa1 bulimia n]vosa1 or b+e eat+     
disord]1 :i* is ref]r$ to z eat+        
disord]s n o!rwise specifi$ 7,,ednos74  
,betwe5 #d p]c5t & #bj p]c5t ( "y wom5  
practice unheal?y patt]ns ( diet+1      
purg+1 & b+e eat+4  7#ab7 ,eat+ disord]s
 are m common 9 wom51 b !y d occur 9 m54
 ,rates ( b+e eat+ disord] are simil> 9 
females & males4  7#ac7 ,eat+ disord]s  
usually appe> 9 adolesc5ce & are        
associat$ ) sub/antial psy*ological     
problems1 includ+ depression1 sub/ance  
abuse1 & suicide4 ,eat+ disord]s also   
develop 9 y\ng] *ildr5 & adults1        
compromis+ heal? & daily function+4 ,=  
*ildr5 #ab ye>s ( age & y\ng]1          
hospitalizations = eat+ disord]s        
increas$ by #aai p]c5t betwe5 #aiii &   
#bjjf4  7#ad7 ,eat+ disord]s are f\nd   
across races1 e?nicities1 &             
socioeconomic gr\ps 9 ! ,unit$ ,/ates4  
,:ite females are m likely to suff] f   

anorexia1 :ile ,african-,am]ican girls  
are especially vuln]able to develop+    
eat+ disord]s t involve b+e eat+4 ,body 
dissatisfaction 9 "y girls has be5 %[n 9
 ,:ite1 ,african-,am]ican1 ,hispanic1 & 
,asian girls4  #d4 ,def9ition ,9 ?is    
,act1 ! t]m eat+ disord] includes       
anorexia n]vosa1 bulimia n]vosa1 b+e    
eat+ disord]1 & eat+ disord]s n o!rwise 
specifi$ 7,,ednos71 z def9$ 9 ! fif?    
edition ( ,diagno/ic & ,/ati/ical       
,manual ( ,m5tal ,disord]s or1 if       
applicable1 ! mo/ rec5t successor       
edition4  ,i ,rese>*  #aja4 ,activities 
to improve eat+ disord]-relat$ rese>* & 
fund+ ,title ,,iv ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bha et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  ,j ,eat+ disord]-relat$        
activities  #dii;,a4 ,au?ority ( !      
director ( ! national in/itutes ( heal? 
relat+ to eat+ disord]s  7a7 ,id5tify+  
total exp5ditures on eat+ disord]s ,!   
,director ( ,,nih1 9 coord9ation ) !    
,national ,in/itute ( ,m5tal ,heal?1 !  

,(fice ( ,rese>* on ,wom5's ,heal?1 &   
o!r in/itutes ( ! ,national ,in/itutes (
 ,heal?1 %all id5tify ! total am\nt (   
exp5ditures1 bo? intramural &           
extramural1 by ! ,national ,in/itutes ( 
,heal? = eat+ disord]s = ea* ( fiscal   
ye>s #bjaa & #bjab4  7b7 ,budget = eat+ 
disord]s rese>* & coord9ation (         
activities & programs ,! ,director (    
,,nih1 bas$ on ! /rategic plan develop$ 
"u subsection 7c71 %all--  7#a7 develop 
& ov]see ! implem5tation ( a            
sci5tifically ju/ifi$ budget = rese>* on
 eat+ disord]s at ! ,national ,in/itutes
 ( ,heal?2  7#b7 coord9ate all rese>*   
activities & programs on eat+ disord]s  
at ! in/itutes1 c5t]s1 & divisions ( !  
,national ,in/itutes ( ,heal?2 &  7#c7  
evaluate all su* activities & programs4 
7c7 ,/rategic plan = eat+ disord]s      
rese>*  7#a7 ,9 g5]al ,n lat] ?an #a ye>
 aft] ! date ( ! enactm5t ( ?is section1
 ! ,director ( ,,nih %all develop1 9    
consultation ) lead+ eat+ disord]       
rese>*]s1 & ov]see ! implem5tation ( a  

compreh5sive1 long-range plan = !       
conduct & support ( rese>* on eat+      
disord]s by ! in/itutes1 c5t]s1 &       
divisions ( ! ,national ,in/itutes (    
,heal?4  7#b7 ,requirem5ts ,! plan      
develop$ "u p>agraph 7#a7 %all--  7,a7  
be updat$ on an annual basis2  7,b7     
id5tify critical sci5tific que/ions     
relat$ to eat+ disord]s & e/abli%       
priorities among su* que/ions2  7,c7    
bas$ on ! priorities e/abli%$ "u        
subp>agraph 7,b71 specify ! %ort- &     
long-range objectives to be a*iev$1 &   
e/imate ! res\rces ne$$ to a*ieve ^!    
objectives2  7,d7 evaluate ! suffici5cy 
( exi/+ rese>* programs on eat+ disord]s
 to meet ! objectives specifi$ "u       
subp>agraph 7,c71 & e/abli% objectives1 
timel9es1 & crit]ia = evaluat+ future   
rese>* programs2  7,e7 be coord9at$ ) ! 
activities ( ! ,c5t]s ( ,excell5ce      
receiv+ funds "u section #dii;,b7b72 &  
7,f7 make recomm5dations = *anges to    
exi/+ rese>* programs on eat+ disord]s4 
7d7 ,budget>y au?ority  7#a7 ,9 g5]al ,!

 ,director ( ,,nih %all--  7,a7 9       
accordance ) ! /rategic plan develop$ "u
 subsection 7c71 annually prep>e &      
submit to ,congress a sci5tifically     
ju/ifi$ budget e/imate = rese>* on eat+ 
disord]s to be conduct$ )9 ! ag5cies ( !
 ,national ,in/itutes ( ,heal?1 :i* %all
 include ! am\nt ( funds t w be requir$ 
=--  7i7 ! cont9u$ fund+ ( ongo+        
discretion>y program initiatives at !   
in/itutes1 c5t]s1 & divisions ( !       
,national ,in/itutes ( ,heal?2 &  7ii7 !
 fund+ ( new & complem5t>y program      
initiatives2 &  7,b7 receive all rese>* 
funds = eat+ disord]s describ$ 9        
subp>agraph 7,a71 & allocate ^? funds to
 ! in/itutes1 c5t]s1 & divisions ( !    
,national ,in/itutes ( ,heal?4  7#b7    
,effective date ,p>agraph 7#a77;,b7 %all
 become effective 9 ! fiscal ye> foll[+ 
! submission ( ! fir/ eat+ disord]      
budget describ$ 9 p>agraph 7#a77;,a74   
7e7 ,evaluation & report  7#a7          
,evaluation ,! ,director ( ,,nih %all   
evaluate ! effect ( ?is section on !    

plann+ & coord9ation ( rese>* programs  
on eat+ disord]s at ! in/itutes1 c5t]s1 
& divisions ( ! ,national ,in/itutes (  
,heal?1 & ! ext5t to :i* fund+ m&at$ "u 
?is section has foll[$ ! recomm5dation (
 ! /rategic plan develop$ "u subsection 
7c74  7#b7 ,report ,n lat] ?an #a ye>   
aft] ! date ( enactm5t ( ?is section1 ! 
,director ( ,,nih %all prep>e & submit  
to ! ,committee on ,en]gy & ,comm]ce & !
 ,committee on ,appropriations ( ! ,h\se
 ( ,repres5tatives1 & ! ,committee on   
,heal?1 ,education1 ,labor1 & ,p5sions &
 ! ,committee on ,appropriations ( !    
,s5ate1 a report bas$ on ! evaluation   
describ$ 9 p>agraph 7#a74  7f7          
,def9itions ,9 ?is "p1 ! t]m eat+       
disord] includes anorexia n]vosa1       
bulimia n]vosa1 b+e eat+ disord]1 & eat+
 disord]s n o!rwise specifi$ 7,,ednos71 
z def9$ 9 ! fif? edition ( ,diagno/ic & 
,/ati/ical ,manual ( ,m5tal ,disord]s   
or1 if applicable1 ! mo/ rec5t successor
 edition4  #dii;,b4 ,expansion1         
int5sification1 & coord9ation (         

activities ( national in/itutes ( heal? 
) respect to rese>* on eat+ disord]s    
7a7 ,9 g5]al  7#a7 ,expansion (         
activities ,! ,director ( ,,nih %all    
exp&1 int5sify1 & coord9ate ! activities
 ( ! ,national ,in/itutes ( ,heal? )    
respect to rese>* on eat+ disord]s4     
7#b7 ,adm9i/ration ( program2           
coord9ation among ag5cies ,! ,director (
 ,,nih %all c>ry out ?is section act+   
?r\gh ! ,director ( ! ,national         
,in/itute ( ,m5tal ,heal?1 & 9          
collaboration ) ! ,director ( ! ,eunice 
,k5n$y ,%riv] ,national ,in/itute (     
,*ild ,heal? & ,human ,developm5t1 !    
,director ( ! ,national ,in/itute (     
,diabetes & ,dige/ive & ,kidney         
,diseases1 ! ,director ( ! ,(fice (     
,rese>* on ,wom5's ,heal?1 & any o!r    
ag5cies or (fices ( ! ,national         
,in/itutes ( ,heal? t ! ,director       
det]m9es appropriate4  7#c7 ,task =ce   
7,a7 ,e/abli%m5t ,be=e mak+ grants "u   
subsection 7b7 = ,c5t]s ( ,excell5ce1 ! 
,director ( ,,nih %all e/abli% a task   

=ce 79 ?is p>agraph ref]r$ to z ! task  
=ce7 consi/+ (--  7i7 repres5tatives ( !
 in/itutes1 c5t]s1 & divisions ( !      
,national ,in/itutes ( ,heal?1 z det]m9$
 appropriate by ! ,director2  7ii7 eat+ 
disord]s rese>*]s1 cl9icians1 & pati5t  
advocacy gr\ps2 &  7iii7 ! g5]al public4
  7,b7 ,duties ,! task =ce %all--  7i7  
assi/ rese>*]s 9 develop+ applications &
 apply+ = grants & contracts to be aw>d$
 = ,c5t]s ( ,excell5ce "u subsection    
7b72  7ii7 conduct a ?or\gh exam9ation (
 ! field ( eat+ disord]s1 create a li/ (
 priorities = eat+ disord]s rese>*1 &   
develop a matrix ( action items = su*   
rese>*2 &  7iii7 conduct meet+s to      
address issues ) respect to eat+        
disord]s rese>*1 includ+ guid+ pr9ciples
 ( ,c5t]s ( ,excell5ce "u subsection    
7b72 developm5t ( /rategic rese>*       
priorities2 /rategies = recruit+ new    
sci5ti/s into ! field ( eat+ disord]s & 
provid+ !m ) high-quality tra9+2        
priorities & be/ practices = basic      
rese>*1 cl9ical rese>*1 treatm5t rese>*1

 & prev5tion rese>*2 & developm5t ( a   
rese>* infra/ructure nationwide4  7b7   
,c5t]s ( excell5ce  7#a7 ,grants  7,a7  
,9 g5]al ,9 c>ry+ out subsection        
7a77#a71 ! ,director ( ,,nih %all aw>d  
grants & contracts to public or nonpr(it
 private entities1 includ+ univ]sities1 
to--  7i7 conduct rese>* on eat+        
disord]s design$ to improve und]/&+ ( ! 
etiology1 e>ly id5tification1 prev5tion1
 be/ treatm5t1 m$ical & psy*ological    
sequelae ( & recov]y f eat+ disord]s2   
7ii7 conduct tra9+ to p]=m su* rese>*2 &
  7iii7 pay all or "p ( ! co/ ( plann+1 
e/abli%+1 improv+1 & provid+ basic      
op]at+ support = su* rese>* & tra9+4    
7,b7 ,c5t]s ( ,excell5ce ,= purposes (  
?is section1 an entity t receives a     
grant or contract "u subp>agraph 7,a7   
%all be ref]r$ to z a ,c5t] (           
,excell5ce4  7#b7 ,rese>*  7,a7 ,9 g5]al
 ,ea* ,c5t] ( ,excell5ce %all conduct   
basic rese>*1 cl9ical rese>*1 or bo?    
into eat+ disord]s4  7,b7 ,requirem5ts  
,! rese>* conduct$ by a ,c5t] (         

,excell5ce pursuant to subp>agraph      
7,a7--  7i7 %all be design$ to improve  
und]/&+ ( ! etiology1 e>ly              
id5tification1 prev5tion1 be/ treatm5t1 
m$ical & psy*ological sequelae ( &      
recov]y f eat+ disord]s2  7ii7 %all be  
conduct$ 9 ! fields ( basic1 cl9ical1   
prev5tion1 & int]v5tion sci5ces2 &      
7iii7 %\ld include--  7,i7 /udies       
cl>ify+ ! nosology & assessm5t ( eat+   
disord]s2  7,,ii7 inve/igations to      
det]m9e ! biological1 psy*osocial1 &    
behavioral risk factors t might appe> 9 
e>ly *ildhood2  7,,iii7 /udies ( promis+
 treatm5ts = eat+ disord]s2  7,,iv7     
evaluation ( prev5tion programs = eat+  
disord]s2 &  7,v7 /udies ( ! m$ical1    
psy*ological1 & social sequelae ( eat+  
disord]s4  7,c7 ,equal repres5tation (  
rese>* areas ,9 aw>d+ grants & contracts
 "u p>agraph 7#a71 ! ,director ( ,,nih  
%all1 to ! ext5t practicable &          
appropriate1 ensure t ea* ( ! rese>*    
areas requir$ by clauses 7i7 & 7ii7 (   
subp>agraph 7,b7 are equally repres5t$4 

7#c7 ,tra9+ to p]=m eat+ disord]s rese>*
 ,ea* ,c5t] ( ,excell5ce %all provide at
 lea/ #c positions = doctoral level &   
po/-doctoral level rese>* tra9ees4  7#d7
 ,s]vices = pati5ts  7,a7 ,9 g5]al ,a   
,c5t] ( ,excell5ce may exp5d am\nts     
provid$ "u a grant or contract "u su*   
p>agraph to c>ry out a program to make  
individuals aw>e ( opportunities to     
p>ticipate z subjects 9 rese>* conduct$ 
by su* ,c5t]s4  7,b7 ,ref]rals & co/s ,a
 program c>ri$ out "u subp>agraph 7,a7  
may1 9 accordance ) su* crit]ia z !     
,director ( ,,nih may e/abli%1 provide  
to ! subjects describ$ 9 su*            
subp>agraph1 ref]rals = heal?1 m5tal    
heal?1 & o!r s]vices1 & su* pati5t c>e  
co/s z are requir$ = rese>*4  7,c7      
,availability & access ,! ext5t to :i* a
 ,c5t] ( ,excell5ce c demon/rate        
availability & access to cl9ical s]vices
 %all be consid]$ by ! ,director ( ,,nih
 9 decisions ab\t aw>d+ grants or       
contracts to applicants t meet !        
sci5tific crit]ia = fund+ "u ?is        

section4  7#e7 ,coord9ation ( ,c5t]s (  
,excell5ce  7,a7 ,9 g5]al ,! ,director (
 ! ,national ,in/itute ( ,m5tal ,heal?  
%all1 z appropriate1 provide = !        
coord9ation ( in=mation among ,c5t]s (  
,excell5ce & ensure regul> communication
 betwe5 su* ,c5t]s4  7,b7 ,p]iodic      
reports ,! ,director ( ! ,national      
,in/itute ( ,m5tal ,heal? may require ! 
p]iodic prep>ation ( reports on !       
activities ( ,c5t]s ( ,excell5ce & !    
submission ( su* reports to ! ,director4
  7,c7 ,collection & /orage ( data ,!   
,director ( ! ,national ,in/itute (     
,m5tal ,heal? %all e/abli% & fund       
me*anisms & entities = collect+1 /or+1 &
 coord9at+ data collect$ by ,c5t]s (    
,excell5ce & data g5]at$ f public &     
private rese>* p>tn]%ips4  7#f7         
,organization ,ea* ,c5t] ( ,excell5ce   
%all use ! facilities ( a s+le          
in/itution1 or be =m$ f a consortium (  
coop]at+ in/itutions1 meet+ su*         
requirem5ts z may be prescrib$ by !     
,director ( ,,nih4  7#g7 ,numb]2        

duration2 additional p]iods  7,a7 ,9    
g5]al ,! ,director ( ,,nih %all aw>d    
grants & contracts to n few] ?an #c     
entities "u p>agraph 7#a74  7,b7        
,duration ,except z provid$ 9           
subp>agraph 7,c71 a grant or contract   
aw>d$ "u p>agraph 7#a7 %all n exce$ a   
p]iod ( #e ye>s4  7,c7 ,additional      
p]iods  7i7 ,ext5sion ,! p]iod ( a grant
 or contract aw>d$ "u p>agraph 7#a7 may 
be ext5d$ "o or m additional p]iods n   
exce$+ a total ( #e ye>s if ! op]ations 
( ! ,c5t] ( ,excell5ce involv$ h be5    
review$ by an appropriate te*nical &    
sci5tific pe] review gr\p 7includ+      
inve/igators f ! field ( eat+ disord]s7 
e/abli%$ by ! ,director ( ,,nih & ! gr\p
 has recomm5d$ to ! ,director t su*     
p]iod %\ld be ext5d$4  7ii7 ,am\nt ,!   
am\nt ( any grant or contract "u        
p>agraph 7#a7 = an additional p]iod     
describ$ 9 clause 7i7 %all n exce$      
#b1jjj1jjj p] fiscal ye>4  7,d7 ,public 
input ,9 c>ry+ out ?is section1 !       
,director ( ,,nih %all provide = a means

 ?r\gh :i* ! public c obta9 in=mation on
 ! exi/+ & plann$ programs & activities 
( ! ,national ,in/itutes ( ,heal? )     
respect to eat+ disord]s & ?r\gh :i* !  
,director c receive comm5ts f ! public  
reg>d+ su* programs & activities4  7c7  
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #bj1jjj1jjj = ea* ( fiscal 
ye>s #bjad ?r\gh #bjah4 ,am\nts         
appropriat$ "u ?is subsection %all be 9 
addition to any o!r am\nts appropriat$ =
 su* purpose4  #dii;,c4 ,collaborative  
programs ( rese>* 9 eat+ disord]s  7a7  
,9 g5]al ,! ,director ( ,,nih1 act+     
?r\gh ! ,director ( ! ,national         
,in/itute ( ,m5tal ,heal?1 ! ,director (
 ! ,national ,in/itute ( ,diabetes &    
,dige/ive & ,kidney ,diseases1 !        
,director ( ! ,eunice ,k5n$y ,%riv]     
,national ,in/itute ( ,*ild ,heal? &    
,human ,developm5t1 ! ,director ( !     
,(fice ( ,rese>* on ,wom5's ,heal?1 &   
any o!r ag5cies or (fices ( ! ,national 
,in/itutes ( ,heal? t ! ,director       

det]m9es appropriate1 9 consultation )  
lead+ eat+ disord]s rese>*]s &          
cl9icians1 %all aw>d grants & contracts 
to public or nonpr(it private entities  
to pay all or "p ( ! co/ ( plann+1      
e/abli%+1 improv+1 & provid+ basic      
op]at+ support = collaborative programs 
( rese>* 9 eat+ disord]s4  7b7 ,rese>*  
,ea* program e/abli%$ "u subsection     
7a7--  7#a7 %all conduct basic rese>*1  
cl9ical rese>*1 or bo? into eat+        
disord]s2 &  7#b7 %\ld conduct          
inve/igations into ! cause1 diagnosis1  
e>ly detection1 prev5tion & treatm5t ( &
 recov]y f eat+ disord]s4  7c7          
,coord9ation ( programs  7#a7 ,9 g5]al  
,! ,director ( ,,nih %all1 z            
appropriate1 provide = ! coord9ation (  
in=mation among programs e/abli%$ "u    
subsection 7a71 & ,c5t]s ( ,excell5ce   
receiv+ fund+ "u section #dii;,b1 &     
ensure regul> communication betwe5 su*  
programs & ,c5t]s4  7#b7 ,p]iodic       
reports ,! ,director ( ,,nih may require
 ! p]iodic prep>ation ( reports on !    

activities ( ! programs e/abli%$ "u     
subsection 7a7 & ! submission ( su*     
reports to ! ,director4  7#c7           
,collection & /orage ( data ,! ,director
 ( ,,nih %all e/abli% & fund me*anisms &
 entities = collect+1 /or+1 & coord9at+ 
data collect$ by ! programs e/abli%$ "u 
subsection 7a7 & data g5]at$ f public & 
private rese>* p>tn]%ips4  7d7          
,organization ,ea* program t receives   
fund+ "u subsection 7a7 %all be =m$ f a 
consortium ( coop]at+ in/itutions1 meet+
 su* requirem5ts z may be prescrib$ by !
 ,director ( ,,nih4  7e7 ,numb] &       
duration  7#a7 ,9 g5]al ,! ,director    
%all provide = ! e/abli%m5t ( n few] ?an
 #d programs "u subsection 7a74  7#b7   
,duration ,except z provid$ 9 p>agraph  
7#c71 a grant or contract aw>d$ "u      
subsection 7a7 %all n exce$ a p]iod ( #e
 ye>s4  7#c7 ,additional p]iods  7,a7   
,ext5sion ,! p]iod ( a grant or contract
 aw>d$ "u subsection 7a7 may be ext5d$ =
 "o or m additional p]iods n exce$+ #e  
ye>s if ! op]ations ( ! program involv$ 

h be5 review$ by an appropriate te*nical
 & sci5tific pe] review gr\p e/abli%$ by
 ! ,director ( ,,nih & ! gr\p has       
recomm5d$ to ! ,director t su* p]iod    
%\ld be ext5d$4  7,b7 ,am\nt ,! am\nt ( 
any grant or contract "u subsection 7a7 
= an additional p]iod describ$ 9        
subp>agraph 7,a7 %all n exce$ #b1jjj1jjj
 p] fiscal ye>4  7f7 ,rule ( con/ruction
 ,no?+ 9 ?is section %all be con/ru$ z  
preclud+ or o!rwise affect+ fund+ = any 
rese>* on eat+ disord]s 9 addition to ! 
rese>* fund$ "u ?is section4  7g7       
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #bj1jjj1jjj = ea* ( fiscal 
ye>s #bjad ?r\gh #bjah4 ,am\nts         
appropriat$ "u ?is subsection %all be 9 
addition to any o!r am\nts appropriat$ =
 su* purpose4  4  #ajb4 ,eat+ disord]s  
surveillance & rese>* program ,title    
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bda et seq47 is am5d$ by
 add+ at ! end !re( ! foll[+3  ,w       
,programs relat+ to eat+ disord]s       

#cii,,oo4 ,eat+ disord]s surveillance & 
rese>* program  7a7 ,national eat+      
disord]s surveillance program  7#a7 ,9  
g5]al ,! ,secret>y1 act+ ?r\gh !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion & 9 consultation ) lead+  
eat+ disord]s rese>*]s & cl9icians--    
7,a7 %all provide = ! collection1       
analysis1 & report+ ( epidemiological   
data on eat+ disord]s ?r\gh ! exi/+     
surveillance programs ( ! ,c5t]s1 su* z 
! ,behavioral ,risk ,factor             
,surveillance ,sy/em2  7,b7 %all make   
recomm5dations to enhance exi/+         
surveillance programs ( ! ,c5t]s1 su* z 
! ,behavioral ,risk ,factor             
,surveillance ,sy/em1 to m accurately   
collect epidemiological data on disord]$
 eat+ & eat+ disord]s2  7,c7 may aw>d   
grants & coop]ative agreem5ts & may     
provide direct te*nical assi/ance to    
eligible entities = ! collection1       
analysis1 & report+ ( su* data2 &  7,d7 
%all exam9e & improve requirem5ts =     
report+ dea?s on dea? c]tificates to    

accurately acc\nt = ^? cases 9 :i* an   
eat+ disord] is ! und]ly+ or contribut+ 
cause ( dea?4  7#b7 ,eligibility ,to be 
eligible to receive a grant or          
coop]ative agreem5t "u p>agraph         
7#a77;,c71 an entity %all be a public or
 nonpr(it private entity 7includ+ a     
heal? dep>tm5t ( a ,/ate or political   
subdivisions ( a ,/ate1 a univ]sity1 or 
any o!r educational in/itution71 &      
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4    
7b7 ,c5t] ( eat+ disord]s epidemiology  
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion1 %all e/abli% a   
,c5t] ( ,eat+ ,disord]s ,epidemiology = 
! purpose ( collect+ & analyz+ in=mation
 on--  7,a7 ! numb]1 incid5ce1 incid5ce 
tr5ds ov] "t1 correlates1 mortality1 &  
causes ( eat+ disord]s2  7,b7 ! effects 
( eat+ disord]s on quality ( life1      
includ+ disability adju/$ life ye>s     
7,,daly7 & quality adju/$ life ye>s     

7,,qaly72 &  7,c7 economic analysis ( ! 
co/s ( eat+ disord]s 9 ! ,unit$ ,/ates1 
includ+ ye>s ( productive life lo/1     
miss$ days ( "w1 r$uc$ "w productivity1 
co/s ( m$ical & m5tal heal? treatm5t1   
prescriptions1 o!r m$ications1          
hospitalizations1 co/s ( m$ical &       
psy*iatric comorbidities1 co/s to       
family1 & co/s to society4  7#b7        
,grants2 coop]ative agreem5ts ,! ,c5t] (
 ,eat+ ,disord]s ,epidemiology "u       
p>agraph 7#a7 %all be e/abli%$ & op]at$ 
?r\gh ! aw>d+ ( grants or coop]ative    
agreem5ts to "o or m public or nonpr(it 
private entities t conduct rese>*1 :i*  
may include a univ]sity or o!r          
educational entity4  7#c7 ,requirem5ts  
,to be eligible to receive a grant or   
coop]ative agreem5t "u p>agraph 7#b71 an
 entity %all submit to ! ,secret>y an   
application conta9+ su* agreem5ts &     
in=mation z ! ,secret>y may require1    
includ+ an agreem5t t ! ,c5t] ( ,eat+   
,disord]s ,epidemiology w op]ate 9      
accordance ) ! foll[+3  7,a7 ,! ,c5t] w 

collect1 analyze1 & report eat+ disord]s
 data accord+ to guidel9es prescrib$ by 
! ,director ( ! ,c5t]s = ,disease       
,control & ,prev5tion1 aft] consultation
 ) relevant ,/ate & local public heal?  
(ficials1 private sector eat+ disord]   
rese>*]s & cl9icians1 & advocates = ^? )
 eat+ disord]s4  7,b7 ,! ,c5t] w assi/ )
 ! developm5t & coord9ation ( ,/ate eat+
 disord]s surveillance ef=ts )9 a       
region4  7,c7 ,! ,c5t] w id5tify        
eligible cases & controls ?r\gh its     
surveillance sy/ems & conduct rese>*    
into factors :i* may cause or increase !
 risk ( eat+ disord]s4  7,d7 ,! ,c5t] w 
develop or ext5d an area ( special      
rese>* exp]tise 7includ+ g5etics1       
environm5tal exposures1 & o!r relevant  
rese>* specialty areas74  7c7 ,cle>+h\se
 ,! ,secret>y1 act+ ?r\gh ! ,director ( 
! ,c5t]s = ,disease ,control &          
,prev5tion & 9 consultation ) lead+ eat+
 disord]s rese>*]s & cl9icians1 %all    
c>ry out ! foll[+3  7#a7 ,e/abli%m5t ,! 
,secret>y %all e/abli% a cle>+h\se )9 ! 

,c5t]s = ,disease ,control & ,prev5tion 
= ! collection & /orage ( data g5]at$ f 
! monitor+ programs e/abli%$ "u ?is     
section & "p ,j ( title ,,iv4 ,?r\gh !  
cle>+h\se1 ! ,c5t]s = ,disease ,control 
& ,prev5tion %all s]ve z ! coord9at+    
ag5cy = eat+ disord]s surveillance      
activities4 ,! functions ( su* cle>+h\se
 %all include facilitat+ ! coord9ation (
 rese>* & policy developm5t relat+ to ! 
prev5tion1 treatm5t1 & epidemiology (   
eat+ disord]s4  7#b7 ,facilitation (    
rese>* ,! ,secret>y %all provide = !    
e/abli%m5t ( a program "u :i* samples ( 
tissues & g5etic & o!r biological       
mat]ials t are ( use 9 rese>* on eat+   
disord]s are donat$1 collect$1 pres]v$1 
& made available = su* rese>*4 ,su*     
program %all be c>ri$ out 9 accordance )
 accept$ sci5tific & m$ical /&>ds = !   
donation1 collection1 & pres]vation (   
su* samples1 & %all be conduct$ s t !   
tissues & o!r mat]ials sav$1 z well z   
any database compil$ f su* tissues &    
mat]ials1 are available to rese>*]s at a

 reasonable co/4  7#c7 ,coord9ation ,!  
,c5t]s = ,disease ,control & ,prev5tion 
%all coord9ate rese>* & surveillance    
activities ( su* ,c5t]s ) ! ,national   
,in/itutes ( ,heal?1 o!r appropriate    
,f$]al ag5cies1 & int]e/$ nonpr(it      
private entities1 :i* %all be updat$ z  
det]m9$ appropriate by ! ,secret>y4  7d7
 ,def9ition ,9 ?is section1 ! t]m eat+  
disord] includes anorexia n]vosa1       
bulimia n]vosa1 b+e eat+ disord]1 & eat+
 disord]s n o!rwise specifi$ 7,,ednos71 
z def9$ 9 ! fif? edition ( ,diagno/ic & 
,/ati/ical ,manual ( ,m5tal ,disord]s   
or1 if applicable1 ! mo/ rec5t successor
 edition4  7e7 ,au?orization (          
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#b1jjj1jjj = ea* ( fiscal ye>s #bjad    
?r\gh #bjah4  4  ,,ii ,education &      
,prev5tion  #bja4 ,/udy ( m&atory ,,bmi 
report+ 9 s*ool ,n lat] ?an #a ye> aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 9 consultation ) !       

,secret>y ( ,education & lead+ eat+     
disord]s rese>*]s & cl9icians1 %all     
conduct a /udy & submit a report to !   
,congress on--  7#a7 measur+ ! body mass
 index 79 ?is section ref]r$ to z ,,bmi7
 ( /ud5ts = ^? s*ools 7at any level     
includ+ pre-s*ools1 k9d]g>t5s1 elem5t>y 
s*ools1 second>y s*ools1 & in/itutions (
 high] education7 t are measur+ ! ,,bmi 
( /ud5ts2  7#b7 ! impacts 7bo? positive 
& negative7 on /ud5ts ( su* measures1   
includ+ unheal?y weight control         
behaviors1 p]ceptions ( body image1 eat+
 disord] symptoms1 & ! incid5ce ( teas+ 
or bully+ bas$ on body size2 &  7#c7 !  
impacts 7bo? positive & negative7 (     
report+ ! results ( su* measures to !   
p>5ts ( su* /ud5ts4  #bjb4 ,tra9+ &     
education  7a7 ,9 g5]al ,! ,secret>y (  
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,director ( ! ,(fice on ,wom5's ,heal? (
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
& 9 consultation ) ! ,secret>y (        
,education & ) ! ,task ,=ce = ,heal?    
,pr(essions e/abli%$ "u section         

#cii,z7b7 ( ! ,public ,heal? ,s]vice    
,act 7z add$ by section #bjc7;a77#b7 (  
?is ,act71 %all--  7#a7 exp& !          
,body,wise ,h&book & relat$ fact %eets &
 res\rce li/s available on ! public     
,int]net site ( ! ,national ,wom5's     
,heal? ,in=mation ,c5t] sponsor$ by !   
,(fice on ,wom5's ,heal?1 to include--  
7,a7 updat$ f9d+s & conclusions z ne$$2 
&  7,b7 ?or\gh in=mation ab\t eat+      
disord]s relat+ to males z well z       
females2  7#b7 incorporate1 z           
appropriate1 in=mation f su* ,body,wise 
,h&book & relat$ facts %eets & res\rce  
li/s into ! curriculum ( ! ,body,works  
obesity prev5tion program develop$ by ! 
,(fice on ,wom5's ,heal? & tra9+ modules
 us$ 9 su* obesity prev5tion program2 & 
7#c7 promote & make publicly available  
7:e!r ?r\gh a public ,int]net site or   
o!r me?od t does n impose a fee on us]s7
 ! ,body,wise ,h&book & relat$ fact     
%eets & res\rce li/s1 z updat$ "u       
p>agraph 7#a71 & ! ,body,works obesity  
prev5tion program1 z updat$ "u p>agraph 

7#b71 includ+ = purposes ( educat+      
univ]sities & nonpr(it entities on eat+ 
disord]s4  7b7 ,au?orization (          
appropriations ,!re is au?oriz$ to be   
appropriat$ #a1jjj1jjj to c>ry out      
subsection 7a74  #bjc4 ,heal?           
pr(essional education & tra9+ ,section  
#cii,z ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bhj;h-#c7 is am5d$--    
7#a7 by r$esignat+ subsection 7b7 z     
subsection 7d72 &  7#b7 by ins]t+ aft]  
subsection 7a7 ! foll[+ new subsections3
  7b7 ,task =ce on eat+ disord]s  7#a7  
,e/abli%m5t ,! ,secret>y1 act+ ?r\gh !  
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration & "o or m ( !    
,c5t]s ( ,excell5ce receiv+ funds "u    
section #dii;,b7b71 %all e/abli% a ,task
 ,=ce = ,heal? ,pr(essions 79 ?is       
subsection ref]r$ to z ! task =ce7      
compris$ ( exp]ts 9 ! field ( eat+      
disord]s 7includ+ rese>*]s1 cl9icians1  
c>e provid]s1 & exp]ts 9 eat+ disord]s  
education & prev5tion71 individuals )   
eat+ disord]s1 & individuals ) family   

memb]s :o h eat+ disord]s4  7#b7 ,duties
 ,! task =ce %all--  7,a7 develop1 bas$ 
on ! ,body,wise ,h&book & relat$ fact   
%eets & res\rce li/s available on !     
public ,int]net site ( ! ,national      
,wom5's ,heal? ,in=mation ,c5t] sponsor$
 by ! ,(fice on ,wom5's ,heal? ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices &  
updat$ "u section #bjb7;a77#a7 ( !      
,f$]al ,response to ,elim9ate ,eat+     
,disord]s ,act ( #bjac1 an evid5ce-bas$ 
or em]g+ be/-practices tra9+ program =  
heal? pr(essionals on eat+ disord]s2    
7,b7 aw>d grants = implem5tation ( su*  
evid5ce-bas$ tra9+ program2 &  7,c7     
provide tra9+ & te*nical assi/ance to   
grant recipi5ts4  7#c7 ,report ,n lat]  
?an #f ye>s aft] ! date ( ! enactm5t (  
?is subsection1 ! task =ce %all submit  
to ! ,congress & make publicly available
 a report on ! tra9+ program develop$ "u
 p>agraph 7#b7 & ! results a*iev$ ?r\gh 
grants aw>d$ = implem5tation ( su*      
program4  7c7 ,def9ition ,9 ?is section1
 ! t]m eat+ disord] has ! mean+ giv5 su*

 t]m 9 section #cii,,oo7d74  2 &  7#c7  
by am5d+ subsection 7d7 7z s r$esignat$7
 to read z foll[s3  7d7 ,au?orization ( 
appropriations ,!re are au?oriz$ to be  
appropriat$--  7#a7 to c>ry out         
subsection 7a71 #a1jjj1jjj = fiscal ye> 
#bjad & #ejj1jjj = ea* ( fiscal ye>s    
#bjae ?r\gh #bjah2 &  7#b7 to c>ry out  
subsection 7b71 #aj1jjj1jjj = ea* (     
fiscal ye>s #bjad ?r\gh #bjah4  4  #bjd4
 ,education & tra9+ = all heal?         
pr(essionals ,section #cii,z ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bhj;h-#c71 z am5d$ by section #bjc7;a71
 is fur!r am5d$--  7#a7 by r$esignat+   
subsections 7c7 & 7d7 z subsections 7d7 
& 7e71 respectively2  7#b7 by ins]t+    
aft] subsection 7b7 ! foll[+ new        
subsection3  7c7 ,grants reg>d+ eat+    
disord]s  7#a7 ,9 g5]al ,! ,secret>y may
 aw>d grants to eligible entities to    
integrate tra9+ into exi/+ curricula =  
prim>y c>e physicians & o!r lic5s$ or   
c]tifi$ heal? & m5tal heal? pr(essionals
 on h[ to id5tify1 ref]1 treat1 & prev5t

 eat+ disord]s & aid individuals :o     
suff] f eat+ disord]s4  7#b7            
,application ,an entity t desires a     
grant "u ?is subsection %all submit to !
 ,secret>y an application at su* "t1 9  
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ a plan = 
! use ( funds t may be aw>d$ & an       
evaluation ( ! tra9+ t w be provid$4    
7#c7 ,use ( funds ,an entity t receives 
a grant "u ?is subsection %all use !    
funds made available ?r\gh su* grant    
to--  7,a7 use ! tra9+ program develop$ 
by ! ,task ,=ce = ,heal? ,pr(essions "u 
subsection 7b77#b77;,a71 evid5ce-bas$   
f9d+s1 promis+ em]g+ be/ practices1 or  
recomm5dations t p]ta9 to ! prev5tion & 
treatm5t ( eat+ disord]s to conduct     
educational tra9+ & conf]5ces1 includ+  
,int]net-bas$ c\rses & teleconf]5ces1   
on--  7i7 h[ to treat or prev5t eat+    
disord]s2  7ii7 h[ to discuss v>i$      
/rategies ) pati5ts f at-risk & div]se  
populations to promote positive behavior
 *ange & heal?y life/yles to prev5t eat+

 disord]s2  7iii7 h[ to id5tify         
individuals ) eat+ disord]s1 & ^? :o are
 at risk = suff]+ f eat+ disord]s &1    
!re=e1 at risk = relat$ s]i\s & *ronic  
m$ical & m5tal heal? conditions2 &  7iv7
 h[ to conduct a compreh5sive assessm5t 
( individual & familial heal? risk      
factors2 &  7,b7 evaluate & report to ! 
,task ,=ce = ,heal? ,pr(essions on !    
effectiv5ess ( ! tra9+ provid$ by su*   
entity 9 increas+ k & *ang+ attitudes & 
behaviors ( tra9ees4  2 &  7#c7 9       
subsection 7e7 7z s r$esignat$7--  7,a7 
9 p>agraph 7#a71 at ! end by /rik+ &2   
7,b7 9 p>agraph 7#b71 at ! end by /rik+ 
! p]iod & ins]t+ 2 &2 &  7,c7 by add+ at
 ! end ! foll[+ new p>agraph3  7#c7 to  
c>ry out subsection 7c71 #aj1jjj1jjj =  
ea* ( fiscal ye>s #bjad ?r\gh #bjah4  4 
#bje4 ,education & tra9+ = s*ool & high]
 education pr(essionals  7a7 ,task ,=ce 
on ,eat+ ,disord]s ,prev5tion 9         
,educational ,in/itutions  7#a7         
,e/abli%m5t ,n lat] ?an #a ye> aft] !   
date ( ! enactm5t ( ?is ,act1 !         

,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) ,c5t]s ( ,excell5ce      
receiv+ funds "u section #dii;,b ( !    
,public ,heal? ,s]vice ,act 7z add$ by  
section #aja ( ?is ,act7 & exp]ts 9 eat+
 disord] prev5tion & treatm5t1 %all     
e/abli% a ,task ,=ce on ,eat+ ,disord]s 
,prev5tion 9 ,educational ,in/itutions  
79 ?is subsection ref]r$ to z ! task    
=ce74  7#b7 ,duties ,! task =ce %all--  
7,a7 exp& ^u & incorporate in=mation f !
 ,body,wise eat+ disord] initiative     
implem5t$ by ! ,(fice on ,wom5's ,heal? 
( ! ,dep>tm5t ( ,heal? & ,human ,s]vices
 to develop & provide tra9+ on eat+     
disord]s id5tification & prev5tion =    
/ud5ts1 faculty1 coa*es1 & /aff 9       
k9d]g>t5s1 elem5t>y s*ools1 second>y    
s*ools1 & in/itutions ( high] education2
  7,b7 develop a program ( educational  
sem9>s on eat+ disord]s id5tification & 
prev5tion = use by grant recipi5ts "u   
subsection 7b72 &  7,c7 provide tra9+ to
 grant recipi5ts "u subsection 7b7 on   
implem5t+ su* a program1 includ+ by     

integration into exi/+ applicable tra9+ 
curricula4  7b7 ,grants  7#a7           
,au?orization ,! ,secret>y ( ,heal? &   
,human ,s]vices1 act+ ?r\gh !           
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1   
%all aw>d grants to eligible entities-- 
7,a7 to conduct educational sem9>s on   
eat+ disord]s id5tification & prev5tion2
 &  7,b7 to make res\rces available to  
individuals affect$ by eat+ disord]s4   
7#b7 ,educational sem9>s ,z a condition 
on ! receipt ( a grant "u ?is           
subsection1 an eligible entity %all     
agree to conduct educational sem9>s "u  
p>agraph 7#a77;,a7--  7,a7 9 accordance 
) ! program develop$ "u subsection      
7a77#b77;,b7 by ! ,task ,=ce on ,eat+   
,disord]s ,prev5tion 9 ,educational     
,in/itutions2 &  7,b7 tak+ into         
consid]ation educational mat]ials made  
available ?r\gh ! ,body,wise eat+       
disord] initiative ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices & relevant     
rese>* on eat+ disord]s4  7#c7 ,eligible

 entity ,9 ?is subsection1 ! t]m        
eligible entity means any ,/ate1        
t]ritory1 or possession ( ! ,unit$      
,/ates1 ! ,di/rict ( ,columbia1 any     
,indian tribe or tribal organization 7z 
def9$ 9 subsections 7e7 & 7l71          
respectively1 ( section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b771
 or a public or private educational     
in/itution1 includ+ an in/itution (     
high] education4  #bjf4 ,eat+ disord]   
rese>* & report ,n lat] ?an #ah mon?s   
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,national ,c5t] = ,education ,/ati/ics &
 ! ,national ,c5t] = ,heal? ,/ati/ics   
%all conduct a /udy on ! impact ( eat+  
disord]s on educational advancem5t &    
a*ievem5t4 ,! /udy %all--  7#a7 det]m9e 
! preval5ce ( eat+ disord]s among /ud5ts
 & ! morbidity & mortality rates        
associat$ ) eat+ disord]s2  7#b7        
evaluate ! ext5t to :i* /ud5ts ) eat+   
disord]s are m likely to miss s*ool1 h  
delay$ rates ( social1 emotional1 &     

physical developm5t1 or h r$uc$ academic
 p]=mance2  7#c7 report on curr5t ,/ate 
& local programs to prev5t eat+         
disord]s1 z well z evaluate ! value (   
su* programs2 &  7#d7 make              
recomm5dations on measures t c\ld be    
und]tak5 by ! ,congress1 ! ,dep>tm5t (  
,education1 ,/ates1 & local educational 
ag5cies to /r5g!n eat+ disord] prev5tion
 & aw>5ess programs4  #bjg4 ,public     
s]vice ann\ncem5ts  7a7 ,9 g5]al ,!     
,director ( ! ,national ,in/itute (     
,m5tal ,heal? %all conduct a program (  
public s]vice ann\ncem5ts to educate !  
public on--  7#a7 ! types ( eat+        
disord]s2  7#b7 ! s]i\sness ( eat+      
disord]s 7includ+ preval5ce1            
comorbidities1 & physical & m5tal heal? 
consequ5ces72  7#c7 h[ to detect1       
address1 ref] = help1 & prev5t eat+     
disord]s2  7#d7 discrim9ation & bully+  
bas$ on body size2  7#e7 ! effects (    
m$ia on self e/eem & body image2 &  7#f7
 ! signs & symptoms ( eat+ disord]s4    
7b7 ,collaboration ,! ,director ( !     

,national ,in/itute ( ,m5tal ,heal? %all
 conduct ! program "u subsection 7a7 9  
collaboration )--  7#a7 ,c5t]s (        
,excell5ce receiv+ funds "u section     
#dii;,b ( ! ,public ,heal? ,s]vice ,act1
 z add$ by section #aja2 &  7#b7        
community-bas$ national nonpr(it        
res\rces t--  7,a7 support individuals  
affect$ by eat+ disord]s2 &  7,b7 "w to 
prev5t eat+ disord]s & address body     
image & weight issues4  7c7 ,ann\ncem5t 
requirem5ts ,9 c>ry+ out ! program (    
public s]vice ann\ncem5ts requir$ by    
subsection 7a71 ! ,director ( !         
,national ,in/itute ( ,m5tal ,heal? %all
 ensure t su* ann\ncem5ts--  7#a7       
address ! full spectrum ( eat+ disord]s 
= bo? sexes & a v>iety ( e?nicities &   
age gr\ps2  7#b7 d n promote or         
aggravate eat+ disord]s1 su* z by       
incorporat+ images1 specific behaviors1 
or /ati/ics t make eat+ disord]s seem   
attractive2  7#c7 feature--  7,a7 real p
 :o are or 7 affect$ by eat+ disord]s1  
includ+ individuals :o h di$ ( su*      

disord]s2 &  7,b7 n actors or models 9  
place ( su* p2  7#d7 make cle> t--  7,a7
 eat+ disord]s are n a *oice1 b are     
s]i\s & (t5 deadly illnesses2 &  7,b7   
individuals affect$ by eat+ disord]s ne$
 to seek help2 &  7#e7 provide in=mation
 on h[ & :]e to seek help = ! treatm5t (
 eat+ disord]s4  #bjh4 ,s5se ( ,congress
 ,x is ! s5se ( ! ,congress t--  7#a7   
f$]ally fund$ campaigns to fight obesity
 %\ld address eat+ disord]s2 &  7#b7    
f$]ally fund$ /udies on obesity %\ld    
include que/ions relat+ to eat+         
disord]s4  ,,iii ,treatm5t  #cja4       
,cov]age = treatm5t = eat+ disord]s "u  
gr\p heal? plans1 individual heal?      
insurance cov]age1 & ,,fehbp  7a7       
,public ,heal? ,s]vice ,act am5dm5ts    
7#a7 ,9 g5]al ,title ,,xxvii ( ! ,public
 ,heal? ,s]vice ,act is am5d$ by ins]t+ 
aft] section #bgbh 7#db ,u4,s4,c4       
#cjj;gg-#bh71 z r$esignat$ by section   
#ajja7b7 ( ! ,pati5t ,protection &      
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh71 ! foll[+ new section3  #bgbi4

 ,cov]age = treatm5t = eat+ disord]s    
7a7 ,cov]age ,a gr\p heal? plan1 & a    
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age1 t   
provides m$ical & surgical b5efits %all 
provide cov]age = treatm5t = eat+       
disord]s consi/5t ) ! provisions ( ?is  
section4  7b7 ,prohibitions ,a gr\p     
heal? plan1 & a heal? insurance issu]   
(f]+ gr\p or individual heal? insurance 
cov]age1 %all n--  7#a7 d5y to an       
individual eligibility1 or cont9u$      
eligibility1 to enroll or to r5ew       
cov]age "u ! t]ms ( ! plan1 solely = !  
purpose ( avoid+ ! requirem5t ( ?is     
section2  7#b7 d5y cov]age = treatm5t ( 
eat+ disord]s1 includ+ cov]age =        
resid5tial treatm5t ( eat+ disord]s1 if 
su* treatm5t is m$ically necess>y 9     
accordance ) ! ,practice ,guidel9es = ! 
,treatm5t ( ,pati5ts ) ,eat+ ,disord]s1 
z mo/ rec5tly publi%$ by ! ,am]ican     
,psy*iatric ,association2  7#c7 provide 
monet>y paym5ts1 rebates1 or o!r b5efits
 to individuals to enc\rage su*         

individuals to accept less ?an ! m9imum 
protections available "u ?is section2   
7#d7 p5alize or o!rwise r$uce or limit !
 reimbursem5t ( a provid] because su*   
provid] provid$ c>e to an individual    
p>ticipant or b5efici>y 9 accordance )  
?is section2  7#e7 provide inc5tives    
7monet>y or o!rwise7 to a provid] to    
induce su* provid] to provide c>e to an 
individual p>ticipant or b5efici>y 9 a  
mann] inconsi/5t ) ?is section2 or  7#f7
 d5y to an individual p>ticipant or     
b5efici>y cont9u$ eligibility to enroll 
or to r5ew cov]age "u ! t]ms ( ! plan1  
solely because ! individual 0 previ\sly 
f\nd to h an eat+ disord] or to h       
receiv$ treatm5t = an eat+ disord]4  7c7
 ,out-(-,network provid]s ,9 ! case ( a 
gr\p heal? plan1 or heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age1 t provides bo? m$ical
 & surgical b5efits & cov]age = treatm5t
 = eat+ disord]s1 if ! plan or cov]age  
provides cov]age = m$ical or surgical   
b5efits provid$ by out-(-network        

provid]s1 ! plan or cov]age %all provide
 cov]age = treatm5t = eat+ disord]s     
provid$ by out-(-network provid]s 9 a   
mann] t is consi/5t ) ! requirem5ts (   
?is section4  7d7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$ z   
prev5t+ a gr\p heal? plan or issu] f    
impos+ d$uctibles1 co9surance1 or o!r   
co/-%>+ 9 relation to treatm5t = eat+   
disord]s1 except t su* d$uctibles1      
co9surance1 or o!r co/-%>+ may n be     
great] ?an ! d$uctibles1 co9surance1 or 
o!r co/-%>+ impos$ on o!r comp>able     
m$ical or surgical s]vices cov]$ "u !   
plan4  7e7 ,preemption ,no?+ 9 ?is      
section %all be con/ru$ to preempt any  
,/ate law 9 effect on ! date ( enactm5t 
( ?is section ) respect to heal?        
insurance cov]age t requires cov]age (  
at lea/ ! cov]age = treatm5t = eat+     
disord]s o!rwise requir$ "u ?is section4
  7f7 ,eat+ disord]s def9$ ,= purposes (
 ?is section1 ! t]m eat+ disord]        
includes anorexia n]vosa1 bulimia       
n]vosa1 b+e eat+ disord]1 & eat+        

disord]s n o!rwise specifi$ 7,,ednos71 z
 def9$ 9 ! fif? edition ( ,diagno/ic &  
,/ati/ical ,manual ( ,m5tal ,disord]s   
or1 if applicable1 ! mo/ rec5t successor
 edition4  4  7#b7 ,treatm5t (          
individual m>ket be=e #bjad ,= purposes 
( apply+ section #bgbi ( ! ,public      
,heal? ,s]vice ,act1 z ins]t$ by        
p>agraph 7#a71 to individual heal?      
insurance cov]age be=e #bjad1 !         
provisions ( su* section %all be treat$ 
z also includ$ "u "p ,b ( title ,,xxvii 
( ! ,public ,heal? ,s]vice ,act4  7b7   
,,erisa am5dm5ts  7#a7 ,9 g5]al ,subp>t 
,b ( "p #g ( subtitle ,b ( title ,i ( ! 
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahe et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #gaf4 ,cov]age = treatm5t
 = eat+ disord]s  7a7 ,cov]age ,a gr\p  
heal? plan1 & a heal? insurance issu]   
(f]+ gr\p heal? insurance cov]age 9     
connection ) a gr\p heal? plan1 t       
provides m$ical & surgical b5efits %all 
provide cov]age = treatm5t = eat+       

disord]s consi/5t ) ! provisions ( ?is  
section4  7b7 ,prohibitions ,a gr\p     
heal? plan1 & a heal? insurance issu]   
(f]+ gr\p heal? insurance cov]age 9     
connection ) a gr\p heal? plan1 %all n--
  7#a7 d5y to an individual eligibility1
 or cont9u$ eligibility1 to enroll or to
 r5ew cov]age "u ! t]ms ( ! plan1 solely
 = ! purpose ( avoid+ ! requirem5t ( ?is
 section2  7#b7 d5y cov]age = treatm5t (
 eat+ disord]s1 includ+ cov]age =       
resid5tial treatm5t ( eat+ disord]s1 if 
su* treatm5t is m$ically necess>y 9     
accordance ) ! ,practice ,guidel9es = ! 
,treatm5t ( ,pati5ts ) ,eat+ ,disord]s1 
z mo/ rec5tly publi%$ by ! ,am]ican     
,psy*iatric ,association2  7#c7 provide 
monet>y paym5ts1 rebates1 or o!r b5efits
 to individuals to enc\rage su*         
individuals to accept less ?an ! m9imum 
protections available "u ?is section2   
7#d7 p5alize or o!rwise r$uce or limit !
 reimbursem5t ( a provid] because su*   
provid] provid$ c>e to an individual    
p>ticipant or b5efici>y 9 accordance )  

?is section2  7#e7 provide inc5tives    
7monet>y or o!rwise7 to a provid] to    
induce su* provid] to provide c>e to an 
individual p>ticipant or b5efici>y 9 a  
mann] inconsi/5t ) ?is section2 or  7#f7
 d5y to an individual p>ticipant or     
b5efici>y cont9u$ eligibility to enroll 
or to r5ew cov]age "u ! t]ms ( ! plan1  
solely because ! individual 0 previ\sly 
f\nd to h an eat+ disord] or to h       
receiv$ treatm5t = an eat+ disord]4  7c7
 ,out-(-,network provid]s ,9 ! case ( a 
gr\p heal? plan1 or heal? insurance     
issu] (f]+ gr\p heal? insurance cov]age 
9 connection ) a gr\p heal? plan1 t     
provides bo? m$ical & surgical b5efits &
 cov]age = treatm5t = eat+ disord]s1 if 
! plan or cov]age provides cov]age =    
m$ical or surgical b5efits provid$ by   
out-(-network provid]s1 ! plan or       
cov]age %all provide cov]age = treatm5t 
= eat+ disord]s provid$ by out-(-network
 provid]s 9 a mann] t is consi/5t ) !   
requirem5ts ( ?is section4  7d7 ,rule ( 
con/ruction ,no?+ 9 ?is section %all be 

con/ru$ z prev5t+ a gr\p heal? plan or  
issu] f impos+ d$uctibles1 co9surance1  
or o!r co/-%>+ 9 relation to treatm5t = 
eat+ disord]s1 except t su* d$uctibles1 
co9surance1 or o!r co/-%>+ may n be     
great] ?an ! d$uctibles1 co9surance1 or 
o!r co/-%>+ impos$ on o!r comp>able     
m$ical or surgical s]vices cov]$ "u !   
plan4  7e7 ,preemption ,no?+ 9 ?is      
section %all be con/ru$ to preempt any  
,/ate law 9 effect on ! date ( enactm5t 
( ?is section ) respect to heal?        
insurance cov]age t requires cov]age (  
at lea/ ! cov]age = treatm5t = eat+     
disord]s o!rwise requir$ "u ?is section4
  7f7 ,eat+ disord]s def9$ ,= purposes (
 ?is section1 ! t]m eat+ disord]        
includes anorexia n]vosa1 bulimia       
n]vosa1 b+e eat+ disord]1 & eat+        
disord]s n o!rwise specifi$ 7,,ednos71 z
 def9$ 9 ! fif? edition ( ,diagno/ic &  
,/ati/ical ,manual ( ,m5tal ,disord]s   
or1 if applicable1 ! mo/ rec5t successor
 edition4  4  7#b7 ,con=m+ am5dm5ts     
7,a7 ,section #gcb7;a7 ( su* ,act 7#bi  

,u4,s4,c4 #aaia;a7a77 is am5d$ by /rik+ 
section #gaa & ins]t+ sections #gaa &   
#gaf4  7,b7 ,! table ( cont5ts 9 section
 #a ( su* ,act is am5d$ by ins]t+ aft] !
 item relat+ to section #gad ! foll[+   
new items3  ,sec4 #gae4 ,additional     
m>ket re=ms4 ,sec4 #gaf4 ,cov]age =     
treatm5t = eat+ disord]s4  4  7c7       
,int]nal ,rev5ue ,code am5dm5ts  7#a7 ,9
 g5]al ,sub*apt] ,b ( *apt] #ajj ( !    
,int]nal ,rev5ue ,code ( #aihf1 z am5d$ 
by subsection 7f7 ( section #aefc       
7relat+ to con=m+ am5dm5ts7 ( ! ,pati5t 
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh71 is am5d$ by    
ins]t+ aft] section #ihae ! foll[+3     
#ihaf4 ,cov]age = treatm5t = eat+       
disord]s  7a7 ,cov]age ,a gr\p heal?    
plan t provides m$ical & surgical       
b5efits %all provide cov]age = treatm5t 
= eat+ disord]s consi/5t ) ! provisions 
( ?is section4  7b7 ,prohibitions ,a    
gr\p heal? plan %all n--  7#a7 d5y to an
 individual eligibility1 or cont9u$     
eligibility1 to enroll or to r5ew       

cov]age "u ! t]ms ( ! plan1 solely = !  
purpose ( avoid+ ! requirem5t ( ?is     
section2  7#b7 d5y cov]age = treatm5t ( 
eat+ disord]s1 includ+ cov]age =        
resid5tial treatm5t ( eat+ disord]s1 if 
su* treatm5t is m$ically necess>y 9     
accordance ) ! ,practice ,guidel9es = ! 
,treatm5t ( ,pati5ts ) ,eat+ ,disord]s1 
z mo/ rec5tly publi%$ by ! ,am]ican     
,psy*iatric ,association2  7#c7 provide 
monet>y paym5ts1 rebates1 or o!r b5efits
 to individuals to enc\rage su*         
individuals to accept less ?an ! m9imum 
protections available "u ?is section2   
7#d7 p5alize or o!rwise r$uce or limit !
 reimbursem5t ( a provid] because su*   
provid] provid$ c>e to an individual    
p>ticipant or b5efici>y 9 accordance )  
?is section2  7#e7 provide inc5tives    
7monet>y or o!rwise7 to a provid] to    
induce su* provid] to provide c>e to an 
individual p>ticipant or b5efici>y 9 a  
mann] inconsi/5t ) ?is section2 or  7#f7
 d5y to an individual p>ticipant or     
b5efici>y cont9u$ eligibility to enroll 

or to r5ew cov]age "u ! t]ms ( ! plan1  
solely because ! individual 0 previ\sly 
f\nd to h an eat+ disord] or to h       
receiv$ treatm5t = an eat+ disord]4  7c7
 ,out-(-,network provid]s ,9 ! case ( a 
gr\p heal? plan t provides bo? m$ical & 
surgical b5efits & cov]age = treatm5t = 
eat+ disord]s1 if ! plan provides       
cov]age = m$ical or surgical b5efits    
provid$ by out-(-network provid]s1 !    
plan or cov]age %all provide cov]age =  
treatm5t = eat+ disord]s provid$ by     
out-(-network provid]s 9 a mann] t is   
consi/5t ) ! requirem5ts ( ?is section4 
7d7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$ z prev5t+ a gr\p
 heal? plan or issu] f impos+           
d$uctibles1 co9surance1 or o!r co/-%>+ 9
 relation to treatm5t = eat+ disord]s1  
except t su* d$uctibles1 co9surance1 or 
o!r co/-%>+ may n be great] ?an !       
d$uctibles1 co9surance1 or o!r co/-%>+  
impos$ on o!r comp>able m$ical or       
surgical s]vices cov]$ "u ! plan4  7e7  
,eat+ disord]s def9$ ,= purposes ( ?is  

section1 ! t]m eat+ disord] includes    
anorexia n]vosa1 bulimia n]vosa1 b+e    
eat+ disord]1 & eat+ disord]s n o!rwise 
specifi$ 7,,ednos71 z def9$ 9 ! fif?    
edition ( ,diagno/ic & ,/ati/ical       
,manual ( ,m5tal ,disord]s or1 if       
applicable1 ! mo/ rec5t successor       
edition4  4  7#b7 ,cl]ical am5dm5t ,!   
table ( sections ( su* sub*apt] is am5d$
 by add+ at ! end ! foll[+ new items3   
,sec4 #ihae4 ,additional m>ket re=ms4   
,sec4 #ihaf4 ,cov]age = treatm5t = eat+ 
disord]s4  4  7#c7 ,con=m+ am5dm5t      
,section #dihj;,d7d77#a7 ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$ by /rik+ 
section #ihaa & ins]t+ sections #ihaa & 
#ihaf4  7d7 ,application "u ,f$]al      
,employees ,heal? ,b5efits ,program     
7,,fehbp7 ,section #hijb ( title #e1    
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new subsection3  7p7 ,a 
contract may n be made or a plan approv$
 :i* does n comply ) ! requirem5ts (    
section #bgbi ( ! ,public ,heal? ,s]vice
 ,act4  4  7e7 ,effective ,dates ,!     

am5dm5ts made by ?is section %all apply 
) respect to gr\p heal? plans & heal?   
b5efit plans = plan ye>s beg9n+ on or   
aft] ! date t is #f mon?s aft] ! date ( 
! enactm5t ( ?is ,act1 & ) respect to   
heal? insurance cov]age (f]$1 sold1     
issu$1 r5ew$1 9 effect1 or op]at$ 9 !   
individual m>ket on or aft] su* date t  
is #f mon?s aft] su* date ( enactm5t4   
7f7 ,coord9ation ( ,adm9i/ration ,!     
,secret>y ( ,labor1 ! ,secret>y ( ,heal?
 & ,human ,s]vices1 & ! ,secret>y ( !   
,treasury %all ensure1 ?r\gh ! execution
 ( an int]ag5cy memor&um ( und]/&+ among
 su* ,secret>ies1 t--  7#a7 regulations1
 rul+s1 & int]pretations issu$ by su*   
,secret>ies relat+ to ! same matt] ov]  
:i* two or m su* ,secret>ies h          
responsibility "u ! provisions ( ?is    
section 7& ! am5dm5ts made !reby7 are   
adm9i/]$ s z to h ! same effect at all  
times2 &  7#b7 coord9ation ( policies   
relat+ to en=c+ ! same requirem5ts ?r\gh
 su* ,secret>ies 9 ord] to h a coord9at$
 en=cem5t /rategy t avoids duplication (

 en=cem5t ef=ts & assigns priorities 9  
en=cem5t4  ,,iv ,improv+ availability & 
access to treatm5t  #dja4 ,m$icaid      
cov]age = eat+ disord] treatm5t s]vices 
7a7 ,9 g5]al ,section #aije ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acif;d7a771 z am5d$ by section         
#bcja7;a77#a7 ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 & section #abjb7;b7 ( ! ,heal?
 ,c>e & ,education ,reconciliation ,act 
( #bjaj 7,public ,law #aaa-aeb71 is     
am5d$--  7#a7 9 subsection 7a7--  7,a7 9
 p>agraph 7#bh71 by /rik+ & at ! end2   
7,b7 by r$esignat+ p>agraph 7#bi7 z     
p>agraph 7#cj72 &  7,c7 by ins]t+ aft]  
p>agraph 7#bh7 ! foll[+ new p>agraph3   
7#bi7 eat+ disord] treatm5t s]vices 7z  
def9$ 9 subsection 7ee77#a772 &  2  &   
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7ee7 ,eat+ disord] treatm5t
 s]vices  7#a7 ,def9ition ,! t]m eat+   
disord] treatm5t s]vices means s]vices  
relat+ to diagnosis & treatm5t ( an eat+
 disord] 7z def9$ 9 section #cii,,oo ( !

 ,public ,heal? ,s]vice ,act71 includ+  
scre5+1 c\nsel+1 ph>maco!rapy 7includ+  
cov]age ( drugs describ$ 9 p>agraph     
7#b771 & o!r necess>y heal? c>e s]vices4
  7#b7 ,cov]age = ph>macological        
treatm5t ( eat+ disord]s ,= purposes (  
p>agraph 7#a71 eat+ disord] treatm5t    
s]vices %all include drugs provid$ z "p 
( c>e 9 an inpati5t sett+1 cov]$        
outpati5t drugs 7z def9$ 9 section      
#aibg7k77#b771 & non-prescription drugs 
describ$ 9 section #aibg7;d77#b77;,a7 t 
are prescrib$1 9 accordance ) g5]ally   
accept$ m$ical guidel9es1 = treatm5t (  
an eat+ disord]4  4  7b7 ,increas$      
,,fmap = eat+ disord] treatm5t s]vices  
,section #aije7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7b771 z     
am5d$ by section #dajf7;b7 ( ! ,pati5t  
,protection & ,af=dable ,c>e ,act1 is   
am5d$--  7#a7 by /rik+ & be=e 7#e72 &   
7#b7 by ins]t+ be=e ! p]iod at ! end !  
foll[+3 1 & 7#f7 ! ,f$]al m$ical        
assi/ance p]c5tage %all be equal to !   
enhanc$ ,,fmap describ$ 9 section       

#baje7;b7 ) respect to m$ical assi/ance 
= eat+ disord] treatm5t s]vices 7z def9$
 9 subsection 7ee77#a77 provid$ to an   
individual :o is eligible = su*         
assi/ance & has an eat+ disord] 7z def9$
 9 section #cii,,oo ( ! ,public ,heal?  
,s]vice ,act74  7c7 ,inclusion 9 ,,epsdt
 s]vices ,section #aije7r77#a77;,b7 (   
su* ,act 7#db ,u4,s4,c4                 
#acif;d7r77#a77;,b77 is am5d$--  7#a7 9 
clause 7iv71 by /rik+ & at ! end2  7#b7 
9 clause 7v71 by /rik+ ! p]iod at ! end 
& ins]t+ 1 &2 &  7#c7 by ins]t+ aft]    
clause 7v7 ! foll[+ new clause3  7vi7   
appropriate diagno/ic s]vices relat+ to 
eat+ disord]s 7z def9$ 9 section        
#cii,,oo ( ! ,public ,heal? ,s]vice     
,act74  4  7d7 ,exception f optional    
re/riction "u ,m$icaid drug cov]age     
,section #aibg7;d77#b77;,a7 ( su* ,act  
7#db ,u4,s4,c4 #acifr-#h7;d77#b77;,a77  
is am5d$ by ins]t+ be=e ! p]iod at ! end
 ! foll[+3 1 except = drugs t are       
prescrib$1 9 accordance ) g5]ally       
accept$ m$ical guidel9es1 = ! purpose ( 

treatm5t ( an individual :o is eligible 
= m$ical assi/ance "u ! ,/ate plan & has
 an eat+ disord] 7z def9$ 9 section     
#cii,,oo ( ! ,public ,heal? ,s]vice     
,act74  7e7 ,effective date ,! am5dm5ts 
made by ?is section %all apply to drugs 
& s]vices furni%$ on or aft] ! date ( ! 
enactm5t ( ?is ,act4  #djb4 ,grants to  
support pati5t advocacy ,subp>t ,,ii (  
"p ,d ( title ,,ix ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bii;b-#cc  
et seq471 z am5d$ by section #fcja7;b7 (
 ! ,pati5t ,protection & ,af=dable ,c>e 
,act 7,public ,law #aaa-adh71 is fur!r  
am5d$ by add+ at ! end ! foll[+3  #ich4 
,grants to support pati5t advocacy  7a7 
,grants ,! ,secret>y1 act+ ?r\gh !      
,director1 %all aw>d grants "u ?is      
section to develop & support pati5t     
advocacy "w to help individuals ) eat+  
disord]s obta9 adequate heal? c>e       
s]vices & insurance cov]age4  7b7       
,eligibility ,to be eligible to receive 
a grant "u ?is section1 an entity %all--
  7#a7 be a public or nonpr(it private  

entity 7includ+ a heal? dep>tm5t ( a    
,/ate or tribal ag5cy1 a community-bas$ 
organization1 or an in/itution ( high]  
education72  7#b7 prep>e & submit to !  
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+--  7,a7  
compreh5sive /rategies = advocat+ on    
behalf (1 & work+ )1 individuals ) eat+ 
disord]s or at risk = develop+ eat+     
disord]s2  7,b7 a plan = consult+ )     
community-bas$ coalitions1 treatm5t     
c5t]s1 or eat+ disord] rese>* exp]ts :o 
h exp]i5ce & exp]tise 9 issues relat$ to
 eat+ disord]s or pati5t advocacy 9     
provid+ s]vices "u a grant aw>d$ "u ?is 
section2 &  7,c7 a plan = f9ancial      
su/a9ability involv+ ,/ate1 local1 &    
private contributions4  7c7 ,use ( funds
 ,am\nts provid$ "u a grant aw>d$ "u ?is
 section %all be us$ to support pati5t  
advocacy "w1 includ+--  7#a7 provid+    
education & outrea* 9 community sett+s  
reg>d+ eat+ disord]s & associat$ heal?  
problems1 especially among l[-income1   

m9ority1 & m$ically und]s]v$            
populations2  7#b7 facilitat+ access to 
appropriate1 adequate1 & timely heal?   
c>e = individuals ) eat+ disord]s &     
associat$ heal? problems2  7#c7 assi/+ 9
 communication & coop]ation betwe5      
pati5ts & provid]s2  7#d7 repres5t+ !   
int]e/s ( pati5ts 9 manag+ heal?        
insurance claims & plans2  7#e7 provid+ 
education & outrea* reg>d+ enrollm5t 9  
heal? insurance1 includ+ enrollm5t 9 !  
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act1 ! ,m$icaid      
program "u title ,,xix ( su* ,act1 & !  
,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi ( su* ,act2  7#f7 id5tify+1 
ref]r+1 & enroll+ und]s]v$ populations 9
 appropriate heal? c>e ag5cies &        
community-bas$ programs & organizations 
9 ord] to increase access to            
high-quality heal? c>e s]vices2  7#g7   
provid+ te*nical assi/ance1 tra9+1 &    
organizational support = pati5t         
advocates2 &  7#h7 creat+1 op]at+1 &    
p>ticipat+ 9 ,/ate or regional networks 

( pati5t advocates4  7d7 ,requirem5ts ( 
grantees  7#a7 ,limitation on           
adm9i/rative exp5ses ,a grantee %all n  
use m ?an #e p]c5t ( ! am\nts receiv$ "u
 a grant "u ?is section = adm9i/rative  
exp5ses4  7#b7 ,contribution ( funds ,a 
grantee "u ?is section1 & any entity    
receiv+ assi/ance "u ! grant = tra9+ &  
education1 %all contribute non-,f$]al   
funds1 ei!r directly or ?r\gh 9-k9d     
contributions1 to ! co/s ( ! activities 
to be fund$ "u ! grant 9 an am\nt t is n
 less ?an #ej p]c5t ( ! total co/ ( su* 
activities4  7#c7 ,report+ to ,secret>y 
,a grantee "u ?is section %all submit to
 ! ,secret>y a report1 at su* "t1 9 su* 
mann]1 & conta9+ su* in=mation z !      
,secret>y may require1 includ+ a        
description & evaluation ( ! activities 
describ$ 9 subsection 7c7 c>ri$ out by  
su* entity4  7e7 ,eat+ disord] ,9 ?is   
section1 ! t]m eat+ disord] has ! mean+ 
giv5 su* t]m 9 section #cii,,oo7e74  7f7
 ,au?orization ( appropriations ,to c>ry
 out ?is section1 !re are au?oriz$ to be

 appropriat$ #a1jjj1jjj = ea* ( fiscal  
ye>s #bjad ?r\gh #bjah4  4