,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ddbg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #h1 #bjad ,mr4 
,ryan ( ,ohio 7= himself1 ,mr4 ,cassidy1
 & ,mr4 ,grijalva7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to       
provide = a grants program to develop & 
enhance integrat$ nutrition curricula 9 
m$ical s*ools4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,exp&+ ,nutrition's
 ,role 9 ,curricula & ,heal?c>e ,act or 
! ,,enri* ,act4  #b4 ,f9d+s ,congress   
f9ds ! foll[+3  7#a7 ,9 #bjab1 ,unit$   
,/ates heal? c>e sp5d+ 0 ab\t #h1iae p] 
resid5t & acc\nt$ = #ag4b p]c5t ( !     
,nation's gross dome/ic product1 :i* is 
among ! highe/ ( all indu/rializ$       
c\ntries4  7#b7 ,exp5ditures 9 ! ,unit$ 
,/ates on heal? c>e surpass$ #b4c       
trillion 9 #bjjh1 m ?an ?ree times !    
#gad billion sp5t 9 #aiij1 & ov] eight  
times ! #bec billion sp5t 9 #aihj4  7#c7
 ,x is e/imat$ t heal? c>e co/s = *ronic
 disease treatm5t acc\nt = ov] #ge p]c5t

 ( national heal? exp5ditures4  7#d7 ,! 
la/ major report f ! ,_w ,heal?         
,organization 9 ,m>* #bjjc conclud$ diet
 0 a major factor 9 ! cause ( *ronic    
diseases4  7#e7 ,sev5 out ( #aj dea?s   
among ,am]icans ea* ye> are f *ronic    
diseases4 ,he>t disease1 canc]1 &       
/roke--ea* ( :i* has be5 /rongly l9k$ to
 diet>y & life/yle *oices--acc\nt = m   
?an #ej p]c5t ( all dea?s ea* ye>4  7#f7
 ,ab\t #ha4a million p 9 ! ,unit$ ,/ates
 h at lea/ "o =m ( c>diovascul> disease4
 ,approximately #b1cjj ,am]icans die e  
day f c>diovascul> disease4 ,9 #bjaj1   
c>diovascul> disease co/ ,am]ican       
taxpay]s #ahi4d billion4 ,! ,am]ican    
,he>t ,association e/imates t1 by #bjcj1
 direct co/s relat$ to c>diovascul>     
disease w triple to ar\nd #hah billion4 
,rese>* has %[n t foll[+ a heal?ful diet
 c n only r$uce symptoms relat$ to he>t 
disease b also rev]se ! damage done to !
 art]ies4  7#g7 ,two-?irds ( ! ,am]ican 
population is curr5tly ov]weight1 half (
 :om are obese4 ,"o 9 ?ree *ildr5 is n[ 

ov]weight1 & "o-fif? ( *ildr5 are obese4
 ,9 #bjjh1 ! ,unit$ ,/ates sp5t #aij    
billion on obesity-relat$ heal? c>e     
co/s4  7#h7 ,an e/imat$ #be4h million   
,am]icans h diabetes4 ,ano!r #gi million
 adults h pr$iabetes4 ,! ,c5t]s =       
,disease ,control & ,prev5tion pr$ict t 
"o 9 ?ree *ildr5 born 9 #bjjj w develop 
diabetes at "s po9t 9 _! lives4         
,diabetes co/ ! gov]nm5t #aaf billion 9 
#bjjg4 ,rese>* has %[n t nutrition !rapy
 is a key compon5t ( diabetes managem5t 
& c improve cl9ical outcomes4  7#i7     
,canc] kills approximately #egj1jjj     
,am]icans ea* ye>1 acc\nt+ = "o 9 e f\r 
dea?s4 ,m ?an #a4e million new canc]    
cases are diagnos$ annually4 ,9 #bjaj1 !
 direct co/s ( canc] 7 #ajb4h billion & 
t numb] is expect$ to rise to #agb      
billion by #bjbj4 ,m ?an #cc p]c5t (    
canc]s are diet relat$ & c\ld be prev5t$
 ) a heal?ful diet4  7#aj7 ,eat+ is a   
complex social ph5om5on influ5c$ by     
family1 social networks1 culture1       
socioeconomic & educational /atus4 ,an  

int]pr(essional approa* to nutrition    
education = cl9icians may n necess>ily  
ov]come ^! =ces b may help ! heal?      
pr(essions team id5tify effective       
/rategies = nutrition c\nsel+ &         
managem5t4  7#aa7 ,physicians are an    
important s\rce ( in=mation & motivation
 = pati5ts' heal? behavior4 ,multiple   
/udies h %[n t physician c\nsel+ on     
weight loss increases ! likelihood t    
pati5ts w attempt weight loss1 increase 
physical activity1 improve diet1 & lose 
weight4  7#ab7 ,lead+ m$ical bodies     
recomm5d t physicians address diet )    
ov]weight pati5ts4 ,guidel9es f lead+   
m$ical bodies su* z ! ,national         
,in/itutes ( ,heal?1 ! ,am]ican ,he>t   
,association1 ! ,am]ican ,college (     
,c>diology1 & ! ,obesity ,society       
recomm5d t physicians c\nsel ov]weight &
 obese pati5ts on ! b5efits ( life/yle  
*anges ?r\gh life/yle *anges su* z diet 
& physical activity4  #c4 ,grants       
program to develop or enhance integrat$ 
nutrition curricula 9 m$ical s*ools  7a7

 ,9 g5]al ,! ,secret>y ( ,heal? & ,human
 ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration & 9 conjunction ) !       
,national ,in/itutes ( ,heal? ,national 
,he>t1 ,lung1 & ,blood ,in/itute1 %all  
e/abli% a competitive grants program "u 
:i* ! ,secret>y may aw>d grants to      
m$ical s*ools 9 ! ,unit$ ,/ates = !     
purpose describ$ 9 subsection 7b77#a74  
7b7 ,use ( grant funds  7#a7 ,9 g5]al ,a
 m$ical s*ool receiv+ a grant "u ?is    
section %all use ! grant to create new  
or exp& exi/+ integrat$ nutrition       
curriculum describ$ 9 p>agraph 7#b7 = ! 
m$ical s*ool4  7#b7 ,integrat$ nutrition
 curriculum ,= purposes ( p>agraph 7#a71
 an integrat$ nutrition curriculum--    
7,a7 %all be design$ bas$ on ! be/      
possible evid5ce to improve             
communication & provid] prep>$ness 9 !  
prev5tion1 managem5t1 &1 z possible1    
rev]sal ( obesity1 c>diovascul> disease1
 diabetes1 & canc]2 &  7,b7 %all1 to !  
greate/ ext5t practicable1 address su*  

additional topics1 includ+ nutrition    
across ! life cycle ( individuals :o are
 memb]s ( at-risk populations1 food     
insecurity among su* individuals1 &     
malnutrition among su* individuals4  7c7
 ,eligibility ,to be eligible to receive
 a grant "u ?is section1 an eligible    
entity %all--  7#a7 be a m$ical s*ool 9 
! ,unit$ ,/ates t is accr$it$ by !      
,liaison ,committee on ,m$ical          
,education & ,resid5cy ,program         
,accr$itation ,c\ncil = ,graduate       
,education or by ! ,am]ican ,o/eopa?ic  
,association ,commission on ,o/eopa?ic  
,college ,accr$itation2 &  7#b7 submit  
an application to ! ,secret>y1 9        
accordance ) su* "t1 =m1 & mann] &      
conta9+ su* in=mation z specifi$ by !   
,secret>y1 includ+--  7,a7 a description
 ( h[ ! m$ical s*ool int5ds to implem5t 
! integrat$ nutrition curriculum        
describ$ 9 subsection 7b77#b72 &  7,b7 a
 description ( b5*m>ks to measure !     
success ( ! implem5tation ( su*         
curriculum4  7d7 ,adm9i/rative          

provisions  7#a7 ,duration ( ,program ,a
 grant aw>d$ to a m$ical s*ool "u ?is   
section %all be = a ?ree-ye> p]iod1     
beg9n+ on ! date ( ! e/abli%m5t ( !     
grants program "u subsection 7a74  7#b7 
,limitations  7,a7 ,grant am\nts ,a     
grant aw>d$ to a m$ical s*ool "u ?is    
section may n exce$ #ejj1jjj4  7,b7 ,"o 
grant p] s*ool ,a m$ical s*ool %all n be
 eligible = m ?an "o grant "u ?is       
section & may n r5ew su* a grant4  7#c7 
,priority ,9 aw>d+ grants1 ! ,secret>y  
%all give priority to m$ical s*ools--   
7,a7 t submit applications "u subsection
 7c77#a7 t describe an integrat$        
nutrition curriculum t w be implem5t$   
?r\gh ! use ( su* a grant--  7i7 t is   
coord9at$ ) a resid5cy program2 or  7ii7
 provides t /ud5ts ( su* s*ool %\ld     
receive at lea/ #be h\rs ( nutrition    
education2 or  7,b7 t1 = purposes (     
c>ry+ out su* curriculum ?r\gh ! use (  
su* a grant1 p>tn] ) education programs 
= heal? pr(essionals o!r ?an physicians4
  7e7 ,reports  7#a7 ,p]iodic reports   

dur+ grants program  7,a7 ,9 g5]al ,=   
ea* s*ool ye> end+ dur+ ! duration ( !  
grants program "u ?is section1 !        
,secret>y %all submit to ,congress a    
report on ! grants program4  7,b7       
,report ,elem5ts ,ea* su* report %all   
include--  7i7 ! f9d+s & conclusions ( !
 ,secret>y ) respect to ! integration ( 
nutrition curriculum into ! curriculum (
 ! m$ical s*ools receiv+ a grant "u !   
grants program2 &  7ii7 an assessm5t ( !
 b5efits ( ! grants program =--  7,i7   
e/abli%+ be/ practices = provid]s to    
advise pati5ts 9 ! cl9ical sett+2       
7,,ii7 provid+ great] nutrition aw>5ess 
to physicians & o!r heal? pr(essionals &
 pati5ts ( su* physicians &             
pr(essionals2 &  7,,iii7 improv+        
heal?fulness ( pati5ts' diets & improv+ 
pati5t heal? outcomes4  7#b7 ,f9al      
,report ,n lat] ?an #ahj days aft] ! la/
 day ( ! grants program "u ?is section1 
! ,secret>y %all submit to ,congress a  
report detail+ ! recomm5dations ( !     
,secret>y z to any b5efits or b>ri]s (  

integrat+ nutrition curriculum at bo? ! 
m$ical s*ool & resid5cy levels4  7f7    
,fund+ ,no additional funds are au?oriz$
 to c>ry out ! requirem5ts ( ?is        
section4 ,! ,secret>y %all c>ry out su* 
requirem5ts by us+1 f am\nts o!rwise    
au?oriz$ or appropriat$1 up to          
#e1jjj1jjj = ea* ( fiscal ye>s #bjae    
?r\gh #bjag4