,i #aac? ,,congress #b;d ,session ,h4 ,r4 #dgfe ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #bi1 #bjad ,ms4 ,fudge 7= h]self1 ,mr4 ,ellison1 ,ms4 ,lee ( ,cali=nia1 ,mr4 ,ri*mond1 & ,mr4 ,payne7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,agriculture1 ,education & ! ,work=ce1 ! ,judici>y1 ,f9ancial ,s]vices1 & ,natural ,res\rces1 = 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 address *ildhood obesity1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,fit = ,life ,act ( #bjad4 #b4 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table ( cont5ts4 ,title ,i--,improv+ ! ,nutritional ,quality ( & ,access to ,foods 9 ,und]s]v$ ,am]ican ,communities ,subtitle ,a--,access to ,nutriti\s & ,quality ,foods 9 ,und]s]v$ ,am]ican ,communities ,sec4 #aja4 ,nutriti\s ,food ,access ?r\gh mobility & ,innovation ,program4 ,sec4 #ajb4 ,expansion ( ! ,fre% ,fruit & ,vegetable ,program4 ,sec4 #ajc4 ,exp&+ ,access to ! ,summ] ,food ,s]vice ,program = ,*ildr54 ,sec4 #ajd4 ,/udy & report on physical activity & nutritional quality ( meals & snacks s]v$1 9 juv5ile ju/ice facilities4 ,sec4 #aje4 ,local food insecurity assessm5ts3 evaluat+ ! unique nutritional ne$s ( local communities4 ,sec4 #ajf4 ,week5ds & holidays )\t hung]4 ,subtitle ,b--,ensur+ a ,heal?y ,/>t = ,*ildr5 9 ,und]s]v$ ,am]ican ,communities ,sec4 #aaa4 ,improv+ ,heal?y ,eat+ & ,physical ,activity ,among our ,y\nge/ ,*ildr54 ,sec4 #aab4 ,heal? & fitness s*ool programs3 tra9+ ,am]ica's y\? to live heal?y life/yles4 ,title ,,ii--,advanc+ ,prev5tative ,measures & ,treatm5t ( ,obesity 9 ,adults & ,*ildr5 9 ,und]s]v$ ,communities ,sec4 #bja4 ,community heal? & wellness navigators pilot program3 connect+ ,am]ica's heal? pr(essionals ) our s*ools4 ,sec4 #bjb4 ,cov]age ( evid5ce-bas$ prev5tive s]vices "u ,m$icaid & ,,s*ip4 ,sec4 #bjc4 ,cov]age ( m$ical nutrition !rapy "u ,m$icaid & ,,*ip4 ,sec4 #bjd4 ,cl>ification ( ,,epsdt inclusion ( prev5tion1 scre5+1 & treatm5t s]vices = obesity & ov]weight2 ,,*ip cov]age4 ,sec4 #bje4 ,national commission on *ild obesity4 ,sec4 #bjf4 ,,gao report4 ,title ,,iii--,enc\rag+ ,physical ,activity 9 ,und]s]v$ ,am]ican ,communities ,sec4 #cja4 ,r5ovation ( =eclos$ & ab&on$ prop]ties to create spaces t enc\rage physical activity 9 ,am]ican neighborhoods4 ,sec4 #cjb4 ,national y\? sports program revitalization4 ,sec4 #cjc4 ,expansion ( ! ,zuni ,y\? ,enri*m5t ,project ,summ] ,camp4 ,sec4 #cjd4 ,mak+ r\tes to s*ools 9 und]s]v$ communities safe & accessible ) public p>ticipation ?r\gh ! ,community ,ori5t$ ,polic+ ,s]vices program4 ,sec4 #cje4 ,s*ool infra/ructure heal?i] upgrades competitive grant4 ,sec4 #cjf4 ,%>$ use agreem5t expansion pilot grant program4 ,sec4 #cjg4 ,l& & ,wat] ,cons]vation ,fund ,program ,grants 9 ,l[-,income ,communities & ,exp& ,tribal ,p>ticipation4 ,sec4 #cjh4 ,*ang+ ,he>ts1 ,attitudes1 & ,m9ds by ,p>ticipat+ 9 ,sports 7,,*amps7 ,program4 ,sec4 #cji4 ,coord9at$ ,s*ool ,heal? ,initiatives4 ,sec4 #caj4 ,rew>d+ elem5t>y & second>y s*ools = out/&+ /ud5t p]=mance 9 physical fitness programs4 ,i ,improv+ ! ,nutritional ,quality ( & ,access to ,foods 9 ,und]s]v$ ,am]ican ,communities ,a ,access to ,nutriti\s & ,quality ,foods 9 ,und]s]v$ ,am]ican ,communities #aja4 ,nutriti\s food access ?r\gh mobility & innovation program 7a7 ,adm9i/ration ,! ,secret>y ( ,agriculture %all c>ry out a pilot program to make #c-ye> grants 9 accordance ) ?is section to nonpr(it organizations1 local gov]nm5t ag5cies1 & accr$it$ colleges & univ]sities4 7b7 ,eligibility ,to be eligible to receive a grant "u ?is section1 a nonpr(it organization1 local gov]nm5t ag5cy1 =-pr(it bus9ess1 or accr$it$ college or univ]sity %all submit to ! ,secret>y an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,secret>y may require by rule4 ,su* application %all include an assurance t su* applicant w create or exp& an innovative food di/ribution project t-- 7#a7 s]ves an area 9 :i* resid5ts h l[ income1 or an area t is a food des]t or food swamp2 7#b7 is n a sup]m>ket-bas$ project2 7#c7 provides = ! free or l[-co/ deliv]y ( fre% fruits & vegetables to food recipi5ts :o p>ticipate 9 su* project2 7#d7 provides = ! acquisition ( produce trucks to di/ribute food to su* recipi5ts )\t a deliv]y *>ge & )\t any o!r s]vice *>ge2 or 7#e7 provides = ! e/abli%m5t ( a community food m>ket 7includ+ a food m>ket 9 a s*ool7 at :i* fre% fruits & vegetables are sold to su* recipi5ts at a l[ co/4 7c7 ,priority ,! ,secret>y %all give priority to-- 7#a7 eligible applicants t propose to create or to exp& a project t w op]ate 9 a geographical area 9 :i* !re is a high incid5ce ( *ildhood obesity2 7#b7 eligible applicants t h a prov5 record ( s]v+ l[-income or m9ority communities2 & 7#c7 organizations ) plans = su/a9ability plans 9 place = cont9u+ successful s]vices aft] ,f$]al fund+ lapses4 7d7 ,report+ ,ea* recipi5t ( a #c-ye> grant made "u ?is section %all submit annually to ! ,secret>y a report t includes an assessm5t (-- 7#a7 ! impact t ! recipi5t's project has _h on ! community involv$ dur+ ! ye> = :i* su* report is submitt$2 & 7#b7 ! prospects ( cont9u+ su* project aft] ! #c-ye> p]iod = :i* su* grant is made4 #ajb4 ,expansion ( ! ,fre% ,fruit & ,vegetable ,program ,section #ai ( ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agfi;a7 is am5d$-- 7#a7 9 subsection 7a71 by ins]t+ 1 second>y s*ools1 *ildc>e c5t]s1 & family *ildc>e homes aft] elem5t>y s*ools2 7#b7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,program ,a s*ool1 *ildc>e c5t]1 or family *ildc>e home p>ticipat+ 9 ! program-- 7#a7 %all make free fruits & vegetables available to /ud5ts ?r\gh\t ! s*ool1 c5t]1 or home day 7or at su* o!r times z are consid]$ appropriate by ! ,secret>y7 9 #a or m areas designat$ by ! s*ool1 c5t]1 or home2 & 7#b7 may make free fruits & vegetables 9 any o!r =m 7su* z fre%1 froz51 dri$1 pure$1 or cann$7 available to /ud5ts ?r\gh\t ! s*ool1 c5t]1 or home day 7or at su* o!r times z are consid]$ appropriate by ! ,secret>y7 9 #a or m areas designat$ by ! s*ool only if su* fruits & vegetables meet any additional nutrition specifications1 z e/abli%$ by ! ,secret>y4 2 7#c7 9 subsection 7d7-- 7,a7 9 ! head+1 by ins]t+ 1 c5t]s1 or homes2 7,b7 9 p>agraph 7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 c5t]s1 or homes aft] s*ools2 7ii7 9 subp>agraph 7,a71 by ins]t+ 1 c5t]1 or home aft] s*ool2 7iii7 9 subp>agraph 7,b71 by ins]t+ 1 c5t]s1 or homes aft] s*ools2 7iv7 by am5d+ subp>agraph 7,c7 to read z foll[s3 7,c7 ensure t ea* s*ool select$ is an elem5t>y s*ool or second>y s*ool 7z su* t]ms are def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja771 ea* c5t] select$ is a *ildc>e c5t] 7z su* t]m is def9$ 9 section #cii,,oo ( ! ,public ,heal? ,s]vice ,act71 & ea* home select$ is a family *ildc>e home 7z su* t]m is def9$ 9 section #cii,,oo ( ! ,public ,heal? ,s]vice ,act74 2 & 7v7 9 subp>agraph 7,d7-- 7,i7 9 ! matt] prec$+ clause 7i71 by ins]t+ 1 c5t]s1 or homes aft] s*ools2 7,,ii7 9 clause 7i71 by ins]t+ 1 c5t]1 or home aft] s*ool2 & 7,,iii7 9 clause 7ii71 by ins]t+ 1 c5t]1 or home aft] z det]m9$ by ! s*ool2 7,c7 9 p>agraph 7#b71 by ins]t+ 1 c5t]s1 or homes aft] ea* place s*ools appe>s2 & 7,d7 9 p>agraph 7#c71 by ins]t+ 1 c5t]s1 or homes aft] ea* place s*ools appe>s2 & 7#d7 9 subsection 7e71 by ins]t+ 1 c5t]1 or home aft] s*ool4 #ajc4 ,exp&+ access to ! ,summ] ,food ,s]vice ,program = ,*ildr5 ,section #ac7;a7 ( ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agfa7;a77 is am5d$-- 7#a7 9 p>agraph 7#a77;,a71 by /rik+ #ej p]c5t ea* place x appe>s & ins]t+ #dj p]c5t2 7#b7 by repeal+ p>agraph 7#i72 & 7#c7 9 p>agraph 7#aj7-- 7,a7 9 subp>agraph 7,a7-- 7i7 by /rik+ ,! ,secret>y & ins]t+ ,f ! am\nts appropriat$ to c>ry out ?is p>agraph1 ! ,secret>y2 & 7ii7 by /rik+ n m ?an #e2 7,b7 9 subp>agraph 7,c71 by /rik+ fiscal ye> #bjjf & ins]t+ fiscal ye> #bjae2 7,c7 9 subp>agraph 7,d7-- 7i7 by /rik+ ,janu>y #a1 #bjjh & ins]t+ ,janu>y #a1 #bjae2 & 7ii7 by /rik+ ,janu>y #a1 #bjji & ins]t+ ,janu>y #a1 #bjaf2 & 7,d7 by /rik+ subp>agraph 7,e74 #ajd4 ,/udy & report on physical activity & nutritional quality ( meals & snacks s]v$ 9 juv5ile ju/ice facilities 7a7 ,/udy ,! ,adm9i/rator ( ! ,(fice ( ,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion1 9 consultation ) ! ,secret>y ( ,agriculture1 %all conduct a /udy on-- 7#a7 physical activity by juv5iles 9 juv5ile ju/ice facilities1 includ+-- 7,a7 ! am\nt ( su* physical activity2 7,b7 ! types ( physical activities 9 :i* su* juv5iles p>ticipate2 7,c7 ! numb] ( h\rs p] day su* juv5iles p>ticipate 9 su* physical activity2 7,d7 ! degree ( inclusiv5ess = juv5iles ) disabilities 9 physical activities2 7,e7 ! p>ticipation rates = juv5iles ) disabilities2 & 7,f7 ! adequacy ( ! am\nts & types ( physical activity ( su* juv5iles2 & 7#b7 ! nutritional quality ( meals & snacks s]v$ 9 juv5ile ju/ice facilities4 7b7 ,report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,(fice ( ,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion1 9 consultation ) ! ,secret>y ( ,agriculture1 %all submit to ,congress a report on ! f9d+s ( ! /udy conduct$ "u subsection 7a71 includ+ an evaluation ( :e!r ! am\nts & types ( physical activity by juv5iles1 & ! nutritional quality ( meals & snacks s]v$1 9 juv5ile ju/ice facilities are adequate to ensure ! heal? & wellness ( su* juv5iles4 #aje4 ,local food insecurity assessm5ts3 evaluat+ ! unique nutritional ne$s ( local communities 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a #c-ye> pilot program to aw>d grants to local & tribal gov]nm5ts1 on a competitive basis1 to all[ su* local & tribal gov]nm5ts1 9 p>tn]%ip ) ! local community organizations "u subsection 7e71 to-- 7#a7 conduct a food security assessm5t2 & 7#b7 make an inv5tory ( ! sy/em 9 ord] to id5tify ! /r5g?s & gaps 9 su* sy/em4 7b7 ,data po9ts = ,assessm5t ,= purposes ( conduct+ an assessm5t & mak+ an inv5tory "u a grant "u subsection 7a71 ) respect to ! community s]v$ by a local or tribal gov]nm5t1 su* gov]nm5t %all exam9e ! foll[+ food security & food sy/em issues 9 ! community3 7#a7 ,! preval5ce ( *ildhood obesity4 7#b7 ,! availability ( safe r\tes to s*ool = *ildr54 7#c7 ,! quality ( food s]v$ 9 s*ool & *ildc>e sett+s4 7#d7 ,! availability ( sup]m>kets4 7#e7 ,! co/ & availability ( fre% fruits & vegetables4 7#f7 ,! conc5tration ( conv5i5ce /ores & o!r food v5dors t sell a disproportionate am\nt ( foods t are n fre% fruits & vegetables4 7#g7 ,! availability ( products4 7#h7 ,! conc5tration ( fa/ food re/aurants4 7#i7 ,! availability ( gre5 space or recreation areas1 & ! ext5t to :i* su* space or areas enc\rage physical activity by adults & *ildr54 7#aj7 ,any o!r issues det]m9$ to be relevant by ! local or tribal gov]nm5t4 7#aa7 ,any o!r issues det]m9$ to be relevant by ! ,secret>y ( ,heal? & ,human ,s]vices4 7c7 ,numb] ( sites ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 aw>d+ grants "u subsection 7a71 %all aw>d grants to no m ?an-- 7#a7 #bj local gov]nm5ts2 & 7#b7 #e tribal gov]nm5ts4 7d7 ,priority ,9 aw>d+ grants "u subsection 7a71 ! ,secret>y ( ,heal? & ,human ,s]vices %all give priority to ^? local & tribal gov]nm5ts t s]ve communities ) ! highe/ conc5trations ( pov]ty4 7e7 ,requirem5t ( p>tn]%ips ,9 ord] to qualify = a grant "u subsection 7a71 a local or tribal gov]nm5t %all demon/rate1 to ! satisfaction ( ! ,secret>y ( ,heal? & ,human ,s]vices1 t ! local or tribal gov]nm5t has ent]$ into a p>tn]%ip 7= ! purpose ( conduct+ an assessm5t & mak+ an inv5tory "u subsection 7a77 ) at lea/ "o ( ! foll[+ local community organizations3 7#a7 ,a nonpr(it1 community-bas$ organization or entity4 7#b7 ,a develop] or urban plann+ in/itution4 7#c7 ,an accr$it$ college or univ]sity4 7#d7 ,a free/&+ *ildr5's hospital or c5t] ) exp]tise 9 *ild heal? & policy4 #ajf4 ,week5ds & holidays )\t hung] ,section #ah ( ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agfi7 is am5d$ by add+ at ! end ! foll[+3 7l7 ,week5ds & holidays )\t hung] 7#a7 ,def9itions ,9 ?is subsection3 7,a7 ,at-risk s*ool *ild ,! t]m at-risk s*ool *ild has ! mean+ giv5 ! t]m 9 section #ag7r77#a74 7,b7 ,eligible in/itution 7i7 ,9 g5]al ,! t]m eligible in/itution means a public or private nonpr(it in/itution t is det]m9$ by ! ,secret>y to be able to meet safe food /orage1 h&l+1 & deliv]y /&>ds e/abli%$ by ! ,secret>y4 7ii7 ,inclusions ,! t]m eligible in/itution includes-- 7,i7 an elem5t>y or second>y s*ool or s*ool food s]vice au?ority2 7,,ii7 a food bank or food pantry2 7,,iii7 a homeless %elt]2 & 7,,iv7 su* o!r type ( em]g5cy fe$+ ag5cy z is approv$ by ! ,secret>y4 7#b7 ,e/abli%m5t ,subject to ! availability ( appropriations provid$ 9 advance 9 an appropriations ,act specifically = ! purpose ( c>ry+ out ?is subsection1 ! ,secret>y %all e/abli% a program "u :i* ! ,secret>y %all provide commodities1 on a competitive basis1 to eligible in/itutions to provide nutriti\s food to at-risk *ildr5 on week5ds & dur+ ext5d$ s*ool holidays dur+ ! s*ool ye>4 7#c7 ,eligibility 7,a7 ,9 g5]al ,to be eligible to receive commodities "u ?is subsection1 an eligible in/itution %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may det]m9e4 7,b7 ,plan ,an application "u subp>agraph 7,a7 %all include ! plan ( ! eligible in/itution = ! di/ribution ( nutriti\s foods to at-risk s*ool *ildr51 includ+-- 7i7 me?ods ( food s]vice deliv]y to at-risk s*ool *ildr52 7ii7 assurances t *ildr5 receiv+ foods "u ! project w n be publicly sep>at$ or ov]tly id5tifi$2 7iii7 li/s ( ! types ( food to be provid$ "u ! project & provisions to ensure food quality & safety2 7iv7 in=mation on ! numb] ( at-risk s*ool *ildr5 to be s]v$ & ! p]-*ild co/ ( provid+ ! *ildr5 ) food2 & 7v7 su* o!r in=mation z ! ,secret>y det]m9es to be necess>y to assi/ ! ,secret>y 9 evaluat+ projects t receive commodities "u ?is subsection4 7#d7 ,priority ,9 select+ applications "u ?is subsection1 ! ,secret>y %all give priority to eligible in/itutions t-- 7,a7 h on-go+ programs & exp]i5ce s]v+ populations ) significant proportions ( at-risk s*ool *ildr52 7,b7 h a good record ( exp]i5ce 9 food deliv]y & food safety sy/ems2 7,c7 ma9ta9 high quality control1 acc\ntability1 & recordkeep+ /&>ds2 7,d7 provide *ildr5 ) readily consumable food ( high nutri5t cont5t & quality2 7,e7 demon/rate co/ effici5cies & ! pot5tial = obta9+ supplem5tal fund+ f non-,f$]al s\rces to c>ry out projects2 & 7,f7 demon/rate ! ability to cont9ue projects = ! full approv$ t]m ( ! pilot project p]iod4 7#e7 ,guidel9es 7,a7 ,9 g5]al ,! ,secret>y %all issue guidel9es conta9+ ! crit]ia = projects to receive commodities "u ?is subsection4 7,b7 ,inclusions ,! guidel9es %all1 to ! maximum ext5t practicable )9 ! funds available & applications submitt$1 take into acc\nt-- 7i7 geographical v>iations 9 project locations to include qualify+ projects 9 rural1 urban1 & suburban areas ) high proportions ( families ) at-risk s*ool *ildr52 7ii7 diff]5t types ( projects t (f] nutriti\s foods on week5ds & dur+ s*ool holidays to at-risk s*ool *ildr52 & 7iii7 in/itutional capacity to collect1 ma9ta91 & provide /ati/ically valid in=mation necess>y = ! ,secret>y-- 7,i7 to analyze & evaluate ! results ( ! pilot project2 & 7,,ii7 to make recomm5dations to ,congress4 7#f7 ,evaluation 7,a7 ,int]im evaluation ,n lat] ?an ,novemb] #cj1 #bjaf1 ! ,secret>y %all complete an int]im evaluation ( ! pilot program c>ri$ out "u ?is subsection4 7,b7 ,f9al report ,n lat] ?an ,decemb] #ca1 #bjag1 ! ,secret>y %all submit to ,congress a f9al report t conta9s-- 7i7 an evaluation ( ! pilot program c>ri$ out "u ?is subsection2 & 7ii7 any recomm5dations ( ! ,secret>y = legislative action4 7#g7 ,fund+ 7,a7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z are necess>y1 to rema9 available until exp5d$4 7,b7 ,availability ( funds ,n m ?an #c p]c5t ( ! funds made available "u subp>agraph 7,a7 may be us$ by ! ,secret>y = exp5ses associat$ ) review ( ! op]ations & evaluation ( ! projects c>ri$ out "u ?is subsection4 4 ,b ,ensur+ a ,heal?y ,/>t = ,*ildr5 9 ,und]s]v$ ,am]ican ,communities #aaa4 ,improv+ heal?y eat+ & physical activity among our y\nge/ *ildr5 ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq47 is am5d$ by add+ at ! end ! foll[+3 ,w ,heal?y kids program #cii,,oo4 ,def9itions ,9 ?is "p3 7#a7 ,*ildc>e c5t] ,! t]m *ildc>e c5t] means a c5t] lic5s$ or o!rwise au?oriz$ to provide *ildc>e s]vices = few] ?an #bd h\rs p] day p] *ild 9 a nonresid5tial sett+1 unless c>e 9 excess ( #bd h\rs is due to ! nature ( ! p>5ts' "w4 7#b7 ,e>ly le>n+ c\ncil ,! t]m e>ly le>n+ c\ncil means an e>ly *ildhood assembly t is e/abli%$ to advise ,gov]nors1 ,/ate legislators1 or ,/ate ag5cy adm9i/rators on h[ be/ to meet ! ne$s ( "y *ildr5 & _! families specifically ?r\gh improvem5t ( programs & s]vices4 7#c7 ,family *ildc>e home ,! t]m family *ildc>e home means a private family home :]e home-bas$ *ildc>e is provid$ = a portion ( ! day1 unless c>e 9 excess ( #bd h\rs is due to ! nature ( ! p>5ts' "w1 & t is c]tifi$1 regi/]$1 or lic5s$ 9 ! ,/ate 9 :i* x is locat$4 7#d7 ,scre5 "t limits ,! t]m scre5 "t limits means policies or guidel9es1 su* z ^? develop$ by ! ,am]ican ,academy ( ,p$iatrics1 design$ to r$uce ! daily am\nt ( "t t *ildr5 sp5d wat*+ or look+ at digital monitors or displays1 includ+ television sets1 comput] monitors1 or h&-held gam+ devices4 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 #cii,,oo-#a4 ,grants 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) appropriate entities )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all aw>d #c-ye> competitive grants to #e ,/ate heal? dep>tm5ts 7or o!r appropriate *ildc>e lic5s+ entities )9 su* ,/ates7 to help r$uce & prev5t obesity among ! bir? to #e-ye>-old population ( ! ,/ate 9 *ildc>e sett+s outside a *ild's place ( resid5ce4 7b7 ,use ( funds ,/ate grantees %all use am\nts receiv$ "u a grant "u ?is subsection to-- 7#a7 provide1 or ent] into contracts to provide1 tra9+ 7t meets ! requirem5ts ( subsection 7c77 to ! /aff ( national1 ,/ate1 or community-bas$ organizations ) networks ( *ildc>e c5t]s1 or a consortium ( *ildc>e c5t]s & family *ildc>e homes consi/+ ( at lea/ #aj c5t]s1 = ! purpose ( implem5t+ evid5ce-bas$ heal?y eat+ & physical activity policies & practices1 includ+ curricula & o!r int]v5tions2 & 7#b7 provide grants to *ildc>e c5t]s & family *ildc>e homes1 ^: /aff receiv$ ! tra9+ describ$ 9 p>agraph 7#a71 to implem5t practice1 curricula1 & policy *anges 7t meet ! requirem5ts ( subsection 7d77 t promote heal?y eat+ & physical activity among ! bir? to #e ye>s ( age population4 ,pref]5ce 9 aw>d+ grants %all be giv5 to ^? ,/ates t demon/rate collaboration betwe5 relevant ,/ate entities relat$ to *ildc>e & heal? & ) key /akehold]s1 su* z ,/ate e>ly le>n+ c\ncils & o!r community-bas$ organizations work+ ) *ildc>e c5t]s or family *ildc>e homes4 7c7 ,tra9+ requirem5ts 7#a7 ,9 g5]al ,tra9+ provid$ "u subsection 7b7 %all-- 7,a7 include ! provision ( in=mation conc]n+ age-appropriate heal?y eat+ & physical activity int]v5tions & culturally compet5t curricula = ! bir? to #e ye>s ( age population 9 ! ,/ate involv$1 :i* at a m9imum %all include-- 7i7 a h&book t includes recomm5dations1 guidel9es1 & be/ practices = *ildc>e c5t]s & family *ildc>e homes relat+ to heal?y eat+1 physical activity1 & scre5 "t r$uction2 7ii7 in=mation ab\t ! availability ( & s]vices provid$ by *ildc>e heal? consultants2 & 7iii7 heal? & wellness res\rces available ?r\gh ! ,*ild ,c>e ,bureau & ! ,mat]nal & ,*ild ,heal? ,bureau2 7,b7 id5tify1 improve ^u1 & exp& nutrition & physical activity be/ practices t>get$ to ! bir? to #e ye>s ( age population 9 ! ,/ate involv$ & id5tify /rategies = incorporat+ p>5tal education & o!r p>5tal involvem5t2 & 7,c7 provide in/ruction on h[ to appropriately model1 direct1 & enc\rage *ildc>e /aff behavior to apply ! be/ practices & /rategies id5tifi$ "u subp>agraph 7,b74 7#b7 ,tra9+ entities ,a grantee may conduct ! tra9+ requir$ "u ?is section directly1 or may provide su* tra9+ ?r\gh a contract )-- 7,a7 an appropriate national1 ,/ate1 or community organization ) relevant exp]tise2 7,b7 a heal? c>e provid] or pr(essional organization ) relevant exp]tise2 7,c7 a univ]sity or rese>* c5t] t employs faculty ) relevant exp]tise2 or 7,d7 any o!r entity det]m9$ appropriate by ! ,/ate & approv$ by ! ,secret>y4 7#c7 ,requirem5t ( contract ,if a grantee elects to provide ! tra9+ "u ?is section ?r\gh a contract1 ! grantee %all ensure t a consi/5t heal?y eat+ & physical activity curriculum is be+ develop$ = all *ildc>e entities p>ticipat+ 9 ! pilot program 9 ! ,/ate4 7d7 ,practice1 curricula1 & policy *anges ,aft] tra9+ is provid$ z requir$ "u subsection 7c71 a ,/ate grantee %all ensure t ! organizations & consortia involv$-- 7#a7 implem5t1 9 *ildc>e sett+s1 evid5ce-bas$ policy *anges t promote heal?y eat+1 physical activity1 & appropriate scre5 "t limits among ! bir? to #e ye>s ( age population2 7#b7 utilize an evid5ce-bas$1 culturally compet5t heal?y eat+ & physical activity curriculum 9 *ildc>e sett+s focus+ on su* bir? to age #e population2 7#c7 implem5t programs1 activities1 & proc$ures = incorporat+ p>5tal education & involvem5t ( p>5ts 9 programs1 includ+ dissem9at+ a writt5 p>5tal involvem5t policy1 & coord9at+ & integrat+ p>5tal involvem5t /rategies "u ?is section1 to ! ext5t feasible & appropriate1 ) p>5tal involvem5t /rategies "u o!r programs1 su* z ! ,head ,/>t program & ! ,e>ly ,head ,/>t ,program2 & 7#d7 f9d innovative ways to remove b>ri]s t exi/ to provid+ opportunities = heal?y eat+ & physical activity4 ,all activities describ$ 9 ?is p>agraph %all be evid5ce-bas$ & be consi/5t ) ! curriculum pres5t$ ?r\gh tra9+ activities describ$ 9 subsection 7c74 #cii,,oo-#b4 ,grants = ! evaluation ( pilot programs ,! ,secret>y %all aw>d competitive grants to prev5tion rese>* c5t]s or univ]sities to evaluate ! programs c>ri$ out ) grants "u section #cii,,oo-#a1 includ+ basel9e1 process1 & outcome measurem5ts4 #cii,,oo-#c4 ,coord9ation 7a7 ,int]ag5cy coord9ation ,to ! ext5t practicable1 ! ,secret>y %all coord9ate activities conduct$ "u ?is "p ) activities und]tak5 by ! ,national ,prev5tion1 ,heal? ,promotion & ,public ,heal? ,c\ncil e/abli%$ "u section #djja ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh74 ,:]e practicable1 su* coord9ation %all-- 7#a7 include ! %>+ ( curr5t & em]g+ be/ practices conc]n+ heal?y eat+1 physical activity1 & scre5 "t limits t h a population-level impact 9 promot+ nutrition & physical activity 9 *ildc>e sett+s2 7#b7 promote ! effective implem5tation & su/a9ability ( su* programs2 & 7#c7 avoid unnecess>y duplication ( ef=t4 7b7 ,pilot coord9ation ,! ,secret>y %all designate an individual 7directly or ?r\gh contract7 to provide te*nical assi/ance to ,/ates & pilot c5t]s 9 ! developm5t1 implem5tation1 & evaluation ( activities & dissem9ation ( in=mation describ$ 9 p>agraphs 7#a71 7#b71 & 7#c7 ( subsection 7a74 #cii,,oo-#d4 ,evaluation & report+ 7a7 ,te*nical assi/ance & in=mation ,! ,secret>y %all-- 7#a7 provide te*nical assi/ance to grantees & o!r entities provid+ tra9+ "u a grant "u ?is "p2 & 7#b7 dissem9ate to heal? dep>tm5ts & tra9]s "u grants "u ?is "p in=mation conc]n+ evid5ce-bas$ approa*es1 includ+ dissem9ation ( exi/+ toolkits1 curricula1 & exi/+ or em]g+ be/ practices t c be exp&$ or improv$ ^u ?r\gh a program conduct$ "u ?is "p4 7b7 ,evaluation requirem5ts ,) respect to evaluations conduct$ "u section #cii,,oo-#b1 ! ,secret>y %all ensure t-- 7#a7 evaluation metrics are consi/5t across all programs fund$ "u ?is "p2 7#b7 int]im outcomes are measur$ by ! numb] ( c5t]s t h implem5t$ policy & environm5tal /rategies t support use ( curricula & practices support+ heal?y eat+1 physical activity1 & scre5 "t limits2 7#c7 int]im outcomes are measur$1 to ! ext5t possible1 by behavior *anges 9 heal?y eat+1 physical activity1 & scre5 "t2 & 7#d7 ^u completion ( ! program1 ! evaluation %all include an id5tification ( be/ practices relat+ to behavior *ange & r$uctions 9 ! increas+ preval5ce ( ov]weight & obesity t c\ld be replicat$ 9 o!r sett+s4 7c7 ,dissem9ation ( in=mation ,^u ! conclusion ( ! programs c>ri$ out "u ?is "p1 ! ,secret>y %all dissem9ate to all appropriate ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices evid5ce1 be/ practices1 & lessons le>n$ f grantees4 ,su* ag5cies %all enc\rage ! adoption ( ! be/ practices4 7d7 ,report to ,congress ,n lat] ?an #f mon?s aft] ! completion ( ! program "u ?is "p1 ! ,secret>y %all submit to ,congress a report conta9+ an evaluation ( ! program1 includ+ recomm5dations z to h[ lessons le>n$ f ! program c be incorporat$ into future guidance docum5ts develop$ & provid$ by ! ,secret>y & o!r ,f$]al ag5cies1 z appropriate4 #cii,,oo-#e4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is "p1 #b1ejj1jjj = ea* ( fiscal ye>s #bjae1 #bjaf1 & #bjag4 4 #aab4 ,heal? & fitness s*ool programs3 tra9+ ,am]ica's y\? to live heal?y life/yles 7a7 ,9 g5]al ,! ,secret>ies %all c>ry out a #b-ye> pilot program consi/+ ( aw>d+ grants to eligible entities = ! purpose ( e/abli%+ or exp&+ evid5ce-bas$ heal? & fitness programs 9 second>y s*ools 9 l[-income communities4 7b7 ,heal? & fitness program requirem5ts ,z a condition on receipt ( a grant "u ?is section1 an eligible entity %all agree t any heal? & fitness program at a second>y s*ool fund$ ?r\gh ! grant w-- 7#a7 be conduct$ 9 p>tn]%ip ) ! second>y s*ool1 community entities1 & tribal c\ncils2 7#b7 ensure ! s]vices provid$ are inclusive ( /ud5ts ) disabilities2 7#c7 include s]vices by rec5t graduates ( in/itutions ( high] education :o are int]e/$ 9 pursu+ graduate degrees 9 m$ic9e1 nurs+1 nutrition sci5ce1 ex]cise physiology1 public heal?1 or a relat$ discipl9e2 7#d7 use s]vices by su* graduates to supplem5t r ?an supplant ! heal? & fitness curriculum ( ! second>y s*ool2 7#e7 include a highly effective /ud5t-m5tor int]v5tion & education program conduct$ by su* graduates = a maximum ( #b ye>s ( s]vice 9 #a second>y s*ool p] graduate2 7#f7 build a heal?i] community ?r\gh wellness activities & increas$ aw>5ess ab\t & access to heal?y foods2 7#g7 provide daily heal? & fitness in/ruction to bo? /ud5ts & faculty2 7#h7 conduct an annual 9-s*ool heal? & fitness fair us+ ! s]vices ( second>y s*ool /ud5ts ) ! objective ( build+ a heal?i] community ?r\gh wellness activities & increas$ aw>5ess ab\t & access to heal?y foods2 7#i7 conduct an annual s*ool-bas$ & an annual community-bas$ heal? & fitness fair us+ ! s]vices ( second>y s*ool /ud5ts ) ! objective ( build+ a heal?i] community ?r\gh wellness activities & increas$ aw>5ess ab\t & access to heal?y foods2 & 7#aj7 expose second>y s*ool /ud5ts to a v>iety ( c>e] *oices 9 wellness & heal?-relat$ discipl9es1 includ+ c>e]s 9 m$ic9e1 nurs+1 nutrition sci5ce1 & ex]cise physiology4 7c7 ,non-,f$]al funds ,! ,secret>ies %all enc\rage grantees "u ?is section to contribute funds f non-,f$]al s\rces to increase-- 7#a7 ! numb] ( second>y s*ools at :i* heal? & fitness programs are (f]$2 or 7#b7 ! longevity ( su* programs4 7d7 ,m9imum numb] ( s*ools ,! ,secret>ies %all ensure t grants "u ?is section are us$ to e/abli% or exp& heal? & fitness programs at a total ( n less ?an #bj s*ools4 7e7 ,assessm5t2 report+ ,z conditions on receipt ( a grant "u ?is section1 an eligible entity %all agree to-- 7#a7 conduct an annual assessm5t ( heal? & fitness programs fund$ ?r\gh ! grant2 7#b7 on an annual basis1 report ! f9d+s ( ea* assessm5t "u p>agraph 7#a7 to ! p>ticipat+ s*ool1 community p>tn]s1 local contributors ( funds1 & tribal c\ncils2 & 7#c7 n lat] ?an ! end ( fiscal ye> #bjaf1 submit a report to ! ,secret>ies & an appropriate repres5tative ( ! ,c5t]s = ,disease ,control & ,prev5tion on ! success ( ! programs 9 educat+ *ildr5 & families & !reby prev5t+ or r$uc+ *ildhood obesity1 includ+ data f ea* assessm5t "u p>agraph 7#a74 7f7 ,report to ,congress ,n lat] ?an ! end ( fiscal ye> #bjaf1 ! ,secret>ies %all submit to ! ,congress a report t-- 7#a7 summ>izes ! results a*iev$ ?r\gh programs fund$ "u ?is section2 & 7#b7 includes a summ>y ( ! reports submitt$ by grant recipi5ts "u subsection 7e77#c74 7g7 ,def9itions ,9 ?is section3 7#a7 ,! t]m second>y s*ool has ! mean+ giv5 to su* t]m 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#b7 ,! t]m eligible entity means a nonpr(it organization or entity ) ! ability to meet ! requirem5ts applicable to a grantee "u ?is section1 z det]m9$ by ! ,secret>ies4 7#c7 ,! t]m l[-income communities includes-- 7,a7 communities ) a high p]c5tage ( *ildr5 eligible = free & r$uc$ pric$ lun*es "u ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agea et seq472 & 7,b7 any o!r communities det]m9$ by ! ,secret>ies to be l[-income = purposes ( ?is section4 7#d7 ,! t]m ,secret>ies means ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,education1 act+ jo9tly & 9 conjunction ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1djj1jjj = ! p]iod ( fiscal ye>s #bjae ?r\gh #bjaf4 ,,ii ,advanc+ ,prev5tative ,measures & ,treatm5t ( ,obesity 9 ,adults & ,*ildr5 9 ,und]s]v$ ,communities #bja4 ,community heal? & wellness navigators pilot program3 connect+ ,am]ica's heal? pr(essionals ) our s*ools 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all aw>d grants to #e or m ,/ates = ! e/abli%m5t ( a community navigator program1 consi/+ ( ea* su* ,/ate mak+ subgrants to #a or m eligible entities = a local community navigator program describ$ 9 subsection 7b74 7b7 ,program description ,a local community navigator program describ$ 9 ?is subsection %all consi/ ( ! foll[+3 7#a7 ,an eligible entity1 9 p>tn]%ip ) a local educational ag5cy1 a bureau-fund$ s*ool1 or a nonpr(it heal? or education organization1 w hire & tra9 #b or m community navigators4 7#b7 ,! community navigators w facilitate a relation%ip betwe5 ! eligible entity & ! local educational ag5cy1 bureau-fund$ s*ool1 or nonpr(it heal? or education organization 9 l[-income communities to ensure increas$ access to m$ical c>e ?r\gh educat+ p>5ts & s*ool adm9i/rators4 7#c7 ,! community navigators w c>ry out educational activities = elem5t>y s*ool & second>y s*ool /ud5ts & _! p>5ts 9 l[-income communities ) ! goal (-- 7,a7 increas+ familial intake ( nutriti\s meals2 7,b7 increas+ physical activity bo? 9 & out ( ! s*ool sett+2 & 7,c7 increas+ access to m$ical c>e4 7#d7 ,! community navigators w specifically recognize & address t !re are subgr\ps t are %[n to h p>ticul> b>ri]s to physical activities1 su* z p]sons ) disabilities4 7c7 ,report ,n lat] ?an #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit a report to ! ,congress on ! effectiv5ess ( ! program "u ?is section4 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m bureau-fund$ s*ool has ! mean+ giv5 su* t]m 9 section #aadf ( ! ,education ,am5dm5ts ( #aigh 7#be ,u4,s4,c4 #bjbf74 7#b7 ,! t]ms elem5t>y s*ool1 local educational ag5cy1 & second>y s*ool h ! mean+s giv5 to su* t]ms 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#c7 ,! t]m eligible entity includes a ,f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa7771 a facility op]at$ by ! ,indian ,heal? ,s]vice 7includ+ a facility op]at$ by an ,indian tribe or tribal organization ?r\gh a contract or compact ) ! ,s]vice "u ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej et seq4771 a free-/&+ *ildr5's hospital t is describ$ 9 subp>agraph 7,l7 or 7,m7 ( section #cdj;,b7a77#d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;b7a77#d771 a non-pr(it ) demon/rat$ effectiv5ess 9 ! area ( heal? c>e & ) a focus on s]v+ l[-income communities1 a rural hospital1 & a rural heal? cl9ic4 7#d7 ,! t]m l[-income communities includes-- 7,a7 communities ) a high p]c5tage ( *ildr5 eligible = free & r$uc$ pric$ lun*es "u ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agea et seq472 & 7,b7 any o!r communities det]m9$ by ! ,secret>ies to be l[-income = purposes ( ?is section4 7#e7 ,! t]m nonpr(it heal? or education organization %all be def9$ by ! ,secret>y4 7#f7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#g7 ,! t]m ,/ate includes ! ,di/rict ( ,columbia & any commonweal?1 t]ritory1 or possession ( ! ,unit$ ,/ates1 includ+ ! ,commonweal? ( ,pu]to ,rico1 ! ,unit$ ,/ates ,virg9 ,isl&s1 ,guam1 ,am]ican ,samoa1 & ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjae & #bjaf4 #bjb4 ,cov]age ( evid5ce-bas$ prev5tive s]vices "u ,m$icaid & ,,s*ip 7a7 ,/ate ,option ,to ,provide ,m$ical ,assi/ance = ,evid5ce-,bas$ ,prev5tive ,s]vices 7#a7 ,9 g5]al ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#bh71 by /rik+ & at ! end2 7ii7 by r$esignat+ p>agraph 7#bi7 z p>agraph 7#cj72 & 7iii7 by ins]t+ aft] p>agraph 7#bh7 ! foll[+3 7#bi7 evid5ce-bas$ prev5tive s]vices describ$ 9 subsection 7ee72 & 2 & 7,b7 by add+ at ! end ! foll[+3 7ee7 ,= purposes ( subsection 7a77#bi71 evid5ce-bas$ prev5tive s]vices describ$ 9 ?is subsection are-- 7#a7 any prev5tive s]vices :i* ! ,secret>y has det]m9$ are reasonable & necess>y = prev5t+ obesity & comorbidities ( obesity1 includ+ diet & ex]cise c\nsel+1 & heal?y weight & obesity c\nsel+2 & 7#b7 any o!r evid5ce-bas$1 effective1 cl9ical int]v5tion = obese individuals design$ to prev5t comorbidities ( obesity1 includ+ ph>macological or surgical s]vices4 4 7#b7 ,con=m+ am5dm5t ,section #aijb7;a77#aj77;,c77iv7 ( su* ,act 7#db ,u4,s4,c4 #acif7;a77#aj77;,c77iv77 is am5d$ by ins]t+ 1 or 7#bi7 aft] 7#bd74 7b7 ,/ate option ,to provide *ild heal? assi/ance = evid5ce-,bas$ prev5tive s]vices ,section #baaj7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7a77 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#bh7 z p>agraph 7#bi72 & 7#b7 by ins]t+ aft] p>agraph 7#bg7 ! foll[+3 7#bh7 ,evid5ce-bas$ prev5tive s]vices describ$ 9 section #aije7;ee74 4 #bjc4 ,cov]age ( m$ical nutrition !rapy "u ,m$icaid & ,,*ip 7a7 ,/ate ,option ,to ,provide ,m$ical ,assi/ance = ,m$ical ,!rapy ,s]vices 7#a7 ,9 g5]al ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a771 z am5d$ by section #bjb7;a77#a71 is am5d$-- 7,a7 9 p>agraph 7#bi71 by /rik+ & at ! end2 7,b7 by r$esignat+ p>agraph 7#cj7 z p>agraph 7#ca72 & 7,c7 by ins]t+ aft] p>agraph 7#bi7 ! foll[+3 7#cj7 m$ical nutrition !rapy s]vices 7z def9$ 9 section #ahfa7vv77#a77 = individuals ) pr$iabetes or obesity or :o are ov]weight 7z def9$ by ! ,secret>y72 & 4 7#b7 ,con=m+ am5dm5t ,section #aijb7;a77#aj77;,c77iv7 ( su* ,act 7#db ,u4,s4,c4 #acif7;a77#aj77;,c77iv771 z am5d$ by section #bjb7;a77#b71 is am5d$ by /rik+ or 7#bi7 & ins]t+ 7#bi71 or 7#cj74 7b7 ,/ate option ,to provide *ild heal? assi/ance = m$ical nutrition !rapy s]vices ,section #baaj7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;jj7a771 z am5d$ by section #bjb7;b71 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#bi7 z p>agraph 7#cj72 & 7#b7 by ins]t+ aft] p>agraph 7#bh7 ! foll[+3 7#bi7 ,m$ical nutrition !rapy s]vices 7z def9$ 9 section #ahfa7vv77#a77 = individuals ) pr$iabetes or obesity or :o are ov]weight 7z def9$ by ! ,secret>y74 4 #bjd4 ,cl>ification ( ,,epsdt inclusion ( prev5tion1 scre5+1 & treatm5t s]vices = obesity & ov]weight2 ,,*ip cov]age 7a7 ,9 g5]al ,section #aije7r7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7r77 is am5d$-- 7#a7 9 p>agraph 7#a77;,b7-- 7,a7 9 clause 7iv71 by /rik+ & at ! end2 7,b7 9 clause 7v71 by /rik+ ! p]iod at ! end & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+3 7vi7 weight & ,,bmi measurem5t & monitor+4 2 & 7#b7 9 p>agraph 7#e71 by ins]t+ 7includ+ treatm5t s]vices relat$ to obesity & body weight1 su* z m$ical nutrition !rapy s]vices 7z def9$ 9 section #ahfa7vv77#a771 physical !rapy1 ex]cise tra9+1 behavioral heal? c\nsel+1 & su* o!r evid5ce-bas$ s]vices z recomm5d$ by ! ,secret>y 7tak+ into consid]ation ! ,am]ican ,academy ( ,p$iatrics ,exp]t ,committee ,guidel9es ,reg>d+ ! ,prev5tion1 ,assessm5t1 & ,treatm5t ( ,*ild & ,adolesc5t ,ov]weight & ,obesity & ! ,national ,c5t] on ,heal?1 ,physical ,activity1 & ,disability's ,physical ,activity ,guidel9es = ,individuals ) ,disabilities7 aft] scre5+ s]vices4 7b7 ,,*ip 7#a7 ,requir$ cov]age ,section #bajc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7 is am5d$-- 7,a7 9 subsection 7a71 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ & 7#g7 & ins]t+ 7#g71 & 7#h72 & 7,b7 9 subsection 7c7-- 7i7 by r$esignat+ p>agraphs 7#g7 & 7#h7 z p>agraphs 7#h7 & 7#i71 respectively2 & 7ii7 by ins]t+ aft] p>agraph 7#f71 ! foll[+3 7#g7 ,prev5tion1 scre5+1 & treatm5t s]vices = ov]weight & obese ,! *ild heal? assi/ance provid$ to a t>get$ l[-income *ild %all include cov]age ( weight & ,,bmi measurem5t & monitor+1 z well z appropriate treatm5t s]vices1 includ+ m$ical nutrition !rapy s]vices 7z def9$ 9 section #ahfa7vv77#a771 physical !rapy or ex]cise tra9+1 includ+ /eps ne$$ to make su* !rapy & tra9+ inclusive = p]sons ) disabilities1 behavioral heal? c\nsel+1 & su* o!r evid5ce-bas$ s]vices z recomm5d$ by ! ,secret>y4 ,= purposes ( ! previ\s s5t5ce ! ,secret>y %all take into consid]ation ! ,am]ican ,academy ( ,p$iatrics ,exp]t ,committee ,guidel9es ,reg>d+ ! ,prev5tion1 ,assessm5t1 & ,treatm5t ( ,*ild & ,adolesc5t ,ov]weight & ,obesity & ! ,national ,c5t] on ,heal?1 ,physical ,activity1 & ,disability's ,physical ,activity ,guidel9es = ,individuals ) ,disabilities4 4 7#b7 ,con=m+ am5dm5t ,section #bajb7;a77#g77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;bb7c77#b77 is am5d$ by /rik+ section #bajc7;c77#e7 & ins]t+ p>agraphs 7#e7 & 7#g7 ( section #bajc7;c74 #bje4 ,national ,commission on ,*ild ,obesity 7a7 ,e/abli%m5t ,!re is e/abli%$ a commission to be kn[n z ! ,national ,commission on ,*ild ,obesity 79 ?is section ref]r$ to z ! ,commission74 7b7 ,duties ( commission ,! ,commission %all-- 7#a7 conduct a compreh5sive /udy t exam9es & assesses ! ne$s ( *ildr5 relat+ to ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity1 includ+ specific f9d+s relat+ to-- 7,a7 be/ practices = ! prev5tion & treatm5t ( *ildhood ov]weight & obesity2 7,b7 *ild physical heal? & m5tal heal?2 7,c7 *ildc>e 9 all sett+s2 7,d7 *ild welf>e2 7,e7 elem5t>y & second>y education2 7,f7 food availability 9 neighborhoods2 7,g7 access to heal? c>e2 7,h7 heal? c>e utilization2 7,i7 built environm5t2 7,j7 p>5t physical heal? & education2 7,k7 und]s]v$ communities1 includ+ tribal communities1 heal? pr(essional %ortage areas designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e71 m$ically und]s]v$ areas 7z def9$ 9 section #gii;,b ( su* ,act 7#db ,u4,s4,c4 #biep71 & areas 9 ! ,appala*ian region 7z def9$ 9 section #adajb7;a7 ( title #dj1 ,unit$ ,/ates ,code72 7,l7 relevant activities 9 *ildhood ov]weight & obesity2 7,m7 ! availability ( in=mation on ,/ate & ,f$]al supportive nutrition programs1 su* z ! ,summ] ,food ,s]vice ,program1 ! ,wom51 ,infants1 & ,*ildr5 ,program1 ! ,/ate ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( ! ,social ,security ,act1 & ! ,supplem5tal ,nutrition ,assi/ance ,program2 & 7,n7 *ildr5 ) disabilities2 7#b7 id5tify1 review1 & evaluate exi/+ laws1 regulations1 policies1 programs1 & public heal? initiatives relevant to be/ practices = ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity2 7#c7 id5tify1 review1 & evaluate ! lessons le>n$ f pa/ laws1 regulations1 policies1 programs1 & public heal? initiatives relevant to ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity2 7#d7 advise on ! ne$ to revise laws1 regulations1 policies1 & programs relative to address+ be/ practices = ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity at regul> int]vals z new k is ga9$2 7#e7 include 9 ! int]im report requir$ by subsection 7i77#a7 recomm5dations on-- 7,a7 ! appropriate ,f$]al ag5cy to e/abli% ! infra/ructure = ! creation ( a compreh5sive nationwide regi/ry ( pati5t data associat$ ) *ildr5 liv+ ) obesity2 7,b7 ! specific crit]ia ne$$ = su* regi/ry to all[ ! field ( p$iatric cl9icians access to pati5t-level1 cl9ical data suitable = rese>* & ! developm5t ( be/ practices2 7,c7 ! appropriate fund+ level requir$ = ! e/abli%m5t & implem5tation ( su* ! regi/ry describ$ 9 subp>agraph 7,a72 & 7,d7 h[ to capture l>ge-scale data t are curr5tly unavailable on adolesc5t & *ild pati5ts :o are curr5tly obese2 & 7#f7 include 9 ! f9al report requir$ by subsection 7i77#c7 ! ,commission's specific f9d+s1 conclusions1 & recomm5dations to address ! ne$s ( *ildr5 relat+ to ! prev5tion & treatm5t ( *ildhood ov]weight & obesity1 includ+ specific recomm5dations on-- 7,a7 ! ne$ = plann+ & e/abli%+ a national res\rce c5t] = *ildr5 & obesity2 & 7,b7 su* coord9ation ( res\rces & s]vices1 adm9i/rative actions1 policies1 regulations1 & legislative *anges z ! ,commission consid]s appropriate4 7c7 ,composition 7#a7 ,memb]s ,! ,commission %all be compos$ ( #ae memb]s1 ( :om-- 7,a7 #c memb]s1 includ+ at lea/ "o f ea* major national political p>ty1 %all be appo9t$ by ! ,presid5t2 7,b7 #c memb]s %all be appo9t$ by ! majority lead] ( ! ,s5ate2 7,c7 #c memb]s %all be appo9t$ by ! m9ority lead] ( ! ,s5ate2 7,d7 #c memb]s %all be appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives2 & 7,e7 #c memb]s %all be appo9t$ by ! m9ority lead] ( ! ,h\se ( ,repres5tatives4 7#b7 ,appo9tm5t ,memb]s ( ! ,commission %all be appo9t$ n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act4 7#c7 ,*airp]son1 vice *airp]son1 & meet+s 7,a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date on :i* all memb]s ( ! ,commission are appo9t$ "u p>agraph 7#a71 su* memb]s %all meet to elect a ,*airp]son & ,vice ,*airp]son f among su* memb]s & %all det]m9e a s*$ule ( ,commission meet+s4 7,b7 ,initial meet+ ,! ,commission %all meet & beg9 ! op]ations ( ! ,commission n lat] ?an #abj days aft] ! appo9tm5t ( memb]s ( ! ,commission4 7#d7 ,gov]nm5tal appo9tees ,an individual appo9t$ to ! ,commission may n be an (ficial or employee ( ! ,f$]al ,gov]nm5t4 7#e7 ,commission repres5tation ,! ,commission %all include at lea/ "o-- 7,a7 repres5tative f ea* ( a nonpr(it & =-pr(it entity ) demon/rat$ exp]tise 9 address+ ! ne$s ( *ildr5 relat+ to ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity2 7,b7 ,/ate or local director ( heal?2 & 7,c7 tribal heal? repres5tative4 7#f7 ,qualifications ,memb]s appo9t$ "u p>agraph 7#a7 may include-- 7,a7 individuals involv$ ) provid+ s]vices to *ildr51 includ+ heal? & o!r social s]vices2 7,b7 individuals involv$ ) adm9i/]+ heal? insurance cov]age to *ildr52 7,c7 individuals ) exp]i5ce 9 public heal? initiatives relat+ to ! prev5tion & treatm5t ( *ildhood ov]weight & obesity1 includ+ coord9ation ( res\rces & s]vices among ,/ate & local gov]nm5ts1 ! ,f$]al ,gov]nm5t1 & nongov]nm5tal entities2 7,d7 individuals ) philan?ropic exp]i5ce focus$ on ! ne$s ( *ildr5 relat+ to ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity2 7,e7 individuals :o h conduct$ academic rese>* relat+ to ! preval5ce1 prev5tion1 & treatm5t ( *ildhood ov]weight & obesity2 & 7,f7 individuals ) significant exp]i5ce 9 *ild heal? & policy4 7#g7 ,quorum & ,vacancy 7,a7 ,quorum ,a majority ( ! memb]s ( ! ,commission %all con/itute a quorum1 b a less] numb] ( memb]s may hold he>+s4 7,b7 ,vacancy ,any vacancy 9 ! ,commission %all n affect its p[]s & %all be fill$ 9 ! same mann] 9 :i* ! orig9al appo9tm5t 0 made4 7d7 ,p[]s ( commission 7#a7 ,he>+s ,! ,commission may hold su* he>+s1 meet & act at su* times & places1 & receive su* evid5ce z may be necess>y to c>ry out ! functions ( ! ,commission4 7#b7 ,in=mation f ,f$]al ag5cies 7,a7 ,9 g5]al ,! ,commission may access1 to ! ext5t au?oriz$ by law1 f any executive dep>tm5t1 bureau1 ag5cy1 bo>d1 commission1 (fice1 indep5d5t e/abli%m5t1 or in/rum5tality ( ! ,f$]al ,gov]nm5t su* in=mation1 sugge/ions1 e/imates1 & /ati/ics z ! ,commission consid]s necess>y to c>ry out ?is section4 7,b7 ,provision ( in=mation ,on writt5 reque/ ( ! ,*airp]son ( ! ,commission1 ea* dep>tm5t1 bureau1 ag5cy1 bo>d1 commission1 (fice1 indep5d5t e/abli%m5t1 or in/rum5tality ( ! ,f$]al ,gov]nm5t %all1 to ! ext5t au?oriz$ by law1 provide ! reque/$ in=mation to ! ,commission4 7,c7 ,receipt1 h&l+1 /orage1 & dissem9ation ,in=mation %all only be receiv$1 h&l$1 /or$1 & dissem9at$ by memb]s ( ! ,commission & its /aff consi/5t ) all applicable /atutes1 regulations1 & ,executive ord]s4 7#c7 ,assi/ance f ,f$]al ag5cies 7,a7 ,g5]al s]vices adm9i/ration ,on reque/ ( ! ,*airp]son ( ! ,commission1 ! ,adm9i/rator ( ,g5]al ,s]vices %all provide to ! ,commission1 on a reimbursable basis1 adm9i/rative support & o!r assi/ance necess>y = ! ,commission to c>ry out its duties4 7,b7 ,o!r dep>tm5ts & ag5cies ,9 addition to assi/ance "u subp>agraph 7,a71 dep>tm5ts & ag5cies ( ! ,unit$ ,/ates may provide to ! ,commission su* assi/ance z !y det]m9e advisable & z au?oriz$ by law4 7#d7 ,contract+ ,! ,commission may ent] into f9ancially reasonable contracts to enable ! ,commission to dis*>ge its duties "u ?is section4 7#e7 ,po/al s]vices ,! ,commission may use ! ,unit$ ,/ates mails 9 ! same mann] & "u ! same conditions z a dep>tm5t or ag5cy ( ! ,unit$ ,/ates4 7e7 ,/aff ( commission 7#a7 ,9 g5]al ,! ,*airp]son ( ! ,commission1 9 consultation ) ! ,vice ,*airp]son1 9 accordance ) rules agre$ ^u by ! ,commission1 may appo9t & fix ! comp5sation ( a /aff director1 policy director1 & adm9i/rative assi/ant 7& o!r /aff if agre$ ^u by a majority ( ,commission memb]s7 to enable ! ,commission to c>ry out its functions1 9 accordance ) ! provisions ( title #e1 ,unit$ ,/ates ,code1 except t no rate ( pay fix$ "u ?is p>agraph may exce$ ! equival5t ( t payable = a position at level ,v ( ! ,executive ,s*$ule "u section #ecaf ( title #e1 ,unit$ ,/ates ,code4 7#b7 ,/aff ( ,f$]al ag5cies ,^u reque/ ( ! ,*airp]son ( ! ,commission1 ! head ( any executive dep>tm5t1 bureau1 ag5cy1 bo>d1 commission1 (fice1 indep5d5t e/abli%m5t1 or in/rum5tality ( ! ,f$]al ,gov]nm5t may detail1 )\t reimbursem5t1 any ( its p]sonnel to ! ,commission to assi/ x 9 c>ry+ out its duties "u ?is section4 ,any detail ( an employee %all be )\t int]ruption or loss ( civil s]vice /atus or privilege4 7#c7 ,consultant s]vices ,! ,commission is au?oriz$ to procure 7pursuant to a majority vote ( ! ,commission memb]s7 ! s]vices ( exp]ts & consultants 9 accordance ) section #caji ( title #e1 ,unit$ ,/ates ,code1 b at rates n to exce$ ! daily equival5t ( ! annual rate ( basic pay = level ,,iv ( ! ,executive ,s*$ule "u section #ecae ( title #e1 ,unit$ ,/ates ,code4 7f7 ,travel exp5ses ,ea* memb] ( ! ,commission %all s]ve )\t comp5sation1 b %all receive travel exp5ses1 includ+ p] diem 9 lieu ( subsi/5ce1 9 accordance ) applicable provisions 9 ! same mann] z p]sons employ$ int]mitt5tly 9 ! ,gov]nm5t s]vice are all[$ exp5ses "u section #egjc ( title #e1 ,unit$ ,/ates ,code4 7g7 ,applicability ( ,,faca ,! ,f$]al ,advisory ,committee ,act1 includ+ any provisions applicable to /aff1 is deem$ to apply to ! ,commission4 7h7 ,reports ( commission2 t]m9ation 7#a7 ,int]im report ,! ,commission %all1 n lat] ?an #a ye> aft] ! date ( its fir/ meet+1 submit to ! ,presid5t & ! ,congress an int]im report conta9+ specific f9d+s1 conclusions1 & recomm5dations requir$ "u ?is section & agre$ to by a majority ( ,commission memb]s4 7#b7 ,o!r reports & in=mation 7,a7 ,reports ,! ,commission may issue additional reports z ! ,commission det]m9es necess>y4 7,b7 ,in=mation ,! ,commission may hold public he>+s to collect in=mation & %all make su* in=mation available = use by ! public4 7#c7 ,f9al report ,! ,commission %all1 n lat] ?an #b ye>s aft] ! date ( its fir/ meet+1 submit to ! ,presid5t & ,congress a f9al report conta9+ specific f9d+s1 conclusions1 & recomm5dations requir$ "u ?is section & agre$ to by a majority ( ,commission memb]s4 7#d7 ,t]m9ation 7,a7 ,9 g5]al ,unless reau?oriz$ by /atute1 ! ,commission1 & all ! au?orities ( ?is section1 %all t]m9ate #ahj days aft] ! date on :i* ! f9al report is submitt$ "u p>agraph 7#c74 7,b7 ,records ,n lat] ?an ! date ( t]m9ation ( ! ,commission "u subp>agraph 7,a71 all records & pap]s ( ! ,commission %all be deliv]$ to ! ,ar*ivi/ ( ! ,unit$ ,/ates = deposit 9 ! ,national ,ar*ives4 7i7 ,def9itions ,9 ?is section3 7#a7 ,obesity ,! t]m obesity ) respect to *ildr5 means hav+ a body mass index 7,,bmi7 great] ?an or equal to ! #ie? p]c5tile = age & sex accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion4 7#b7 ,*ild2 *ildr5 ,! t]ms *ild & *ildr5 mean an individual or individuals1 respectively1 :o h n atta9$ #ah ye>s ( age4 7j7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #a1ejj1jjj = ea* ( fiscal ye>s #bjae & #bjaf4 #bjf4 ,,gao report ,n lat] ?an #b ye>s aft] ! fir/ appropriation ( ,f$]al funds to c>ry out ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on ! effectiv5ess ( ! activities c>ri$ out "u ?is ,act 9 r$uc+ *ild obesity1 :i* %all include an analysis ( ! co/s & ! b5efits ( su* activities4 ,,iii ,enc\rag+ ,physical ,activity 9 ,und]s]v$ ,am]ican ,communities #cja4 ,r5ovation ( =eclos$ & ab&on$ prop]ties to create spaces t enc\rage physical activity 9 ,am]ican neighborhoods ,section #ajf7;a7 ( ! ,h\s+ & ,community ,developm5t ,act ( #aigd 7#db ,u4,s4,c4 #ecjf7;a77 is am5d$-- 7#a7 9 p>agraph 7#c7-- 7,a7 by /rik+ 7#a7 & & ins]t+ 7#a712 & 7,b7 by ins]t+ & aft] res]v+ su* am\nts = units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes ) high =eclosure rates & great infra/ructure ne$ "u p>agraph 7#d71 aft] p>agraph 7#b712 7#b7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#e72 7#c7 9 p>agraph 7#e71 z r$esignat$ by p>agraph 7#b7 ( ?is section1 by /rik+ p>agraphs 7#a71 7#b71 & 7#c7 & ins]t+ p>agraphs 7#a71 7#b71 7#c71 & 7#d72 & 7#d7 by ins]t+ aft] p>agraph 7#c7 ! foll[+ new p>agraph3 7#d7 7,a7 ,= ea* fiscal ye>1 ( ! am\nt approv$ 9 appropriation ,acts "u section #ajc = grants = su* fiscal ye> 7exclud+ ! am\nts provid$ = use 9 accordance ) section #ajg71 ! ,secret>y %all res]ve = grants to units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes t ! ,secret>y det]m9es h bo? high =eclosure rates & ! greate/ infra/ructure ne$s1 bas$ on ! scope ( ! ne$s1 an am\nt ! ,secret>y det]m9es necess>y4 7,b7 ,grants "u ?is p>agraph may be us$ by units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes to-- 7i7 r5ovate =eclos$ comm]cial prop]ties1 ab&on$ comm]cial prop]ties1 or bo?1 to be trans=m$ into community c5t]s1 public recreation facilities1 swimm+ pools1 or any o!r type ( facility t w enc\rage indoor physical activity2 7ii7 demoli% =eclos$ or ab&on$ comm]cial & resid5tial prop]ties1 or bo?1 to use ! sites =-- 7,i7 ! con/ruction ( p>ks1 playgr\nds1 outdoor swimm+ pools1 tracks1 socc] fields1 baseball diamonds1 or any o!r type ( facility t w enc\rage outdoor physical activity2 7,,ii7 community g>d5s or urban f>ms1 p>ticul>ly 9 areas t are food des]ts 7z su* t]m is def9$ 9 section #gebg7;a7 ( ! ,food1 ,cons]vation1 & ,en]gy ,act ( #bjjh 7,public ,law #aaj-bcd2 #abb ,/at4 #bjci72 or 7,,iii7 mix$-use facilities t are us$ = bo? ( ! purposes "u subclauses 7,i7 & 7,,ii7 ( ?is clause2 & 7iii7 recon/ruct & repair dilapidat$ sidewalks1 bike & p$e/rian trails1 & indoor & outdoor facilities t enc\rage physical activity4 7,c7 ,9 mak+ grants "u ?is p>agraph1 ! ,secret>y %all give priority among units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes eligible pursuant to subp>agraph 7,a7-- 7i7 to units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes t demon/rate ! ability & will+ness to "w ) local educational ag5cies1 develop]s1 & o!r community-bas$ organizations to ent] into mix$-use agreem5ts to maximize ! use & effici5cy ( prop]ties r5ovat$1 con/ruct$1 or recon/ruct$ & repair$ ?r\gh ! use ( grant funds2 7ii7 to units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes t demon/rate ! will+ness to recognize & promote ! involvem5t ( individuals enroll$ 9 a national s]vice program au?oriz$ "u ! ,national & ,community ,s]vice ,act ( #aiij 7#db ,u4,s4,c4 #abeja et seq47 or ! ,dome/ic ,volunte] ,s]vice ,act ( #aigc 7#db ,u4,s4,c4 #diej et seq47 9 ! r5ovation1 con/ruction1 or recon/ruction & repair ( prop]ties ?r\gh ! use ( grant funds2 7iii7 to projects propos$ by units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes t are easily accessible1 on foot or by public transportation1 = p]sons 9 l[-income communities2 & 7iv7 to projects propos$ by units ( g5]al local gov]nm5t1 special di/rict gov]nm5ts1 & ,indian tribes t h p>ticul> accessibility consid]ations = p]sons ) disabilities4 7,d7 ,= purposes ( ?is p>agraph1 ! t]m special di/rict gov]nm5t means any organiz$ local entity1 kn[n by a v>iety ( titles1 includ+ di/ricts1 au?orities1 bo>ds1 & commissions1 o!r ?an a unit ( g5]al local gov]nm5t or local educational ag5cy1 au?oriz$ by ,/ate law to provide only "o or a limit$ numb] ( designat$ functions1 & ) suffici5t adm9i/rative & fiscal autonomy to qualify z a sep>ate gov]nm5t unit1 z det]m9$ by ! ,secret>y4 4 #cjb4 ,national ,y\? ,sports ,program revitalization ,section #fhb7;g7 ( ! ,community ,s]vices ,block ,grant ,act 7#db ,u4,s4,c4 #iibc7;g77 is am5d$ by /rik+ #ae1jjj1jjj & all t foll[s ?r\gh #bjjc & ins]t+ #bj1jjj1jjj = ea* ( ! fiscal ye>s #bjae ?r\gh #bjbd4 #cjc4 ,expansion ( ! ,zuni ,y\? ,enri*m5t ,project ,summ] ,camp 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a #b-ye> pilot program to provide funds to community-bas$ organizations on ,indian res]vations or tribal l&s to plan & implem5t an enri*m5t program = *ildr5 79 ! =m ( a summ] camp & a ye>-r\nd program7 = ! purpose (-- 7#a7 rev]s+ ! epidemics ( obesity1 diabetes1 & alcoholism 9 su* areas2 & 7#b7 to mitigate o!r problems /emm+ f ! =mation ( bad habits & ! developm5t ( l[ self-e/eem dur+ *ildhood4 7b7 ,p>tn]%ips ,9 ord] to qualify = fund+ "u subsection 7a71 a community-bas$ organization %all demon/rate1 to ! satisfaction ( ! ,secret>y ( ,heal? & ,human ,s]vices1 t ! organization has ent]$ into a p>tn]%ip ) community entities1 local fund]s1 & tribal lead]s 7includ+1 if applicable1 ! tribal c\ncil7 to plan & execute an enri*m5t program "u subsection 7a74 7c7 ,numb] ( sites ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 provid+ fund+ "u subsection 7a71 %all provide fund+ to no m ?an #bj community-bas$ organizations4 7d7 ,model & camp requirem5t ,! enri*m5t program "u subsection 7a7 %all-- 7#a7 be model$ on simil> programs e/abli%$ by ! ,zuni ,y\? ,enri*m5t ,project2 & 7#b7 %all include a camp ( at lea/ #f weeks 9 duration dur+ ! summ]4 7e7 ,specific camp requirem5ts 7#a7 ,daily activities ,) respect to *ildr5 att5d+ a camp "u subsection 7d77#b71 ! lead] ( ! organization t receives funds "u subsection 7a7 %all1 = ea* day ( ! camp1 ensure t su* *ildr5 are-- 7,a7 involv$ 9 at lea/ #fj m9utes ( physical activity 7) appropriate accommodations made = *ildr5 ) disabilities72 & 7,b7 provid$ ) at lea/ two meals t meet national nutritional /&>ds4 7#b7 ,o!r activities ,su* lead] %all also ensure t-- 7,a7 a community g>d5+ activity is includ$ 9 ! activities conduct$ at ! camp2 & 7,b7 heal? & wellness education is provid$ to ! *ildr5 att5d+ ! camp4 7f7 ,evaluation 7#a7 ,9 g5]al ,a community-bas$ organization t receives fund+ "u subsection 7a71 %all1 z a condition ( receiv+ su* fund+1 conduct an evaluation ( ! enri*m5t program conduct$ by su* organization4 7#b7 ,model ,! =m1 mann]1 cont5t1 & frequ5cy ( ! evaluation "u p>agraph 7#a7 %all be model$ on ! ,zuni ,y\? ,enri*m5t ,project /&>d project evaluation4 7g7 ,report ,n lat] ?an #a ye> aft] ! date on :i* a community organization fir/ receives fund+ "u subsection 7a7 & annually !reaft]1 ! organization %all-- 7#a7 submit a report to ! ,secret>y ( ,heal? & ,human ,s]vices on ! outcomes ( ! enri*m5t program conduct$ by ! organization "u ?is section1 includ+-- 7,a7 ! f9d+s ( ! evaluation conduct$ "u subsection 7f72 & 7,b7 ! impact ( su* enri*m5t program on ! rates ( *ildhood obesity on ! res]vation or area ( tribal l& s]v$ by ! organization2 & 7#b7 provide a copy ( ! f9d+s "u p>agraph 7#a77;,a7 to community entities1 local fund]s1 tribal lead]s 7includ+1 if applicable1 ! tribal c\ncil71 & ! families ( *ildr5 p>ticipat+ 9 ! enri*m5t program4 #cjd4 ,mak+ r\tes to s*ools 9 und]s]v$ communities safe & accessible ) public p>ticipation ?r\gh ! ,community ,ori5t$ ,polic+ ,s]vices ,program ,section #agja ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#db ,u4,s4,c4 #cgif;dd7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#af71 by /rik+ & aft] ! semicolon2 7,b7 by r$esignat+ p>agraph 7#ag7 z p>agraph 7#ah71 & 9 su* p>agraph 7#ah7 7z s r$esignat$71 by /rik+ ?r\gh 7#af7 & ins]t+ ?r\gh 7#ag72 & 7,c7 by ins]t+ aft] p>agraph 7#af7 ! foll[+ new p>agraph3 7#ag7 to aw>d grants = ,safe ,r\tes to ,s*ool-,community ,ori5t$ ,polic+ ,s]vices programs1 9 accordance ) subsection 7l72 & 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7l7 ,safe ,r\tes to ,s*ool-,community ,ori5t$ ,polic+ ,s]vices programs 7#a7 ,grant program ,! ,director ( ! ,(fice ( ,community ,ori5t$ ,polic+ ,s]vices1 9 collaboration ) ! ,secret>y ( ,education1 %all aw>d grants to n few] ?an #aj local & tribal law en=cem5t ag5cies 9 l[-income communities = ! plann+1 developm5t1 & assessm5t ( ,safe ,r\tes to ,s*ool-,community ,ori5t$ ,polic+ ,s]vices programs 9 accordance ) ?is subsection4 7#b7 ,grant p]iod ,ea* grant aw>d$ "u ?is subsection %all be = a #c-ye> p]iod beg9n+ ) ! fir/ fiscal ye> t beg9s aft] ! date ( enactm5t ( ! ,fit = ,life ,act ( #bjad1 & may n be r5ew$4 7#c7 ,use ( grants ,a grant aw>d$ "u ?is subsection %all be us$ by ea* grantee to-- 7,a7 assess ! ne$s ( ! l[-income community s]v$ by ! grantee ) respect to ! ability ( elem5t>y & second>y s*ool /ud5ts to get to & f s*ool safely2 & 7,b7 e/abli% & ma9ta9 a ,safe ,r\tes to ,s*ool-,community ,ori5t$ ,polic+ ,s]vices program t ensures ! availability ( safe r\tes to & f s*ool = elem5t>y & second>y s*ool /ud5ts 9 und]s]v$ communities by address+ ! unique p]sonal safety dang]s to /ud5ts 9 su* communities t may cause r\tes to or f s*ool to be unsafe1 su* z dang]s associat$ ) crime1 drug or gang activity1 ab&on$ prop]ties1 & ! pres5ce ( sexual pr$ators4 7#d7 ,reports ,n lat] ?an "o ye> aft] receiv+ a grant aw>d "u ?is subsection1 & annually !reaft]1 ea* grantee %all submit to ! ,director ( ! ,(fice ( ,community ,ori5t$ ,polic+ ,s]vices a report on ! ,safe ,r\tes to ,s*ool-,community ,ori5t$ ,polic+ ,s]vices program c>ri$ out by ! grantee t includes-- 7,a7 a description ( ! activities c>ri$ out ) su* grant dur+ ! prec$+ ye>2 7,b7 ! effectiv5ess ( su* activities 9 ensur+ safe r\tes to & f s*ool = elem5t>y & second>y s*ool /ud5ts2 7,c7 a description ( ! activities ! grantee plans to c>ry out ) su* grant 9 succe$+ ye>s2 & 7,d7 be/ practices1 plans1 & f9d+s = purposes ( incorporation into urban plann+ & developm5t 9 und]s]v$ communities 9 succe$+ ye>s4 7#e7 ,def9ition ,! t]m l[-income communities includes-- 7,a7 communities ) a high p]c5tage ( *ildr5 eligible = free & r$uc$ pric$ lun*es "u ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agea et seq472 & 7,b7 any o!r communities det]m9$ by ! ,director ( ! ,(fice ( ,community ,ori5t$ ,polic+ ,s]vices to be l[-income = purposes ( ?is section4 4 #cje4 ,s*ool infra/ructure heal?i] upgrades competitive grant 7a7 ,9 g5]al ,f ! am\nts appropriat$ to c>ry out ?is ,act1 ! ,secret>y ( ,education %all aw>d grants1 on a competitive basis1 to eligible entities to upgrade facilities specifically p]ta9+ to heal?y eat+ & fitness4 7b7 ,au?oriz$ use ( fund ,an eligible entity receiv+ a grant "u ?is section %all use su* grant to upgrade facilities specifically p]ta9+ to heal?y eat+ & fitness1 :i* may include-- 7#a7 build+ or ma9ta9+ s*ool g>d5s2 7#b7 r5ovat+ outdoor facilities = physical educations or activity programs2 or 7#c7 upgrad+ kit*5 & cafet]ia s]vices to bett] prep>e & /ore heal?y foods4 7c7 ,priority ,9 aw>d+ grants "u ?is section to eligible entities t are local educational ag5cies1 ! ,secret>y %all give priority to local educational ag5cies t-- 7#a7 s]ve a high-p]c5tage ( l[-income /ud5ts2 7#b7 s]ve a high-p]c5tage ( /ud5ts :o are m9orities2 7#c7 s]ve a high-p]c5tage ( /ud5ts ) *ildhood obesity2 & 7#d7 s]ve s*ools t h jo9t use agreem5ts = aft]s*ool programs or community-wellness p>tn]%ips = aft]s*ool or week5d use4 7d7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a local educational ag5cy or lic5s$ *ildc>e c5t]s ) evid5ce-bas$ wellness programs4 7#b7 ,local educational ag5cy ,! t]m local educational ag5cy has ! mean+ giv5 ! t]m 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,education4 #cjf4 ,%>$ use agreem5t expansion pilot grant program 7a7 ,9 g5]al ,f ! am\nts appropriat$ to c>ry out ?is section1 ! ,secret>y ( ,education %all aw>d grants1 on a competitive basis1 to eligible entities to supplem5t programmatic co/s1 op]ations1 security1 ma9t5ance fees1 & o!r co/s associat$ ) out-(-s*ool use ( elem5t>y s*ool or second>y s*ool build+s or facilities = physical activity1 fitness1 & wellness purposes4 7b7 ,grant t]ms ,ea* grant "u ?is section %all be aw>d$ = a p]iod ( n m ?an #c ye>s4 7c7 ,total grants ,! ,secret>y %all aw>d n less ?an #ae grants "u ?is section = ea* fiscal ye> = :i* funds are appropriat$ to c>ry out ?is section4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to ea* eligible entity t-- 7#a7 s]ves l[-income & m9ority populations2 7#b7 s]ves communities ) high levels ( *ildhood obesity2 & 7#c7 is support+ a jo9t or %>$-use agreem5t 7z describ$ 9 subsection 7e77#b77;,a77 t-- 7,a7 0 e/abli%$ n m ?an #e ye>s be=e ! eligible entity receiv$ a grant "u ?is section2 & 7,b7 all[s ! op5 community use ( elem5t>y s*ool or second>y s*ool build+s or facilities z oppos$ to only fee-bas$ sports league use4 7e7 ,def9itions ,9 ?is section3 7#a7 ,,esea t]ms ,! t]ms elem5t>y s*ool & second>y s*ool h ! mean+s giv5 su* t]ms 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#b7 ,eligible entity ,! t]m eligible entity means an elem5t>y s*ool1 second>y s*ool1 local gov]nm5t1 or community p>tn] t has-- 7,a7 adopt$ or ent]$ into a jo9t or %>$-use agreem5t au?oriz+ elem5t>y s*ool or second>y s*ool build+s or facilities to be us$ by community & nonpr(it organizations = community programs2 & 7,b7 ! ability to use funds to support su* community programs4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,education4 #cjg4 ,l& & ,wat] ,cons]vation ,fund ,program grants 9 l[-income communities & exp& tribal p>ticipation ,section #f7;e7 ( ! ,l& & ,wat] ,cons]vation ,act ( #aife 7#af ,u4,s4,c4 #dfjl-#h7;e77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,l[-income communities & ,indian res]vations ,= developm5t ( programs to increase ! use ( & access to p>ks & op5 space 9 l[-income communities & on or ne> ,indian res]vations4 4 #cjh4 ,*ang+ ,he>ts1 ,attitudes1 & ,m9ds by ,p>ticipat+ 9 ,sports 7,,*amps7 ,program ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #cag,t 7#db ,u4,s4,c4 #bdg;b-#bb7 ! foll[+3 #cag,u4 ,*ang+ ,he>ts1 ,attitudes1 & ,m9ds by ,p>ticipat+ 9 ,sports 7,,*amps7 ,program 7a7 ,9 ,g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may make grants to eligible entities to c>ry out nationally bas$ or community-bas$ qualifi$ *ildhood obesity prev5tion initiatives4 7b7 ,eligible entities ,to be eligible to seek a grant "u ?is section1 an entity %all be-- 7#a7 a nationally bas$ nonpr(it organization propos+ to implem5t programs describ$ 9 subsection 7c71 ea* s]v+ at lea/ #a1jjj individuals1 at #e or m locations across ! ,nation2 or 7#b7 a community-bas$ nonpr(it organization propos+ to implem5t a program describ$ 9 subsection 7c7 s]v+ at lea/ #a1jjj individuals4 7c7 ,qualifi$ *ildhood obesity prev5tion initiative ,to qualify z a *ildhood obesity prev5tion initiative eligible = fund+ "u ?is section1 an initiative %all consi/ ( programs t-- 7#a7 s]ve *ildr5 or adolesc5ts mo/ at risk = be+ ov]weight & obese 9 pr$om9antly economically disadvantag$ communities2 7#b7 s]ve *ildr5 or adolesc5ts dur+ aft]-s*ool h\rs1 week5ds1 or summ] h\rs2 7#c7 provide /ructur$ physical fitness activities1 includ+ organiz$ sports1 :i* engage ea* p>ticipant 9 a m9imum ( #fj m9utes ( mod]ate to vigor\s physical activity at lea/ ?ree days p] week = a p]iod ( at lea/ #bd weeks 9 a giv5 ye>2 7#d7 provide adult sup]vision & guidance or coa*es :o enc\rage & tea* prop] ex]cise te*niques & skills2 7#e7 comb9e physical fitness activities ) nutritional c\nsel+ & education2 & 7#f7 demon/rate measurable results = r$uc+ *ildhood obesity on ! "p ( p>ticipants1 includ+ ?r\gh-- 7,a7 measurem5t & /udy ( p>ticipants' mod]ate to vigor\s physical activity 7,,mvpa7 ea* day1 bo? z "p ( ! programs fund$ "u ?is section & on ! p>ticipants' own initiative2 7,b7 increas$ k ( & aw>5ess ab\t ! importance ( physical activity & ex]cise z well z ! nutritional value ( food & bev]age *oices2 7,c7 keep+ track ( & report+ mean+ful r$uctions 9 ! consumption ( food & bev]ages ) l[ nutritional value1 increas$ consumption ( heal?y items1 & increas$ levels ( un/ructur$1 self-initiat$ physical activity outside ( ! programs fund$ "u ?is section2 & 7,d7 measurem5t & /udy ( p>ticipants' body mass index 7,,bmi7 indicat+ t-- 7i7 *ildr5 ent]+ programs fund$ "u ?is section ) a heal?y body mass index ma9ta9 x :ile p>ticipat+ 9 su* programs2 & 7ii7 *ildr5 p>ticipat+ 9 su* programs ) an unheal?y body mass index halt any negative tr5d l9es t[>d obesity or beg9 tr5d l9es 9 a positive direction4 7d7 ,priority ,9 select+ among applicants = grants "u ?is section1 ! ,secret>y %all give priority to eligible entities propos+ to c>ry out programs t w provide additional societal b5efits1 su* z-- 7#a7 effectiv5ess 9 work+ ) programs = e?nic & racial m9orities t are evaluat$ by indep5d5t1 ?ird-p>ty evaluators2 7#b7 improvem5ts to academic p]=mance 9 s*ool2 7#c7 "* build+ & lead]%ip developm5t2 7#d7 gang & juv5ile del9qu5cy prev5tion & r$uction2 7#e7 g5d] equality & female emp[]m5t2 7#f7 m5tor+1 volunte]ism promotion1 & s]vice-le>n+ opportunities2 7#g7 family & community engagem5t & p>ticipation2 7#h7 work=ce education & c>e] developm5t opportunities2 or 7#i7 be+ inclusive ( p]sons ) disabilities4 7e7 ,di/ribution ( funds ,( ! am\nt made available to c>ry out ?is section = a fiscal ye>1 ! ,secret>y %all aw>d-- 7#a7 n less ?an #be p]c5t ( su* am\nt to nationally bas$ nonpr(it organizations describ$ 9 subsection 7b77#a72 & 7#b7 n m ?an #ge p]c5t ( su* am\nt to community-bas$ nonpr(it organizations describ$ 9 subsection 7b77#b74 7f7 ,co/-,%>e requirem5ts 7#a7 ,9 g5]al ,) respect to ! co/s ( a qualifi$ *ildhood obesity prev5tion initiative to be c>ri$ out "u ?is section-- 7,a7 9 ! case ( an applicant t is a nationally bas$ nonpr(it organization1 a grant "u subsection 7a7 may be made only if ! organization agrees to make available 7directly or ?r\gh donations f public or private entities7 non-,f$]al contributions t[>d su* co/s 9 an am\nt t is n less ?an "o-?ird ( su* co/s 7#a = ea* #b ( ,f$]al funds provid$ 9 ! grant72 & 7,b7 9 ! case ( an applicant t is a community-bas$ nonpr(it organization1 a grant "u subsection 7a7 may be made only if ! organization agrees to make available 7directly or ?r\gh donations f public or private entities7 non-,f$]al contributions t[>d su* co/s 9 an am\nt t is n less ?an "o-f\r? ( su* co/s 7#a = ea* #c ( ,f$]al funds provid$ 9 ! grant74 7#b7 ,non-,f$]al contributions by subgrantees ,if a nationally bas$ nonpr(it organization *ooses to provide grant funds receiv$ "u ?is section to a subgrantee to c>ry out "o or m programs z "p ( ! organization's qualifi$ *ildhood obesity prev5tion initiative1 ! organization %all require ! subgrantee to make available 7directly or ?r\gh donations f public or private entities7 non-,f$]al contributions t[>d ! co/s ( su* programs 9 an am\nt t is n less ?an "o-?ird ( su* co/s 7#a = ea* #b ( ,f$]al funds provid$ 9 ! grant74 ,! am\nt ( non-,f$]al contributions by subgrantees requir$ "u ?is p>agraph is 9 addition to ! am\nt ( non-,f$]al contributions by ! nationally bas$ nonpr(it organization requir$ "u p>agraph 7#a74 7#c7 ,det]m9ation ( am\nt contribut$ 7,a7 ,9 g5]al ,non-,f$]al contributions requir$ by p>agraph 7#a7 or 7#b7-- 7i7 9 ! case ( a nationally bas$ nonpr(it organization1 %all be made 9 ca%2 & 7ii7 9 ! case ( a subgrantee describ$ 9 p>agraph 7#b7 or a community-bas$ nonpr(it organization1 may be 9 ca% or 9 k9d1 fairly evaluat$1 includ+ plant1 equipm5t1 or s]vices4 7,b7 ,exclusion ( ,f$]al contributions ,am\nts provid$ by ! ,f$]al ,gov]nm5t1 or s]vices assi/$ or subsidiz$ to any significant ext5t by ! ,f$]al ,gov]nm5t1 may n be includ$ 9 det]m9+ ! am\nt ( non-,f$]al contributions requir$ by p>agraph 7#a7 or 7#b74 7g7 ,report to ,congress ,n lat] ?an "o ye> aft] ! fir/ appropriation ( ,f$]al funds to c>ry out ?is section1 ! ,secret>y %all report to ! ,congress on ! progress made 9 c>ry+ out programs fund$ by grants "u ?is section4 7h7 ,be/ practices guidel9es ,bas$ on ! results ( programs fund$ ?r\gh grants "u ?is section dur+ ! fir/ two fiscal ye>s ( su* fund+1 ! ,secret>y %all develop publicly accessible be/ practices guidel9es = obesity r$uction programs4 ,! ,secret>y %all update ^! guidel9es e two ye>s4 7i7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #ej1jjj1jjj = ea* ( fiscal ye>s #bjae ?r\gh #bjai4 4 #cji4 ,coord9at$ s*ool heal? initiatives 7a7 ,9 g5]al ,f ! am\nts appropriat$ to c>ry out ?is section1 ! ,secret>y ( ,education %all c>ry out a pilot program to aw>d grants to n m ?an #e eligible entities to c>ry out coord9at$ s*ool heal? initiatives 9 s*ools4 7b7 ,am\nt ( grant ,a grant aw>d$ "u subsection 7a7 may n exce$ #ae1jjj4 7c7 ,use ( funds ,an eligible entity receiv+ a grant "u ?is section %all c>ry out a coord9at$ s*ool heal? initiative 9 ea* s*ool "u ! jurisdiction ( ! entity "u :i* ! entity %all-- 7#a7 c>ry out a program1 su* z a fitness program1 to assess ! physical fitness 7includ+ a]obic capacity1 muscul> /r5g? & endurance1 flexibility1 & body composition7 ( ea* /ud5t s]v$ by ! entity2 & 7#b7 evaluate su* assessm5ts to-- 7,a7 e/abli% basel9es ) respect to a]obic capacity1 muscul> /r5g? & endurance1 flexibility1 & body composition t ea* su* /ud5t %\ld meet by a c]ta9 p]iod2 & 7,b7 id5tify int]v5tions to assi/ ea* su* /ud5t1 includ+ ^? ) disabilities1 9 meet+ su* basel9es2 7#c7 review ! int]v5tions id5tifi$ "u p>agraph 7#b77;,b7 to det]m9e ! be/ practices ) respect to su* int]v5tions2 7#d7 use ! det]m9ations = be/ practices "u p>agraph 7#c7 to implem5t int]v5tions 9 ea* s*ool "u ! jurisdiction ( ! entity2 & 7#e7 n lat] ?an #a ye> aft] ! implem5tation ( ! int]v5tions1 assess ! physical fitness ( ea* /ud5t s]v$ by ! entity4 7d7 ,report+ 7#a7 ,eligible entity ,ea* eligible entity receiv+ a grant "u ?is section %all submit to ! ,secret>y at su* "t & 9 su* mann] z det]m9$ by ! ,secret>y1 a report on-- 7,a7 ! initial physical fitness assessm5ts c>ri$ out "u subsection 7c77#a72 7,b7 ! int]v5tions implem5t$ "u subsection 7c77#d72 & 7,c7 ! physical fitness assessm5ts c>ri$ out "u subsection 7c77#e7 aft] ! int]v5tions h be5 implem5t$4 7#b7 ,secret>y ,n lat] ?an ! fir/ appropriation ( ,f$]al funds to c>ry out ?is section1 ! ,secret>y %all use ! reports receiv$ "u p>agraph 7#a7 to prep>e & transmit to ,congress a report on-- 7,a7 ! av]age physical fitness levels ( /ud5ts p>ticipat+ 9 ! coord9at$ s*ool heal? initiative "u ?is section-- 7i7 prior to ! int]v5tions implem5t$ by ea* eligible entity "u ?is section2 & 7ii7 #a ye> aft] ! implem5tation ( ! int]v5tions2 7,b7 ! be/ practices ) respect to ! int]v5tions2 & 7,c7 recomm5dations on h[ s*ools & local educational ag5cies may incorporate su* be/ practices4 7e7 ,application ,to receive a grant "u ?is section1 an eligible entity %all submit an application to ! ,secret>y ( ,education at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7f7 ,supplem5t1 ,n ,supplant ,funds receiv$ "u ?is section %all be us$ to supplem5t1 & n supplant1 non-,f$]al funds t w\ld o!rwise be us$ = activities au?oriz$ "u ?is section4 7g7 ,def9itions ,= purposes ( ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a local educational ag5cy-- 7,a7 t s]ves-- 7i7 a high p]c5tage ( /ud5ts eligible = free or r$uc$ price lun*es "u ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act2 or 7ii7 a community o!rwise det]m9$ by ! ,secret>y to be a l[-income community2 & 7,b7 t =ms a p>tn]%ip ) an in/itution ( high] education or a nonpr(it heal? or education organization1 z det]m9$ by ! ,secret>y1 = ! purposes ( c>ry+ out ! coord9at$ s*ool heal? initiative describ$ 9 subsection 7c74 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 ! t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,local educational ag5cy ,! t]m local educational ag5cy has ! mean+ giv5 su* t]m 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#d7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,agriculture4 #caj4 ,rew>d+ elem5t>y & second>y s*ools = out/&+ /ud5t p]=mance 9 physical fitness programs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices may make grants to elem5t>y & second>y s*ools z rew>ds = _! /ud5ts' out/&+ p]=mance 9 ! ,presid5tial ,y\? ,fitness ,program or o!r f$]ally support$ physical fitness programs4 7b7 ,pref]5ce ,9 mak+ grants "u subsection 7a71 ! ,secret>y %all give pref]5ce to elem5t>y & second>y s*ools t-- 7#a7 h ! highe/ p]c5tage ( /ud5ts e>n+ a ,presid5tial ,physical ,fitness ,aw>d ?r\gh ! ,presid5tial ,y\? ,fitness ,program2 7#b7 demon/rate ! greate/ improvem5t 9 ! numb] or p]c5tage ( /ud5ts e>n+ ! ,national ,physical ,fitness ,aw>d & ! ,p>ticipant ,physical ,fitness ,aw>d ?r\gh ! ,presid5tial ,y\? ,fitness ,program2 & 7#c7 implem5t evid5ce-bas$ physical education & physical activity policies & programs t align ) ! ,presid5tial ,y\? ,fitness ,program4 7c7 ,allocation ( funds = und]p]=m+ s*ools ,( ! am\nts made available = grants "u ?is section = ea* fiscal ye>1 ! ,secret>y %all set aside a portion ( su* am\nts = und]p]=m+ elem5t>y & second>y s*ools t-- 7#a7 are 9 ne$ ( improvem5t2 7#b7 meet ! requirem5ts ( ?is section2 & 7#c7 h evid5ce-bas$ physical education & physical activity policies & programs4 7d7 ,use ( funds ,z a condition on receipt ( a grant "u ?is section1 a s*ool %all agree to use ! grant funds = programs & activities to fur!r improve ! physical fitness ( /ud5ts4 7e7 ,data requirem5ts ,z a condition on receipt ( a grant1 a s*ool %all agree to report ! results a*iev$ at ! s*ool ?r\gh ! ,presid5tial ,y\? ,fitness ,program or o!r ,f$]al physical fitness programs to ! community & ! relevant ,/ate ag5cy-- 7#a7 to improve track+ ( physical fitness data across ! ,unit$ ,/ates2 & 7#b7 to in=m ef=ts to /r5g!n local wellness policies to improve /ud5t physical activity & physical fitness4 7f7 ,application ,to seek a grant "u ?is section1 a s*ool %all submit an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 ,at a m9imum1 an application "u ?is subsection %all include-- 7#a7 a description ( ! s*ool's programs & activities = improv+ physical fitness2 7#b7 an assurance ( compliance ) applicable requirem5ts ( physical fitness programs ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#c7 an assessm5t ( physical fitness levels ( /ud5ts 9 ! s*ool be=e1 dur+1 & aft] implem5tation su* programs4 7g7 ,reports 7#a7 ,,hhs ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y %all submit a report to ! ,congress on ! program ( grants "u ?is section1 includ+-- 7,a7 a description ( be/ practices by elem5t>y & second>y s*ools = improv+ physical fitness2 & 7,b7 any recomm5dations = improv+ ! program "u ?is section4 7#b7 ,,gao ,n lat] ?an #bd mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all complete a /udy & submit a report to ! ,congress-- 7,a7 analyz+ physical fitness levels ( /ud5ts 9 elem5t>y & second>y s*ools across ! ,nation2 7,b7 evaluat+ ! ,presid5t's ,*all5ge to det]m9e :e!r ! /&>ds = ,presid5tial ,physical ,fitness ,aw>ds1 ,national ,physical ,fitness ,aw>ds1 & ,p>ticipant ,physical ,fitness ,aw>ds are accurate1 up-to-date1 & appropriate2 & 7,c7 evaluat+ ! effectiv5ess ( ! aw>ds describ$ 9 subp>agraph 7,b74 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m elem5t>y & second>y s*ools means public or private elem5t>y s*ools & second>y s*ools 7z def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja774 7#b7 ,! t]m ,presid5t's ,*all5ge ref]s to ! premi] program ( ! ,presid5t's ,c\ncil on ,fitness1 ,sports ,nutrition1 "u ! ,secret>y ( ,heal? & ,human ,s]vices1 = increas+ physical activity & improv+ physical fitness4 7#c7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4