,,ii #aac? ,,congress #a/ ,session ,s4 #aahd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #ai1 #bjac ,mr4 ,c>p] 7= himself & ,ms4 ,murk[ski7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to include in=mation on ! cov]age ( int5sive behavioral !rapy = obesity 9 ! ,m$ic>e & ,y ,h&book & to provide = ! coord9ation ( programs to prev5t & treat obesity1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,treat & ,r$uce ,obesity ,act ( #bjac4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion1 ab\t #ce p]c5t ( adults ag$ #fe & ov] 7 obese 9 ! p]iod ( #bjjg ?r\gh #bjaj1 repres5t+ ov] #h million adults ag$ #fe ?r\gh #gd4 7#b7 ,obesity increases ! risk = *ronic diseases & conditions1 includ+ high blood pressure1 he>t disease1 & type #b diabetes4 7#c7 ,m ?an half ( ,m$ic>e b5efici>ies are treat$ = #e or m *ronic conditions p] ye>4 ,! rate ( obesity among ,m$ic>e pati5ts d\bl$ f #aihg to #bjjb1 & sp5d+ on ^? individuals m ?an d\bl$4 7#d7 ,obese m5 & wom5 at age #fe h decreas$ life expectancy ( #a4f ye>s = m5 & #a4d ye>s = wom54 7#e7 ,! direct & indirect co/ ( obesity is m ?an #dej billion annually4 7#f7 ,on av]age1 an obese ,m$ic>e b5efici>y co/s #a1ifd m ?an a normal-weight b5efici>y4 7#g7 ,! preval5ce ( obesity among old] ,am]icans is gr[+ at a l9e> rate &1 left un*ang$1 ne>ly half ( ! eld]ly population w be obese 9 #bjcj accord+ to a ,congressional ,rese>* ,report on obesity4 #c4 ,inclusion ( in=mation on cov]age ( int5sive behavioral !rapy = obesity 9 ! ,m$ic>e & ,y ,h&book 7a7 ,9 g5]al ,section #ahjd7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;b-#b7;a77 is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ 8&0 at ! end2 7#b7 9 p>agraph 7#c71 by /rik+ ! p]iod at ! end & ins]t+ 1 &2 & 7#c7 by ins]t+ aft] p>agraph 7#c7 ! foll[+ new p>agraph3 7#d7 in=mation on ! cov]age ( int5sive behavioral !rapy = obesity "u ?is title1 includ+ in=mation reg>d+ prim>y c>e physicians & o!r provid]s ( s]vices & suppli]s :o are eligible to furni% su* !rapy4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply to notices di/ribut$ on or aft] ! date ( enactm5t ( ?is ,act4 #d4 ,plan = coord9ation ( ,,hhs ef=ts2 provid+ ! ,secret>y ( ,heal? & ,human ,s]vices ) au?ority to coord9ate programs to prev5t & treat obesity & exp& cov]age options = obesity "u ,m$ic>e ,section #ahfa7;ddd7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ddd771 z am5d$ by section #c1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#e7 7,a7 ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,treat & ,r$uce ,obesity ,act ( #bjac1 ! ,secret>y %all develop & implem5t a plan to coord9ate ! ef=ts ( all (fices & ag5cies ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices 7su* z ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,national ,in/itutes ( ,heal?1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & o!r (fices & ag5cies7 to treat1 r$uce1 & prev5t obesity & ov]weight 9 ! adult population4 ,beg9n+ #b ye>s aft] su* date ( enactm5t1 ! ,secret>y %all annually update su* plan4 7,b7 ,9 develop+ & implem5t+ ! plan "u subp>agraph 7,a71 ! ,secret>y %all "w ) at lea/ #e repres5tatives1 select$ by ! ,secret>y1 ( exp]t organizations 7su* z public heal? associations1 physician associations1 key heal?c>e provid] gr\ps1 plann+ & developm5t organizations1 education associations1 advocacy gr\ps1 pati5t gr\ps1 relevant indu/ries1 ,/ate & local lead]%ip1 & o!r entities z det]m9$ appropriate by ! ,secret>y74 7,c7 ,! ,secret>y %all ensure t ! plan "u subp>agraph 7,a7 is coord9at$ ) ! ,national ,prev5tion ,/rategy & does n duplicate ! ef=ts ( ! ,national ,prev5tion ,c\ncil & ! ,national ,prev5tion ,/rategy4 7,d7 ,! plan "u subp>agraph 7,a7 %all include ! foll[+3 7i7 ,/rategies to compreh5sively treat & r$uce ov]weight & obesity4 7ii7 ,a description (-- 7,i7 ! coord9ation ( int]ag5cy coop]ation "u ! plan2 & 7,,ii7 actions "u ! plan relat$ to ! treatm5t & r$uction ( ov]weight & obesity 9 ! ,unit$ ,/ates4 7iii7 ,id5tification ( be/ practices 9 ,/ates1 communities1 organizations1 bus9esses1 & o!r entities z appropriate1 reg>d+ treatm5t ( ov]weight & obesity4 7iv7 ,a description ( collaboration ) ,/ates1 communities1 organizations1 bus9esses1 & o!r appropriate entities to evaluate ! effectiv5ess ( obesity & ov]weight int]v5tions "u ! plan4 7v7 ,rese>* initiatives1 includ+ ongo+ surveillance & monitor+ us+ tools su* z ! ,national ,heal? & ,nutrition ,exam9ation ,survey & ! ,behavioral ,risk ,factor ,surveillance ,sy/em & assurances = adequate & consi/5t fund+ to support data collection & analysis to in=m policy "u ! plan4 7vi7 ,recomm5dations = ! coord9ation ( budgets1 grant & pilot programs1 policies1 & programs across ,f$]al ag5cies to cohesively treat ov]weight & obesity4 7,e7 ,n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ! ,treat & ,r$uce ,obesity ,act ( #bjac1 & on an annual basis !reaft]1 ! ,secret>y %all submit to ! ,presid5t & to ! relevant committees ( ,congress1 a report t-- 7i7 summ>izes ! plan "u subp>agraph 7,a7 to coord9ate int]ag5cy ef=ts surr\nd+ ! treatm5t1 r$uction1 & prev5tion ( obesity & ov]weight1 includ+ a detail$ /rategic plan ) recomm5dations = ea* (fice & ag5cy involv$2 7ii7 9 ! case ( ! second report submitt$ "u ?is subp>agraph 7& ea* subsequ5t report71 evaluates ! effectiv5ess ( ^? coord9at$ int]v5tions & conducts int]im assessm5ts & report+ ( heal? outcomes1 a*ievem5t ( mile/ones1 & implem5tation ( /rategic plan goals2 & 7iii7 makes recomm5dations = updat+ ! plan = ! foll[+ ye> bas$ on data & f9d+s f ! previ\s ye>4 4 #e4 ,au?ority to exp& heal? c>e provid]s qualifi$ to furni% int5sive behavioral !rapy ,section #ahfa7;ddd7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ddd771 z am5d$ by sections #c & #d1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#f7 7,a7 ,! ,secret>y may1 9 addition to qualifi$ prim>y c>e physicians & o!r prim>y c>e practition]s1 cov] int5sive behavioral !rapy = obesity-- 7i7 furni%$ by a physician 7z def9$ 9 subsection 7r77#a77 :o is n a qualifi$ prim>y c>e physician2 7ii7 furni%$-- 7,i7 by any o!r appropriate heal? c>e provid] 7includ+ a physician assi/ant1 nurse practition]1 or cl9ical nurse speciali/ 7z ^? t]ms are def9$ 9 subsection 7aa77#e771 a cl9ical psy*ologi/1 & a regi/]$ dietitian or nutrition pr(essional 7z def9$ 9 subsection 7vv772 7,,ii7 ^u ref]ral f1 & 9 coord9ation )1 a physician or prim>y c>e practition] op]at+ 9 a prim>y c>e sett+ or any o!r sett+ specifi$ by ! ,secret>y2 & 7,,iii7 9 an (fice sett+1 a hospital outpati5t dep>tm5t1 or ano!r sett+ specifi$ by ! ,secret>y2 or 7iii7 furni%$ by an evid5ce-bas$1 community-bas$ life/yle c\nsel+ program c]tifi$ by ! ,secret>y4 7,b7 ,9 ord] to ensure a collaborative ef=t1 ! coord9ation describ$ 9 subp>agraph 7,a77ii77,,ii7 may include ! heal? c>e provid] communicat+ to ! physician or prim>y c>e practition] mak+ ! ref]ral any recomm5dations or treatm5t plans made reg>d+ ! !rapy4 4 #f4 ,m$ic>e "p ,d cov]age ( obesity m$ication 7a7 ,9 g5]al ,section #ahfj;,d-#b7;e77#b77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajb7;e77#b77;,a77 is am5d$ by ins]t+ aft] re/rict$ "u section #aibg7;d77#b71 ! foll[+1 o!r ?an subp>agraph 7,a7 ( su* section if ! drug is us$ = ! treatm5t ( obesity 7z def9$ = purposes ( section #ahfa7yy77#b77;,c77 or = be+ ov]weight 7z def9$ = purposes ( section #ahfa7yy77#b77;,f77i77 & if ! individual has "o or m comorbidities14 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to plan ye>s beg9n+ on or aft] ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act4