,,ii #aac? ,,congress #a/ ,session ,s4 #ci ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #bb 7legislative day1 ,janu>y #c71 #bjac ,mr4 ,h>k9 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to improve ! heal? ( ,am]icans & r$uce heal? c>e co/s by reori5t+ ! ,nation's heal? c>e sy/em t[>d prev5tion1 wellness1 & heal? promotion4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,heal?y ,life/yles & ,prev5tion ,am]ica ,act or ! ,he,l,p ,am]ica ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,,title ,i--,heal?i] kids & s*ools ,sec4 #aja4 ,nutrition & physical activity 9 *ild c>e quality improvem5t4 ,sec4 #ajb4 ,access to local foods & s*ool g>d5s at pres*ools & *ild c>e4 ,sec4 #ajc4 ,fre% fruit & vegetable program4 ,sec4 #ajd4 ,equal physical activity opportunities = /ud5ts ) disabilities4 ,sec4 #aje4 ,physical activity 9 s*ool sett+s4 ,,title ,,ii--,heal?i] communities & workplaces ,subtitle ,a--,creat+ heal?i] communities ,sec4 #bja4 ,te*nical assi/ance = ! developm5t ( jo9t_/%>$ use agreem5ts4 ,sec4 #bjb4 ,community sports programs = individuals ) disabilities4 ,sec4 #bjc4 ,community g>d5s4 ,sec4 #bjd4 ,physical activity guidel9es = ,am]icans4 ,sec4 #bje4 ,tobacco tax increase & p>ity4 ,sec4 #bjf4 ,lev]ag+ & coord9at+ f$]al res\rces = improv$ heal?4 ,sec4 #bjg4 ,heal?i] national p>ks4 ,subtitle ,b--,inc5tives = a heal?i] work=ce ,sec4 #baa4 ,tax cr$it to employ]s = co/s ( implem5t+ wellness programs4 ,sec4 #bab4 ,employ]-provid$ (f-premises a?letic facilities4 ,sec4 #bac4 ,task =ce = ! promotion ( brea/fe$+ 9 ! workplace4 ,sec4 #bad4 ,improv+ heal?y eat+ & active liv+ options 9 ,f$]al workplaces4 ,,title ,,iii--,responsible m>ket+ & consum] aw>5ess ,sec4 #cja4 ,guidel9es = r$uction 9 sodium cont5t 9 c]ta9 foods4 ,sec4 #cjb4 ,nutrition label+ = food products sold pr9cipally = use 9 re/aurants or o!r retail food e/abli%m5ts4 ,sec4 #cjc4 ,front-label food guidance sy/ems4 ,sec4 #cjd4 ,rulemak+ au?ority = adv]tis+ to *ildr54 ,sec4 #cje4 ,heal? lit]acy3 rese>*1 coord9ation & dissem9ation4 ,sec4 #cjf4 ,disall[ance ( d$uctions = adv]tis+ & m>ket+ exp5ses relat+ to tobacco product use4 ,sec4 #cjg4 ,inc5tives to r$uce tobacco use4 ,sec4 #cjh4 ,volunt>y /&>ds on food m>ket+ to *ildr54 ,,title ,,iv--,exp&$ cov]age ( prev5tive s]vices ,sec4 #dja4 ,requir$ cov]age ( prev5tive s]vices "u ! ,m$icaid program4 ,sec4 #djb4 ,cov]age = compreh5sive workplace wellness program & prev5tive s]vices4 ,sec4 #djc4 ,heal? pr(essional education & tra9+ 9 heal?y eat+4 ,sec4 #djd4 ,integrative m$ic9e tra9+ program4 ,,title ,v--,rese>* ,sec4 #eja4 ,national consortium on brea/fe$+ rese>*4 ,sec4 #ejb4 ,national assessm5t ( m5tal heal? ne$s4 ,i ,heal?i] kids & s*ools #aja4 ,nutrition & physical activity 9 *ild c>e quality improvem5t 7a7 ,/ate plan ,section #feh;,e7c77#b77;,f7 ( ! ,*ild ,c>e & ,developm5t ,block ,grant ,act ( #aiij 7#db ,u4,s4,c4 #iheh;c7c77#b77;,f77 is am5d$ 9 ! second s5t5ce-- 7#a7 by r$esignat+ clauses 7i71 7ii71 & 7iii7 z subclauses 7,i71 7,,ii71 & 7,,iii7 & ind5t+ ! m>g9s s z to mat* ! m>g9s ( subclause 7,i7 ( section #feh;,e7c77#b77;,a77i72 7#b7 by /rik+ requirem5ts %all include-- & ins]t+ 8requirem5ts-- 7i7 %all include-- 2 7#c7 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#d7 by add+ at ! end ! foll[+3 7ii7 may include requirem5ts relat+ to /&>ds = nutrition & access to physical activity4 4 7b7 ,activities ,to improve ! quality ( *ild c>e ,section #feh;,g ( t ,act 7#db ,u4,s4,c4 #iheh;e7 is am5d$ by add+ at ! end ! foll[+3 ,funds res]v$ "u ?is section may be us$ to support ,/ate or local ef=ts to develop or adopt high-quality program /&>ds relat+ to heal?1 m5tal heal?1 nutrition1 physical activity1 & physical developm5t or to provide res\rces to enable eligible *ild c>e provid]s to meet1 exce$1 or su/a9 success 9 meet+ or exce$+ su* /&>ds4 ,su* /&>ds %all take into acc\nt exi/+ empirical /udies & rese>* & exi/+ /&>ds t h be5 approv$ by accr$it+ bodies44 #ajb4 ,access to local foods & s*ool g>d5s at pres*ools & *ild c>e ,section #ah7;g7 ( ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agfi7;g77 is am5d$-- 7#a7 by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 ,def9itions ,9 ?is subsection3 7,a7 ,*ild c>e c5t] ,! t]m *ild c>e c5t] means a *ild c>e c5t] p>ticipat+ 9 ! program "u section #ag 7o!r ?an a *ild c>e c5t] t solely p>ticipates 9 ! program "u subsection 7r7 ( t section74 7,b7 ,eligible s*ool ,! t]m eligible s*ool means a s*ool or in/itution t p>ticipates 9 a program "u ?is ,act or ! s*ool breakfa/ program e/abli%$ "u section #d ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aggc74 7,c7 ,sponsor+ organization ,! t]m sponsor+ organization means an in/itution describ$ 9 subp>agraphs 7,c71 7,d71 or 7,e7 ( section #ag7;a77#b74 2 7#b7 9 p>agraph 7#b7-- 7,a7 by ins]t+ *ild c>e c5t]s1 sponsor+ organizations = home-bas$ c>e1 aft] eligible s*ools12 & 7,b7 by ins]t+ 1 *ild c>e c5t]s1 & sponsor+ organizations = home-bas$ c>e be=e ! p]iod at ! end2 7#c7 9 p>agraph 7#e7-- 7,a7 9 subp>agraph 7,a71 by ins]t+ 1 *ild c>e c5t]1 or sponsor+ organization = home-bas$ c>e aft] eligible s*ool2 & 7,b7 9 subp>agraph 7,d71 by ins]t+ *ild c>e c5t]s1 sponsor+ organizations = home-bas$ c>e1 aft] eligible s*ools12 & 7#d7 9 p>agraph 7#g71 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ *ild c>e c5t]s1 sponsor+ organizations = home-bas$ c>e1 aft] eligible s*ools14 #ajc4 ,fre% fruit & vegetable program ,section #ai ( ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agfi;a7 is am5d$-- 7#a7 by /rik+ subsections 7c7 & 7d7 & ins]t+ ! foll[+3 7c7 ,s*ool p>ticipation 7#a7 ,9 g5]al ,ea* ,/ate %all c>ry out ! program 9 ea* elem5t>y s*ool 7z def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja77 9 ! ,/ate-- 7,a7 9 :i* n less ?an #ej p]c5t ( ! /ud5ts are eligible = free or r$uc$ price meals "u ?is ,act2 & 7,b7 t submits an application 9 accordance ) p>agraph 7#b74 7#b7 ,application 7,a7 ,9 g5]al ,an int]e/$ elem5t>y s*ool %all submit to ! ,/ate an application conta9+-- 7i7 in=mation p]ta9+ to ! p]c5tage ( /ud5ts enroll$ 9 ! s*ool :o are eligible = free or r$uc$ price s*ool lun*es "u ?is ,act2 7ii7 a c]tification ( support = p>ticipation 9 ! program sign$ by ! s*ool food manag]1 ! s*ool pr9cipal1 & ! di/rict sup]9t5d5t 7or equival5t positions1 z det]m9$ by ! s*ool72 7iii7 a plan = implem5tation ( ! program1 includ+ ef=ts to integrate activities c>ri$ out "u ?is section ) o!r ef=ts to promote s\nd heal? & nutrition1 r$uce ov]weight & obesity1 or promote physical activity2 & 7iv7 su* o!r in=mation z may be reque/$ by ! ,secret>y4 7,b7 ,p>tn]%ips ,ea* ,/ate %all enc\rage int]e/$ elem5t>y s*ools to submit a plan = implem5tation ( ! program t includes a p>tn]%ip ) #a or m entities t w provide non-,f$]al res\rces 7includ+ entities repres5t+ ! fruit & vegetable indu/ry74 2 7#b7 by /rik+ subsection 7i7 & ins]t+ ! foll[+3 7i7 ,fund+ 7#a7 ,9 g5]al ,out ( any funds 9 ! ,treasury n o!rwise appropriat$1 ! ,secret>y ( ! ,treasury %all transf] to ! ,secret>y to c>ry out ?is section su* sums z are necess>y1 to rema9 available until exp5d$4 7#b7 ,receipt & acceptance ,! ,secret>y %all be entitl$ to receive1 %all accept1 & %all use to c>ry out ?is section ! funds transf]r$ "u p>agraph 7#a71 )\t fur!r appropriation4 2 & 7#c7 by r$esignat+ subsections 7e7 ?r\gh 7i7 z subsections 7d7 ?r\gh 7h71 respectively4 #ajd4 ,equal physical activity opportunities = /ud5ts ) disabilities 7a7 ,9 g5]al ,title ,v ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gia et seq47 is am5d$ by add+ at ! end ! foll[+3 #eaa4 ,equal physical activity opportunities = /ud5ts ) disabilities 7a7 ,9 g5]al ,! ,secret>y %all promote equal opportunities = /ud5ts ) disabilities to be includ$ & to p>ticipate 9 physical education & extracurricul> a?letics implem5t$ 91 or 9 conjunction )1 elem5t>y s*ools1 second>y s*ools1 & in/itutions ( high] education1 by ensur+ ! provision ( appropriate te*nical assi/ance & guidance = s*ools & in/itutions describ$ 9 ?is subsection & _! p]sonnel4 7b7 ,te*nical assi/ance & guidance ,! provision ( te*nical assi/ance & guidance describ$ 9 subsection 7a7 %all include-- 7#a7 provid+ te*nical assi/ance to elem5t>y s*ools1 second>y s*ools1 local educational ag5cies1 ,/ate educational ag5cies1 & in/itutions ( high] education1 reg>d+-- 7,a7 inclusion & p>ticipation ( /ud5ts ) disabilities1 9 a mann] equal to t ( ! o!r /ud5ts1 9 physical education opportunities 7includ+ classes71 & extracurricul> a?letics opportunities1 includ+ te*nical assi/ance on provid+ reasonable modifications to policies1 practices1 & proc$ures1 & provid+ supports to ensure su* inclusion & p>ticipation2 7,b7 provision ( adaptive sports programs1 9 ! physical education & extracurricul> a?letics opportunities1 includ+ programs ) competitive sports leagues or competitions1 = /ud5ts ) disabilities2 & 7,c7 responsibilities ( ! s*ools1 in/itutions1 & ag5cies involv$ "u section #ejd1 ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abaja et seq471 & any o!r applicable ,f$]al law to provide /ud5ts ) disabilities equal access to extracurricul> a?letics2 7#b7 facilitat+ in=mation %>+ among ! s*ools1 in/itutions1 & ag5cies1 & /ud5ts ) disabilities1 on ways to provide inclusive opportunities 9 physical education & extracurricul> a?letics = /ud5ts ) disabilities2 & 7#c7 monitor+ ! ext5t to :i* physical education & extracurricul> a?letics opportunities = /ud5ts ) disabilities are implem5t$ 91 or 9 conjunction )1 elem5t>y s*ools1 second>y s*ools1 & in/itutions ( high] education4 7c7 ,def9itions ,9 ?is section3 7#a7 ,ag5cies ,! t]ms local educational ag5cy & ,/ate educational ag5cy h ! mean+s giv5 ! t]ms 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja74 7#b7 ,s*ools ,! t]ms elem5t>y s*ool1 second>y s*ool1 & in/itution ( high] education mean an elem5t>y s*ool1 second>y s*ool1 or in/itution ( high] education1 respectively 7z def9$ 9 section #iaja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife71 t receives or has #a or m /ud5ts :o receive1 ,f$]al f9ancial assi/ance4 7#c7 ,/ud5t ) a disability 7,a7 ,9 g5]al ,! t]m /ud5t ) a disability means an individual :o-- 7i7 att5ds an elem5t>y s*ool1 second>y s*ool1 or in/itution ( high] education2 & 7ii7 :o-- 7,i7 is eligible =1 & receiv+1 special education or relat$ s]vices "u "p ,b ( ! ,individuals ) ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adaa et seq472 or 7,,ii7 is an individual ) a disability1 = purposes ( section #ejd or ! ,am]icans ) ,disabilities ,act ( #aiij4 7,b7 ,/ud5ts ) disabilities ,! t]m /ud5ts ) disabilities means m ?an #a /ud5t ) a disability4 4 7b7 ,table ( cont5ts ,! table ( cont5ts 9 section #a7;b7 ( ! ,rehabilitation ,act ( #aigc is am5d$ by ins]t+ aft] ! item relat+ to section #eji ! foll[+3 ,sec4 #eaj4 ,e/abli%m5t ( /&>ds = accessible m$ical diagno/ic equipm5t4 ,sec4 #eaa4 ,equal physical activity opportunities = /ud5ts ) disabilities4 4 #aje4 ,physical activity 9 s*ool sett+s 7a7 ,annual ,/ate report c>d ,section #aaaa7;h77#a77;,c7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #fcaa7;h77#a77;,c77 is am5d$-- 7#a7 9 clause 7vii71 by /rik+ & aft] ! semicolon2 7#b7 9 clause 7viii71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7#c7 by add+ at ! end ! foll[+3 7ix7 ! av]age numb] ( m9utes dur+ ! s*ool day t all /ud5ts sp5d 9 requir$ physical education1 & ! av]age numb] ( m9utes t su* /ud5ts engage 9 mod]ate to vigor\s physical activity dur+ ! s*ool day1 z measur$ aga9/ ! mo/ rec5t e/abli%$ & recomm5d$ guidel9es ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,secret>y ( ,heal? & ,human ,s]vices2 7x7 ! p]c5tage ( local educational ag5cies t h a requir$1 age-appropriate1 physical education curriculum t adh]es to ! mo/ rec5t guidel9es develop$ by ! ,c5t]s = ,disease ,control & ,prev5tion & ,/ate /&>ds2 7xi7 ! p]c5tage ( elem5t>y s*ool & second>y s*ool physical education tea*]s :o are lic5s$ or c]tifi$ to tea* physical education 9 ! ,/ate2 7xii7 ! p]c5tage ( elem5t>y s*ools & second>y s*ools t h a physical education tea*] :o is c]tifi$ or lic5s$ to tea* 9 ! ,/ate & :o also is c]tifi$ or lic5s$ 9 adapt$ physical education2 7xiii7 ! numb] ( indoor squ>e feet & ! numb] ( outdoor squ>e feet us$ prim>ily = physical education or physical activity by elem5t>y s*ools & second>y s*ools2 & 7xiv7 ! p]c5tage ( local educational ag5cies t h a s*ool wellness c\ncil t-- 7,i7 includes memb]s appo9t$ by ! sup]9t5d5t ( ! local educational ag5cy & may include p>5ts1 /ud5ts1 repres5tatives ( ! s*ool food au?ority1 repres5tatives ( ! s*ool bo>d1 s*ool adm9i/rators1 & memb]s ( ! public2 & 7,,ii7 meets regul>ly to promote a heal?y s*ool environm5t4 4 7b7 ,physical education z a core subject ,section #iaja7aa7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ghja7aa77 is am5d$ by ins]t+ physical education1 aft] economics1 arts14 7c7 #ba/ ,c5tury le>n+ communities 7#a7 ,purpose2 def9itions ,section #dbja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gaga7 is am5d$-- 7,a7 9 subsection 7a77#b71 by ins]t+ nutrition education programs1 /ructur$ physical activity programs1 aft] recreation programs12 & 7,b7 9 subsection 7b77#a77;,a71 by ins]t+ nutrition education1 /ructur$ physical activity1 aft] recreation14 7#b7 ,local activities ,section #dbje7;a7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gage7;a77 is am5d$-- 7,a7 9 p>agraph 7#aa71 by /rik+ & aft] ! semicolon2 7,b7 9 p>agraph 7#ab71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7#ac7 programs t support a heal?y1 active life/yle1 includ+ nutritional education & regul>1 /ructur$ physical activity programs4 4 7d7 ,p>5tal involvem5t ,section #aaah7;d77#a7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #fcah7;d77#a77 is am5d$-- 7#a7 by ins]t+ 1 heal?y1 aft] supportive2 7#b7 by /rik+ 2 & p>ticipat+ & ins]t+ 2 p>ticipat+2 & 7#c7 by ins]t+ aft] extracurricul> "t2 ! foll[+3 & support+ _! *ildr5 9 lead+ a heal?y & active life1 su* z by provid+ heal?y meals & snacks1 enc\rag+ p>ticipation 9 physical education1 & %>+ 9 physical activity outside ! s*ool day to support successful academic a*ievem5t24 7e7 ,local application & ne$s assessm5t ,section #babb7;b77#i7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #ffbb7 is am5d$-- 7#a7 9 subp>agraph 7,c71 by /rik+ & aft] ! semicolon2 7#b7 9 subp>agraph 7,d71 by /rik+ a p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7,e7 enc\rage heal?y eat+ habits & increas$ physical activity among /ud5ts to support successful academic a*ievem5t4 4 ,,ii ,heal?i] communities & workplaces ,a ,creat+ heal?i] communities #bja4 ,te*nical assi/ance = ! developm5t ( jo9t_/%>$ use agreem5ts 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,secret>y ( ,education & 9 consultation ) lead+ national exp]ts & organizations advanc+ heal?y liv+ 9 ! s*ool environm5t1 %all develop & dissem9ate guidel9es & be/ practices1 includ+ model docum5ts1 & provide te*nical assi/ance to elem5t>y & second>y s*ools to assi/ su* s*ools ) ! developm5t ( jo9t_/%>$ use agreem5ts s z to address liability1 op]ational & managem5t1 & co/ issues t may o!rwise imp$e ! ability ( community memb]s to use s*ool facilities = recreational & nutritional purposes dur+ nons*ool h\rs4 7b7 ,def9ition ,9 ?is section1 ! t]m jo9t_/%>$ use agreem5t means a =mal agreem5t betwe5 an elem5t>y or second>y s*ool & ano!r entity relat+ to ! use ( ! s*ool's facilities1 equipm5t1 or prop]ty1 includ+ recreational & food s]vices facilities1 equipm5t1 & prop]ty1 by individuals o!r ?an ! s*ool's /ud5ts or /aff4 #bjb4 ,community sports programs = individuals ) disabilities ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#f4 ,community sports programs = individuals ) disabilities 7a7 ,9 g5]al 7#a7 ,individual ) a disability def9$ ,= purposes ( ?is section1 ! t]m individual ) a disability means any p]son :o has a disability z def9$ 9 section #c ( ! ,am]icans ) ,disabilities ,act ( #aiij 7#db ,u4,s4,c4 #abajb74 7#b7 ,individual ) a physical disability ,! t]m individual ) a physical disability means an individual ) a disability t has a physical or visual disability4 7#c7 ,community sports grants program ,! ,secret>y1 9 collaboration ) ! ,national ,advisory ,committee on ,community ,sports ,programs = ,individuals ) ,disabilities1 may aw>d grants on a competitive basis to public & nonpr(it private entities to implem5t community-bas$1 sports & a?letic programs = individuals ) disabilities1 includ+ y\? ) disabilities4 7b7 ,application ,to be eligible to receive a grant "u ?is section1 a public or nonpr(it private entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* agreem5ts1 assurances1 & in=mation z ! ,secret>y det]m9es to be necess>y to c>ry out ?is section4 7c7 ,au?oriz$ activities ,am\nts aw>d$ "u a grant "u subsection 7a7 %all be us$ =-- 7#a7 community-bas$ sports programs1 leagues1 or competitions 9 individual or team sports = individuals ) physical disabilities2 7#b7 regional sports programs or competitions 9 individual or team sports = individuals ) physical disabilities2 7#c7 ! developm5t ( competitive team & individual sports programs = individuals ) disabilities at ! high s*ool & collegiate level2 or 7#d7 ! developm5t ( m5tor+ programs to enc\rage p>ticipation 9 sports programs = individuals ) disabilities1 includ+ individuals ) rec5tly acquir$ disabilities4 7d7 ,priorities 7#a7 ,advisory committee ,! ,secret>y %all e/abli% a ,national ,advisory ,committee on ,community ,sports ,programs = ,individuals ) ,disabilities t %all-- 7,a7 e/abli% priorities = ! implem5tation ( ?is section2 7,b7 review grant proposals2 7,c7 make recomm5dations = di/ribution ( ! available appropriat$ funds to specific applicants2 & 7,d7 annually evaluate ! progress ( programs c>ri$ out "u ?is section 9 implem5t+ su* priorities4 7#b7 ,repres5tation ,! ,advisory ,committee e/abli%$ "u p>agraph 7#a7 %all include repres5tatives (-- 7,a7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices ,adm9i/ration = ,community ,liv+2 7,b7 ! ,unit$ ,/ates ,surgeon ,g5]al2 7,c7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7,d7 disabl$ sports organizations2 7,e7 organizations t repres5t ! int]e/s ( individuals ) disabilities2 & 7,f7 individuals ) disabilities 7includ+ a?letes ) physical disabilities7 or _! family memb]s4 7e7 ,dissem9ation ( in=mation ,! ,secret>y %all dissem9ate in=mation ab\t ! availability ( grants "u ?is section 9 a mann] t is design$ to rea* public entities & nonpr(it private organizations t are d$icat$ to provid+ outrea*1 advocacy1 or indep5d5t liv+ s]vices to individuals ) disabilities4 7f7 ,te*nical assi/ance ,! ,secret>y1 9 conjunction ) ! ,unit$ ,/ates ,olympic ,committee & disabl$ sports organizations1 %all e/abli% a te*nical assi/ance c5t] to provide tra9+1 support1 & in=mation to grantees "u ?is section on e/abli%+ & op]at+ community sports programs = individuals ) disabilities4 7g7 ,report to congress ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is section1 & annually !reaft]1 ! ,secret>y %all submit to ,congress a report summ>iz+ activities1 f9d+s1 outcomes1 & recomm5dations result+ f ! grant projects fund$ "u ?is section dur+ ! ye> = :i* ! report is be+ prep>$4 7h7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y4 7#b7 ,limitation ,n to exce$ #aj p]c5t ( ! am\nt appropriat$ 9 ea* fiscal ye> %all be us$ to c>ry out activities "u subsection 7c77#d74 4 #bjc4 ,community g>d5s ,subtitle ,d ( title ,x ( ! ,food1 ,cons]vation1 & ,en]gy ,act ( #bjjh 7,public ,law #aaj-bdf2 #abb ,/at4 #baji7 is am5d$ by add+ at ! end ! foll[+3 #ajdje4 ,community g>d5 grant program 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means-- 7,a7 a nonpr(it organization2 or 7,b7 a unit ( g5]al local gov]nm5t1 or tribal gov]nm5t1 locat$ on tribal l& or 9 a l[-income community4 7#b7 ,l[-income community ,! t]m l[-income community means-- 7,a7 a community 9 :i* n less ?an #ej p]c5t ( *ildr5 are eligible = free or r$uc$ pric$ meals "u ! ,ri*>d ,b4 ,russell ,national ,s*ool ,lun* ,act 7#db ,u4,s4,c4 #agea et seq472 or 7,b7 any o!r community det]m9$ by ! ,secret>y to be l[-income = purposes ( ?is section4 7#c7 ,unit ( g5]al local gov]nm5t ,! t]m unit ( g5]al local gov]nm5t has ! mean+ giv5 ! t]m 9 section #ajb ( ! ,h\s+ & ,community ,developm5t ,act ( #aigd 7#db ,u4,s4,c4 #ecjb74 7b7 ,program e/abli%$ ,us+ su* am\nts z are appropriat$ to c>ry out ?is section1 ! ,secret>y %all aw>d grants to eligible entities to exp&1 e/abli%1 or ma9ta9 community g>d5s4 7c7 ,application ,to be consid]$ = a grant "u ?is section1 an eligible entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+-- 7#a7 an assurance t priority = hir+ = jobs creat$ by ! expansion1 e/abli%m5t1 or ma9t5ance ( a community g>d5 fund$ ) a grant receiv$ "u ?is section w be giv5 to individuals :o reside 9 ! community 9 :i* ! g>d5 is locat$2 & 7#b7 a demon/ration t ! eligible entity is committ$ to provid+ non-,f$]al f9ancial or 9-k9d support 7su* z provid+ a wat] supply7 = ! community g>d5 = :i* ! entity receives funds "u ?is section4 4 #bjd4 ,physical activity guidel9es = ,am]icans 7a7 ,report 7#a7 ,9 g5]al ,at lea/ e #aj ye>s1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all publi% a report entitl$ ,physical ,activity ,guidel9es = ,am]icans4 ,ea* su* report %all conta9 physical activity in=mation & guidel9es = ! g5]al public1 & %all be promot$ by ea* ,f$]al ag5cy 9 c>ry+ out any ,f$]al heal? program4 ,n lat] ?an #e ye>s aft] ! publication ( ! fir/ su* report1 & e #aj ye>s !reaft]1 ! ,secret>y %all publi% a report highlight+ ! be/ practices & cont9u+ issues 9 ! physical activity ar5a1 :i* may focus on a p>ticul> gr\p1 subsection1 or o!r division ( ! g5]al public or a p>ticul> issue relat+ to ! physical activity ( ,am]icans4 7#b7 ,basis ( guidel9es ,! in=mation & guidel9es conta9$ 9 ea* report requir$ "u p>agraph 7#a7 %all be bas$ on ! prepond]ance ( ! sci5tific & m$ical k :i* is curr5t at ! "t ! report is prep>$1 & %all include guidel9es = id5tifi$ population subgr\ps1 includ+ *ildr51 if ! prepond]ance ( sci5tific & m$ical k indicates ^? subgr\ps require diff]5t levels ( physical activity4 7b7 ,approval by ,secret>y 7#a7 ,review ,any ,f$]al ag5cy t proposes to issue any physical activity guidance = ! g5]al population or id5tifi$ population subgr\ps %all submit ! text ( su* guidance to ! ,secret>y = a #fj-;day review p]iod4 7#b7 ,basis ( review 7,a7 ,9 g5]al ,dur+ ! #fj-;day review p]iod e/abli%$ 9 p>agraph 7#a71 ! ,secret>y %all review & approve or disapprove su* guidance to assure t ! guidance ei!r is consi/5t ) ! ,physical ,activity ,guidel9es = ,am]icans or t ! guidance is bas$ on m$ical or new sci5tific k :i* is det]m9$ to be valid by ! ,secret>y4 ,if aft] su* #fj-;day review p]iod ! ,secret>y has n notifi$ ! propos+ ag5cy t su* guidance has be5 disapprov$1 !n su* guidance may be issu$ by ! ag5cy4 ,if ! ,secret>y disapproves su* guidance1 x %all be return$ to ! ag5cy4 ,if ! ,secret>y f9ds t su* guidance is inconsi/5t ) ! ,physical ,activity ,guidel9es = ,am]icans & s notifies ! propos+ ag5cy1 su* ag5cy %all foll[ ! proc$ures set =? 9 ?is subsection be=e dissem9at+ su* proposal to ! public 9 f9al =m4 ,if aft] su* #fj-;day p]iod1 ! ,secret>y disapproves su* guidance z inconsi/5t ) ! ,physical ,activity ,guidel9es = ,am]icans ! propos+ ag5cy %all-- 7i7 publi% a notice 9 ! ,f$]al ,regi/] ( ! availability ( ! full text ( ! proposal & ! preamble ( su* proposal :i* %all expla9 ! basis & purpose = ! propos$ physical activity guidance2 7ii7 provide 9 su* notice = a public comm5t p]iod ( #cj days2 & 7iii7 make available = public inspection & copy+ dur+ normal bus9ess h\rs any comm5t receiv$ by ! ag5cy dur+ su* comm5t p]iod4 7,b7 ,review ( comm5ts ,aft] review ( comm5ts receiv$ dur+ ! comm5t p]iod1 ! ,secret>y may approve = dissem9ation by ! propos+ ag5cy a f9al v]sion ( su* physical activity guidance along ) an explanation ( ! basis & purpose = ! f9al guidance :i* addresses significant & sub/antive comm5ts z det]m9$ by ! propos+ ag5cy4 7,c7 ,ann\ncem5t ,any su* f9al physical activity guidance to be dissem9at$ "u subp>agraph 7,b7 %all be ann\nc$ 9 a notice publi%$ 9 ! ,f$]al ,regi/]1 be=e public dissem9ation along ) an address :]e copies may be obta9$4 7,d7 ,notification ( disapproval ,if aft] ! #cj-;day p]iod = comm5t z provid$ "u subp>agraph 7,a77ii71 ! ,secret>y disapproves a propos$ physical activity guidance1 ! ,secret>y %all notify ! ,f$]al ag5cy submitt+ su* guidance ( su* disapproval1 & su* guidance may n be issu$1 except z provid$ 9 subp>agraph 7,e74 7,e7 ,review ( disapproval ,if a propos$ physical activity guidance is disapprov$ by ! ,secret>y "u subp>agraph 7,d71 ! ,f$]al ag5cy propos+ su* guidance may1 )9 #ae days aft] receiv+ notification ( su* disapproval "u subp>agraph 7,d71 reque/ ! ,secret>y to review su* disapproval4 ,)9 #ae days aft] receiv+ a reque/ = su* a review1 ! ,secret>y %all conduct su* review4 ,if1 pursuant to su* review1 ! ,secret>y approves su* propos$ physical activity guidance1 su* guidance may be issu$ by ! ,f$]al ag5cy4 7#c7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m physical activity guidance = ! g5]al population does n include any rule or regulation issu$ by a ,f$]al ag5cy4 7,b7 ,! t]m id5tifi$ population subgr\ps %all include1 b n be limit$ to1 gr\ps bas$ on factors su* z age1 sex1 race1 or physical disability4 7c7 ,exi/+ au?ority n affect$ ,?is section does n place any limitations on-- 7#a7 ! conduct or support ( any sci5tific or m$ical rese>* by any ,f$]al ag5cy2 or 7#b7 ! pres5tation ( any sci5tific or m$ical f9d+s or ! ex*ange or review ( sci5tific or m$ical in=mation by any ,f$]al ag5cy4 #bje4 ,tobacco tax increase & p>ity 7a7 ,%ort ,title ,?is section may be cit$ z ! ,sav+ ,lives by ,l[]+ ,tobacco ,use ,act4 7b7 ,increase 9 excise tax on small cig>s & cig>ettes 7#a7 ,small cig>s ,section #egja7;a77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ #ej4cc & ins]t+ #ajj4ej4 7#b7 ,cig>ettes ,section #egja7;b7 ( su* ,code is am5d$-- 7,a7 by /rik+ #ej4cc 9 p>agraph 7#a7 & ins]t+ #ajj4ej1 & 7,b7 by /rik+ #aje4fi 9 p>agraph 7#b7 & ins]t+ #baa4jd4 7c7 ,tax p>ity = pipe tobacco & roll-,y\r-,own tobacco 7#a7 ,pipe tobacco ,section #egja7;f7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ #b4hcaa c5ts & ins]t+ #di4ee4 7#b7 ,roll-y\r-own tobacco ,section #egja7;g7 ( su* ,code is am5d$ by /rik+ #bd4gh & ins]t+ #di4ee4 7d7 ,cl>ification ( def9ition ( small cig>s ,p>agraphs 7#a7 & 7#b7 ( section #egja7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf are ea* am5d$ by /rik+ ?ree p\nds p] ?\s& & ins]t+ f\r & "o-half p\nds p] ?\s&4 7e7 ,cl>ification ( def9ition ( cig>ette ,p>agraph 7#b7 ( section #egjb7;b7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ be=e ! f9al p]iod ! foll[+3 1 :i* includes any roll = smok+ conta9+ tobacco t weighs no m ?an f\r & a half p\nds p] ?\s&1 unless x is wrapp$ 9 :ole tobacco leaf & does n h a cellulose acetate or o!r cig>ette-/yle filt]4 7f7 ,tax p>ity = smokeless tobacco 7#a7 ,9 g5]al ,section #egja7;e7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7,a7 9 p>agraph 7#a71 by /rik+ #a4ea & ins]t+ #bf4gi2 7,b7 9 p>agraph 7#b71 by /rik+ #ej4cc c5ts & ins]t+ #aj4gb2 & 7,c7 by add+ at ! end ! foll[+3 7#c7 ,smokeless tobacco sold 9 discrete s+le-use units ,on discrete s+le-use units1 #ajj4ej p] ea* #a1jjj s+le-use units4 4 7#b7 ,discrete s+le-use unit ,section #egjb7m7 ( su* ,code is am5d$-- 7,a7 9 p>agraph 7#a71 by /rik+ or *ew+ tobacco & ins]t+ *ew+ tobacco1 discrete s+le-use unit2 7,b7 9 p>agraphs 7#b7 & 7#c71 by ins]t+ t is n a discrete s+le-use unit be=e ! p]iod 9 ea* su* p>agraph2 & 7,c7 by add+ at ! end ! foll[+3 7#d7 ,discrete s+le-use unit ,! t]m discrete s+le-use unit means any product conta9+ tobacco t-- 7,a7 is int5d$ or expect$ to be consum$ )\t be+ combu/$2 & 7,b7 is 9 ! =m ( a loz5ge1 tablet1 pill1 p\*1 dissolvable /rip1 or o!r discrete s+le-use or s+le-dose unit4 4 7#c7 ,o!r tobacco products ,section #egja ( su* ,code is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,o!r tobacco products ,any product n o!rwise describ$ "u ?is section t has be5 det]m9$ to be a tobacco product by ! ,food & ,drug ,adm9i/ration ?r\gh its au?orities "u ! ,family ,smok+ ,prev5tion & ,control ,act %all be tax$ at a level ( tax equival5t to ! tax rate = cig>ettes on an e/imat$ p] use basis z det]m9$ by ! ,secret>y4 4 7g7 ,cl>ify+ o!r tobacco tax def9itions 7#a7 ,tobacco product def9ition ,section #egjb7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by ins]t+ be=e ! p]iod ! foll[+3 1 & any o!r product conta9+ tobacco t is int5d$ or expect$ to be consum$4 7#b7 ,cig>ette tube def9ition ,section #egjb7;f7 ( su* ,code is am5d$ by ins]t+ be=e ! p]iod or cig>s4 7#c7 ,import] def9ition ,section #egjb7k7 ( su* ,code is am5d$ by ins]t+ or any o!r tobacco product aft] cig>s or cig>ettes4 7#d7 ,pipe tobacco def9ition ,section #egjb7n7 ( su* ,code is am5d$-- 7,a7 by /rik+ ,! t]m & ins]t+ ! foll[+3 7#a7 ,9 g5]al ,! t]m 2 & 7,b7 by add+ at ! end ! foll[+3 7#b7 ,roll-y\r-own tobacco ,any tobacco t meets ! def9ition "u bo? ?is subsection & section #egjb7o7 %all be treat$ z roll-y\r-own tobacco "u section #egjb7o74 7#c7 ,exception ,p>agraph 7#b7 %all n apply to a product t1 z ( ,janu>y #a1 #bjji1 0 ei!r comm]cially m>ket$ 9 ! ,unit$ ,/ates 9 packag+ t bore1 pursuant to "p #dj or #da ( title #bg1 ,code ( ,f$]al ,regulations1 a designation z pipe tobacco or ,tax ,class ,l1 or is sub/antially equival5t to su* product1 provid$ t su* product is widely us$ z pipe tobacco4 4 7h7 ,inflation adju/m5t ,section #egja ( ! ,int]nal ,rev5ue ,code ( #aihf1 z am5d$ by subsection 7f77#c71 is am5d$ by add+ at ! end ! foll[+ new subsection3 7j7 ,inflation adju/m5t ,9 ! case ( any cal5d> ye> aft] #bjac1 ea* am\nt set =? 9 ?is section %all be increas$ by an am\nt equal to-- 7#a7 su* am\nt1 multipli$ by 7#b7 ! co/-(-liv+ adju/m5t det]m9$ "u section #a7;f77#c7 = su* cal5d> ye> by sub/itut+ cal5d> ye> #bjab = cal5d> ye> #aiib 9 subp>agraph 7,b7 !re(4 4 7i7 ,floor ,/ocks ,taxes 7#a7 ,imposition ( tax ,on tobacco products manufactur$ 9 or import$ into ! ,unit$ ,/ates :i* are remov$ be=e any tax increase date & held on su* date = sale by any p]son1 !re is h]eby impos$ a tax 9 an am\nt equal to ! excess (-- 7,a7 ! tax :i* w\ld be impos$ "u section #egja ( ! ,int]nal ,rev5ue ,code ( #aihf on ! article if ! article _h be5 remov$ on su* date1 ov] 7,b7 ! prior tax 7if any7 impos$ "u section #egja ( su* ,code on su* article4 7#b7 ,cr$it aga9/ tax ,ea* p]son %all be all[$ z a cr$it aga9/ ! taxes impos$ by p>agraph 7#a7 an am\nt equal to #ejj4 ,su* cr$it %all n exce$ ! am\nt ( taxes impos$ by p>agraph 7#a7 on su* date = :i* su* p]son is liable4 7#c7 ,liability = tax & me?od ( paym5t 7,a7 ,liability = tax ,a p]son hold+ tobacco products on any tax increase date to :i* any tax impos$ by p>agraph 7#a7 applies %all be liable = su* tax4 7,b7 ,me?od ( paym5t ,! tax impos$ by p>agraph 7#a7 %all be paid 9 su* mann] z ! ,secret>y %all prescribe by regulations4 7,c7 ,"t = paym5t ,! tax impos$ by p>agraph 7#a7 %all be paid on or be=e ! date t is #abj days aft] ! effective date ( ! tax rate increase4 7#d7 ,articles 9 =eign trade zones ,not)/&+ ! ,act ( ,june #ah1 #aicd 7commonly kn[n z ! ,=eign ,trade ,zone ,act1 #dh ,/at4 #iih1 #ai ,u4,s4,c4 #ha;a et seq471 or any o!r provision ( law1 any article :i* is locat$ 9 a =eign trade zone on any tax increase date %all be subject to ! tax impos$ by p>agraph 7#a7 if-- 7,a7 int]nal rev5ue taxes h be5 det]m9$1 or cu/oms duties liquidat$1 ) respect to su* article be=e su* date pursuant to a reque/ made "u ! #a/ proviso ( section #c7;a7 ( su* ,act1 or 7,b7 su* article is held on su* date "u ! sup]vision ( an (fic] ( ! ,unit$ ,/ates ,cu/oms & ,bord] ,protection ( ! ,dep>tm5t ( ,homel& ,security pursuant to ! #b;d proviso ( su* section #c7;a74 7#e7 ,def9itions ,= purposes ( ?is subsection-- 7,a7 ,9 g5]al ,any t]m us$ 9 ?is subsection :i* is also us$ 9 section #egjb ( su* ,code %all h ! same mean+ z su* t]m has 9 su* section4 7,b7 ,tax increase date ,! t]m tax increase date means ! effective date ( any increase 9 any tobacco product excise tax rate pursuant to ! am5dm5ts made by ?is section 7o!r ?an subsection 7g7 !re(74 7,c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ! ,treasury or ! ,secret>y's delegate4 7#f7 ,controll$ gr\ps ,rules simil> to ! rules ( section #ejfa7;e77#c7 ( su* ,code %all apply = purposes ( ?is subsection4 7#g7 ,o!r laws applicable ,all provisions ( law1 includ+ p5alties1 applicable ) respect to ! taxes impos$ by section #egja ( su* ,code %all1 ins(> z applicable & n inconsi/5t ) ! provisions ( ?is subsection1 apply to ! floor /ocks taxes impos$ by p>agraph 7#a71 to ! same ext5t z if su* taxes 7 impos$ by su* section #egja4 ,! ,secret>y may treat any p]son :o bore ! ultimate burd5 ( ! tax impos$ by p>agraph 7#a7 z ! p]son to :om a cr$it or refund "u su* provisions may be all[$ or made4 7j7 ,effective ,date ,! am5dm5ts made by ?is section %all apply to articles remov$ 7z def9$ 9 section #egjb7;j7 ( ! ,int]nal ,rev5ue ,code ( #aihf7 aft] ,decemb] #ca1 #bjac4 #bjf4 ,lev]ag+ & coord9at+ f$]al res\rces = improv$ heal? 7a7 ,heal? impacts ( non-,heal? legislation 7#a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,national ,prev5tion1 ,heal? ,promotion & ,public ,heal? ,c\ncil1 %all ent] into a contract ) ! ,in/itute ( ,m$ic9e ( ! ,national ,academy ( ,sci5ces = ! conduct ( a /udy to assess ! pot5tial heal? impacts ( major non-heal? relat$ legislation t is likely to be consid]$ by ,congress )9 a ye> ( completion ( ! /udy4 ,su* /udy %all id5tify ! ways 9 :i* su* legislation involv$ is likely to impact ! heal? ( ,am]icans & %all conta9 recomm5dations to ,congress on ways to maximize ! positive heal? impacts & m9imize ! negative heal? impacts4 7#b7 ,tim+ ,! tim+ ( ! /udy "u p>agraph 7#a7 %all be det]m9$ 9 a mann] t ensures t ! results ( ! /udy w be available at lea/ #c mon?s prior to ! consid]ation ( ! legislation involv$ by ,congress4 7#c7 ,guidel9es ,to ! ext5t practicable1 ! ,c\ncil "u p>agraph 7#a7 %all ensure t ! /udy conduct$ "u ?is subsection complies ) ! cons5sus guidel9es on h[ to c>ry out a heal? impact assessm5t1 includ+ /akehold] engagem5t guidel9es1 su* z ! ,,hia ( ! ,am]icas ,practice ,guidel9es & guidel9es promulgat$ by ! ,_w ,heal? ,organization & o!r cons5sus bodies4 7#d7 ,report ,^u completion ( ! /udy "u ?is subsection1 ! ,in/itute ( ,m$ic9e %all submit to ! ,c\ncil "u p>agraph 7#a71 & make available to ! g5]al public1 a report t-- 7,a7 summ>izes ! direct1 indirect1 & cumulative heal? impacts id5tifi$ 9 ! assessm5t2 & 7,b7 conta9s recomm5dations = h[ to maximize positive heal? impacts & m9imize negative heal? impacts ( ! legislation involv$4 7#e7 ,type ( legislation ,= purposes ( ?is subsection1 ! t]m non-heal? relat$ legislation %all h ! mean+ giv5 su* t]m by ! ,c\ncil "u p>agraph 7#a71 & %all include legislation t is likely to h impacts on ! heal? ( ,am]icans :]e su* impacts are n likely to be consid]$ by ,congress to ! ext5t requir$ by _! scope )\t ! conduct ( an assessm5t "u ?is subsection4 ,examples ( major non-heal? relat$ legislation t c\ld be ! subject ( ! /udy include reau?orizations ( ! ,mov+ ,ahead = ,progress 9 ! #ba/ ,c5tury ,act 7,public ,law #aab-ada71 ! ,food1 ,cons]vation1 & ,en]gy ,act ( #bjjh 7,public ,law #aaj-bdf71 & ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #fcja et seq474 7b7 ,improv+ heal? impacts ( ,f$]al ag5cy activities 7#a7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,national ,prev5tion1 ,heal? ,promotion & ,public ,heal? ,c\ncil1 %all detail employees ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to policy & program plann+ (fices ( o!r ,f$]al dep>tm5ts & ag5cies1 includ+ ! ,dep>tm5t ( ,transportation1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 ! ,dep>tm5t ( ,agriculture1 ! ,dep>tm5t ( ,education1 & ! ,dep>tm5t ( ! ,int]ior1 9 ord] to assi/ ^? dep>tm5ts & ag5cies to consid] ! impacts ( _! activities on ! heal? ( ! populations s]v$ & to assi/ ) ! integration ( heal? goals into ! activities ( ! dep>tm5ts & ag5cies1 z appropriate4 7#b7 ,duties ,employees detail$ "u p>agraph 7#a7 %all assi/ ) assessm5ts ( ! pot5tial impacts ( ! programs & activities ( ! dep>tm5t or ag5cy involv$ on ! heal? & well-be+ ( ! populations s]v$1 ! developm5t ( metrics & p]=mance /&>ds t c be incorporat$1 z appropriate1 into ! activities1 p]=mance measurem5ts1 & grant & contract /&>ds ( ! dep>tm5t or ag5cy1 & ! developm5t ( ! report detail$ 9 p>agraph 7#c74 7#c7 ,reports ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ea* dep>tm5t & ag5cy ) a detailee "u ?is section %all submit to ! ,national ,prev5tion1 ,heal? ,promotion & ,public ,heal? ,c\ncil1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report detail+ ! heal? impacts ( ! dep>tm5t or ag5cy's activities & any plans to improve ^? impacts4 #bjg4 ,heal?i] national p>ks 7a7 ,concessions contracts ,section #djc ( ! ,national ,p>k ,s]vice ,concessions ,managem5t ,improvem5t ,act ( #aiih 7#af ,u4,s4,c4 #eieb7 is am5d$-- 7#a7 9 p>agraph 7#d77;,a71 by add+ at ! end ! foll[+3 7iv7 ,measures necess>y to ensure ! easy & pl5tiful availability ( heal?y snacks1 bev]ages1 & meals 7includ+ meals = *ildr57 t reflect ! mo/ rec5t ,diet>y ,guidel9es = ,am]icans publi%$ "u section #cja ( ! ,national ,nutrition ,monitor+ & ,relat$ ,rese>* ,act ( #aiij 7#g ,u4,s4,c4 #ecda74 2 & 7#b7 9 p>agraph 7#e77;,a71 by add+ at ! end ! foll[+3 7v7 ,! responsiv5ess ( ! proposal to ! objective ( support+ ! ef=ts ( visitors to ! unit ( ! ,national ,p>k ,sy/em to make heal?y diet>y *oices ?r\gh ! easy & pl5tiful availability ( heal?y snacks1 bev]ages1 & meals 7includ+ meals = *ildr57 t reflect ! mo/ rec5t ,diet>y ,guidel9es = ,am]icans publi%$ "u section #cja ( ! ,national ,nutrition ,monitor+ & ,relat$ ,rese>* ,act ( #aiij 7#g ,u4,s4,c4 #ecda74 4 7b7 ,report 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ! ,int]ior 7act+ ?r\gh ! ,director ( ! ,national ,p>k ,s]vice7 7ref]r$ to 9 ?is section z ! ,secret>y7 %all submit to ,congress a report t describes ! /ate ( food & bev]age (f]+s 9 units ( ! ,national ,p>k ,sy/em4 7#b7 ,compon5ts ,! report submitt$ "u p>agraph 7#a7 %all include-- 7,a7 an assessm5t ( ! nutritional quality ( foods (f]$ 9 units ( ! ,national ,p>k ,sy/em1 includ+ ! approximate p]c5tage ( food & bev]age (f]+s t reflect ! mo/ rec5t ,diet>y ,guidel9es = ,am]icans publi%$ "u section #cja ( ! ,national ,nutrition ,monitor+ & ,relat$ ,rese>* ,act ( #aiij 7#g ,u4,s4,c4 #ecda72 7,b7 guidel9es = concession]s to ensure ! easy & pl5tiful availability ( heal?y snacks1 bev]ages1 & meals 7includ+ meals = *ildr57 f ,national ,p>k ,s]vice re/aurants1 retail food outlets1 & o!r food concession]s t take into acc\nt-- 7i7 ! mo/ rec5t ,diet>y ,guidel9es = ,am]icans publi%$ "u section #cja ( ! ,national ,nutrition ,monitor+ & ,relat$ ,rese>* ,act ( #aiij 7#g ,u4,s4,c4 #ecda72 & 7ii7 ! mo/ rec5t ,su/a9ability ,guidel9es = ,f$]al ,concessions & ,v5d+ ,op]ations develop$ by ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,adm9i/rator ( ,g5]al ,s]vices2 & 7,c7 a plan to ensure t1 n lat] ?an ,augu/ #be1 #bjaf1 !re are adequate (f]+s ( heal?y food items f all food concession]s 9 units ( ! ,national ,p>k ,sy/em4 7c7 ,promot+ heal?1 recreation1 & outdoors 7#a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion7 %all coord9ate ) ! ,secret>y 7act+ ?r\gh ! ,director ( ! ,national ,p>k ,s]vice71 9 consultation ) ! ,program ,manag] ( ! ,riv]s1 ,trails1 & ,cons]vation ,assi/ance ,program1 to advance ef=ts = ! ,national ,p>k ,sy/em to enhance opportunities = p to engage 9 physical activity4 7#b7 ,action plan ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion71 ! ,secret>y 7act+ ?r\gh ! ,director ( ! ,national ,p>k ,s]vice71 & ! ,program ,manag] ( ! ,riv]s1 ,trails1 & ,cons]vation ,assi/ance ,program %all e/abli% a long-range action plan-- 7,a7 t id5tifies & coord9ates me*anisms to advance-- 7i7 public education on ! heal? importance ( physical activity & recreation outdoors 9 nature1 includ+ 9 units ( ! ,national ,p>k ,sy/em2 & 7ii7 heal?1 physical activity1 & recreation programs t increase ! am\nt ( "t & ! quality ( opportunities sp5t outdoors 9 nature1 includ+ 9 units ( ! ,national ,p>k ,sy/em2 & 7,b7 t consid]s accessibility to units ( ! ,national ,p>k ,sy/em & b>ri]s to p>ticipation 9 outdoor physical activity & recreation opportunities1 ) an emphasis on access by & b>ri]s = disadvantag$ populations1 includ+ individuals ) disabilities4 ,b ,inc5tives = a heal?i] work=ce #baa4 ,tax cr$it to employ]s = co/s ( implem5t+ wellness programs 7a7 ,9 g5]al ,subp>t ,d ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+3 #de,s4 ,wellness program cr$it 7a7 ,all[ance ( cr$it 7#a7 ,9 g5]al ,= purposes ( section #ch1 ! wellness program cr$it det]m9$ "u ?is section = any taxable ye> dur+ ! cr$it p]iod ) respect to an employ] is an am\nt equal to #ej p]c5t ( ! co/s paid or incurr$ by ! employ] 9 connection ) a qualifi$ wellness program dur+ ! taxable ye>4 7#b7 ,limitation ,! am\nt ( cr$it all[$ "u p>agraph 7#a7 = any taxable ye> %all n exce$ ! sum (-- 7,a7 ! product ( #bjj & ! numb] ( employees ( ! employ] n 9 excess ( #bjj employees1 plus 7,b7 ! product ( #ajj & ! numb] ( employees ( ! employ] 9 excess ( #bjj employees4 7b7 ,qualifi$ wellness program ,= purposes ( ?is section-- 7#a7 ,qualifi$ wellness program ,! t]m qualifi$ wellness program means a program :i*-- 7,a7 consi/s ( any #c ( ! wellness program compon5ts describ$ 9 subsection 7c71 & 7,b7 :i* is c]tifi$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,secret>y ( ! ,treasury & ! ,secret>y ( ,labor1 z a qualifi$ wellness program "u ?is section4 7#b7 ,programs mu/ be consi/5t ) rese>* & be/ practices 7,a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all n c]tify a program z a qualifi$ wellness program unless ! program-- 7i7 is consi/5t ) evid5ce-bas$ rese>* & be/ practices1 z id5tifi$ by p]sons ) exp]tise 9 employ] heal? promotion & wellness programs1 7ii7 includes multiple1 evid5ce-bas$ /rategies :i* are bas$ on ! exi/+ & em]g+ rese>* & c>eful sci5tific reviews1 includ+ ! ,guide to ,community ,prev5tive ,s]vices1 ! ,guide to ,cl9ical ,prev5tive ,s]vices1 & ! ,national ,regi/ry ( ,evid5ce-bas$ ,programs & ,practices1 & 7iii7 includes /rategies :i* focus on employee populations ) a disproportionate burd5 ( heal? problems4 7,b7 ,p]iodic updat+ & review ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% proc$ures = p]iodic review & rec]tifications ( programs "u ?is subsection4 ,su* proc$ures %all require revisions ( programs if necess>y to ensure compliance ) ! requirem5ts ( ?is section & require updat+ ( ! programs to ! ext5t ! ,secret>y1 9 consultation ) ! ,secret>y ( ! ,treasury & ! ,secret>y ( ,labor1 det]m9es necess>y to reflect new sci5tific f9d+s4 7#c7 ,heal? lit]acy ,! ,secret>y ( ,heal? & ,human ,s]vices %all1 z "p ( ! c]tification process1 enc\rage employ]s to make ! programs culturally compet5t & to meet ! heal? lit]acy ne$s ( ! employees cov]$ by ! programs4 7c7 ,wellness program compon5ts ,= purposes ( ?is section1 ! wellness program compon5ts describ$ 9 ?is subsection are ! foll[+3 7#a7 ,heal? aw>5ess compon5t ,a heal? aw>5ess compon5t :i* provides = ! foll[+3 7,a7 ,heal? education ,! dissem9ation ( heal? in=mation :i* addresses ! specific ne$s & heal? risks ( employees4 7,b7 ,heal? scre5+s ,! opportunity = p]iodic scre5+s = heal? problems & ref]rals = appropriate foll[ up measures4 7#b7 ,employee engagem5t compon5t ,an employee engagem5t compon5t :i* provides =-- 7,a7 ! e/abli%m5t ( a committee to actively engage employees 9 worksite wellness programs ?r\gh worksite assessm5ts & program plann+1 deliv]y1 evaluation1 & improvem5t ef=ts1 & 7,b7 ! track+ ( employee p>ticipation4 7#c7 ,behavioral *ange compon5t ,a behavioral *ange compon5t :i* provides = alt]+ employee life/yles to enc\rage heal?y liv+ ?r\gh c\nsel+1 sem9>s1 on-l9e programs1 or self-help mat]ials :i* provide te*nical assi/ance & problem solv+ skills4 ,su* compon5t may include programs relat+ to-- 7,a7 tobacco use1 7,b7 ov]weight & obesity1 7,c7 /ress managem5t1 7,d7 physical activity1 7,e7 nutrition1 7,f7 sub/ance abuse1 7,g7 depression1 & 7,h7 m5tal heal? promotion 7includ+ anxiety74 7#d7 ,supportive environm5t compon5t ,a supportive environm5t compon5t :i* includes ! foll[+3 7,a7 ,on-site policies ,policies & s]vices at ! worksite :i* promote a heal?y life/yle1 includ+ policies relat+ to-- 7i7 tobacco use at ! worksite1 7ii7 ! nutrition ( food available at ! worksite ?r\gh cafet]ias & v5d+ options1 7iii7 m9imiz+ /ress & promot+ positive m5tal heal? 9 ! workplace1 7iv7 :]e applicable1 accessible & attractive /airs1 7v7 alt]native transportation & commut+ options & facilities1 & 7vi7 ! enc\ragem5t ( physical activity be=e1 dur+1 & aft] "w h\rs4 7,b7 ,p>ticipation inc5tives 7i7 ,9 g5]al ,qualifi$ inc5tive b5efits = ea* employee :o p>ticipates 9 ! heal? scre5+s describ$ 9 p>agraph 7#a77;,b7 or ! behavioral *ange programs describ$ 9 p>agraph 7#c74 7ii7 ,qualifi$ inc5tive b5efit ,= purposes ( clause 7i71 ! t]m qualifi$ inc5tive b5efit means any b5efit :i* is approv$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,secret>y ( ! ,treasury & ! ,secret>y ( ,labor4 ,su* b5efit may include an adju/m5t 9 heal? insurance premiums or co-pays4 7,c7 ,employee input ,! opportunity = employees to p>ticipate 9 ! managem5t ( any qualifi$ wellness program to :i* ?is section applies4 7d7 ,p>ticipation requirem5t 7#a7 ,9 g5]al ,no cr$it %all be all[$ "u subsection 7a7 unless ! ,secret>y ( ,heal? & ,human ,s]vices1 9 consultation ) ! ,secret>y ( ! ,treasury & ! ,secret>y ( ,labor1 z a "p ( any c]tification describ$ 9 subsection 7b71 det]m9e t ea* wellness program compon5t ( ! qualifi$ wellness program applies to all qualifi$ employees ( ! employ]4 ,! ,secret>y ( ,heal? & ,human ,s]vices %all prescribe rules "u :i* an employ] %all n be treat$ z fail+ to meet ! requirem5ts ( ?is subsection m]ely because ! employ] provides specializ$ programs = employees ) specific heal? ne$s or unusual employm5t requirem5ts or provides a pilot program to te/ new wellness /rategies4 7#b7 ,qualifi$ employee ,= purposes ( p>agraph 7#a71 ! t]m qualifi$ employee means an employee :o works an av]age ( n less ?an #be h\rs p] week dur+ ! taxable ye>4 7e7 ,o!r def9itions & special rules ,= purposes ( ?is section-- 7#a7 ,employee & employ] 7,a7 ,p>tn]s & p>tn]%ips ,! t]m employee includes a p>tn] & ! t]m employ] includes a p>tn]%ip4 7,b7 ,c]ta9 rules to apply ,rules simil> to ! rules ( section #eb %all apply4 7#b7 ,c]ta9 co/s n includ$ ,co/s paid or incurr$ by an employ] = food or heal? insurance %all n be tak5 into acc\nt "u subsection 7a74 7#c7 ,no cr$it :]e grant aw>d$ ,no cr$it %all be all[able "u subsection 7a7 ) respect to any qualifi$ wellness program ( any taxpay] 7o!r ?an an eligible employ] describ$ 9 subsection 7f77#b77;,a77 :o receives a grant provid$ by ! ,unit$ ,/ates1 a ,/ate1 or a political subdivision ( a ,/ate = use 9 connection ) su* program4 ,! ,secret>y %all prescribe rules provid+ = ! waiv] ( ?is p>agraph ) respect to any grant :i* does n con/itute a significant portion ( ! fund+ = ! qualifi$ wellness program4 7#d7 ,cr$it p]iod 7,a7 ,9 g5]al ,! t]m cr$it p]iod means ! p]iod ( #aj consecutive taxable ye>s beg9n+ ) ! taxable ye> 9 :i* ! qualifi$ wellness program is fir/ c]tifi$ "u ?is section4 7,b7 ,special rule = exi/+ programs ,9 ! case ( an employ] 7or pr$ecessor7 :i* op]ates a wellness program = its employees on ! date ( ! enactm5t ( ?is section1 subp>agraph 7,a7 %all be appli$ by sub/itut+ #c consecutive taxable ye>s = #aj consecutive taxable ye>s4 ,! ,secret>y %all prescribe rules "u :i* ?is subsection %all n apply if an employ] is requir$ to make sub/antial modifications 9 ! exi/+ wellness program 9 ord] to qualify su* program = c]tification z a qualifi$ wellness program4 7,c7 ,controll$ gr\ps ,= purposes ( ?is p>agraph1 all p]sons treat$ z a s+le employ] "u subsection 7b71 7c71 7m71 or 7o7 ( section #dad %all be treat$ z a s+le employ]4 7f7 ,portion ( cr$it made refundable 7#a7 ,9 g5]al ,9 ! case ( an eligible employ] ( an employee1 ! aggregate cr$its all[$ to a taxpay] "u subp>t ,c %all be increas$ by ! less] (-- 7,a7 ! cr$it :i* w\ld be all[$ "u ?is section )\t reg>d to ?is subsection & ! limitation "u section #ch7;c71 or 7,b7 ! am\nt by :i* ! aggregate am\nt ( cr$its all[$ by ?is subp>t 7det]m9$ )\t reg>d to ?is subsection7 w\ld increase if ! limitation impos$ by section #ch7;c7 = any taxable ye> 7 increas$ by ! am\nt ( employ] payroll taxes impos$ on ! taxpay] dur+ ! cal5d> ye> 9 :i* ! taxable ye> beg9s4 ,! am\nt ( ! cr$it all[$ "u ?is subsection %all n be treat$ z a cr$it all[$ "u ?is subp>t & %all r$uce ! am\nt ( ! cr$it o!rwise all[able "u subsection 7a7 )\t reg>d to section #ch7;c74 7#b7 ,eligible employ] ,= purposes ( ?is subsection1 ! t]m eligible employ] means an employ] :i* is-- 7,a7 a ,/ate or political subdivision !re(1 ! ,di/rict ( ,columbia1 a possession ( ! ,unit$ ,/ates1 or an ag5cy or in/rum5tality ( any ( ! =ego+1 or 7,b7 any organization describ$ 9 section #eja7;c7 ( ! ,int]nal ,rev5ue ,code ( #aihf :i* is exempt f taxation "u section #eja7;a7 ( su* ,code4 7#c7 ,employ] payroll taxes ,= purposes ( ?is subsection-- 7,a7 ,9 g5]al ,! t]m employ] payroll taxes means ! taxes impos$ by-- 7i7 section #caaa7;b71 & 7ii7 sections #cbaa7;a7 & #cbba7;a7 7det]m9$ at a rate equal to ! rate "u section #caaa7;b774 7,b7 ,special rule ,a rule simil> to ! rule ( section #bd7;d77#b77;,c7 %all apply = purposes ( subp>agraph 7,a74 7g7 ,t]m9ation ,?is section %all n apply to any am\nt paid or incurr$ aft] ,decemb] #ca1 #bjag4 4 7b7 ,treatm5t z g5]al bus9ess cr$it ,subsection 7b7 ( section #ch ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by /rik+ plus at ! end ( p>agraph 7#ce71 by /rik+ ! p]iod at ! end ( p>agraph 7#cf7 & ins]t+ 1 plus1 & by add+ at ! end ! foll[+3 7#cg7 ! wellness program cr$it det]m9$ "u section #de,s4 4 7c7 ,d5ial ( d\ble b5efit ,section #bhj;,c ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subsection3 7j7 ,wellness program cr$it 7#a7 ,9 g5]al ,no d$uction %all be all[$ = t portion ( ! co/s paid or incurr$ = a qualifi$ wellness program 7)9 ! mean+ ( section #de,s7 all[able z a d$uction = ! taxable ye> :i* is equal to ! am\nt ( ! cr$it all[able = ! taxable ye> "u section #de,s4 7#b7 ,simil> rule :]e taxpay] capitalizes r ?an d$ucts exp5ses ,if-- 7,a7 ! am\nt ( ! cr$it det]m9$ = ! taxable ye> "u section #de,s1 exce$s 7,b7 ! am\nt all[able z a d$uction = su* taxable ye> = a qualifi$ wellness program1 ! am\nt *>geable to capital acc\nt = ! taxable ye> = su* exp5ses %all be r$uc$ by ! am\nt ( su* excess4 7#c7 ,controll$ gr\ps ,9 ! case ( a corporation :i* is a memb] ( a controll$ gr\p ( corporations 7)9 ! mean+ ( section #da7;f77#e77 or a trade or bus9ess :i* is treat$ z be+ "u common control ) o!r trades or bus9ess 7)9 ! mean+ ( section #da7;f77#a77;,b771 ?is subsection %all be appli$ "u rules prescrib$ by ! ,secret>y simil> to ! rules applicable "u subp>agraphs 7,a7 & 7,b7 ( section #da7;f77#a74 4 7d7 ,cl]ical am5dm5t ,! table ( sections = subp>t ,d ( "p ,,iv ( sub*apt] ,a ( *apt] #a ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+3 ,sec4 #de,s4 ,wellness program cr$it4 4 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ! date ( enactm5t ( ?is ,act4 7f7 ,outrea* 7#a7 ,9 g5]al ,! ,secret>y ( ! ,treasury1 9 conjunction ) ! ,director ( ! ,c5t]s = ,disease ,control & memb]s ( ! bus9ess community1 %all in/itute an outrea* program to in=m bus9esses ab\t ! availability ( ! wellness program cr$it "u section #de,s ( ! ,int]nal ,rev5ue ,code ( #aihf z well z to educate bus9esses on h[ to develop programs accord+ to recogniz$ & promis+ practices & on h[ to measure ! success ( implem5t$ programs4 7#b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ! outrea* program describ$ 9 p>agraph 7#a74 #bab4 ,employ]-provid$ (f-premises a?letic facilities 7a7 ,treatm5t z fr+e b5efit ,subp>agraph 7,a7 ( section #acb7;j77#d7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7,a7 ,9 g5]al ,gross income %all n include-- 7i7 ! value ( any on-premises a?letic facility provid$ by an employ] to its employees1 & 7ii7 s mu* ( ! fees1 dues1 or memb]%ip exp5ses paid by an employ] to an a?letic or fitness facility describ$ 9 subp>agraph 7,c7 on behalf ( its employees z does n exce$ #ijj p] employee p] ye>4 4 7b7 ,a?letic facilities describ$ ,p>agraph 7#d7 ( section #acb7;j7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,c]ta9 a?letic or fitness facilities describ$ ,= purposes ( subp>agraph 7,a77ii71 an a?letic or fitness facility describ$ 9 ?is subp>agraph is a facility-- 7i7 :i* provides in/ruction 9 a program ( physical ex]cise1 (f]s facilities = ! pres]vation1 ma9t5ance1 enc\ragem5t1 or developm5t ( physical fitness1 or is ! site ( su* a program ( a ,/ate or local gov]nm5t1 7ii7 :i* is n a private club own$ & op]at$ by its memb]s1 7iii7 :i* does n (f] golf1 hunt+1 sail+1 or rid+ facilities1 7iv7 ^: heal? or fitness facility is n incid5tal to its ov]all function & purpose1 & 7v7 :i* is fully compliant ) ! ,/ate ( jurisdiction & ,f$]al anti-discrim9ation laws4 4 7c7 ,exclusion applies to highly comp5sat$ employees only ,if no discrim9ation ,section #acb7;j77#a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$-- 7#a7 by /rik+ ,p>agraphs 7#a7 & 7#b7 ( subsection 7a7 & ins]t+ ,subsections 7a77#a71 7a77#b71 & 7j77#d71 & 7#b7 by /rik+ ! head+ !re( ?r\gh apply & ins]t+ ,c]ta9 exclusions apply4 7d7 ,employ] d$uction = dues to c]ta9 a?letic facilities 7#a7 ,9 g5]al ,p>agraph 7#c7 ( section #bgd7;a7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,! prec$+ s5t5ce %all n apply to s mu* ( ! fees1 dues1 or memb]%ip exp5ses paid to a?letic or fitness facilities 7)9 ! mean+ ( section #acb7;j77#d77;,c77 z does n exce$ #ijj p] employee p] ye>44 7#b7 ,con=m+ am5dm5t ,! la/ s5t5ce ( section #bgd7;e77#d7 ( su* ,code is am5d$ by ins]t+ ! fir/ s5t5ce ( be=e subsection 7a77#c74 7e7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ! date ( ! enactm5t ( ?is ,act4 #bac4 ,task =ce = ! promotion ( brea/fe$+ 9 ! workplace 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,labor1 or _! designees1 %all conv5e a task =ce = ! purpose ( promot+ brea/fe$+ among work+ mo!rs 7ref]r$ to 9 ?is section z ! ,task ,=ce74 7b7 ,memb]%ip ,! ,task ,=ce %all be compos$ ( memb]s :o are-- 7#a7 exp]t /aff f ! ,dep>tm5t ( ,labor ) exp]tise 9 work=ce issues2 7#b7 exp]t /aff f ! ,dep>tm5t ( ,heal? & ,human ,s]vices ) exp]tise 9 ! areas ( brea/fe$+ & brea/fe$+ promotion2 7#c7 memb]s ( ! ,unit$ ,/ates ,brea/fe$+ ,committee2 7#d7 exp]t /aff f ! ,dep>tm5t ( ,agriculture2 & 7#e7 appo9t$ by ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,labor1 includ+-- 7,a7 work+ mo!rs :o h exp]i5ce 9 work+ & brea/fe$+2 & 7,b7 repres5tatives ( ! human res\rce dep>tm5ts ( bo? l>ge & small employ]s t h successfully promot$ brea/fe$+ & brea/milk pump+ support at "w4 7c7 ,p]iod ( appo9tm5t2 vacancies ,memb]s %all be appo9t$ = ! life ( ! ,task ,=ce4 ,any vacancy 9 ! ,task ,=ce %all n affect its p[]s1 b %all be fill$ 9 ! same mann] z ! orig9al appo9tm5t4 7d7 ,*air ,! ,task ,=ce %all be *air$ jo9tly by ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,labor1 or _! designees4 7e7 ,duties ( ! task =ce 7#a7 ,exam9ation ,consi/5t ) ! ,surgeon ,g5]al's ,call to ,action to ,support ,brea/fe$+ 7#bjaa71 ! ,task ,=ce %all exam9e ! foll[+ issues3 7,a7 ,! *all5ges t mo!rs face ) cont9u+ brea/fe$+ :5 ! mo!rs return to "w aft] giv+ bir?1 includ+ diff]5t *all5ges t mo!rs ( v>y+ socio-economic /atus & 9 diff]5t pr(essions may face4 7,b7 ,! *all5ges t employ]s face 9 accommodat+ mo!rs :o seek to cont9ue to brea/fe$ or to express milk :5 ! mo!rs re-ent] ! work=ce4 7,c7 ,! b5efits t accrue to mo!rs1 babies1 & to employ]s :5 mo!rs are able to cont9ue to brea/fe$ or to express brea/ milk at "w aft] ! mo!rs h re-ent]$ ! work=ce4 7,d7 ,f$]al & ,/ate /atutes t may h ! effect ( r$uc+ brea/fe$+ & brea/fe$+ ret5tion rates among work+ mo!rs4 7,e7 ,! implem5tation ( ! reasonable break "t = nurs+ mo!rs requirem5ts "u section #g7r7 ( ! ,fair ,labor ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4 #bjg7r774 7#b7 ,reports 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,task ,=ce %all issue a public report ) recomm5dations on ! foll[+3 7i7 ,/eps t c be tak5 to promote brea/fe$+ among work+ mo!rs & to remove b>ri]s to brea/fe$+ among work+ mo!rs4 7ii7 ,pot5tial ways 9 :i* ! ,f$]al ,gov]nm5t c "w ) employ]s to promote brea/fe$+ among work+ mo!rs4 7iii7 ,areas 9 :i* *anges to exi/+ ,f$]al1 ,/ate1 or local laws w\ld likely h ! effect ( mak+ x easi] = work+ mo!rs to brea/fe$ or w\ld remove imp$im5ts to brea/fe$+ t curr5tly exi/ 9 su* laws4 7iv7 ,:e!r or n increas$ rates ( brea/fe$+ among work+ mo!rs w\ld likely h ! result ( r$uc+ heal? c>e co/s among su* mo!rs & _! *ildr51 &1 9 p>ticul>1 :e!r increas$ rates ( brea/fe$+ w\ld be likely to result 9 l[] ,f$]al exp5ditures on heal? c>e = su* mo!rs & _! *ildr54 7v7 ,areas 9 :i* ! ,f$]al ,gov]nm5t1 ?r\gh increas$ ef=ts by ,f$]al ag5cies1 or *anges to exi/+ ,f$]al law1 c & %\ld increase ! ,f$]al ,gov]nm5t's ef=ts to promote brea/fe$+ among work+ mo!rs4 7,b7 ,copy to congress ,^u completion ( ! report describ$ 9 subp>agraph 7,a71 ! ,task ,=ce %all submit a copy ( ! report to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,committee on ,appropriations ( ! ,s5ate1 ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7f7 ,p[]s ( ! task =ce 7#a7 ,he>+s ,! ,task ,=ce may hold su* he>+s1 sit & act at su* times & places1 take su* te/imony1 & receive su* evid5ce z ! ,task ,=ce consid]s advisable to c>ry out ?is section4 7#b7 ,in=mation f f$]al ag5cies ,! ,task ,=ce may secure directly f any ,f$]al dep>tm5t or ag5cy su* in=mation z ! ,task ,=ce consid]s necess>y to c>ry out ?is section4 ,^u reque/ ( ! ,*air ( ! ,task ,=ce1 ! head ( su* dep>tm5t or ag5cy %all furni% su* in=mation to ! ,task ,=ce4 7#c7 ,po/al s]vices ,! ,task ,=ce may use ! ,unit$ ,/ates mails 9 ! same mann] & "u ! same conditions z o!r dep>tm5ts & ag5cies ( ! ,f$]al ,gov]nm5t4 7#d7 ,donations ,! ,task ,=ce may accept1 use1 & dispose ( donations ( s]vices or prop]ty4 7g7 ,op]at+ exp5ses ,! op]at+ exp5ses ( ! ,task ,=ce1 includ+ travel exp5ses = memb]s ( ! ,task ,=ce1 %all be paid = f ! g5]al op]at+ exp5ses funds ( ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,labor4 #bad4 ,improv+ heal?y eat+ & active liv+ options 9 ,f$]al workplaces 7a7 ,m5u label+ 9 ,f$]al food e/abli%m5ts 7#a7 ,9 g5]al 7,a7 ,executive & ,judicial build+s ,section #djc7q7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cdc7q77 is am5d$ by add+ at ! end ! foll[+3 7#f7 7,a7 ,! requirem5ts ( subp>agraph 7#e77;,h7 %all apply-- 7i7 to a re/aurant or simil> retail food e/abli%m5t locat$ 9 a ,f$]al build+ 9 ! same mann] z su* subp>agraph applies to a re/aurant or simil> retail food e/abli%m5t t is "p ( a *a9 ) #bj or m locations1 z describ$ 9 subp>agraph 7#e77;,h77i72 & 7ii7 to a p]son t op]ates a v5d+ ma*9e locat$ 9 a ,f$]al build+ 9 ! same mann] z su* subp>agraph applies to a p]son :o is engag$ 9 ! bus9ess ( own+ or op]at+ #bj or m v5d+ ma*9es1 z describ$ 9 subp>agraph 7#e77;,h77viii74 7,b7 ,9 ?is subp>agraph1 ! t]m ,f$]al build+ means a build+ t is-- 7i7 "u ! control ( ! ,f$]al ag5cy 7z def9$ 9 section #ajb ( title #dj1 ,unit$ ,/ates ,code72 7ii7 own$ by ! ,f$]al ,gov]nm5t2 & 7iii7 locat$ 9 a ,/ate1 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 or a t]ritory or possession ( ! ,unit$ ,/ates4 4 7,b7 ,applicability ,! requirem5t 9 ! am5dm5t made by p>agraph 7#a7 %all apply to re/aurants or simil> retail food e/abli%m5ts & v5d+ ma*9es locat$ 9 a ,f$]al build+ beg9n+ #ab mon?s aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,congressional build+s ,! ,ar*itect ( ! ,capitol1 9 coord9ation ) ! ,committee on ,rules & ,adm9i/ration ( ! ,s5ate & ! ,committee on ,h\se ,adm9i/ration ( ! ,h\se ( ,repres5tatives1 %all e/abli% a program to apply ! requirem5ts ( section #djc7q77#e77;,h7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cdc7q77#e77;,h77 7z am5d$ by p>agraph 7#a77 to-- 7,a7 food t is s]v$ 9 re/aurants or o!r simil> retail food e/abli%m5ts t are locat$ 9 ,congressional build+s & in/allations2 7,b7 food t is sold ?r\gh v5d+ ma*9es t are op]at$ 9 ,congressional build+s & in/allations2 & 7,c7 food t is s]v$ to individuals )9 ,congressional build+s & in/allations pursuant to a contract ) a private entity4 7b7 ,nutritional /&>ds = food 9 ,f$]al build+s 7#a7 ,executive & ,judicial build+s ,sub*apt] ,v ( *apt] #e ( subtitle ,i ( title #dj1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+3 #eid4 ,nutritional /&>ds = food 9 ,f$]al build+s 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,adm9i/rator ( ,g5]al ,s]vices1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all e/abli%1 by regulation1 nutritional /&>ds = foods & bev]ages pur*as$1 s]v$1 & sold ?r\gh ,f$]al build+s & on ,f$]al prop]ty 7includ+ food products provid$ by contractors or v5d+ ma*9es74 ,su* /&>ds %all reflect ! mo/ rec5t ,diet>y ,guidel9es = ,am]icans4 7b7 ,consid]ations ,9 develop+ ! nutritional /&>ds "u subsection 7a71 ! ,adm9i/rator %all consid] ! foll[+3 7#a7 ,recomm5dations = nutrition /&>ds = foods1 bev]ages1 or meals made by au?oritative sci5tific organizations4 7#b7 ,bo? positive & negative contributions ( nutri5ts1 +r$i5ts1 & foods to diets 7includ+ calories or portion size1 saturat$ fat1 trans fat1 sodium1 add$ sug>s1 & ! pres5ce ( fruits1 vegetables1 :ole gra9s1 & nutri5ts ( conc]n 9 ,am]icans' diets74 7#c7 ,adaptations ( ! /&>ds = diff]5t v5ues1 su* z *ildc>e1 correctional facilities1 gov]nm5t meet+s1 or o!r sett+s ) unique populations or circum/ances4 7c7 ,p]iodic review ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is section1 & e #e ye>s !reaft]1 ! ,secret>y1 %all review1 & if necess>y1 revise & update ! nutrition /&>ds develop$ "u subsection 7a7 to reflect advancem5ts 9 nutrition sci5ce1 diet>y data1 & new product availability4 7d7 ,use ( am\nts ,am\nts appropriat$ to an executive ag5cy = in/allation1 repair1 & ma9t5ance1 g5]ally1 may be us$ to a*ieve compliance ) ! regulations promulgat$ pursuant to ?is section4 7e7 ,liability ,no?+ 9 ?is section increases or enl>ges ! tort liability ( ! ,f$]al ,gov]nm5t = any injury to an individual or damage to prop]ty4 4 7#b7 ,congressional build+s 7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,ar*itect ( ! ,capitol1 9 coord9ation ) ! ,committee on ,rules & ,adm9i/ration ( ! ,s5ate & ! ,committee on ,h\se ,adm9i/ration ( ! ,h\se ( ,repres5tatives %all adopt nutritional /&>ds = food & bev]age products pur*as$1 s]v$1 or sold ?r\gh ,congressional build+s & prop]ties 7includ+ food products provid$ by contractors & v5d+ ma*9es74 ,su* /&>ds %all reflect ! mo/ rec5t ,diet>y ,guidel9es = ,am]icans4 7,b7 ,consid]ations ,9 develop+ ! nutritional /&>ds "u subp>agraph 7,a71 ! ,ar*itect %all consid] ! foll[+3 7i7 ,recomm5dations = nutrition /&>ds = foods1 bev]ages1 or meals made by au?oritative sci5tific organizations4 7ii7 ,bo? positive & negative contributions ( nutri5ts1 +r$i5ts1 & foods to diets 7includ+ calories or portion size1 saturat$ fat1 trans fat1 sodium1 add$ sug>s1 & ! pres5ce ( fruits1 vegetables1 :ole gra9s1 & nutri5ts ( conc]n 9 ,am]icans' diets74 7,c7 ,p]iodic review ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 & e #e ye>s !reaft]1 ! ,ar*itect1 %all review1 & if necess>y1 revise & update ! nutrition /&>ds develop$ "u subp>agraph 7,a7 to reflect advancem5ts 9 nutrition sci5ce1 diet>y data1 & new product availability4 7c7 ,enc\ragem5t ( use ( /airs 7#a7 ,executive & ,judicial build+s ,sub*apt] ,v ( *apt] #e ( subtitle ,i ( title #dj1 ,unit$ ,/ates ,code1 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+3 #eie4 ,enc\ragem5t ( use ( /airs 7a7 ,9 g5]al ,9 ! design ( new or sub/antively remodel$ ,f$]al build+s1 ea* ,f$]al ag5cy %all consid] includ+ build+ features t ensure /airs are accessible & attractive4 ,9 new & exi/+ build+s1 ea* ,f$]al ag5cy %all in/all po9t-(-decision prompts enc\rag+ individuals to use /airs :]ev] practicable at ea* relevant build+ & in/allation t is-- 7#a7 "u ! control ( ! ,f$]al ag5cy2 7#b7 own$ by ! ,f$]al ,gov]nm5t2 & 7#c7 locat$ 9 a ,/ate1 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 or a t]ritory or possession ( ! ,unit$ ,/ates4 7b7 ,reimbursem5t ,subsection 7a7 may be c>ri$ out by-- 7#a7 reimbursem5t to a ,/ate or political subdivision ( a ,/ate1 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 or a t]ritory or possession ( ! ,unit$ ,/ates2 or 7#b7 grants or contracts4 7c7 ,regulations ,subsection 7a7 %all be c>ri$ out 9 accordance ) su* regulations z ! ,adm9i/rator ( ,g5]al ,s]vices may promulgate1 ) ! approval ( ! ,director ( ! ,(fice ( ,managem5t & ,budget4 7d7 ,use ( am\nts ,am\nts appropriat$ to a ,f$]al ag5cy = in/allation1 repair1 & ma9t5ance1 g5]ally1 %all be available to c>ry out ?is section4 7e7 ,liability ,no?+ 9 ?is section increases or enl>ges ! tort liability ( ! ,f$]al ,gov]nm5t = any injury to an individual or damage to prop]ty4 4 7#b7 ,congressional build+s ,! ,ar*itect ( ! ,capitol %all implem5t a program to in/all po9t-(-decision prompts enc\rag+ individuals to use /airs :]ev] practicable 9 ,congressional build+s & in/allations 9 ! same mann] z e/abli%$ "u section #eie ( title #dj1 ,unit$ ,/ates ,code 7z add$ by p>agraph 7#a774 7d7 ,accommodations = bicycle commut]s 7#a7 ,executive & ,judicial ,f$]al build+s ,sub*apt] ,v ( *apt] #e ( subtitle ,i ( title #dj1 ,unit$ ,/ates ,code1 z am5d$ by subsection 7c71 is fur!r am5d$ by add+ at ! end ! foll[+3 #eif4 ,accommodations = bicycle commut]s 7a7 ,9 g5]al ,ea* ,f$]al ag5cy %all in/all & ma9ta9 a bicycle /orage area & equipm5t 7su* z a bicycle rack7 & a %[] = bicycle commut]s at ea* relevant p>k+ /ructure t is-- 7#a7 "u ! control ( ! ,f$]al ag5cy2 7#b7 own$ by ! ,f$]al ,gov]nm5t2 & 7#c7 locat$ 9 a ,/ate1 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 or a t]ritory or possession ( ! ,unit$ ,/ates4 7b7 ,reimbursem5t ,subsection 7a7 may be c>ri$ out by-- 7#a7 reimbursem5t to a ,/ate or political subdivision ( a ,/ate1 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 or a t]ritory or possession ( ! ,unit$ ,/ates2 or 7#b7 grants or contracts4 7c7 ,regulations ,subsection 7a7 %all be c>ri$ out 9 accordance ) su* regulations z ! ,adm9i/rator ( ,g5]al ,s]vices may promulgate1 ) ! approval ( ! ,director ( ! ,(fice ( ,managem5t & ,budget4 7d7 ,use ( am\nts ,am\nts appropriat$ to a ,f$]al ag5cy = in/allation1 repair1 & ma9t5ance1 g5]ally1 %all be available to c>ry out ?is section4 7e7 ,liability ,no?+ 9 ?is section increases or enl>ges ! tort liability ( ! ,f$]al ,gov]nm5t = any injury to an individual or damage to prop]ty4 4 7#b7 ,congressional build+s ,! ,ar*itect ( ! ,capitol1 9 coord9ation ) ! ,s]geant at ,arms & ,doorkeep] ( ! ,s5ate1 ! ,s]geant at ,arms ( ! ,h\se ( ,repres5tatives1 & ! ,unit$ ,/ates ,capitol ,police1 %all implem5t1 )9 _! respective jurisdictions1 a program to make accommodations = bicycle commut]s on ! ,unit$ ,/ates ,capitol complex 9 ! same mann] z e/abli%$ "u section #eif ( title #dj1 ,unit$ ,/ates ,code 7z add$ by p>agraph 7#a774 ,,iii ,responsible m>ket+ & consum] aw>5ess #cja4 ,guidel9es = r$uction 9 sodium cont5t 9 c]ta9 foods 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all promulgate regulations e/abli%+ guidel9es = ! m&atory r$uction1 ov] a #b-ye> p]iod1 9 ! sodium cont5t ( process$ food & re/aurant food foll[+1 z appropriate1 ! recomm5dations made by ! ,in/itute ( ,m$ic9e report entitl$ 8,/rategies to ,r$uce ,sodium ,intake 9 ! ,unit$ ,/ates04 7b7 ,def9itions ,= purposes ( ?is section-- 7#a7 ! t]m process$ food has ! mean+ giv5 su* t]m 9 section #bja7;gg7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cba7;gg772 & 7#b7 ! t]m re/aurant food means food subject to ! requirem5ts ( section #djc7q77#e77;,h7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cdc7q77#e77;,h774 #cjb4 ,nutrition label+ = food products sold pr9cipally = use 9 re/aurants or o!r retail food e/abli%m5ts ,section #djc7q77#e7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cdc7q77#e77 is am5d$ by /rik+ clause 7,g74 #cjc4 ,front-label food guidance sy/ems 7a7 ,9 g5]al ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all beg9 solicit+ public comm5ts reg>d+-- 7#a7 ! use ( retail front-label food guidance sy/ems to convey nutrition in=mation to ! public us+ logos1 symbols1 signs1 emblems1 insignia1 or o!r graphic repres5tations on ! label+ ( food int5d$ = human consumption t are int5d$ to provide simple1 /&>diz$1 & und]/&able nutrition in=mation to ! public 9 graphic =m2 7#b7 appropriate nutrition /&>ds by :i* a retail front-label food guidance sy/em may convey ! relative nutritional value ( diff]5t foods 9 simple graphic =m2 & 7#c7 :e!r ,am]ican consum]s w\ld be bett] s]v$ by e/abli%+ a s+le1 /&>diz$ retail front-label food guidance sy/em regulat$ by ! ,food & ,drug ,adm9i/ration1 or by all[+ individual food companies1 trade associations1 nonpr(it organizations1 & o!rs to cont9ue to develop _! own retail front-label food guidance sy/ems4 7b7 ,effect on nutrition facts panel ,9 solicit+ public comm5ts "u subsection 7a71 ! ,secret>y %all in=m ! public t any retail front-label food guidance sy/em is int5d$ to supplem5t1 n replace1 ! ,nutrition ,facts ,panel t appe>s on food labels pursuant to section #djc7q7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cdc7q774 7c7 ,propos$ regulation ,n lat] ?an #ab mon?s foll[+ ! closure ( ! public comm5t solicitation p]iod "u subsection 7a71 ! ,secret>y %all-- 7#a7 publi% a notice 9 ! ,f$]al ,regi/] t summ>izes ! public comm5ts & describes ! sugge/$ retail front-label food guidance sy/ems receiv$ ?r\gh su* solicitation2 & 7#b7 publi% propos$ regulations t-- 7,a7 e/abli% a s+le1 /&>diz$ retail front-label food guidance sy/em2 or 7,b7 e/abli% ! conditions "u :i* individual food companies1 trade associations1 nonpr(it organizations1 & o!r entities may cont9ue to develop _! own retail front-label food guidance sy/ems4 #cjd4 ,rulemak+ au?ority = adv]tis+ to *ildr5 7a7 ,purpose ,! purpose ( ?is section is to re/ore ! au?ority ( ! ,f$]al ,trade ,commission to issue regulations t re/rict ! m>ket+ or adv]tis+ ( foods & bev]ages to *ildr5 "u ! age ( #ah ye>s if ! ,f$]al ,trade ,commission det]m9es t !re is evid5ce t consumption ( c]ta9 foods & bev]ages is detrim5tal to ! heal? ( *ildr54 7b7 ,au?ority ,section #ah ( ! ,f$]al ,trade ,commission ,act 7#ae ,u4,s4,c4 #eg;a7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ ,except z provid$ 9 subsection 7h71 ! & ins]t+ ,!2 7#b7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,proc$ure applicable ,:5 prescrib+ a rule "u subsection 7a77#a77;,b7 ( ?is section1 ! ,commission %all proce$ 9 accordance ) section #eec ( title #e 7)\t reg>d to any ref]5ce 9 su* section to sections #eef & #eeg ( su* title74 2 7#c7 by /rik+ subsections 7c71 7f71 7h71 7i71 & 7j72 7#d7 by /rik+ subsection 7d7 & ins]t+ ! foll[+3 7c7 ,:5 any rule "u subsection 7a77#a77;,b7 takes effect a subsequ5t violation !re( %all con/itute an unfair or deceptive act or practice 9 violation ( section #e7;a77#a7 ( ?is ,act1 unless ! ,commission o!rwise expressly provides 9 su* rule4 2 7#e7 by r$esignat+ subsections 7e7 & 7g7 z subsections 7d7 & 7e71 respectively2 & 7#f7 9 subsection 7d71 z r$esignat$-- 7,a7 9 p>agraph 7#a77;,b71 by /rik+ ! transcript requir$ by subsection 7c77#e712 7,b7 9 p>agraph 7#c71 by /rik+ error7 & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ error742 & 7,c7 9 p>agraph 7#e71 by /rik+ subp>agraph 7,c74 #cje4 ,heal? lit]acy3 rese>*1 coord9ation & dissem9ation 7a7 ,9 g5]al ,"p ,a ( title ,,ix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bii et seq47 is am5d$ by add+ at ! end ! foll[+3 #ijd4 ,heal? lit]acy3 rese>*1 coord9ation & dissem9ation 7a7 ,def9ition ,9 ?is section1 ! t]m heal? lit]acy means a consum]'s ability to obta91 process1 & und]/& basic heal? in=mation & s]vices ne$$ to make appropriate heal? c>e decisions & ! adaptation ( s]vices to enhance a consum]'s und]/&+ & navigation ( applicable heal? c>e s]vices4 7b7 ,heal? lit]acy program 7#a7 ,e/abli%m5t ,! ,director %all e/abli% )9 ! ,ag5cy a program 7ref]r$ to 9 ?is section z ! program7 to /r5g!n heal? lit]acy by improv+ measurem5t1 rese>*1 developm5t1 & in=mation dissem9ation4 7#b7 ,duties ,9 c>ry+ out ! program1 ! ,director %all-- 7,a7 ga!r heal? lit]acy res\rces f public & private s\rces & make su* res\rces available to rese>*]s1 heal? c>e provid]s1 & ! g5]al public2 7,b7 id5tify & fill rese>* gaps relat+ to heal? lit]acy t h direct applicability to-- 7i7 prev5tion2 7ii7 self-managem5t ( *ronic disease2 7iii7 quality improvem5t2 7iv7 ! b>ri]s to heal? lit]acy2 7v7 relation%ips betwe5 heal? lit]acy & heal? disp>ities1 p>ticul>ly ) respect to language & cultural compet5cy2 & 7vi7 ! utilization ( in=mation on comp>ative effectiv5ess ( heal? treatm5ts2 7,c7 sponsor demon/ration & evaluation projects ) respect to int]v5tions & tools design$ to /r5g!n heal? lit]acy1 includ+ projects focus$ on-- 7i7 ! provision ( simplifi$1 pati5t-c5t]$ writt5 mat]ials2 7ii7 te*nology-bas$ communication te*niques2 7iii7 consum] navigation s]vices2 & 7iv7 ! tra9+ ( heal? pr(essional provid]s2 7,d7 give pref]5ce to heal? lit]acy initiatives t-- 7i7 focus on ! p>ticul> ne$s ( vuln]able populations su* z ! eld]ly1 racial & e?nic m9orities1 *ildr51 individuals ) limit$ ,engli% pr(ici5cy1 & individuals ) disabilities2 & 7ii7 p>tn] ) in/itutions 9 ! community su* z s*ools1 libr>ies1 s5ior c5t]s1 lit]acy gr\ps1 recreation c5t]s1 e>ly *ildhood education c5t]s1 area heal? education c5t]s1 & public assi/ance programs2 7,e7 assi/ appropriate ,f$]al ag5cies 9 e/abli%+ specific objectives & /rategies = c>ry+ out ! program1 9 monitor+ ! programs ( su* ag5cies1 & incorporat+ heal? lit]acy into rese>* design1 human subjects protections1 & in=m$ cons5t 9 cl9ical rese>*2 7,f7 seek to ent] into implem5tation p>tn]%ips ) organizations & ag5cies1 includ+ o!r ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 su* z ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,(fice ( ! ,surgeon ,g5]al1 ! ,jo9t ,commission on ! ,accr$itation ( ,heal?c>e ,organizations1 ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology1 & ! ,national ,committee = ,quality ,assurance1 to promote ! adoption ( int]v5tions & tools develop$ "u ?is section1 p>ticul>ly 9 ! tra9+ ( heal? pr(essionals2 & 7,g7 coord9ate ) o!r ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices to collect data t monitors national tr5ds 9 heal? lit]acy by includ+ relevant items 9 surveys su* z ! ,m$ical ,exp5diture ,panel ,survey1 ! ,national ,heal? ,int]view ,survey1 & ! ,national ,hospital ,dis*>ge ,survey4 7#c7 ,report ,! ,ag5cy = ,heal?c>e ,rese>* & ,quality %all annually submit to ,congress a report t includes-- 7,a7 a compreh5sive & detail$ description ( ! op]ations1 activities1 f9ancial condition1 & accompli%m5ts ( ! ,ag5cy 9 ! field ( heal? lit]acy2 & 7,b7 a description ( h[ plans = ! op]ation ( ! program = ! succe$+ fiscal ye> w facilitate a*ievem5t ( ! goals ( ! program4 7#d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is subsection su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 7c7 ,/ate heal? lit]acy grants 7#a7 ,grants ,! ,director ( ! ,ag5cy %all aw>d grants to eligible entities to facilitate ,/ate & community ef=ts to /r5g!n heal? lit]acy4 7#b7 ,use ( funds ,an entity receiv+ a grant "u ?is subsection %all use am\nts receiv$ "u su* grant to-- 7,a7 support ef=ts to monitor & /r5g!n heal? lit]acy )9 a ,/ate or community2 7,b7 assi/ public & private ef=ts 9 ! ,/ate or community 9 coord9at+ & deliv]+ heal? lit]acy s]vices2 7,c7 enc\rage p>tn]%ips among ,/ate & local gov]nm5ts1 community organizations1 non-pr(it entities1 academic in/itutions1 & bus9esses to coord9ate ef=ts to /r5g!n heal? lit]acy2 7,d7 provide te*nical & policy assi/ance to ,/ate & local gov]nm5ts & s]vice provid]s2 & 7,e7 monitor & evaluate programs conduct$ "u ?is grant4 7#c7 ,report ,n lat] ?an ,septemb] #cj ( ea* fiscal ye> = :i* a grant is receiv$ by an entity "u ?is section1 ! entity %all submit to ! ,director a report t describes ! programs support$ by ! grant & ! results ( monitor+ & evaluation ( ^? programs4 7#d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is subsection = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 7b7 ,in/itute ( ,m$ic9e /udy & report 7#a7 ,/udy ,! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] into a contract ) ! ,in/itute ( ,m$ic9e to conduct a /udy id5tify+ opportunities )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices to /r5g!n ! heal? lit]acy ( heal? c>e provid]s & heal? c>e consum]s 9 accordance ) ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh74 7#b7 ,report ,a contract ent]$ into "u p>agraph 7#a7 %all include a provision requir+ ! ,in/itute ( ,m$ic9e1 n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 to submit a report conc]n+ ! results ( ! /udy conduct$ "u p>agraph 7#a7 to ! ,secret>y ( ,heal? & ,human ,s]vices & ! appropriate committees ( ,congress404 #cjf4 ,disall[ance ( d$uctions = adv]tis+ & m>ket+ exp5ses relat+ to tobacco product use 7a7 ,9 g5]al ,"p ,,ix ( sub*apt] ,b ( *apt] #a ( subtitle ,a ( ! ,int]nal ,rev5ue ,code ( #aihf 7relat+ to items n d$uctible7 is am5d$ by add+ at ! end ! foll[+ new section3 #bhj;,i4 ,disall[ance ( d$uction = adv]tis+ & m>ket+ exp5ses relat+ to tobacco product use ,no d$uction %all be all[$ "u ?is *apt] = exp5ses relat+ to adv]tis+ or m>ket+ cig>s1 cig>ettes1 smokeless tobacco1 pipe tobacco1 or any o!r tobacco product4 ,= purposes ( ?is section1 any t]m us$ 9 ?is section :i* is also us$ 9 section #egjb %all h ! same mean+ giv5 su* t]m by section #egjb4 4 7b7 ,con=m+ am5dm5t ,! table ( sections = su* "p ,,ix is am5d$ by add+ aft] ! item relat+ to section #bhj;,h ! foll[+ new item3 ,sec4 #bhj;,i4 ,disall[ance ( d$uction = tobacco adv]tis+ & m>ket+ exp5ses4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply to taxable ye>s beg9n+ aft] ! date ( ! enactm5t ( ?is ,act4 #cjg4 ,inc5tives to r$uce tobacco use 7a7 ,*ild tobacco use surveys 7#a7 ,annual p]=mance survey 7,a7 ,9 g5]al ,n lat] ?an ,augu/ #ca1 #bjad1 & annually !reaft]1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all publi% ! results ( an annual tobacco use survey1 to be c>ri$ out n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act & complet$ on an annual basis !reaft]1 to det]m9e-- 7i7 ! p]c5tage ( all "y individuals :o us$ tobacco products )9 ! #cj-;day p]iod prior to ! conduct ( ! survey involv$2 & 7ii7 ! p]c5tage ( "y individuals :o id5tify ea* br& ( ea* type ( tobacco product z ! usual br& us$ )9 su* #cj-;day p]iod4 7,b7 ,"y individuals ,= ! purposes ( ?is section1 ! t]m "y individuals means individuals :o are "u #ah ye>s ( age4 7#b7 ,size & me?odology 7,a7 ,9 g5]al ,! survey ref]r$ to 9 p>agraph 7#a7 may be ! ,national ,survey on ,drug ,use & ,heal? or %all at lea/ be comp>able 9 size & me?odology to ! ,,nsduh t 0 complet$ 9 #bjji to measure ! use ( cig>ettes 7by br&7 by y\?s "u #ah ye>s ( age )9 ! #cj-;day p]iod prior to ! conduct ( ! /udy4 ,su* survey may be conduct$ z a compon5t ( ! ,national ,heal? & ,nutrition ,exam9ation ,survey or ! ,national ,heal? ,int]view ,survey1 if all o!r requirem5ts provid$ = 9 ?is section are compli$ )4 7,b7 ,conclusive accurat5ess ,a survey us+ ! me?odology describ$ 9 subp>agraph 7,a7 %all be deem$ conclusively prop]1 correct1 & accurate = purposes ( ?is section4 7,c7 ,def9ition ,9 ?is section1 ! t]m ,national ,survey on ,drug ,use & ,heal? or ,,nsduh means ! annual nationwide survey ( r&omly select$ individuals1 ag$ #ab & old]1 conduct$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7#c7 ,r$uction ,! ,secret>y1 bas$ on a comp>ison ( ! results ( ! fir/ annual tobacco product survey ref]r$ to 9 p>agraph 7#a7 & ! mo/ rec5t survey data ref]r$ to 9 p>agraph 7#b77;,a7 complet$ prior to ! date ( enactm5t ( ?is ,act1 %all det]m9e ! p]c5tage r$uction 7if any7 9 y\? tobacco use = ea* manufactur] ( tobacco products4 7#d7 ,p>ticipation 9 survey ,not)/&+ any o!r provision ( law1 ! ,secret>y may conduct a survey "u ?is subsection involv+ m9ors if ! results ( su* survey ) respect to su* m9ors are kept confid5tial & n disclos$4 7#e7 ,nonapplicability ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 %all n apply to in=mation requir$ = ! purposes ( c>ry+ out ?is section4 7b7 ,tobacco use r$uction goal & noncompliance 7#a7 ,goal ,x %all be ! tobacco use r$uction goal t y\? tobacco use be r$uc$ by at lea/ #e p]c5t or a level det]m9$ significantly suffici5t by ! ,secret>y betwe5 ! mo/ rec5t ,,nsduh ref]r$ to 9 subsection 7a77#b77;,a7 & ! completion ( ! fir/ annual cig>ette survey 7& su* subsequ5t surveys z comp>$ to ! previ\s ye>'s survey7 ref]r$ to 9 subsection 7a77#a74 7#b7 ,noncompliance 7,a7 ,indu/ry-wide p5alty ,if ! ,secret>y det]m9es t ! tobacco use r$uction goal "u p>agraph 7#a7 has n be5 a*iev$1 ! ,secret>y %all1 n lat] ?an ,septemb] #aj1 #bjad1 & ,septemb] #aj ( ea* ye> !reaft]1 impose an indu/ry-wide p5alty on ! manufactur]s ( cig>ettes 9 an am\nt t is 9 ! aggregate equal to #c1jjj1jjj1jjj4 7,b7 ,paym5t ,! indu/ry-wide p5alty impos$ "u ?is subsection %all be paid by ea* manufactur] bas$ on ! br& %>e among y\? ages #ab-ag 7z det]m9$ by ! survey describ$ 9 subsection 7a77#a77 z su* p]c5tage relates to ! total am\nt to be paid by all manufactur]s4 7,c7 ,f9al det]m9ation ,! det]m9ation ( ! ,secret>y z to ! am\nt & allocation ( a sur*>ge "u ?is section %all be f9al & ! manufactur] %all pay su* sur*>ge )9 #aj days ( ! date on :i* ! manufactur] is assess$4 ,su* paym5t %all be reta9$ by ! ,secret>y p5d+ f9al judicial review ( :at1 if any1 *ange 9 ! sur*>ge is appropriate4 7,d7 ,limitation ,) respect to cig>ettes1 a manufactur] ) a m>ket %>e ( #a p]c5t or less ( y\? tobacco use %all n be liable = ! paym5t ( a sur*>ge "u ?is p>agraph4 7,e7 ,use ( am\nts ,am\nts collect$ "u subp>agraph 7,a7 %all be deposit$ into ! ,prev5tion & ,public ,heal? ,fund e/abli%$ "u section #djjb ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #cjju-#aa74 ,su* funds %all rema9 available = transf] ?r\gh ,septemb] #cj? ( ! fif? fiscal ye> foll[+ _! collection1 subject to ! t]ms & conditions ( su* section #djjb4 7#c7 ,p5alties nond$uctible ,! paym5t ( p5alties "u ?is section %all n be consid]$ to be an ord9>y & necess>y exp5se 9 c>ry+ on a trade or bus9ess = purposes ( ! ,int]nal ,rev5ue ,code ( #aihf & %all n be d$uctible4 7#d7 ,judicial review 7,a7 ,aft] paym5t ,a manufactur] ( cig>ettes may seek judicial review ( any action "u ?is section only aft] ! assessm5t involv$ has be5 paid by ! manufactur] to ! ,dep>tm5t ( ! ,treasury & only 9 ! ,unit$ ,/ates ,di/rict ,c\rt = ! ,di/rict ( ,columbia4 7,b7 ,review by attorney g5]al ,prior to ! fil+ ( an action by a manufactur] seek+ judicial review ( an action "u ?is section1 ! manufactur] %all notify ! ,attorney ,g5]al ( su* int5t to file & ! ,attorney ,g5]al %all h #cj days 9 :i* to respond to ! action4 7,c7 ,review ,! am\nt ( any sur*>ge paid "u ?is section %all be subject to judicial review by ! ,unit$ ,/ates ,c\rt ( ,appeals = ! ,di/rict ( ,columbia ,circuit1 bas$ on ! arbitr>y & caprici\s /&>d ( section #gjf ( title #e1 ,unit$ ,/ates ,code4 ,not)/&+ any o!r provision ( law1 no c\rt %all h ! au?ority to /ay any sur*>ge paym5t due to ! ,secret>y "u ?is section p5d+ judicial review until ! ,secret>y has made or fail$ to make a compliance det]m9ation1 z describ$ "u ?is section1 t has adv]sely affect$ ! p]son seek+ ! review4 7c7 ,en=cem5t 7#a7 ,initial p5alty ,!re is h]eby impos$ an initial p5alty on ! failure ( any manufactur] to make any paym5t requir$ "u ?is section n lat] ?an a p]iod det]m9$ suffici5t by ! ,secret>y aft] ! date on :i* su* paym5t is due4 7#b7 ,am\nt ( p5alty ,! am\nt ( ! p5alty impos$ by p>agraph 7#a7 on any failure ) respect to a manufactur] %all be an am\nt equal to #b p]c5t ( ! p5alty ow$ "u subsection 7b7 = ea* day dur+ ! noncompliance p]iod4 7#c7 ,noncompliance p]iod ,= purposes ( ?is subsection1 ! t]m noncompliance p]iod means1 ) respect to any failure to make ! sur*>ge paym5t requir$ "u ?is section1 ! p]iod-- 7,a7 beg9n+ on ! due date = su* paym5t2 & 7,b7 end+ on ! date on :i* su* paym5t is paid 9 full4 7#d7 ,limitations ,no p5alty %all be impos$ by p>agraph 7#a7 on-- 7,a7 any failure to make a sur*>ge paym5t "u ?is section dur+ any p]iod = :i* x is e/abli%$ to ! satisfaction ( ! ,secret>y t none ( ! p]sons responsible = su* failure knew or1 ex]cis+ reasonable dilig5ce1 w\ld h kn[n1 t su* failure exi/$2 or 7,b7 any manufactur] t produces less ?an #a p]c5t ( cig>ettes us$ by y\? 9 t ye> 7z det]m9$ by ! annual survey74 #cjh4 ,volunt>y /&>ds on food m>ket+ to *ildr5 7a7 ,9 g5]al ,! ,int]ag5cy ,work+ ,gr\p on ,food ,m>ket$ to ,*ildr5 7z e/abli%$ by ! ,omnibus ,appropriations ,act1 #bjji 7,public ,law #aji-h77 & con/itut$ by ! ,commision] ( ! ,f$]al ,trade ,commission1 toge!r ) ! ,commission] ( ! ,food & ,drug ,adm9i/ration1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! ,secret>y ( ,agriculture1 %all develop recomm5dations = /&>ds = ! m>ket+ ( food :5 su* m>ket+ t>gets *ildr5 :o are #ag ye>s ( age or y\ng] or :5 su* food repres5ts a significant compon5t ( ! diets ( *ildr54 7b7 ,consid]ations ,9 develop+ /&>ds "u subsection 7a71 ! ,work+ ,gr\p %all consid]-- 7#a7 positive & negative contributions ( nutri5ts1 +r$i5ts1 & food 7includ+ calories1 portion size1 saturat$ fat1 trans fat1 sodium1 add$ sug>s1 & ! pres5ce ( nutri5ts1 fruits1 vegetables1 & :ole gra9s7 to ! diets ( su* *ildr52 & 7#b7 evid5ce conc]n+ ! role ( ! consumption ( nutri5ts1 +r$i5ts1 & foods 9 prev5t+ or promot+ ! developm5t ( obesity among su* *ildr54 7c7 ,scope ,! ,work+ ,gr\p %all det]m9e ! scope ( ! m$ia to :i* ! /&>ds develop$ "u subsection 7a7 %\ld apply4 7d7 ,submission to ,congress ,n lat] ?an ,july #ae1 #bjad1 ! ,work+ ,gr\p %all submit to ! relevant ,committees ( ,congress a report conta9+ ! f9d+s & recomm5dations ( ! ,work+ ,gr\p "u ?is section4 ,,iv ,exp&$ cov]age ( prev5tive s]vices #dja4 ,requir$ cov]age ( prev5tive s]vices "u ! ,m$icaid program 7a7 ,m&atory cov]age ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d71 z am5d$ by section #dajg7;a77#a7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh71 is am5d$-- 7#a7 9 subsection 7a77#d7-- 7,a7 by /rik+ & be=e 7,d72 & 7,b7 by ins]t+ be=e ! semicolon at ! end ! foll[+ new subp>agraph3 2 & 7,e7 prev5tive s]vices describ$ 9 subsection 7ee722 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7ee7 ,prev5tive ,s]vices ,= purposes ( subsection 7a77#d77;,e71 ! prev5tive s]vices describ$ 9 ?is subsection are diagno/ic1 scre5+1 prev5tive1 & rehabilitative s]vices n o!rwise describ$ 9 subsection 7a7 or 7r7 t ! ,secret>y det]m9es are appropriate = individuals entitl$ to m$ical assi/ance "u ?is title1 includ+-- 7#a7 evid5ce-bas$ s]vices t are assign$ a grade ( ,a or ,b by ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce2 & 7#b7 ) respect to an adult individual1 approv$ vacc9es recomm5d$ = r\t9e use by ! ,advisory ,committee on ,immunization ,practices ( ! ,c5t]s = ,disease ,control & ,prev5tion4 4 7b7 ,elim9ation ( co/-,%>+ 7#a7 ,subsections 7a77#b77;,d7 & 7b77#b77;,d7 ( section #aiaf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifo7 are ea* am5d$ by ins]t+ prev5tive s]vices describ$ 9 section #aije7;ee71 aft] em]g5cy s]vices 7z def9$ by ! ,secret>y714 7#b7 ,section #aiaf;,a7a77#a7 ( su* ,act 7#db ,u4,s4,c4 #acifo-#a7;a77#a77 is am5d$ by ins]t+ 1 prev5tive s]vices describ$ 9 section #aije7;ee71 aft] subsection 7c74 7c7 ,con=m+ am5dm5t ,effective z if includ$ 9 ! enactm5t ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh71 ! provisions (1 & am5dm5ts made by1 section #dajf ( su* ,act are repeal$4 7d7 ,int]val p]iod = inclusion ( new recomm5dations 9 ,/ate plans ,) respect to a recomm5dation issu$ on or aft] ! date ( enactm5t ( ?is ,act by an organization describ$ 9 subsection 7ee7 ( section #aije ( ! ,social ,security ,act = a prev5tive s]vice includ$ "u su* subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a m9imum int]val p]iod1 :i* %all be n less ?an #ab mon?s1 betwe5 ! date on :i* ! recomm5dation is issu$ & ! plan ye> = :i* a ,/ate plan = m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act %all be requir$ to include su* prev5tive s]vice4 7e7 ,effective date 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! am5dm5ts made by subsections 7a7 & 7b7 take effect on ! date ( enactm5t ( ?is ,act4 7#b7 ,ext5sion ( effective date = /ate law am5dm5t ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation or ,/ate regulation 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by subsections 7a7 & 7b71 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ^! additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session is consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #djb4 ,cov]age = compreh5sive workplace wellness program & prev5tive s]vices ,section #hijd7;a7 ( title #e1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at ! end ! foll[+3 7,g7 ,compreh5sive workplace wellness program b5efits t meet ! requirem5ts ( section #ajdjh ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh74 7,h7 ,prev5tive s]vices b5efits deem$ an ,a or ,b s]vice by ! ,unit$ ,/ates ,prev5tive ,s]vices ,task=ce4 7,i7 ,immunizations t h 9 effect a recomm5dation f ! ,advisory ,committee on ,immunization ,practices ( ! ,c5t]s = ,disease ,control & ,prev5tion ) respect to ! individuals involv$4 7,j7 ,) respect to infants1 *ildr51 & adolesc5ts1 evid5ce-in=m$ prev5tive c>e & scre5+s provid$ = 9 ! compreh5sive guidel9es support$ by ! ,heal? ,res\rces & ,s]vices ,adm9i/ration ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 2 & 7#b7 9 p>agraph 7#b71 by add+ at ! end ! foll[+3 7,g7 ,compreh5sive workplace wellness program b5efits t meet ! requirem5ts ( section #ajdjh ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh74 7,h7 ,prev5tive s]vices b5efits deem$ an ,a or ,b s]vice by ! ,unit$ ,/ates ,prev5tive ,s]vices ,task=ce4 7,i7 ,immunizations t h 9 effect a recomm5dation f ! ,advisory ,committee on ,immunization ,practices ( ! ,c5t]s = ,disease ,control & ,prev5tion ) respect to ! individuals involv$4 7,j7 ,) respect to infants1 *ildr51 & adolesc5ts1 evid5ce-in=m$ prev5tive c>e & scre5+s provid$ = 9 ! compreh5sive guidel9es support$ by ! ,heal? ,res\rces & ,s]vices ,adm9i/ration ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 4 #djc4 ,heal? pr(essional education & tra9+ 9 heal?y eat+ ,"p ,q ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;h et seq47 is am5d$ by /rik+ section #cii,z & ins]t+ ! foll[+3 #cii,z4 ,heal? pr(essional education & tra9+ 9 heal?y eat+ 7a7 ,9 g5]al ,! ,secret>y1 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! heads ( o!r ag5cies1 & 9 consultation ) appropriate heal? pr(essional associations1 %all develop & c>ry out a program to educate & tra9 heal? pr(essionals 9 effective /rategies to-- 7#a7 bett] id5tify pati5ts at-risk ( becom+ ov]weight or obese or develop+ an eat+ disord]2 7#b7 detect ov]weight or obesity or eat+ disord]s among a div]se pati5t population2 7#c7 c\nsel1 ref]1 or treat pati5ts ) ov]weight or obesity or an eat+ disord]2 7#d7 educate pati5ts & ! families ( pati5ts ab\t effective /rategies to e/abli% heal?y eat+ habits & appropriate levels ( physical activity2 & 7#e7 assi/ 9 ! creation & adm9i/ration ( community-bas$ ov]weight & obesity & eat+ disord] prev5tion ef=ts4 7b7 ,eat+ disord] ,9 ?is section1 ! t]m eat+ disord] includes anorexia n]vosa1 bulimia n]vosa1 b+e eat+ disord]1 & eat+ disord]s n o!rwise specifi$1 z def9$ 9 ! f\r? edition ( ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s or any subsequ5t edition4 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 4 #djd4 ,integrative m$ic9e tra9+ program ,title ,,vii ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #gfh 7#db ,u4,s4,c4 #bie;c7 ! foll[+3 #gfh;,a4 ,integrative m$ic9e tra9+ program 7a7 ,national ,coord9at+ ,c5t] = ,tra9+ 9 ,integrative ,m$ic9e 7#a7 ,9 g5]al ! ,secret>y1 act+ ?r\gh ! ,adm9i/rator1 %all aw>d a s+le grant to an eligible entity t %all s]ve z ! ,national ,coord9at+ ,c5t] = ,tra9+ 9 ,integrative ,m$ic9e4 7#b7 ,eligibility ,to be eligible to receive a grant "u p>agraph 7#a71 an entity %all-- 7,a7 be-- 7i7 an accr$it$ s*ool ( m$ic9e or o/eopa?ic m$ic9e2 7ii7 an accr$it$ public or private nonpr(it hospital2 7iii7 a ,/ate1 local1 or tribal heal? dep>tm5t2 or 7iv7 a consortium ( #b or m ( ! entities describ$ 9 clause 7i7 or 7ii72 7,b7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require2 & 7,c7 demon/rate a capacity to p]=m ! duties describ$ 9 p>agraph 7#c74 7#c7 ,duties ,an entity t receives a grant "u p>agraph 7#b7 %all-- 7,a7 plan1 develop1 or design an integrative m$ic9e curriculum t c be incorporat$ into an accr$it$ resid5cy tra9+ program 9 specialties1 includ+ family m$ic9e1 int]nal m$ic9e1 p$iatrics1 & ob/etrics & gynecology1 physical m$ic9e & rehabilitation & psy*iatry2 7,b7 provide te*nical assi/ance to ! network ( grantees "u subsection 7b72 7,c7 develop1 adm9i/]1 & coord9ate ! network ( grantees "u su* subsection2 7,d7 conduct an evaluation & ov]see data collection ( integrative m$ic9e tra9+ programs2 & 7,e7 develop1 di/ribute1 & provide educational & faculty developm5t mat]ials & programs to tra9 m$ical pr(essionals 9 integrative m$ic9e4 7b7 ,grants ,to incorporate integrative m$ic9e into resid5cy tra9+ programs 7#a7 ,9 g5]al ,! ,secret>y %all aw>d grants to1 or ent] into contracts )1 eligible entities to develop graduate m$ical education tra9+ programs 9 integrative m$ic9e4 7#b7 ,eligibility ,to be eligible to receive a grant or contract "u p>agraph 7#a7 an entity %all-- 7,a7 op]ate an accr$it$ m$ical resid5cy program2 & 7,b7 submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#c7 ,use ( funds ,am\nts receiv$ "u a grant or contract "u ?is subsection %all be us$ to incorporate curriculum 9 integrative m$ic9e into resid5cy programs to enhance tea*+ 9 prev5tion & wellness & to "w collaboratively ) o!r grantees & ! national coord9at+ c5t] to evaluate outcomes & be/ practices 9 tea*+ ,integrative ,m$ic9e4 7c7 ,def9ition ,9 ?is section1 ! t]m integrative m$ic9e means ! integration ( alt]native treatm5t1 diagno/ic & prev5tion sy/ems1 modalities1 & discipl9es ) ! practice ( conv5tional m$ic9e z a complem5t to su* m$ic9e & into heal? c>e deliv]y sy/ems 9 ! ,unit$ ,/ates4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 su* sums z may be necess>y = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4 ,v ,rese>* #eja4 ,national consortium on brea/fe$+ rese>* 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all e/abli% a national consortium on brea/fe$+ rese>* 7ref]r$ to 9 ?is section z ! consortium71 to be compos$ ( rese>*]s det]m9$ appropriate by ! ,secret>y1 9 consultation ) ! ,director1 to-- 7#a7 assi/ 9 ov]com+ ! limitations fac$ by rese>*]s 9 design+ brea/fe$+ /udies2 7#b7 increase ! g5]alizability ( rese>* on brea/fe$+2 7#c7 assi/ 9 prioritiz+ key brea/fe$+ rese>* areas2 7#d7 enable ! p]=mance ( exp&$ & advanc$ brea/fe$+ rese>*2 & 7#e7 fo/] ! timely translation ( su* rese>* into practice4 7b7 ,requirem5ts ,! consortium %all seek to-- 7#a7 /&>dize def9itions ( specific t]ms & measures us$ to classify ! v>iables us$ 9 rese>* on brea/fe$+2 7#b7 promote ! use ( ! def9itions /&>diz$ "u p>agraph 7#a72 7#c7 id5tify e?ical /udy designs t w\ld exp& ! k t has be5 g5]at$ f obs]vational brea/fe$+ /udies2 7#d7 develop & update national ag5das = surveillance & rese>* on topics relat$ to brea/fe$+ & infant nutrition2 7#e7 spe>head fund+ /rategies to help accompli% ! ag5da develop$ by ! consortium2 7#f7 facilitate communication among rese>*]s2 & 7#g7 promote ! dissem9ation ( rese>* f9d+s & monitor ! translation ( rese>* into be/ practices4 7c7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section1 su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjad ?r\gh #bjah4 #ejb4 ,national assessm5t ( m5tal heal? ne$s ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by ins]t+ aft] section #ejf;,b 7#db ,u4,s4,c4 #bij;aa-#e;b7 ! foll[+3 #ejf;,c4 ,national assessm5t ( m5tal heal? ne$s 7a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,adm9i/rator1 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all e/abli% & implem5t public heal? monitor+ measures to address ! m5tal heal? & sub/ance use disord] /atus ( ! population ( ! ,unit$ ,/ates & o!r populations s]v$ by ! ,adm9i/ration1 t include-- 7#a7 monitor+ ! m5tal heal? /atus ( ! population1 includ+ ! incid5ce & preval5ce ( m5tal heal? conditions & sub/ance use disord]s across ! lifespan2 7#b7 monitor+ access to appropriate diagno/ic & treatm5t s]vices = m5tal heal? conditions & sub/ance use disord]s1 includ+ tr5ds 9 unmet ne$ = s]vices2 7#c7 monitor+ m5tal heal? conditions z risk factors = obesity & *ronic diseases to ! ext5t practicable2 7#d7 enhanc+ exi/+ public heal? monitor+ sy/ems by includ+ measures assess+ m5tal heal? & sub/ance use disord]s & associat$ risk factors2 & 7#e7 to ! ext5t practicable1 monitor+ ! imm$iate & long-t]m impact ( disa/]s or cata/rophic ev5ts1 :e!r natural or man-made on ! m5tal heal? ( affect$ populations4 7b7 ,di/+ui%+ among age gr\ps ,9 design+ & implem5t+ ! measures describ$ 9 subsection 7a7 ! ,secret>y %all ensure t data collection & report+ /&>ds /ratify data by age gr\ps1 9 p>ticul>1 to ! ext5t practicable1 *ildr5 "u ! age ( #e ye>s4 7c7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all submit a report to ,congress t describes ! progress on ! implem5tation ( ! monitor+ measures describ$ 9 subsection 7a74 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y to c>ry out ?is section = ea* ( fiscal ye>s #bjad ?r\gh #bjah4 4