,,ii  #aad? ,,congress  #a/ ,session    
,s4 #ahfe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bg1 #bjae,ms4   
,klobu*> 7= h]self1 ,ms4 ,ayotte1 ,mrs4 
,capito1 & ,ms4 ,baldw97 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act ) respect 
to eat+ disord]s1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,anna ,we/9 ,act ( #bjae4  #b4 ,table ( 
cont5ts ,! table ( cont5ts ( ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title4 ,sec4 
#b4 ,table ( cont5ts4 ,sec4 #c4 ,f9d+s4 
,sec4 #d4 ,def9ition4 ,sec4 #e4 ,tra9+ &
 education4 ,sec4 #f4 ,education & tra9+
 = heal? pr(essionals4 ,sec4 #g4        
,education & tra9+ = s*ool & high]      
education pr(essionals4 ,sec4 #h4       
,public s]vice ann\ncem5ts4 ,sec4 #i4   
,cl>ify+ application ( exi/+ p>ity law4 
,sec4 #aj4 ,prohibition on new          
appropriations4  #c4 ,f9d+s ,! ,congress
 f9ds ! foll[+3 7#a7 ,risk ( dea? among 

individuals ) anorexia n]vosa is #ah    
times great] ?an among individuals ( !  
same age )\t anorexia4 ,x is e/imat$ t  
at lea/ "o p]son dies e #fb m9utes f an 
eat+ disord]3 at lea/ #bc p]sons ea*    
day4  7#b7 ,heal? consequ5ces su* z     
o/eoporosis 7brittle bones71            
ga/ro9te/9al complications1 c>diac1 &   
d5tal problems are significant heal? &  
f9ancial burd5s ?r\gh\t life4  7#c7 ,at 
l[e/ e/imate1 #ad1ejj1jjj p 9 ! ,unit$  
,/ates suff] f eat+ disord]s4 ,"o p]c5t 
( adolesc5t boys & #b p]c5t ( adolesc5t 
girls suff] f eat+ disord]s4 ,eat+      
disord]s acc\nt = at lea/ #d p]c5t ( all
 *ildhood hospitalizations4  7#d7 ,eat+ 
disord]s are treatable biopsy*osocial   
illnesses4 ,!re is a high rate (        
comorbidity ) o!r illnesses su* z       
depression1 sub/ance abuse1 or anxiety  
disord]s4  7#e7 ,anorexia n]vosa is an  
eat+ disord] *>act]iz$ by self-/>vation1
 weight loss1 fe> ( ga9+ weight1 &      
di/urbances 9 ! way 9 :i* "o's body     
weight or %ape is exp]i5c$4  7#f7       

,anorexia n]vosa is associat$ ) s]i\s   
heal? consequ5ces includ+ he>t failure1 
kidney failure1 o/eoporosis1 & dea?4 ,p 
:o suff] anorexia n]vosa are #eg times m
 likely to die ( suicide ?an _! pe]s4   
7#g7 ,curr5t e/imates ( ! lifetime      
preval5ce ( bulimia n]vosa are betwe5   
#j4i & #a4e p]c5t among wom5 & betwe5   
#j4a & #j4e p]c5t among m54  7#h7       
,bulimia n]vosa is associat$ ) s]i\s    
heal? consequ5ces1 includ+ c>diac1      
ga/ro9te/9al1 & d5tal problems includ+  
irregul> he>tbeats1 ga/ric rupture1     
peptic ulc]1 too? decay1 & dea?4  7#i7  
,b+e eat+ disord] is *>act]iz$ by       
frequ5t episodes ( uncontroll$ ov]eat+4 
,b+e eat+ disord] is common3 at l[e/    
e/imate1 #c4e p]c5t ( wom5 9 ! ,unit$   
,/ates & #b4j p]c5t ( m5 9 ! ,unit$     
,/ates w suff] f ?is disord] 9 _!       
lifetimes4  7#aj7 ,b+e eat+ is (t5      
associat$ ) obesity1 high blood         
pressure1 elevat$ *ole/]ol levels1      
elevat$ triglyc]ide levels1 increas$    
risk ( b[el1 brea/1 & reproductive      

canc]s1 increas$ risk ( diabetes1 &     
increas$ risk ( ar?ritic damage to !    
jo9ts4  7#aa7 ,_m suff] f "s1 b n all1 (
 ! symptoms ( anorexia n]vosa1 bulimia  
n]vosa1 or b+e eat+ disord]1 :i* is     
ref]r$ to z o!r specifi$ fe$+ or eat+   
disord] or ,,osf$4 ,betwe5 #d p]c5t &   
#bj p]c5t ( "y wom5 practice unheal?y   
patt]ns ( diet+1 purg+1 & b+e eat+4     
7#ab7 ,eat+ disord]s are m common 9     
wom51 b !y d occur 9 m54 ,rates ( b+e   
eat+ disord] are simil> 9 females &     
males4  7#ac7 ,academic evid5ce has     
demon/rat$ a connection betwe5 ! use ( v
 ?9 models 9 adv]tis+ & consum]         
attitudes t[>d a br& bas$ on su*        
adv]tis+1 z well z a mat]ial influ5ce ( 
! use ( su* models on consum] pur*ase   
int5t1 conduct1 & reliance4  7#ad7 ,eat+
 disord]s appe> across all age gr\ps1   
races1 e?nicities1 & socioeconomic gr\ps
 9 ! ,unit$ ,/ates & are associat$ )    
sub/antial psy*ological problems1       
includ+ depression1 sub/ance abuse1 &   
suicide4 ,= *ildr5 #ab ye>s ( age &     

y\ng]1 hospitalizations = eat+ disord]s 
increas$ by #aai p]c5t betwe5 #aiii &   
#bjjf4  #d4 ,def9itions ,9 ?is ,act--   
7#a7 ! t]m eat+ disord] includes        
anorexia n]vosa1 bulimia n]vosa1 b+e    
eat+ disord]1 & o!r specifi$ fe$+ or    
eat+ disord]s1 z def9$ 9 ! fif? edition 
( ,diagno/ic & ,/ati/ical ,manual (     
,m5tal ,disord]s1 publi%$ by ! ,am]ican 
,psy*iatric ,association or1 if         
applicable1 ! mo/ rec5t successor       
edition2 &  7#b7 ! t]m ,secret>y means !
 ,secret>y ( ,heal? & ,human ,s]vices4  
#e4 ,tra9+ & education ,subject to      
section #aj1 ! ,secret>y1 act+ ?r\gh !  
,director ( ! ,(fice on ,wom5's ,heal? (
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
& 9 consultation ) ! ,secret>y (        
,education1 %all--  7#a7 revise & !n    
re9/ate ! ,body,wise ,h&book ( !        
,dep>tm5t ( ,education & relat$ fact    
%eets & res\rce li/s available on !     
public ,int]net ,website ( ! ,national  
,wom5's ,heal? ,in=mation ,c5t] sponsor$
 by ! ,(fice on ,wom5's ,heal?1 to      

include--  7,a7 updat$ f9d+s &          
conclusions z ne$$2 &  7,b7 ?or\gh      
in=mation ab\t eat+ disord]s relat+ to  
males & females2  7#b7 incorporate1 z   
appropriate1 in=mation f su* ,body,wise 
,h&book & relat$ fact %eets & res\rce   
li/s into ! curriculum ( ! ,body,works  
obesity prev5tion program develop$ by ! 
,(fice on ,wom5's ,heal?1 & tra9+       
modules us$ 9 su* obesity prev5tion     
program2 &  7#c7 promote & make publicly
 available 7?r\gh a public ,int]net     
,website or o!r me?od t does n impose a 
fee on us]s7 ! ,body,wise ,h&book &     
relat$ fact %eets & res\rce li/s1 z     
updat$ "u p>agraph 7#a71 & ! ,body,works
 obesity prev5tion program1 z updat$ "u 
p>agraph 7#b71 includ+ = purposes (     
educat+ univ]sities & nonpr(it entities 
on eat+ disord]s4  #f4 ,education &     
tra9+ = heal? pr(essionals  7a7 ,9 g5]al
 ,subject to section #aj1 ! ,secret>y1  
act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance 
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration1 %all aw>d grants to      

eligible entities to integrate tra9+    
into exi/+ curricula = prim>y c>e       
physicians1 o!r lic5s$ or c]tifi$ heal? 
& m5tal heal? pr(essionals1 & public    
heal? pr(essionals t may include--  7#a7
 e>ly int]v5tion & id5tification ( eat+ 
disord]s2  7#b7 levels ( treatm5t       
7includ+ family-bas$1 9-pati5t1         
resid5tial1 p>tial hospitalization      
programm+1 & int5sive outpati5t &       
outpati5t treatm5t72  7#c7 h[ to prop]ly
 ref] pati5ts to treatm5t2  7#d7 /eps to
 aid 9 ! prev5tion ( ! developm5t ( eat+
 disord]$ behaviors2 &  7#e7 h[ to treat
 individuals ) eat+ disord]s4  7b7      
,application ,an entity desir+ a grant  
"u ?is section %all submit to !         
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ a plan = 
! use ( funds t may be aw>d$ & an       
evaluation ( ! tra9+ t w be provid$4    
7c7 ,use ( funds ,an entity t receives a
 grant "u ?is section %all use ! funds  
made available ?r\gh su* grant to--     

7#a7 develop a tra9+ program conta9+    
evid5ce-bas$ f9d+s1 promis+ em]g+ be/   
practices1 or recomm5dations t p]ta9 to 
! id5tification (1 e>ly int]v5tion 91   
prev5tion ( ! developm5t (1 & treatm5t  
(1 eat+ disord]s to conduct educational 
tra9+ & conf]5ces1 :i* may include      
,int]net-bas$ c\rses & teleconf]5ces1   
on--  7,a7 h[ to help prev5t !          
developm5t ( eat+ disord]$ behaviors1   
id5tify1 int]v5e e>ly1 & appropriately &
 adequately treat eat+ disord]$ pati5ts2
  7,b7 h[ to id5tify individuals ) eat+ 
disord]s1 & ^? :o are at risk = suff]+ f
 eat+ disord]s &1 !re=e1 at risk =      
relat$ sev]e m$ical & m5tal heal?       
conditions2  7,c7 h[ to conduct a       
compreh5sive assessm5t ( individual &   
familial heal? risk factors2 &  7,d7 h[ 
to conduct a compreh5sive assessm5t ( a 
treatm5t plan2 &  7#b7 evaluate & report
 to ! ,secret>y on ! effectiv5ess ( !   
tra9+ provid$ by su* entity 9 increas+ k
 & *ang+ attitudes & behaviors (        
tra9ees4  #g4 ,education & tra9+ = s*ool

 & high] education pr(essionals  7a7    
,grants ,subject to section #aj1 !      
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,sub/ance ,abuse & ,m5tal ,heal?       
,s]vices ,adm9i/ration1 %all aw>d grants
 to eligible entities--  7#a7 to conduct
 educational sem9>s = s*ool p]sonnel on 
e>ly id5tification (1 int]v5tion 91 &   
prev5tion (1 behaviors t are (t5        
associat$ ) ! developm5t ( eat+ disord]$
 behaviors2 &  7#b7 to make res\rces    
available to individuals affect$ by eat+
 disord]s4  7b7 ,educational sem9>s ,z a
 condition on ! receipt ( a grant "u ?is
 subsection1 an eligible entity %all    
agree to conduct educational sem9>s "u  
subsection 7a77#a71 tak+ into           
consid]ation educational mat]ials made  
available ?r\gh ! ,body,wise eat+       
disord] initiative ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices & relevant     
rese>* on eat+ disord]s4  7c7 ,eligible 
entity ,9 ?is section1 ! t]m eligible   
entity means any ,/ate1 t]ritory1 or    
possession ( ! ,unit$ ,/ates1 ! ,di/rict

 ( ,columbia1 any ,indian tribe or      
tribal organization 7z def9$ 9          
subsections 7e7 & 7l71 respectively1 (  
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b771
 or a public or private educational     
in/itution1 includ+ an in/itution (     
high] education4  #h4 ,public s]vice    
ann\ncem5ts  7a7 ,9 g5]al ,subject to   
section #aj1 ! ,director ( ! ,national  
,in/itute ( ,m5tal ,heal? %all conduct a
 program ( public s]vice ann\ncem5ts to 
educate ! public on--  7#a7 ! types (   
eat+ disord]s2  7#b7 ! s]i\sness ( eat+ 
disord]s 7includ+ preval5ce1            
comorbidities1 & physical & m5tal heal? 
consequ5ces72  7#c7 h[ to id5tify1      
int]v5e1 ref] = treatm5t1 & prev5t      
behaviors t (t5 lead to ! developm5t (  
eat+ disord]$ behaviors2  7#d7          
discrim9ation & bully+ bas$ on body     
size2  7#e7 ! effects ( m$ia on         
self-e/eem & body image2 &  7#f7 ! signs
 & symptoms ( eat+ disord]s4  7b7       

,collaboration ,! ,director ( !         
,national ,in/itute ( ,m5tal ,heal? %all
 conduct ! program "u subsection 7a7 9  
collaboration )--  7#a7 c5t]s (         
excell5ce2 &  7#b7 community-bas$       
national nonpr(it res\rces t support    
individuals affect$ by eat+ disord]s &  
"w to prev5t eat+ disord]s & address    
body image & weight issues4  #i4        
,cl>ify+ application ( exi/+ p>ity law  
7a7 ,,phsa ,section #bgbf ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#bf7 is am5d$-- 7#a7 9          
subsection 7a77#c71 by add+ at ! end !  
foll[+ new subp>agraph3  7,c7 ,treatm5t 
( p]man5t exclusions "u m5tal heal? &   
sub/ance use disord] b5efits ,a gr\p    
heal? plan or heal? insurance issu] (f]+
 gr\p or individual heal? insurance     
cov]age to :i* subp>agraph 7,a7 applies 
%all be consid]$ 9 violation (          
subp>agraph 7,a77ii7 if ! m5tal heal? or
 sub/ance use disord] b5efits "u su*    
plan or cov]age provides = a p]man5t    
exclusion f su* b5efits = a p>ticul>    

condition or disord]4  2 &  7#b7 by add+
 at ! end ! foll[+ new subsection3  7f7 
,resid5tial treatm5t ,= purposes ( ?is  
section1 m5tal heal? & sub/ance use     
disord] b5efits include resid5tial      
treatm5t4  4  7b7 ,,erisa ,section #gab 
( ! ,employee ,retirem5t ,income        
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aahe;a7 is am5d$-- 7#a7 9 subsection   
7a77#c71 by add+ at ! end ! foll[+ new  
subp>agraph3  7,c7 ,treatm5t ( p]man5t  
exclusions "u m5tal heal? & sub/ance use
 disord] b5efits ,a gr\p heal? plan 7or 
heal? insurance cov]age (f]$ 9          
connection ) su* a plan7 to :i*         
subp>agraph 7,a7 applies %all be        
consid]$ 9 violation ( subp>agraph      
7,a77ii7 if ! m5tal heal? or sub/ance   
use disord] b5efits "u su* plan 7or     
cov]age7 provides = a p]man5t exclusion 
f su* b5efits = a p>ticul> condition or 
disord]4  2 &  7#b7 by add+ at ! end !  
foll[+ new subsection3  7h7 ,resid5tial 
treatm5t ,= purposes ( ?is section1     
m5tal heal? & sub/ance use disord]      

b5efits include resid5tial treatm5t4  4 
7c7 ,,irc ,section #ihab ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$-- 7#a7 9 
subsection 7a77#c71 by add+ at ! end !  
foll[+ new subp>agraph3  7,c7 ,treatm5t 
( p]man5t exclusions "u m5tal heal? &   
sub/ance use disord] b5efits ,a gr\p    
heal? plan to :i* subp>agraph 7,a7      
applies %all be consid]$ 9 violation (  
subp>agraph 7,a77ii7 if ! m5tal heal? or
 sub/ance use disord] b5efits "u su*    
plan provides = a p]man5t exclusion f   
su* b5efits = a p>ticul> condition or   
disord]4  2 &  7#b7 by add+ at ! end !  
foll[+ new subsection3  7f7 ,resid5tial 
treatm5t ,= purposes ( ?is section1     
m5tal heal? & sub/ance use disord]      
b5efits include resid5tial treatm5t4  4 
7d7 ,limitation ,no?+ 9 ?is section or !
 am5dm5ts made by ?is section %all be   
con/ru$ z add+ or exp&+ ! scope ( m5tal 
heal? or addiction s]vices includ$ "u   
section #bgbf ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#bf71      
section #gab ( ! ,employee ,retirem5t   

,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe;a71 or section #ihab ( !
 ,int]nal ,rev5ue ,code ( #aihf4  #aj4  
,prohibition on new appropriations ,no  
additional funds are au?oriz$ to be     
appropriat$ to c>ry out ?is ,act or !   
am5dm5ts made by ?is ,act4 ,?is ,act &  
su* am5dm5ts %all be c>ri$ out us+      
am\nts o!rwise made available = su*     
purposes4