,i #aaeth ,,congress #ast ,session ,h4 ,r4 #afcd ,,in ,,the ,,house ,,of ,,representatives ,march #bj1 #bjag,mr4 ,grijalva 7for himself1 ,mr4 ,garamendi1 ,ms4 ,jackson ,lee1 ,ms4 ,roybal-,allard1 and ,mr4 ,ryan of ,ohio7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to require the ,secretary of ,health and ,human ,services to issue to ,federal agencies guidelines for developing procedures and requirements relating to certain primary care ,federal health professionals completing continuing medical education on nutrition and to require ,federal agencies to submit annual reports relating to such guidelines1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,education and ,training for ,health ,act of #bjag or the ,,eat for ,health ,act of #bjag4 #b4 ,findings ,congress finds the following3 7#a7 ,according to #bjac national health expenditure data1 ,united ,states health care spending increased #c4f percent to reach #b4i trillion1 or #i1bee per person1 and accounted for #ag4d percent of ,gross ,domestic ,product 7,,gdp74 7#b7 ,according to the ,institute of ,medicine1 in #bjab estimates of health care costs attributed over #ge percent of national health expenditures to treatment for chronic diseases4 7#c7 ,a ,march #bjjc report from the ,world ,health ,organization concluded diet was a major cause of chronic diseases4 7#d7 ,seven out of #aj deaths among people in the ,united ,states each year are from chronic diseases such as cardiovascular disease1 obesity1 diabetes1 and cancer4 7#e7 ,according to the ,centers for ,disease ,control and ,prevention1 in #bjac heart disease was the leading cause of death for ,american adults4 ,approximately #fjj1jjj ,american adults die each year from cardiovascular disease4 ,coronary heart disease alone costs ,american taxpayers #ajh4i billion each year4 7#f7 ,research has shown that following a healthful diet can not only reduce symptoms related to cardiovascular disease but can also actually reverse damage done to the arteries4 7#g7 ,according to the ,journal of the ,american ,medical ,association1 two-thirds of adults in the ,united ,states are currently overweight1 and half of those overweight individuals are obese4 ,one in three children are overweight1 and one-fifth of children are obese4 ,the ,united ,states spends about #adg to #baj billion a year on obesity related diseases1 including type #b diabetes1 hypertension1 heart disease1 and arthritis4 7#h7 ,an estimated #bi4a million people in the ,united ,states have diabetes4 ,another #hf million ,american adults have prediabetes4 ,the ,centers for ,disease ,control and ,prevention predicts that one in three children born in #bjjj will develop diabetes at some point in their lives4 ,total estimated costs of diagnosed diabetes have increased #da percent1 to #bde billion in #bjab from #agd billion in #bjjg4 7#i7 ,according to the ,american ,cancer ,society1 there will be an estimated #a1feh1cgj new cancer cases diagnosed and #ehi1dcj cancer deaths in the ,united ,states in #bjae4 ,that is equivalent to about #a1fbj deaths per day and accounts for nearly #a of every #d deaths4 ,the ,agency for ,healthcare ,research and ,quality 7,,ahrq7 estimates that the direct medical costs for cancer in the ,united ,states in #bjaa were #hh4g billion4 7#aj7 ,according to the ,journal of the ,american ,college of ,nutrition1 in #bjjh physicians felt inadequately trained to provide proper nutrition advice4 ,ninety-four percent felt nutrition counseling should be included during primary care visits1 but only #ad percent felt adequately trained to provide such counseling4 7#aa7 ,a #aihe ,national ,academy of ,sciences report recommended that all medical schools require at least #be contact hours of nutrition education4 ,according to a #bjji national survey of medical colleges published in ,academic ,medicine1 only #ch percent of medical schools met these minimum standards by requiring #be hours of nutrition education as part of their general curricula in #bjjd4 ,by #bjaj1 that number had shrunk to #bg percent4 ,in addition1 #cj percent of ,united ,states medical schools required a dedicated nutrition course in #bjjd4 ,most recently1 only #be percent of such schools required such a course in #bjaj4 7#ab7 ,according to the ,journal of ,nutrition in ,clinical ,practice in #bjaj1 more than half of graduating medical students felt their nutrition education was insufficient4 7#ac7 ,recognizing the importance of nutrition1 ,healthy ,people #bjbj--the ,federal ,government's framework for a healthier ,nation--includes a goal 7,,nws-#f7 to increase the proportion of physician office visits that include counseling or education related to nutrition or weight4 ,according to ,healthy ,people #bjbj1 only #ac4h percent of physician office visits included counseling about nutrition or diet 7#bjaj latest year available74 7#ad7 ,according to ,mission3 ,readiness1 one in four ,americans cannot serve in the military due to weight4 ,for those serving1 the military discharged #d1cjj active-duty personnel due to weight problems in #bjab4 7#ae7 ,according to the ,journal of ,american ,health ,promotion1 the military spends well over #a billion a year to treat weight-related health problems such as heart disease and diabetes through its ,,tricare health insurance for active duty personnel1 reservists1 retirees and their families4 7#af7 ,according to the ,centers for ,disease ,control and ,prevention1 ,american ,indian or ,alaska ,native adults are #fj percent more likely to be obese and over twice as likely as to have diabetes compared to ,white adults4 7#ag7 ,according to the ,centers for ,disease ,control and ,prevention1 ,american ,indian or ,alaska ,native adults have the highest rate of diabetes among all minority groups at #ae4i percent4 #c4 ,department of ,health and ,human ,services guidelines1 and ,federal agencies annual reports1 relating to certain primary care ,federal health professionals completing continuing medical education on nutrition 7a7 ,guidelines ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidelines to ,federal agencies for developing procedures and requirements to ensure that every primary care health professional employed full-time for such agencies have continuing education courses relating to nutrition 7as described in subsection 7c774 7b7 ,biannual reports ,not later than #ah months after the date of the enactment of this ,act and each subsequent year1 the head of each ,federal agency that employs full-time primary care health professionals shall submit to ,congress a report attesting1 in a form and manner specified by the ,secretary of ,health and ,human ,services1 to the extent to which the agency has adopted and encouraged the guidelines issued under subsection 7a7 with respect to such professionals employed by such agency during any portion of the previous year4 ,if the agency1 with respect to such previous year1 did not fully adopt and encourage such guidelines with respect to such professionals1 the head of the agency shall include in the report for the year the percentage of such professionals employed by such agency to furnish primary care services who completed continuing education courses relating to nutrition 7as described in subsection 7c774 7c7 ,continuing education relating to nutrition ,for purposes of subsections 7a7 and 7b71 continuing education courses relating to nutrition shall include at least content on the role of nutrition in the prevention1 management1 and1 as possible1 reversal of obesity1 cardiovascular disease1 diabetes1 or cancer4 7d7 ,definitions ,for purposes of this ,act3 7#a7 ,continuing education ,the term continuing education is defined as courses that meet requirements for ,continuing ,medical ,education 7,,cme7 or ,continuing ,education 7,,ce7 by medical or nurse practitioner professional organizations or certified accrediting bodies4 7#b7 ,nurse practitioner ,the term nurse practitioner has the meaning given such term in section #ahfa7;aa77#e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#e774 7#c7 ,physician ,the term physician has the meaning given such term in section #ahfa7r77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7r77#a774 7#d7 ,primary care health professional ,the term primary care health professional means a physician or nurse practitioner who furnishes primary care services4 7#e7 ,primary care services ,the term primary care services has the meaning given such term in section #ahdb7;i77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieu7i77#d771 but shall include such services furnished by a nurse practitioner as would otherwise be included if furnished by a physician4