,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fehf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bf1 #bjah,mr4  
,coh5 7= himself1 ,ms4 ,de,lauro1 ,ms4  
,s*ak[sky1 ,mr4 ,payne1 ,ms4 ,norton1   
,mr4 ,blum5au]1 ,mr4 ,ryan ( ,ohio1 ,mr4
 ,soto1 ,mr4 ,mc,govern1 & ,ms4 ,blunt  
,ro*e/]7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,education & !
 ,work=ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to promote heal?y  
eat+ & physical activity among *ildr54  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,r$uc+ ,obesity 9 ,y\? ,act ( #bjah4  
#b4 ,f9d+s & purposes  7a7 ,f9d+s       
,congress makes ! foll[+ f9d+s3  7#a7   
,rese>* has %[n t e>ly *ildhood is an   
important "t = develop+ diet>y &        
physical activity behaviors t support   
heal? & well-be+ & may help prev5t      
obesity4  7#b7 ,infants z "y z #g mon?s 
h %[n eat+ patt]ns t are simil> to old] 
*ildr5 & adults4  7#c7 ,= *ildr5 "u #a  
ye> ( age1 promot+ opportunities =      
movem5t 7su* z rea*+1 crawl+1 & creep+7 

may be ! mo/ effective way to increase  
physical activity & improve *ildr5's    
motor skills4  7#d7 ,*ildr5 :o are      
expos$ to heal?y foods e>ly are m likely
 to pref] & eat heal?y foods & to       
develop eat+ habits t promote heal?y    
gr[? t c cont9ue ?r\gh\t *ildhood4  7#e7
 ,heal?y eat+ c improve a *ild's le>n+  
ability & pot5tially lead to high]      
academic p]=mance1 along ) 8 or h]      
m5tal1 social1 & physical well-be+ & c  
contribute to increas$ self-e/eem4  7#f7
 ,a #bjaj /udy indicat$ t daily physical
 activity is n only ess5tial = heal?y   
weight ma9t5ance1 b also = practic+ &   
le>n+ fundam5tal gross motor skills &   
socioemotional & cognitive skills4      
,fur!rmore1 :5 *ildr5 h ! opportunity = 
adequate physical activity1 !y b5efit   
physically1 psy*ologically & socially4  
7#g7 ,ne>ly #bj p]c5t 7#a 9 #e7 (       
#b-ye>-olds sp5d m ?an #b h\rs ( a      
typical day wat*+ television or videos4 
7#h7 ,! ,j\rnal ( ! ,am]ican ,m$ical    
,association ,p$iatrics f\nd t ea*      

increm5tal h\r ( wat*+ television at age
 #b is associat$ ) correspond+ decl9es 9
 s*ool engagem5t1 ma? a*ievem5t1 &      
week5d physical activity1 & ) increases 
9 bully+ by classmates1 consumption (   
s(t dr9ks & snacks1 & ,,bmi at age #aj4 
7#i7 ,ab\t #bj p]c5t ( *ildr5 betwe5 #b 
& #e ye>s ( age are ov]weight or obese4 
7#aj7 ,a /udy publi%$ 9 ! ,new ,engl&   
,j\rnal ( ,m$ic9e 9 #bjad f\nd t a ?ird 
( *ildr5 :o 7 ov]weight 9 k9d]g>t5 7    
obese by eigh? grade4 ,almo/ e *ild :o 0
 v obese rema9$ t way1 sugge/+ t ef=ts  
mu/ />t mu* e>li] & focus m on ! *ildr5 
at greate/ risk4  7#aa7 ,a /udy publi%$ 
9 ! ,new ,engl& ,j\rnal ( ,m$ic9e 9     
#bjag e/imates t ov] #ej p]c5t (        
#b-ye>-olds today w be obese by #ce ye>s
 ( age4  7#ab7 ,a /udy exam9+ !         
,national ,heal? & ,nutrition           
,exam9ation ,survey publi%$ 9 #bjah f\nd
 an increase 9 preval5ce ( *ildhood     
obesity 9 #bjae & #bjaf4 ,*ildhood      
obesity = *ildr5 betwe5 #b & #e ye>s (  
age increas$ f #i p]c5t to #ad p]c5t1 ! 

highe/ increase s9ce #aiii4  7#ac7 ,9   
#bjab1 ?ree-f\r?s ( ,unit$ ,/ates       
pres*ool-ag$ *ildr5 7 9 *ild c>e1 & mo/ 
( _! day 0 sp5t 9 s$5t>y activities4    
7#ad7 ,c5t]-bas$ programs s]ve          
approximately #f1ihj1jjj *ildr5 f bir?  
?r\gh age #e ye>s b n yet 9 k9d]g>t51   
mak+ ! e>ly *ildhood c>e & education    
sett+ an important "o = promot+ heal?ful
 habits4  7#ae7 ,e>ly c>e & education   
le>n+ collaboratives 9 #i ,/ates h rea*$
 ne>ly #aef1jjj *ildr5 & improv$ e>ly   
*ildhood c>e & education provid]        
practices = nutrition & physical        
activity4  7b7 ,purposes ,x is ! purpose
 ( ?is ,act to-- 7#a7 e/abli% a program 
t w influ5ce practices1 policies1 &     
environm5ts 9 e>ly c>e & education      
sett+s to support heal?y eat+1 physical 
activity1 & scre5 "t r$uction = *ildr5  
ages bir? ?r\gh #e ye>s2  7#b7 enhance !
 tra9+ & k ( e>ly c>e & education       
provid]s on /rategies = promot+ heal?y  
eat+ 7includ+ e>ly fe$+ be/ practices71 
physical activity1 & scre5 "t r$uction 9

 e>ly c>e & education sett+s2  7#c7     
monitor progress ( heal?y eat+ &        
physical activity promotion 9 e>ly c>e &
 education sett+s2 &  7#d7 id5tify      
em]g+1 & exp& exi/+1 approa*es to engag+
 families & p>5ts ( *ildr5 ages bir? to 
#e ye>s 9 heal?y eat+1 physical         
activity1 & scre5 "t r$uction4  #c4     
,heal?y kids program ,title ,,iii ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bda et seq47 is am5d$ by add+
 at ! end ! foll[+3  ,w ,heal?y ,kids   
,program  #cii,,oo4 ,def9itions ,9 ?is  
"p3 7#a7 ,director ,! t]m ,director     
means ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion4  7#b7 ,e>ly c>e &
 education ,! t]m e>ly c>e & education  
means programs & activities t s]ve      
*ildr5 ages bir? ?r\gh #e ye>s ei!r     
?r\gh 9-home or out-(-home sett+s1      
includ+ *ild c>e programs1 ,head ,/>t   
programs1 & pre-k9d]g>t5 programs4  7#c7
 ,scre5 "t r$uction ,! t]m scre5 "t     
r$uction means policies or guidel9es    
design$ to r$uce ! daily am\nt ( "t t   

*ildr5 sp5d wat*+ or look+ at digital   
monitors or displays1 includ+ television
 sets1 comput] monitors1 or h&-held gam+
 devices4  #cii,,oo-#a4 ,grants  7a7 ,9 
g5]al ,! ,secret>y1 9 coord9ation ) !   
,c5t]s = ,disease ,control & ,prev5tion 
& ! ,adm9i/ration = ,*ildr5 & ,families 
%all1 subject to ! availability (       
appropriations1 aw>d #e-ye> competitive 
grants to eligible entities to assi/ 9 !
 developm5t ( heal?i] e>ly c>e &        
education environm5ts to improve heal?y 
eat+ & physical activity among *ildr5   
ages bir? ?r\gh #e ye>s 9 e>ly c>e &    
education sett+s4 ,tra9+ provid$ "u su* 
grants %all be consi/5t ) ! be/         
practices f exi/+ heal? & wellness      
res\rces endors$ by ! ,secret>y1 9      
consultation ) ! ,national ,academy (   
,m$ic9e1 ! ,(fice ( ,*ild ,c>e & ,(fice 
( ,head ,/>t ( ! ,adm9i/ration = ,*ildr5
 & ,families1 ! ,division ( ,nutrition1 
,physical ,activity1 & ,obesity ( !     
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,mat]nal & ,*ild ,heal? ,bureau ( !  

,heal? ,res\rces & ,s]vices             
,adm9i/ration1 & ! ,food & ,nutrition   
,s]vice ( ! ,dep>tm5t ( ,agriculture4   
7b7 ,eligibility ,to be eligible to     
receive a grant "u subsection 7a71 an   
entity %all-- 7#a7 be--  7,a7 a nonpr(it
 organization ) exp]tise 9 e>ly *ildhood
 heal? or *ildhood obesity prev5tion2   
7,b7 an in/itution ( high] education or 
rese>* c5t] t employs faculty ) relevant
 exp]tise2 or  7,c7 a consortium (      
entities describ$ 9 subp>agraphs 7,a7 & 
7,b7 t submit a s+le application to c>ry
 out activities "u ! grant jo9tly2 &    
7#b7 submit to ! ,director an           
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,director may 
require4  7c7 ,use ( funds  7#a7        
,id5tification ( areas ( opportunities &
 goals ,an entity t receives a grant "u 
?is section %all1 us+ ,dep>tm5t ( ,heal?
 & ,human ,s]vices guidance & tools 7su*
 z ! ,spectrum ( ,opportunities =       
,obesity ,prev5tion 9 ! ,e>ly ,c>e &    
,education ,sett+ develop$ by ! ,c5t]s =

 ,disease ,control & ,prev5tion71       
id5tify areas ( opportunity & set goals 
& c>ry out activities to promote heal?y 
eat+1 physical activity1 & scre5 "t     
r$uction /rategies among *ildr5 ages    
bir? ?r\gh #e ye>s 9 e>ly c>e &         
education sett+s4  7#b7 ,activities ,an 
entity %all use am\nts receiv$ "u a     
grant "u ?is section to c>ry out ea* ( !
 foll[+ activities3  7,a7 ,provide      
tra9+1 te*nical assi/ance1 & res\rces to
 implem5t+ p>tn]s1 :i* may include      
,/ates1 t]ritories1 ,indian ,tribes or  
organizations1 municipalities1 &        
nonpr(it organizations to integrate !   
promotion ( heal?y eat+ 7includ+ e>ly   
fe$+ be/ practices71 physical activity1 
& scre5 "t r$uction into exi/+ e>ly c>e 
& education ,/ate programs & initiatives
 to create & spread su/a9able *ange )9 !
 ,/ate or t]ritory involv$4  7,b7 ,"w   
directly ) implem5t+ p>tn]s to create   
su/a9able programs to tra9 e>ly c>e &   
education provid]s ?r\gh tra9-!-tra9]   
models1 le>n+ collaboratives1 or o!r    

approa*es approv$ by ! ,secret>y4  7,c7 
,ent] into a contract ) a nonpr(it      
organization or o!r entity ) relevant   
exp]tise t is approv$ by ! ,secret>y1 to
 evaluate ! programs c>ri$ out "u !     
grant1 includ+ basel9e1 process1 &      
outcome measurem5ts4  7#c7 ,dissem9ation
 ( be/ practices ,n lat] ?an #ab mon?s  
aft] ! date on :i* ! programs &         
activities c>ri$ out "u ! grants "u ?is 
section conclude1 ! ,secret>y %all      
dissem9ate to all appropriate ag5cies )9
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
evid5ce1 be/ practices1 & lessons d]iv$ 
f ! exp]i5ces ( grantees ) respect to   
r$uc+ & prev5t+ obesity & ov]weight     
among *ildr5 ages bir? ?r\gh #e ye>s 9 !
 e>ly c>e & education sett+s4 ,su*      
ag5cies %all enc\rage ! adoption ( su*  
be/ practices4  7d7 ,pref]5ce  7#a7     
,grantees ,9 aw>d+ grants "u ?is        
section1 ! ,secret>y %all give pref]5ce 
to eligible entities t demon/rate--     
7,a7 a hi/ory ( work+ ) e>ly c>e &      
education provid]s & ,/ates 9 obesity   

prev5tion 9 ! e>ly c>e & education      
sett+s2  7,b7 a hi/ory (1 & capacity to1
 lev]age fund+ to amplify obesity       
prev5tion ef=ts 9 e>ly c>e & education  
sett+s2  7,c7 a hi/ory ( work+          
successfully ) an evaluator to det]m9e  
program effectiv5ess2  7,d7 a hi/ory (1 
& capacity to1 collaborate ) ! heal?    
sector on obesity prev5tion initiatives2
  7,e7 a hi/ory (1 & capacity to1 spread
 & su/a9 heal? initiatives2 &  7,f7 !   
ability to conduct at lea/ #c pilot     
programs to te/ innovative or           
evid5ce-in=m$ approa*es to engage       
families1 includ+ families ( *ildr5 ages
 bir? to #e ye>s1 or to pursue o!r      
innovative approa*es 9 ! promotion (    
heal?y eat+ & physical activity4  7#b7  
,implem5t+ p>tn]s ,9 select+ ,/ates1    
t]ritories1 ,indian ,tribes or          
organizations1 municipalities1 or       
nonpr(it organizations "u a grant "u ?is
 section1 a grantee %all ensure t su*   
p>tn]s--  7,a7 s]ve populations t are   
racially1 e?nically1 socioeconomically1 

& geographically div]se2  7,b7 repres5t 
a mix ( rural & urban sett+s2  7,c7 h a 
v>i$ level ( exi/+ infra/ructure1       
capacity1 & o!r programmatic initiatives
 to address obesity prev5tion 9 e>ly c>e
 & education sy/ems2 &  7,d7 possess    
exp]tise 9 e>ly c>e & education or      
*ildr5's heal? & ! ability to implem5t  
evid5ce-in=m$ int]v5tions to promote    
heal?y eat+1 physical activity1 & scre5 
"t r$uction /rategies 9 e>ly c>e &      
education sett+s = *ildr5 ages bir?     
?r\gh #e ye>s1 includ+ /rategies t>get$ 
to address+ ! ne$s ( *ildr5 ages bir?   
?r\gh #b ye>s & /rategies to engage     
p>5ts 9 heal?y eat+ & physical activity 
promotion4  7e7 ,track+ ,/ate progress  
,! ,secret>y %all use am\nts appropriat$
 "u subsection 7g77#b7 to ent] into     
contracts )1 or aw>d grants to1         
in/itutions ( high] education1 nonpr(it 
organizations1 or o!r entities )        
relevant monitor+ & surveillance        
exp]tise t are approv$ by ! ,secret>y1  
to track ,/ate progress 9 obesity       

prev5tion policies & practices ( e>ly   
c>e & education programs ?r\gh a s5t9el 
set ( ,/ates4  7f7 ,report to ,congress 
,n lat] ?an #ab mon?s aft] ! completion 
( ! programs & activities fund$ "u      
grants aw>d$ "u ?is section1 ! ,secret>y
 %all submit to ,congress a report      
conc]n+ an evaluation ( ! results ( su* 
programs & activities & s5t9el          
surveillance1 includ+ recomm5dations on 
h[ lessons le>n$ f su* programs c be    
incorporat$ into future guidance        
docum5ts develop$ & provid$ by !        
,secret>y or ,director & o!r ,f$]al     
ag5cies z appropriate4  7g7             
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section-- 7#a7 #d1jjj1jjj = ea* (   
fiscal ye>s #bjai ?r\gh #bjbc2 &  7#b7  
#a1gjj1jjj = fiscal ye> #bjai1 to be us$
 to track ,/ate progress 9 obesity      
prev5tion policies & practices ( e>ly   
c>e & education programs 9 a s5t9el set 
( ,/ates z provid$ = 9 subsection 7e74  
4