,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #diic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #i1 #bjbj,mr4 
,book] 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 to promote heal?y eat+ &   
physical activity among *ildr54  #a4    
,%ort title ,?is ,act may be cit$ z !   
,r$uc+ ,obesity 9 ,y\? ,act ( #bjbj4    
#b4 ,f9d+s & purposes  7a7 ,f9d+s       
,congress makes ! foll[+ f9d+s3 7#a7 ,! 
,,covid-#ai p&emic has _h s]i\s impacts 
on ! heal? & well-be+ ( *ildr5 &        
families4  7#b7 ,unemploym5t & pov]ty1  
likely exac]bat$ by bus9ess1 s*ool1 &   
*ildc>e closures1 h all contribut$ to   
elevat$ levels ( food insecurity1 ) an  
e/imat$ #ad1jjj1jjj *ildr5 9 ! ,unit$   
,/ates n gett+ en\gh to eat4  7#c7      
,millions ( *ildr5 receive free or      
r$uc$-price meals ?r\gh e>ly *ildhood   
education programs1 includ+ s*ool & e>ly
 c>e & education programs su* z *ildc>e1

 ,head ,/>t1 pre-k9d]g>t51 & family     
*ildc>e1 mak+ e>ly *ildhood education an
 important sett+ = address+ food        
insecurity4  7#d7 ,m ?an #cj1jjj1jjj    
*ildr5 receive free or r$uc$-price meals
 on a daily basis1 & access to bo?      
breakfa/ & lun* c provide "s *ildr5 ) m 
?an half ( _! daily caloric intake4     
7#e7 ,due to f9ancial in/ability dur+ ! 
,,covid-#ai p&emic1 !re is an increas$  
likelihood ( unheal?y weight ga9 among  
*ildr5 z families %ift to less co/ly1   
calorically-d5se1 %elf-/able foods1 r   
?an fre% foods4  7#f7 ,rese>* has %[n t 
e>ly *ildhood is an important "t =      
develop+ diet>y & physical activity     
behaviors t support heal? & well-be+ & t
 may help prev5t obesity4  7#g7 ,*ildr5 
:o are expos$ to heal?y foods e>ly are m
 likely develop eat+ habits t promote   
heal?y gr[? t c cont9ue ?r\gh\t         
*ildhood1 & heal?y eat+ c improve a     
*ild's le>n+ ability1 pot5tially lead to
 high] academic p]=mance1 improve m5tal1
 social1 & physical well-be+1 &         

contribute to increas$ self-e/eem4  7#h7
 ,rese>* und]scores ! importance (      
physical activity 9 e>ly *ildhood4 ,x is
 n only ess5tial = heal?y weight        
ma9t5ance1 b also = practic+ & le>n+    
fundam5tal gross motor skills & improv+ 
academic a*ievem5t4 ,fur!rmore1 :5      
*ildr5 h ! opportunity = adequate       
physical activity1 !y b5efit physically1
 psy*ologically & socially4  7#i7 ,ne>ly
 #bj p]c5t 7#a 9 #e7 ( #b-ye>-olds sp5d 
m ?an #b h\rs ( a typical day wat*+     
television or videos1 & ! ,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 & body mass index at age #aj4   
7#aj7 ,a /udy publi%$ 9 ! ,new ,engl&   
,j\rnal ( ,m$ic9e 9 #bjad f\nd t a ?ird 
( *ildr5 ) ov]weight 9 k9d]g>t5 _h      
obesity by eigh? grade4 ,almo/ e *ild ) 

sev]e obesity 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   
#bjaf1 ab\t #hb p]c5t ( ,unit$ ,/ates   
pres*ool-ag$ *ildr5 7 9 *ildc>e1 & mo/ (
 _! day 0 sp5t 9 s$5t>y activities4     
7#ad7 ,e>ly c>e & education c5t]s s]ve  
approximately #g1ejj1jjj *ildr5 bir?    
?r\gh age #e ye>s b n yet 9 k9d]g>t51   
mak+ ! e>ly *ildhood c>e & education    
sett+ an important "o = promot+ heal?ful
 habits4  7#ae7 ,m ?an #abb1jjj *ildr5 9
 #ab ,/ates h b5efitt$ f ef=ts to       
support heal?i] e>ly c>e & education    

programs4 ,?is includes ! provision (   
tra9+ & coa*+ = *ildc>e provid]s &      
te*nical assi/ance to ,/ate ag5cies to  
integrate nutrition & physical activity 
be/ practices into exi/+ ,/ate & local  
sy/ems4  7b7 ,purposes ,! purposes ( ?is
 ,act are to-- 7#a7 e/abli% a program t 
w enhance ! tra9+ & k ( e>ly c>e &      
education provid]s & influ5ce practices1
 policies1 & environm5ts 9 e>ly c>e &   
education sett+s to support heal?y eat+ 
& physical activity = *ildr5 ages bir?  
?r\gh #e1 includ+ by address+ ! gr[+    
?reat ( food insecurity2  7#b7 provide  
support to ,/ates on ways to l9k e>ly   
c>e & education programs to nutrition   
supports2  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 9 heal?y eat+ &  
physical activity4  #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+ *ildc>e programs1 ,head ,/>t    
programs1 family *ildc>e1 & pre-k9d]g>t5
 programs4  #cii,,oo-#a4 ,grants  7a7 ,9
 g5]al ,! ,secret>y1 act+ ?r\gh !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion & 9 coord9ation ) !       
,assi/ant ,secret>y = ! ,adm9i/ration = 
,*ildr5 & ,families1 %all aw>d #e-ye>   
competitive grants to eligible entities 
to improve heal?y eat+ & physical       
activity among *ildr5 ages bir? ?r\gh #e
 ye>s 9 e>ly c>e & education sett+s4    
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? & *ildhood obesity prev5tion2     
7,b7 an in/itution ( high] education or 
rese>* c5t] t employs faculty ) relevant
 exp]tise & has exp]tise 9 tra9+ e>ly   
c>e & education provid]s2 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 ,9 ,g5]al ,an entity %all use    
am\nts receiv$ "u a grant "u ?is section
 to "w directly ) implem5t+ p>tn]s1 :i* 
may include ,/ates1 t]ritories1 ,indian 
,tribes1 municipalities1 & nonpr(it     
organizations1 to-- 7,a7 create         
su/a9able programs to tra9 e>ly c>e &   
education provid]s ?r\gh direct coa*+ & 
pe]-le>n+1 access to quality te*nical   
assi/ance1 & pr(essional developm5t     
opportunities t are focus$ on heal?y    
eat+1 physical activity1 & address+ food

 insecurity2  7,b7 build ,/ate capacity 
?r\gh tra9+1 te*nical assi/ance1 &      
res\rces to integrate ! promotion (     
heal?y eat+ & physical activity into    
exi/+ e>ly c>e & education programs1    
sy/ems1 & initiatives1 includ+ help+ to 
l9k e>ly c>e & education programs )     
exi/+ res\rces = nutrition supports2 &  
7,c7 te/ innovative or evid5ce-in=m$    
approa*es to engage families ( *ildr5   
ages bir? to #e ye>s s]v$ 9 e>ly c>e &  
education programs p>ticipat+ 9 ?is     
grant4  7#b7 ,implem5t+ p>tn]s ,9       
select+ ,/ates1 t]ritories1 ,indian     
tribes1 municipalities1 or nonpr(it     
organizations to be implem5t+ p>tn]s "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+s4  7#c7 ,national indep5d5t
 evaluator ,f ! am\nts appropriat$ to   
c>ry out ?is section1 & prior to aw>d+  
any grants "u p>agraph 7#a71 ! ,director

 %all ent] into a contract ) an ext]nal 
entity to create a s+le1 uni=m process  
to-- 7,a7 ensure t entities t receive   
grants "u p>agraph 7#a7 comply ) !      
requirem5ts ( ?is section2 &  7,b7      
evaluate ! outcomes ( ! grant activities
 c>ri$ out by ea* p>ticipat+ entity4    
7d7 ,track+ ,/ate progress ,! ,director 
may use am\nts appropriat$ "u subsection
 7f77#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]tise1 = purposes (--   
7#a7 track+ ,/ate progress 9 obesity    
prev5tion policies & practices ( e>ly   
c>e & education programs 9 ,/ates :]e   
grantees are pres5t2 &  7#b7 measur+    
*anges 9 food security )9 expos$ gr\ps4 
7e7 ,report ,n lat] ?an #a ye> aft] !   
completion ( ! programs & activities    
fund$ "u grants aw>d$ "u ?is section1 ! 
,secret>y %all submit to ,congress1 &   
all appropriate ag5cies1 a report       
conc]n+ an evaluation ( ! results ( su* 

programs1 activities1 & surveillance1   
includ+ be/ practices1 & lessons d]iv$ f
 ! exp]i5ces ( grantees ) respect to    
r$uc+ & prev5t+ food insecurity &       
obesity & ov]weight among *ildr5 ages   
bir? ?r\gh #e ye>s 9 ! e>ly c>e &       
education sett+s4  7f7 ,au?orization (  
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section--   
7#a7 #d1ejj1jjj = ea* ( fiscal ye>s     
#bjbb ?r\gh #bjbf2 &  7#b7 #a1gjj1jjj = 
fiscal ye> #bjbb1 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 7d74  4