,i #aagth ,,congress #b;d ,session ,h4 ,r4 #hifd ,,in ,,the ,,house ,,of ,,representatives ,september #bb1 #bjbb,mr4 ,grijalva 7for himself and ,mr4 ,mc,govern7 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 #bjbb or the ,,eat for ,health ,act of #bjbb4 #b4 ,findings ,congress finds the following3 7#a7 ,according to #bjai ,national ,health ,expenditure ,account data1 the growth in total national healthcare expenditures in #bjai reached #c4h trillion1 or #aa1ehb per person4 7#b7 ,according to the ,center for ,disease ,control and ,prevention 7,,cdc7 around #ij percent of annual health expenditures are for people with chronic and mental health conditions4 7#c7 ,according to the ,,cdc most people in the ,united ,states don't eat a healthy diet and consume too much sodium1 saturated fat1 and sugar1 increasing their risk of chronic diseases4 ,fewer than #a in #aj adolescents and adults eat enough fruits or vegetables4 7#d7 ,according to ,national ,center for ,chronic ,disease ,prevention and ,health ,promotion 7,,nccdphp7 six in ten ,americans live with at least one chronic disease1 like heart disease and stroke1 cancer1 or diabetes4 7#e7 ,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#f7 ,according to ,,nccdphp eating healthy helps prevent1 delay1 and manage heart disease1 type #b diabetes1 and other chronic diseases4 7#e7 ,according to the ,,cdc1 heart disease is the leading cause of death for ,american adults4 ,approximately #fei1jjj ,american adults die each year from cardiovascular disease4 ,coronary heart disease alone costs ,american taxpayers #cfc billion each year4 7#g7 ,research has shown that following a healthful diet1 including a plant-based diet1 can not only reduce symptoms related to cardiovascular disease but can also actually reverse damage done to the arteries4 7#h7 ,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#i7 ,an estimated #cd4b million people in the ,united ,states have diabetes4 ,another #hh 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 direct estimated costs of diagnosed diabetes increased from #ahh billion in #bjab to #bcg billion in #bjag4 7#aj7 ,a consensus statement endorsed by ,american ,association of ,clinical ,endocrinology1 supported by the ,academy of ,nutrition and ,dietetics1 and co-sponsored by the ,endocrine ,society reports that plant-based diets and other nutrition interventions aid type #b diabetes remission4 7#aa7 ,according to the ,american ,cancer ,society1 there will be an estimated #a1iah1jcj new cancer cases diagnosed and #fji1cfj cancer deaths in the ,united ,states in #bjbb4 ,that is equivalent to about #a1fgj deaths per day and accounts for nearly #a of every #d deaths4 ,the ,national ,cancer ,institute estimates that cancer-related direct medical costs in the ,u4,s4 were #ahc billion in #bjae and are projected to increase to #bdf billion by #bjcj1 a #cd increase based only on population growth and aging4 7#ab7 ,according to a #bjjh survey published in ,journal of the ,american ,college of ,nutrition1 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#ac7 ,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 7#ad7 ,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#ae7 ,recognizing the importance of nutrition1 ,healthy ,people #bjcj--the ,federal ,government's framework for a healthier ,nation--includes a goal 7,,nws-#je7 to increase the proportion of health care visits by adults with obesity that include counseling or education related to nutrition1 weight loss1 or physical activity4 ,according to ,healthy ,people #bjcj1 only #bd4h percent of physician office visits included counseling about nutrition or diet in #bjaf4 7#af7 ,according to ,mission3 ,readiness1 obesity disqualifies #ca percent of youth from serving if they so choose4 7#ag7 ,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#ah7 ,according to the ,department of ,health and ,human ,services1 racial and ethnic minority groups experience higher rates of chronic health conditions1 including diabetes1 hypertension1 obesity1 heart disease1 and cancer when compared to their ,white counterparts due to ,social ,determinants of ,health1 including lack of access to nutritious food4 #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 nutrition1 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