,,ii  #aag? ,,congress  #a/ ,session    
,s4 #eif  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #d1 #bjba,mr4     
,c>p] 7= himself1 ,mr4 ,cassidy1 ,mrs4  
,capito1 ,mr4 ,coons1 ,mrs4 ,blackburn1 
,ms4 ,klobu*>1 ,mrs4 ,hyde-,smi?1 ,mrs4 
,%ahe51 ,ms4 ,s9ema1 ,ms4 ,ern/1 ,ms4   
,murk[ski1 ,mr4 ,cram]1 ,mr4 ,tillis1 & 
,mr4 ,he9ri*7 introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to provide = ! coord9ation (      
programs to prev5t & treat obesity1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,treat & ,r$uce        
,obesity ,act ( #bjba4  #b4 ,f9d+s      
,congress makes ! foll[+ f9d+s3 7#a7    
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ab\t #da p]c5t ( adults  
ag$ #fj & ov] _h obesity 9 ! p]iod (    
#bjae ?r\gh #bjaf1 repres5t+ m ?an #bg  
million p4  7#b7 ,! ,national ,in/itutes
 ( ,heal? has report$ t obesity &       
ov]weight are n[ ! second lead+ cause ( 

dea? nationally1 ) an e/imat$ #cjj1jjj  
dea?s a ye> attribut$ to ! epidemic4    
7#c7 ,obesity increases ! risk = *ronic 
diseases & conditions1 includ+ high     
blood pressure1 he>t disease1 c]ta9     
canc]s1 ar?ritis1 m5tal illness1 lipid  
disord]s1 sleep apnea1 & type #b        
diabetes4  7#d7 ,m ?an half ( ,m$ic>e   
b5efici>ies are treat$ = #e or m *ronic 
conditions p] ye>4 ,! rate ( obesity    
among ,m$ic>e b5efici>ies d\bl$ f #aihg 
to #bjjb & ne>ly d\bl$ aga9 by #bjaf1 ) 
,m$ic>e sp5d+ on individuals ) obesity  
dur+ t "t ris+ proportionately to rea*  
#ej billion 9 #bjad4  7#e7 ,m5 & wom5 ) 
obesity at age #fe h decreas$ life      
expectancy ( #a4f ye>s = m5 & #a4d ye>s 
= wom54  7#f7 ,! direct & indirect co/ (
 obesity 0 m ?an #dbg4h billion 9 #bjad 
& is gr[+4  7#g7 ,on av]age1 a ,m$ic>e  
b5efici>y ) obesity co/s #b1jah 79 #bjai
 doll>s7 m ?an a heal?y-weight          
b5efici>y4  7#h7 ,! preval5ce ( obesity 
among old] individuals 9 ! ,unit$ ,/ates
 is gr[+ at a l9e> rate &1 if no?+      

*anges1 ne>ly "o 9 two 7#dg p]c5t7      
,m$ic>e b5efici>ies ag$ #fe & ov] w h   
obesity 9 #bjcj1 up f slightly m ?an "o 
9 f\r 7#bh p]c5t7 9 #bjaj4  #c4         
,au?ority to exp& heal? c>e provid]s    
qualifi$ to furni% int5sive behavioral  
!rapy ,section #ahfa7;ddd7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciex7ddd77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#d7 7,a7        
,subject to subp>agraph 7,b71 !         
,secret>y may1 9 addition to qualifi$   
prim>y c>e physicians & o!r prim>y c>e  
practition]s1 cov] int5sive behavioral  
!rapy = obesity furni%$ by any ( !      
foll[+3 7i7 ,a physician 7z def9$ 9     
subsection 7r77#a77 :o is n a qualifi$  
prim>y c>e physician4  7ii7 ,any o!r    
appropriate heal? c>e provid] 7includ+ a
 physician assi/ant1 nurse practition]1 
or cl9ical nurse speciali/ 7z ^? t]ms   
are def9$ 9 subsection 7aa77#e771 a     
cl9ical psy*ologi/1 a regi/]$ dietitian 
or nutrition pr(essional 7z def9$ 9     
subsection 7vv7774  7iii7 ,an           

evid5ce-bas$1 community-bas$ life/yle   
c\nsel+ program approv$ by ! ,secret>y4 
7,b7 ,9 ! case ( int5sive behavioral    
!rapy = obesity furni%$ by a provid]    
describ$ 9 clause 7ii7 or 7iii7 (       
subp>agraph 7,a71 ! ,secret>y may only  
cov] su* !rapy if su* !rapy is furni%$--
 7i7 ^u ref]ral f1 & 9 coord9ation )1 a 
physician or prim>y c>e practition]     
op]at+ 9 a prim>y c>e sett+ or any o!r  
sett+ specifi$ by ! ,secret>y2 &  7ii7 9
 an (fice sett+1 a hospital outpati5t   
dep>tm5t1 a community-bas$ site t       
complies ) ! ,f$]al regulations conc]n+ 
! privacy ( individually id5tifiable    
heal? in=mation promulgat$ "u section   
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif1 or ano!r sett+ specifi$ by !     
,secret>y4  7,c7 ,9 ord] to ensure a    
collaborative ef=t1 ! coord9ation       
describ$ 9 subp>agraph 7,b77i7 %all     
include ! heal? c>e provid] or life/yle 
c\nsel+ program communicat+ to ! ref]r+ 
physician or prim>y c>e practition] any 

recomm5dations or treatm5t plans made   
reg>d+ ! !rapy4  4  #d4 ,m$ic>e "p ,d   
cov]age ( obesity m$ication  7a7 ,9     
g5]al ,section #ahfj;,d-#b7;e77#b77;,a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ajb7;e77#b77;,a77 is  
am5d$1 9 ! fir/ s5t5ce-- 7#a7 by /rik+ &
 o!r ?an & ins]t+ o!r ?an2 &  7#b7 by   
ins]t+ aft] b5zodiazep9es71 ! foll[+3 & 
o!r ?an subp>agraph 7,a7 ( su* section  
if ! drug is us$ = ! treatm5t ( obesity 
7z def9$ 9 section #ahfa7yy77#b77;,c77  
or = weight loss managem5t = an         
individual :o is ov]weight 7z def9$ 9   
section #ahfa7yy77#b77;,f77i77 & has "o 
or m relat$ comorbidities14  7b7        
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to plan ye>s  
beg9n+ on or aft] ! date t is #b ye>s   
aft] ! date ( ! enactm5t ( ?is ,act4    
#e4 ,report to ,congress ,n lat] ?an !  
date t is #a ye> aft] ! date ( !        
enactm5t ( ?is ,act1 & e #b ye>s        
!reaft]1 ! ,secret>y ( ,heal? & ,human  
,s]vices %all submit a report to        

,congress describ+ ! /eps ! ,secret>y   
has tak5 to implem5t ! provisions (1 &  
am5dm5ts made by1 ?is ,act4 ,su* report 
%all also include recomm5dations = bett]
 coord9ation & lev]ag+ ( programs )9 !  
,dep>tm5t ( ,heal? & ,human ,s]vices &  
o!r ,f$]al ag5cies t relate 9 any way to
 support+ appropriate rese>* & cl9ical  
c>e 7su* z any int]actions betwe5       
physicians & o!r heal? c>e provid]s & _!
 pati5ts7 to treat1 r$uce1 & prev5t     
obesity 9 ! adult population4