,,ii #aaith ,,congress #ast ,session ,s4 #aabi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #be1 #bjbe,mr4 ,marshall introduced the following bill2 which was read twice and referred to the ,committee on ,agriculture1 ,nutrition1 and ,forestry ,a ,,bill ,to amend the ,national ,nutrition ,monitoring and ,related ,research ,act of #aiij to improve the dietary guidelines1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,dietary ,guidelines ,reform ,act of #bjbe4 #b4 ,establishment of dietary guidelines 7a7 ,in general ,section #cja7;a7 of the ,national ,nutrition ,monitoring and ,related ,research ,act of #aiij 7#g ,u4,s4,c4 #ecda7;a77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 by striking the paragraph designation and heading and all that follows through five years in the first sentence and inserting the following3 7#a7 ,in general ,at least every #aj years1 2 and 7,b7 by adding at the end the following3 ,rulemaking requirements under section #eec of title #e1 ,united ,states ,code1 shall apply to the development of each report under this paragraph42 7#b7 by indenting paragraphs 7#b7 and 7#c7 appropriately2 7#c7 in paragraph 7#b71 by striking shall and all that follows through the period at the end and inserting the following3 shall-- 7,a7 be based on significant scientific agreement that is determined by evidence-based review 7as defined in paragraph 7#i77;,a772 7,b7 be current at the time that the report is prepared2 7,c7 be derived from the questions generated under paragraph 7#e77;,e72 7,d7 address high-priority areas of concern to advance health outcomes2 7,e7 be designed to achieve nutritional adequacy and promote health1 as specified by the ,food and ,nutrition ,board of the ,national ,academies of ,sciences1 ,engineering1 and ,medicine1 through the consumption of food1 including nutrients and bioactive food components occurring naturally and in fortified foods2 7,f7 include nutritional and dietary information relevant to individuals with common nutrition-related chronic diseases1 as defined by the ,centers for ,disease ,control and ,prevention2 and 7,g7 include recommendations that are affordable1 available1 and accessible for the general population4 2 7#d7 by redesignating paragraph 7#c7 as paragraph 7#h72 7#e7 by inserting after paragraph 7#b7 the following3 7#c7 ,frequency ,the ,secretaries may publish the report required under paragraph 7#a7 more frequently than required under that paragraph if the ,secretaries determine that more frequent publication is necessary to promote health based on updated dietary reference intake values specified by-- 7,a7 the ,food and ,nutrition ,board of the ,national ,academies of ,sciences1 ,engineering1 and ,medicine2 and 7,b7 other relevant scientific advancements based on continuous review of the totality of publicly available scientific evidence4 7#d7 ,notification of update 7,a7 ,in general ,not later than #ij days before the ,secretaries plan to update a report under paragraph 7#a71 the ,secretaries shall submit notification of that plan1 in writing1 to the ,committees on ,agriculture1 ,nutrition1 and ,forestry and ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committees on ,agriculture and ,energy and ,commerce of the ,house of ,representatives4 7,b7 ,justification ,the notification under subparagraph 7,a7 shall include a justification for updating the report4 7#e7 ,independent ,advisory ,board 7,a7 ,in general ,not later than #ij days after the ,secretaries submit a notification under paragraph 7#d77;,a71 the ,secretaries shall establish an ,independent ,advisory ,board 7referred to in this paragraph as the ,board74 7,b7 ,members ,the ,board shall comprise not more than #h members1 of which-- 7i7 #d shall be appointed by the ,secretaries1 #b of whom shall not be ,federal employees2 and 7ii7 #a shall be appointed by each of the highest-ranking ,member on each ,committee described in paragraph 7#d77;,a7 of the opposite political party of the ,president of the ,united ,states4 7,c7 ,expertise ,each member appointed to the ,board shall have expertise in nutrition science or food science1 including academic and applied experience4 7,d7 ,meetings 7i7 ,in general ,the first meeting of the ,board shall take place on or after the date that is #ij days after the ,secretaries submit a notification under paragraph 7#d77;,a74 7ii7 ,quorum ,a #f_/h majority of the members shall constitute a quorum for the transaction of the business of the ,board4 7,e7 ,duties ,not later than #a year after the establishment of the ,board1 the ,board shall submit to the ,secretaries and the ,committees described in paragraph 7#d77;,a7 a list of scientific questions based on the proposed report under paragraph 7#a71 which questions shall be used to inform the work of the ,secretaries on that report and any relevant work of the ,committees described in paragraph 7#d77;,a74 7,f7 ,termination ,the authority of the ,board shall terminate1 and the ,board shall disband1 immediately after carrying out subparagraph 7,e74 7#f7 ,dietary reference intake updates 7,a7 ,in general ,the ,secretaries shall coordinate with the ,joint ,united ,states-,canada ,dietary ,reference ,intake ,working ,group to ensure that the ,food and ,nutrition ,board of the ,national ,academies of ,sciences1 ,engineering1 and ,medicine update the dietary reference intake values to represent the most up-to-date understanding of nutritional science4 7,b7 ,updates ,the ,joint ,united ,states-,canada ,dietary ,reference ,intake ,working ,group is encouraged-- 7i7 to initiate at least #a dietary reference intake update per year2 and 7ii7 to identify updates that are of highest priority and necessitate review4 7#g7 ,exclusion ,the information and guidelines contained in each report required under paragraph 7#a7 shall not be based on or include topics that are not relevant to dietary guidance1 as determined by the ,secretaries1 in consultation with the ,independent ,advisory ,board established under paragraph 7#e71 including taxation1 social welfare policies1 purchases under ,federal feeding programs1 food and agricultural production practices1 food labeling1 socioeconomic status1 race1 religion1 ethnicity1 culture1 or regulations relating to nutrition4 2 and 7#f7 by adding at the end the following3 7#i7 ,evidence-based review 7,a7 ,definition of evidence-based review ,in this paragraph1 the term evidence-based review means a process under which-- 7i7 the totality of the scientific evidence relevant to a question of interest is collected1 analyzed1 and evaluated2 7ii7 scientific studies1 conclusions1 and recommendations are rated1 adhering strictly to standardized1 generally accepted evidence-based review methods2 and 7iii7 external peer review is conducted by nongovernment experts with recognized expertise in quality-of-evidence evaluation4 7,b7 ,strength of evidence ,each guideline contained in a report published under paragraph 7#a7 shall be assigned a rating by the ,secretaries for the strength of evidence used1 including the extent to which the guideline will improve the ,healthy ,eating ,index4 7#aj7 ,transparency 7,a7 ,disclosure ,any individual appointed to the ,dietary ,guidelines ,advisory ,committee or an ,independent ,advisory ,board established under paragraph 7#e7 shall provide full disclosure of all financial and nonfinancial conflicts of interest relevant to their membership using the ,office of ,government ,ethics ,form #dej 7or successor form74 7,b7 ,publication ,notwithstanding any other provision of law1 not later than #cj days after the date on which a ,dietary ,guidelines ,advisory ,committee is established1 the ,secretaries shall make publicly available-- 7i7 the disclosures required under subparagraph 7,a71 categorized by the name of the individual2 and 7ii7 a detailed plan for managing any disclosed conflicts of interest1 including financial or ethical conflicts of interest1 preferences1 values1 and beliefs4 7#aa7 ,funding ,of the funds made available by section #cb of the ,act of ,august #bd1 #aice 7#g ,u4,s4,c4 #fab;c71 the ,secretary of ,agriculture shall make available to carry out this subsection #e1jjj1jjj for each of fiscal years #bjbe through #bjbi1 to remain available until expended4 4 7b7 ,controlling report ,the #bjbj ,dietary ,guidelines for ,americans published by the ,secretaries under section #cja7;a77#a7 of the ,national ,nutrition ,monitoring and ,related ,research ,act of #aiij 7#g ,u4,s4,c4 #ecda7;a77#a77 7as in effect before the date of enactment of this ,act7 shall be considered the most recent ,dietary ,guidelines for ,americans until the publication of the first report under that section 7as amended by subsection 7a774