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Title II — Education and Prevention

H.R. 2101 · 113th Congress · May 22, 2013 · Lineage

II Education and Prevention

Sec. 201 Study of mandatory BMI reporting in school

Not later than 1 year after the date of the enactment of this Act, the Director of the Centers for Disease Control and Prevention, in consultation with the Secretary of Education and leading eating disorders researchers and clinicians, shall conduct a study and submit a report to the Congress on—
(1)
measuring the body mass index (in this section referred to as BMI) of students for those schools (at any level including pre-schools, kindergartens, elementary schools, secondary schools, and institutions of higher education) that are measuring the BMI of students;
(2)
the impacts (both positive and negative) on students of such measures, including unhealthy weight control behaviors, perceptions of body image, eating disorder symptoms, and the incidence of teasing or bullying based on body size; and
(3)
the impacts (both positive and negative) of reporting the results of such measures to the parents of such students.

Sec. 202 Training and education

(a)
In general— The Secretary of Health and Human Services, acting through the Director of the Office on Women’s Health of the Department of Health and Human Services and in consultation with the Secretary of Education and with the Task Force for Health Professions established under section 399Z(b) of the Public Health Service Act (as added by section 203(a)(2) of this Act), shall—
(1)
expand the BodyWise Handbook and related fact sheets and resource lists available on the public Internet site of the National Women’s Health Information Center sponsored by the Office on Women’s Health, to include—
(A)
updated findings and conclusions as needed; and
(B)
thorough information about eating disorders relating to males as well as females;
(2)
incorporate, as appropriate, information from such BodyWise Handbook and related facts sheets and resource lists into the curriculum of the BodyWorks obesity prevention program developed by the Office on Women’s Health and training modules used in such obesity prevention program; and
(3)
promote and make publicly available (whether through a public Internet site or other method that does not impose a fee on users) the BodyWise Handbook and related fact sheets and resource lists, as updated under paragraph (1), and the BodyWorks obesity prevention program, as updated under paragraph (2), including for purposes of educating universities and nonprofit entities on eating disorders.
(b)
Authorization of appropriations— There is authorized to be appropriated $1,000,000 to carry out subsection (a).

Sec. 203 Health professional education and training

Section 399Z of the Public Health Service Act (42 U.S.C. 280h–3) is amended—
(1)
by redesignating subsection (b) as subsection (d); and
(2)
by inserting after subsection (a) the following new subsections:

“(b) Task force on eating disorders

“(1) Establishment—The Secretary, acting through the Administrator of the Health Resources and Services Administration and one or more of the Centers of Excellence receiving funds under section 499B(b), shall establish a Task Force for Health Professions (in this subsection referred to as the task force) comprised of experts in the field of eating disorders (including researchers, clinicians, care providers, and experts in eating disorders education and prevention), individuals with eating disorders, and individuals with family members who have eating disorders.

“(2) Duties—The task force shall—

“(A) develop, based on the BodyWise Handbook and related fact sheets and resource lists available on the public Internet site of the National Women’s Health Information Center sponsored by the Office on Women’s Health of the Department of Health and Human Services and updated under section 202(a)(1) of the Federal Response to Eliminate Eating Disorders Act of 2013, an evidence-based or emerging best-practices training program for health professionals on eating disorders;

“(B) award grants for implementation of such evidence-based training program; and

“(C) provide training and technical assistance to grant recipients.

“(3) Report—Not later than 6 years after the date of the enactment of this subsection, the task force shall submit to the Congress and make publicly available a report on the training program developed under paragraph (2) and the results achieved through grants awarded for implementation of such program.

“(c) Definition—In this section, the term eating disorder has the meaning given such term in section 399OO(d).”

(3)
by amending subsection (d) (as so redesignated) to read as follows:

“(d) Authorization of appropriations—There are authorized to be appropriated—

“(1) to carry out subsection (a), $1,000,000 for fiscal year 2014 and $500,000 for each of fiscal years 2015 through 2018; and

“(2) to carry out subsection (b), $10,000,000 for each of fiscal years 2014 through 2018.”

Sec. 204 Education and training for all health professionals

Section 399Z of the Public Health Service Act (42 U.S.C. 280h–3), as amended by section 203(a), is further amended—
(1)
by redesignating subsections (c) and (d) as subsections (d) and (e), respectively;
(2)
by inserting after subsection (b) the following new subsection:

“(c) Grants regarding eating disorders

“(1) In general—The Secretary may award grants to eligible entities to integrate training into existing curricula for primary care physicians and other licensed or certified health and mental health professionals on how to identify, refer, treat, and prevent eating disorders and aid individuals who suffer from eating disorders.

“(2) Application—An entity that desires a grant under this subsection shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a plan for the use of funds that may be awarded and an evaluation of the training that will be provided.

“(3) Use of funds—An entity that receives a grant under this subsection shall use the funds made available through such grant to—

“(A) use the training program developed by the Task Force for Health Professions under subsection (b)(2)(A), evidence-based findings, promising emerging best practices, or recommendations that pertain to the prevention and treatment of eating disorders to conduct educational training and conferences, including Internet-based courses and teleconferences, on—

“(i) how to treat or prevent eating disorders;

“(ii) how to discuss varied strategies with patients from at-risk and diverse populations to promote positive behavior change and healthy lifestyles to prevent eating disorders;

“(iii) how to identify individuals with eating disorders, and those who are at risk for suffering from eating disorders and, therefore, at risk for related serious and chronic medical and mental health conditions; and

“(iv) how to conduct a comprehensive assessment of individual and familial health risk factors; and

“(B) evaluate and report to the Task Force for Health Professions on the effectiveness of the training provided by such entity in increasing knowledge and changing attitudes and behaviors of trainees.”

(3)
in subsection (e) (as so redesignated)—
(A)
in paragraph (1), at the end by striking “and”;
(B)
in paragraph (2), at the end by striking the period and inserting “; and”; and
(C)
by adding at the end the following new paragraph:

“(3) to carry out subsection (c), $10,000,000 for each of fiscal years 2014 through 2018.”

Sec. 205 Education and training for school and higher education professionals

(a)
Task Force on Eating Disorders Prevention in Educational Institutions—
(1)
Establishment— Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services, in consultation with Centers of Excellence receiving funds under section 499B of the Public Health Service Act (as added by section 101 of this Act) and experts in eating disorder prevention and treatment, shall establish a Task Force on Eating Disorders Prevention in Educational Institutions (in this subsection referred to as the task force).
(2)
Duties— The task force shall—
(A)
expand upon and incorporate information from the BodyWise eating disorder initiative implemented by the Office on Women’s Health of the Department of Health and Human Services to develop and provide training on eating disorders identification and prevention for students, faculty, coaches, and staff in kindergartens, elementary schools, secondary schools, and institutions of higher education;
(B)
develop a program of educational seminars on eating disorders identification and prevention for use by grant recipients under subsection (b); and
(C)
provide training to grant recipients under subsection (b) on implementing such a program, including by integration into existing applicable training curricula.
(b)
Grants—
(1)
Authorization— The Secretary of Health and Human Services, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, shall award grants to eligible entities—
(A)
to conduct educational seminars on eating disorders identification and prevention; and
(B)
to make resources available to individuals affected by eating disorders.
(2)
Educational seminars— As a condition on the receipt of a grant under this subsection, an eligible entity shall agree to conduct educational seminars under paragraph (1)(A)—
(A)
in accordance with the program developed under subsection (a)(2)(B) by the Task Force on Eating Disorders Prevention in Educational Institutions; and
(B)
taking into consideration educational materials made available through the BodyWise eating disorder initiative of the Department of Health and Human Services and relevant research on eating disorders.
(3)
Eligible entity— In this subsection, the term eligible entity means any State, territory, or possession of the United States, the District of Columbia, any Indian tribe or tribal organization (as defined in subsections (e) and (l), respectively, of section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b)), or a public or private educational institution, including an institution of higher education.

Sec. 206 Eating disorder research and report

Not later than 18 months after the date of the enactment of this Act, the National Center for Education Statistics and the National Center for Health Statistics shall conduct a study on the impact of eating disorders on educational advancement and achievement. The study shall—
(1)
determine the prevalence of eating disorders among students and the morbidity and mortality rates associated with eating disorders;
(2)
evaluate the extent to which students with eating disorders are more likely to miss school, have delayed rates of social, emotional, and physical development, or have reduced academic performance;
(3)
report on current State and local programs to prevent eating disorders, as well as evaluate the value of such programs; and
(4)
make recommendations on measures that could be undertaken by the Congress, the Department of Education, States, and local educational agencies to strengthen eating disorder prevention and awareness programs.

Sec. 207 Public service announcements

(a)
In general— The Director of the National Institute of Mental Health shall conduct a program of public service announcements to educate the public on—
(1)
the types of eating disorders;
(2)
the seriousness of eating disorders (including prevalence, comorbidities, and physical and mental health consequences);
(3)
how to detect, address, refer for help, and prevent eating disorders;
(4)
discrimination and bullying based on body size;
(5)
the effects of media on self esteem and body image; and
(6)
the signs and symptoms of eating disorders.
(b)
Collaboration— The Director of the National Institute of Mental Health shall conduct the program under subsection (a) in collaboration with—
(1)
Centers of Excellence receiving funds under section 499B of the Public Health Service Act, as added by section 101; and
(2)
community-based national nonprofit resources that—
(A)
support individuals affected by eating disorders; and
(B)
work to prevent eating disorders and address body image and weight issues.
(c)
Announcement requirements— In carrying out the program of public service announcements required by subsection (a), the Director of the National Institute of Mental Health shall ensure that such announcements—
(1)
address the full spectrum of eating disorders for both sexes and a variety of ethnicities and age groups;
(2)
do not promote or aggravate eating disorders, such as by incorporating images, specific behaviors, or statistics that make eating disorders seem attractive;
(3)
feature—
(A)
real people who are or were affected by eating disorders, including individuals who have died of such disorders; and
(B)
not actors or models in place of such people;
(4)
make clear that—
(A)
eating disorders are not a choice, but are serious and often deadly illnesses; and
(B)
individuals affected by eating disorders need to seek help; and
(5)
provide information on how and where to seek help for the treatment of eating disorders.

Sec. 208 Sense of Congress

It is the sense of the Congress that—
(1)
federally funded campaigns to fight obesity should address eating disorders; and
(2)
federally funded studies on obesity should include questions relating to eating disorders.