Sec. 111. Improving healthy eating and physical activity among our youngest children
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/bill/113/hr/4765/ih/section-111A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Title III of the Public Health Service Act ( 42 U.S.C. 241 et seq. ) is amended by adding at the end the following: In this part: The term childcare center means a center licensed or otherwise authorized to provide childcare services for fewer than 24 hours per day per child in a nonresidential setting, unless care in excess of 24 hours is due to the nature of the parents' work. The term early learning council means an early childhood assembly that is established to advise Governors, State legislators, or State agency administrators on how best to meet the needs of young children and their families specifically through improvement of programs and services.
The term family childcare home means a private family home where home-based childcare is provided for a portion of the day, unless care in excess of 24 hours is due to the nature of the parents’ work, and that is certified, registered, or licensed in the State in which it is located. The term screen time limits means policies or guidelines, such as those developed by the American Academy of Pediatrics, designed to reduce the daily amount of time that children spend watching or looking at digital monitors or displays, including television sets, computer monitors, or hand-held gaming devices.
The term Secretary means the Secretary of Health and Human Services. The Secretary, in consultation with appropriate entities within the Department of Health and Human Services, shall award 3-year competitive grants to 5 State health departments (or other appropriate childcare licensing entities within such States) to help reduce and prevent obesity among the birth to 5-year-old population of the State in childcare settings outside a child's place of residence. State grantees shall use amounts received under a grant under this subsection to— provide, or enter into contracts to provide, training (that meets the requirements of subsection (c)) to the staff of national, State, or community-based organizations with networks of childcare centers, or a consortium of childcare centers and family childcare homes consisting of at least 10 centers, for the purpose of implementing evidence-based healthy eating and physical activity policies and practices, including curricula and other interventions; and provide grants to childcare centers and family childcare homes, whose staff received the training described in paragraph (1), to implement practice, curricula, and policy changes (that meet the requirements of subsection (d)) that promote healthy eating and physical activity among the birth to 5 years of age population.
Preference in awarding grants shall be given to those States that demonstrate collaboration between relevant State entities related to childcare and health and with key stakeholders, such as State early learning councils and other community-based organizations working with childcare centers or family childcare homes. Training provided under subsection
(b)shall— include the provision of information concerning age-appropriate healthy eating and physical activity interventions and culturally competent curricula for the birth to 5 years of age population in the State involved, which at a minimum shall include— a handbook that includes recommendations, guidelines, and best practices for childcare centers and family childcare homes relating to healthy eating, physical activity, and screen time reduction; information about the availability of and services provided by childcare health consultants; and health and wellness resources available through the Child Care Bureau and the Maternal and Child Health Bureau; identify, improve upon, and expand nutrition and physical activity best practices targeted to the birth to 5 years of age population in the State involved and identify strategies for incorporating parental education and other parental involvement; and provide instruction on how to appropriately model, direct, and encourage childcare staff behavior to apply the best practices and strategies identified under subparagraph (B). A grantee may conduct the training required under this section directly, or may provide such training through a contract with— an appropriate national, State, or community organization with relevant expertise; a health care provider or professional organization with relevant expertise; a university or research center that employs faculty with relevant expertise; or any other entity determined appropriate by the State and approved by the Secretary. If a grantee elects to provide the training under this section through a contract, the grantee shall ensure that a consistent healthy eating and physical activity curriculum is being developed for all childcare entities participating in the pilot program in the State. After training is provided as required under subsection (c), a State grantee shall ensure that the organizations and consortia involved— implement, in childcare settings, evidence-based policy changes that promote healthy eating, physical activity, and appropriate screen time limits among the birth to 5 years of age population; utilize an evidence-based, culturally competent healthy eating and physical activity curriculum in childcare settings focusing on such birth to age 5 population; implement programs, activities, and procedures for incorporating parental education and involvement of parents in programs, including disseminating a written parental involvement policy, and coordinating and integrating parental involvement strategies under this section, to the extent feasible and appropriate, with parental involvement strategies under other programs, such as the Head Start program and the Early Head Start Program; and find innovative ways to remove barriers that exist to providing opportunities for healthy eating and physical activity. All activities described in this paragraph shall be evidence-based and be consistent with the curriculum presented through training activities described in subsection (c). The Secretary shall award competitive grants to prevention research centers or universities to evaluate the programs carried out with grants under section 399OO–1, including baseline, process, and outcome measurements. To the extent practicable, the Secretary shall coordinate activities conducted under this part with activities undertaken by the National Prevention, Health Promotion and Public Health Council established under section 4001 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ). Where practicable, such coordination shall— include the sharing of current and emerging best practices concerning healthy eating, physical activity, and screen time limits that have a population-level impact in promoting nutrition and physical activity in childcare settings; promote the effective implementation and sustainability of such programs; and avoid unnecessary duplication of effort. The Secretary shall designate an individual (directly or through contract) to provide technical assistance to States and pilot centers in the development, implementation, and evaluation of activities and dissemination of information described in paragraphs (1), (2), and
(3)of subsection (a). The Secretary shall— provide technical assistance to grantees and other entities providing training under a grant under this part; and disseminate to health departments and trainers under grants under this part information concerning evidence-based approaches, including dissemination of existing toolkits, curricula, and existing or emerging best practices that can be expanded or improved upon through a program conducted under this part. With respect to evaluations conducted under section 399OO–2, the Secretary shall ensure that— evaluation metrics are consistent across all programs funded under this part; interim outcomes are measured by the number of centers that have implemented policy and environmental strategies that support use of curricula and practices supporting healthy eating, physical activity, and screen time limits; interim outcomes are measured, to the extent possible, by behavior changes in healthy eating, physical activity, and screen time; and upon completion of the program, the evaluation shall include an identification of best practices relating to behavior change and reductions in the increasing prevalence of overweight and obesity that could be replicated in other settings. Upon the conclusion of the programs carried out under this part, the Secretary shall disseminate to all appropriate agencies within the Department of Health and Human Services evidence, best practices, and lessons learned from grantees. Such agencies shall encourage the adoption of the best practices. Not later than 6 months after the completion of the program under this part, the Secretary shall submit to Congress a report containing an evaluation of the program, including recommendations as to how lessons learned from the program can be incorporated into future guidance documents developed and provided by the Secretary and other Federal agencies, as appropriate. There is authorized to be appropriated to carry out this part, $2,500,000 for each of fiscal years 2015, 2016, and 2017. .
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- Pub. L. 111-148
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Sec. 111
Improving healthy eating and physical activity among our youngest children
Pub. L.Pub. L. 111-148
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