Fwd: RE: Legislation Alert: H.R. 3177
mclellms at musc.edu
Thu Apr 13 11:40:30 PDT 2000
Would like to know what you thing about this bill in terms of:
Is this initiative going to increase the Registered Dietitian's role in providing
Nutrition Counseling or will it train non-RD's to do the instructing?
Will this make RD's more or less popular in the public eye(ie;food police)?
CDC is already such a massive agency, yet it does have power to inforce change in
government programs, especially the schools.
Mary S. McLellan MS,RD
jikeda at socrates.berkeley.edu wrote:
> >Now we can each make up our own minds about this bill...Joanne
> >Lifelong Improvements in Food and Exercise (LIFE) Act (Introduced in the
> >HR 3177
> >Sponsor: Rep Norton, Eleanor Holmes (introduced 10/28/1999)
> >Latest Major Action: 11/5/1999 Referred to House subcommittee
> >Title: To amend the Public Health Service Act to provide for a national
> >program to conduct and support activities toward the goal of significantly
> >reducing the number of cases of overweight and obesity among individuals
> >in the United States.
> > 106th CONGRESS
> > 1st Session
> > H. R. 3177
> > IN THE HOUSE OF REPRESENTATIVES
> > October 28, 1999
> >Mr. NORTON introduced the following bill; which was referred to the
> >Committee on Commerce
> > A BILL
> >To amend the Public Health Service Act to provide for a national program
> >to conduct and support activities toward the goal of significantly
> >reducing the number of cases of overweight and obesity among individuals
> >in the United States.
> >Be it enacted by the Senate and House of Representatives of the United
> >States of America in Congress assembled,
> >SECTION 1. SHORT TITLE.
> > This Act may be cited as the `Lifelong Improvements in Food and
> > Exercise (LIFE) Act'.
> >SEC. 2. FINDINGS.
> > The Congress finds as follows:
> > (1) Obesity has increased by more than 50 percent among
> > adults and 100 percent among children and adolescents in just the past 15
> > years.
> > (2) Fifty percent of women over 20 are overweight.
> > (3) Obesity is associated with many of the leading causes
> > of death and disability, including heart disease, diabetes, certain forms
> > of arthritis and cancer.
> > (4) The rising rates of obesity portend greater disease,
> > disability and early death, and concomitant rises in health care costs
> > and lost wages and productivity.
> > (5) Overweight among women is significantly outstripping
> > overweight among men, and the problem is getting worse decade by decade.
> > (6) Almost 25 percent of young people, ages 6-17, are
> > overweight and the percentage who are seriously overweight has doubled in
> > the last 30 years.
> > (7) One third of young people ages 12-21 do not regularly
> > engage in physical exercise.
> > (8) Part of the reason for youth inactivity is the
> > reduction in daily participation in high school physical education
> > classes from 42 percent in 1991 to 27 percent in 1997.
> > (9) The lack of activity combined with poor eating habits
> > among children carries over to adulthood; 25 percent of adults are
> > totally inactive and 60 percent of whom engage in too little physical activity.
> > (10) Chronic diseases account for 70 percent of deaths in
> > this country and 60 percent of medical care expenditures.
> >SEC. 3. REDUCTION IN PREVALENCE OF OBESITY; PROGRAM FOR LIFELONG
> >IMPROVEMENTS IN FOOD AND EXERCISE.
> > Part B of title III of the Public Health Service Act (42 U.S.C.
> > 243 et seq.) is amended by inserting after
> > section 317G the following section:
> >`REDUCTION IN PREVALENCE OF OBESITY
> > `SEC. 317H. (a) IN GENERAL- The Secretary, acting through the
> > Director of the Centers for Disease
> > Control and Prevention, shall carry out a national program to
> > conduct and support activities regarding individuals who are overweight
> > or obese in order to make progress toward the goal of significantly
> > reducing the number of cases of obesity among individuals in the United States.
> > `(b) CERTAIN ACTIVITIES- In carrying out subsection (a), the
> > Secretary shall (directly or through grants or contracts) carry out the
> > following with respect to individuals who are overweight:
> > `(1) Activities to train health professionals to recognize
> > that patients are overweight and to recommend prevention activities
> > regarding such condition, including educating patients on the
> > relationship between such condition and cardiovascular disease, diabetes
> > and other health conditions, and on proper nutrition and regular physical
> > activities.
> > `(2) Activities to educate the public with respect to the
> > condition of being overweight, including the development of a strategy
> > for a public awareness campaign.
> > `(3) The development and demonstration of intervention
> > strategies for use at worksites and in community settings such as
> > hospitals and community health centers.
> > `(c) AUTHORIZATION OF APPROPRIATIONS- For the purpose of carrying
> > out this section, there are authorized to be appropriated $15,000,000 for
> > fiscal year 2000, and such sums as may be necessary for each of the
> > fiscal years 2001 through 2004.'.
> >FOR IMMEDIATE RELEASE
> > January 6, 2000
> > NORTON PROMOTES BILL TO COMBAT OVERWEIGHT AND OBESITY WITH DR. C.
> > EVERETT KOOP
> > Washington, D.C. Congresswoman Eleanor Holmes Norton (D-DC)
> > today was a featured speaker at a press conference sponsored by Shape-Up
> > America, led by Dr. C. Everett Koop, to emphasize ways to reduce what
> > Norton said is, "a full blown health crisis and truly a national epidemic
> > of overweight and obesity in this country." She spoke about her bill,
> > H.R. 3177, the Lifelong Improvements in Food and
> > Exercise Act (LIFE), that would require the Centers for Disease Control
> > to launch a comprehensive nationwide program to combat overweight and
> > obesity, working closely with states and localities to test
> >practical interventions, coordinate communications campaigns, and educate
> >health professionals. Norton said the national effort is at least 15 years
> >overdue because obesity has increased by more than 50% among adults and
> >100% among children and adolescents. Her complete statement follows.
> > * * *
> > I am pleased to join Dr. C. Everett Koop and Dr. Barbara Moore
> > of Shape-Up America, as well asDr. Pamela Peeke and to congratulate them
> > for their pathbreaking leadership. They are well ahead of the Congress,
> > state and local officials, schools and colleges, the health care
> > profession itself and most of the others who should be assisting in the
> > leadership on the major health issue of overweight and obesity. Iwelcome
> > the work and the leadership of the entire public/private/governmental
> > Partnership for Healthy
> > Weight Management, and I believe that they are in the vanguard of an
> > issue whose time has not only come but should have come years ago for the
> > nation. As it is now, we have a full blown health crisis and a truly
> > national epidemic of overweight and obesity in this country.
> > As a Member of Congress, I am focused on what to do about this
> > health crisis and how public policy measures can help. Overweight,
> > obesity, and sedentary lifestyles are creating a major constellation of
> > health problems and risks beginning at far earlier ages than ever before.
> > The greatest public threat is that preventable disease will overwhelm a
> > health care system already at huge risk from the sheer numbers of baby
> > boomers who will soon saturate it. The country has not found the will to
> > expand health care to the uninsured and underinsured. Now, we run the
> > risk of overwhelming the health care system with entirely
> >preventable diseases, such as heart disease, the nation's number one
> >killer, if large changes in lifestyles do not take hold.
> > In a country where health indicators are supposed to improve,
> > the national regression on weight, nutrition, and physical activity sends
> > a high-voltage wake-up call. The forces that have encouraged weight gain
> > and discouraged physical activity are neither sinister nor
> > conspiratorial. Increasingly delicious and highly advertised retail and
> > restaurant food, fat-saturated fast food, computers, computer games, and
> > cable TV all have combined to encourage a lifestyle greatly at odds with
> > good health. This seemingly benign mixture in fact is ultimately lethal,
> > but its elements are now firmly rooted in American life. Only a major
> > national effort can help Americans sort out the competing pressures.
> > I have therefore introduced H.R. 3177, the Lifelong
> > Improvements in Food and Exercise Act--or LIFE. The underlying theme of
> > the bill is that unhealthy lifestyles have gained such a foothold in
> > every part of the country that only a major national intervention can
> > affect existing runaway patterns in time.The predicate for the bill is
> > perhaps best summarized in one set of the most alarming statistics: In just the
> >past 15 years, obesity has increased more than 50% among adults and an
> >astonishingly 100% among children and adolescents. Just as my bill was
> >introduced, the Journal of the American Medical Association
> > devoted an entire issue to obesity and overweight. A Centers for Disease
> > Control (CDC) study in the issue confirms the epidemic in every state,
> > age group, race, both sexes, and without regard to smoking status.
> > Perhaps the most disheartening and counterintuitive findings were that
> > the greatest increase in obesity was
> > found not among the least educated but among those with some college
> > education (10.6%- 17.8%) and not among the middle aged but among 18-29
> > year-olds (7.1%-12.1%). Women are doing worse than men,
> > with more than 3 million women more than 100 pounds above their
> > recommended body weight.
> > My bill would start the country off with an achievable approach and
> > appropriation, and it was well received by Chairman John Porter when I
> > went to testify personally before the Labor- HHS Subcommittee. LIFE was
> > introduced only a few weeks before the 1999 session ended, but an inquiry
> > I received just this week indicates that my bill is likely to be taken up
> > by my own leadership and to get signers from across the aisle as well.
> > Its price tag of $15 million is far more modest than required but much
> > more than ever before committed in so focused a way to weight management
> > and is calculated at
> > an amount that can actually get through the House and the Senate. The
> > LIFE bill is designed as a national initiative to tackle the 300,000
> > instances of preventable diseases that, according to the CDC, result each
> > year from unhealthy diets and physical inactivity. LIFE requires four
> > basics of the CDC: to design and launch a comprehensive nationwide
> > program of physical activity and obesity prevention programs working
> > closely to help states and localities; to test practical intervention
> > strategies in work sites and communities; to coordinate communications
> > campaigns; and to educate health professionals. A CDC LIFE program would
> > include all Americans, but would place special emphasis on populations
> > that have been
> > least responsive to lifestyle dangers, including children, young
> > people, and women. Importantly, the CDC would study and measure the
> > results so that only the most effective and credible programs are spread
> > nationally.
> > A $15 million national effort hardly registers in the federal budget,
> > especially when compared to thebillions in health care costs and the
> > millions in lives that would be saved. Overweight and inactivity are
> > creating their own health crisis. The rapid development of lifestyle
> > health risks up and down the age scale can be reversed. The program
> > announced here today and many others, combined with a concerted national
> > statutory partnership across the major sectors as well as enactment of
> > the LIFE bill are what is
> > required.
> > FOR IMMEDIATE RELEASE
> > October 28, 1999
> > NORTON INTRODUCES BILL TO MOBILIZE NATION AGAINST OVERWEIGHT
> > ANDOBESITY
> > Washington, D.C.-- Congresswoman Eleanor Holmes Norton (D-DC)
> > today introduced the Lifelong Improvements in Food and Exercise Act
> > (LIFE), a national initiative to attack growing problems of overweight
> > and obesity now found in Americans of every age, race, and
> > majordemographic group. LIFE would provide $15 million in funding to the
> > Centers for DiseaseControl (CDC) for a major effort to reverse
> > increasingly sedentary lifestyles and diets high in fat and sugar. The
> > bill was filed a day after the Journal of the American Medical
> > Association,devoting its entire issue to obesity, reported that "obesity
> > increased in every state, in both sexes,and across all age groups, races,
> > education level, and smoking statuses."
> > Congresswoman Norton wrote this bill because of startling statistics
> > that she believes will
> > overwhelm the healthcare system unless the risks are impressed among the
> > public. Obesity has increased by more than 50% among adults and 100%
> > among children over the past 15 years.
> >These problems are worse in women-- 50% of women over the age of 25 are
> >overweight, and 3 million women are over 100 pounds overweight. Young
> >people are no better off-- one-quarter of young people are overweight. The
> >consequences of overweight and obesity show up in higher rates of heart
> >disease, stroke, and other avoidable health problems.
> > LIFE directs the CDC to pursue obesity and sedentary lifestyles
> > in three ways: train health professionals to recognize the signs of
> > obesity early and educate people concerning healthful alternatives, such
> > as proper nutrition and regular exercise; conduct public education
> > campaigns to teach the public about how to recognize and address
> > overweight and obesity; and develop intervention strategies to be used in
> > everyday life in worksites and community settings. The Congresswoman said
> > that the LIFE bill is the minimum necessary to avoid a new health care
> > crisis. Already, chronic diseases, many of which are caused or
> > exacerbated by overweight or obesity, account for 70% of deaths and 60%
> > of all health care expenditures.
> > Norton said that a focused national health initiative is necessary
> > because "unhealthy
> >lifestyles have become a normal part of everyday life." Participation in
> >high school physical
> > education classes has plummeted from 42% in 1991 to 27% in 1997,
> > accounting at least for part of the reason that one-third of young people
> > 12-21 do not regularly engage in physical activities. The figures for
> > adults are worse, with a decisive majority, or 60%, engaging in too
> > little exercise
> > to have any health benefits, and 25% not exercising at all.
> >Changes in nutrition are equally critical, according to Norton, citing
> >"fast food as one likely
> > culprit." She said that 80% of young people consume too much fat, a
> > factor in the doubling in the percentage of overweight youth 6-17 over
> > the past 30 years.
> > Congresswoman Norton said that her legislation was important to
> > "mobilize the country now before entirely preventable health conditions
> > that begin in children overwhelm the nation's health care system."
> Joanne P. Ikeda,MA,RD
> Co Director
> Center on Weight and Health
> Cooperative Extension Nutrition Education Specialist
> Department of Nutritional Sciences
> University of California, Berkeley, CA 94720-3104
> Phone (510)642-2790
> FAX (510)642-0535
> E-Mail: jikeda at socrates.berkeley.edu
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