DOC News October 1, 2004
Volume 1 Number 2 p. 16
© 2004 American Diabetes Association
Legislation Targets the Girth of a Nation
Elizabeth Thompson Beckley
Legislation introduced in Congress before the summer recess calls upon the
federal government to help America get on its feet and fend off obesity.
Sen. Tom Harkin (D-Iowa), ranking member on the Agriculture, Nutrition and
Forestry Committee, introduced a $5 billion health reform bill designed to
promote better nutrition and increase physical activity to prevent obesity and
other chronic illnesses.
Harkin's Healthy Lifestyles and Prevention (HeLP) America Act would make
more fruits and vegetables available in schools and provide alternatives to
the "junk food" sold in school vending machines. It would give the
Secretary of Agriculture authority to prohibit marketing and advertising of
food in schools that participate in the federal school lunch or breakfast
programs.
Senate Majority Leader Bill Frist, MD, (R-Tenn.) and Sen. Ron Wyden
(D-Ore.) introduced a separate proposal called the Childhood Obesity Reduction
Act. The Frist-Wyden measure forms a congressional council to study and
develop educational programs that encourage students to make better
nutritional choices and increase their physical activity.
The Frist-Wyden bill currently has five cosponsors and is supported by the
Grocery Manufacturers of America (GMA), which represents food, beverage, and
consumer product companies.
The Harkin bill, which has no cosponsors as yet, reaches beyond schools by
allowing tax credits for companies that offer health promotion programs, such
as paying for gym memberships or providing exercise equipment at work. It also
calls for incentives for communities to build more sidewalks, bike lanes, and
intersections on new and reconstructed roads.
Additionally, the HeLP America Act requires chain restaurants with more
than 20 locations to provide nutritional information on their menus. It allows
the Federal Trade Commission to issue restrictions on advertising geared
toward children. Harkin's proposal also calls for coverage of counseling for
nutrition and exercise, mental health screening, substance use, smoking
cessation, and injury prevention in federal health programs. The legislation
also would expand research regarding obesity prevention, treatment, and
control in the primary care setting.

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