text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Healthy Kids from Day One Act''.
  
  SEC. 2. FINDINGS AND PURPOSES.
  
      (a) Findings.--Congress makes the following findings:
              (1) Preschool years are a critical time for determining 
          whether or not an individual will develop obesity later in 
          life.
              (2) The Journal of Clinical Pediatrics reports that the 
          ``tipping point'' in obesity often occurs before 2 years of 
          age, and sometimes as early as 3 months, when the child is 
          learning how much and what to eat.
              (3) Aerobic fitness and healthy eating patterns support 
          enhanced behavioral, emotional, and academic performance in 
          school.
              (4) More than 21 percent of preschool children are 
          overweight or obese.
              (5) A 2009 preschool study found that 89 percent of a 
          preschooler's day is sedentary.
              (6) The amount of time children spend outdoors is dwindling 
          rapidly, as evidenced by studies showing that children enjoy 
          half the outdoor time they did just 20 years ago. Meanwhile, 
          children are spending nearly 8 hours per day in front of 
          electronic media.
              (7) Studies indicate that children who are overweight at 
          age 5 are more likely to be more overweight at age 9.
              (8) Rates of obesity are higher for African-American, 
          Latino, Native American, and Native Alaskan children than the 
          overall population of the children in the United States.
              (9) Children who are obese have a greater likelihood of 
          being obese in adulthood and developing heart disease, 
          diabetes, and other chronic conditions.
              (10) In 2005, 61 percent of children from birth through age 
          6 who were not yet in kindergarten (about 12,000,000 children) 
          received some form of child care on a regular basis from 
          persons other than their parents.
              (11) A 2008 survey by the National Association of Child 
          Care Resource and Referral Agencies reported that 93 percent of 
          parents thought existing health and safety standards for child 
          care should be improved.
              (12) Child care centers, family child care homes, and other 
          early learning environments should serve as settings where 
          children adopt healthy eating habits and have opportunities for 
          age appropriate physical activity.
              (13) Age-appropriate physical activity in the outdoors, in 
          particular, can produce immense physical, mental and emotional 
          health benefits, including addressing childhood obesity, 
          decreasing symptoms of attention deficit and hyperactivity 
          disorder, improving motor skills, stimulating brain 
          development, increasing creativity and quality sleep, and 
          reducing the risk of developing myopia.
              (14) The governmental, nonprofit, and private sectors came 
          together to launch Let's Move Child Care, a voluntary effort to 
          work with child care providers to help children get off to a 
          healthy start through healthy eating, physical activity, and 
          screen time reduction strategies. Learning collaboratives that 
          build upon these key elements will assist providers and parents 
          in giving children the foundation they need for a healthy life.
      (b) Purposes.--It is the purpose of this Act to--
              (1) establish a 3-year pilot program in 5 States 
          representing a diversity of rural and urban environments that 
          will support child care collaboratives designed to reduce the 
          prevalence of overweight/obesity among children from birth to 
          age 5 in child care settings through dissemination of available 
          tools and curricula and implementation of emerging best 
          practices;
              (2) enhance the focus of child care centers and family 
          child care homes serving the population of children from birth 
          to age 5 on the healthy development of children through 
          evidence-based or data-informed policies and practices to 
          improve healthy eating, physical activity, and screen time 
          limits; and
              (3) upon completion of the 3-year period, terminate the 
          pilot program and disseminate the best practices and lessons 
          learned from the pilot program through other systems, programs, 
          or partnerships.
  
  SEC. 3. HEALTHY KIDS PROGRAM.
  
      Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) 
  is amended by adding at the end the following:
  
                       ``PART W--HEALTHY KIDS PROGRAM
  
  ``SEC. 399OO. DEFINITIONS.
  
      ``In this part:
              ``(1) Child care center.--The term `child care center' 
          means a center licensed or otherwise authorized to provide 
          child care and services for fewer than 24 hours per day per 
          child in a non-residential setting, unless care in excess of 24 
          hours is due to the nature of the parents' work.
              ``(2) Early learning council.--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.
              ``(3) Family child care home.--The term `family child care 
          home' means a private family home where home-based child care 
          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.
              ``(4) Screen time limits.--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.
              ``(5) State.--Notwithstanding section 2(f), the term 
          `State' means--
                      ``(A) each of the several States;
                      ``(B) the District of Columbia;
                      ``(C) an Indian tribe or tribal organization;
                      ``(D) the Commonwealth of Puerto Rico; and
                      ``(E) any other territory or possession of the 
                  United States.
  
  ``SEC. 399OO-1. GRANTS.
  
      ``(a) In General.--
              ``(1) In general.--The Secretary, in consultation with 
          appropriate entities within the Department of Health and Human 
          Services, shall award 3-year competitive grants to 5 eligible 
          entities to help reduce and prevent obesity among the 
          population of children from birth to age 5 in a State and to 
          encourage parental engagement in child care settings outside a 
          child's place of residence.
              ``(2) Eligible entities.--To be an eligible entity under 
          paragraph (1), an entity shall be--
                      ``(A) a State health department (or other 
                  appropriate child care licensing entities within such 
                  State); or
                      ``(B) a nonprofit organization or a partnership of 
                  nonprofit organizations with expertise in the healthy 
                  development of children.
      ``(b) Use of Funds.--
              ``(1) In general.--Grantees shall use amounts received 
          under a grant under this subsection--
                      ``(A)(i) to establish one or more child care 
                  collaboratives consisting of the center director and 
                  staff members from multiple child care sites and family 
                  child care homes;
                      ``(ii) in the case of a State grantee, to contract 
                  with a nonprofit organization in the State with 
                  expertise in the healthy development of children to 
                  establish the collaborative or collaboratives; or
                      ``(iii) to provide funding to an entity that 
                  routinely trains child care providers to establish the 
                  collaborative or collaboratives; and
                      ``(B) to provide or contract with the organizer of 
                  the collaborative or collaboratives to provide--
                              ``(i) technical assistance, including 
                          onsite assistance when appropriate, to the 
                          child care providers participating in the 
                          collaborative;
                              ``(ii) a compilation of best practices, 
                          strategies, and lessons learned from the 
                          collaborative, to be reported annually to the 
                          Secretary; and
                              ``(iii) a plan to ensure that the 
                          collaborative will be sustainable, without 
                          additional Federal funding, upon the conclusion 
                          of the 3-year pilot program.
              ``(2) Collaboratives.--Each collaborative established under 
          clause (i), (ii), or (iii) of paragraph (1)(A) shall share best 
          practices, strategies, and techniques for successfully 
          implementing evidence-based or data-informed policies and 
          practices relating to healthy eating, physical activity, 
          parental engagement, and other topics, such as breastfeeding, 
          relating to the healthy development of children, using 
          available curricula, tools, and other interventions.
              ``(3) Content of plan.--The plan described under paragraph 
          (1)(B)(iii) may include the incorporation of the best 
          practices, strategies, and techniques described in paragraph 
          (2) into the training and professional development for child 
          care providers in the State or other approaches determined 
          appropriate by the State and the Secretary.
      ``(c) Collaborative Training Requirements.--
              ``(1) In general.--Collaboratives shall incorporate no less 
          than 5 and no more than 10 daylong, interactive training 
          sessions each year and ongoing technical assistance to the 
          child care providers participating in the collaborative that 
          include--
                      ``(A) the provision and discussion of information 
                  concerning implementation by the child care providers 
                  of age-appropriate healthy eating and physical activity 
                  interventions, using available tools and culturally 
                  competent curricula for population of children from 
                  birth to age 5 in the State involved, which at a 
                  minimum shall include--
                              ``(i) a handbook that includes 
                          recommendations, guidelines, and best practices 
                          for child care centers and family child care 
                          homes relating to healthy eating, physical 
                          activity, and screen time reduction;
                              ``(ii) information about the availability 
                          of and services provided by child care health 
                          consultants; and
                              ``(iii) health and wellness resources 
                          available through the Child Care Bureau, the 
                          Maternal and Child Health Bureau, Let's Move 
                          Child Care, and the Food and Nutrition Service 
                          of the Department of Agriculture;
                      ``(B) the identification, improvement upon, and 
                  expansion of nutrition and physical activity best 
                  practices targeted to the population of children from 
                  birth to age 5 in the State involved and the 
                  identification of strategies for incorporating parental 
                  education and other parental engagement;
                      ``(C) the identification of strategies and 
                  techniques for overcoming barriers to healthy eating, 
                  physical activity, and parental engagement; and
                      ``(D) the provision of instruction and discussion 
                  of techniques used to appropriately model, direct, and 
                  encourage child care staff behavior to apply the best 
                  practices and strategies identified under subparagraphs 
                  (B) and (C).
      ``(d) Practice, Curricula, and Policy Changes.--A grantee shall 
  ensure that the participants involved in the collaborative, on an 
  ongoing basis--
              ``(1) implement policy changes that promote healthy eating, 
          physical activity, and appropriate screen time limits among the 
          population of children from birth to age 5;
              ``(2) utilize a culturally competent healthy eating and 
          physical activity curriculum focusing on such population of 
          children from birth to age 5;
              ``(3) implement programs, activities, and procedures for 
          incorporating parental education and engagement of parents in 
          programs; and
              ``(4) implement innovative ways to remove barriers that 
          exist to providing opportunities for healthy eating and 
          physical activity.
  All activities described in this subsection shall be evidence-based and 
  data-informed and be consistent with the curriculum presented through 
  training activities described in subsection (c).
  
  ``SEC. 399OO-2. GRANTS FOR THE EVALUATION OF PILOT PROGRAMS.
  
      ``The Secretary shall award competitive grants to Prevention 
  Research Centers, universities, or other appropriate entities to 
  evaluate the programs carried out with grants under section 399OO-1, 
  including baseline, process, and outcome measurements.
  
  ``SEC. 399OO-3. COORDINATION.
  
      ``(a) Interagency Coordination.--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.
      ``(b) Pilot Coordination.--The Secretary shall designate an entity 
  (directly or through contract) to provide technical assistance to 
  States and pilot centers in the coordination of activities as described 
  in subsection (a).
  
  ``SEC. 399OO-4. TECHNICAL ASSISTANCE, EVALUATION, AND REPORTING.
  
      ``(a) Technical Assistance and Information.--The Secretary shall--
              ``(1) provide technical assistance to grantees and other 
          entities providing training under a grant under section 399OO-
          1; and
              ``(2) disseminate to grantees information concerning 
          evidence-based or data-informed approaches, including 
          dissemination of available tools, curricula, and available or 
          emerging best practices that can be expanded or improved upon 
          through the pilot program conducted under section 399OO-1.
      ``(b) Evaluation Requirements.--With respect to evaluations 
  conducted under section 399OO-2, the Secretary shall ensure that--
              ``(1) evaluation metrics are consistent across all programs 
          funded under this part;
              ``(2) interim outcomes are measured by the number of 
          centers that adopt policies to increase healthy eating and 
          physical activity and reduce screen time;
              ``(3) interim outcomes are measured, to the extent 
          practicable, by changes in foods served, opportunities for 
          physical activity, and screen time in the child care 
          participants in the collaboratives established under section 
          399OO-1; and
              ``(4) upon completion of the pilot program under section 
          399OO-1, the evaluation shall include an identification of 
          policies, best practices, and strategies to improve healthy 
          eating, physical activity, screen time limits, and parental 
          engagement that could be replicated in other child care 
          settings.
      ``(c) Dissemination of Information.--Upon the conclusion of the 
  pilot program under section 399OO-1, the Secretary shall disseminate to 
  all appropriate agencies within the Department of Health and Human 
  Services evidence, strategies, best practices, and lessons learned from 
  grantees. Such agencies shall encourage the utilization of best 
  practices through Federal programs and other appropriate methods.
      ``(d) Report to Congress.--Not later than 180 days after the 
  completion of the pilot program under section 399OO-1, the Secretary 
  shall submit to Congress a report concerning the evaluation of the 
  pilot program, including recommendations as to how lessons learned from 
  such programs can be incorporated into future guidance documents 
  developed and provided by the Secretary and other Federal agencies, as 
  well as Federal programs, as appropriate.
  
  ``SEC. 399OO-5. AUTHORIZATION OF APPROPRIATIONS.
  
      ``There is authorized to be appropriated to carry out this part, 
  $1,500,000 for each of fiscal years 2012, 2013, and 2014.''.
target: Healthy Kids from Day One Act - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to award three-year competitive grants to five eligible entities to help reduce and prevent obesity among children from birth to age five in a state and to encourage parental engagement in child care settings outside a child's place of residence. Identifies as eligible entities: (1) a state health department or other appropriate child care licensing entities within the state, or (2) a nonprofit organization or a partnership of nonprofit organizations with expertise in the healthy development of children.
  
  Requires grant funds to be used to: (1) establish child care collaboratives; (2) provide funding to entities that routinely train child care providers to establish collaboratives; and (3) provide technical assistance to participating providers, a compilation of best practices, strategies, and lessons learned from the collaborative, and a plan to ensure that the collaborative will be sustainable, without additional federal funding, upon the conclusion of the grants.
  
  Requires each collaborative to: (1) share best practices, strategies, and techniques for successfully implementing policies and practices relating to healthy eating, physical activity, parental engagement, and other topics relating to the healthy development of children; and (2) incorporate between 5 and 10 day-long, interactive training sessions each year and ongoing technical assistance to participating child care providers.
  
  Directs the Secretary to: (1) award grants to Prevention Research Centers, universities, or other appropriate entities to evaluate programs carried out under such grants; (2) coordinate activities conducted under this Act with activities undertaken by the National Prevention, Health Promotion, and Public Health Council; and (3) disseminate to all appropriate HHS agencies evidence, strategies, best practices, and lessons learned from grantees.
feat_title: A bill to establish a pilot program to address overweight/obesity among children from birth to age 5 in child care settings and to encourage parental engagement.