{
  "legislationId": "119_HR_8390",
  "lastUpdate": "2026-04-21T11:35:47.779Z",
  "history": [
    {
      "timestamp": "2026-04-21T11:35:47.779Z",
      "source_url": "https://www.congress.gov/119/bills/hr8390/BILLS-119hr8390ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8390 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8390 To provide for the establishment or expansion of Food as Medicine programs, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 20, 2026 Mr. Ruiz introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Agriculture, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the establishment or expansion of Food as Medicine programs, and for other purposes. 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 ``National Food as Medicine Program Act of 2026''. SEC. 2. FOOD AS MEDICINE MEDICAID WAIVER GRANT PROGRAM. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall establish a program under which the Secretary shall award grants to States to plan, implement, expand, or evaluate Food as Medicine programs. (b) Application.--A State seeking a grant under this section shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (c) Priority.--In awarding grants under this section, the Secretary shall give priority to States that have, as of the date of submission of the application for a grant under this section, a partnership with-- (1) a network of health care providers that includes public, nonprofit, and community-based organizations or entities, and community health clinics, including Federally qualified health centers (as defined in section 1861 of the Social Security Act (42 U.S.C. 1395x)); or (2) public, nonprofit, socially disadvantaged, and community-based organizations or entities that provide locally- sourced (or regionally-sourced, if locally-sourced produce is not available) agricultural products (as defined in section 207 of the Agricultural Marketing Act of 1946 (7 U.S.C. 1626)) grown, or working to transition to, a covered method of production. (d) Use of Funds.--A State that receives a grant under this section shall use funds received through the grant to establish, implement, and expand Food as Medicine interventions to reduce nutrition-related chronic conditions, address food and nutrition insecurity, and improve health through providing locally-sourced (or regionally-sourced, if locally-sourced produce is not available) agricultural products grown, or working to transition to, a covered method of production. (e) Report to the Secretary.--Not less than 3 years after the date on which a State receives a grant under this section, such State shall provide to the Secretary a report that contains-- (1) an evaluation of the impact of the Food as Medicine program established or expanded in such State, including relevant data collected under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.); (2) the impact of the Food as Medicine program on, with respect to individuals participating in such program, the appropriate health, nutrition, and associated behavioral outcome baseline information for such individuals that is relevant to the stated goals and desired outcomes of the pilot project; (3) to the extent possible, the Food as Medicine Program's impact on hospital admissions and readmissions, admissions into long-term care facilities, medication utilization, emergency room utilization rates, primary care, specialty care, primary care medical home engagement, patient experience, and health care team engagement; (4) other relevant findings, including recommendations on strengthening the administration of the program and resources needed to support and strengthen the Food as Medicine program. (f) Definitions.--In this section: (1) The term ``covered method of production'' means, with respect to an agricultural product, that the product is-- (A) regeneratively produced; (B) organically produced; or (C) regeneratively and organically produced. (2) The term ``Food as Medicine program'' means a program under which a State pursuant to a waiver under section 1115 of the Social Security Act (42 U.S.C. 1315) provides to individuals eligible to receive medical assistance under such waiver medically supportive food and nutrition interventions. (3) The term ``food hub'' means a business or organization that actively manages the aggregation, distribution, and marketing of source-identified food products primarily from local and regional producers to strengthen their ability to satisfy wholesale, retail, and institutional demand. (4)(A) The term ``medically supportive food and nutrition interventions'' means interventions that provide culturally- appropriate, nutrient-rich whole food (including any fresh vegetables and fruit, legume, nut, seed, whole grain, low- mercury and high-omega-3 fatty acid seafood, or lean animal protein) prescribed by a health care professional for the prevention, reversal, or treatment of certain health conditions. (B) Such term includes the following interventions: (i) Meals that are-- (I) tailored to a recipient's health conditions by a registered dietitian nutritionist and adhere to standards informed by available dietary recommendations for specific health conditions or dietary therapies. based on evidence-based nutritional practice guidelines; and (II) consistent with the Dietary Guidelines for Americans established under section 301 of the National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C. 5341). (ii) Produce (vegetables and fruit) prescriptions, delivered or procured from in a grocery store, farm, farmers' market, or food hub, that are consistent with the Dietary Guidelines for Americans established under section 301 of the National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C. 5341). (iii) Nutrition coaching or counseling, group medical visits, cooking education and tools, health coaching, and other behavioral supports based on a recipient's medical conditions, when paired with the interventions described in subparagraphs (A) and (B). (5) The term ``organically produced'' means, with respect to an agricultural product, that the product is-- (A) certified under the Organic Foods Production Act of 1990 (7 U.S.C. 6501 et seq.) as organically produced; or (B) verified through a community-based, culturally- appropriate verification program under the Organic Foods Production Act of 1990 as organically produced. (6) The term ``regeneratively produced'' means, with respect to an agricultural product, that the product is produced-- (A) using an integrated approach to farming and ranching rooted in the principles of soil health leading to improved target outcomes, including-- (i) building soil health; (ii) restoring and maintaining water resources; (iii) protecting air quality; (iv) sequestering greenhouse gas emissions; (v) using sustainable and integrated pest management to eliminate reliance on pesticides; (vi) improving nutrient cycling to reduce use of external fertilizers; (vii) supporting Native-led stewardship practices (as described in Order No. 3403 entitled ``Joint Secretarial Order on Fulfilling the Trust Responsibility to Indian Tribes in the Stewardship of Federal Lands and Waters'' published jointly by the Secretary of Agriculture and the Secretary of the Interior on November 15, 2021); and (viii) fostering wildlife and animal welfare; and (B) in a manner that fosters community and social wellness, including-- (i) improving human health in rural and urban communities; (ii) creating supportive livelihoods (worker conditions, safety) and durable solutions for a healthy food and agriculture workforce; (iii) creating economic vitality for farmers, ranchers, and a healthy food and agriculture workforce; and (iv) optimizing the above target outcomes to ensure that there is minimal negative impact on other target outcomes. (7) The term ``regeneratively-organically produced'' means, with respect to an agricultural product, that the product is produced-- (A) using some organic methods, as described in the Organic Foods Production Act of 1990 (7 U.S.C. 6501 et seq.); and (B) using some methods included in the integrated approach described in paragraph (5). (8) The term ``State'' each of the several States and each territory and possession of the United States. SEC. 3. DEPARTMENT OF AGRICULTURE FOOD AS MEDICINE TECHNICAL ASSISTANCE PROGRAM. (a) In General.--The Secretary of Agriculture (referred to in this section as the ``Secretary'') shall enter into cooperative agreements with eligible entities to provide technical assistance and infrastructure support to producers to enable such producers to connect with local health care providers for purposes of providing nutritious food under a Food is Medicine program established or expanded pursuant to section 2. An eligible entity may work in collaboration with a Regional Food Business Center of the Department of Agriculture to provide such technical assistance under a cooperative agreement. (b) Application.--An eligible entity seeking to enter into a cooperative agreement under this section shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Priority.--In selecting eligible entities with which to enter into cooperative agreements under this section, the Secretary shall give priority to applications containing proposals-- (1) to provide technical assistance and infrastructure support to beginning farmers and ranchers (as defined in section 343(a) of the Consolidated Farm and Rural Development Act (7 U.S.C. 1991(a))) and socially disadvantaged farmers and ranchers (as defined in section 355(e) of the Consolidated Farm and Rural Development Act (7 U.S.C. 2003(e))); and (2) to provide technical assistance and infrastructure support to producers that produce agricultural products (as defined in section 207 of the Agricultural Marketing Act of 1946 (7 U.S.C. 1626)) that are produced using a covered method of production (as defined in section 2) or verified through community-based, culturally appropriate verification programs. (d) Definitions.--In this section: (1) The term ``Food is Medicine program'' has the meaning given such term in section 2. (2) The term ``eligible entity'' means-- (A) a land-grant college or university; (B) a food hub (as defined in section 2); or (C) a Regional Food Business Center supported by the Department of Agriculture. (3) The term ``land-grant college or university'' has the meaning given the term ``land-grant colleges and universities'' in section 1404 of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 (7 U.S.C. 3103). SEC. 4. REPORT TO CONGRESS. Not later than one year after the date on which the first grant is awarded under section 2, the Secretary of Health and Human Services, in consultation with the Secretary of Agriculture, shall submit to Congress a report that includes the information received from the States under section 2 and the Secretary's recommendations with respect to best practices for carrying out a Food is Medicine program. SEC. 5. FOOD AS MEDICINE GUIDANCE. (a) In General.--Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services, in consultation with the officials and stakeholders described in subsection (c), shall develop and issue-- (1) recommendations for States and counties to implement or expand a Food as Medicine program (as defined in section 2), clinical nutrition training for health care providers, and nutritional and behavioral support for patients to integrate food interventions into daily habits; and (2) guidance related to-- (A) how a State may include food insecurity and or nutrition insecurity as conditions making an individual eligible to participate in Food as Medicine programs, in addition to eligible populations with chronic conditions; (B) eligible populations that address food insecurity, nutrition insecurity, and chronic conditions; (C) the duration and dosage of medically supportive food and nutrition intervention plans; (D) the value-based procurement of food through a managed care rate setting process that includes minimum percentages and tier-based incentives to increase the procurement of products grown using covered methods of production (as defined in section 2) by socially disadvantaged farmers and ranchers (as defined in section 2501 of the Food, Agriculture, Conservation, and Trade Act of 1990 (7 U.S.C. 2279)); (E) determination of providers permitted to provide medically supportive food and nutrition interventions (as defined in section 2); and (F) continuing education for health care providers prescribing medically supportive food and nutrition interventions. (b) Public Comment Period.--The Secretary shall provide for 30-day public comment period with respect to any proposed guidance issued under this section. Such guidance shall not be finalized until the date that is 60 days after the close of such public comment period. (c) Officials and Stakeholders Described.--The officials and stakeholders described in this subsection include the following: (1) The heads of appropriate Federal agencies within the Department of Health and Human Services. (2) The Secretary of Agriculture. (3) Diverse stakeholders from community-based organizations, small- to medium-sized farms operated by socially disadvantaged farmers and ranchers, food hubs, health care providers, and Medicaid managed care organizations who have helped to implement Food as Medicine programs. <all>\n\nSUMMARY TO EVALUATE:\nTitle: National Food as Medicine Program: Healthy Food Prescriptions and Farm Support\nSummary: This act creates programs where patients with chronic illnesses can receive healthy meals or produce vouchers prescribed by their doctors. It aims to improve public health by providing access to organic, locally-sourced food while supporting small-scale farmers.\nKey Points: Doctors can prescribe healthy meals and vouchers for fresh fruits and vegetables to eligible patients., The program targets individuals with chronic health conditions or those facing food and nutrition insecurity., Grants and technical support will prioritize local farmers using organic and regenerative agricultural methods., Patients will receive additional support such as nutrition coaching, cooking classes, and behavioral health tools.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-21T11:22:25.534Z",
      "source_url": "https://www.congress.gov/119/bills/hr8390/BILLS-119hr8390ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8390 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8390 To provide for the establishment or expansion of Food as Medicine programs, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 20, 2026 Mr. Ruiz introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Agriculture, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To provide for the establishment or expansion of Food as Medicine programs, and for other purposes. 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 ``National Food as Medicine Program Act of 2026''. SEC. 2. FOOD AS MEDICINE MEDICAID WAIVER GRANT PROGRAM. (a) In General.--The Secretary of Health and Human Services (in this section referred to as the ``Secretary'') shall establish a program under which the Secretary shall award grants to States to plan, implement, expand, or evaluate Food as Medicine programs. (b) Application.--A State seeking a grant under this section shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (c) Priority.--In awarding grants under this section, the Secretary shall give priority to States that have, as of the date of submission of the application for a grant under this section, a partnership with-- (1) a network of health care providers that includes public, nonprofit, and community-based organizations or entities, and community health clinics, including Federally qualified health centers (as defined in section 1861 of the Social Security Act (42 U.S.C. 1395x)); or (2) public, nonprofit, socially disadvantaged, and community-based organizations or entities that provide locally- sourced (or regionally-sourced, if locally-sourced produce is not available) agricultural products (as defined in section 207 of the Agricultural Marketing Act of 1946 (7 U.S.C. 1626)) grown, or working to transition to, a covered method of production. (d) Use of Funds.--A State that receives a grant under this section shall use funds received through the grant to establish, implement, and expand Food as Medicine interventions to reduce nutrition-related chronic conditions, address food and nutrition insecurity, and improve health through providing locally-sourced (or regionally-sourced, if locally-sourced produce is not available) agricultural products grown, or working to transition to, a covered method of production. (e) Report to the Secretary.--Not less than 3 years after the date on which a State receives a grant under this section, such State shall provide to the Secretary a report that contains-- (1) an evaluation of the impact of the Food as Medicine program established or expanded in such State, including relevant data collected under the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.); (2) the impact of the Food as Medicine program on, with respect to individuals participating in such program, the appropriate health, nutrition, and associated behavioral outcome baseline information for such individuals that is relevant to the stated goals and desired outcomes of the pilot project; (3) to the extent possible, the Food as Medicine Program's impact on hospital admissions and readmissions, admissions into long-term care facilities, medication utilization, emergency room utilization rates, primary care, specialty care, primary care medical home engagement, patient experience, and health care team engagement; (4) other relevant findings, including recommendations on strengthening the administration of the program and resources needed to support and strengthen the Food as Medicine program. (f) Definitions.--In this section: (1) The term ``covered method of production'' means, with respect to an agricultural product, that the product is-- (A) regeneratively produced; (B) organically produced; or (C) regeneratively and organically produced. (2) The term ``Food as Medicine program'' means a program under which a State pursuant to a waiver under section 1115 of the Social Security Act (42 U.S.C. 1315) provides to individuals eligible to receive medical assistance under such waiver medically supportive food and nutrition interventions. (3) The term ``food hub'' means a business or organization that actively manages the aggregation, distribution, and marketing of source-identified food products primarily from local and regional producers to strengthen their ability to satisfy wholesale, retail, and institutional demand. (4)(A) The term ``medically supportive food and nutrition interventions'' means interventions that provide culturally- appropriate, nutrient-rich whole food (including any fresh vegetables and fruit, legume, nut, seed, whole grain, low- mercury and high-omega-3 fatty acid seafood, or lean animal protein) prescribed by a health care professional for the prevention, reversal, or treatment of certain health conditions. (B) Such term includes the following interventions: (i) Meals that are-- (I) tailored to a recipient's health conditions by a registered dietitian nutritionist and adhere to standards informed by available dietary recommendations for specific health conditions or dietary therapies. based on evidence-based nutritional practice guidelines; and (II) consistent with the Dietary Guidelines for Americans established under section 301 of the National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C. 5341). (ii) Produce (vegetables and fruit) prescriptions, delivered or procured from in a grocery store, farm, farmers' market, or food hub, that are consistent with the Dietary Guidelines for Americans established under section 301 of the National Nutrition Monitoring and Related Research Act of 1990 (7 U.S.C. 5341). (iii) Nutrition coaching or counseling, group medical visits, cooking education and tools, health coaching, and other behavioral supports based on a recipient's medical conditions, when paired with the interventions described in subparagraphs (A) and (B). (5) The term ``organically produced'' means, with respect to an agricultural product, that the product is-- (A) certified under the Organic Foods Production Act of 1990 (7 U.S.C. 6501 et seq.) as organically produced; or (B) verified through a community-based, culturally- appropriate verification program under the Organic Foods Production Act of 1990 as organically produced. (6) The term ``regeneratively produced'' means, with respect to an agricultural product, that the product is produced-- (A) using an integrated approach to farming and ranching rooted in the principles of soil health leading to improved target outcomes, including-- (i) building soil health; (ii) restoring and maintaining water resources; (iii) protecting air quality; (iv) sequestering greenhouse gas emissions; (v) using sustainable and integrated pest management to eliminate reliance on pesticides; (vi) improving nutrient cycling to reduce use of external fertilizers; (vii) supporting Native-led stewardship practices (as described in Order No. 3403 entitled ``Joint Secretarial Order on Fulfilling the Trust Responsibility to Indian Tribes in the Stewardship of Federal Lands and Waters'' published jointly by the Secretary of Agriculture and the Secretary of the Interior on November 15, 2021); and (viii) fostering wildlife and animal welfare; and (B) in a manner that fosters community and social wellness, including-- (i) improving human health in rural and urban communities; (ii) creating supportive livelihoods (worker conditions, safety) and durable solutions for a healthy food and agriculture workforce; (iii) creating economic vitality for farmers, ranchers, and a healthy food and agriculture workforce; and (iv) optimizing the above target outcomes to ensure that there is minimal negative impact on other target outcomes. (7) The term ``regeneratively-organically produced'' means, with respect to an agricultural product, that the product is produced-- (A) using some organic methods, as described in the Organic Foods Production Act of 1990 (7 U.S.C. 6501 et seq.); and (B) using some methods included in the integrated approach described in paragraph (5). (8) The term ``State'' each of the several States and each territory and possession of the United States. SEC. 3. DEPARTMENT OF AGRICULTURE FOOD AS MEDICINE TECHNICAL ASSISTANCE PROGRAM. (a) In General.--The Secretary of Agriculture (referred to in this section as the ``Secretary'') shall enter into cooperative agreements with eligible entities to provide technical assistance and infrastructure support to producers to enable such producers to connect with local health care providers for purposes of providing nutritious food under a Food is Medicine program established or expanded pursuant to section 2. An eligible entity may work in collaboration with a Regional Food Business Center of the Department of Agriculture to provide such technical assistance under a cooperative agreement. (b) Application.--An eligible entity seeking to enter into a cooperative agreement under this section shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Priority.--In selecting eligible entities with which to enter into cooperative agreements under this section, the Secretary shall give priority to applications containing proposals-- (1) to provide technical assistance and infrastructure support to beginning farmers and ranchers (as defined in section 343(a) of the Consolidated Farm and Rural Development Act (7 U.S.C. 1991(a))) and socially disadvantaged farmers and ranchers (as defined in section 355(e) of the Consolidated Farm and Rural Development Act (7 U.S.C. 2003(e))); and (2) to provide technical assistance and infrastructure support to producers that produce agricultural products (as defined in section 207 of the Agricultural Marketing Act of 1946 (7 U.S.C. 1626)) that are produced using a covered method of production (as defined in section 2) or verified through community-based, culturally appropriate verification programs. (d) Definitions.--In this section: (1) The term ``Food is Medicine program'' has the meaning given such term in section 2. (2) The term ``eligible entity'' means-- (A) a land-grant college or university; (B) a food hub (as defined in section 2); or (C) a Regional Food Business Center supported by the Department of Agriculture. (3) The term ``land-grant college or university'' has the meaning given the term ``land-grant colleges and universities'' in section 1404 of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 (7 U.S.C. 3103). SEC. 4. REPORT TO CONGRESS. Not later than one year after the date on which the first grant is awarded under section 2, the Secretary of Health and Human Services, in consultation with the Secretary of Agriculture, shall submit to Congress a report that includes the information received from the States under section 2 and the Secretary's recommendations with respect to best practices for carrying out a Food is Medicine program. SEC. 5. FOOD AS MEDICINE GUIDANCE. (a) In General.--Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services, in consultation with the officials and stakeholders described in subsection (c), shall develop and issue-- (1) recommendations for States and counties to implement or expand a Food as Medicine program (as defined in section 2), clinical nutrition training for health care providers, and nutritional and behavioral support for patients to integrate food interventions into daily habits; and (2) guidance related to-- (A) how a State may include food insecurity and or nutrition insecurity as conditions making an individual eligible to participate in Food as Medicine programs, in addition to eligible populations with chronic conditions; (B) eligible populations that address food insecurity, nutrition insecurity, and chronic conditions; (C) the duration and dosage of medically supportive food and nutrition intervention plans; (D) the value-based procurement of food through a managed care rate setting process that includes minimum percentages and tier-based incentives to increase the procurement of products grown using covered methods of production (as defined in section 2) by socially disadvantaged farmers and ranchers (as defined in section 2501 of the Food, Agriculture, Conservation, and Trade Act of 1990 (7 U.S.C. 2279)); (E) determination of providers permitted to provide medically supportive food and nutrition interventions (as defined in section 2); and (F) continuing education for health care providers prescribing medically supportive food and nutrition interventions. (b) Public Comment Period.--The Secretary shall provide for 30-day public comment period with respect to any proposed guidance issued under this section. Such guidance shall not be finalized until the date that is 60 days after the close of such public comment period. (c) Officials and Stakeholders Described.--The officials and stakeholders described in this subsection include the following: (1) The heads of appropriate Federal agencies within the Department of Health and Human Services. (2) The Secretary of Agriculture. (3) Diverse stakeholders from community-based organizations, small- to medium-sized farms operated by socially disadvantaged farmers and ranchers, food hubs, health care providers, and Medicaid managed care organizations who have helped to implement Food as Medicine programs. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Program „Żywność jako Lek”: Zdrowe jedzenie na receptę i wsparcie rolnictwa\",\n  \"pl_summary\": \"Ustawa wprowadza programy, dzięki którym pacjenci z chorobami przewlekłymi będą mogli otrzymać darmowe, zdrowe posiłki lub bony na warzywa i owoce przepisane przez lekarza. Zmiany mają na celu poprawę zdrowia obywateli poprzez łatwiejszy dostęp do ekologicznej żywności od lokalnych dostawców.\",\n  \"pl_key_points\": [\n    \"Lekarze będą mogli przepisywać pacjentom zdrowe posiłki oraz bony na świeże warzywa i owoce do realizacji w sklepach lub na targach.\",\n    \"Program jest skierowany do osób z chorobami przewlekłymi oraz tych, które mają trudności z dostępem do pełnowartościowej żywności.\",\n    \"Wsparcie finansowe i techniczne trafi do lokalnych rolników stosujących metody ekologiczne i regeneracyjne.\",\n    \"Pacjenci otrzymają dostęp do bezpłatnych porad dietetycznych, lekcji gotowania oraz wsparcia w zmianie nawyków żywieniowych.\"\n  ],\n  \"eng_ai_title\": \"National Food as Medicine Program: Healthy Food Prescriptions and Farm Support\",\n  \"eng_summary\": \"This act creates programs where patients with chronic illnesses can receive healthy meals or produce vouchers prescribed by their doctors. It aims to improve public health by providing access to organic, locally-sourced food while supporting small-scale farmers.\",\n  \"eng_key_points\": [\n    \"Doctors can prescribe healthy meals and vouchers for fresh fruits and vegetables to eligible patients.\",\n    \"The program targets individuals with chronic health conditions or those facing food and nutrition insecurity.\",\n    \"Grants and technical support will prioritize local farmers using organic and regenerative agricultural methods.\",\n    \"Patients will receive additional support such as nutrition coaching, cooking classes, and behavioral health tools.\"\n  ],\n  \"de_ai_title\": \"Programm „Essen als Medizin“: Gesunde Lebensmittel auf Rezept und Agrarförderung\",\n  \"de_summary\": \"Dieses Gesetz führt Programme ein, bei denen Patienten mit chronischen Krankheiten gesunde Mahlzeiten oder Gutscheine für Obst und Gemüse auf ärztliche Verschreibung erhalten können. Ziel ist es, die Gesundheit durch den Zugang zu Bio-Lebensmitteln von lokalen Bauern zu verbessern.\",\n  \"de_key_points\": [\n    \"Ärzte können berechtigten Patienten gesunde Mahlzeiten und Gutscheine für frisches Obst und Gemüse verschreiben.\",\n    \"Das Programm richtet sich an Menschen mit chronischen Krankheiten oder Ernährungsunsicherheit.\",\n    \"Lokale Landwirte, die ökologische und regenerative Methoden anwenden, erhalten bevorzugt Unterstützung.\",\n    \"Patienten erhalten Zugang zu Ernährungsberatung, Kochkursen und Unterstützung bei der Änderung von Lebensgewohnheiten.\"\n  ],\n  \"fr_ai_title\": \"Programme « L'alimentation comme remède » : Prescriptions alimentaires et soutien agricole\",\n  \"fr_summary\": \"Cette loi instaure des programmes permettant aux patients atteints de maladies chroniques de recevoir des repas sains ou des bons pour des fruits et légumes prescrits par leur médecin. L'objectif est d'améliorer la santé publique grâce à des produits locaux et biologiques.\",\n  \"fr_key_points\": [\n    \"Les médecins pourront prescrire des repas sains et des bons pour des produits frais aux patients éligibles.\",\n    \"Le programme cible les personnes souffrant de maladies chroniques ou d'insécurité alimentaire.\",\n    \"Un soutien financier sera accordé en priorité aux agriculteurs locaux utilisant des méthodes biologiques et régénératives.\",\n    \"Les patients bénéficieront d'un coaching nutritionnel, de cours de cuisine et d'un soutien comportemental.\"\n  ],\n  \"es_ai_title\": \"Programa \\\"Alimentos como Medicina\\\": Recetas de comida saludable y apoyo agrícola\",\n  \"es_summary\": \"Esta ley crea programas para que pacientes con enfermedades crónicas reciban comidas saludables o vales para frutas y verduras recetados por sus médicos. Busca mejorar la salud ciudadana facilitando el acceso a alimentos orgánicos de agricultores locales.\",\n  \"es_key_points\": [\n    \"Los médicos podrán recetar comidas saludables y vales para productos frescos a pacientes que califiquen.\",\n    \"El programa está dirigido a personas con enfermedades crónicas o falta de acceso a comida nutritiva.\",\n    \"Se dará prioridad a los agricultores locales que utilicen métodos de producción orgánica y regenerativa.\",\n    \"Los pacientes tendrán acceso a asesoramiento nutricional, clases de cocina y apoyo para mejorar sus hábitos.\"\n  ],\n  \"it_ai_title\": \"Programma \\\"Cibo come Medicina\\\": Prescrizioni alimentari sane e sostegno all'agricoltura\",\n  \"it_summary\": \"Questa legge introduce programmi che consentono ai pazienti con malattie croniche di ricevere pasti sani o voucher per frutta e verdura prescritti dal medico. L'obiettivo è migliorare la salute pubblica attraverso l'accesso a prodotti biologici locali.\",\n  \"it_key_points\": [\n    \"I medici potranno prescrivere pasti sani e voucher per prodotti freschi ai pazienti idonei.\",\n    \"Il programma è rivolto a persone con malattie croniche o difficoltà di accesso a cibo nutriente.\",\n    \"Sarà data priorità agli agricoltori locali che utilizzano metodi di coltivazione biologica e rigenerativa.\",\n    \"I pazienti riceveranno supporto nutrizionale, lezioni di cucina e assistenza per il cambiamento delle abitudini.\"\n  ],\n  \"nl_ai_title\": \"Programma \\\"Voeding als Medicijn\\\": Gezonde voeding op recept en landbouwsteun\",\n  \"nl_summary\": \"Deze wet voert programma's in waarbij patiënten met chronische ziekten gezonde maaltijden of vouchers voor groenten en fruit op doktersvoorschrift kunnen krijgen. Het doel is de volksgezondheid te verbeteren door toegang tot biologische voeding van lokale boeren.\",\n  \"nl_key_points\": [\n    \"Artsen kunnen gezonde maaltijden en vouchers voor verse producten voorschrijven aan patiënten die daarvoor in aanmerking komen.\",\n    \"Het programma is bedoeld voor mensen met chronische aandoeningen of voedselonzekerheid.\",\n    \"Lokale boeren die biologische en regeneratieve methoden gebruiken, krijgen bij de uitvoering voorrang.\",\n    \"Patiënten krijgen toegang tot voedingscoaching, kooklessen en ondersteuning bij gedragsverandering.\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Esta lei estabelece programas onde pacientes com doenças crónicas podem receber refeições saudáveis ou vales para frutas e legumes prescritos por médicos. O objetivo é melhorar a saúde pública através do acesso a alimentos biológicos de produtores locais.\",\n  \"pt_key_points\": [\n    \"Os médicos poderão prescrever refeições saudáveis e vales para produtos frescos a pacientes elegíveis.\",\n    \"O programa foca-se em pessoas com doenças crónicas ou em situação de insegurança alimentar.\",\n    \"Será dada priorità a agricultores locais que utilizem métodos de produção biológica e regenerativa.\",\n    \"Os pacientes terão acesso a aconselhamento nutricional, aulas de culinária e apoio à mudança de hábitos.\"\n  ],\n  \"category\": [\"Health\", \"Agriculture\", \"Benefits\"]\n}"
    }
  ]
}