Page:United States Statutes at Large Volume 124.djvu/580

124 STAT. 554 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(C) A measurement of height, weight, body mass index (or waist circumference, if appropriate), blood pressure, and other routine measurements. ‘‘(D) Detection of any cognitive impairment. ‘‘(E) The establishment of, or an update to, the following: ‘‘(i) A screening schedule for the next 5 to 10 years, as appropriate, based on recommendations of the United States Preventive Services Task Force and the Advisory Committee on Immunization Practices, and the individual’s health status, screening history, and age-appropriate preventive services covered under this title. ‘‘(ii) A list of risk factors and conditions for which primary, secondary, or tertiary prevention interventions are recommended or are underway, including any mental health conditions or any such risk factors or conditions that have been identified through an initial preventive physical examination (as described under subsection (ww)(1)), and a list of treatment options and their associ- ated risks and benefits. ‘‘(F) The furnishing of personalized health advice and a referral, as appropriate, to health education or preventive coun- seling services or programs aimed at reducing identified risk factors and improving self-management, or community-based lifestyle interventions to reduce health risks and promote self- management and wellness, including weight loss, physical activity, smoking cessation, fall prevention, and nutrition. ‘‘(G) Any other element determined appropriate by the Secretary. ‘‘(3) A health professional described in this paragraph is— ‘‘(A) a physician; ‘‘(B) a practitioner described in clause (i) of section 1842(b)(18)(C); or ‘‘(C) a medical professional (including a health educator, registered dietitian, or nutrition professional) or a team of medical professionals, as determined appropriate by the Sec- retary, under the supervision of a physician. ‘‘(4)(A) For purposes of paragraph (1)(A), the Secretary, not later than 1 year after the date of enactment of this subsection, shall establish publicly available guidelines for health risk assess- ments. Such guidelines shall be developed in consultation with relevant groups and entities and shall provide that a health risk assessment— ‘‘(i) identify chronic diseases, injury risks, modifiable risk factors, and urgent health needs of the individual; and ‘‘(ii) may be furnished— ‘‘(I) through an interactive telephonic or web-based program that meets the standards established under subparagraph (B); ‘‘(II) during an encounter with a health care profes- sional; ‘‘(III) through community-based prevention programs; or ‘‘(IV) through any other means the Secretary deter- mines appropriate to maximize accessibility and ease of use by beneficiaries, while ensuring the privacy of such beneficiaries. Deadline. Public information. Guidelines.