BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 211|
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                                 THIRD READING


          Bill No:  AB 211
          Author:   Jones (D), et al
          Amended:  9/5/07 in Senate 
          Vote:     21

           
           ASSEMBLY FLOOR  :  Not relevant

          (  AB 437 VOTE  :  SENATE HEALTH COMMITTEE:  7-3, 5/23/07
           AYES:  Kuehl, Alquist, Maldonado, Negrete McLeod,  
            Ridley-Thomas, Steinberg, Yee
           NOES:  Aanestad, Cox, Wyland
           NO VOTE RECORDED:  Cedillo)


           SUBJECT  :    Budget Act of 2007

           SOURCE  :     Health Officers Association of California


           DIGEST  :    This bill permits local health officers to  
          provide assistance to cities and counties regarding public  
          health issues as they relate to local land use and  
          transportation planning processes, as specified.

          Senate Floor Amendments  of 9/5/07 delete the bill and now  
          permit local health officers to provide assistance to  
          cities and counties regarding public health issues as they  
          relate to local land use and transportation planning  
          processes, as specified.

          NOTE: The language in the 9/5/07 amended version of this  
                bill was heard in the Senate Health Committee, in the  
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                form of AB 437 (Jones), as noted in the vote  
                information above.

           ANALYSIS  :    Existing law permits the establishment of  
          local health officers to perform various duties relating to  
          public health and permits local health officers to issue  
          orders to enforce various public health and safety  
          requirements.  
          
          This bill permits local health officers to provide  
          assistance to cities and counties regarding public health  
          issues as they relate to local land use and transportation  
          planning processes, including, but not limited to: 

          1. The prevention of obesity and chronic diseases such as  
             diabetes, some forms of cancer, arthritis and stroke in  
             relation to physical activity, and issues of ease of  
             walking and biking and vehicle miles traveled.

          2. Respiratory disease and air quality.

          3. Injury prevention and motor vehicle crashes.

          4. Healthier eating opportunities and community design.

          5. Drinking water quality.

          6. Mental well-being and parks, trails, and open-space.

          7. Social capital and sense of community.

          8. Violence prevention and street safety.

           Background  

          According to a 2003 article in the  American Journal of  
          Public Health  , current public health problems are more  
          often chronic diseases and not infectious diseases.  The  
          article states that, since populations are more spread out  
          and there are greater separations between residential and  
          business areas, measures that were urged a hundred years  
          ago to improve health may now actually be contributing to  
          chronic health problems.  The spread-out design of suburbs  
          increases reliance on the automobile, which contributes to  







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          air pollution, with its detrimental effects, including  
          chronic respiratory ailments, sedentary lifestyle, and  
          obesity.  The article also states that, unlike situations  
          in the 19th and early 20th centuries, today's public health  
          advocates are largely absent from discussions about  
          planning or land-use decisions involving the "built  
          environment."  Many cities and counties have large planning  
          departments that regulate land use and buildings, and  
          include urban planners, architects, lawyers, economists,  
          transportation engineers, environmental scientists, and  
          demographers, but rarely include public health officials.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

          SUPPORT  :   (Verified  9/5/07)

          Health Officers Association of California (source)
          Alameda County Board of Supervisors 
          American Federation of State, County and Municipal  
          Employees, AFL-CIO 
          Bay Area Bicycle Coalition of the San Francisco Bay Area
          Bay Area Regional Health Inequities Initiative
          California Association of Environmental Health  
          Administrators
          California Center for Public Health Advocacy 
          California Medical Association 
          California Pan-Ethnic Health Network 
          Human Impact Partners
          Latino Coalition for a Healthy California 
          Marin County Bicycle Coalition 
          Marin County Board of Supervisors
          Oakland Berkeley Asthma Coalition
          Prevention Institute
          Public Health Law Program
          Sacramento Area Bicycle Advocates
          San Diego County Bicycle Coalition 
          Strategic Alliance for Healthy Food and Activity  
          Environments
          Transportation and Land Use Coalition


           ARGUMENTS IN SUPPORT  :    The Health Officers Association of  
          California (HOAC) writes that the Institute of Medicine has  







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          called for new approaches to environmental health including  
          strategies to deal with waste, unhealthy buildings, urban  
          congestion, suburban sprawl, declining open space, poor  
          housing, poor nutrition, and environmental stressors.  HOAC  
          states that this bill will give added momentum to greater  
          involvement by health officers in community planning.   
          Supporters write that for more than 50 years, communities  
          have been planned primarily to accommodate automobile  
          traffic, to the exclusion of other modes of travel,  
          resulting in streets limited to serving cars only.   
          Supporters contend that bringing health experts to the  
          transportation table will provide a more holistic view of  
          the challenges facing our communities.


          CTW:mw  9/5/07   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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