BILL ANALYSIS                                                                                                                                                                                                    



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          ASSEMBLY THIRD READING
          ACR 28 (Ma)
          As Amended June 1, 2009
          Majority vote 

           HEALTH              19-0             APPROPRIATIONS              
          17-0                
           
           ---------------------------------------------------------------- 
          |Ayes:|Jones, Fletcher, Adams,     |Ayes:|De Leon, Nielsen,      |
          |     |Ammiano, Block, Carter,     |     |Ammiano,               |
          |     |Conway, De La Torre,        |     |Charles Calderon,      |
          |     |De Leon, Emmerson, Gaines,  |     |Davis, Duvall,         |
          |     |Hall, Hayashi, Hernandez,   |     |Fuentes, Hall, Harkey, |
          |     |Bonnie Lowenthal, Nava, V.  |     |Miller,                |
          |     |Manuel Perez, Salas,        |     |John A. Perez, Price,  |
          |     |Audra Strickland            |     |Skinner, Solorio,      |
          |     |                            |     |Audra Strickland,      |
          |     |                            |     |Torlakson, Krekorian   |
          |-----+----------------------------+-----+-----------------------|
          |     |                            |     |                       |
           ---------------------------------------------------------------- 
           SUMMARY  :  Declares February 22 through 28, 2009, and February 21  
          through February 27, 2010, as Eating Disorders Awareness Week  
          and encourages citizens and policymakers to learn more about  
          eating disorders.  Specifically,  this resolution  :   

          1)Encourages citizens and policymakers to learn more about  
            eating disorders and the obstacles to treatment, and to help  
            people overcome and prevent these life-threatening diseases.

          2)Makes numerous declarations and findings related to eating  
            disorders.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, there are no costs associated with this resolution.  

           COMMENTS  :  According to the author, in California more than 4.1  
          million people suffer from anorexia, bulimia, binging or some  
          other unclassified eating disorder.  The author maintains that  
          anorexia is the third most common disorder amongst teens, behind  
          obesity and asthma.  The National Eating Disorders Association  
          (NEDA), the sponsor of this resolution, argues that eating  
          disorders among young women are increasing at an alarming rate  








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          in California and across the nation.  The purpose of this  
          resolution is to raise public awareness about the challenges in  
          accessing adequate medical care to battle eating disorders and  
          to advocate for prevention programs to combat this growing and  
          deadly epidemic.  

          According to the National Institute of Mental Health (NIMH), an  
          eating disorder is marked by extremes.  It is present when a  
          person experiences severe disturbances in eating behavior, such  
          as extreme reduction of food intake or extreme overeating, or  
          feelings of extreme distress or concern about body weight or  
          shape.  Eating disorders are very complex, and despite  
          scientific research to understand them, the biological,  
          behavioral and social underpinnings of these illnesses remain  
          elusive.  The two main types of eating disorders are anorexia  
          nervosa and bulimia nervosa.  A third category is "eating  
          disorders not otherwise specified (EDNOS)," which includes  
          several variations of eating disorders.  Most of these disorders  
          are similar to anorexia or bulimia but with slightly different  
          characteristics.  Binge-eating disorder, which has received  
          increasing research and media attention in recent years, is one  
          type of EDNOS.

          The NIMH maintains that eating disorders frequently appear  
          during adolescence or young adulthood, but some reports indicate  
          that they can develop during childhood or later in adulthood.   
          Women and girls are much more likely than males to develop an  
          eating disorder.  Men and boys account for an estimated 5 - 15%  
          of patients with anorexia or bulimia and an estimated 35% of  
          those with binge-eating disorder.  Eating disorders are  
          treatable medical illnesses with complex underlying  
          psychological and biological causes.  They frequently co-exist  
          with other psychiatric disorders such as depression, substance  
          abuse, or anxiety disorders.  People with eating disorders also  
          can suffer from numerous other physical health complications,  
          such as heart conditions or kidney failure, which can lead to  
          death.

          Researchers are unsure of the underlying causes and nature of  
          eating disorders.  Unlike a neurological disorder, which  
          generally can be pinpointed to a specific lesion on the brain,  
          an eating disorder likely involves abnormal activity distributed  
          across brain systems.  With increased recognition that mental  
          disorders are brain disorders, more researchers are using tools  








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          from both modern neuroscience and modern psychology to better  
          understand eating disorders.

          Supporters of this resolution include: NEDA, the California  
          School Nurses Organization and the American Federation of State,  
          County and Municipal Employees.

           
          Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916)  
          319-2097 


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