BILL ANALYSIS ACR 28 Page 1 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 ACR 28 Page 2 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 ACR 28 Page 3 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 FN: 0001209