BILL ANALYSIS ------------------------------------------------------------ |SENATE RULES COMMITTEE | ACR 28| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ------------------------------------------------------------ THIRD READING Bill No: ACR 28 Author: Ma (D), et al Amended: 6/2/09 in Assembly Vote: 21 WITHOUT REFERENCE TO COMMITTEE OR FILE ASSEMBLY FLOOR : Read and adopted, 5/28/09 SUBJECT : Eating Disorders Awareness Week SOURCE : National Eating Disorders Association DIGEST : This resolution recognizes the weeks of February 22 through February 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 and the obstacles to treatment, and to help people overcome and prevent these life-threatening diseases. ANALYSIS : This resolution makes the following legislative findings: 1. Ten million women and one million men across the country are battling illnesses such as anorexia and bulimia, and millions more are suffering from binge eating disorder. 2. An estimated 3.6 million women in California alone CONTINUED ACR 28 Page 2 struggle with an eating disorder. 3. Anorexia, bulimia, and compulsive overeating are problems that are misunderstood, stigmatized, and undertreated. 4. Anorexia is the psychiatric disorder with the highest mortality rate. 5. Anorexia is linked to an 18-fold increase in the risk of death, with up to 20 percent of sufferers dying of malnutrition or dying by suicide. 6. Eating disorders are associated with substantial psychological problems, including depression, substance abuse, and suicide. 7. Eating disorders can lead to major medical complications, including cardiac arrhythmia, cognitive impairment, certain cancers, osteoporosis, infertility, kidney failure, and death. 8. Eating disorders affect persons of every race, color, gender, and socioeconomic category. 9. Eating disorders are increasing among people in younger age groups and affect children as young as seven years of age. 10. Media pressures and genetic, social, and familial factors are all known to be related to eating disorders. 11. Some physicians prematurely discharge patients with anorexia nervosa due to limited opportunities to obtain reimbursement. 12. Coverage and reimbursement for eating disorders differ among various private and public health care coverage options. 13. Eating disorders are treatable when diagnosed early and treated sufficiently. ACR 28 Page 3 14. Eating disorders have become a significant public health concern that should be treated no less seriously than obesity. 15. The government should take a proactive role in developing preventive education, improving access to care for all forms of eating disorders, including binge eating and extreme dieting. 16. The California Legislature is concerned with preserving and protecting the health of the state's citizens. This resolution recognizes the weeks of February 22 through February 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 and the obstacles to treatment, and to help people overcome and prevent these life-threatening diseases. Background 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 ACR 28 Page 4 adulthood. Women and girls are much more likely than males to develop an eating disorder. Men and boys account for an estimated 5-15 percent of patients with anorexia or bulimia and an estimated 35 percent 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. FISCAL EFFECT : Fiscal Com.: No SUPPORT : (Verified 6/24/09) National Eating Disorders Association (source) California School Nurses Organization American Federation of State, County and Municipal Employees ARGUMENTS IN SUPPORT : According to the author's office, in California more than 4.1 million people suffer from anorexia, bulimia, binging or some other unclassified eating disorder. The author's office maintains that anorexia is the third most common disorder amongst teens, behind obesity and asthma. The National Eating Disorders Association argues that eating disorders among young women are increasing at an alarming rate 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. CTW:nl 6/24/09 Senate Floor Analyses SUPPORT/OPPOSITION: SEE ABOVE **** END ****