BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   ACR 28|
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                                 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  
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               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.








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           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  







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          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

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