BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 581
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          Date of Hearing:   May 3, 2011

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
              AB 581 (John A. Pérez) - As Introduced:  February 16, 2011
           
          SUBJECT  :  Public health: food access.

           SUMMARY  :  Establishes the California Healthy Food Financing 
          Initiative (CHFFI) and Fund for the purpose of expanding access 
          to healthy foods in underserved communities.  Further, it 
          requires, by July 1, 2012, specified agencies to prepare 
          recommended actions to be taken to promote food access within 
          California. This authority remains in effect until January 1, 
          2015.  Specifically,  this bill  :   

          1)Establishes CHFFI and requires, by July 1, 2012, the 
            California Department of Food and Agriculture (CDFA), in 
            consultation with the State Department of Public Health (DPH) 
            and the State Department of Social Services (DSS), to prepare 
            recommendations to the Legislature, regarding actions that 
            need to be taken to promote food access in the state. 

          2)Permits the Secretary of CDFA to create an advisory group to 
            assist agencies in developing recommendations.  Requires the 
            make-up of the group to include representatives from the 
            Legislature, food policy advocates, grocery and financial 
            industries representatives, food systems researchers, 
            agricultural representatives, and nonprofit organizations with 
            food access expertise. 

          3)Permits CDFA, in consultation with DPH, DSS, and the 
            Treasurer, to coordinate efforts to maximize funding 
            opportunities provided by the federal 2010 Healthy Food 
            Financing Initiative (HFFI). 

          4)Requires CDFA, in consultation with DPH, DSS, and the 
            Treasurer, to implement CHFFI only to the extent that federal 
            funds are made available.  States that this initiative is 
            intended to expand access to nutritious foods in underserved 
            areas and eliminate food deserts across the nation in seven 
            years. 

          5)Establishes the CHFFI Fund in the State Treasury, to be 
            comprised of federal, state, and private funds and requires 








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            them to be used to expand access to healthy foods in 
            underserved communities.  Directs funds, to the extent 
            practicable, to be leveraged with other funding sources, as 
            specified, including, federal Community Reinvestment Act 
            funds. 

          6)Sunsets CHFFI on January 1, 2015, unless future statues delete 
            or extend that date. 

          7)Makes legislative findings and declarations describing 
            California's productive farmlands and production, the need to 
            protect farmland for future food supplies, that access to 
            healthy food is a basic human right, that lack of access could 
            relate to higher rates of diseases, and that opportunities for 
            greater access to food should be actively pursued and 
            fostered. 

           FISCAL EFFECT  :  This bill has not yet been analyzed by a fiscal 
          committee.
           



          COMMENTS  :    

           1)PURPOSE OF THIS BILL  .  According to the author, residents of 
            communities referred to as food deserts do not have access to 
            a selection of healthy foods such as, fruits, vegetables or 
            dairy products.  As a result, the author maintains, residents 
            of these geographic areas generally have higher incidences of 
            certain types of diseases, including: diabetes, cancer, 
            obesity, heart disease, and premature death.  This bill, the 
            author argues, is mirrored after successful healthy food 
            financing programs in the states of Pennsylvania and New York 
            and addresses the issue by encouraging the active pursuit of 
            opportunities to increase the number of grocery stores, farm 
            stands, farmers' markets, direct farm to institutions and 
            consumer markets, and community gardens in underserved urban 
            and rural communities.

           2)FOOD DESERT  .  Congress requested in the Food Conservation and 
            Energy Act of 2008, that the U.S. Department of Agriculture 
            (USDA) study food deserts and issue their findings.  According 
            to their report "Access to Affordable and Nutritious Food: 
            Measuring and Understanding their Consequences (USDA report)," 








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            a food desert is a food environment unsupportive of health; it 
            is defined by barriers which restrict access to healthy foods 
            such as, lack of access to food retailers, availability of 
            nutritious foods, or affordability of foods.  

          Research indicates that land-use policies that facilitate 
            development of predominately wealthy and suburban 
            neighborhoods have altered the distribution of food stores.  
            In the interest of profitability, larger supermarkets have 
            followed this trend and are most prevalent in suburban 
            neighborhoods.  Food supply within inner-cities and some rural 
            areas includes less variety and denying some residents the 
            benefits of healthy foods at affordable prices.  Remaining 
            food retailers in these areas are gas stations, convenience 
            stores, and liquor stores.  A diet based on foods from these 
            locations consists primarily of processed foods high in 
            calories, sugars, salt, fat, and artificial ingredients.  
            Health disparities related to food access and consumption are 
            associated with residential segregation, low incomes, and 
            neighborhood deprivation.

          The main factor used to classify a community as a food desert is 
            distance from nutritional food retailers.  There is no 
            standard for "inadequate" access or "adequate" access to 
            foods.  Access to food is calculated by distance of consumer 
            residence to nearest supermarket or grocery store.  Residents 
            of food desert areas have no alternative but to utilize 
            private cars, travel several miles on foot, or use public 
            transit to gain access to healthy food.  Consumers without 
            cars are dependent on food sources in their closest proximity. 
             The problem increases in rural food desert areas, where 
            closing the distance to nutritional food access can be 
            challenging on foot. 

          Demonstrating the constraints of residents of food deserts and 
            their ability to access affordable nutritious food because 
            they live far from supermarkets or large grocery stores and do 
            not have easy access to transportation are the findings from 
            the USDA report, which found that:

             a)   Of all U.S. households, 2.3 million (2.2%), live more 
               than a mile from a supermarket and do not have access to a 
               vehicle.  An additional 3.4 million households (3.2%) live 
               between one-half to one mile from a supermarket and do not 
               have access to a vehicle.








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             b)   Area-based measures of access show that 23.5 million 
               people live in low-income areas (areas where more than 40% 
               of the population has an income at or below 200% of federal 
               poverty thresholds) that are more than one mile from a 
               supermarket or large grocery store.  However, not all of 
               these 23.5 million people have low incomes.  If estimates 
               are restricted to consider only low-income people in 
               low-income areas, then 11.5 million people, (4.1% of the 
               U.S. population) live in low-income areas more than one 
               mile from a supermarket.

             c)   Data on time use and travel mode show that people living 
               in low-income areas with limited access spend significantly 
               more time (19.5 minutes) traveling to a grocery store than 
               the national average (15 minutes).  However, 93% of those 
               who live in low-income areas with limited access traveled 
               to the grocery store in a vehicle they or another household 
               member drove.

           3)HEALTHY FOOD FINANCING INITIATIVE  .  In early 2010, the Obama 
            Administration unveiled the HFFI which proposes to allocate 
            over $340 million to the program to support projects that 
            increase access to healthy, affordable food in communities 
            that currently lack these options.  Through a range of 
            programs at (USDA), the U.S. Treasury, and the federal 
            Department of Health and Human Services (HHS), HFFI will 
            expand the availability of nutritious food, including 
            developing and equipping grocery stores, small retailers, 
            corner stores, and farmers markets selling healthy food.  

          Through the expertise of the USDA, U.S. Treasury, and HHS, HFFI 
            brings the expertise and resources to give stakeholders a full 
            range of tools to increase access to healthy foods.  According 
            to HHS, these three federal partners will make the funding 
            available through the following shared set of goals and 
            objectives:

             a)   USDA's proposed 2011 budget includes a funding level of 
               $50 million that will support more than $150 million in 
               public and private investments in the form of loans, 
               grants, promotions, and other programs designed to create 
               healthy food options in food deserts across the country:

               i)     A total of $35 million in fiscal year 2011 








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                 discretionary funding is proposed to remain available 
                 until September 30, 2012 for financial and technical 
                 assistance; and,
               ii)    An additional $15 million in funds is proposed to 
                 support technical or financial assistance and such 
                 resources is proposed to come from a set aside of up to 
                 10% of the funds made available through selected Rural 
                 Development and Agricultural Marketing Service programs.

             b)   The U.S. Treasury plans to dedicate $275 million to 
               support private sector financing of healthy foods options 
               in distressed urban and rural communities:  Through the New 
               Markets Tax Credit (NMTC) and financial assistance to 
               Treasury-certified community development financial 
               institutions (TCDFIs), the U.S. Treasury has a proven track 
               record of expanding access to nutritious foods by 
               catalyzing private sector investment.  The budget requests 
               $250 million in authority for the NMTC and $25 million for 
               financial assistance to TCDFIs.

             c)   The HHS proposes up to $20 million in Community Economic 
               Development (CED) program funds for community-based efforts 
               to improve the economic and physical health of people in 
               distressed areas:  The CED program, HHS will award 
               competitive grants to Community Development Corporations to 
               support projects that finance grocery stores, farmers 
               markets, and other sources of fresh nutritious food.  These 
               projects will serve the dual purposes of facilitating 
               access to healthy food options while creating job and 
               business development opportunities in low-income 
               communities, particularly since grocery stores often serve 
               as anchor institutions in commercial areas.

            According to HHS, many types of organizations are eligible for 
            funding and/or technical assistance, including, state 
            departments of agriculture, businesses, local and tribal 
            governments, non-profit organizations, cooperatives and 
            universities, TCDFIs, and community development corporations.

           4)SUPPORT  .  Supporters of this measure write that creating a 
            CHHFI Fund in the State Treasury, and bringing together the 
            CDFA and other state agencies and stakeholders to coordinate 
            efforts, is a smart way to achieve maximum impact and allow 
            CHFFI to leverage funding from sources such as NMTCs, federal 
            and foundation grant programs, incentives available to 








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            designated enterprise zones, the federal Specialty Crop Block 
            Grant Program, and funding from private sector financial 
            institutions to expand much needed access to healthy food in 
            underserved California communities.  Supporters argue that 20% 
            of California adults are obese, and researchers find that 
            low-income children and children of color have the highest 
            rates of obesity and related health problems.  Supporters 
            maintain that the time is ripe for California to demonstrate 
            the state's commitment to improving access to healthy food.  

           5)PRIOR LEGISLATION  .  AB 2720 (John A. Pérez) of 2010, was 
            substantially similar to this bill and passed by this 
            committee last year on a vote of 6-0.  AB 2720 was vetoed 
            during last year's budget negotiations by Governor 
            Schwarzenegger with the following veto message:  "While my 
            Administration shares the same goals as the author when it 
            comes to promoting healthy and affordable food access for 
            low-income communities in California, the Healthy Food 
            Financing Initiative has not yet been acted on by Congress.  
            Unless and until those important federal funding details are 
            known, this bill is both premature and unnecessary."
                
            6)DOUBLE REFERRAL  .  This bill was previously heard in Assembly 
            Agriculture Committee on April 27, 2011 and was approved on a 
            9-0 vote.


           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Academy of Pediatrics, California District
          California Catholic Conference, Inc. 
          California Center for Rural Policy 
          California Farm Bureau Federation 
          California Medical Association 
          California Nurses Association
          California Pan-Ethnic Health Network
          California Physical Therapy Association 
          California Primary Care Association 
          California State Association of Counties 
          California State Grange 
          California State PTA
          Children NOW
          Children's Defense Fund - California








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          Coalition of California Welfare Rights Organizations
          County Health Executives Association of California
          First 5 LA
          PolicyLink
          Western Growers

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916) 
          319-2097