BILL ANALYSIS                                                                                                                                                                                                    Ó




                                                                  AB 1746
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          Date of Hearing:   March 28, 2012

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                AB 1746 (Williams) - As Introduced:  February 17, 2012
           
          SUBJECT  :  Schools: nutrition: beverages.

           SUMMARY  :  Prohibits electrolyte replacement beverages (ERBs) 
          that contain 42 grams or less of added sweetener per 20-ounce 
          serving, from being sold to middle or high school students from 
          one-half hour before the start of the schoolday until one-half 
          hour after the end of the schoolday, commencing July 1, 2013. 

           EXISTING LAW for elementary schools  :  

          1)Authorizes, regardless of the time of day, only the following 
            beverages to be sold to a pupil:
             a)   Fruit-based drinks that have at least 50% fruit juice 
               and no added sweetener.
             b)   Vegetable-based drinks that have at least 50% vegetable 
               juice and no added sweetener.
             c)   Drinking water with no added sweetener.
             d)   Two percent fat milk, one percent fat milk, nonfat milk, 
               soymilk, rice milk, and other similar non-dairy milk.  
               (Education Code 49431.5)

          2)Authorizes the sale of beverages that do not comply with the 
            law as part of a school fundraising event in any of the 
            following circumstances:
             a)   The items are sold by pupils of the school and the sale 
               of those items takes place off and away from the premises 
               of the school.
             b)   The items are sold by pupils of the school and the sale 
               of those items takes place one-half hour or more after the 
               end of the schoolday.  (Education Code 49431.5)

           EXISTING LAW for middle and high schools  :  

          1)Authorizes, from one-half hour before the start of the 
            schoolday until one-half hour after the end of the schoolday 
            only the following beverages to be sold to a pupil:
             a)   Fruit-based drinks that have at least 50% fruit juice 
               and no added sweetener.
             b)   Vegetable-based drinks that have at least 50% vegetable 









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               juice and no added sweetener.
             c)   Drinking water with no added sweetener.
             d)   Two percent fat milk, one percent fat milk, nonfat milk, 
               soymilk, rice milk, and other similar non-dairy milk.
             e)   An ERB that contains no more than 42 grams of added 
               sweetener per 20-ounce serving.  (Education Code 49431.5)

          2)Authorizes the sale of beverages that do not comply with the 
            law as part of a school event if the sale of those items meets 
            all of the following criteria:
             a)   The sale occurs during a school-sponsored event and 
               takes place at the location of that event at least one-half 
               hour after the end of the schoolday.
             b)   Vending machines, pupil stores, and cafeterias are used 
               later than one-half hour after the end of the schoolday.  
               (Education Code 49431.5)

          3)Defines ERB to mean potable liquid that meets all the 
            following requirements:
             a)   Water as the first ingredient.
             b)   Contains no more than 2.1 grams of added sweetener per 
               fluid ounce.
             c)   Contains at least 10 milligrams but not more than 150 
               milligrams of sodium per 8 ounces.
             d)   Contains as least 10 milligrams but no more than 90 
               milligrams of potassium per 8 ounces.
             e)   Contains no added caffeine.  (California Code of 
               Regulations, Title 5, Section 15576)

           FISCAL EFFECT  :  This bill is keyed non-fiscal, however, the 
          Assembly Appropriations Committee has requested to hear this 
          bill.  If this bill is passed by the Assembly Education 
          Committee, it will be referred to the Committee on 
          Appropriations to consider the fiscal implications.

           COMMENTS  :   Electrolyte Replacement Beverages  .  ERBs are designed 
          to replace fluids after exercise and generally contain sodium 
          and potassium to improve fluid absorption in the body.  
          According to a USDA report on Carbohydrate/Electrolyte 
          Replacement Beverages, "carbohydrate/electrolyte beverages 
          provide carbohydrate (glucose, sucrose, glucose polymers) 
          replacement to sustain energy output, and electrolytes (sodium, 
          potassium) to replace those lost in sweat."  The USDA report 
          states that ERBs may be useful for individuals who have lost 
          large quantities of fluids through sweating on a daily basis, 









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          and those who perform continuous exercise for more than 60 
          minutes, however, the report concludes that there is no need to 
          substitute ERBs for water as a primary form of fluid 
          replacement.  The committee should consider whether middle and 
          high school students receive enough daily exercise (and 
          subsequent loss of fluids) to warrant the sale of ERBs to 
          students during school hours.  

          According to the University of California Center for Weight and 
          Health, "Research shows that water is the best drink for 
          children during the school day and at most sports practices.  
          Water doesn't contain unnecessary calories or artificial 
          sweeteners and children don't need the extra electrolytes and 
          minerals that sports drinks may provide.  Children get plenty of 
          electrolytes from the food they eat, so during the school day 
          and at most practices, sports drinks don't provide any extra 
          benefit over water." The Center further finds that, "many sports 
          drinks contain high fructose corn syrup (also the main sweetener 
          in soda), which may be linked to increased rates of obesity.  
          While manufacturers are developing products with lower sugar 
          content, they are replacing the sugar with artificial sweeteners 
          such as Sucralose that have no nutritional value.  Studies 
          suggest that artificial sweeteners may increase people's taste 
          for sweets and even lead people to eat more after exercising."  

          According to the author, California led the nation in 
          establishing strong beverage policies for school campuses.  By 
          2009, almost all sugar sweetened beverages were prohibited from 
          being sold on all school campuses.  Unfortunately, the law 
          included an exemptionfor sports drinks at middle and high 
          schools.  These drinks were formulated to help althletes 
          involved in vigorous physical activity for over an hour replace 
          electrolytes and carbohydrates, which is accomplished through 
          the addition of sugar and sodium.  Both are associated with 
          negative health impacts and youth diets have both in excess.








          The following chart represents current law regarding the types 
          of beverages allowed to be sold at schools during specified time 









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          periods.    


           ---------------------------------------------------------------------- 
          |             Beverage              |  Elementary   | Middle and High  |
          |                                   |   Schoolsa    |     Schoolsb     |
          |-----------------------------------+---------------+------------------|
          |Fruit-based drinks that are        |               |                  |
          |composed of no less than 50% fruit |       X       |        X         |
          |juice and have no added sweetener  |               |                  |
          |-----------------------------------+---------------+------------------|
          |Vegetable-based drinks that are    |               |                  |
          |composed of no less than 50%       |       X       |        X         |
          |vegetable juice and have no added  |               |                  |
          |sweetener.                         |               |                  |
          |-----------------------------------+---------------+------------------|
          |Drinking water with no added       |       X       |        X         |
          |sweetener.                         |               |                  |
          |-----------------------------------+---------------+------------------|
          |Two percent fat milk, one percent  |               |                  |
          |fat milk, soy milk, rice milk, and |       X       |        X         |
          |other similar non-dairy milk.      |               |                  |
          |-----------------------------------+---------------+------------------|
          |ERB that contains no more than 42  |               |                  |
          |grams of added sweetener per 20    |               |X                 |
          |ounce serving.                     |               |                  |
           ---------------------------------------------------------------------- 
            aAt elementary schools, these beverages may be sold regardless 
            of the time of day.  
            bAt middle and high schools, these beverages may only be sold 
            from one-half hour before the start of the schoolday to 
            one-half hour after the end of the schoolday.  

           What about Vitamin Water  ?  Some argue that vitamin water drinks 
          should be authorized to be sold in middle and high schools 
          during the schoolday.  Many vitamin water drinks, however, 
          contain sugar sweetener and/or artificial sweetener, similar to 
          regular and diet soda.  Vitamin water drinks that contain sugar 
          sweetener could contain as many or more calories than ERBs or 
          soda.  Some argue that vitamin water drinks that contain 
          artificial sweetener are equivalent to diet soda and should not 
          be sold in schools.  In fact, vitamin water drinks that contain 
          artificial sweetener are sometimes referred to as diet water, 
          and one brand is named "Skinny Water."  Others argue that 
          vitamin water that does not contain sweeteners of any kind may 









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          already fall under the existing authorization for schools to 
          sell "drinking water with no added sweetener" to both elementary 
          and middle/high school students.  

          The committee should consider whether it is appropriate for 
          schools to sell vitamin water drinks to students of any age.  
          Further, if it is interpreted that vitamin water drinks are 
          considered "drinking water with no added sweetener," the 
          committee should consider whether it is appropriate for schools 
          to sell these products under current law.  If vitamin water 
          drinks do not fall under the current authorization, the 
          committee should also consider whether to specifically authorize 
          or prohibit either sweetened or unsweetened vitamin water drinks 
          to be sold in schools during the schoolday.  

          Similarly, there are ERBs on the market that do not contain any 
          added sweetener.  One such example of these products is 
          "Smartwater."  These products contain water with added 
          electrolytes but do not contain sweeteners.  These products may 
          also fall under the current definition of "drinking water with 
          no added sweetener" because they do not meet the definition of 
          an ERB as outlined in regulations which establishes minimum 
          levels of sodium and potassium.  According to the "Smartwater" 
          label, it contains electrolytes, but the label does not list the 
          amount of electrolytes contained in the bottle.  Because the 
          label does not list the amount of these ingredients it is 
          unclear whether the amount is appropriate for children.  The 
          committee should consider whether it is appropriate to sell 
          unsweetened electrolyte water to students during the school day, 
          particularly to elementary school students.  The committee 
          should also consider whether to specifically authorize or 
          prohibit unsweetened electrolyte water to be sold in schools 
          during the schoolday, and to what age students.

           Vitamin Toxicity  .  The committee should consider whether there 
          could be a risk of vitamin toxicity for children who drink more 
          than one vitamin water drink per day, and for children who drink 
          vitamin water drinks in addition to taking a daily multivitamin. 
           It is unclear whether drinking one or more bottles of vitamin 
          water drinks alone, or in addition to a multivitamin, could put 
          students at risk for ingesting the upper limits of these 
          vitamins, which could cause toxicity concerns.  

          The Tolerable Upper Intake Level (UL) is the maximum level of 
          daily nutrient intake that is likely to pose no risk of adverse 









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          effects, based on the Dietary Reference Index (DRI) established 
          by the National Academy of Sciences and the Institute of 
          Medicine.  According to the USDA, as intake increases above the 
          UL, the potential risk of adverse effects may increase.  

          For purposes of illustration, the established UL for Niacin 
          (Vitamin B3) for children ages 9-13 is 20 milligrams (mg) per 
          day.  According to the listed amount of Niacin on a bottle of 
          "vitaminwater" brand beverage, a child age 9-13 who drinks two 
          bottles of "vitaminwater" brand beverage will reach the UL for 
          Niacin.<1>  As another example, if a child age 9-13 is taking a 
          daily multivitamin such as "Flintstones Complete" which contains 
          15mg of Niacin,<2> that child would reach the UL for Niacin 
          after drinking only half of one bottle of "vitaminwater" brand 
          beverage.  The committee should consider whether it is 
          appropriate to sell vitamin water drinks to children in school 
          at any age.  

           50% versus 100% Juice  .  Current law authorizes fruit and 
          vegetable juice containing at least 50% juice to be sold in 
          schools.  It is unclear how many juice drinks contain more than 
          50% juice but do not contain 100% juice.  It is also unclear how 
          many juice drinks currently sold to students at school contain 
          less than 100% juice.  The committee should consider whether it 
          is appropriate to sell juice to students in school that contain 
          less than 100% juice and whether the current authorization for 
          juice should require only 100% juice be sold to students during 
          the school day.

           Flavored Milk  .  Current law authorizes the sale of two percent 
          and one percent fat milk along with other non-dairy milk 
          products.  Current law does not prohibit the sale of flavored 
          milk, such as chocolate or strawberry.  Flavored milk usually 
          contains significantly more sugar than plain milk.  In addition, 
          the Institutes of Medicine recently recommended that school age 
          children drink one percent milk instead of two percent milk.  
          Because of the increased sugar and fat content, the committee 
          should consider whether it is appropriate to sell flavored milk 
          or two percent milk in school, particularly to elementary school 
          students.  

          ---------------------------
          <1> Source: University of California Center for Weight and 
          Health.
          <2> Source: Flintstones Website.  
          http://flintstonesvitamins.com/complete/index.html








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           Arguments in Support  :  According to the California Center for 
          Public Health Advocacy, "Sports drinks were developed to help 
          elite athletes rehydrate after intense physical activity.  There 
          are few, if any, opportunities for students to engage in this 
          level of activity during the school day.  The American Academy 
          of Pediatrics recommends that you drink water for hydration and 
          notes that, 'sports and energy drinks are not indicated for use 
          during meals or snacks as a replacement for low-fat milk or 
          water.' Current law allows for this kind of inappropriate and 
          unhealthy replacement of sports drinks in lieu of healthier 
          options."

          According to the California Medical Association, "There is a 
          common misconception that sports drinks are healthy.  Yet many 
          of these drinks contain high fructose corn syrup and/or other 
          calorie-laden sweeteners that have been linked to the rise in 
          childhood obesity, the primary cause of type-2 diabetes.  Sports 
          drinks are designed to replace fluids after intense exercise and 
          generally contain sodium and potassium to improve fluid 
          absorption in the body; they are not designed to be an afternoon 
          substitute for soda.  However, since the sale of soda has been 
          restricted in schools, sports drinks have become a campus best 
          seller.  A recent study indicated that eight of the top 10 
          beverages sold a la carte in California's public high schools 
          are sports drinks, setting off alarms in the health provider 
          community."

           Arguments in Opposition  :  According to the California Chamber of 
          Commerce, "State law and the United States Department of 
          Agriculture regulations already adequately protect children by 
          requiring that many foods and beverages contain certain levels 
          of specific nutrients.  Furthermore, individual school districts 
          already have the ability to limit which beverages are sold on 
          their campuses.  Perhaps the better approach would be to 
          consider portion size controls or lower calorie or no calorie 
          sport drink beverages.  Sport drinks are an effective beverage 
          for hydrating students in team sports and recreational 
          activities."

          According to the California Nevada Soft Drink Association, "We 
          support efforts that address the obesity problem comprehensively 
          rather than targeting any one food or beverage type.  We would 
          also recommend that you re-evaluate the types of beverages that 
          should be allowed on middle and high school campuses.  The 
          original provisions were adopted 5 years ago when many of the 









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          beverage options that are now available did not exist.  
          Beverages like low- or no-calorie flavored waters, lower and 
          no-calorie sports drinks, and a variety of alternative beverages 
          like vitaminwater, SoBe and Propel Water, just to name a few.  
          This would allow schools to sell alterative beverages with low 
          or no calories as well as raise much needed revenues for a 
          variety of programs."

           Committee Amendments  :  Staff recommends the bill be amended to 
          only authorize the sale of drinking water with no added 
          sweetener, electrolytes or vitamins, beginning July 1, 2013.

           Previous legislation  :  SB 1255 (Padilla) of 2010, which was held 
          on the Assembly Appropriations Suspense file, would have 
          prohibited electrolyte replacement beverages (ERBs) that contain 
          42 grams or less of added sweetener per 20-ounce serving, from 
          being sold to middle or high school students from one-half hour 
          before the start of the schoolday until one-half hour after the 
          end of the schoolday, commencing July 1, 2011.

          AB 2084 (Brownley) from 2010, pending in the Senate Health 
          Committee, would require licensed child day care facilities to 
          follow specified guidelines relating to the provision of 
          beverages, including serving only 1% milk to children ages two 
          or older; limiting juice to not more than one serving per day of 
          100% juice; serving no beverages with added sweeteners, either 
          natural or artificial; and, making clean and safe drinking water 
          readily available and accessible for consumption throughout the 
          day, particularly with meals and snacks.

          AB 627 (Brownley) of 2009, which was vetoed by the Governor, 
          would have established a 12-month or more pilot project in which 
          a number of licensed child care centers and child day care homes 
          that participate in the Child Care & Adult Food Program (CACFP) 
          would receive higher state meal reimbursement to implement 
          higher nutrition and physical activity standards.  

          SB 965 (Escutia) Chapter 237, Statues of 2005, modified the list 
          of beverages that may be sold to pupils at an elementary, middle 
          and high school, and phased in a prohibition on the sale of soda 
          in high schools.

          SB 677 (Ortiz) Chapter 415, Statutes of 2003, expanded 
          restrictions on the types of beverages allowed to be sold in 
          middle and junior high schools and eliminated, as a condition 









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          for implementation of restrictions in elementary, middle and 
          junior high schools, a requirement that funds be appropriated 
          for certain programs.

          SB 19 (Escutia) Chapter 913, Statutes of 2001, established the 
          Pupil Nutrition, Health and Achievement Act of 2001.  It 
          established, as of January 1, 2004, various prohibitions on the 
          sale of beverages in elementary and middle schools and placed 
          nutritional standards on the type of foods that may be sold to 
          pupils a la carte, as specified. 

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Cancer Society
          American Federation of State, County and Municipal Employees, 
          AFL-CIO
          California Center for Public Health Advocacy
          California Chiropractic Association
          California Medical Association
          Los Angeles County Board of Supervisors

           Opposition 
           
          California Chamber of Commerce
          California Nevada Soft Drink Association
           

          Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087