BILL ANALYSIS Ó AB 1746 Page A 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 AB 1746 Page B 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, AB 1746 Page C 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 AB 1746 Page D 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 AB 1746 Page E 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 AB 1746 Page F 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 AB 1746 Page G 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 AB 1746 Page H 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 AB 1746 Page I 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