BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2322
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          Date of Hearing:  April 24, 2012

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                    AB 2322 (Gatto) - As Amended:  April 11, 2012
           
          SUBJECT  :  California Special Supplemental Food Program for 
          Women, Infants, and Children.

           SUMMARY  :  Requires the Department of Public Health (DPH) to 
          adopt regulations for the California Special Supplemental Food 
          Program for Women, Infants, and Children (WIC) and specifies 
          criteria to be used when initiating a moratorium on 
          authorizations of new WIC retail food vendor location 
          applications.  Specifically,  this bill  :   

          1)Requires an authorized food vendor to be either of the 
            following:

             a)   A licensed retail outlet that satisfies the minimum food 
               stocking requirements established in DPH regulations; or,

             b)   A farmer participating in the Farmers Market Nutrition 
               Program accepting WIC fruit and vegetable checks at an 
               authorized farmers' market.

          2)Requires an authorized food vendor described in 1) above to be 
            open at least five days per week.  Requires daily operating 
            hours to be posted and consistent from week to week.

          3)Requires DPH to adopt regulations to specify the criteria DPH 
            is to follow when initiating a moratorium on new WIC retail 
            food vendor location applications.

          4)Requires the regulations, at a minimum to do the following:

             a)   Define what is an effective caseload management level; 
               and,

             b)   Identify the maximum duration of a moratorium.

          5)Requires a vendor alert or other official communication 
            regarding the initiation of a moratorium to be accompanied by 
            an action plan with specific steps DPH plans to take to 
            achieve caseload management by the identified end date of the 








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            moratorium.  Requires DPH to make this information, including 
            any changes to the action plan, available to the public by 
            posting this information on DPH's Internet Website and through 
            other forms of electronic communication.

          6)Requires DPH to process WIC retail food vendor location 
            applications during the moratorium period if DPH was notified 
            by the retail food vendor of the vendor's intent to obtain 
            authorization for a specific store location prior to the 
            effective date of the moratorium.

          7)Requires DPH to provide retail food vendors with a minimum of 
            60 days' notice prior to the effective date of, or extension 
            of, a moratorium.

          8)Requires DPH to seek any federal approvals necessary to 
            implement the provisions of this bill.
           EXISTING LAW  :

          1)Authorizes the establishment of a statewide WIC program, 
            administered by DPH, for providing nutritional food 
            supplements to low-income pregnant women, low-income 
            postpartum and lactating women, and low-income infants and 
            children under five years of age, who have been determined to 
            be at nutritional risk.

          2)Provides for the redemption of nutrition coupons by WIC 
            participants at any authorized WIC retail food vendor.

          3)Requires DPH to authorize an appropriate number and 
            distribution of WIC retail food vendors, and requires DPH to 
            establish certain criteria.

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

           COMMENTS  :    

           1)PURPOSE OF THIS BILL  .  According to the author, over the 
            years, supermarkets and grocery stores have been driven out of 
            local communities by slim margins, restrictive zoning 
            requirements, and high rents.  Grocers have made strong 
            efforts at opening stores, in both rural and urban communities 
            to provide access to healthy affordable food.  The author 
            maintains that when a grocer looks to expand operations, there 








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            are a number of factors an operator has to understand and 
            sometimes overcome to locate a store.  These challenges, the 
            author asserts, range from putting together sufficient parcels 
            of land, zoning, permitting, and making sure they can serve 
            all members of the community, especially in low-income areas 
            where they must be able to accept WIC benefits.  The author 
            argues that a grocer will often make sure that there are no 
            moratoriums or delays in obtaining the appropriate WIC retail 
            food vendor location authorizations before purchasing a new 
            property.  As a result, when a moratorium is enacted, grocers 
            are less likely to expand operations into communities who may 
            need these services most.  The author indicates that, 
            currently, there are no rules or regulations outlining how 
            much notice DPH must provide retail food vendors prior to 
            enacting a moratorium, how long a moratorium will be in place, 
            or the actions that will be taken to address the problem for 
            which the moratorium was enacted.  This lack of information 
            and uncertainty makes it challenging for grocers to plan and 
            serve all members of their community. 

           2)WIC  .  According to DPH, WIC is a 100% federally funded 
            nutrition and health program that provides education and food. 
             DPH asserts that the program is designed to provide temporary 
            assistance during those brief periods in life which can become 
            more challenging: during pregnancy, the birth of a newborn or 
            having a young child with nutrition and/or health conditions.  
            Most families participating in WIC, according to DPH, are 
            employed with incomes at or below 185% of the federal poverty 
            level (currently $42,642 for a family of four).  DPH maintains 
            that WIC responds, up to a child's fifth birthday, with 
            nutritious food, parenting and nutrition education, support 
            for breastfeeding mothers and babies, referrals for services 
            needed by the family, and requirements for medical care to 
            continue participation.  

          DPH administers contracts with 84 local agencies - half local 
            governments and half private, non-profit community 
            organizations - which operate WIC centers in 650 locations 
            statewide.  DPH maintains that at these centers, approximately 
            3,000 local WIC staff members assess WIC eligibility based on 
            residency requirements, income, and health or nutritional 
            risk, and issue six million food checks each month.  Each 
            check is valid for a 30-day period and is payable for a 
            specific type and quantity of food.  DPH asserts that WIC is a 
            direct infusion into the California economy of about $1.1 








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            billion per year, with the retail value of WIC checks about 
            $63 per month per participant.

          According to DPH, WIC checks can be redeemed at any of the over 
            5,500 grocery stores statewide that have entered into vendor 
            agreements with WIC.  Stores may charge WIC their shelf prices 
            for the foods purchased up to a maximum allowable amount 
            calculated for each peer group (determined by store type, 
            where the store is located, and the number of registers in the 
            store) and updated every two weeks.

          DPH indicates that WIC is not an entitlement program for which 
            Congress sets aside funds to serve every eligible individual, 
            but rather WIC is a discretionary program operating under a 
            capped grant administered by the U. S. Department of 
            Agriculture (USDA) for which Congress appropriates a specified 
            amount of funds annually.  California WIC supplements this 
            allocation with formula manufacturer rebates.  According to 
            the USDA, nationwide, WIC operates in all 50 states plus 
            tribal organizations and territories.  In fiscal year 2011, 
            the program served 8.9 million participants, including almost 
            half of all infants born in the U. S.  California is the 
            nation's largest WIC program serving 16.4% (1.46 million) of 
            all WIC participants.  

           3)VENDOR AUTHORIZATION  .  According to California regulations, 
            any retail outlet meeting certain food stocking requirements 
            may apply to become an authorized WIC retail food vendor.  DPH 
            may limit the number of retail food vendors in a geographic 
            area taking into consideration the adequacy of WIC participant 
            access and DPH's ability to effectively manage review of 
            authorized retail food vendors.  The regulations stipulate 
            that all applicants are required to complete a WIC 
            application.  Specified criteria relative to the completeness 
            of the application are considered to determine if a food 
            vendor will be authorized including: a) the history of 
            compliance with WIC during previous periods of participation; 
            and, b) the appropriate rate of food prices.  Each retail food 
            outlet location must be authorized separately from any other 
            location operated by an individual, group of individuals, or a 
            corporation.

           4)SUPPORT .  Western Center on Law & Poverty (WCLP) writes in 
            support that providing retail food vendors with the 
            information specified in this bill will allow retail food 








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            vendors to plan and prepare for new retail locations to serve 
            WIC participants.  While WCLP states they understand the 
            importance of ensuring adequate staff to support vendor 
            authorizations, WCLP believes the unique public-private 
            partnership upon which WIC is balanced should be managed with 
            transparency and consideration for the planning needs of the 
            retail food vendor community seeking to serve populations 
            where the majority of residents are low-income.  WCLP argues 
            that this bill seeks to achieve this goal of balance and 
            transparency and represents a conservative effort to achieve 
            the goals of improved processes for imposing moratoriums and 
            managing retail food vendor communication.

           5)POLICY CONCERN  .  This bill requires DPH to provide retail food 
            vendors with a minimum of 60 days' notice prior to the 
            effective date of, or extension of, a moratorium.  This 
            requirement appears unreasonably restrictive and may inhibit 
            DPH's ability to perform its administrative function as it 
            deems appropriate.  The author may wish to consider reducing 
            this minimum notification requirement to 30 days.  
                 
            6)TECHNICAL AMENDMENT  .  The author has indicated that Section 4 
            of this bill, which adds Section 123311 to the Health and 
            Safety Code, is language that was inadvertently left in the 
            bill from a previous version and it is the author's intent to 
            delete this section.  
           
           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Grocers Association 
          California Chamber of Commerce
          California Farm Bureau Federation
          Western Center on Law & Poverty

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











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