BILL ANALYSIS Ó AB 2322 Page 1 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 AB 2322 Page 2 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 AB 2322 Page 3 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 AB 2322 Page 4 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 AB 2322 Page 5 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 AB 2322 Page 6