BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 2322
          AUTHOR:        Gatto
          AMENDED:       May 1, 2012
          HEARING DATE:  June 20, 2012
          CONSULTANT:    Orr

           SUBJECT  :  California Special Supplemental Food Program for 
          Women, Infants, and Children.
           
          SUMMARY  :  Requires the California Department of Public Health 
          (CDPH) to adopt regulations to specify the criteria to be used 
          and actions to be taken when initiating a moratorium on new 
          Women, Infant, and Children (WIC) Program retail food vendor 
          location applications.

          Existing law:
           1. Establishes WIC, under the United States Department of 
             Agriculture (USDA), which provides grants to states for 
             supplemental foods, health care referrals, and nutrition 
             education for low-income pregnant, breastfeeding, and 
             non-breastfeeding postpartum women and for infants and 
             children up to age five who are found to be at nutritional 
             risk. Establishes WIC in California, administered by CDPH, 
             for these purposes.

           2. Allows CDPH to authorize retail food vendors to participate 
             in the WIC program. Requires CDPH to authorize an appropriate 
             number and distribution of food vendors in order to ensure 
             adequate participant convenience and access and to ensure 
             that state or local officials can effectively manage review 
             of authorized food vendors in their jurisdictions. Requires 
             CDPH to establish criteria to limit the number of retail food 
             vendors with which CDPH enters into vendor agreements.

           3. Allows, under regulation, any retail outlet meeting certain 
             requirements to apply to become an authorized food vendor, 
             and describes the criteria used to select such vendors.  
           
          This bill:
          1.Requires CDPH to adopt regulations to specify the criteria to 
            be used and actions to be taken when initiating a moratorium 
            on new WIC Program retail food vendor location applications. 
            The regulations must:
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             a.   Define an effective caseload management level;
             b.   Identify the maximum duration of a moratorium;
             c.   Require a vendor alert, or other official communication 
               regarding initiation of a moratorium along with an action 
               plan with steps CDPH will take to achieve effective 
               caseload management by the end of the moratorium, and 
               requires this information be made available on CDPH's 
               website and through other forms of electronic 
               communication;
             d.   Require CDPH to process applications during the 
               moratorium if CDPH was notified of the vendors' intent 
               prior to the moratorium; and
             e.   Require CDPH to provide retail food vendors with a 
               minimum of 30 days' notice prior to the effective date of, 
               or extension of, a moratorium.

          2.Requires CDPH to seek necessary federal approvals to implement 
            the provisions of this bill.

          3.Declares legislative findings regarding the rapid increase in 
            WIC program vendors and the subsequent moratorium on new WIC 
            program vendors imposed by CDPH.  

           FISCAL EFFECT  :  The Assembly Appropriations Committee estimates 
          one-time costs of $98,000 (federal WIC funding), spread over 
          three years, for the workload associated with CDPH promulgating 
          the required regulations.

           PRIOR VOTES  :  
          Assembly Health:    19- 0
          Assembly Appropriations:17- 0
          Assembly Floor:     70- 0
           
          COMMENTS  :  
           1.Author's statement.  From 2007 to 2011, there had been a 
            significant increase in WIC vendor applications. In April 
            2011, the WIC Program imposed a moratorium on applications for 
            new vendor authorizations, which was deemed necessary to 
            ensure CDPH's ability to effectively manage vendor caseload. 
            Placing an indefinite moratorium on new WIC licenses without 
            any notice or timeframe makes it challenging for retail food 
            outlets to open new locations and for low-income communities 
            to find places to purchase these important products. Often 
            times, vendors will hold off on expanding operations until 
            they know they can serve all members of the community. This 
            uncertainty and delay is challenging for retailers and 




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            participants who need access to healthy foods. Providing 
            vendors with the information in AB 2322 will allow them to 
            plan and prepare for new retail locations to serve WIC 
            participants.  

          2.WIC. WIC is a 100 percent federally funded nutrition and 
            health program that provides nutrition education and food for 
            low-income pregnant women, new mothers, and infants or 
            children under age five. The WIC food package is specifically 
            designed to meet the special nutritional needs of its target 
            population and includes items like infant formula, milk, 
            breakfast cereal, cheese, eggs, fruits, vegetables and 
            legumes. WIC provides checks or coupons for buying healthy 
            supplemental foods from WIC-authorized vendors. 

            Prior to the moratorium, any retail outlet meeting certain 
            requirements could apply to become an authorized WIC retail 
            food vendor. Vendors can be selected based on several 
            criteria, including competitive prices for WIC foods, 
            convenience and accessibility of the vendor location for WIC 
            participants, and CDPH's ability to ensure that authorized 
            supplemental foods will be provided. Each retail food outlet 
            location must be authorized separately from any other location 
            operated by an individual, group of individuals, or a 
            corporation. CDPH is required to authorize an appropriate 
            number and distribution of food vendors in order to ensure 
            adequate participant convenience and access. According to 
            CDPH, there are over 5,500 grocery stores statewide that have 
            entered into vendor agreements with WIC.  

          3.WIC vendor moratorium. On March 7, 2011, CDPH announced a 
            temporary moratorium on accepting new vendor location 
            applications, effective April 6, 2011. The vendor alert 
            claimed that the moratorium was necessary to ensure CDPH's 
            ability to effectively manage vendor caseload and indicated it 
            would remain in effect until budgeted positions could be 
            filled and staff trained. In response to concerns expressed by 
            vendors, CDPH modified the vendor alert on March 18, 2011, to 
            allow vendors that anticipated applying for WIC authorization 
            for a new store location, but that were not ready to submit an 
            application before April 6, 2011, to instead submit a letter 
            requesting the vendor and the store location be placed on 
            WIC's moratorium exception list. CDPH announced the moratorium 
            would end effective February 27, 2012, but on February 24, 
            2012, CDPH issued another vendor alert stating that the 




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            moratorium would continue indefinitely without explanation. On 
            April 27, 2012, CDPH announced that the exception list would 
            be discontinued and that no new vendor applications would be 
            accepted or processed. The alert claimed the moratorium would 
            remain in effect until its WIC program develops and implements 
            an effective cost containment and vendor management system, as 
            directed by the USDA. The alert also claimed that the WIC 
            program would need to gain USDA approval to authorize any new 
            stores.

          4.Related legislation. SB 1190 (Hancock) would require CDPH to 
            implement an electronic benefits transfer system for WIC by 
            January 1, 2015. SB 1190 is pending in the Assembly Human 
            Services Committee. 

            AB 2280 (Lara) would require CDPH to notify a WIC program 
            vendor, in writing, within 30 days if CDPH determines that the 
            vendor has committed a violation. AB 2280 is pending in the 
            Senate Human Services Committee.

          5.Prior legislation. AB 313 (Goldberg), Chapter 842, Statutes of 
            2003, provided that the nutrition coupons issued under the 
            program are redeemable by recipients at any authorized retail 
            food vendor, as specified.

          6.Support.  The California Grocers Association (CGA) supports 
            the bill because it provides more certainty for WIC vendors by 
            providing additional information prior to and during a vendor 
            application moratorium. Grocers have made strong efforts at 
            opening stores in both rural and urban communities to provide 
            access to healthy, affordable food. When a moratorium is 
            enacted, grocers are less likely to expand operations into 
            communities who may need their services the most.  

            The Western Center on Law and Poverty (WCLP) believes the AB 
            2322 is a conservative effort to achieve the goals of improved 
            processes for imposing moratoriums and managing vendor 
            communication.  WCLP understands the importance of ensuring 
            adequate staff to support vendor authorizations in an 
            environment that requires special attention to integrity. 
            However, WCLP believes that the unique public-private 
            partnership upon which the WIC program is balanced should be 
            managed with transparency and consideration for the planning 
            needs of the retail community seeking to serve populations 
            where the majority of residents are low-income. 





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           SUPPORT AND OPPOSITION  :
          Support:  California Chamber of Commerce
                    California Farm Bureau Federation
                    California Grocers Association
                    California Retailers Association
                    Western Center on Law and Poverty
          
          Oppose:   None received.

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