BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                  AB 2322|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  AB 2322
          Author:   Gatto (D)
          Amended:  8/22/12 in Senate
          Vote:     27 - Urgency

           
           SENATE HEALTH COMMITTEE  :  9-0, 6/20/12
          AYES:  Hernandez, Harman, Alquist, Anderson, Blakeslee, De 
            León, DeSaulnier, Rubio, Wolk

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 7/2/12
          AYES:  Kehoe, Walters, Alquist, Dutton, Lieu, Price, 
            Steinberg

           ASSEMBLY FLOOR  :  70-0, 5/25/12 (Consent) - See last page 
            for vote


           SUBJECT  :    California Special Supplemental Food Program 
          for Women, 
                      Infants, and Children

           SOURCE  :     Author


           DIGEST  :    This bill requires the Department of Public 
          Health (DPH) to adopt regulations to specify the criteria 
          to be used and actions to be taken when initiating a 
          moratorium on new Women, Infants, and Children (WIC) 
          Program retail food vendor location applications.

           Senate Floor Amendments  of 8/22/12 are intended to quickly 
          implement federal directives pertinent to WIC and to 
                                                           CONTINUED





                                                               AB 2322
                                                                Page 
          2

          maintain compliance with federal grant guidelines.

           ANALYSIS  :    

          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 DPH, for these purposes.

          2.Allows DPH to authorize retail food vendors to 
            participate in the WIC program.  Requires DPH 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 DPH to 
            establish criteria to limit the number of retail food 
            vendors with which DPH 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 DPH 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:

             A.    Define an effective caseload management level.

             B.    Identify the maximum duration of a moratorium.

             C.    Require DPH to process applications during the 
                moratorium if DPH was notified of the vendors' 
                intent prior to the moratorium.







                                                               AB 2322
                                                                Page 
          3


             D.    Require DPH 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 DPH to seek necessary federal approvals to 
             implement the provisions of this bill.

          3. Allows DPH to adopt mandatory federal requirements and 
             guidelines pursuant to the WIC program by bulletin or 
             similar instruction, without being subject to state 
             administrative regulations and rulemaking requirements. 

          4. Allows DPH to specify criteria used and actions taken 
             when initiating a moratorium on new vendor location 
             applications by using a vendor bulletin, instead of 
             taking regulatory or rulemaking action.

          5. Requires DPH to include an action plan that addresses 
             the reason or need for a new vendor application 
             moratorium within a vendor bulletin announcing a 
             moratorium. 

          6. Requires DPH to include exceptions for processing 
             applications during the moratorium period, including 
             processing vendor applications to add specific store 
             locations to an existing vendor master agreement if the 
             application was received prior to the start of the 
             moratorium, within a vendor bulletin announcing a 
             moratorium.

          7. Excludes moratoriums required by federal directive from 
             these provisions. 

          8. Requires DPH to establish requirements for: 

             A.    Peer groups and a corresponding reimbursement 
                system;

             B.    Vendor authorization criteria; and

             C.    WIC authorized foods. 

          9. Requires DPH to establish the requirements in #8) above 







                                                               AB 2322
                                                                Page 
          4

             using bulletins or similar notices, and to provide 
             notice to, and consult with, stakeholders and other 
             specified entities electronically and on the DPH Web 
             site.  Requires the notice to include the date of a 
             consultation meeting with a stakeholder working group, 
             as described.

          10.Specifies that CDPH will receive comments on the 
             requirements in #8) above for a 20-day period when the 
             notice is released.  Requires DPH to consider the 
             submitted comments and take final action within 120 days 
             from the last day to accept comments, or 120 days from 
             the conclusion of the stakeholder consultation, 
             whichever is later, unless DPH withdraws the action.  
             Allows DPH to withdraw the proposed action at any time 
             by notification on its website or electronic 
             notification. 

          11.Requires DPH to provide at least 30 days advance notice 
             of the final action.  Requires DPH to develop a process 
             to collect stakeholder feedback regarding the impact of 
             the final action.

          12.Makes other technical and conforming changes.

           Background
           
           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 DPH's ability to ensure that 







                                                               AB 2322
                                                                Page 
          5

          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.  DPH is required to 
          authorize an appropriate number and distribution of food 
          vendors in order to ensure adequate participant convenience 
          and access.  According to DPH, there are over 5,500 grocery 
          stores statewide that have entered into vendor agreements 
          with WIC.  

           WIC vendor moratorium  .  On March 7, 2011, DPH 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 DPH'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, DPH 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.  DPH 
          announced the moratorium would end effective February 27, 
          2012, but on February 24, 2012, DPH issued another vendor 
          alert stating that the moratorium would continue 
          indefinitely without explanation.  On April 27, 2012, DPH 
          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.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

          According to the Senate Appropriations Committee, one-time 
          costs of about $100,000 (federal funds) over two years to 
          develop regulations.

           SUPPORT  :   (Verified  8/22/12)







                                                               AB 2322
                                                                Page 
          6


          California Chamber of Commerce
          California Farm Bureau Federation
          California Grocers Association
          California Retailers Association
          Western Center on Law and Poverty

           ARGUMENTS IN SUPPORT  :    The California Grocers Association 
          (CGA) supports this 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 this 
          bill 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.


           ASSEMBLY FLOOR  :  70-0, 5/25/12
          AYES:  Achadjian, Alejo, Allen, Ammiano, Beall, Block, 
            Blumenfield, Bonilla, Bradford, Brownley, Buchanan, 
            Butler, Charles Calderon, Campos, Carter, Cedillo, 
            Chesbro, Conway, Cook, Davis, Dickinson, Donnelly, Eng, 
            Feuer, Fong, Furutani, Beth Gaines, Galgiani, Garrick, 
            Gatto, Gordon, Gorell, Hagman, Halderman, Harkey, 
            Hayashi, Roger Hernández, Hill, Huber, Hueso, Huffman, 
            Jeffries, Jones, Lara, Logue, Bonnie Lowenthal, Mansoor, 
            Mendoza, Miller, Mitchell, Monning, Morrell, Nestande, 
            Nielsen, Norby, Olsen, Pan, V. Manuel Pérez, Portantino, 
            Skinner, Smyth, Solorio, Swanson, Torres, Valadao, 
            Wagner, Wieckowski, Williams, Yamada, John A. Pérez







                                                               AB 2322
                                                                Page 
          7

          NO VOTE RECORDED:  Atkins, Bill Berryhill, Fletcher, 
            Fuentes, Grove, Hall, Knight, Ma, Perea, Silva


          CTW:d  8/23/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****