BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 290
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 290 (Alejo)
          As Amended  September 3, 2013
          Majority vote
           
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          |ASSEMBLY:  |77-0 |(April 29,      |SENATE: |38-0 |(September 6,  |
          |           |     |2013)           |        |     |2013)          |
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           Original Committee Reference:    HUM. S.  

           SUMMARY  :  Requires training for child development programs to  
          include one hour of childhood nutrition training.  Specifically,  
           this bill  :  

          1)States findings and declarations regarding obesity health  
            risks and need for additional nutritional training for child  
            care providers, as specified. 

          2)Amends the California Child Day Care Facilities Act (CDCFA) to  
            require any child day care facility seeking to be licensed  
            under this act, on or after January 1, 2016, to include  
            elementary training in childhood nutrition and practices that  
            support the overall health of children.

          3)As a condition of meeting this additional elementary training,  
            at least one director or teacher employed by a child  
            development agency shall have at least one hour of childhood  
            nutrition training in addition to the 15 hours of training  
            already required under law.

          4)Requires the training to include content on age-appropriate  
            meal patterns, based upon Dietary Guidelines for Americans,  
            and inform providers on reimbursement for the United States  
            Department of Agriculture (USDA) Child and Adult Care Food  
            Program (CACFP).

          5)Directs child care providers to the CACFP Unit of the  
            California Department of Education's Nutrition Services  
            Division for detailed information on CACFP eligibility and  
            enrollment.

           The Senate amendments  :  
           








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          1)Delay implementation to January 1, 2016.

          2)Add additional language stating the Legislature's intent to  
            provide sufficient time for childhood nutrition training to be  
            developed using existing processes to avoid increased costs  
            and workload.

          3)Exempt the Emergency Medical Services Authority from the  
            Administrative Procedures Act to establish standards for  
            childhood nutrition training requirements, until regulations  
            are adopted.

           AS PASSED BY THE ASSEMBLY  , this bill:  
             
          1)Amended CDCFA to require any child day care facility seeking  
            to be licensed under this act, on or after January 1, 2015, to  
            include elementary training in childhood nutrition and  
            practices that support the overall health of children.

          2)As a condition of meeting this additional elementary training,  
            at least one director or teacher employed by a child  
            development agency shall have at least one hour of childhood  
            nutrition training in addition to the 15 hours of training  
            already required under law.

          3)Requires the training to include content on age-appropriate  
            meal patterns, based upon Dietary Guidelines for Americans,  
            and inform providers on the eligibility, enrollment and  
            reimbursement for participation in USDA CACFP.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee:

          1)The Emergency Management Services Agency (EMSA):  Significant  
            one-time workload to create new standards, notify training  
            providers of new requirements, and to receive and review  
            updated curriculum from those providers. 

          2)Regulations: Likely minor workload for EMSA to re-open and  
            revise regulations, with a flexible timeframe.

           COMMENTS  :  

           Need for the bill  :  According to the Centers for Disease Control  
          (CDC), obesity rates among children and adolescents have almost  








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          tripled since 1980.  Approximately 17%, or 12.5 million children  
          and adolescents nationwide, two to 19 years of age, are  
          considered obese.  Further, it is estimated that one in three  
          children are obese or considered overweight by their fifth  
          birthday.  
          The health risks of obesity in young children are substantial,  
          which places their overall health at greater risk.  Obesity can  
          lead to Type 2 diabetes, hypertension, sleep apnea, and other  
          adverse health conditions.  Longitudinal studies have also  
          demonstrated that eating habits learned at an early age are more  
          likely to be practiced throughout a person's lifetime.   

          Current law allows the California Department of Social Services  
          (DSS) to utilize existing federal Dietary Guidelines for  
          Americans, developed by the HHS and USDA.  It additionally  
          permits DSS to include childhood nutrition in its training  
          regimen for child care agencies.  However, because the training  
          is permitted but not required, there is no assurance that  
          licensed child care agencies have knowledge of or are providing  
          good quality and healthy, nutritious meals to the children they  
          serve. 

          This bill would add one hour of specific childhood nutrition  
          training to the state's existing 15-hour training requirement  
          for licensure under the CDCFA.  Although all Title 5 of the  
          California Code of Regulations (CCR) programs must already  
          provide nutritional standards development opportunities in order  
          to meet their childhood nutritional requirements, it is unknown  
          whether some or all CCR, Title 22 programs do the same. 

          This measure is a follow-up to AB 1872 (Alejo) from 2012, which  
          passed the Legislature but was vetoed by the Governor.   
          According to the Governor, he vetoed AB 1872 because:

               The bill would require family child care homes to  
               serve food in conformance with the federal Child and  
               Adult Care Food Program, which offers reimbursement  
               for meals that meet certain criteria.

               I can support a measure that helps family child care  
               providers learn about nutrition and serve healthier  
               foods at a lower cost, but this bill goes beyond that.  
                Small businesses such as family day care providers  
               don't need another confusing mandate that adds to  
               their struggles to stay afloat.








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          By limiting this measure to adding one hour of training related  
          to childhood nutrition, it appears to be responsive to the  
          Governor's message to help "family child care providers learn  
          about nutrition and serve healthier foods at a lower cost? "


           Analysis Prepared by  :    Chris Reefe / HUM. S. / (916) 319-2089 


          FN:  
          0002530