BILL ANALYSIS                                                                                                                                                                                                    Ó






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

          BILL NO:       SB 667
          AUTHOR:        Roth
          AMENDED:       April 1, 2013
          HEARING DATE:  April 17, 2013
          CONSULTANT:    Robinson-Taylor

           SUBJECT  :  Healthy eating program.
           
          SUMMARY  :  Requires the California Department of Public Health  
          (DPH) to establish a healthy eating program, as specified, to  
          promote public awareness of the need to eat healthy.  Specifies  
          that this bill does not prohibit contributions to the healthy  
          eating program by certain marketing orders issued by the  
          California Department of Food and Agriculture (DFA).

          Existing law:
          1.Establishes DPH to protect and improve the health of  
            communities through education, promotion of healthy  
            lifestyles, and research for disease and injury prevention.

          2.Requires DPH to establish and implement the Five-A-Day - For  
            Better Health! (Five-A-Day) program to promote public  
            awareness of the need to eat more fruits and vegetables in  
            order to improve health and prevent major chronic diseases.

          3.Establishes DFA to protect and promote California agriculture.

          4.Authorizes the DFA to provide administrative direction and  
            oversight for marketing programs for agricultural commodities  
            including the promotion, advertising, education, production  
            research, quality standards and inspection of those  
            commodities.
          
          This bill:
          1.Requires DPH to establish and implement a healthy eating  
            program, based on the state Five-A-Day program, the United  
            States Department of Agriculture's (USDA's) MyPlate food icon,  
            or other similar healthy eating campaign programs for the  
            purpose of promoting public awareness of the need to eat  
            healthy and increase consumption of fruits and vegetables as  
            part of a low-fat, high-fiber diet in order to improve health  
            and prevent major chronic diseases, including diet-related  
            cancers.
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          2.Requires DPH to implement these healthy eating programs to the  
            extent funds are available through public and private sources,  
            including application for public and private grants.

          3.Permits DPH to receive contributions to these healthy eating  
            programs through the marketing orders issued by DFA.

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

           

          COMMENTS  : 
           1.Author's statement.  This bill clarifies California code to  
            allow for the greatest flexibility for DPH to promote healthy  
            eating. Current statutes reference an outdated program.  This  
            bill allows for new programs to be created at the federal  
            level without the need for further amendments to the  
            California code.

          2.State programs to promote healthy eating.  DPH currently has  
            several programs that promote healthy eating.  The goal of  
            DPH's Nutrition Education and Obesity Prevention Branch (NEOP)  
            is to foster collaborative partnerships that engage  
            Californians, especially low-income families, to create  
            environments that encourage healthy eating and physical  
            activity and thus reduce obesity and chronic diseases and  
            improve overall health. NEOP is currently operating several  
            major healthy eating initiatives including, but not limited  
            to, the following: 
               a.      California Obesity Prevention Program - A  
                 federally-funded program that addresses environmental and  
                 policy change strategies related to six target areas of  
                 the California Obesity Prevention Plan including:  
                 increasing fruit and vegetable consumption, physical  
                 activity, and breastfeeding while decreasing consumption  
                 of energy dense foods, sugar sweetened beverages, and  
                 television viewing.  
               b.     Network for a Healthy California (Network) - A  
                 statewide social marketing initiative funded through the  
                 USDA's Supplemental Nutrition Assistance Program.  The  
                 Network is the largest and most diverse nutrition and  
                 physical activity initiative in the country and creates  
                 partnerships to empower low-income Californians to  
                 increase fruit and vegetable consumption, physical  




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                 activity, and food security with the goal of preventing  
                 obesity and other chronic diseases.
               c.     California Project LEAN - A conglomeration of  
                 programs that advance nutrition and physical activity  
                 policy in schools and communities in order to prevent  
                 obesity and its associated chronic diseases.  Efforts  
                 center around youth and parent empowerment approaches,  
                 policy and environmental change strategies, and  
                 community-based solutions that improve nutrition and  
                 physical activity environments.

            DPH and DFA also currently collaborate to increase access to  
            healthy food options through such efforts as the California  
            Women, Infants and Children (WIC) Farmer's Market Nutrition  
            Program.  DPH, DFA and the California Department of Education  
            have recently started efforts to create a statewide  
            Farm-to-Fork Office that will connect farmers directly with  
            school districts and non-profit organizations as a way to  
            bring fresh, healthy produce into school lunches.
             
          3.Five-A-Day and MyPlate food icon programs.  Established by DPH  
            in 1988, the Five-A-Day campaign program became a national  
            social marketing initiative that was modeled across the  
            country. Originally funded by the National Cancer Institute,  
            over the program's 19-year tenure funds were obtained from,  
            DFA, the USDA, the Centers for Disease Control and Prevention  
            Block Grant, and the California Endowment.  The goal of the  
            program was to empower Californians to eat five to nine  
            servings of fruit and vegetables and get at least 30 minutes  
            of physical activity a day by creating environments where  
            these behaviors are socially supported and easy to adopt.   
            According to DPH, the Five-A-Day program was rebranded and  
            became the Network when the federal Dietary Guidelines for  
            Americans was updated in 2005 to include an increased  
            recommendation for daily intake of fruits and vegetables. 

          MyPlate is a new generation icon created by USDA with the intent  
            to prompt consumers to think about building a healthy plate at  
            meal times and emphasizes the fruit, vegetable, grains,  
            protein and dairy food groups consistent with the 2010 Dietary  
            Guidelines for America.  According to USDA, MyPlate was  
            developed as a result of a 2010 report of the White House  
            Childhood Obesity Task Force.  The report challenged USDA to  
            design a new symbol - something simpler and more direct than  
            the Food Pyramid - to inspire consumers to make healthier  




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            choices.  According to DPH, all federally-funded nutrition  
            programs in California already use MyPlate imagery including  
            the California Women, Infants and Children's program and the  
            Network.

          4.DFA Marketing Orders.  Under the general enabling authority  
            provided in the California Marketing Act of 1937 and  
            implemented through rules and regulations of DFA, marketing  
            orders are essentially advisory boards to DFA that govern the  
            promotion, advertising, education, production research,  
            quality standards and inspection of individual California  
            commodities.  Made up of agricultural producers and handlers  
            nominated by their industry peers, the board members work  
            together to maintain and expand both domestic and  
            international markets for California commodities including,  
            but not limited to, agricultural, viticultural (including  
            wine), fish or seafood, honey and milk. Marketing orders raise  
            money for their administration and activities through levying  
            and collecting assessments from commodity producers and  
            handlers based on a percentage of the gross volume of sales of  
            their particular commodity.  All marketing order decisions are  
            subject to the approval of DFA.  
          
          5.Related legislation.  SB 464 (Jackson) enacts the Healthy  
            Eating and Physical Activity Act which establishes nutrition  
            and physical education standards for early childhood education  
            programs, infant care programs and afterschool programs.  SB  
            464 is scheduled to be heard by the Senate Education Committee  
            on April 17, 2013.

          1.Prior legislation.  SB 1360 (Committee on Health and Human  
            Services) Chapter 415, Statutes of 1995, requires DPH to  
            establish and implement the Five-A-Day - For Better Health!  
            (Five-A-Day) program to promote public awareness of the need  
            to eat more fruits and vegetables in order to improve health  
            and prevent major chronic diseases.
          
          1.Support.  The California Grocers Association (CGA), a  
            statewide trade association representing the food industry,  
            writes in support that they are an active supporter of  
            programs promoting healthy eating.  CGA maintains that  
            authorizing DFA marketing orders to partner with DPH will only  
            enhance the state's ability to promote healthy eating.

          2.Policy Comment.  According to DPH, it does not need additional  
            statutory authority to institute healthy eating programs nor  




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            is there anything currently prohibiting DPH from receiving  
            contributions from marketing orders under DFA, therefore the  
            need for this bill is unclear. 
          
           SUPPORT AND OPPOSITION  :
          Support:  California Grocers Association

          Oppose:   None on file.

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