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. Continued--- SB 667 | Page 2 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 Current statutes reference an outdated program.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 SB 667 | Page 3 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 SB 667 | Page 4 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 SB 667 | Page 5 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. -- END --