BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 949
                                                                  Page  1

          Date of Hearing:   June 24, 2014

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                     SB 949 (Jackson) - As Amended:  May 7, 2014

           SENATE VOTE  :  36-0
           
          SUBJECT  :  Nutrition: Distinguished After School Health  
          Recognition Program.

           SUMMARY  :  Establishes the Distinguished After School Health  
          (DASH) Recognition Program, to be administered by the California  
          Department of Public Health (DPH), in consultation with the  
          California Department of Education (CDE) and develops a  
          self-certification process for after school programs.  
          Specifically,  this bill  :   

          1)Establishes the DASH Program, to be administered by DPH in  
            consultation with CDE, as appropriate.

          2)Requires DPH to develop a process administered on its Internet  
            Website for an after school program to self-certify that it  
            meets the criteria of the DASH Program.

          3)Defines an after-school program as the After School Education  
            and Safety Program (ASES), the 21st Century High School After  
            School Safety and Enrichment for Teens (High School ASSETs)  
            Program, and other qualified out-of-school time and licensed  
            childcare programs, as specified, that are outside of regular  
            school hours, including before school and on weekends;

          4)Requires DASH Program participants to meet the following  
            requirements:

             a)   Requires each staff member to received training on the  
               importance of modeling healthy eating and physical  
               activity;

             b)   Requires the program to provide regular and ongoing  
               nutrition education to each program attendee to help in  
               developing and practicing healthy habits;

             c)   Requires the program ensure that each attendee  
               participates daily in an average of 30 to 60 minutes of  








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               moderate to vigorous physical activity;

             d)   Requires screen time, as defined, to be limited during  
               program hours and only allowed in connection with homework  
               or an activity that engages attendees in a physical  
               activity or an educational experience;

             e)   Requires healthy foods, including, but not limited to,  
               fruits and vegetables, without added sugar, to be served to  
               attendees as snacks daily.  Prohibits fried foods, candy,  
               or foods that are primarily sugar-based or high in sodium  
               and that include trans-fats from being served to attendees  
               or consumed by staff during program hours.  Requires snacks  
               or meals provided pursuant to the ASES, High School ASSETs,  
               and the Child and Adult Care Food (CACF) Program meal  
               guidelines to be deemed to meet this standard;

             f)   Program attendees shall be served water, low-fat or  
               nonfat milk, or 100% fruit juice, with a preference for  
               water.  Milk and fruit juices shall not be served in  
               quantities exceeding eight ounces per day.  Sugar-sweetened  
               beverages shall not be served to program attendees or  
               consumed by staff while at the program site;

             g)   If located on a school site, the program communicates  
               with the school regarding nutrition education and physical  
               activity, as appropriate, to provide attendees with a  
               complete educational experience;

             h)   The program has implemented an educational program for  
               parents of attendees that provides them with nutrition and  
               physical activity information relevant to the after-school  
               program and the health of their children; and, 

             i)   Information about the implementation of the requirements  
               is available for review by a parent both at the physical  
               location of the program and on the program's Internet  
               website, if there is one.
           
          EXISTING LAW  

          1)Provides for a comprehensive, coordinated, and cost-effective  
            system of child care and development services for children  
            from infancy to 13 years of age and their patents.









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          2)Provides for the licensure and regulation of various types of  
            child care facilities, including day care centers, by the  
            Department of Social Services.

          3)Establishes the California Nutrition Monitoring Development  
            Act to determine the availability and types of nutrition  
            monitoring information currently available in specified  
            federal, state, and local government programs.

          4)Requires DPH to assess the availability and adequacy of  
            existing state and local food and nutrition data systems and  
            to require other state entities to provide existing  
            nutrition-related data. 

          5)Establishes the "5 A Day - For Better Health" program in DPH,  
            to the extent funds are available, for the purpose of  
            promoting public awareness of the need to increase the  
            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. 

          6)Allows the promotion of the "5 A Day - For Better Health"  
            program to the public through channels including, but not  
            limited to, print and electronic media, retail, grocers,  
            schools, and other government programs, specifically to the  
            general adult population, adults with lower educational  
            attainment, school-age children and youth, and high-risk  
            groups determined by DPH.

           FISCAL EFFECT  :   According to the Senate Appropriations  
          Committee, this bill has likely one-time costs up to $150,000 to  
          develop program procedures and regulations by DPH, likely  
          one-time costs up to $160,000 to develop a website and the  
          underlying information technology infrastructure to allow  
          programs to track certifications and minor ongoing costs for  
          program oversight and maintenance. 
           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, poor nutrition  
            and lack of physical activity have caused a dramatic rise in  
            childhood obesity in our state and nationwide.  After school  
            programs have a responsibility to provide nutritious, healthy  
            foods and adequate amounts of physical activity to their  
            program participants.  Unfortunately, there is no incentive  
            for out-of-school time or after school programs to provide  








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            these healthy foods and physical activity.  The author states  
            that it is not uncommon for after school programs to provide  
            sugary drinks, junk food, and relegate their program  
            participants to watching TV, remaining sedentary, or without  
            access to outside play. The author believes that after school  
            program providers are critical in improving children's eating  
            and physical activity habits and should be encouraged and  
            recognized for providing excellent nutrition and physical  
            activity in their programs.  The DASH program and out of  
            school time programs incentives providers to meet the healthy  
            standards parents are looking for their children.

           2)BACKGROUND  .  All snacks provided to students attending ASES  
            programs or federally funded 21st Century Community Learning  
            Centers (21st CCLC) programs must meet, at a minimum, the  
            California school nutrition standards described below.  If the  
            snacks are provided through one of the federally reimbursable  
            snack programs, the snack must meet both the federal  
            requirements and the California nutrition standards.  After  
            school programs that choose to provide meals (reimbursed by  
            the federal Child and Adult Care Food Program) must meet  
            standards established by the United States Department of  
            Agriculture. 


             -------------------------------------------------------------- 
            |       |Federal      |CA Nutrition Standards   |This bill     |
            |       |Standards    |(Ed Code 49431)          |              |
            |-------+-------------+-------------------------+--------------|
            |Beverag|100% fruit   |Fruit based or vegetable |Water, milk,  |
            |es     |juice(8oz)   |based drinks composed of |and fruit     |
            |       |100%         |at least 50% fruit or    |juices that   |
            |       |vegetable(8oz|vegetable juice,         |are less than |
            |       |)            |drinking water, low-fat  |8 oz without  |
            |       |Milk (8oz)   |or nonfat milk           |added sugar   |
            |-------+-------------+-------------------------+--------------|
            |Prohibi|Grains or    |Foods that have:         |Fried foods,  |
            |ted    |bread        |35% or more calories     |candy, or     |
            |       |products     |from fat                 |primarily     |
            |       |             |10% or more calories     |sugar-based,  |
            |       |             |from saturated fat       |high in       |
            |       |             |35% or more weight from  |sodium, or    |
            |       |             |sugar                    |have trans    |
            |       |             |More than 175 calories   |fat           |
            |       |             |per food item            |              |








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            |       |             |(elementary)             |              |
            |       |             |More than 250 calories   |              |
            |       |             |(middle, high school)    |              |
            |       |             |Deep fried food          |              |
            |       |             |Artificial transfat      |              |
            |-------+-------------+-------------------------+--------------|
            |Allowed|Meat or Meat |Full meals containing    |Fruits and    |
            |       |Alternate    |individual dairy or      |vegetables    |
            |       |             |whole grain food,        |without added |
            |       |             |individual portions of   |sugar         |
            |       |             |nuts, nut butters,       |              |
            |       |             |seeds, eggs, cheese      |              |
            |       |             |packaged for individual  |              |
            |       |             |sale, fruit and          |              |
            |       |             |vegetables that have not |              |
            |       |             |been deep fried, and     |              |
            |       |             |legumes.                 |              |
            |-------+-------------+-------------------------+--------------|
            |Notes  |Snack is two |                         |Snacks        |
            |       |of the       |                         |provided by   |
            |       |above, meal  |                         |ASES, High    |
            |       |is four of   |                         |School        |
            |       |the above    |                         |ASSETS,       |
            |       |             |                         |CACFP, meet   |
            |       |             |                         |this standard |
             -------------------------------------------------------------- 

             a)   Voluntary.  The California Education Code is permissive;  
               therefore, after school programs are currently authorized  
               to exceed nutrition and physical activity standards and  
               create a certificate of recognition.  This bill requires  
               DPH to develop a certificate template, develop a process  
               for an after school program to self-certify on DPH's  
               website, and maintain and update a list of after school  
               programs that self-certify and post that list on its  
               website.  This bill does not require DPH to actually issue  
               the certificates; after school programs would "issue" their  
               own certificates, whether or not the DPH template is used. 

             b)   After School Program Funding.  In California, state and  
               federally funded expanded learning programs serve  
               approximately 420,000 students in nearly 4,500 programs  
               across the state. California receives $120 million in  
               federal funds for 21st CCLC programs.  ASES, a state funded  
               program receives $550 million from Proposition 49 (2002).   








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               Proposition 49 increased state grant funds available for  
               before/after school programs, providing tutoring, homework  
               assistance, and educational enrichment.  Proposition 49  
               required that, beginning 2004-05, new grants will not be  
               taken from education funds guaranteed by Proposition 98,  
               which requires a minimum percentage of the state budget to  
               be spent on K-12 education, and resulted in additional  
               annual state costs for before and after school programs of  
               up to $455 million, beginning in 2004-05.

           3)SUPPORT  .  The sponsor and other supporters of the bill argue  
            that SB 949 encourages after-school program operators to  
            provide healthy foods, snacks and beverages, physical  
            activity, limited screen time, healthy living standards, and  
            educational programs to improve the health and well-being of  
            California's 1.5 million children who attend these programs.  
            The sponsors also note that more than 4,400 publicly funded  
            after-school programs exist in the state, which serve more  
            than 450,000 low-income K-12 students.

            The Association of California Healthcare Districts writes in  
            support that efforts to promote healthy eating, after-school  
            programs, and physical activity for children result in a  
            healthier community overall and support innovative methods in  
            creating a healthy community.

            The California Food Policy Advocates (CFPA) writes in support  
            that the DASH Recognition Program would include evidence-based  
            standards, which CFPA believes should be encouraged and  
            incorporated in all after-school programming that serves  
            low-income children. 

           4)RELATED LEGISLATION  .  

             a)   AB 626 (Skinner and Lowenthal), Chapter 706, Statutes of  
               2013, made numerous changes to law related to school  
               nutrition, mostly to conform to the federal Healthy,  
               Hunger-Free Kids Act of 2010.

             b)   SB 464 (Jackson) of 2013 would have established the  
               Healthy Eating and Physical Activity Act within the Child  
               Care and Development Services Act (CCDSA) to establish  
               standards for nutrition and physical activity for early  
               childhood education programs, infant care programs, and  
               after-school programs conducted under the CCDSA.  SB 464  








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               would have expressed legislative intent to encourage all  
               child care providers to implement educational programs for  
               parents to provide their children with physical activity  
               and nutritional information relevant to the health of their  
               children.  SB 464 was held in the Senate Education  
               Committee without being heard.

             c)   AB 1178 (Bocanegra) of 2013 would have established the  
               California Promise Neighborhood Initiative to provide  
               funding to schools that have formalized partnerships with  
               local agencies and community organizations to provide a  
               network of services to improve the health, safety,  
               education, and economic development of a defined area.  AB  
               1178 was held on the suspense file in the Assembly  
               Appropriations Committee.

             d)   AB 70 (Monning) of 2011 would have allowed DPH to apply,  
               in conjunction with another eligible applicant as  
               specified, for federal community transformation grants  
               under the Patient Protection and Affordable Care Act and  
               the Healthy, Hunger-Free Kids Act of 2010, as specified.   
               AB 70 failed in the Senate Health Committee without being  
               heard.

           5)PREVIOUS LEGISLATION  .  AB 627 (Brownley) of 2009 would have  
            required the Superintendent of Public Instruction to establish  
            a pilot program under which licensed child care centers and  
            child day care homes selected by CDE that participate in the  
            federal CACF Program would implement certain nutrition and  
            physical activity standards in exchange for a higher state  
            meal reimbursement. AB 627 was vetoed by the Governor, who  
            vetoed the bill, stating that the bill would create pressure  
            to add Proposition 98 General Fund resources to the Child and  
            Adult Care Food program when funding for so many other  
            education programs has been cut.  It is simply not possible to  
            initiate a new program in a fiscal environment such as this.
             
           6)POLICY COMMENTS  .  Currently, this bill requires DPH to  
            maintain an online recognition program that is self-certified,  
            and explicitly provide on any printed certificates that none  
            of the provisions in this bill have been verified by DPH.   
            While the amendments were proposed to minimize cost and  
            workload for DPH, by placing these programs on a website  
            managed by a state agency, there is an assumption of  
            legitimacy.  The state has a responsibility to ensure that any  








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            programs promoted on a website as an after-school program or  
            other qualified out-of-school time and licensed childcare  
            programs are in fact valid programs that meet the provisions  
            of this bill. The Committee may want to amend the bill to  
            require DPH to verify that recognized programs meet the  
            provisions of this bill.

           7)RECOMMENDED AMENDMENTS  .

             a)   On page 3, strike lines 25 through 27, inclusive, and  
               insert, "The department shall develop a process, to be  
               administered on its Internet Web site, for an after school  
               program to be recognized as an after school program that  
               meets the requirements of this article, and shall include  
               resources and links that an after school program may  
               utilize to meet the requirements of this article."

             b)   On page 5, line 18, strike "self-certify on the  
               department's Internet Web site," and insert "verify with  
               the department"

             c)   On page 5, strike "A" on line 20 and lines 21 through  
               23, inclusive.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          California State Association of YMCAs (sponsor)
          Association of California Healthcare Districts
          American Academy of Pediatrics, Northern California
          American Academy of Pediatrics, Greater Los Angeles
          American Academy of Pediatrics, San Diego
          American Academy of Pediatrics, Orange County
          American Federation of State, County and Municipal Employees
          A World Fit for Kids
          California Academy of Physician Assistants
          California Center for Public Health Advocacy
          California Collaboration for Youth
          California Food Policy Advocates
          California Primary Care Association
          California School Employees Association
          California School Nutrition Association
          California State Parent-Teacher Association
          Camp Pendleton Armed Services YMCA








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          Center for Collaborative Solutions
          EcoFarm
          Junior Leagues of California State Public Affairs Committee
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Paula Villescaz / HEALTH / (916)  
          319-2097