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 SB 949 Page 2 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. SB 949 Page 3 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 SB 949 Page 4 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 | | SB 949 Page 5 | | |(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). SB 949 Page 6 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 SB 949 Page 7 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 SB 949 Page 8 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 SB 949 Page 9 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