BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  SB 1000
          Author:   Monning (D), et al.
          Amended:  5/27/14
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  5-2, 4/9/14
          AYES:  Beall, DeSaulnier, Evans, Monning, Wolk
          NOES:  Anderson, Nielsen
          NO VOTE RECORDED:  Hernandez, De León

           SENATE APPROPRIATIONS COMMITTEE  :  5-2, 5/23/14
          AYES:  De León, Hill, Lara, Padilla, Steinberg
          NOES:  Walters, Gaines


           SUBJECT  :    Public health:  sugar-sweetened beverages:  safety  
          warnings

           SOURCE  :     California Black Health Network
                      California Center for Public Health Advocacy
                      California Medical Association
                      Latino Coalition for a Healthy California


           DIGEST  :    This bill establishes the Sugar-Sweetened Beverages  
          Safety Warning Act (SSBSWA), to be administered by the  
          Department of Public Health (DPH), and requires a safety warning  
          on all sealed sugar-sweetened beverage (SSB) containers;  
          multipacks of sealed containers; packages of concentrates, as  
          defined; vending machines; and self-serve beverage dispensing  
          machines.  Requires the safety warning to be affixed to beverage  
          containers, as specified, if the safety warning is not printed  
                                                                CONTINUED





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          directly on the container.  Requires the label to be posted in a  
          place that is easily visible at the point-of-purchase of an  
          establishment where a beverage dispensing machine is not  
          self-serve.  

           ANALYSIS  :    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.Establishes the Sherman Food, Drug, and Cosmetic Law (Sherman  
            Act), which is administered by DPH, to regulate the contents,  
            packaging, labeling, and advertising of food, drugs, and  
            cosmetics in California. 

          3.Allows DPH, upon the request of a health officer, to authorize  
            the local health department of a city, county, city and  
            county, or local health district to enforce the provisions of  
            the Sherman Act and its regulations that pertain to retail  
            food establishments, as defined, if DPH determines that the  
            local health department has sufficient personnel with adequate  
            training to do so, and requires that the enforcement be  
            limited to the area under the jurisdiction of the local health  
            department.

          This bill:

          1.Establishes the SSBSWA whereby a person, as defined, is  
            prohibited from distributing, selling, or offering for sale in  
            the state SSBs in a sealed beverage container; in a multipack  
            of sealed beverage containers; in concentrate form, as  
            defined; on the premises where a vending machine or beverage  
            dispensing machine, as defined, is located and where SSBs are  
            sold in unsealed beverage containers unless the container  
            bears a safety warning, as specified, or the  safety warning  
            is posted on the premises, as specified, and otherwise meets  
            all the requirements, as specified. 

          2.Defines "sugar-sweetened beverage" as any sweetened  
            non-alcoholic beverage, carbonated or non-carbonated, sold for  
            human consumption that has added caloric sweeteners and  
            contains 75 calories or more per 12 fluid ounces. Specifies  
            that SSBs do not include any beverage containing 100% natural  







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            fruit juice or natural vegetable juice with no added caloric  
            sweeteners; any liquid product commonly referred to as a  
            dietary aid; any product for consumption by infants and that  
            is commonly referred to as infant formula; or any beverage  
            whose principal ingredient by weight is natural liquid milk.

          3.Defines "non-alcoholic beverage" as any beverage that contains  
            less than one-half of one percent alcohol per volume.  Defines  
            "caloric sweetener" as any substance containing calories,  
            suitable for human consumption, that humans perceive as sweet  
            and includes, without limitation, sucrose, fructose, glucose,  
            and other sugars and fruit juice concentrates. Defines  
            "caloric" as a substance that adds calories to the diet of a  
            person who consumes that substance.

          4.Requires the safety warning to read "STATE OF CALIFORNIA  
            SAFETY WARNING:  Drinking beverages with added sugar(s)  
            contributes to obesity, diabetes, and tooth decay" on the  
            front of SSB sealed beverage containers, separate and apart  
            from all other information, on a contrasting background, and  
            entirely in bold type. Requires the safety warning to be  
            affixed to an SSB beverage container in a manner that it  
            cannot be removed without thorough application of water or  
            other solvents if the warning is not printed directly on a  
            sealed container.  Requires the warning to be placed on a  
            vending machine and on a self-serve beverage dispensing  
            machine.  Requires the safety warning to be posted at the  
            point-of-purchase if a beverage dispensing machine is not  
            self-serve.

          5.Beginning July 1, 2015, any violation of the SSBSWA is  
            punishable by a civil penalty of not less than $50 but no  
            greater than $500. Specifies that a person is not to be found  
            in violation of the SSBSWA more than once during any one  
            inspection visit.

          6.Creates, in the State Treasurer's Office, the Sugar-Sweetened  
            Beverages Safety Warning Fund consisting of moneys collected  
            for the violation of the SSBSWA, which is to be appropriated  
            by the Legislature for allocation to local enforcement  
            agencies for the purpose of enforcing the SSBSWA.

          7.Allows DPH to adopt regulations to develop new language for  
            the safety warning, if necessary.







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          8.Specifies that the provisions of the SSBSWA are severable and  
            that any provision or its application that is held invalid  
            cannot affect other provisions or applications that can be  
            given effect without the invalid provisions or applications.

           Background
           
          According to the U.S. Department of Agriculture, in 2009,  
          Americans consumed 13.8 billion gallons of SSBs, which equates  
          to nearly 45 gallons per capita annually of SSBs with added  
          caloric sweeteners. According to the UCLA Center for Health  
          Policy Research, in California, 62% of adolescents ages 12-17  
          and 41% of children ages 2-11 drink at least one SSB every day.   
          In addition, 24% of adults drink at least one SSB on an average  
          per day. Adults who drink SSBs occasionally (not every day) are  
          15% more likely to be overweight or obese, and adults who drink  
          one or more SSBs per day are 27% more likely to be overweight or  
          obese than adults who do not.  According to a report produced by  
          the Robert Wood Johnson Scholar's Program, SSBs were the single  
          largest contributor to energy intake during the last decade, and  
          SSB consumption has increased by almost 500% during the past 50  
          years.
          
           Prior Legislation
           
          SB 622 (Monning, 2013) would have enacted the Sweetened Beverage  
          Tax Law, which imposed a one-cent per fluid ounce tax on any  
          beverage that adds caloric sweeteners, such as sodas, energy  
          drinks, sweet teas, and sports drinks.  SB 622 would have  
          required funds generated by the Sweetened Beverage Tax to be  
          directed to the newly created Children's Health Promotion Fund  
          and allocated to statewide childhood obesity prevention  
          activities and programs.  SB 622 was held under submission in  
          the Senate Appropriations Committee.
          
          AB 669 (Monning, 2011) was SB 622's predecessor.  AB 669 was  
          held in the Assembly Revenue and Taxation Committee.

          AB 2100 (Coto, 2010) would have imposed a one cent tax per  
          teaspoon of added sweetener in a bottled sweetened beverage or  
          in a sweetened concentrate. AB 2100 was held in the Assembly  
          Revenue and Taxation Committee. 








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          SB 1210 (Florez, 2010) was a measure similar to SB 622.  SB 1210  
          was placed on the former Senate Revenue and Taxation Committee's  
          suspense file. 

          SB 1520 (Ortiz, 2002) would have imposed an excise tax upon  
          every distributor, manufacturer, or wholesale dealer at a rate  
          of $2 per gallon of soft drink syrup or simple syrup and $0.21  
          per gallon of bottled soft drinks, and $0.21 per gallon of soft  
          drink that may be produced from powder, that is sold in this  
          state.  The soda tax provisions were removed from the April 29,  
          2002, version of the bill. 

          AB 105 (Moore, 1983) would have imposed an excise tax on the  
          distribution of non-alcoholic carbonated beverages, except  
          carbonated water and carbonated fruit juice, at the rate of  
          $0.07 per gallon.  The provisions of that bill also included an  
          excise tax on the distribution of non-alcoholic carbonated  
          beverage syrup at the rate of $0.50 per gallon of liquid syrup.   
          This bill died in the Assembly Revenue and Taxation Committee.
          
           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

          According to the Senate Appropriations Committee:

              One-time costs likely between $150,000 and $300,000 to  
              develop and adopt regulations to implement the bill (General  
              Fund).  DPH indicates that the language of the bill is  
              specific enough that it will not necessarily require  
              implementing regulations to clarify terms or set forth  
              compliance requirements.  In addition, the existing  
              regulations that allow the DPH to delegate authority for  
              enforcement of portions of the Sherman Act to local agencies  
              do not include the new sections added to the Health and  
              Safety Code by this bill.  

              Ongoing costs of about $400,000 per year for DPH to enforce  
              labelling and public notice requirements (General Fund).   
              Under current law, DPH enforces requirements of the Sherman  
              Food, Drug, and Cosmetic Law at food processing and  
              distribution sites.  DPH indicates it could enforce the  
              provisions of this bill at those sites using existing  
              resources.  However, the bill also requires enforcement at a  
              very large number of retail food sale sites. Under current  







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              practice, the DPH does not inspect or enforce food safety  
              laws at retail sites.  Because local environmental health  
              officers do not generally have the legal infrastructure to  
              impose civil penalties, DPH will likely need to respond to  
              complaints, conduct spot inspections, and assess civil  
              penalties for violations of the bill's requirements.  To the  
              extent that local environmental health officers opt to  
              enforce the bill's provisions at retail food facilities, the  
              costs for DPH to conduct spot checks at such facilities will  
              be reduced.

              Unknown impacts on state agencies that own or operate  
              cafeterias, vending machines, or other retail sales  
              locations (various funds).  To the extent that state  
              agencies will be subject to the regulatory requirements of  
              the bill, there could be administrative costs to comply.   
              For example, the requirement to maintain records of sales of  
              covered beverages could impose additional administrative  
              costs.  It is not clear, however, the extent to which state  
              agencies will be regulated under the bill.  Typically, state  
              agencies that host food facilities contract out for those  
              services.  In those cases, the costs of compliance should  
              generally be a responsibility of the vendor.  If the costs  
              of compliance are large, a vendor could seek to pass those  
              costs along to customers and/or to the contracting state  
              agency.  The bill also requires that owner of premises where  
              covered beverages are sold or dispensed are obligated to  
              comply with the bill's requirements.  Even if state agencies  
              contract out for services that sell covered benefits, there  
              could be some administrative cost to ensure that vendors are  
              complying with the law. 

              Unknown potential savings to state health programs (various  
              funds).  Obesity-related health conditions, such as  
              diabetes, heart disease, and other conditions are a major  
              driver of health care costs in the United States.  There is  
              a clear association between the increased consumption of  
              high-calorie, sugar-sweetened beverages and the rise of  
              obesity in the United States over the last several decades.   
              If this bill is successful in reducing the consumption of  
              sugar-sweetened beverages (and consumers do not switch to  
              other high-sugar beverages not covered by the bill), there  
              will likely be some long-run reduction in overweight and  
              obesity rates.  The extent of this impact is unknown.  To  







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              the extent that the bill is able to reduce overweight and  
              obesity rates in the state, there are likely to be  
              corresponding reductions in spending by state health  
              programs, such as Medi-Cal and CalPERS health care programs.


           SUPPORT  :   (Verified  5/28/14)

          California Black Health Network (co-source) 
          California Center for Public Health Advocacy (co-source) 
          California Medical Association (co-source)  
          Latino Coalition for a Healthy California (co-source) 
          A World Fit For Kids!
          Alameda County
          Alameda County Public Health Commission
          Alameda County Public Health Department
          AltaMed Health Services
          American Academy of Pediatrics, California
          American Association of Clinical Endocrinologists
          American Cancer Society Cancer Action Network
          American Federation of State, County and Municipal Employees,  
          AFL-CIO
          American Heart Association
          Asian Pacific Islander Obesity Prevention Alliance
          Asian & Pacific Islander American Health Forum
          Berkeley Media Studies Group
          Bike San Gabriel Valley
          Blue Shield of California
          California Academy of Family Physicians
          California Academy of Physician Assistants
          California Association for Health, Physical Education,  
          Recreation and Dance
          California Association of Environmental Health Administrators
          California Children's Hospital Association
          California Chiropractic Association
          California Conference of Local Health Department Nutritionists
          California Convergence
          California Dental Association
          California Dietetic Association
          California Food Policy Advocates
          California Optometric Association
          California Pan-Ethnic Health Network
          California Park & Recreation Society
          California Primary Care Association







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          California Public Health Association - North
          California Rural Legal Assistance Foundation
          California School-Based Health Alliance
          California State Alliance of YMCAs
          California WIC Association
          Center for Collaborative Solutions
          Center for Ecoliteracy
          Center for Science in the Public Interest
          Central California Alliance for Health
          Central CA Regional Obesity PreventionProgram
          ChangeLab Solutions
          Children's Hospital Oakland
          City of Berkeley
          City of Carson
          City of Santa Ana
          Community Health Improvement Partners
          Congress of California Seniors
          Consumer Federation of California
          Courage Campaign
          Day One
          Dignity Health
          Ecology Center
          FAME Corporations
          First 5 Alameda County
          First 5 Association of California
          First 5 California
          First 5 LA
          First 5 Santa Clara County
          Greenlining Institute
          Guam Communications Network
          Having Our Say Coalition
          Health Education Council
          Health Improvement Partnership of Santa Cruz
          Health Officers Association of California
          Healthy & Active Before 5
          Libreria Del Pueblo, Inc.
          Los Angeles Trust for Children's Health
          Lucile Packard Children's Hospital Stanford
          Network of Ethnic Physicians
          Orfalea Foundation
          Pacific Islander Cancer Survivors Network
          Pacoima Beautiful
          Pajaro Valley Community Health Trust
          Partners for Fit Youth







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          Philippine Medical Society of Northern California
          Public Health Institute
          San Diego County Childhood Obesity Initiative
          San Diego Hunger Coalition
          San Francisco County and City
          San Mateo County
          Santa Clara County
          Santa Cruz County
          Santa Cruz County Child Care Planning Council
          Santa Cruz County Children's Network
          SF Bay Area Physicians for Social Responsibility
          Shape Up San Francisco Coalition
          Southern CA Public Health Association
          Strategic Alliance for Healthy Food and Activity Environments
          Street Level Health Project
          Vision y Compromiso
          Worksite Wellness LA

           OPPOSITION  :    (Verified  5/28/14)

          Asian Business Association
          California Asian Pacific Chamber of Commerce
          California Automatic Vendors Council
          California Chamber of Commerce
          California Grocers Association
          California Hotel & Lodging Association
          California League of Food Processors
          California Independent Oil Marketers Association
          California Manufacturers & Technology Association
          California Nevada Soft Drink Association
          California Restaurant Association
          California Retailers Association
          California Service Station & Auto Repair Association
          California Teamsters Public Affairs Council
          Grocery Manufacturers Association
          International Franchise Association
          The Latino Coalition
          Los Angeles County Business Federation
          National Association of Theatre Owners of CA/NV
          Neighborhood Market Association
          Simi Valley Chamber of Commerce
          San Jose Silicon Valley Chamber of Commerce
          
           ARGUMENTS IN SUPPORT  :    According to the author, California is  







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          in the midst of an obesity and diabetes epidemic that is  
          wreaking havoc on the public's health. Sugary drinks are a major  
          contributor to the problem.  This bill provides information to  
          consumers to make informed choices by requiring warning labels,  
          similar to those on tobacco and alcohol, that explain the proven  
          health risks associated with drinking these beverages.  

          The science is clear and conclusive.  Overwhelming research has  
          unequivocally shown that sugary drinks are major contributors to  
          obesity, diabetes, and tooth decay, which cost California  
          billions of dollars in health care and lost productivity  
          annually.

          Nearly 40% of California children are currently overweight or  
          obese.  Liquid sugar has a unique role in driving today's  
          skyrocketing cases of preventable diabetes. Individuals who  
          drink one or two sugary drinks per day have a 26% higher risk  
          for developing type-2 diabetes and if current trends are not  
          reversed, it is predicted that one in three children, and nearly  
          half of Latino and African American children, born in the year  
          2000 will develop type-2 diabetes in their lifetime.

          Sugary drinks are the biggest contributor of added calories in  
          the American diet and are unique in not providing any  
          nutritional value.

          The sponsors and many other supporters of this bill argue that  
          overweight, obesity, and physical inactivity cost California's  
          economy an estimated $52 billion a year in unforeseen medical  
          expenses and lost productivity.  They further state that  
          research shows that over the past 30 years the average  
          American's daily caloric intake has increased by nearly 300  
          calories, and 43% of those additional calories come from  
          additional soda consumption.
          
          The California Food Policy Advocates states that a recent focus  
          group of CalFresh participants in the Central Valley revealed  
          that while many were generally aware that SSBs are unhealthy,  
          several participants were unclear how SSBs are connected to the  
          rising obesity rates even though there is overwhelming science  
          linking the obesity epidemic to the consumption of soda and  
          other sugary drinks.

          The Center for Science in the Public Interest argues that major  







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          soft drink companies have steadily increased the sizes of  
          popular single-serving containers in order to encourage ever  
          greater consumption.  The Center states that soft drinks have  
          become the most consumed food or beverage in the United States.

           ARGUMENTS IN OPPOSITION  :    The California Teamsters Public  
          Affairs Council writes in opposition of this bill and states  
          that almost any food that is consumed in excessive amounts can  
          have negative health effects.  The Council is concerned that  
          this bill will have a negative effect on employment for its  
          members and states that this bill would likely result in warning  
          labels on everything that can be unhealthy.
          
          A coalition of opponents writes in opposition of this bill  
          arguing that it contains inconsistencies that would be confusing  
          to consumers, such as requiring warning labels on some products  
          but not on others, such as- high calorie milk-based products  
          that are also high in sugar.  They also argue that it does not  
          make sense for the state legislature to mandate additional  
             California labeling when a new, national effort is already going  
          forward, through the FDA's proposal to update nutrition labels  
          for all food and beverage products.  
           

          JL:nl  5/28/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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