AB 1357, as amended, Bloom. Children and Family Health Promotion Program.
Existing law provides various programs that prevent disease and promote health.end delete
This bill would establish the Children and Family Health Promotion Program in the Department of Public Health. This bill would require the program to consist of a competitive grant process in which grants are awarded by the department to counties, cities, nonprofit organizations, community-based organizations, and licensed clinics that seek to invest in childhood obesity and diabetes prevention activities and oral health programs. The bill would authorize the department to award a grant to any entity that will use the grant to support programs that use educational, environmental, policy, and other public health approaches to achieve specified goals.end delete
This bill would require the department to develop an application and application process for the program, and would provide that the program will be funded by moneys appropriated by the Legislature to the department for this purpose.end delete
This bill would make legislative findings and declarations relating to the consumption of sweetened beverages, childhood obesity, and dental disease.end delete
begin deletemajority end delete.
Fiscal committee: yes.
State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares all of the
16(a) Over 2.3 million California adults report having been
17diagnosed with diabetes, representing one out of every 12 adult
18Californians. The vast majority of diabetes cases in California are
19type 2, representing 1.9 million adults.
20(b) According to the California Department of
21diabetes is the seventh leading cause of death in California, and
22determined to be the underlying cause of death in almost 8,000
23people each year. Diabetes may be underreported as a cause of
24death, and is a contributing factor to many deaths from heart
25disease and stroke.
26(c) Adults with type 2 diabetes more often have other health
27problems. One out of every two adults with type 2 diabetes also
28has hypertension. This is two times higher than among those
29without diabetes. Adults with diabetes are also two times more
30likely to have cardiovascular disease than adults without diabetes.
31(d) Hispanics, African Americans, Native Americans, and
32Asian/Pacific Islanders have higher prevalence of type 2 diabetes
33than non-Hispanic Whites. Hispanics and African Americans have
34two times higher prevalence: 7 percent of non-Hispanic Whites
35have type 2 diabetes, compared with 12 percent of Latinos, 9
36percent of Asian Americans, 14 percent of Pacific Islander
37Americans, 13 percent of African Americans, and 17.5 percent of
38Native American populations.
39(e) Type 2 diabetes, previously only seen among adults, is now
40increasing among children. If the current obesity trends are not
P16 1reversed, it is predicted that one in three children and nearly
2one-half of Latino and African American children born in the year
32000 will develop type 2 diabetes in their lifetime. Research shows
4that overweight children have a much greater chance of being
5obese as adults, with all the health risks that entails. Heart disease
6is the leading cause of death in the United States, with diabetes as
7the seventh leading cause of death.
8(f) There is overwhelming evidence of the link between obesity,
9diabetes, and heart disease and the consumption of sweetened
10beverages, such as soft drinks, energy drinks, sweet teas, and sports
11drinks. California adults who drink a soda or more per day are 27
12percent more likely to be overweight or obese, regardless of income
14(g) The rate of children who are overweight has also increased
15dramatically in recent decades. After being relatively constant
16from the 1960s to the 1970s, the prevalence of overweight children
17has more than quadrupled among children between 6 and 11 years
18of age and nearly tripled among those between 12 and 19 years of
19age. In California in 2010, 38 percent of children in grades 5, 7,
20and 9 were overweight or obese. Thirty-one of California’s 58
21counties experienced an increase in childhood overweight from
222005 to 2010.
23(h) The obesity epidemic is of particular concern because obesity
24increases the risk of diabetes, heart disease, certain types of cancer,
25arthritis, asthma, and breathing problems. Depending on their level
26of obesity, from 60 percent to over 80 percent of obese adults have
27type 2 diabetes, high blood cholesterol, high blood pressure, or
28other related conditions. It has been reported that up to 60 percent
29of obese children 5 to 10 years of age have early signs of heart
31(i) According to nutritional experts, sweetened beverages, such
32as soft drinks, energy drinks, sweet teas, and sport drinks, offer
33little or no nutritional value, but massive quantities of added sugars.
34A 20-ounce bottle of soda contains the equivalent of approximately
3516 teaspoons of sugar. Yet, the American Heart Association
36recommends that Americans consume no more than five to nine
37teaspoons of sugar per day.
38(j) Research shows that almost one-half of the extra calories
39Americans consume in their diet comes from sugar sweetened
40beverages, with the average American drinking nearly 50 gallons
P17 1of sugar-sweetened beverages a year, the equivalent of 39 pounds
2of extra sugar every year.
3(k) Research shows that 41 percent of California children 2 to
411 years of age and 62 percent of California teens 12 to 17 years
5of age drink soda daily, and for every additional serving of
6sweetened beverage that a child consumes a day, the likelihood of
7the child becoming obese increases by 60 percent.
8(l) The proportion of youth drinking at least one sugary beverage
9per day was highest among Latinos at 48 percent, significantly
10higher than among whites at 33 percent. African- American youth,
11at 43 percent, and multi-racial youth, at 46 percent, also had
12significantly higher consumption than whites.
13(m) Dental caries (tooth decay) are the most common chronic
14childhood disease, experienced by more than two-thirds of
15California’s children. Children who frequently or excessively
16consume beverages high in sugar are at increased risk for dental
17caries. Untreated dental caries can lead to pain, infection, tooth
18loss, and in severe cases, even death. It can slow normal growth
19and development by restricting nutritional intake. Children who
20are missing teeth may have chewing problems that limit their food
21choices and result in nutritionally inadequate diets.
22(n) It is the intent of the Legislature to create a program designed
23to prevent and treat obesity, diabetes, heart and dental disease and
24reduce the burden of attendant health conditions that result from
25the overconsumption of sweetened beverages.
Chapter 5 (commencing with Section 104895.5) is
27added to Part 3 of Division 103 of the Health and Safety Code, to
(a) The Children and Family Health Promotion
34Program is hereby established in the Department of Public Health.
35(b) The program shall consist of a competitive grant process in
36which grants are awarded by the department to counties, cities,
37nonprofit organizations, community-based organizations, and
38clinics licensed pursuant to Chapter 1 (commencing with Section
391200) of Division 2 that seek to invest in childhood obesity and
40diabetes prevention activities and oral health programs.
P18 1(c) The department may award a grant to any entity described
2in subdivision (b) that will use the grant to support programs that
3use educational, environmental, policy, and other public health
4 approaches to achieve all the following goals:
5(1) Improve access to, and consumption of, healthy, safe, and
6affordable foods and beverages.
7(2) Reduce access to, and consumption of, calorie-dense and
9(3) Encourage physical activity and decrease sedentary behavior.
10(4) Raise awareness about the importance of nutrition and
11physical activity to childhood obesity and diabetes prevention.
12(d) The department shall develop an application and application
13process for the program.
14(e) Applicants interested receiving a grant shall submit an
15application to the department.
16(f) The program shall be funded by any moneys appropriated
17by the Legislature to the department for this purpose.