BILL ANALYSIS                                                                                                                                                                                                    




                                                                  AB 2384
                                                                  Page A
          Date of Hearing:   May 3, 2006

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                   Judy Chu, Chair

                 AB 2384 (Leno) - As Introduced:  February 23, 2006 

          Policy Committee:                              HealthVote:9-3

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill requires the Department of Health Services (DHS) to  
          develop a "Healthy Food Purchase" pilot program to increase the  
          sale and purchase of fresh fruits and vegetables in low-income  
          communities.  Specifically, this bill:

          1)Requires DHS to design the program to include the following  
            two components: 

             a)   Strategies aimed at small grocers in targeted low-income  
               neighborhoods to increase the offerings of fresh fruits and  
               vegetables in those communities.  In selected pilot program  
               communities, DHS would be required to provide targeted food  
               retailers with support to obtain refrigerated produce  
               display cases through the assessment of the feasibility of  
               a variety of financing methods including, but not limited  
               to, leasing, lending, small business and economic  
               development support, and others.  Additionally, DHS must  
               provide technical assistance to targeted retailers on the  
               purchase, storage, marketing, and display of fresh produce.  


             b)   Strategies aimed at food stamp recipients to increase  
               their purchase of fresh fruits and vegetables by making  
               those products more affordable, including the development  
               and implementation of financial incentives.  DHS would be  
               required to seek any necessary federal government approvals  
               to allow use of the Food Stamp Electronic Benefits Card to  
               provide those financial incentives. 

          2)Requires DHS to seek all necessary approvals to establish the  
            pilot program, to apply for available federal matching funds  









                                                                  AB 2384
                                                                  Page B
            to fund the pilot program, and requires DHS to develop a  
            process for evaluating the effectiveness of the program, and  
            to make recommendations to the Legislature regarding the  
            possible expansion of the pilot program. 

           FISCAL EFFECT  

          1)Unknown GF costs, likely in the millions of dollars annually,  
            for implementation of the pilot program, depending upon the  
            counties chosen, number of grants provided and the amount and  
            type of incentives provided to food stamp recipients.  For  
            example, if $5,000 in assistance were provided to 100 small  
            grocers and an additional $10 per month were provided to  
            20,000 Food Stamp recipients to encourage the purchase of  
            fresh fruits and vegetables, GF costs would be $2.9 million.   
            Additional amounts would be required for system changes and  
            DHS program administration.

          2)GF costs of approximately $100,000 for the DHS evaluation and  
            recommendations to the Legislature.

           COMMENTS  


           1)Purpose  .  This bill is sponsored by California Food Policy  
            Advocates (CFPA) to strengthen California's efforts to prevent  
            obesity by increasing access to fresh fruit and vegetables in  
            low-income communities where fruit and vegetables typically  
            are unavailable or costly.   California, like other states,  
            has a growing obesity problem, with approximately 60% of  
            adults and 25% of children obese or overweight.  The  
            consequences of obesity are devastating to individuals, and  
            include diabetes, hypertension, heart disease, cancer and  
            other debilitating diseases.  Physicians, nutritionists and  
            other experts recognize the importance of a diet rich in fruit  
            and vegetables as one key strategy in preventing obesity.   
            CFPA states that unfortunately, as countless studies document,  
            residents of low-income neighborhoods generally lack access to  
            fruit and vegetables. 


           2)Governor's Obesity Initiative  .  The governor's 2006-2007  
            budget states the Administration is developing proposals for  
            the May Revision to advance a healthy California, including  
            opportunities to improve access to affordable fruits and  









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                                                                  Page C
            vegetables in low-income communities and leverage publicly  
            funded health insurance programs to promote improvements in  
            obesity prevention and treatment services.


           3)California Nutrition Network  .  DHS administers the "California  
            5 a Day-For Better Health Program" (5 a Day) as part of DHS'  
            California Nutrition Network for Healthy, Active Families  
            (Network), a public/private partnership that delivers  
            nutrition education activities within targeted low-resource  
            schools and community sites.  Established in 1988 and adopted  
            nationally in 1991, 5 a Day's purpose is to encourage Food  
            Stamp eligible Californians to consume fruits and vegetables  
            every day and be physically active.  The annual budget and  
            staffing information for the Network, including 5 a Day, is  
            $90 million in federal funds.




           Analysis Prepared by  :    Scott Bain / APPR. / (916) 319-2081