BILL ANALYSIS                                                                                                                                                                                                    





                                                                  AB 627

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          GOVERNOR'S VETO
          AB 627 (Brownley)
          As Amended  September 1, 2009
          2/3 vote

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          |ASSEMBLY:  |49-28|(June 3, 2009)  |SENATE: |23-12|(September 2,  |
          |           |     |                |        |     |2009)          |
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          |ASSEMBLY:  |50-29|(September 8,   |        |     |               |
          |           |     |2009)           |        |     |               |
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           Original Committee Reference:    HUM. S.  

           SUMMARY  :  Requires that child day care facilities meet specified  
          health and nutritional requirements, as specified.   
          Specifically,  this bill  establishes a 12-month or more pilot  
          project in which a number of licensed child care centers and  
          child day care homes that participate in the Child Care & Adult  
          Food Program (CACFP) would receive higher state meal  
          reimbursement to implement higher nutrition and physical  
          activity standards.  A component of the pilot is an evaluation  
          that will be conducted by an independent agency to assess the  
          health, nutrition and other related impacts on children,  
          providers, and parents.  The pilot would be designed and  
          implemented by the California Department of Education (CDE) only  
          if the Superintendent of Public Instruction determines that  
          non-General Fund funding sources, including federal or grant  
          funds, are available to implement the pilot project.  

           The Senate amendments  :  

           1)Delete the entire code section related to the establishment of  
            minimal, basic nutrition requirements as a condition of child  
            care licensure.

          2)Modify the pilot program length, from 18-months to "at least"  










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            12-months, of the higher state meal reimbursement rate for a  
            number of licensed child care centers and child day care homes  
            that participate in the CACFP.

           AS PASSED BY THE ASSEMBLY  , this bill required that child day  
          care centers meet minimal, basic nutritional requirements as a  
          condition of child care licensure, and separately, required a  
          longer pilot program length for the increased state meal  
          reimbursement rate a number of licensed child care centers and  
          child day care homes that participate in the CACFP.  
           
           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, costs associated with this legislation would be minor  
          and absorbable within existing resources.

           COMMENTS  :  This bill addresses nutritional standards in licensed  
          child care settings.

          Under the state Child Day Care Facilities Act, child day care  
          centers are required to provide safe and healthy environments  
          for children.  Generally, these facilities must comply with  
          state mandated licensure requirements in the following areas:   
          Fire clearance, capacity determination, teacher to child ratio,  
          indoor/outdoor space requirements, staffing for water  
          activities, administrator qualifications, director  
          qualifications, teacher and teacher aide qualifications, and  
          food service.  According to the author, there are 15,140  
          licensed center-based sites and 42,907 family home sites in  
          California, with capacity for 1.2 million children from birth to  
          12 years of age.

          Under the federal CACFP meals and snacks are subsidized by the  
          state and federal government to ensure healthy outcomes for  
          children at participating child care facilities.  CACFP serves  
          more than three million children in child care centers and homes  
          nationwide, with over 350,000 these children in California.

           Child health problems  :  According to the author, the Centers for  
          Disease Control and Prevention (CDC) states that approximately  
          one of every four children between the ages of two to five has a  
          high body mass index (BMI).  A high BMI puts these children at  










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          risk of obesity, a condition that can lead to type-two diabetes,  
          hypertension, sleep apnea, and other adverse health conditions.   
          Childhood obesity can lead to obese adults with chronic health  
          conditions resulting in increased health costs.  

          Good nutrition, physical activity and limiting media exposures  
          (i.e., television) help to prevent childhood obesity.  With over  
          four million children between birth and 12 years of age in  
          California having one or two working parents who rely on child  
          care services, child care settings, including center and  
          home-based care, play an important role in influencing good  
          eating habits and teaching the importance of physical  
          activities.  

          The federal CACFP provides $1.7 billion to California for  
          licensed child care centers, adult day care centers, and  
          organizations that sponsor day care homes to provide  
          nutritionally adequate meals and snacks.  All CACFP recipients  
          and all licensed child care centers in the state must observe  
          the USDA nutrition standards (i.e., Food Pyramid).  According to  
          the sponsor of the bill, the California Food Policy Advocates,  
          the CACFP employs meal patterns that were devised in the 1960s  
          and have not been revised since.  Unlike the National School  
          Lunch Program, the CACFP standards are not an obesity-prevention  
          program.  While it is possible to serve healthy food based on  
          USDA guidelines, the meals can be high in fats, saturated fats  
          and sugar.

           Recent studies  :  CFPA recently conducted a comprehensive study  
          of nutritional quality in licensed child care settings in  
          California.  The study was carried out by CFPA, researchers, and  
          child care sponsors and providers through surveys, interviews,  
          and observations.  Some of the key findings were:

          1)CACFP sites served more healthful foods and more frequently  
            adhered to recommended food practices than non-CACFP sites.

          2)Lunches brought from home, almost exclusively reported in  
            non-CACFP centers, were of even lower quality than lunches  
            provided by child care sites.











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          3)Meals and snacks served in CACFP-participating child care  
            sites often fell short of the goals articulated in the 2005  
            Dietary Guidelines for Americans.

          In a recent CDC peer reviewed research article on Child Care as  
          an Untapped Setting for Obesity Prevention among states, it was  
          found that opportunities exist for strengthening state licensing  
          regulations to prevent childhood obesity.  Overall, Child Care  
          Centers (CCCs) were the most heavily regulated and had the most  
          specific regulations, followed by Large Family or Group Child  
          Care Homes, and Small Family Child Care Homes (SFHs) had the  
          fewest and most general regulations.  Amongst the 50 states,  
          variability in regulations was found as follows:

          Eight states set quantified time limits on screen time per day  
          or per week in small family child care homes;

          1)Thirty-six states required that children have daily outdoor  
            activity in CCCs.

          2)Only 12 states had regulations that limited foods of low  
            nutritional value in child care centers.

          3)Two states, Michigan and West Virginia, specified that CCC  
            menus should be consistent with the Dietary Guidelines for  
            Americans.

          4)The article concluded that the increasing prevalence of  
            childhood obesity underscores the urgency for state policy  
            efforts to create child care environments that foster  
            healthful eating and participation in physical activity.

           Purpose and solution  :  Two years ago, CDE and the Health and  
          Human Services Agency convened a stakeholder group to come up  
          with key recommendations for reducing childhood  
          overweight/obesity in child care settings.  This group came up  
          with a number of recommendations, including adding nutrition and  
          activity standards in child care licensing and strengthening  
          nutrition standards in the CACFP in California. 

          One year ago, CDE, in coordination with the Department of Public  










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          Health, convened an advisory committee to develop nutrition  
          standards in child care.  The provisions in AB 627 are  
          consistent with the tentative recommendations of this group by  
          linking additional state reimbursement for the CACFP to stronger  
          nutrition standards.  Currently, the State of California  
          supplements the federal reimbursement for CACFP with  
          approximately $0.16 per federal dollar.  The CDE has requested  
          an approximate $0.06 reimbursement rate increase from $0.16 to  
          $0.22 to bring the state meal reimbursement for CACFP in line  
          with that for school meals.  If this rate increase is  
          appropriated, the author would like to see these stronger  
          nutrition standards attached.

          By establishing nutritional standards as a condition for receipt  
          of increase of CACFP funds, the author believes that this bill  
          will put into practice good eating habits that will decrease the  
          likelihood of childhood obesity and prevent adverse health  
          conditions.
           
          GOVERNOR'S VETO MESSAGE  :

                I want California children to embrace healthy  
                lifestyles because the individual and societal  
                benefits of good nutrition and physical activity  
                lead to life-long accomplishments.  Reducing  
                childhood obesity can lead to fewer adults with  
                chronic health conditions and lower healthcare  
                costs.  Unfortunately, this 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.

                I would ask the sponsors to work with the state  
                Department of Education to include information  
                regarding healthy nutrition and physical activity  
                guidelines in existing newsletters to child care  
                providers to the extent this can be accomplished  
                within existing resources.











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          Analysis Prepared by  :    Frances Chacon / HUM. S. / (916)  
          319-2089 

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