BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB  2084
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           Date of Hearing:   April 13, 2010

                        ASSEMBLY COMMITTEE ON HUMAN SERVICES
                                Jim Beall, Jr., Chair
                AB 2084 (Brownley) - As Introduced:  February 18, 2010
          
          SUBJECT  :  Child day care facilities:  nutrition

           SUMMARY :  Creates minimum standards for beverages that are  
          served in licensed child day care facilities.  Specifically,  
           this bill  :  

          1)Requires licensed child day care facilities to:

             a)   Serve only one percent milk to children ages two or  
               older;

             b)   Limit juice to not more than one serving per day of 100%  
               juice;

             c)   Serve no beverages with added sweeteners, either natural  
               or artificial; and

             d)   Make clean and safe dinking water readily available and  
               accessible for consumption throughout the day, particularly  
               with meals and snacks.

          2)Makes findings and declarations regarding what research has  
            shown about the connection between unhealthy food preferences  
            and childhood obesity.

           EXISTING LAW  

          1)Defines a child day care facility as a facility that provides  
            non-medical, supervisory care to children under 18 years of  
            age.  These facilities include:  day care centers,  
            employer-sponsored child care centers, and family day care  
            homes.

          2)States, under the California Child Day Care Facilities Act,  
            that the state Department of Social Services licenses and  
            regulates child day care facilities, and that persons or  
            organizations offering child day care must comply with  
            specified licensure requirements









                                                                  AB  2084
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           FISCAL EFFECT  :  Unknown

           COMMENTS  :  This bill addresses nutritional standards in licensed  
          child care settings in an effort to fight childhood obesity.

          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.

          According to the Centers for Disease Control and Prevention,  
          approximately one of every four children between the ages of two  
          to five has a high body mass index, putting these children at  
          risk of obesity, which 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  
          (TV time) 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.  
           
          In August 2007, the California Department of Education (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.  This bill is  
          consistent with those efforts.

          This bill is a modified version of AB 627 (Brownley) from 2009.   
          The provisions in AB 627 that required nutrition standards as a  








                                                                  AB  2084
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          condition of licensure were deleted from the bill in the Senate.  
           AB 2084 would create standards for beverages served in licensed  
          child care settings.  The author states that research  
          increasingly points to sugary beverages, such as soda, sports  
          drinks, and juice drinks, as a major factor in rising rates of  
          obesity.  The extra calories from sugar drinks accounts for  
          nearly half of the increase in calories Americans have consumed  
          over the past thirty years.  A simple switch from these sugary  
          drinks to water could result in 235 fewer calories consumed per  
          day.  AB 2084 encourages healthier habits by establishing  
          guidelines for beverages provided by providers, including  
          restricting sugary drinks, encouraging water consumption,  
          limiting juice to one serving of 100% juice, and promoting  
          low-fat and non-fat milk.  These nutrition guidelines are  
          consistent with the current Dietary Guidelines for Americans and  
          recommendations from the American Academy of Pediatrics.

          This bill is also consistent with the Governor's initiative to  
          fight obesity.  In part, the Governor proposes to require school  
          districts to make fresh drinking water available in food service  
          areas and prohibit the sale of sports drinks in middle and high  
          schools.

           Suggested amendment
           AB 627 from last year included a provision that provided for an  
          exception from the nutritional requirements due to a child's  
          medical condition.  The author may wish to add the following:

               If a child has a medical necessity, documented by a  
               physician, that prevents a child day care facility from  
               complying with the requirements of this section, then the  
               facility shall be exempt from those requirements, to the  
               extent necessary, for purposes of that child only.
           
          Prior Legislation
           AB 627 (Brownley), 2009-2010, would have established 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.  This bill was vetoed by the Governor  
          because, although he recognized the health benefits, he believed  








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          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 had been cut.  

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Food Policy Advocates (sponsor)
          California Center for Public Health Advocacy
          California Medical Association (CMA)
          California Teachers Association
          Central Coast Hunger Coalition
          Dental Health Foundation
          Fresno Metro Ministry
          Plowshares
          Public Health Foundation Enterprises, Inc. WIC Program
          Second Harvest Food Bank, Santa Cruz
          Lorrene D. Ritchie, PhD, RD - University of CA Berkeley

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Frances Chacon / HUM. S. / (916)  
          319-2089