BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2084
                                                                  Page  1

          Date of Hearing:   May 19, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                    AB 2084 (Brownley) - As Amended:  May 6, 2010 

          Policy Committee:                              Human  
          ServicesVote:4 - 2 

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

           SUMMARY  

          This bill requires that licensed child care facilities meet  
          specified health and nutritional requirements in regards to  
          beverages. Specifically, this bill: 

          1)Adds the following licensure requirements for licensed child  
            care homes and centers:

             a)   Water shall be available throughout the day.
             b)   Milk shall be limited to one percent or nonfat for  
               children over two years of age.
             c)   Juice shall be limited to one serving per day and must  
               be 100 percent juice.

          2)Prohibits child care providers from serving beverages with  
            added sweeteners, whether natural or artificial, with the  
            exception of infant formula.

          3)Exempts from these requirements "medical foods" when the child  
            has a medical necessity that is documented by a physician.

          4)Exempts any beverage provided by a parent or legal guardian  
            for his or her child. 

           FISCAL EFFECT  

          1)One-time GF costs, likely less than $75,000, for the  
            Department of Social Services (DSS) to update licensing forms  
            and materials to include new nutrition requirements.

          2)On-going annual workload costs of approximately $100,000 GF  








                                                                  AB 2084
                                                                  Page  2

            for increased workload associated with DSS including the  
            requirements of this bill in their annual inspections.

           COMMENTS  

           1)Purpose  . Two years ago, the California Department of Education  
            (CDE), in coordination with the Department of Public Health  
            (DPH), convened an advisory committee to develop nutrition  
            standards in child care.  The provisions in AB 2084 are  
            consistent with the recommendations of this group.
                               
            By establishing nutritional standards as a condition of  
            licensure, the author believes this bill will put into  
            practice good eating habits that will decrease the likelihood  
            of childhood obesity and prevent adverse health conditions.  
            Limiting beverages in child care settings is a first step in  
            this process.

           2)Background  . 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.  There are currently  
            15,150 licensed center-based sites and 38,867 licensed family  
            child care homes in California, with capacity for 1.2 million  
            children from birth to 12 years of age. Generally, these  
            licensed facilities are inspected by DSS' community care  
            licensing division (CCLD) once every five years, barring  
            complaints or annual inspection requirements attached to  
            certain types of federal funding. 

           3)Providing an Exception for Infant Formula  .  The May 6  
            amendments to the bill specifically exempted infant formula  
            from the prohibition against serving beverages with added  
            sweeteners, whether natural or artificial. The author and  
            Legislature may wish to consider whether or not some  
            limitations should be placed on infant formula. 

            Studies show that formula fed infants face a number of health  
            disadvantages, including a greater risk for childhood obesity,  
            tooth decay, asthma, and other chronic diseases. While it is  








                                                                  AB 2084
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            critical to protect parental choice when it comes to the  
            feeding of children, it may be that allowing broad access to  
            infant formula in child care settings could easily result in a  
            breastfed infant receiving infant formula against the express  
            wishes of the parents. Health experts have noted that once an  
            infant receives infant formula, it can be difficult to return  
            that child to exclusive breastfeeding.  The Legislature could  
            amend the bill to require signed parental consent before child  
            care centers can provide formula to infants.  This approach  
            may provide the maximum amount of parental choice and protect  
            infants from the less nutritious alternative to breast milk.  
           
          4)Related Legislation  . In 2009, AB 627 (Brownley), would have  
            established a 12-month 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. That bill  
            was vetoed by the governor due to concerns over the shortage  
            of GF/Proposition 98 funding.  In his veto message he wrote,  
            "It is simply not possible to initiate a new program in a  
            fiscal environment such as this."


           Analysis Prepared by  :    Julie Salley-Gray / APPR. / (916)  
          319-2081