BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 2720                                      
          A
          AUTHOR:        John A. P?rez, Bass                          
          B
          AMENDED:       May 12, 2010                                
          HEARING DATE:  June 30, 2010                                
          2
          CONSULTANT:                                                 
          7
          Orr/cjt                                                     
          2              
                                                                       
              0                                             
                                        
                                     SUBJECT
                                         
                           Public health: food access

                                     SUMMARY  

          Requires the California Department of Food and Agriculture  
          (CDFA), by July 1, 2011, to make recommendations to the  
          Legislature, after consultation with the California  
          Department of Public Health (CDPH) and the California  
          Department of Social Services (CDSS), on actions needed to  
          promote food access within California and to maximize  
          funding opportunities provided by the federal 2010 Healthy  
          Food Financing Initiative (HFFI).  Further, recasts the  
          "Healthy Food Purchase" pilot program to maximize available  
          federal funds and authorizes CDPH to award grants and  
          in-kind support to nonprofits to encourage the sale and  
          consumption of fresh fruits and vegetables until January 1,  
          2015.


                             CHANGES TO EXISTING LAW  

          Existing state law:
          Existing law requires, until January 1, 2013, the  
          California Department of Public Health (CDPH) in  
          conjunction with the Department of Food and Agriculture. to  
                                                         Continued---



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          develop a "Healthy Food Purchase" pilot program, in no more  
          than seven counties, to increase the sale and purchase of  
          fresh fruits and vegetables in low-income communities, as  
          specified. The department must also develop a process for  
          evaluating the effectiveness of the pilot, and contract  
          with an independent external evaluator to conduct the  
          evaluation. 

          Requires the department to use specific criteria for  
          choosing the counties to be considered in the pilot  
          program. 

          Specifies that the department shall apply for available  
          federal matching funds to support the pilot, and that no  
          General Fund monies shall be used to fund the program. 



          This bill:
          Revises the "Healthy Food Purchase" pilot program to  
          require CDPH to utilize the maximum amount of federal funds  
          available to further the purposes of the program, including  
          federal funds made available pursuant to the federal Food,  
          Conservation, and Energy Act of 2008. Extends the pilot  
          program to January 1, 2015. 

          Authorizes the department to award grants and provide  
          in-kind support to nonprofit corporations to encourage the  
          sale and consumption of fresh fruits and vegetables, as  
          specified. Requires an evaluation to assess the  
          effectiveness of combining strategies to increase fresh  
          fruits and vegetable offerings with strategies for  
          increasing affordability.

          Deletes the limit of seven counties, and deletes specific  
          criteria the department must use in considering counties  
          for the pilot program.

          Requires, by July 1, 2011, the Department of Food and  
          Agriculture, in consultation with the CDPH and the DSS, to  
          provide recommendations to the Legislature regarding  
          actions that need to be taken to promote food access within  
          the state. It would also require the Department of Food and  
          Agriculture to coordinate efforts to maximize the funding  
          opportunities provided by the federal 2010 Healthy Food  




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          Financing Initiative.

          Makes findings and declarations about access to healthy  
          food items, and the need to protect farmland in California.  


                                  FISCAL IMPACT  

          According to the Assembly Appropriations Committee  
          analysis, this bill could cost in excess of $150,000  
          General Fund, given the complexity of the report required.   
          The Healthy Food Purchase pilot is funded exclusively using  
          federal funding and private grants; therefore, extending  
          the sunset on the pilot project has no fiscal impact on the  
          state.

                            BACKGROUND AND DISCUSSION

           A food desert is a geographic area with limited access to  
          affordable, quality, and nutritious foods. The 2008 Farm  
          Bill required the United States Department of Agriculture  
          to study food deserts.  Findings from that study include:

               i)     Of all U.S. households, 2.3 million (2.2  
                 percent), live more than a mile from a supermarket  
                 and do not have access to a vehicle. An additional  
                 3.4 million households (3.2 percent) live between  
                 one-half to 1 mile from a supermarket and do not  
                 have access to a vehicle.

               ii)    Area-based measures of access show that 23.5  
                 million people live in low-income areas (areas where  
                 more than 40 percent of the population has an income  
                 at or below 200 percent of federal poverty  
                 thresholds) that are more than 1 mile from a  
                 supermarket or large grocery store. However, not all  
                 of these 23.5 million people have low incomes. If  
                 estimates are restricted to consider only low-income  
                 people in low-income areas, then 11.5 million  
                 people, (4.1 percent of the U.S. population) live in  
                 low-income areas more than 1 mile from a  
                 supermarket.

               iii)   Data on time use and travel mode show that  
                 people living in low-income areas with limited  




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                 access spend significantly more time (19.5 minutes)  
                 traveling to a grocery store than the national  
                 average (15 minutes). However, 93 percent of those  
                 who live in low-income areas with limited access  
                 traveled to the grocery store in a vehicle they or  
                 another household member drove. 
           
           A subset of food deserts are areas increasingly referred to  
          as "food swamps."  A food swamp is a defined geographic  
          area where the overabundance of high-energy foods (for  
          example, caloric snacks sold at convenience stores or high  
          fat, high caloric foods sold at fast food outlets)  
          overwhelms the healthy food options.

          Healthy Food Financing Initiative (HFFI)
          In February of 2010, the Obama Administration   
          (Administration) released details of  HFFI costing over  
          $400 million, which will help bring grocery stores and  
          other healthy food retailers to underserved urban and rural  
          communities across the nation.  

          The HFFI is a partnership between the federal Departments  
          of the Treasury, Agriculture, and Health and Human  
          Services. HFFI will promote a range of interventions that  
          expand access to nutritious foods, including developing and  
          equipping grocery stores and other small businesses and  
          retailers selling healthy food in communities that  
          currently lack these options.  Residents of these  
          communities, which are sometimes called food deserts, and  
          are often found in economically distressed areas, are  
          typically served by fast food restaurants and convenience  
          stores that offer little or no fresh produce.  Lack of  
          healthy, affordable food options can lead to higher levels  
          of obesity and other diet-related diseases, such as  
          diabetes, heart disease, and cancer. 

          Through this new multi-year HFFI, and by engaging with the  
          private sector, the Administration intends to work toward  
          eliminating food deserts across the country within seven  
          years.  The first year of funding proposes to leverage  
          enough investments to begin expanding healthy foods options  
          into as many as one-fifth of the nation's food deserts, and  
          create thousands of jobs in urban and rural communities  
          across the nation.





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          The HFFI appears to be modeled after the Pennsylvania Fresh  
          Food Financing Initiative (FFFI) that the Pennsylvania  
          Legislature created in 2006.  FFFI is an innovative program  
          that increases the number of supermarkets and grocery  
          stores in underserved communities across the State of  
          Pennsylvania.  Developed as a public-private partnership,  
          FFFI serves the financing needs of operators located or  
          locating in communities where infrastructure costs and  
          credit needs are not met by conventional financial  
          institutions to increase the availability of fresh food in  
          low-income neighborhoods.  FFFI uses market analysis,  
          leveraged capital, and public policy to stimulate  
          supermarket development.  Investing in quality food markets  
          in underserved communities directly benefits low- and  
          moderate-income communities.  

          Related bills
          AB 2726 (Leno), Chapter 466, Statutes of 2008, extends the  
          sunset date of CDPH's Healthy Food Purchase pilot program  
          from January 1, 2011, to January 1, 2013, and authorizes  
          CDPH to implement the pilot program by July 1, 2009, to the  
          extent that the Department of Finance determines that  
          sufficient funds are available from any source, as  
          specified.

          AB 2384 (Leno), Chapter 236, Statutes of 2006, establishes  
          the "Healthy Food Purchase" pilot program, not to exceed  
          seven counties, to increase the sale and purchase
          of fresh fruits and vegetables in low-income communities. 
          
           
                                  PRIOR ACTIONS

           Assembly Floor:          53-22
          Assembly Appropriations:12-5
          Assembly Agriculture:    6-0

                                     COMMENTS

          1. More appropriate department? The author and the  
          Legislature may wish to consider whether CDFA and DSS are  
          the appropriate departments to coordinate on any healthy  
          food financing efforts.  As conducted in other states and  
          envisioned by the federal government, a healthy food  
          financing initiative will establish a public-private  




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          partnership that will provide funding to assist in the  
          development of supermarkets and fresh food outlets in  
          underserved rural and urban areas throughout the state.   
          Given the nature of the program, it may be better suited  
          for the Department of Housing and Community Development,  
          the State Treasurer, and the Department of Public Health. 

          2. Emergency food programs. The author and the Legislature  
          may wish to consider expanding current emergency food  
          program efforts to allow increased access to fresh foods,  
          including the state's existing Emergency Food Assistance  
          Program and the California Food Bank's Farm to Family  
          efforts.

          3. Work-in-progress. AB 2720 is intended to coordinate the  
          efforts to maximize HFFI in California; as such, it is a  
          work-in-progress as additional comments and suggestions are  
          anticipated in order to better harmonize with this federal  
          program's purpose.
          
          4. Technical amendment. Section 2 of the bill is currently  
          uncodified. It needs a code reference in order to make it  
          operative, if signed into law. 

                                    POSITIONS  
                                        
          Support:   California Catholic Conference 
                 Consumer Federation of California
                 California Food Policy Advocates

          Oppose:  None

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