BILL ANALYSIS                                                                                                                                                                                                    




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          Date of Hearing:   June 16, 2010

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                   SB 1255 (Padilla) - As Amended:  April 28, 2010

          [This bill has been double referred to the Assembly Health  
          Committee and will be heard as it relates to the issues under  
          its jurisdiction.]
          
           SENATE VOTE  :  21-11
           
          SUBJECT  :  Schools: nutrition: beverages.

           SUMMARY  :  Prohibits electrolyte replacement beverages (ERBs)  
          that contain 42 grams or less of added sweetener per 20-ounce  
          serving, from being sold to middle or high school students from  
          one-half hour before the start of the schoolday until one-half  
          hour after the end of the schoolday, commencing July 1, 2011. 

           EXISTING LAW for elementary schools  :  

          1)Authorizes, regardless of the time of day, only the following  
            beverages to be sold to a pupil:
             a)   Fruit-based drinks that have at least 50% fruit juice  
               and no added sweetener.
             b)   Vegetable-based drinks that have at least 50% vegetable  
               juice and no added sweetener.
             c)   Drinking water with no added sweetener.
             d)   Two percent fat milk, one percent fat milk, nonfat milk,  
               soymilk, rice milk, and other similar non-dairy milk.   
               (Education Code 49431.5)

          2)Authorizes the sale of beverages that do not comply with the  
            law as part of a school fundraising event in any of the  
            following circumstances:
             a)   The items are sold by pupils of the school and the sale  
               of those items takes place off and away from the premises  
               of the school.
             b)   The items are sold by pupils of the school and the sale  
               of those items takes place one-half hour or more after the  
               end of the schoolday.  (Education Code 49431.5)

           EXISTING LAW for middle and high schools  :  










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          1)Authorizes, from one-half hour before the start of the  
            schoolday until one-half hour after the end of the schoolday  
            only the following beverages to be sold to a pupil:
             a)   Fruit-based drinks that have at least 50% fruit juice  
               and no added sweetener.
             b)   Vegetable-based drinks that have at least 50% vegetable  
               juice and no added sweetener.
             c)   Drinking water with no added sweetener.
             d)   Two percent fat milk, one percent fat milk, nonfat milk,  
               soymilk, rice milk, and other similar non-dairy milk.
             e)   An ERB that contains no more than 42 grams of added  
               sweetener per 20-ounce serving.  (Education Code 49431.5)

          2)Authorizes the sale of beverages that do not comply with the  
            law as part of a school event if the sale of those items meets  
            all of the following criteria:
             a)   The sale occurs during a school-sponsored event and  
               takes place at the location of that event at least one-half  
               hour after the end of the schoolday.
             b)   Vending machines, pupil stores, and cafeterias are used  
               later than one-half hour after the end of the schoolday.   
               (Education Code 49431.5)
          3)Defines ERB to mean potable liquid that meets all the  
            following requirements:
             a)   Water as the first ingredient.
             b)   Contains no more than 2.1 grams of added sweetener per  
               fluid ounce.
             c)   Contains at least 10 milligrams but not more than 150  
               milligrams of sodium per 8 ounces.
             d)   Contains as least 10 milligrams but no more than 90  
               milligrams of potassium per 8 ounces.
             e)   Contains no added caffeine.  (California Code of  
               Regulations, Title 5, Section 15576)

           FISCAL EFFECT  :  This bill is keyed non-fiscal.  

           COMMENTS  :   Electrolyte Replacement Beverages  .  ERBs are designed  
          to replace fluids after exercise and generally contain sodium  
          and potassium to improve fluid absorption in the body.   
          According to a USDA report on Carbohydrate/Electrolyte  
          Replacement Beverages, "carbohydrate/electrolyte beverages  
          provide carbohydrate (glucose, sucrose, glucose polymers)  
          replacement to sustain energy output, and electrolytes (sodium,  
          potassium) to replace those lost in sweat."  The USDA report  
          states that ERBs may be useful for individuals who have lost  









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          large quantities of fluids through sweating on a daily basis,  
          and those who perform continuous exercise for more than 60  
          minutes, however, the report concludes that there is no need to  
          substitute ERBs for water as a primary form of fluid  
          replacement.  The committee should consider whether middle and  
          high school students receive enough daily exercise (and  
          subsequent loss of fluids) to warrant the sale of ERBs to  
          students during school hours.  

          According to the University of California Center for Weight and  
          Health, "Research shows that water is the best drink for  
          children during the school day and at most sports practices.   
          Water doesn't contain unnecessary calories or artificial  
          sweeteners and children don't need the extra electrolytes and  
          minerals that sports drinks may provide.  Children get plenty of  
          electrolytes from the food they eat, so during the school day  
          and at most practices, sports drinks don't provide any extra  
          benefit over water." The Center further finds that, "many sports  
          drinks contain high fructose corn syrup (also the main sweetener  
          in soda), which may be linked to increased rates of obesity.   
          While manufacturers are developing products with lower sugar  
          content, they are replacing the sugar with artificial sweeteners  
          such as Sucralose that have no nutritional value.  Studies  
          suggest that artificial sweeteners may increase people's taste  
          for sweets and even lead people to eat more after exercising."  

          According to the author, childhood obesity has become an  
          epidemic in the United States and is the primary cause of type-2  
          diabetes and other long-term health problems.  Since 1980, the  
          number of obese children in our nation has tripled, and obesity  
          now rivals smoking as the largest cause of preventable death and  
          disease.  California has one of the fastest growing rates of  
          obesity of any state in the nation.  One third of California's  
          kids ages 9-11 are overweight or at risk of becoming overweight  
          and are increasingly suffering from nutrition-related illnesses  
          that normally occur in adulthood, diseases such as type-2  
          diabetes and pre-hypertension.  A number of studies have found  
          that greater consumption of sweetened beverages is associated  
          with overweight and obesity among both adults and children.   
          Furthermore, drinking sweetened beverages has increased, and it  
          is now more common than ever, particularly among adolescents.

          According to the sponsor of the bill, Governor Arnold  
          Schwarzenegger, recent research indicates eight of the top 10  
          beverages sold a la carte in California's public high schools  









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          are ERBs.  And while traditional carbonated sugar sweetened  
          beverages such as soda are losing market share, ERBs are showing  
          significant growth in the marketplace.  Scientific studies show  
          that the consumption of sugar sweetened beverages is associated  
          with weight gain, diabetes, and obesity.  The scientific  
          evidence linking sugar sweetened beverages with weight gain is  
          stronger than for any other food category, and some studies  
          conclude that for children, each extra can or glass of a sugar  
          sweetened beverage consumed per day can increase their chance of  
          becoming obese by as much as 60%.  In California, the rates of  
          obesity are higher among adolescents who drink sugar sweetened  
          beverages than among those who do not.

           What about Vitamin Water  ?  Some argue that vitamin water drinks  
          should be authorized to be sold in middle and high schools  
          during the schoolday.  Many vitamin water drinks, however,  
          contain sugar sweetener and/or artificial sweetener, similar to  
          regular and diet soda.  Vitamin water drinks that contain sugar  
          sweetener could contain as many or more calories than ERBs or  
          soda.  Some argue that vitamin water drinks that contain  
          artificial sweetener are equivalent to diet soda and should not  
          be sold in schools.  In fact, vitamin water drinks that contain  
          artificial sweetener are sometimes referred to as diet water,  
          and one brand is named "Skinny Water."  Others argue that  
          vitamin water that does not contain sweeteners of any kind may  
          already fall under the existing authorization for schools to  
          sell "drinking water with no added sweetener" to both elementary  
          and middle/high school students.  

          The committee should consider whether it is appropriate for  
          schools to sell vitamin water drinks to students of any age.   
          Further, if it is interpreted that vitamin water drinks are  
          considered "drinking water with no added sweetener," the  
          committee should consider whether it is appropriate for schools  
          to sell these products under current law.  If vitamin water  
          drinks do not fall under the current authorization, the  
          committee should also consider whether to specifically authorize  
          or prohibit either sweetened or unsweetened vitamin water drinks  
          to be sold in schools during the schoolday.  

          Similarly, there are ERBs on the market that do not contain any  
          added sweetener.  One such example of these products is  
          "Smartwater."  These products contain water with added  
          electrolytes but do not contain sweeteners.  These products may  
          also fall under the current definition of "drinking water with  









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          no added sweetener" because they do not meet the definition of  
          an ERB as outlined in regulations which establishes minimum  
          levels of sodium and potassium.  According to the "Smartwater"  
          label, it contains electrolytes, but the label does not list the  
          amount of electrolytes contained in the bottle.  Because the  
          label does not list the amount of these ingredients it is  
          unclear whether the amount is appropriate for children.  The  
          committee should consider whether it is appropriate to sell  
          unsweetened electrolyte water to students during the school day,  
          particularly to elementary school students.  The committee  
          should also consider whether to specifically authorize or  
          prohibit unsweetened electrolyte water to be sold in schools  
          during the schoolday, and to what age students.

           Vitamin Toxicity  .  The committee should consider whether there  
          could be a risk of vitamin toxicity for children who drink more  
          than one vitamin water drink per day, and for children who drink  
          vitamin water drinks in addition to taking a daily multivitamin.  
           It is unclear whether drinking one or more bottles of vitamin  
          water drinks alone, or in addition to a multivitamin, could put  
          students at risk for ingesting the upper limits of these  
          vitamins, which could cause toxicity concerns.  

          The Tolerable Upper Intake Level (UL) is the maximum level of  
          daily nutrient intake that is likely to pose no risk of adverse  
          effects, based on the Dietary Reference Index (DRI) established  
          by the National Academy of Sciences and the Institute of  
          Medicine.  According to the USDA, as intake increases above the  
          UL, the potential risk of adverse effects may increase.  

          For purposes of illustration, the established UL for Niacin  
          (Vitamin B3) for children ages 9-13 is 20 milligrams (mg) per  
          day.  According to the listed amount of Niacin on a bottle of  
          "vitaminwater" brand beverage, a child age 9-13 who drinks two  
          bottles of "vitaminwater" brand beverage will reach the UL for  
          Niacin.<1>  As another example, if a child age 9-13 is taking a  
          daily multivitamin such as "Flintstones Complete" which contains  
          15mg of Niacin,<2> that child would reach the UL for Niacin  
          after drinking only half a bottle of "vitaminwater" brand  
          beverage.  The committee should consider whether it is  
          appropriate to sell vitamin water drinks to children in school  
          ---------------------------
          <1> Source: University of California Center for Weight and  
          Health.
          <2> Source: Flintstones Website.   
          http://flintstonesvitamins.com/complete/index.html








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          at any age.  

           50% versus 100% Juice  .  Current law authorizes fruit and  
          vegetable juice containing at least 50% juice to be sold in  
          schools.  It is unclear how many juice drinks contain more than  
          50% juice but do not contain 100% juice.  It is also unclear how  
          many juice drinks currently sold to students at school contain  
          less than 100% juice.  The committee should consider whether it  
          is appropriate to sell juice to students in school that contain  
          less than 100% juice and whether the current authorization for  
          juice should require only 100% juice be sold to students during  
          the school day.

           Flavored Milk  .  Current law authorizes the sale of two percent  
          and one percent fat milk along with other non-dairy milk  
          products.  Current law does not prohibit the sale of flavored  
          milk, such as chocolate or strawberry.  Flavored milk usually  
          contains significantly more sugar than plain milk.  In addition,  
          the Institutes of Medicine recently recommended that school age  
          children drink one percent milk instead of two percent milk.   
          Because of the increased sugar and fat content, the committee  
          should consider whether it is appropriate to sell flavored milk  
          or two percent milk in school, particularly to elementary school  
          students.  

           Arguments in Support  :  According to the California Medical  
          Association, "These beverages have become more prolific at  
          schools after soda was banned, and often contain just as much  
          sugar.  These beverages are heavily marketed to young people,  
          especially to student athletes.  While moderate consumption of  
          them may be fine, they are high in calories, have no nutritional  
          benefit and don't belong in our schools."

           Arguments in Opposition  :  According to the California Nevada  
          Soft Drink Association, "We support efforts that address the  
          obesity problem comprehensively rather than targeting any one  
          food or beverage type.  We would also recommend that you  
          re-evaluate the types of beverages that should be allowed on  
          middle and high school campuses.  The original provisions were  
          adopted 5 years ago when many of the beverage options that are  
          now available did not exist.  Beverages like low- or no-calorie  
          flavored waters, lower and no-calorie sports drinks, and a  
          variety of alternative beverages like vitaminwater, SoBe and  
          Propel Water, just to name a few.  This would allow schools to  
          sell alterative beverages with low or no calories as well as  









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          raise much needed revenues for a variety of programs."

           Committee Amendments  :  Staff recommends technical amendments to  
          Section one of the bill to eliminate the duplicative code  
          language and incorporate high schools into the existing middle  
          school authorizations.  Staff recommends the references to  
          junior high and senior high school be corrected to refer to  
          middle school and high school.  Staff further recommends, in  
          addition to the existing authorization to sell fruit/vegetable  
          juice and milk, the bill be amended to only authorize the sale  
          of drinking water with no added sweetener, electrolytes or  
          vitamins, beginning July 1, 2011.

           Related legislation  :  SB 1413 (Leno) from 2010, pending hearing  
          in the Assembly Education Committee, prohibits a governing board  
          of a school district from entering into, or renewing, a contract  
          that restricts the availability of free tap water a school  
          campus, and allows a school district to provide free tap water  
          in school food service areas, including, but not limited to,  
          areas where reimbursable meals under the National School Lunch  
          Program or the federal School Breakfast program are served or  
          consumed.

          AB 2084 (Brownley) from 2010, pending in the Senate Health  
          Committee, would require licensed child day care facilities to  
          follow specified guidelines relating to the provision of  
          beverages, including serving only 1% milk to children ages two  
          or older; limiting juice to not more than one serving per day of  
          100% juice; serving no beverages with added sweeteners, either  
          natural or artificial; and, making clean and safe dinking water  
          readily available and accessible for consumption throughout the  
          day, particularly with meals and snacks.
           
          Previous legislation  :  AB 627 (Brownley) of 2009, which was  
          vetoed by the Governor, 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.  

          SB 965 (Escutia) Chapter 237, Statues of 2005, modified the list  
          of beverages that may be sold to pupils at an elementary, middle  
          and high school, and phased in a prohibition on the sale of soda  
          in high schools.









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          SB 677 (Ortiz) Chapter 415, Statutes of 2003, expanded  
          restrictions on the types of beverages allowed to be sold in  
          middle and junior high schools and eliminated, as a condition  
          for implementation of restrictions in elementary, middle and  
          junior high schools, a requirement that funds be appropriated  
          for certain programs.

          SB 19 (Escutia) Chapter 913, Statutes of 2001, established the  
          Pupil Nutrition, Health and Achievement Act of 2001.  It  
          established, as of January 1, 2004, various prohibitions on the  
          sale of beverages in elementary and middle schools and placed  
          nutritional standards on the type of foods that may be sold to  
          pupils a la carte, as specified. 
           
          REGISTERED SUPPORT / OPPOSITION :

           Support 
           
          California Chiropractic Association
          California Dental Association
          California Department of Public Health
          California Medical Association
          California School Nurses Organization
            California School Nutrition Association
          California Teachers Association
          Health Officers Association of California 
          San Mateo County Board of Supervisors

           Opposition 
           
          California Chamber of Commerce
          California Nevada Soft Drink Association

           Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087