BILL ANALYSIS                                                                                                                                                                                                    



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          Date of Hearing:   June 29, 2010

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                    SB 1255 (Padilla) - As Amended:  June 22, 2010

           SENATE VOTE  :  21-11
           
          SUBJECT  :  Schools: nutrition: beverages.

           SUMMARY  :  Prohibits an electrolyte replacement beverage (ERB)  
          that contains no more than 42 grams of added sweetener per  
          20-ounce serving from being sold on middle school and high  
          school campuses from 30 minutes before the start of the  
          schoolday until 30 minutes after the end of the schoolday.

           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; and,
             d)   Two percent fat milk, 1% fat milk, nonfat milk, soymilk,  
               rice milk, and other similar non-dairy milk.  

          2)Authorizes the sale of beverages that do not comply with 1)  
            above 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; and,
             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.  

           EXISTING LAW for middle and high schools  :  

          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;








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             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, 1% fat milk, nonfat milk, soymilk,  
               rice milk, and other similar non-dairy milk; and,
             e)   An ERB that contains no more than 42 grams of added  
               sweetener per 20-ounce serving.  

          2)Authorizes the sale of beverages that do not comply with 1)  
            above 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; and,
             b)   Vending machines, pupil stores, and cafeterias are used  
               later than one-half hour after the end of the schoolday.  

          3)Defines, in regulations, 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; and,
             e)   Contains no added caffeine.  
           
          FISCAL EFFECT  :  None

           COMMENTS  :    

           1)PURPOSE OF THIS BILL  .  According to the author, until  
            recently, the negative consequences of sugar-sweetened  
            beverages (SSBs), including sodas and sports drinks, were not  
            fully understood.  The author maintains that extensive studies  
            show that SSBs are widely consumed in California and are  
            associated with increased rates of obesity and obesity-related  
            diseases.  The author asserts that SB 965 (Escutia), Chapter  
            237, Statues of 2005, eliminated soda from schools and limited  
            beverages with added sweeteners.  However, according to the  
            author, the established standards under SB 965 allowed  
            sugar-sweetened ERBs, commonly known as sports drinks, to be  
            sold in middle and high schools.  The author argues closing  
            the loophole and prohibiting ERBs to be sold at schools is an  








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            important part of the current effort to ensure that California  
            schools provide healthy beverage options to students.

           2)ERBS  .  ERBs are designed to replace fluids after exercise and  
            generally contain sodium and potassium to improve fluid  
            absorption in the body.  According to a U.S. Department of  
            Agriculture (USDA) report on Carbohydrate/ERBs,  
            "carbohydrate/ERBs 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 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.   

          According to the University of California Center for Weight and  
            Health (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 does not contain unnecessary  
            calories or artificial sweeteners and children do not 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 do not provide any extra benefit over water.   
            The Center for Weight and Health 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.  

           3)CHILDHOOD OBESITY  .  If current trends continue unchecked,  
            today's children will become the first generation to live  
            shorter life spans than their parents.  According to the  
            University of California at Los Angeles, Center for Health  
            Policy Research (UCLA), the prevalence of overweight and  
            obesity nearly tripled among 12-19 year olds and more than  
            quadrupled among six-11 year olds in the last three decades.   
            According to UCLA, overweight and obesity in children are  
            associated with increased risk for cardiovascular disease  








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            indicators, including high total cholesterol, high blood  
            pressure, and high fasting insulin, an early indicator of  
            diabetes risk.  In addition, according to UCLA, overweight  
            children and adolescents are more likely to be overweight or  
            obese as adults.  In adults overweight and obesity are  
            associated with increased risk for diabetes, heart disease,  
            stroke, some types of cancer and premature death.
           
          4)SUPPORT  .  According to the California Department of Public  
            Health, (DPH) the consumption of ERBs is linked to obesity and  
            obesity-related diseases, such as diabetes, hypertension and  
            heart disease.  The American Diabetes Association writes that  
            diabetes is the sixth leading cause of death and the leading  
            cause of blindness in adults, amputation of lower extremities,  
            kidney failure, heart attack, and stroke in the U.S.  The  
            American Cancer Society adds that overweight and obesity  
            contribute to between 14% and 20% of all cancer-related deaths  
            in the U.S.  DPH explains that studies have shown that ERBs  
            are overwhelmingly replacing sodas as the beverage of choice  
            for school-aged children and a student who drinks one 20 ounce  
            ERB a day will consume enough calories to lead to a 13 pound  
            weight gain a year.  The Harvard School of Public Health  
            writes that data the school published shows direct evidence  
            that reducing consumption of ERBs in overweight adolescents  
            led to an important reduction in body weight.  The California  
            Parks and Recreation Society and several school districts  
            write that many students wrongly believe that ERBs are a  
            "healthy" replacement to drinking sodas, but in fact they are  
            very high in sugar and sodium.  The California Medical  
            Association states that while consumption of ERBs in  
            moderation is fine, they are high in calories and offer no  
            nutritional benefit.

          Governor Arnold Schwarzenegger, Prevention Institute, and  
            Strategic Alliance for Healthy Food and Activity Environments  
            point out that ERBs are designed to be consumed only after  
            long periods of physical activity and cite that research  
            indicates that eight of the top 10 beverages sold a la carte  
            in California's public schools are ERBs.  The California  
            School Nurses Organization assert that ERBs are unnecessary  
            for students during the school day and that they are designed  
            to replace fluids and electrolytes which can be lost due to  
            lengthy and strenuous activity and that this does not happen  
            during the school day.  The California Center for Public  
            Health Advocacy (CCPHA) states that research shows water is  








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            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 in ERBs.  CCPHA writes that even  
            when children exercise vigorously - running nonstop for an  
            entire hour - water is just as good at replenishing fluids  
            they need while keeping electrolytes in balance.

          The California Dental Association (CDA) writes that the  
            deleterious oral health affects of SSBs, like ERBs, are well  
            documented and consumption of these drinks creates a high-risk  
            of dental enamel damage and caries development.  CDA states  
            that 50% of kindergartners and nearly 70% of third graders in  
            California already have experienced dental decay; left  
            untreated this decay may cause chronic pain, infection,  
            delayed growth, school absenteeism, and can interfere with  
            learning.  The California Teacher's Association believes  
            nutrition has a direct effect on a student's ability to learn  
            and that products available for consumption in schools should  
            be nutritious and free of harmful chemicals.
           5)OPPOSITION  .  The California Chamber of Commerce (Chamber) is  
            opposed to this bill because it further restricts the kinds of  
            foods that may be sold in California public schools.  The  
            Chamber argues that this bill does not address the real causes  
            of obesity and that focusing on foods and beverages in schools  
            is counter-productive when considering the multitude of  
            factors that contribute to obesity.  The Chamber argues that  
            state law and federal regulations already adequately protects  
            children by placing restrictions on food and beverages with  
            minimal nutritional values served in schools during lunch.   
            The Chamber maintains this bill would achieve little while  
            creating additional costs to both local school systems and the  
            state.
           
          6)OPPOSE UNLESS AMENDED  .  The California Nevada Soft Drink  
            Association (CNSDA) states that they are opposed unless  
            amended to this bill.  CNSDA maintains that they support  
            efforts that address the obesity problem comprehensively  
            rather than targeting any one food or beverage type.  CNSDA  
            also recommends that the types of beverages that should be  
            allowed on middle and high school campuses be re-evaluated.   
            According to CNSDA, the original provisions were adopted five  
            years ago when many of the beverage options that are now  
            available did not exist such as low- or no-calorie flavored  
            waters, lower and no-calorie sports drinks, and a variety of  








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            alternative beverages like Vitamin Water, SoBe and Propel  
            Water, just to name a few.  With a re-evaluation CNSDA argues  
            that schools would able to sell alterative beverages with low  
            or no calories as well as raise much needed revenues for a  
            variety of programs.

           7)RELATED AND PREVIOUS LEGISLATION  .  
           
             a)   SB 1210 (Florez and Assemblymember Monning) of 2010  
               enacts an excise tax of $0.01 per teaspoon of added caloric  
               sweetener in a bottled sweetened beverage or concentrate  
               sold or offered to sale to a retailer.  SB 1210 requires  
               the Board of Equalization to deposit all taxes, penalties,  
               and interest collected, less refund and administrative  
               costs, in the Children's Health Promotion Fund, which SB  
               1210 would create. SB 1210 would require all moneys in the  
               fund, upon appropriation by the Legislature, to be  
               allocated to the State Department of Public Health for  
               distribution of grants to eligible school districts for the  
               purposes of statewide childhood obesity prevention  
               activities and programs.  SB 1210 is currently in Senate  
               Revenue and Tax Committee on the suspense file.
             
              b)   SB 1413 (Leno) of 2010 prohibits a governing board of a  
               school district from entering into, or renewing, a contract  
               that restricts the availability of free tap water on 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.  SB 1413 is  
               currently pending hearing in the Assembly Education  
               Committee and is scheduled to be heard on June 30, 2010.  

              c)   AB 2084 (Brownley) of 2010 requires 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.  SB 2084 is  
               currently pending in the Senate Health Committee and is  
               scheduled to be heard June 23, 2010.








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             d)   AB 627 (Brownley) of 2009 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 have received higher state meal reimbursement to  
               implement higher nutrition and physical activity standards.  
                AB 627 was vetoed by the Governor stating that AB 627  
               created pressure to add Proposition 98 General Fund  
               resources to CACFP when funding for so many other education  
               programs have been cut.  
           
             e)   SB 965 modifies 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.  
           
             f)   SB 677 (Ortiz) Chapter 415, Statutes of 2003, expands  
               restrictions on the types of beverages allowed to be sold  
               in middle and junior high schools and eliminates, as a  
               condition for implementation of restrictions in elementary,  
               middle and junior high schools, a requirement that funds be  
               appropriated for certain programs.  
           
             g)   SB 19 (Escutia) Chapter 913, Statutes of 2001,  
               establishes the Pupil Nutrition, Health and Achievement Act  
               of 2001, which places various prohibitions on the sale of  
               beverages in elementary and middle schools and places  
               nutritional standards on the type of foods that may be sold  
               to pupils a la carte, as specified.  

          8)SECOND COMMITTEE OF REFERENCE  .  This bill was heard in  
            Assembly Education Committee on June 16, 2010, and was  
            approved on a 5-2 vote.  
           
           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          Governor Arnold Schwarzenegger (sponsor)
          American Academy of Pediatrics, California District
          American Cancer Society
          American Diabetes Association
          California Board of Chiropractic Examiners
          California Center for Public Health Advocacy
          California Chiropractic Association








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          California Dental Association
          California Department of Public Health
          California Food Policy Advocates
          California Medical Association
          California Pan-Ethnic Health Network
          California Park and Recreation Society
          California School Nurses Organization
          California School Nutrition Association
          California State PTA
          California Teachers Association
          Children's Hospital Los Angeles
          Community Clinic Association of Los Angeles County
          Harvard School of Public Health
          Health Officers Association of California
          Los Angeles Unified School District
          Mission Community Hospital
          Northeast Valley Health Corporation
          Oakland Unified School District
          Prevention Institute
          San Mateo County Board of Supervisors
          Strategic Alliance for Healthy Food and Activity Environments

           Opposition  

          California Chamber of Commerce
           
            Oppose Unless Amended
           
          California Nevada Soft Drink Association

           Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916)  
          319-2097