BILL ANALYSIS                                                                                                                                                                                                    �






                                                       Bill No:  AB 
          727
          
                 SENATE COMMITTEE ON GOVERNMENTAL ORGANIZATION
                       Senator Roderick D. Wright, Chair
                           2011-2012 Regular Session
                                 Bill Analysis


          AB 727  Author:  Mitchell
          As Amended:  May 27, 2011 
          Hearing Date:  June 28, 2011
          Consultant:  Paul Donahue


           SUBJECT  :  Public contracts; vending machines - healthy and 
          sustainable food

           SUMMARY  :  Requires at least 50% of food and beverages 
          offered in vending machines and cafeterias located on state 
          property to meet specified nutritional guidelines by the 
          year 2014.

           Existing law  :

          1) Regulates various aspects of the provision of food and 
          beverages in vending machines, including that blind persons 
          shall have priority in contracts to operate vending 
          facilities on state owned or leased property.

          2) Governs contracting between state agencies and private 
          contractors, sets forth requirements for the procurement of 
          supplies, material, equipment, and services by state 
          agencies, and charges the Department of General Services 
          (DGS) with management and oversight of state contracting 
          policy and procedures.

          3) Requires vendors that operate or maintain vending 
          machines on state property to offer 35% of the food in a 
          machine to meet "accepted nutritional guidelines," as 
          defined.

          4) Requires vendors that operate or maintain vending 
          machines on state property to offer at least one-third of 
          the beverages in a machine that meet accepted nutritional 
          guidelines.





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          5) Requires DGS, to consult with CalEPA, members of the 
          public, industry, and public health and environmental 
          organization to provide state agencies with information and 
          assistance regarding environmentally preferable purchasing.

           This bill  :

          1) Adopts changes that limit existing "accepted nutritional 
          guidelines" governing food and beverages that may be 
          offered for sale in vending machines on state owned or 
          leased property, providing additionally that these 
          nutritional guidelines shall be further assessed when the 
          Federal Dietary Guidelines for Americans are revised by the 
          USDA. 

          2) Increases from 35% to 50% the percentage amount of the 
          food and beverages in vending machines on state property 
          that must meet these newly modified nutritional guidelines. 
           The 50% requirement is effective on January 1, 2014.

           3) Requires vendors to offer drinking water as a beverage 
          option in vending machines on state property at a price not 
          exceeding that of other beverage options in the machines.

          4) Specifies that, beginning January 1, 2014 or upon 
          expiration of an existing contract, whichever is later, 
          food sold in any state-owned or state-leased building at 
          food concessions and cafeterias must at least meet standard 
          criteria for food and nutrition guidelines for concessions 
          as determined by Health and Sustainability Guidelines for 
          Federal Concessions and Vending Operations (federal 
          Guidelines).  

          5) Requires DGS, when approving contracts for the purchase 
          of food to be sold in any state-owned or state-leased 
          building at food concessions, cafeterias, or vending 
          operations, to:

               a) Give preference to purchasing food items grown, 
               packaged, or produced within California;

               b) Give preference to purchasing food items that meet 
               the sustainability guidelines for food, as determined 
               by federal Guidelines; and, 






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               c) Not include contract provisions that may serve as a 
               disincentive to purchase food items that are grown, 
               packaged, or produced within California and that meet 
               the federal Guidelines.

          6) Requires DGS to consult with CalEPA, members of the 
          public, industry, and public health and environmental 
          organization so as to provide state agencies with 
          information and assistance regarding environmentally 
          preferable purchasing including the federal Guidelines, in 
          order to develop practices that promote the acquisition of 
          healthy, sustainable, and environmentally preferable 
          purchasing.

          7) Makes legislative findings and declarations concerning 
          the problems of obesity, advantages of buying local and 
          sustainable food, and on increasing availability of 
          well-balanced and health food and snack items.
           
           COMMENTS  :
          
          1)  Rationale  :  According to the author, with the rise of 
          obesity, and a subsequent increase in health insurance 
          costs, it is important that Californians are provided with 
          healthier food options. The author states that national and 
          state efforts have led to the promotion of food procurement 
          policies with locally and regionally grown foods.  

          The author notes that LA County requires 100% of the food 
          sold in vending machines on county property must meet state 
          nutritional guidelines. The city of Chula Vista requires 
          that vending machines at city facilities contain 100% 
          healthy snack and beverage options.  This bill would 
          require that at least 50% of the food and beverages offered 
          in vending machines meet accepted nutritional guidelines. 

          2)  Nutritional guidelines versus mandates:   This bill 
          modifies the "accepted nutritional guidelines" in existing 
          law for vending machines, and mandates that food sold in 
          any state-owned or leased or state-leased building at food 
          concessions and cafeterias must at least meet standard 
          criteria for food and nutrition guidelines for concessions 
          as determined by Health and Sustainability Guidelines for 
          Federal Concessions and Vending Operations.  In addition, 
          the "accepted nutritional guidelines" must be re-assessed 
          when the USDA revises the Federal Dietary Guidelines.  





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          Except for packaged food sold at the federal Health & Human 
          Services offices, the federal concession and vending 
          machine guidelines are "strongly encouraged" in all 
          properties managed by the federal government - in other 
          words, they are guidelines - they are not a mandate.  
          Similarly, Section 4205 of the Patient Protection and 
          Affordable Care Act of 2010 requires only that vending 
          machine operators provide calorie and other nutrition 
          information to consumers - it does not mandate what can be 
          placed into the vending machines.

          3)  Competing obesity studies  :  On July 9, 2009, the UCLA 
          California Center for Public Health Advocacy (CCPHA) 
          released the Economic Costs of Overweight, Obesity and 
          Physical Inactivity Among California Adults - 2006.  The 
          study claims the total annual estimated cost to California 
          for overweight, obesity and physical inactivity was $41.2 
          billion - $21 billion for overweight and obesity, and $20.2 
          billion for physical inactivity.  In their report, CCPHA 
          recommended that California state agencies promote health 
          through their policy and funding decisions.   This study is 
          one of those cited by sponsors to support the policies 
          mandated in this bill, AB 727.

          However, in 2005 the US Centers for Disease Control (CDC) 
          had to admit that it had published a flawed study claiming 
          that 400,000 people die annually from obesity-related 
          illness. After publishing its correction in the Journal of 
          the American Medical Association, CDC announced that it 
          would review the methods it uses to calculate the health 
          effects of being overweight.  The identified flaws in the 
          obesity study were the result of an internal investigation 
          by the CDC, which found among other things that there were 
          "fundamental problems centered around both the data and the 
          methodology" used in the study. According to newspaper 
          accounts, some CDC researchers later criticized the study's 
          methodology, claiming they felt under political pressure to 
          endorse it. 

          Moreover, British researchers have discovered what has been 
          characterized as a "master switch" gene for obesity and 









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          diabetes.  The study,<1> published in Nature Genetics on 
          May 16, 2011, seems to suggest that diet may play a 
          relatively minor role in the development and expression of 
          obesity.  

          Researchers found that a gene linked to type 2 diabetes and 
          cholesterol levels is in fact a "master regulator" gene, 
          which controls the behavior of other genes found within fat 
          in the body.   Because fat plays a key role in 
          susceptibility to metabolic diseases such as obesity, heart 
          disease and diabetes, this study highlights the regulatory 
          gene as a possible target for future treatments to fight 
          these diseases.  The researchers found an association 
          between the KLF14 gene and the expression levels of 
          multiple distant genes found in fat tissue, which means it 
          acts as a master switch to control these genes. This was 
          confirmed in a further independent sample of 600 
          subcutaneous fat biopsies from Icelandic subjects.  These 
          other genes found to be controlled by KLF14 are in fact 
          linked to a range of metabolic traits, including body-mass 
          index (obesity), cholesterol, insulin and glucose levels, 
          which tends to highlight the interconnected nature of 
          metabolic traits.  

          Under this bill, beverages containing 100% fruit juice are 
          deemed to meet "accepted nutritional guidelines," yet 
          peer-reviewed studies suggest that fruit juice may in fact 
          contribute to increased obesity in children. (See, e.g., 
          Fruit Juice Intake Predicts Increased Adiposity Gain in 
          Children From Low-Income Families: Weight 
          Status-by-Environment Interaction. Faith MS, et al. 
          Pediatrics. 118;2006: 2066-2075)

          As suggested above, the science does not appear to be 
          settled on whether there is a direct causational link 
          between dietary choices and obesity.   The facts, 
          circumstances and studies such as those cited above tend to 
          call into question the claims by proponents of this bill 
          that eating snack foods and drinking sweetened beverages 
          causes obesity.  It may be more accurate and appropriate to 
          -------------------------
          <1> The study was one part of a large multi-national 
          collaboration known as the MuTHER study (MuTHER stands for 
          Multiple Tissue Human Expression Resource). The study 
          involved researchers from King's College London, University 
          of Oxford, The Wellcome Trust Sanger Institute, and the 
          University of Geneva.





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          suggest that there may be a correlation between obesity and 
          consuming "bad" foods and beverages, but in reality the 
          true cause of obesity is more elusive and depends on 
          complicated individual circumstances involving genetics, 
          blood chemistry, overall calorie intake, and exercise.  

          A policy issue raised by this bill is whether the 
          evidentiary link between dietary choices and obesity is 
          sufficient to warrant enactment of mandates in this bill. 

          4)  Blind vendors  :  In 1936, the federal Randolph-Sheppard 
          Act authorized the Business Enterprise Program (BEP).  This 
          program was intended to provide jobs for people who are 
          legally blind.  The California Department of Rehabilitation 
          administers the federal BEP.  Under federal and state law, 
          legally blind individuals are given priority on contracts 
          to operate food services facilities within federal and 
          state buildings. 

          The Department of Rehabilitation supports vendors within 
          the program by providing financial assistance for 
          equipment, counseling, and fiscal oversight services.  An 
          argument can be made that additional restrictions on 
          vending machine offerings in state buildings might drive 
          customers away from blind vendor facilities to outside 
          facilities where choices aren't restricted. 

          5)  Support  :  Supporters state that public facilities should 
          serve food that promotes health and prevents disease, and 
          that access to fresh, wholesome foods is a key component to 
          a health community.  Supporters observe that obesity and 
          diabetes are on the rise in the state, particularly in 
          communities of color.  They believe that healthier food 
          options in state buildings will help reduce the prevalence 
          and cost of diet-related diseases, and promote the overall 
          health and wellbeing of state employees and the general 
          public.

          Supporters also state that AB 727 will strengthen the 
          state's investment in its agricultural communities and will 
          benefit the environment by providing state agencies with 
          assistance regarding environmentally preferable purchasing. 


          6)  Opposition  :  Opponents state that this bill is overly 
          restrictive and would prohibit the offering of most soft 





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          drinks, including colas, teas and sports drinks.  This 
          eliminates consumer choice.

          Opponents further suggest that consumer demand and 
          purchasing habits affect the selection of beverages, and 
          that these decisions are best left to the operators of 
          these vending machines, whose livelihood will be negatively 
          impacted by arbitrary standards governing what products can 
          be offered for sale. 

          Opponents state that AB 727 arbitrarily attempts to define 
          foods as 'good' or 'bad,' 'healthy' or 'unhealthy.'  They 
          believe that the approach is overly simplistic, and fails 
          to recognize that foods and beverages contain many items 
          that can affect one's health.  

          Opponents also state that the bill would place vending 
          machine sales at a disadvantage against other retailers 
          including cafeterias and food concessions on the same 
          property, because the bill requires them to stock 50% of 
          their items that meet the nutritional guidelines in the 
          bill and would require cafeterias and commissaries to stock 
          only 25% of their items to meet these nutritional 
          guidelines.  Thus, cafeterias right across the hall from a 
          vending machine will have a financial advantage in having 
          the ability to stock more beverages and snacks that do not 
          fit the nutritional restrictions in the bill.

          Opponents note that they supported previous legislation 
          which placed nutritional guidelines in state law for 
          vending machines on state property and required 35% of 
          products to meet these guidelines.  Vendors significantly 
          modified their machine offerings in state buildings in 
          order to comply with the current law, and they are 
          committed to continuing to make these choices available.  

          7)  Related legislation  :

          SB 490 (Alquist) Chapter 648, Statutes of 2007 prohibits 
          schools from selling foods containing trans-fats.

          SB 441 (Torlakson) Chapter 597, Statutes of 2007 requires 
          that at least 35 percent of the food and beverages sold at 
          vending machines in state buildings and facilities meet 
          accepted nutritional guidelines. 






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          SB 677 (Ortiz) Chapter 415, Statutes of 2003 limits the 
          types of beverages that can be sold to pupils in elementary 
          and middle or junior high schools. The law exempts sales of 
          certain beverages at specified school events. 

          SB 19 (Escutia) Chapter 913, Statutes of 2001 established a 
          "comprehensive" nutrition and school health program that 
          restricts the types of foods that can be sold at schools.

           SUPPORT:   

          Alta Med
          American Cancer Society
          Baldwin Park Health Eating Active Communities Initiative
          California Black Health Network
          California Center for Public Health Advocacy
          California Church Impact
          California Food Policy Advocates
          California Food Project
          California Medical Association
          California Pan-Ethnic Health Network
          California Public Health Association - North
          California Rural Legal Assistance Foundation
          California WIC Association
          Community Resource Centers, St. Joseph Health System
          Congress of California Seniors
          Consumer Federation of California
          Consumers Union
          County of Los Angeles
          Environmental Working Group
          Food for People (Humboldt County)
          Fresno Metro Ministry
          Health Officers Association of California
          Humboldt Partnership for Active Living
          Latino Coalition for a Healthy California
          Madera Coalition for Community Justice
          Physicians for Social Responsibility
          Prevention Institute
          Supervisor Mark Ridley-Thomas, County of Los Angeles
          Time for Change Foundation
          United Service Workers West (SEIU)

           OPPOSE:   

          California Automatic Vendors Council
          California Nevada Soft Drink Association





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          Grocery Manufacturers Association

           DUAL REFERRAL:  Senate Health Committee
           
          FISCAL COMMITTEE:   Senate Appropriations Committee



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