BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  AB 1872|
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                                 THIRD READING


          Bill No:  AB 1872
          Author:   Alejo (D)
          Amended:  8/22/12 in Senate
          Vote:     21

           
           SENATE HUMAN SERVICES COMMITTEE  :  4-2, 7/2/12
          AYES:  Liu, Hancock, Wright, Yee
          NOES:  Berryhill, Strickland
          NO VOTE RECORDED:  Emmerson

           SENATE APPROPRIATIONS COMMITTEE  :  5-2, 8/16/12
          AYES:  Kehoe, Alquist, Lieu, Price, Steinberg
          NOES:  Walters, Dutton

           ASSEMBLY FLOOR  :  52-25, 5/30/12 - See last page for vote


           SUBJECT  :    Child day care facilities:  nutrition

           SOURCE  :     California Food Policy Advocates 


           DIGEST  :    This bill requires, except as provided, a family 
          day care home to provide meals and snacks that meet certain 
          federal nutrition standards and would require family day 
          care homes to keep daily menus of all meals and snacks 
          served; requires the Department of Social Services (DSS) to 
          inform prospective and current providers about the 
          nutrition requirements by posting information on its 
          website, through outreach materials, and during orientation 
          and inspections of providers; and requires the DSS to take 
          specified actions with respect to noncompliance, as 
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          specified.

           Senate Floor Amendments  of 8/22/12 remove the requirement 
          to conform with federal law in posting nutrition 
          requirements in order to permit DSS flexibility in issuing 
          regulations, per a request from DSS; and make a technical 
          change in identifying homes as "homes" rather than 
          "facilities."

           ANALYSIS  :    

          Existing law:

          1. Establishes the California Child Day Care Facilities act 
             to establish a statewide comprehensive, quality system 
             for licensing child day care facilities to ensure a 
             quality day care environment. (Health and Safety Code 
             (HSC) Section 1596.7 et seq.)

          2. Establishes in federal law the Child and Adult Care Food 
             Program (CACFP) and identifies nutritional standards for 
             meals in such facilities. (7 Code of Federal Regulations 
             (CFR) 226.20)

          3. Requires that state child care centers adhere to CACFP 
             nutrition standards, but leaves open the option to 
             participate in the reimbursement program.  Family Child 
             Care Homes are not required to adhere to CACFP 
             standards.

          4. Requires under state law that certain standards be used 
             when serving beverages in child care homes, and exempts 
             from those standards beverages that are deemed "medical 
             food" or those provided by a parent or legal guardian.  
             (HSC Section 1596.808)

          This bill provides that for the purposes of improving 
          nutrition in child day care facilities and increasing 
          providers' capacity to serve healthy foods, the DSS is 
          required to inform prospective and current providers about 
          the USDA CACFP by posting information relating to 
          eligibility, enrollment, and reimbursement on its website, 
          as well as disseminating information through orientation 
          materials, during regular inspections, and through written 

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          communications to licensees.  Specifically, this bill:

          1. Requires that a family day care home shall, at a 
             minimum, provide the amount of food and the components 
             in any meals and snacks served that are specified in the 
             USDA CACFP.  The DSS is required to explain the 
             nutritional requirements on its website, DSS outreach 
             material, and during the orientation of prospective 
             family day care home providers.

          2. If the CACFP is amended to include new nutritional 
             standards, the DSS may inform providers of the updated 
             standards by provider bulletin or other similar 
             instruction.

          3. Exempts a FCCH if a child has a medical necessity, as 
             specified, to the extent necessary to meet the medical 
             needs of the child.

          4. Does not apply to meals or snacks provided by a parent 
             or legal guardian for his or her child at a family day 
             care home.

          5. Requires FCCHs to keep daily menus available for parents 
             and guardians to see, of all meals and snacks served. 

          6. Requires the DSS to review the status of compliance with 
             the nutrition standards and provisions herein only 
             during regularly scheduled, authorized monitoring 
             inspections. If a FCCH is determined noncompliant with 
             this section, the DSS is to direct the FCCH to relevant 
             nutrition information and training opportunities.

          7. Provides that the provisions under which willful or 
             repeated violations of the Child Day Care Facilities Act 
             constitute a misdemeanor are not applicable to the 
             provisions of this bill.

           Background  

           Obesity among children  .  The prevalence of obesity in 
          children has more than doubled in the past 30 years among 
          young children, ages 2-5, according to the U.S. Department 
          of Health and Human Services.  It has tripled among youth 

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          ages 6-11, and has more than tripled among adolescents ages 
          12-19. The most recent National Health and Nutrition Survey 
          data shows 1 in 15 boys between ages 2 and 5, and nearly 1 
          in 10 girls, is considered obese. Researchers have found 
          that a child who is overweight between the ages of two and 
          fourandahalf is five times more likely to be overweight at 
          age twelve, when compared with children who are not 
          overweight in their preschool years.

          Two national studies  the USDAs Nationwide Food Consumption 
          Survey and the Continuing Survey of Food Intakes by 
          Individuals - demonstrate changes in eating patterns among 
          American youth that illustrate the complexity that exists 
          relating food intake to the increased prevalence of 
          obesity.  These include:

          1. There has been a decline in breakfast consumption - 
             especially for children of working mothers. 

          2. Average portion sizes increased for salty snacks from 
             1.0 oz. to 1.6 oz. and for soft drinks from 12.2 oz. to 
             19.9 oz. between 1977 and 1996. 

          3. Only 21% of young people eat the recommended five or 
             more servings of fruits and vegetables each day.

          4. Nearly half of all vegetable servings are fried 
             potatoes. 

          Childhood obesity is a public health issue that has been 
          extensively written about and studied. 

           CACFP  .  The USDA's CACFP provides day care providers with 
          cash reimbursement for serving up to two meals and one 
          snack per day to enrolled children that meet federal 
          nutritional guidelines.  Program payments for day care 
          homes are based on the number of meals served to enrolled 
          children, multiplied by the appropriate reimbursement rate 
          for each breakfast, lunch, supper, or snack they are 
          approved to serve.

          Nineteen states require all child care facilities to follow 
          CACFP nutrition standards, including Maryland, Michigan, 
          Oregon and Virginia.  Twelve states do not require the 

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          CACFP standard be followed as a condition of licensure for 
          all types of child care, including California.

           Nutritional requirements for children in day care  .  
          Approximately 50,000 family day care homes and child care 
          centers are licensed in California, with a combined 
          capacity of more than one million children.  Approximately 
          50% participate in the CACFP.

          As a condition of licensure, California's 10,850 child care 
          centers, with capacity for nearly 700,000 children, must 
          follow federally approved nutritional guidelines outlined 
          in the CACFP.  About half of them fully participate in the 
          CACFP  by obtaining federal reimbursement for providing 
          nutritionally approved menus. 

          There is no state-mandated nutritional requirement for 
          providers of care in the state's approximately 39,000 
          licensed Family Child Care Homes. About half of these 
          providers - some 20,300 homes - are approved as CACFP 
          providers.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

          According to the Senate Appropriations Committee:

           Potential one-time costs of $150,000 (General Fund) for 
            the DSS to update forms and materials to include the new 
            nutrition requirements.

           Ongoing costs of approximately $40,000 (General Fund) to 
            the DSS for additional workload to review for compliance 
            at regularly scheduled inspections.

           Ongoing costs of $242,000 (Federal Funds) to the CDE for 
            two positions to provide outreach, training, and 
            technical assistance to new sponsors and providers.

           Potential increased federal fund reimbursement of 
            approximately $4.5 million for every five percent 
            increase in participation by FCCH providers in the 
            federal Child and Adult Care Food Program (CACFP) that 
            provides partial reimbursement for meals served to 

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            children. Associated ongoing increase in state 
            reimbursement of $250,000 (General) per year to the 
            extent state funds are appropriated for meal 
            reimbursement to family day care homes in years 
            subsequent to 2012-13.  

           SUPPORT  :   (Verified  8/22/12) 

          California Food Policy Advocates (source)
          American Academy of Pediatrics
          American Federation of State, County and Municipal 
          Employees 
          American Heart Association
          California Association for Family Child Care
          California Center for Public Health Advocacy
          California Child Care Resource & Referral Network
          California Medical Association
          California Pan-Ethnic Health Network
          California Teachers Association
          Central California Regional Obesity Prevention Program
          Central Coast Hunger Coalition
          Child Care Food Program Roundtable
          Child Care Law Center
          Children Now
          Choices for Children
          Community Bridges
          Community Child Care Council of Santa Clara County, Inc.
          Del Norte Child Care Council
          Family Child Care Council
          First 5 Shasta
          Imperial County Children and Families First Commission
          Los Angeles County Policy Roundtable for Child Care
          Options Child Care and Human Service Agency
          Shasta County Office of Education
          UC Berkeley, Atkins Center for Weight and Health
          Valley Oak Children's Services

           OPPOSITION  :    (Verified  8/22/12) 

          California Right to Life Committee, Inc.


           ASSEMBLY FLOOR  :  52-25, 5/30/12
          AYES:  Alejo, Allen, Ammiano, Atkins, Beall, Block, 

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            Blumenfield, Bonilla, Bradford, Brownley, Buchanan, 
            Butler, Charles Calderon, Campos, Carter, Cedillo, 
            Chesbro, Davis, Dickinson, Eng, Feuer, Fong, Fuentes, 
            Furutani, Galgiani, Gatto, Gordon, Hall, Hayashi, Roger 
            Hern�ndez, Hill, Huber, Hueso, Huffman, Lara, Bonnie 
            Lowenthal, Ma, Mendoza, Mitchell, Monning, Pan, Perea, V. 
            Manuel P�rez, Portantino, Skinner, Solorio, Swanson, 
            Torres, Wieckowski, Williams, Yamada, John A. P�rez
          NOES:  Achadjian, Bill Berryhill, Conway, Cook, Donnelly, 
            Beth Gaines, Garrick, Grove, Hagman, Halderman, Harkey, 
            Jeffries, Jones, Knight, Logue, Mansoor, Miller, Morrell, 
            Nestande, Nielsen, Norby, Olsen, Silva, Smyth, Wagner
          NO VOTE RECORDED:  Fletcher, Gorell, Valadao


          CTW:m  8/23/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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