BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       AB 2246
          AUTHOR:        John A. Pérez
          AMENDED:       April 23, 2012
          HEARING DATE:  June 20, 2012
          CONSULTANT:    Orr

          SUBJECT  :  Public health: food access.
           
          SUMMARY  :  Requires the California Healthy Food Financing 
          Initiative (CHFFI) Council to establish and maintain a website 
          that provides specified information by March 31, 2013. 

          Existing law:
          1.Establishes the CHFFI for the purpose of expanding access to 
            nutritious foods in underserved, urban, and rural communities 
            and eliminating food deserts in California. Establishes the 
            CHFFI Council under the office of the Treasurer to implement 
            the CHFFI. 

          2.Requires, until January 1, 2013, the California Department of 
            Public Health (CDPH), in conjunction with the California 
            Department of Food and Agriculture (CDFA), to develop a 
            Healthy Food Purchase pilot program, as specified, to increase 
            the sale and purchase of fresh fruits and vegetables in 
            low-income communities. Requires CDPH to develop a process for 
            evaluating the effectiveness of the pilot and contract with an 
            independent external evaluator to conduct the evaluation. 
            Specifies that CDPH must apply for available federal matching 
            funds to support the pilot and that no General Fund monies may 
            be used to fund the pilot.
          
          This bill: Requires the Council to establish and maintain a 
          website. Requires, by March 31, 2013, the website to include, 
          but not be limited to: 
          § actions taken by the council; 
          § available funding sources to support access to healthy foods; 
          § interagency activities among specified state entities that 
            focus on benefiting underserved communities and increasing 
            access to healthy foods; and 
          § resources and links to other Internet Web sites with 
            information on food deserts and increasing access to healthy 
            foods.

                                                         Continued---



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           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee, the State Treasurer has recently launched a website 
          for the Council. Adding these particular components to that site 
          would result in minor costs absorbable within existing 
          resources.

           PRIOR VOTES  :  
          Assembly Health:    17- 0
          Assembly Agriculture:9- 0
          Assembly Appropriations:17- 0
          Assembly Floor:     70- 0
           


          COMMENTS  :  
           1.Author's statement.  Given the number of rural and urban 
            communities that lack access to healthy foods and the growing 
            interest of local government, non-profit groups and 
            philanthropic organizations to increase access, it is 
            important to have a centralized resource that is easily 
            accessible and contains information on potential funding 
            sources, partnership opportunities, and actions taken by the 
            CHFFI Council and other governmental agencies.

          2.Food deserts. A food desert is described as a geographic area 
            with limited access to affordable, quality, and nutritious 
            foods. 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. The Food, 
            Conservation, and Energy Act of 2008, commonly known as the 
            Farm Bill, required the United States Department of 
            Agriculture to study food deserts.  That study found that 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. The study also found 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 threshold) that are more than 1 
            mile from a supermarket or large grocery store. Data on 
            time-use and travel mode show that people living in low-income 
            areas with limited access to healthy food spend significantly 
            more time (19.5 minutes) traveling to a grocery store than the 
            national average (15 minutes).





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            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, 
            high caloric snacks sold at convenience stores or high fat, 
            high caloric foods sold at fast food outlets) overwhelms the 
            healthy food options.
          
          3.Healthy Food Financing Initiative (HFFI). In February of 2010, 
            the Obama Administration released details of the HFFI, which 
            was intended to support projects that increase access to 
            healthy, affordable food in communities that currently lack 
            these options. These communities are often found in 
            economically distressed areas, and their residents are 
            primarily served by fast food restaurants and convenience 
            stores that offer little or no fresh produce. The HFFI seeks 
            to 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. 
            The HFFI is a partnership between the federal Departments of 
            the Treasury, Agriculture, and Health and Human Services. 
            According to the State Treasurer's Office, in his fiscal year 
            2012 budget proposal, President Obama called for a $345 
            million investment in HFFI.

          4.CHFFI. The CHFFI was established in October 2011 as a 
            public-private partnership to increase access to healthy foods 
            in underserved, urban, and rural communities and to inspire 
            innovation in healthy food retailing. The CHFFI Fund within 
            the State Treasurer's Office is comprised of federal, state, 
            philanthropic, and private funds. The Treasurer's Office 
            claims to be working to secure funding for the CHFFI. When 
            secured, these funds will provide financing for grocery stores 
            and other forms of healthy food retail and distribution by 
            providing capital to eligible applicants. 

            The CHFFI Council includes the State Treasurer, the CDFA 
            Secretary, the Secretary of the California Health and Human 
            Services Agency, and the Secretary of the California Labor and 
            Workforce Development Agency. The Council's duties are to 
            develop financing options using public or private moneys and 
            resources; develop program parameters, such as establish 
            minimum and maximum levels of financial assistance; and 
            partner with federal, state, or local government agencies, 
            nonprofit organizations, and philanthropic programs.  




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          5.Related legislation. AB 70 (Monning) would require the 
            California Health and Human Services Agency to direct the 
            appropriate departments within the agency to apply for federal 
            community transformation grants under the Patient Protection 
            and Affordable Care Act and the Healthy, Hunger-Free Kids Act 
            of 2010, as specified.  AB 70 is pending hearing in Senate 
            Health Committee.
            
          6.Prior legislation. AB 581 (John A. Pérez), Chapter 505, 
            Statutes of 2011, created the CHFFI, the CHFFI Fund and the 
            CHFFI Council for the purpose of expanding access to healthy 
            foods in underserved communities.  Requires the CDFA 
            Secretary, by July 1, 2012, to prepare recommended actions to 
            be taken to promote food access within California.  This 
            authority remains in effect until January 1, 2017.
            
            AB 152 (Fuentes), Chapter 503, Statutes of 2011, established 
            the State Emergency Food Assistance Program (SEFAP) in statute 
            and allows for federal contributions to SEFAP for the purchase 
            of California grown fresh fruits or vegetables.  Provides a 
            tax credit to California growers for the costs of fresh fruits 
            or vegetables donated to California food banks. Directs CDPH 
            to apply for specified federal funding for obesity prevention 
            and promotion of healthy eating.
            
            AB 2720 (John A. Perez) of the 2009-2010 Session was 
            substantially similar to AB 581. Vetoed with the message: 
            "While my Administration shares the same goals as the author 
            when it comes to promoting healthy and affordable food access 
            for low-income communities in California, the Healthy Food 
            Financing Initiative has not yet been acted on by Congress. 
            Unless and until those important federal funding details are 
            known, this bill is both premature and unnecessary."

            AB 2726 (Leno), Chapter 466, Statutes of 2008, extends the 
            repeal date of the Healthy Food Purchase pilot program from 
            January 1, 2011, to January 1, 2013.

            AB 2384 (Leno), Chapter 236, Statutes of 2006, required CDPH, 
            in consultation with CDFA to develop a Healthy Food Purchase 
            pilot program to increase the sale and purchase of fresh 
            fruits and vegetables in low-income communities, as specified, 
            until January 1, 2011. 
            
          7.Support.  The California Pan-Ethnic Health Network (CPEHN) 




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            writes in support of the bill, claiming that thousands of 
            Californians live in areas that lack access to fresh, healthy, 
            affordable food, especially in low-income communities and 
            communities of color. Californians in areas without access to 
            supermarkets have rates of obesity and diabetes higher than 20 
            percent of residents living in healthy food environments. By 
            establishing a website with information about the Council's 
            actions, funding sources, additional resources and interagency 
            activities, AB 2246 is a logical step to ensure widespread 
            knowledge of the CHFFI Fund and Council and their efforts to 
            increase access to healthy foods. 

            The California State Association of Counties and the County 
            Health Executives Association of California both support AB 
            2246, claiming that counties support efforts to increase the 
            number of fresh grocery stores, urban and rural farm stands, 
            farmer's markets and community gardens in underserved 
            communities. By providing information and updates on the 
            Council's progress toward this goal, the website proposed in 
            AB 2246 will serve as an important tool in the state's effort 
            to promote healthy food access. 

           SUPPORT AND OPPOSITION  :
          Support:  American Federation of State, County and Municipal 
                    Employees
                    American Planning Association, California Chapter
                    California Building Industry Association
                    California Pan-Ethnic Health Network
                    California Physical Therapy Association
                    California Retailers Association
                    California State Association of Counties
                    County Health Executives Association of California
                    League of California Cities

          Oppose:   None received.

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