BILL ANALYSIS                                                                                                                                                                                                    �



                                                                AB 2322
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        (  Without Reference to File  )

        CONCURRENCE IN SENATE AMENDMENTS
        AB 2322 (Gatto)
        As Amended August 22, 2012
        2/3 vote. Urgency
         
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        |ASSEMBLY:  |     |(May 25, 2012)  |SENATE: |38-0 |(August 30,    |
        |           |     |                |        |     |2012)          |
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                   (vote not relevant)


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        |COMMITTEE VOTE:  |16-0 |(August 31, 2012)   |RECOMMENDATION: |concur    |
        |                 |     |                    |                |          |
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        Original Committee Reference:    HEALTH  

         SUMMARY  :  Requires the Department of Public Health (DPH) to adopt 
        regulations to specify the criteria to be used and actions to be 
        taken when initiating a moratorium on new retail food vendor 
        location applications for the California Special Supplemental Food 
        Program for Women, Infants, and Children (WIC).  Allows DPH certain 
        exemptions to the Administrative Procedures Act (APA) to timely 
        respond to any changes to federal law and guidelines.   

         The Senate amendments  :

        1)Allow DPH to adopt mandatory federal requirements and guidelines 
          pursuant to the WIC program by bulletin or similar instruction, 
          without being subject to state administrative regulations and 
          rulemaking requirements.

        2)Exclude moratoriums required by federal directive from the 
          provisions in this bill.

        3)Require DPH to establish requirements for:

           a)   Peer groups and a corresponding reimbursement system;

           b)   Vendor authorization criteria; and,









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           c)   WIC authorized foods. 

        4)Require DPH to establish the requirements in 3) above using 
          bulletins or similar notices, and to provide notice to, and 
          consult with, stakeholders and other specified entities 
          electronically and on the DPH Web site.  Require the notice to 
          include the date of a consultation meeting with a stakeholder 
          working group, as described.

        5)Specify that DPH will receive comments on the requirements in 3) 
          above for a 20-day period when the notice is released.  Require 
          DPH to consider the submitted comments and take final action 
          within 120 days from the last day to accept comments, or 120 days 
          from the conclusion of the stakeholder consultation, whichever is 
          later, unless DPH withdraws the action.  Allow DPH to withdraw 
          the proposed action at any time by notification on its Web site 
          or electronic notification. 

        6)Require DPH to provide at least 30 days advance notice of the 
          final action.  Require DPH to develop a process to collect 
          stakeholder feedback regarding the impact of the final action.

        7)Make other technical and conforming changes.

        8)Add an urgency clause to ensure that the provisions of this bill 
          go into immediate effect upon enactment.

         EXISTING LAW  :

        1)Establishes WIC, under the United States Department of 
          Agriculture (USDA), which provides grants to states for 
          supplemental foods, health care referrals, and nutrition 
          education for low-income pregnant, breastfeeding, and 
          non-breastfeeding postpartum women and for infants and children 
          up to age five who are found to be at nutritional risk.  
          Establishes WIC in California, administered by DPH, for these 
          purposes.

        2)Allows DPH to authorize retail food vendors to participate in the 
          WIC program.  Requires DPH to authorize an appropriate number and 
          distribution of food vendors in order to ensure adequate 
          participant convenience and access and to ensure that state or 
          local officials can effectively manage review of authorized food 
          vendors in their jurisdictions.  Requires DPH to establish 
          criteria to limit the number of retail food vendors with which 








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          DPH enters into vendor agreements.

        3)Allows, under regulation, any retail outlet meeting certain 
          requirements to apply to become an authorized food vendor and 
          describes the criteria used to select such vendors.

         AS PASSED BY THE ASSEMBLY  , this bill required DPH to adopt 
        regulations for WIC and specified criteria to be used when 
        initiating a moratorium on authorizations of new WIC retail food 
        vendor location applications.  Specifically  this bill  :

        1)Required DPH to adopt regulations to specify the criteria to be 
          used and actions to be taken when initiating a moratorium on new 
          WIC program retail food vendor location applications.  The 
          regulations must:

           a)   Define an effective caseload management level;

           b)   Identify the maximum duration of a moratorium;

           c)   Require DPH to process applications during the moratorium 
             if DPH was notified of the vendors' intent prior to the 
             moratorium; and,

           d)   Require DPH to provide retail food vendors with a minimum 
             of 30 days' notice prior to the effective date of, or 
             extension of, a moratorium.

         FISCAL EFFECT  :  This bill, as amended, has not been analyzed by a 
        fiscal committee.

         COMMENTS  :  The author maintains grocers have made strong efforts at 
        opening stores, in both rural and urban communities to provide 
        access to healthy affordable food.  The author argues that a grocer 
        will often make sure that there are no moratoriums or delays in 
        obtaining the appropriate WIC program retail food vendor location 
        authorizations before purchasing a new property.  According to the 
        author, when a moratorium is enacted grocers are less likely to 
        expand operations into communities who may need these services 
        most.  The author indicates that, currently, there are no rules or 
        regulations outlining how much notice DPH must provide WIC program 
        retail food vendors prior to enacting a moratorium, how long a 
        moratorium will be in place, or the actions that will be taken to 
        address the problem for which the moratorium was enacted.  This 
        lack of information and uncertainty makes it challenging for 








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        grocers to plan and serve all members of their community.  This 
        bill, the author maintains, will provide the needed transparency to 
        stakeholders regarding moratoriums on the WIC program.

        According to the author, this bill also protects future WIC program 
        funding by enabling the state to maintain timely compliance with 
        federal rules and regulations in the form of USDA guidance letters, 
        memorandums, and directives.  The author maintains that this bill 
        bridges the gap between immediate federal changes that would be 
        required at the state level by creating a mechanism for proper 
        statutory implementation.  The author also asserts this bill 
        implements a process that fully involves stakeholders to quickly 
        address WIC program changes regarding cost containment, vendor 
        criteria, or changes to WIC program authorized foods in order to 
        ensure compliance with USDA rules and regulations at all times.
           
        The Legislature has afforded other state departments the authority 
        to be exempted from the APA and to implement policies through 
        all-county letters or by similar instruction until regulations are 
        adopted.  For example, annually the federal government establishes, 
        amends, and eliminates procedure codes for Medi-Cal.  The 
        Department of Health Care Services has the authority to implement 
        an expedited process in order to respond to these federal changes 
        in a timely manner.  The Department of Social Services has also 
        used an expedited process to implement, among other things, 
        eligibility requirements for the California Work Opportunities and 
        Responsibility to Kids program (commonly known as CalWORKS).
         

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


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