BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 20
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          Date of Hearing:  July 5, 2011

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                     SB 20 (Padilla) - As Amended:  June 29, 2011

           SENATE VOTE  :  34-2
           
          SUBJECT  :  Food facilities: menu labeling.

           SUMMARY  :  Repeals current law governing menu labeling 
          requirements for food facilities and, instead, conforms state 
          law to federal law.  Specifically,  this bill  : 

          1)Deletes existing law governing menu labeling requirements for 
            food facilities.

          2)Requires every food facility subject to federal law or subject 
            to state law as it read on July 1, 2011, to comply with the 
            requirements of federal law and all subsequent regulations.

          3)Makes a violation of this bill an infraction punishable by a 
            fine in an amount that varies based on the nature of the 
            violation.

          4)Prohibits a food facility from being found to have committed a 
            violation under this bill more than once during an inspection 
            visit.

           EXISTING FEDERAL LAW  :

          1)Establishes the federal Food and Drug Administration (FDA) to 
            regulate food, cosmetics, medicines, and medicine products; 
            and ensure that such products are labeled appropriately. 

          2)Establishes the Nutrition Labeling and Education Act (NLEA), 
            which requires all packaged foods sold outside of restaurants 
            to include nutritional content information on the packaging.

          3)Requires restaurants to provide nutritional content 
            information on food items for which a nutrient or 
            health-related claim is made by the restaurant.

          4)Establishes the Patient Protection and Affordable Care Act 
            (PPACA) (Public Law 111-148) to, among other things, require 








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            restaurants or similar retail establishments with 20 or more 
            locations, doing business under the same name and offering for 
            sale substantially the same menu items, to disclose specified 
            nutritional information of the standard menu items, with 
            exceptions.  Also requires operators of 20 or more vending 
            machines to provide signs disclosing the number of calories 
            for food items in the machines when the Nutrition Facts Panel 
            cannot be viewed by the purchaser. 

           EXISTING STATE LAW  :

          1)Establishes the California Retail Food Code (CRFC) to govern 
            all aspects of retail food safety and sanitation in California 
            and makes local environmental health departments primarily 
            responsible for enforcing CRFC through local food safety 
            inspection programs.

          2)Requires every food facility in this state that operates under 
            common ownership or control, with at least 19 other food 
            facilities with the same name, that sell substantially the 
            same menu items, or operates as a franchised outlet of a 
            parent company with at least 19 other franchises, with the 
            same name, that sell substantially the same menu items, to 
            disclose to consumers specified nutritional information for 
            all standard menu items by January 1, 2011.
          
          3)Defines food facility, for the purpose of menu labeling 
            requirements, as a food facility in California that operates 
            under common ownership or control with at least 19 other food 
            facilities with the same name that sell substantially the same 
            menu items, or operates as a franchised outlet of a parent 
            company with at least 19 other franchises with the same name 
            that sell substantially the same menu items.
          
          4)Excludes from the definition of food facility certified 
            farmers' markets, commissaries, grocery stores, convenience 
            stores, licensed health care facilities, mobile support units, 
            public and private school cafeterias, restricted food service 
            facilities, retail stores in which a majority of sales are 
            from a pharmacy, and vending machines.

           FISCAL EFFECT  :  According to the Senate Appropriations 
          Committee, pursuant to Senate Rules 28.8, negligible states 
          costs.









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           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill 
            seeks to conform California's menu labeling standards to 
            federal menu labeling requirements that were included in 
            PPACA.  The author states that a previous bill that initiated 
            menu labeling in California, SB 1420 (Padilla) Chapter 600, 
            Statutes of 2008, was part of a comprehensive strategy to 
            combat the growing obesity epidemic facing the state and 
            advance a nationwide conversation about the benefits of menu 
            labeling.  SB 1420 requires restaurant chains with 20 or more 
            locations to disclose nutritional information, including 
            sodium, saturated fat, caloric, and carbohydrate content, on 
            their menus and menu boards and make it available to customers 
            under specified circumstances.

          The author contends that the menu labeling provisions included 
            in PPACA and subsequent proposed regulations for 
            implementation will likely create a need for conformity 
            between PPACA and California's law.  This bill seeks to 
            address conformity relative to the types of chains subject to 
            menu labeling requirements.

           2)EATING OUT  .  Studies have shown that eating out more 
            frequently is associated with obesity, higher body fat, or 
            higher body mass index, and that eating more fast food meals 
            is linked to eating more calories, more saturated fat, fewer 
            fruits and vegetables, and less milk.  According to a report 
            issued by the Center for Science in the Public Interest, 
            Americans spent roughly 46% of their food dollars at 
            restaurants in 2003, compared with 26% in 1970.  According to 
            the FDA, the average American now eats more than four meals a 
            week that are prepared away from home; these foods are often 
            higher in fats and calories, and served in larger portions, 
            than foods made at home. 

          A report from the UC Berkeley Center for Weight and Health (CWH) 
            entitled "Potential Impact of Menu Labeling of Fast Foods in 
            California" claims that the largest single source of food 
            consumed away from home is fast food.  CWH estimates that 
            there are 15,000 fast food establishments in California - 
            nearly four times as many as there are grocery stores.

           3)FOOD LABELING  .  Under the NLEA, a food is considered to be 
            misbranded unless its label or labeling bears nutrition 








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            information.  The NLEA exempts nutrition labeling requirements 
            for food under specified circumstances, including that it is 
            served in restaurants or other establishments in which it is 
            served for immediate human consumption, or it is offered for 
            sale to consumers but not for immediate human consumption in 
            such establishments and is not offered for sale outside such 
            establishments.  The NLEA requires restaurants and other 
            establishments that make either a nutrient content or health 
            claim about the food served to provide certain nutrition 
            information upon request.

          Food labeling is currently required for most prepared foods, 
            such as breads, cereals, canned and frozen foods, snacks, 
            desserts, and drinks.  Nutrition labeling for raw produce 
            (fruits and vegetables) and fish is voluntary.  According to 
            CWH, research shows that consumers routinely underestimate the 
            amount of calories in food.  However, since nutrition labeling 
            of packaged foods was mandated by the FDA in the 1990s, nearly 
            48% of American adults report that reading the nutrition 
            information on food labels has helped them change their 
            purchasing habits.

          In recent years, there has been growing support among public 
            health experts for providing calorie and other nutrition 
            information on restaurant menus in order to help consumers 
            make more informed food choices.  As evidence of consumer 
            preference for calorie information on menus, CWH points to a 
            2003 national telephone survey that found over two-thirds of 
            respondents supported the idea of listing calorie information 
            on restaurant menus.

           4)FOOD LABELING PROVISIONS OF PPACA  .  Section 4205 of the PPACA 
            imposes new nutritional labeling requirements for foods that 
            are a standard menu item offered for sale in a restaurant or 
            similar retail food establishment that is part of a chain with 
            20 or more locations doing business under the same name and 
            offering for sale substantially the same menu items.  
            Specifically, the following information is required for 
            standard menu items sold in chain retail food establishments:

             a)   The number of calories contained in each standard menu 
               item as usually prepared and offered for sale on a menu or 
               menu board.  The calorie declaration must be adjacent to 
               the name of the standard menu item, so as to be clearly 
               associated with the item;








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             b)   A succinct statement regarding suggested daily caloric 
               intake, posted prominently on the menu or menu board, 
               designed to enable the public to understand, in the context 
               of a total daily diet, the significance of the calorie 
               information provided on menus and menu boards;

             c)   Additional nutrition information for standard menu items 
               in a written form available on the premises and made 
               available to consumers upon request;

             d)   A prominent, clear, and conspicuous statement on the 
               menu or menu board regarding the availability of the 
               written nutrition information; and,

             e)   The number of calories per item or per serving on a sign 
               adjacent to self-service food and food on display.  These 
               items include food sold at salad bars, buffet lines, 
               cafeteria lines or similar self-service facilities, and 
               self-service beverages and food on display that is visible 
               to consumers.

            Under PPACA, the Secretary of Health and Human Services is 
            permitted to require the disclosure of additional information.

            These requirements also apply to drive-through and 
            self-service establishments.  Entities that are not covered by 
            the law such as restaurant chains with less than 20 locations 
            or movie theaters and bowling alleys, whose primary purpose is 
            not to sell food, may elect to "opt in" to the federal 
            requirements by registering with the FDA every other year.

            The FDA recently issued proposed regulations, which will 
            define the scope of the establishments covered by this law, 
            define menus and menu boards, determine the foods covered by 
            this law, establish requirements for daily caloric intake 
            disclosure statements, and establish standards for determining 
            and disclosing the nutrient content for standard menu items.  
            The public comment period for interested stakeholders to 
            respond to the proposed regulations closes on July 5, 2011.

            Some establishments are already posting nutrition information, 
            but the nutrition labeling requirements will not be finalized 
            until the FDA completes the rulemaking process.  While many of 
            these provisions became requirements at the time that PPACA 








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            was signed on March 23, 2010, the FDA has previously announced 
            that they intend to exercise their enforcement discretion 
            until their final rule is published and in effect.  The FDA 
            hopes to issue the final rules by the end of this year and is 
            proposing that the final rules become effective six months 
            from the date of publication for covered restaurants and 
            similar retail food establishments and one year from the date 
            of publication for covered vending machines.

           5)CALIFORNIA LABELING LAW  .  Current law requires every food 
            facility in the state that operates under common ownership or 
            control or operates as a franchised outlet of a parent 
            company, with at least 19 other food facilities or franchises 
            with the same name that sell substantially the same menu 
            items, to disclose to consumers specified nutritional 
            information for all standard menu items.  Specified 
            facilities, such as grocery and convenience stores, public and 
            private school cafeterias, and vending machines, are exempted 
            from these requirements.  Current law also defines calorie 
            content information, drive-through, menu board, and other 
            terms, for purposes of menu labeling and defines nutritional 
            information to include total number of calories, grams of 
            carbohydrates, grams of saturated fat; and milligrams of 
            sodium.

          SB 1420 was passed into law prior to PPACA, and was implemented 
            January 1, 2011. One major difference between PPACA and 
            existing state law is that PPACA requires operators of 20 or 
            more vending machines to provide nutritional disclosure signs 
            for food items in the machines when the Nutrition Facts Panel 
            cannot be viewed by the purchaser, while state law excludes 
            vending machines from labeling requirements.  Since the FDA 
            has not yet finalized their menu labeling regulations, it is 
            unknown how closely California law will align with the final 
            federal regulations.  At the very least, state laws on menu 
            labeling will be superseded by federal law.  However, 
            establishments like movie theaters and bowling alleys that are 
            not covered under the new federal law or its implementing 
            regulations will remain subject to existing state and local 
            laws.  

           6)RELATED LEGISLATION  .  SB 471 (Rubio) requires the state 
            Department of Social Services to seek necessary federal 
            approval to prohibit the purchase of sweetened beverages with 
            food stamps, as specified.  SB 471 is a two-year bill pending 








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            in the Senate Human Services Committee.

           7)PRIOR LEGISLATION  .

             a)   SB 1420 requires every food facility in the state that 
               operates under common ownership or control, with at least 
               19 other food facilities with the same name, that sell 
               substantially the same menu items, or operates as a 
               franchised outlet of a parent company with at least 19 
               other franchises with the same name, that sell 
               substantially the same menu items, to disclose to consumers 
               specified nutritional information for all standard menu 
               items.

             b)   AB 2572 (Parra) of 2008 would have required chain 
               restaurants with more than 20 locations in California to 
               disclose prescribed nutrition information for standard food 
               items by several methods within the facility and would have 
               allowed food facilities to provide calorie information only 
               under specified circumstances.  AB 2572 was held in Senate 
               Appropriations Committee Suspense File.

             c)   SB 120 (Padilla) of 2007, which was substantially 
               similar to SB 1420, was vetoed by  Governor Schwarzenegger 
               who stated that it would place burdens and costs upon some 
               restaurant owners while imposing no burdens or costs on 
               others and provide restaurants with little flexibility for 
               how they provide consumers with nutritional information.

           8)SUPPORT  .  Supporters, including the California Medical 
            Association and California Optometric Association, write that 
            the conformity in this bill will help to prevent obesity by 
            promoting healthy eating and responsible food choices by 
            individuals when dining out. 

           9)AUTHOR'S AMENDMENT  .  The author plans to offer an amendment to 
            add an urgency clause.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          California Medical Association  
           California Optometric Association
          Consumer Federation of California








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          Santa Clara County Board of Supervisors
           
            Opposition 

          None on file.


           Analysis Prepared by  :    Cassie Royce / HEALTH / (916) 319-2097