BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1190|
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                                 THIRD READING


          Bill No:  SB 1190
          Author:   Hancock (D), et al.
          Amended:  5/29/12
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  9-0, 4/11/12
          AYES:  Hernandez, Harman, Alquist, Anderson, Blakeslee, De 
            Le�n, DeSaulnier, Rubio, Wolk

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 5/24/12
          AYES:  Kehoe, Walters, Alquist, Dutton, Lieu, Price, 
            Steinberg


           SUBJECT  :    Women, infants, and children's nutrition

           SOURCE  :     California WIC Association


           DIGEST  :    This bill requires the Department of Public 
          Health (DPH) to implement an electronic benefits transfer 
          (EBT) system for the California Special Supplemental Food 
          Program for Women, Infants and Children (WIC), as soon as 
          feasible.

           ANALYSIS  :    

          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 
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             education for low-income pregnant, breastfeeding, and 
             non-breastfeeding postpartum women, and to 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. Establishes, in federal law, the Healthy, Hunger-Free 
             Kids Act of 2010 (HHFKA), which requires, among other 
             provisions, that states implement EBT systems for WIC 
             programs by October 1, 2020, with specified exemptions.

          3. Authorizes the Department of Health Services (DHS, now 
             DPH) to design, implement and fund an EBT system for the 
             WIC program.  Requires DPH to study the feasibility of 
             implementing an EBT system for the WIC program and 
             report the findings to the Legislature by July 1, 2003.  
             Prohibits DPH from implementing an EBT system until the 
             feasibility study was completed and funding was 
             allocated in the annual Budget Act.  Requires DPH to 
             obtain USDA's approval prior to the establishment of any 
             EBT system.

          4. Authorizes the issuance of nutrition coupons by local 
             agencies to program recipients in order to exchange with 
             vendors for the purchase of approved nutritious foods.  
             Requires DPH to print specified information on each 
             coupon.  Requires DPH to provide this information on the 
             coupons using optical scanning technology, to the extent 
             feasible, and requires DPH to report to the Legislature 
             on the feasibility and costs of using this technology by 
             July 1, 2003. 

          This bill: 

          1. Requires DPH to design, implement and maintain an EBT 
             system for WIC, as soon as feasible.  Prohibits DPH from 
             implementing the EBT system until funding is provided in 
             the annual Budget Act.

          2. Deletes the requirement that DPH complete a feasibility 
             study on implementing EBT and report findings to the 
             Legislature by January 1, 2003.  

          3. Extends the date by which DPH must report to the 

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             Legislature on the feasibility and costs of using 
             optical scanning technology for the nutrition coupons to 
             July 1, 2013.  Additionally requires DPH to report on 
             which electronic card option the state will use to 
             implement the required EBT system. 

          4. States that DPH shall provide to the appropriate fiscal 
             and policy committees of the Legislature, the 
             Legislative Analyst's Office, and the Office of the 
             State Chief Information Officer quarterly briefings on 
             the development of the EBT system for the California 
             Special Supplemental Food Program for Women, Infants, 
             and Children, pursuant to Section 123302.  These 
             quarterly briefings shall be provided within 30 days of 
             the close of each quarter, with the first quarter 
             commencing January 1, 2013, and shall continue until the 
             EBT system is fully operational.

           Background
           
           WIC  .  WIC is a 100 percent federally-funded nutrition and 
          health program that provides nutrition education and food 
          for low-income pregnant women, new mothers, infants or 
          children under age five.  The WIC food package is 
          specifically designed to meet the special nutritional needs 
          of its target population, and includes items like infant 
          formula, milk, breakfast cereal, cheese, eggs, fruits, 
          vegetables and legumes.  Allocated quantities depend on the 
          age of the infant or child, and whether a mother is 
          pregnant, postpartum, and partially or fully breastfeeding. 
           WIC provides checks or coupons for buying healthy 
          supplemental foods from WIC-authorized vendors.  The 
          coupons are required to be printed with specified 
          information, including the specific food item for which the 
          coupon may be used, the specific quantities of that food 
          item, the valid dates during which the coupon may be used, 
          and the maximum value for the coupon. In addition to 
          nutritious foods, WIC also provides nutrition education, 
          assistance with finding health care and other community 
          services, and support and information about breastfeeding. 

           EBT .  EBT is the automated delivery, redemption and 
          reconciliation of benefits, most commonly used by the 
          federal Supplemental Nutrition Assistance Program, known in 

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          California as CalFresh, the California Food Assistance 
          Program, and cash assistance benefits. EBT provides 
          recipients receiving public assistance with electronic 
          access to food and cash benefits through the use of 
          magnetic striped cards at point-of-sale (POS) devices at 
          stores and ATMs.  EBT is used in all 50 states and in the 
          District of Columbia, Puerto Rico, the Virgin Islands, and 
          Guam. The California EBT system currently processes and 
          reconciles food and cash assistance benefit transactions 
          for over two million EBT cardholders per month.  The state 
          does not own or operate its own EBT system. Instead, the 
          state contracts with ACS State & Local Solutions, Inc., a 
          Xerox Company.  

          There are two main models of electronic card options for 
          EBT that the WIC program could consider. An off-line model 
          is the most common approach, and uses "smart" cards with an 
          embedded chip that stores the contents of the WIC food 
          package on the card.  Smart cards require that at least one 
          terminal at the grocery store be equipped to read the chip, 
          and infrastructure costs for this approach have so far 
          prohibited its widespread expansion. An on-line model uses 
          conventional magnetic stripe cards swiped in a common card 
          reader in any grocery store checkout lane.  The recipient 
          enters an encrypted personal identification number to 
          securely validate their identity.  The transaction flows 
          from the POS device to the central database, where the 
          contents of the recipient's individualized food package are 
          stored.  This bill requires that DPH report to the 
          Legislature on which model is chosen by July 1, 2013 in 
          order to give the vendors and retailers time to prepare 
          accordingly.

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

          According to the Senate Appropriations Committee, unknown 
          costs, likely in the tens of millions over the next several 
          years, to upgrade the current system for distributing 
          benefits (federal funds).

           SUPPORT  :   (Verified  5/29/12)

          California WIC Association (source)

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          American Red Cross WIC Program
          Antelope Valley Hospital WIC Program
          Bay Region WIC Association
          California Catholic Conference
          California Food Policy Advocates
          Community Resource Project, Inc. WIC Program of Sacramento
          Fresno County Economic Opportunities Commission
          Insight Center for Community Economic Development
          Kings County WIC
          Mono County WIC
          Scripps Mercy WIC Program
          Watts Healthcare Corporation
          Western Center on Law and Poverty
          WIC of Planned Parenthood of Orange and San Bernardino 
          Counties

           ARGUMENTS IN SUPPORT  :    Supporters such as the Kings 
          County Department of Public Health, Planned Parenthood of 
          Orange and San Bernardino Counties, Bay Region WIC 
          Association, and Antelope Valley Hospital WIC Program claim 
          that each day over 240,000 WIC checks are issued in 650 
          sites in California, and redeemed at over 5,500 
          WIC-authorized grocery stores.  The State Treasurer's 
          Office processes over 4.8 million WIC checks monthly.  They 
          argue that this paper check system used by the WIC program 
          is cumbersome and outdated for grocers, stigmatizing for 
          participants at the check stand, and costly to operate.  
          Community Resource Project, Inc.  WIC Program says that the 
          current check system requires participants to purchase all 
          of their food on a single check at once, which causes a 
          hardship for families who travel by bus.  They believe EBT 
          for WIC would have an especially positive impact on their 
          local WIC community because an EBT card would allow those 
          recipients that take multiple buses to get around to buy 
          their food in quantities that are more manageable on public 
          transportation.  

          Additionally, the American Red Cross WIC program claims 
          they hear firsthand about frustrations from using paper 
          checks at grocery stores, and how this draws negative 
          attention to WIC participants.  Mono County WIC program 
          claims they have only one grocery store in their area, and 
          the cumbersome WIC check process can become a nightmare, 
          contributing to long lines and extended wait times at their 

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          sole grocery store.


          CTW:do  5/29/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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