BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  SB 949
          Author:   Jackson (D)
          Amended:  5/7/14
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  9-0, 4/2/14
          AYES:  Hernandez, Anderson, Beall, De Le�n, DeSaulnier, Evans,  
            Monning, Nielsen, Wolk

           SENATE EDUCATION COMMITTEE  :  9-0, 4/30/14
          AYES:  Liu, Wyland, Block, Correa, Galgiani, Hancock, Hueso,  
            Huff, Monning

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 5/23/14
          AYES:  De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg


           SUBJECT  :    Nutrition:  Distinguished After School Health  
          Recognition Program

           SOURCE  :     California State Alliance of YMCAs


           DIGEST  :    This bill establishes the Distinguished After School  
          Health (DASH) Recognition Program, within the Department of  
          Public Health (DPH), in consultation with the Department of  
          Education (DOE) that requires DPH to develop a process whereby  
          an after school program, as defined, may self-certify on DPH's  
          Internet Web site that they meet prescribed requirements.

           ANALYSIS  :    

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          Existing law:

          1. Establishes the California Nutrition Monitoring Development  
             Act to determine the availability and types of nutrition  
             monitoring information currently available in specified  
             federal, state, and local government programs.  Requires DPH  
             to assess the availability and adequacy of existing state and  
             local food and nutrition data systems and to require other  
             state entities to provide existing nutrition-related data.   
             Encourages programs in local government and the private  
             sector to provide available nutrition monitoring information  
             to DPH.  Requires DPH to outline a process for developing a  
             prototype state-local nutrition monitoring system.

          2. Establishes the "5 A Day-For Better Health" program in DPH,  
             to the extent funds are available, for the purpose of  
             promoting public awareness of the need to increase the  
             consumption of fruits and vegetables as part of a low-fat,  
             high fiber diet in order to improve health and prevent major  
             chronic diseases, including diet-related cancers.  Allows the  
             promotion of the program to the public through channels  
             including, but not limited to, print and electronic media,  
             retail, grocers, schools, and other government programs,  
             specifically to the general adult population, adults with  
             lower educational attainment, school-age children and youth,  
             and high-risk groups determined by DPH.

          3. Establishes the California Healthy Food Financing Initiative  
             (CHFFI) Council within the office of the State Treasurer to  
             expand access to nutritious foods in underserved, urban, and  
             rural communities and to eliminate food deserts in the state.  
              Requires the Council to establish and maintain an Internet  
             Web site. Requires the Secretary of the Department of Food  
             and Agriculture (DFA) to prepare recommendations regarding  
             actions that need to be taken to promote food access in the  
             state.  Establishes the CHFFI Fund in the State Treasury to  
             be used, to the extent practicable, to leverage other  
             funding, including, but not limited to, federal, state, and  
             private funds.

          This bill:

          1. Establishes the DASH Recognition Program, to be administered  
             by DPH in consultation with the DOE, and requires DPH to  

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             develop a process for an after school program to self-certify  
             on DPH's Internet Web site that it meets all the criteria  
             established by this bill.

          2. Defines "after school program" as the After School Education  
             and Safety Program, 21st Century High School After School  
             Safety and Enrichment for Teens program, and other qualified  
             out-of-school time programs that serve school age children  
             outside of regular school hours, including before school and  
             on weekends.

          3. Requires the self-certification process to provide after  
             school programs with the option to create a certificate,  
             using a template designed by DPH, that includes a description  
             demonstrating how the after school program meets each of the  
             following:

             A.    Requiring each staff member to receive specified  
                training on the standards established for this  
                recognition program and the importance of modeling  
                healthy eating and physical activity.  

             B.    Providing regular and ongoing nutrition education to  
                each student in the after school program.

             C.    Ensuring that each student participates in 30-60  
                minutes of moderate to vigorous physical activity  
                daily.

             D.    Limiting screen time to only be allowed in  
                connection with homework or an activity that engages  
                physical activity or educational experience.

             E.    Serving healthy food, including fruits and  
                vegetables without added sugar, as snacks daily, and  
                fried food, candy or food that are primarily  
                sugar-based are not served to students or consumed by  
                staff.  

             F.    Serving students water, low-fat or nonfat milk, or  
                100% fruit juice, with preference for water.

             G.    Requiring items sold at a fundraiser during program  
                hours are in compliance with specified healthy food and  

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                beverages criteria.

             H.    Requiring after school programs located on  
                schoolsites to communicate with the school regarding  
                nutrition education and physical activity, with  
                activities adhering to the school district's wellness  
                policy.

             I.    Implementing an educational program for parents that  
                provide nutrition and physical activity information.

             J.    Making available for review by parents information  
                about the criteria for the recognition program.

          4. Provides that a certificate is valid for one calendar year,  
             and requires an after school program that wishes to create a  
             new certificate for the subsequent year to self-certify on  
             DPH's Internet Web site, by January 1, that the program  
             continues to meet the criteria for recognition.  Requires a  
             certificate to state that all information included in the  
             certificate is provided by the after school program and is  
             not verified by DPH.

          5. Requires DPH to maintain and update a list of after school  
             programs that self-certify and post that list on its Internet  
             Web site, including the date of self-certification for each  
             after school program.

           Background
           
           Obesity and other chronic diseases  .  DPH issued a study, The  
          Burden of Chronic Disease and Injury, in 2013 that highlights  
          some of the leading causes of death, such as heart disease,  
          cancer, stroke, and respiratory disease, all of which have a  
          strong connection to obesity.  Diabetes is another serious  
          chronic disease stemming from obesity that adversely affects  
          quality of life and results in serious medical costs.  The last  
          decade has witnessed a 32% rise in diabetes prevalence,  
          affecting some 3.9 million people and costing upwards of $24  
          billion per year.  According to the Centers for Disease Control  
          and Prevention (CDC), more than one-third of U.S. adults are  
          obese, and approximately 12.5 million children and adolescents  
          ages 2 to 19 years are obese.  Research indicates a tripling in  
          the youth obesity rate over the past three decades.  While this  

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          increase has stabilized between the years 2005 and 2010, in  
          2010, 38% of public school children were overweight and obese.   
          Overweight youth face increased risks for many serious  
          detrimental health conditions that do not commonly occur during  
          childhood, including high cholesterol and type-2 diabetes.   
          Additionally, more than 80% of obese adolescents remain obese as  
          adults.

           School Health Index (SHI)  .  The SHI was developed by the CDC in  
          partnership with school administrators and staff, school health  
          experts, parents, and national nongovernmental health and  
          education agencies to enable schools to identify strengths and  
          weaknesses of health and safety policies; enable schools to  
          develop an action plan for improving student health; and engage  
          teachers, parents, students, and the community in promoting  
          health-enhancing behaviors and better health.  The SHI addresses  
          six health topic areas:  physical activity; healthy eating;  
          tobacco-use prevention; unintentional injury and violence  
          prevention (safety); asthma; and sexual health, including HIV,  
          other sexually transmitted diseases, and pregnancy prevention.   
          The CDC states that completing the SHI is an important first  
          step toward improving a school's health promotion policies and  
          practices and can help a school include health promotion  
          activities in its overall School Improvement Plan.

           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.  When the Treasurer's Office  
          secures funding, 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 Secretary of  
          DFA, 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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           Prior Legislation
           
          AB 626 (Skinner and Lowenthal, Chapter 706, Statutes of 2013)  
          made numerous changes to law related to school nutrition, mostly  
          to conform to the federal Healthy, Hunger-Free Kids Act of 2010.

          SB 464 (Jackson of 2013) would have established the Healthy  
          Eating and Physical Activity Act within the Child Care and  
          Development Services Act (CCDSA) to establish standards for  
          nutrition and physical activity for early childhood education  
          programs, infant care programs, and after-school programs  
          conducted under the CCDSA.  This bill failed in the Senate  
          Education Committee without being heard. 

          AB 1178 (Bocanegra of 2013) would have established the  
          California Promise Neighborhood Initiative to provide funding to  
          schools that have formalized partnerships with local agencies  
          and community organizations to provide a network of services to  
          improve the health, safety, education, and economic development  
          of a defined area.  The bill was held in suspense in the  
          Assembly Appropriations Committee.

          AB 581 (John A. P�rez, 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.  
           The bill also required the Secretary of DFA, 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.

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


          According to the Senate Appropriations Committee:


           Likely one-time costs up to $150,000 to develop program  
            procedures and regulations by DPH (General Fund).


           Likely one-time costs up to $160,000 to develop an Internet  
            Web site and the underlying information technology  

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            infrastructure to allow programs to self-certify and track  
            certifications (General Fund).

           Minor ongoing costs for program oversight and maintenance  
            (General Fund).

           SUPPORT  :   (Verified  5/23/14)

          California State Alliance of YMCAs (source)
          Association of California Healthcare Districts
          California Academy of Physician Assistants
          California Center for Public Health Advocacy
          California Collaboration for Youth
          California Food Policy Advocates
          California Primary Care Association
          California School Nutrition Association
          California State Parent-Teacher Association
          Center for Collaborative Solutions
          EcoFarm
          Santa Barbara Food Alliance
          The Orfalea Foundation

           ARGUMENTS IN SUPPORT  :    Santa Barbra Food Alliance writes in  
          support, "We believe that this bill, which encourages healthy  
          foods, physical activity and promotes healthy living education  
          in after-school programs and licensed childcare centers, would  
          extend the efforts of the existing Child Care and Development  
          Services Act in creating a more integrated approach to solving a  
          problem of epidemic proportions.  According to the American  
          Heart Association, 23.9 million children in the United States of  
          America are overweight."

          JL:d  5/25/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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