BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 677
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          Date of Hearing:   July 1, 2003

                            ASSEMBLY COMMITTEE ON HEALTH
                                Dario Frommer, Chair
                      SB 677 (Ortiz) - As Amended:  May 5, 2003

           SENATE VOTE  :   22-15
           
          SUBJECT  :   Schools: pupil nutrition: carbonated beverages.

           SUMMARY  : Expands existing restrictions on the sale of carbonated  
          beverages in schools by expanding restrictions on the types of  
          beverages allowed to be sold in elementary and middle schools to  
          junior high and high schools and by eliminating, as a condition  
          for implementation of the restrictions, a requirement that funds  
          be appropriated for certain programs.  Specifically,  this bill  :   
           

          1)Postpones the effective date of the restrictions in elementary  
            schools from January 1, 2004 to September 1, 2005.

          2)Deletes the restrictions applicable to middle schools, which  
            includes a requirement that vending machines containing  
            carbonated beverages remain locked or be rendered inoperable  
            until after the end of the last lunch period.

          3)Restricts the sale of beverages to pupils on campus in middle,  
            junior high, and high schools by allowing only certain  
            beverages to be sold from one-half hour before the start of  
            the schoolday until one-half hour after the end of the  
            schoolday.  Specifically, the restrictions:

             a)   Permit the sale of drinking water, milk (including, but  
               not limited to, chocolate milk, soy milk, rice milk, and  
               other similar dairy or nondairy milk), fruit-based drinks  
               that are composed of no less than 50 percent fruit juice  
               and that have no added sweeteners, and electrolyte  
               replacement beverages;

             b)   Exclude fruit-based drinks from the list of those  
               beverages permitted on campus if the sale involves a  
               beverage that exceeds 12 ounces per serving; and

             c)   Take effect September 1, 2005 for middle and junior high  
               schools and September 1, 2006 for high schools.








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          4)Revises an existing law provision making the beverage ban and  
            other restrictions relating to the sale of food on campus  
            contingent on specified appropriations by excluding the  
            beverage ban, at all schools, from the contingency. 

          5)Defines "added sweetener" as any additive that enhances the  
            sweetness of a beverage, including added sugar, but excluding  
            the natural sugar or sugars contained within the fruit juice  
            which is a component of a beverage.

          6)Makes various findings and declarations relating to childhood  
            obesity.

           EXISTING LAW  :

          1)Provides, effective January 1, 2004 specific reimbursements to  
            schools for meals served or sold to pupils if a school follows  
            specified nutritional standards.

          2)Contains various restrictions on the sale of food and  
            beverages in schools, effective January 1, 2004, if funds are  
            appropriated before that date.  The restrictions:

             a)   Limit the sale of food sold to elementary school  
               students during breakfast and lunch periods to food sold as  
               a full meal, with specified exemptions including fruit and  
               nonfried vegetables;

             b)   Require an individual food item sold to elementary  
               school students during morning or afternoon breaks to meet  
               specific nutritional standards relating to fat and sugar  
               content;

             c)   Limit the sale of beverages sold to students in  
               elementary school students at any time of day to water,  
               milk, 100 percent fruit juices, or specified fruit-based  
               drinks;

             d)   Prohibit the sale of carbonated beverages to middle  
               school students one-half hour before the start of the  
               schoolday until after the end of the last lunch period; and

             e)   Do not apply to food sold at a school fundraiser, as  
               specified.








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          3)Requires the Department of Education (CDE) to develop a  
            summary of state law and regulations pertaining to nutrition  
            and physical activity and permits posting of the summary by  
            schools.  Requires schools to post the school district's  
            nutrition and physcial activity policies in public view within  
            all school cafeterias or other central eating areas. 

          4)Requires CDE to establish a three-year pilot program, with at  
            least 10 schools, and requires participating school districts  
            to restrict sales of foods and beverages as specified.  Makes  
            grant money available from CDE to assist school districts in  
            establishing nutritional programs.

          5)Conditions the above provisions on the appropriation of  
            specified funds by January 1, 2004.

           FISCAL EFFECT  :   None

           COMMENTS  :   

           1)PURPOSE OF THIS BILL  . The author states the bill addresses the  
            epidemic proportions of overweight students in California by  
            restricting the sale of carbonated beverages on school  
            campuses and encouraging the sale of healthy beverages.

           2)BACKGROUND  .   According to the California Center for Public  
            Health Advocacy (CCPHA), childhood overweight and inactivity  
            has reached an all-time high in California.   CCPHA found  
            statewide that 26.5 percent of children are overweight and  
            39.6 percent are unfit. In order to address the issue, CCPHA  
            has made a number of recommendations to increase physical  
            activity mandates in schools and improve the nutritional  
            standards of food sold to students on school campuses.   CCPHA  
            suggests that part of the solution is to limit the amount of  
            soft drinks available to all students.

          A study published in  The Lancet  in 2001 found a direct  
            correlation between the consumption of sugar-sweetened drinks  
            and childhood obesity. The study indicates that per capita  
            soft-drink consumption increased 500 percent over the past  
            fifty years, and points a 100 percent increase in childhood  
            obesity in the U.S. between 1980 and 1994.  Soft drinks,  
            according to the study, constitute the leading source of added  
            sugars in the diet of adolescent boys and girls (57.7 grams  








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            daily for boys, 36.2 grams daily for girls).  The same study  
            finds a child's odds of becoming obese significantly rise with  
            each additional serving of a sugar-sweetened drink.    
            Childhood obesity leads to a number of health problems,  
            including high blood pressure, high blood lipids, asthma,  
            sleep apnea, chronic hypoxemia (too little oxygen in the  
            blood), early malnutrition, and orthopedic problems, and Type  
            2 diabetes, costing California about $14.2 billion annually,  
            according to CCPHA.  According to an article published in the  
            Journal of the American Medical Association indicates 92  
            percent of children diagnosed with Type 2 Diabetes are  
            characterized as obese.

           3)PRIOR LEGISLATION  .  Current law, which establishes nutritional  
            standards for food sold to students, restricts the sale of  
            carbonated beverages on school campuses, and creates the three  
            year pilot program was enacted by SB 19 (Escutia), Chapter  
            913, Statutes of 2001.  The application of nutritional  
            standards created by SB 19 is contingent upon a funding  
            increase in the school lunch program. 
             
             SB 56 (Escutia), Chapter 361, Statutes of 2002 expanded the  
            three year pilot program by making school districts that  
            participate in the program eligible for additional funding for  
            their school lunch programs, provided they adopt a ban on the  
            sale of carbonated beverages and comply with certain  
            standards.

            SB 1520 (Ortiz) of 2002 was substantially similar to the  
            current measure.  It failed passage in the Senate Education  
            Committee.

           4)SUPPORT  .  The American Academy of Pediatrics (AAP) contends  
            the prevalence of foods and beverages of minimal nutritional  
            value, including carbonated beverages, are primary  
            contributors to the growing epidemic of childhood obesity.   
            The AAP suggests that the restriction on soft drinks on  
            campuses would help children make more nutritional choices.   
            Supporters of the bill point out the disconnection between the  
            nutrition lessons taught in the classroom and the food that is  
            being sold to students on campus.  In addition, the California  
            Dental Association (CDA) suggests a link between excessive  
            soft drink consumption and high prevalence of dental erosion.   
            CDA identifies tooth decay as the most chronic childhood  
            disease.








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             The Prevention Institute (PI) argues that the bill makes an  
            important contribution to children's health by helping to  
            establish schools as models for positive behaviors.  PI notes  
            that the bill does not prevent students from bringing sodas to  
            school but ensures that the school's credibility in teaching  
            good nutrition is not undermined by the promotion of unhealthy  
            products.  PI also provided the committee with data from a  
            variety of sources which suggests that in some individual  
            schools or districts where policies have been changed to  
            promote the sale of healthy foods, schools have maintained (or  
            in some instances enhanced) their revenues.  Examples cited  
            include Aptos Middle School in San Francisco and Galt High  
            School in Galt.

           5)OPPOSITION  .  The California Nevada Soft Drink Association  
            (CNSDA) asserts that decisions to provide soft drinks should  
            be left at the local level, where school districts sign  
            contracts with distributors based on parental, student and  
            educator input.  CNSDA also states that in addition to  
            providing carbonated beverages, distributors offer a variety  
            of beverage options, including healthy choices such as juices  
            and bottled water.  In addition, CNSDA shares the concern with  
            overall child health issues, but states that the solution  
            should address the overall underlying causes of obesity,  
            including inactivity and lifestyle choices, and not by simply  
            focusing on soft drinks as the singular solution.

          The California School Food Service Association (CSFSA) suggests  
            there are already laws and local school district policies that  
            restrict the sale of foods in competition with school meal  
            programs.  CSFSA supports the enforcement of such competitive  
            food sales regulations.

          Finally, there is some concern about the loss of revenue  
            associated with the elimination of soft drink sales on  
            campuses.  The California Association of Directors of  
            Activities (CADA) state that the measure would eliminate up to  
            90 percent of their fundraising, further affecting the ability  
            of schools to offer student activities, athletics, special  
            programs and social activities.
           
          6)DOUBLE REFERRAL  .  This bill has also been referred to the  
            Education Committee.









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           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          American Academy of Pediatricians
          American Heart Association
          California Assembly on School-Based Health Care
          California Association for Health, Physical Education,  
          Recreation and Dance
          California Center for Public Health Advocacy
          California Dental Association
          California Dietetic Association
          California Federation of Teachers
          California Food Policy Advocates
          California Medical Association
          California Nurses Association
          California State PTA
          California Teachers Association
          California WIC Association
          Clinical Health Appraisals, Inc.
          Community Health Councils
          Consumers Union
          Contra Costa Child Care Council
          Del Norte Community Health Center
          Diabetes Coalition of California
          East Los Angeles Health Task Force
          Gray Panthers
          Kaiser Permanente
          Prevention Institute
          San Diego WIC Dietetic Internship
          Santa Barbara County Kids Network
          Strategic Alliance for Healthy Food and Activity Environments
          Student Nutrition Organization of San Diego State University
          Switch Beverage Company
          Tehama County Public Health Advisory Board
          University of California Cooperative Extension, Kern County
           
            Opposition 

           California Association of Directors of Activities
          California Automatic Vendor's Council
          California Chamber of Commerce
          California Nevada Soft Drink Association
          California School Food Service Association 
          Grocery Manufacturers of America








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          Mexican American Grocers Association
          Saddleback Valley Unified School District
          San Diego Unified School District


           Analysis Prepared by :    Clara Craven / HEALTH / (916) 319-2097