HomeMy WebLinkAboutMINUTES - 04242007 - C.30 TO:_ BOARD OF SUPERVISORS Contra
FROM: FAMILY AND HUMAN SERVICES COMMITTEE •;'— -=: `•
Costa
DATE: April 24, 2007 :,
County
r9,coiiri�
SUBJECT: Prevention of Childhood Obesity and Support Senate Bill 120 (Padilla)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
1. DIRECT Health Services to form strong partnerships with community
stakeholders and sectors to forge innovative strategies and policies to stem
and prevent the childhood obesity epidemic.
2. DIRECT Health Services to research options to reduce the exposure of
children to the marketing of non-nutritious foods, and to research and
implement effective social marketing campaigns to counteract the marketing
of non-nutritious foods.
3. SUPPORT Senate Bill 120 (Padilla, Migden, DeSaulnier), which would
require chain restaurants with 10 or more locations statewide to post
nutritional information on standard menus and menu boards.
FISCAL IMPACT:
No direct fiscal impact. Staff costs associated with recommendations are included in current
department budgets.
- BACKGROUND:
On April 16, 2007, the Family and Human Services Committee received a 6 month progress
report from the Health Services Department regarding the Childhood Obesity Board Order
adopted in October 2006, and heard testimony from members of the public. Two new
recommendations were brought forward by the Department at the request of the Families
Coalition for Activity and Nutrition (Families CAN), a countywide coalition addressing the
childhood obesity epidemic. The first recommendation addresses the imperative of innovative
partnerships to address the complexity of the childhood obesity epidemic. The second
addresses the role of the marketing in the childhood obesity epidemic.
On April 16, the Family and Human Services Committee learned that the recent) revised
CONTINUED ON ATTACHMENT:--YES SIGN URE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON ` e� O� APPROVE AS RECOMMENDED. OSP R
VOTE OF SUPERVISORS
`! I HEREBY CERTIFY THAT THIS IS A TRUE
_c UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
ATTESTED �Q
JOHN SW TEN,.CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Dorothy Sansoe(5-1009)
CC: L.Delaney(CAO)
HSD Public Health
BY: DEPUTY
California Uniform Retail Food Facilities Law (CURFFL) pre-empts localities in California from
mandating menu labeling. In light of this finding, the Family and Human Services Committee
recommends that the Board of Supervisors adopt a resolution in favor of Senate Bill 120.
SB 120, authored by Senators Padilla and Migden and principally co-authored by Assembly
Member Mark DeSaulnier, requires "each food facility that shares the same trade name with at
least nine other food facilities in the state to post nutritional information that includes per item
the total number of calories, grams of saturated fat, grams of trans fat, and milligrams of
sodium on standard menus . . . and also require the menu boards to include the total number
of calories."
SB 120 will enhance consumers' ability to make informed choices involving their diet and
health. Three quarters of American adults use food labels on packaged foods. Over the past
20 years, consumers have increased the number of meals prepared or eaten outside the
home, with an estimated one-third of calories and almost one-half of total food dollars spent
on food purchased from or eaten at restaurants and other food facilities. Simultaneously,
there has been a dramatic rise in obesity and overweight among adults and children
nationwide and in the County.
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MEMORANDUM
DATE: April 16, 2007
TO: Family and Human Services Committee
Federal Glover, Chair
Susan Bonilla, Member
FROM: Dorothy Sansoe
Sr. Deputy County Administrator
SUBJECT: Six Month Progress Report Describing Implementation of
Recommendations Regarding Childhood Obesity
Attached is the six month progress report on the progress made implementing the
directions made by the Board of Supervisors at their October 24, 2006 meeting. The
Health Services Department, Public Health Division is making two recommendations:
Recommendation 1: Direct Health Services to form strong partnerships with community
stakeholders and sectors to forge innovative strategies and policies to stem and prevent
the childhood obesity epidemic.
Recommendation 2: Direct Health Services to research options to reduce the exposure
of children to the marketing of non-nutritious foods, and to research and implement
effective social marketing campaigns to counteract the marketing of non-nutritious foods.
Staff from the program will be in attendance at the meeting to answer any questions
regarding the attached report and back up documents.
Attachments
Six Month Progress Report describing implementation of recommendations
in Board Order dated October 24,2006 regarding Childhood Obesity
Recommendation 1: Direct Health Services to form strong partnerships with
community stakeholders and sectors to forge innovative strategies and policies to
stem and prevent the childhood obesity epidemic.
Rationale: Stemming and preventing the childhood obesity epidemic is an
ambitious undertaking that demands innovative partnerships among all sectors of
society. CCHS has an important role in convening such partnerships, listening to
a wide array of perspectives and facilitating the development of effective
strategies and policies.
Recommendation 2: Direct Health Services to research options to reduce the
exposure of children to the marketing of non-nutritious foods, and to research and
implement effective social marketing campaigns to counteract the marketing of
non-nutritious foods.
Rationale: Reports from the Institute of Medicine and the Kaiser Family
Foundation point to the excessive amount of resources that are devoted to
advertising non-nutritious foods to children and families, and to the effectiveness
of that advertising. Efforts to reduce the exposure of children to advertising and
to promote alternative messages are widely recognized as vital strategies for
stemming and preventing the childhood obesity epidemic.
Background:
Staff from the Community Wellness and Prevention Program (CW&PP)
participated in the development of West Contra Costa Unified School District's
Wellness Policy and Administrative Regulations and Plans to provide ongoing
technical assistance during policy implementation. CW&PP staff is poised to join
Mt. Diablo Unified School District's Coordinated School Health Council to
provide assistance in the development of the District's wellness policy. In
addition, CW&PP and the Contra Costa Office of Education sponsored a
workshop on implementing school wellness policies.
CW&PP is training staff at 11 elementary after-school programs in the Mt. Diablo
and Pittsburg Unified School Districts on conducting nutrition education and
physical activity with K—5 students. Staff has developed a training toolkit for
after-school staff and coordinators, "Kids Just Wanna Have Fun." The A4A
collaborative of after-school programs in Contra Costa County are exploring
contracting with CW&PP for similar training and technical assistance in a number
of districts in the 07-08 school year.
Children's Health and Disability Program staff(CHDP) and providers from the
Contra Costa Regional Medical Center (CCRMC) are routinely screening
pediatric patients for BMI. Dr. Dooley and CHDP staff are working with a
public health student to develop a group appointment intervention for overweight
children and their families that will piloted in the Brentwood Health Center. The
eight week Kidshape program continues in East County; one session recently was
held in Bay Point. CW&PP and Public Health Clinic Services staff are working
with Kaiser to adapt KP Kids, Kaiser's lifestyle intervention series, to the CCHP
and CCRMC population. KP Kids will likely replace Kidshape and may expand
to the Monument in the fall of 2007 (a grant application has been submitted to
support expansion).
Families CAN (Coalition for Activity and Nutrition) is sponsoring a breakfast
promotion program in April and May 2007. Educational materials and breakfast
foods will be promoted to clients and patients along with the message that
breakfast is the most important meal of the day.
Contra Costa Health Services (CCHS), along with Kaiser Permanente, Families
Can and First Five have launched a ten month planning initiative, "Healthy and
Active Before 5". Over 40 representatives from organizations throughout the
county have convened to develop an action plan that will address the prevention
of obesity among the youngest in our population. Public and private childcare
providers are both key partners and are engaged in this initiative. Providing
opportunities for good nutrition and physical activity among this population are
among the initiative's top goals.
CW&PP's and CCOE's Wellness Policy Implementation Training included a
session on vending contracts. A national expert on vending contracts presented
information and materials regarding how to comply with State regulations,
eliminate advertising and negotiate beneficial contracts.
Four CW&PP staff are active participants in the Health Eating Active Living
(HEAL)project taking place in West County. HEAL is funded by Kaiser
Permanente and aims to reduce the impact of environmental determinants of
obesity.
CW&PP sought input from Families Coalition for Activity and Nutrition
(Families CAN) regarding progress to date on the issue of childhood obesity and
offers to following additional recommendations for consideration.
SB 120 (Padilla)
Food Facilities: Nutritional Information
Background
The 1990 Nutrition Labeling and Education Act(NLEA) requires food manufacturers to provide
nutrition information on nearly all packaged foods.
However, NLEA explicitly exempts restaurants. At
most restaurants, people can only guess the
nutritional quality of the food.
The current system of voluntary labeling at
restaurants is inadequate given the large role that . ..
restaurants foods play in Americans' diets.
Approximately two-thirds of the largest chain :• :
restaurants do not provide any nutrition information
about their foods to their customers.
Problem
Obesity is one of the greatest public health challenges of our time.
Obesity rates in adults doubled over the last twenty years. Currently, two-thirds of American
adults (65%) are overweight or obese. The percentage of seriously overweight children tripled in
the past two decades (from 4%to 15%).
Obesity is tied to the major causes of death in California: cardiovascular disease, diabetes, and
cancer. The Centers for Disease Control and Prevention (CDC)have identified poor nutrition as
one of the major factors in these diseases.
Americans are increasingly relying on restaurants to feed themselves and their families. In 1970,
Americans spent just 26%of their food dollars on foods prepared outside the home, like
restaurant meals; today the amount is 46%.
Studies have found a positive association between eating out and higher caloric intakes and body
weights. For example, children eat almost twice as many calories when they eat a meal at a
restaurant (770 calories) as at home (420 calories).
Solution
This bill requires each restaurant that is part of a large chain to provide nutritional information
per item on printed menus and menu boards.
Such information, clearly displayed at the point of decision, will help consumers to make more
informed choices at restaurants and is an important strategy for reducing obesity and protecting
the nation's health.
Support
American Heart Association- Sponsor
California Center for Public Health Advocacy—Sponsor
American Cancer Society- Sponsor
Nutrition Labeling at Chain Restaurants
In October 2000 the Contra Costa Board of Supervisors
. •,. P,...i.. .`.i. .K..
directed Contra Costa Health Services to research policies
for providing nutritional information at chain restaurants with HAMBURGER -280:6ai _$.891
20 or more locations nationally. This was one of ten directives
the Board adopted to address the childhood obesity CRISPYFILET- -FISHIm 470 Cal $1,99
•
epidemic MContra Costa County. In Contra Costa, QUARTER PUNDER ,
about 31% of fifth grade children are overweight and at , Cal $2,291
higher risk for long term, chronic diseases. BIG,MACT11 690 Cal $2.39!
:CHICKEN McGRILL'm 450 Cal $2.89j!
Nutrition Labeling on Packaged Foods DOUBLE-QUARTER-PO-UNDER 71•'Cal $2.991
Since 1994, the Nutrition Labeling and Education Act (NLEA) has required food manufacturers to
provide nutrition information on nearly all packaged foods. Research shows that 75% of consumers
read food labels when purchasing packaged foods. The law, however, explicitly exempts restaurants.
Americans Eat Out More than Ever Before
Today,we spend almost half of our food budget (469/6) on away-from-home foods (foods that are
either eaten in a restaurant or prepared outside the home). We eat about one third of our calories at
restaurants and other food-service establishments.
Today,we eat more calories than we did 20 years ago. Research shows that eating out is a possible
cause. Children eat almost twice as many calories when they ear a meal at a restaurant (770 calories)
compared to at home (420 calories).
Away-from-Home Foods
Away-from-home foods generally have more calories, more fat and less nutrients than home-
prepared foods. Most of us do not know this and underestimate the calories we are consuming
away from home.
Studies show that people tend to eat larger quantities of food when they are served more. Fast food
restaurant pricing can make large serving sizes more economical and appealing.
Nutritional Info for Away-From-Home Foods The U.S. Surgeon General and Department of
Health and Human Services' "Call to Action"
Fewer than one half of the largest chain restaurants to reduce obesity recommended: "increase
provide any nutrition information about their foods availability of nutrition information for foods
to their customers. Much of this information is eaten and prepared away from home." (2001)
difficult to read and is not available at the point of sale.
A recent study found that people ordered fewer high calorie entrees when nutrition information was
added to the menu.
Informed Choice
Studies show that most people, even trained dieticians, underestimate the calorie content of
restaurant meals. With today's soaring rates of adult and childhood obesity, families should know
what they are eating when they choose to eat away from home. Most adults don't want to be told
what they should eat, but they do want and need to make food choices for themselves and their
children based on clear and easy to understand information.
Public Health Approach
The field of public health is addressing today's obesity epidemic on many levels, from direct services
like providing clinics for overweight and at-risk children, to community education like campaigns to
promote physical activity.
Another focus of public health is promoting policies and practices that support good health and
prevent obesity. Contra Costa Health Services Public Health Division is interested in the practice of
menu labeling at chain restaurants as a way to support a healthier food environment, and thereby to
reduce and prevent obesity.
Senate Bill 120
California Senate Bill 120,introduced by Senator Padilla from Los Angeles,would require chain
restaurants to provide nutritional information on menu boards and printed menus. Information
would include the numbers of calories, saturated and trans fat, carbohydrates and sodium. Senator
Kuehl will chair the hearing on SB 120 in the Senate Health Committee on March 14.
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Tossed.in.our hot or mi Ed Buffalo.souc.e: -
Served with blue cheese.dressing and celery
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Fried Mozzarella SticksStuff�l: Fo.tato:.s3ci�ic.:: .....
Mozzarella:cheese lightly breaded and deep Large potato.shells fried golden brown;
flied:. Served with marinara sauce.. fined with Jack and Cheddar cheese;crrisp
s3o eai, 28 g"r fer, 1,800 sadium. $5,99.... ::. smoked bacon,green onions, porstey and sour .
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Blooming. Onich..:. .
9 1.260 ca:.48 g sat:fat: 1.900 Tg sodwrit... $6.69 :
R whole onion,cut.like.a flawer,.b uttered .:: .
and golden fried. Served with zesty dipping. Cheese Fries
.... .. .. . ....
sauce.::...... :
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French f ries.smothered in cheese,sprinkled.::
2.130 cul, 57 g set far;3.940 mg aodluijt::::: $6.99: .. with bacon and served with ranch dressing
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g sa mg
Prepared March 2,2007 bN1 the Community Wellness&Prevention Program
Adapted from";Anyone's Guess:The Need for Nutrition Labeling at Fast-Food and Other Chain Restaurants",Center for Science in
the Public Interest,November 2003.
AMENDED IN SENATE MARCH 21, 2007
AMENDED IN SENATE MARCH 8, 2007
SENATE BILL No. 120
Introduced by Senator
Senators Padilla and Migden
(Principal coauthor:Assembly Member DeSaulniel)
(Coauthor:Senator Alquist)
January 22, 2007
An act to add Chapter 12.5 (commencing with Section 114375) to
Part 7 of Division 104 of the Health and Safety Code, relating to food
facilities.
LEGISLATIVE COUNSEL'S DIGEST
SB 120,as amended,Padilla.Food facilities:nutritional infonnation.
The California Uniform Retail Food Facilities Law (CURFFL)
provides for the regulation of health and sanitation standards for retail
food facilities by the State Department of Health Services. Under
existing law local health agencies are primarily responsible for enforcing
CURFFL. A violation of any of these provisions is punishable as a
misdemeanor. Effective July 1, 2007,the duties'of the department will
be transferred to the State Department of Public Health.
This bill would require eertarn each food facility in the state that
meets specified criteria to provide nutritional information that includes
the
total
number
of
..brie,,' per item on menu boards and,exeept when
the f�eility only uses a menti board,the total number of calories,grams
of saturated fat-p+us, grams of trans4afs fat, and milligrams of sodium
per itern on printed standard menus. It would also require the menu
boards to include the total number of'calories. The bill would provide
that a food facility would be in violation of the act and guilty of a
infraction if it fails to comply with these requirements on and after
97
SB 120 —2—
January
2—January 1, 2009. By creating an infraction and adding a new local
enforcement duty, this bill would impose a state-mandated local
program.
The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the state.
Statutory provisions establish procedures for making that reimbursement.
This bill would provide that with regard to certain mandates no
reimbursement is required by this act for a specified reason.
With regard to any other mandates, this bill would provide that,if the
Commission on State Mandates determines that the bill contains costs
so mandated by the state,reimbursement for those costs shall be made
pursuant to the statutory provisions noted above.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.
The people of the State of'California do enact as follows:
1 SECTION 1. The Legislature hereby finds and declares all of
2 the following:
3 (a) Research continues to reveal the strong link between diet
4 and health, and that diet-related diseases start early in life.
5 (b) Increased caloric intake is a key factor contributing to the
6 alarming increase in obesity in the United States.According to the
7 Centers for Disease Control and Prevention, two-thirds of
8 American adults are overweight or obese, and the rates of obesity
9 have tripled in children and teens since 1980.
10 (c) Obesity increases the risk of diabetes, heart disease, stroke,
1 1 some cancers, and other health problems.
12 (d) Basic nutritional information is extremely important to
13 consumers who are dealing with chronic diseases like
14 cardiovascular disease and diabetes.
15 (e) Over the past two decades, there has been a significant
16 increase in the number of meals prepared or eaten outside the
17 home,with an estimated one-third of calories and almost one-half
18 (46 percent) of total food dollars being spent on food purchased
19 from or eaten at restaurants and other food facilities.
20 (f) Three-quarters of American adults report using food labels
21 on packaged foods, which are required by the Nutrition Labeling
22 and Education Act of 1990.
97
-3— SB 120
1 (g) Consumers should be provided with point of purchase access
2 to nutritional information when eating out in order to make
3 informed decisions involving their health and diet.
4 (h) It is the intent of the Legislature to provide consumers with
5 better access to nutritional information about prepared foods sold
6 at food facilities so that consumers can understand the nutritional
7 value of available foods.
8 SEC. 2. Chapter 12.5 (commencing with Section 114375) is
9 added to Part 7 of Division 104 of the Health and Safety Code, to
10 read:
11
12 CHAPTER 12.5. FOOD FACILITY NUTRITION
13
14 114375. (a) Except as provided in subdivision (e), each food
15 facility in this state that shares the same trade name with at least
16 nine other food facilities in the state, regardless of whether the
17 food facilities are subject to the same ownership or type of
18 ownership, that offer for sale substantially the same menu items
19 shall make nutritional information available to consumers for all
20 standard menu items. This information shall include, but not be
21 limited to, all of the following, per item, as usually prepared and
22 offered for sale:
23 (1) Total number of calories.
24 (2) Total number of grams of saturated fatplus trans Fa
25 (3) Total number ofgrams of trans fat.
26 (-3)
27 (4) Total number of carbohydrates.
28 (4)
29 (5) Total number of milligrams of sodium.
30 (b) Each food facility that uses a standard menu shall provide
31 the nutritional information next to each item on the menu in a size
32 and typeface similar to other information about each menu item.
33 If the food facility also uses a menu board, the food facility may
34 limit the nutritional information listed on the menu board to the
35 total number of calories per item in a size and typeface similar to
36 other information about the item.
37 (c) Each food facility that uses only a menu boardmay
38 the nutritional information listed on the menu board to the total
39 shall provide on the menet board the total number of calories per
40 item in a size and typeface similar to other infor tali na ``'te
97
SB 120 —4-
1
4-
1 .4..m i f th. additional nutritional
information
nf rmation . made
available to
2 eonserners in riting upon request. information on the menu board
3 about the item. This type of food facility shall, upon request, make
4 the other nutritional information available to consumers in writing
5 at the point of sale.
6 (d) The bottom of each page of a menu shall include, in a clear
7 and conspicuous manner,the following statement:"Recommended
8 limits for a 2,000 calorie daily diet are 20 grams of saturated fat
9 and 2,300 milligrams of sodium. Saturated
ted r` numbers in a�
10 ifne items on the menu eentain more than 0.5 grams
11 of trans illy hydrogenated oil per item,the stateirrent,-
12 "sfie, r hers inelude t" , n be omitted.
13 (e) This section does not apply to items that are on the menu
14 for less than six months. This section also does not apply to the
15 following types of food facilities:
16 (1) Certified farmers'markets.
17 (2) Commissaries.
18 (3) Licensed health care facilities.
19 (4) Mobile support units.
20 (5) Public and private school cafeterias.
21 (6) Restricted food service facilities.
22 (7) Temporary food facilities.
23 (f) A food facility is out of compliance with this section if the
24 declaration on the menu,menu board,or writing provided pursuant
25 to subdivision(c)is more than 20 percent lower than what nutrient
26 analysis shows as the average content of a representative sample
27 of the menu item.
28 114376. (a) The duty of an enforcement officer to enforce this
29 chapter shall be limited to conducting an inspection in the course
30 of regular health inspections of food facilities. Until January 1,
31 2009, this enforcement duty shall be limited to verifying that the
32 food establislunent has made a good faith effort to comply with
33 this chapter.
34 (b) On and after January 1, 2009, a food facility that violates
35 this chapter is guilty of an infraction, punishable by a fine of not
36 less than fifty dollars ($50) or more than five hundred dollars
37 ($500) for each violation, which may be assessed by an
38 enforcement officer.Notwithstanding Section 113935,a violation
39 of this section is not a misdemeanor.
97
-5— SB 120
1 SEC. 3. No reimbursement is required by this act pursuant to
2 Section 6 of Article XIII B of the California Constitution for certain
3 costs that may be incurred by a local agency or school district
4 because, in that regard, this act creates a new crime or infraction,
5 eliminates a crime or infraction,or changes the penalty for a crime
6 or infraction, within the meaning of Section 17556 of the
7 Government Code,or changes the definition of a crime within the
8 meaning of Section 6 of Article XIII B of the California
9 Constitution.
10 However, if the Commission on State Mandates determines that
11 this act contains other costs mandated by the state,reimbursement
12 to local agencies and school districts for those costs shall be made
13 pursuant to Part 7 (commencing with Section 17500) of Division
14 4 of Title 2 of the Government Code.
O
97
SB 120 Senate Bill - Bill Analysis Page 1 of 4
------------------------------------------------------------
ISENATE RULES COMMITTEE I SB 120
Office of Senate Floor Analyses
1020 N Street, Suite 524
(916) 651-1520 Fax: (916)
327-4478
------------------------------------------------------------
THIRD READING
Bill No: SB 120
Author: Padilla (D) , et al
Amended: 3/21/07
Vote: 21
SENATE HEALTH COMMITTEE 6-3, 3/14/07
AYES: Kuehl, Alquist, Cedillo, Ridley-Thomas, Steinberg,
Yee
NOES: Aanestad, Cox, Wyland
NO VOTE RECORDED: Maldonado, Negrete McLeod
SENATE APPROPRIATIONS COMMITTEE Senate Rule 28.8
SUBJECT Food facilities: nutritional information
SOURCE American Heart Association
DIGEST This bill requires food facilities, as defined,
to make specified nutritional information available to
customers.
_ANALYSIS Existing federal law establishes the Nutrition
Labeling and Education Act, which requires all packaged
foods sold outside of restaurants to include nutritional
content information on the packaging. Existing federal law
also requires restaurants to provide nutritional content
information on food items for which a nutrient or
health-related claim is made by the restaurant.
Existing state law establishes the California Uniform
CONTINUED
SB 120
http://www.leginfo.ca.gov/pub/07-08/bill/sen/sb_0101-0150/sb_120_cfa_20070417_16045... 4/18/2007
SB 120'Senate Bill - Bill Analysis Page 2 of 4
_.. Page
2
Retail Food Facilities Law (CURFFL) , which imposes various
health and safety requirements on restaurants, and makes
violations of these requirements subject to criminal
penalties. CURFFL establishes the authority of local
environmental health jurisdictions to adopt a food safety
inspection program with oversight by the DHS Food and Drug
Branch. As of July 1st, 2007, CURFFL will be superseded by
the California Retail Food Code and oversight duties will
be transferred to the State Department of Public Health.
This bill requires each food facility that shares the same
trade name with at least nine other food facilities in the
state, regardless of ownership, to make nutritional
information available to consumers for all standard menu
items, defined as items that are on a menu for six months
or longer. The information provided shall include total
calories, trans fats, carbohydrates and sodium. Food
facilities that use a menu board may post calorie
information only, provided the additional information is
made available in writing upon request. The bill also
requires a conspicuous statement regarding recommended
limits for saturated fat and sodium in a 2, 000 calorie
daily diet on each page of a menu and provides for
enforcement and penalties.
FISCAL EFFECTAppropriation: No Fiscal Com. : Yes
Local: Yes
SUPPORT (Verified 4/17/07)
American Heart Association (source)
Alameda County Board of Supervisors
American Academy of Pediatrics
American Cancer Association
American Diabetes Association
American Federation of State, County and Municipal
Employees
California Adolescent Nutrition and Fitness Program
California Chapter of the American College of Cardiology
California Chiropractic Association
California Food Policy Advocates
California Medical Association
California Optometric Association
Center for Healthy Weight
SB 120
— ...—_ Page
3
Congress of California Seniors
Consumer Federation of California
http://www.leginfo.ca.gov/pub/07-08/bill/sen/sb_0101-0150/sb_120_cfa_20070417_16045... 4/18/2007
SB 120 Senate Bill - Bill Analysis Page 3 of 4
Contra Costa Health Services
County of Los Angeles
Gray Panthers
Latino Coalition for a Healthy California
Latino Health Access
Lucile Packard children's Hospital
Public and Environmental Health Advisory Board
Stanford School of Medicine
OPPOSITION (Verified 4/17/07)
California Chamber of Commerce
California Grocers Association
California Independent Grocers Association
California Restaurant Association
Dunkin Brands, Inc.
Golden Gate Restaurant Association
International Franchise.Association
The California Alliance for Consumer Protection
- ARGUMENTS IN SUPPORT The American Cancer•Society writes
that any strategy for addressing obesity and improving
public health through diet must begin with informed choices
about what we eat, including those meals we eat out. The
American Diabetes Association points out that at least one
recent study has shown that people significantly
underestimate the number of calories in food items, further
highlighting the need for better access to such
information. The American Heart Association underscores
that basic nutritional information is extremely important
to consumers who are dealing with chronic diseases like
cardiovascular disease and diabetes
_ARGUMENTS IN OPPOSITION The California Alliance for
Consumer Protection, while in. agreement with the intent,
opposes the bill stating that the measure doesn't go far
enough. The group believes the measure should apply to
every restaurant in California.
The California Restaurant Association (CRA) writes that
market realities in the foodservice market make
implementation of this bill impractical, if not impossible.
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SB 120
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CRA cites difficulties such as customization of orders by
the consumer, differing nutritional content on a similarly
sized portion (example of fat in steak or how it is
cooked) , or even variation of portion size, such as the
size of a baked potato. CRA also expresses concern that
creativity in the kitchen, especially in fine dining
establishments, will be discouraged under this bill.
http://www.leginfo.ca.gov/pub/07-08/bill/sen/sb_0101-0150/sb_120_cfa_20070417_16045... 4/18/2007
SB 120'SenaterBill - Bill Analysis Page 4 of 4
CTW:do 4/17/07 Senate Floor Analyses
SUPPORT/OPPOSITION: SEE ABOVE
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http://www.leginfo.ca.gov/pub/07-08/bill/sen/sb_0101-0150/sb_120_cfa_20070417_16045... 4/18/2007