1. Promising Policy Options for Promoting Healthy Out-of-School Time in Florida Any legal information provided in this presentation does not constitute legal advice or legal representation. Healthy Eating Physical Activity (HEPA) ACTION SUMMIT Sept. 1, 2015 Julie Ralston Aoki, Staff Attorney, Public Health Law Center

2. The Public Health Law Center

3. We do: legal research policy development publications trainings We don’t: direct representation lobbying

4. Healthy Eating and Physical Activity (HEPA) Standards NRPA, Nat’l Boys & Girls Club, YMCA of the USA Food and beverage standards Nutritional criteria (meal patterns; whole grain; added sugar, no trans fat, etc.) Family style serving Water Breastfeeding support Physical activity standards Type (indoor/outdoor, vigorous) Minimum time requirements Screen time limits Staff as role models Parent engagement

5. o Community use (shared use) policies o 21st Century Community Learning Centers (CCLC) & other funding streams o Quality Rating and Improvement Systems (QRIS) o Leveraging the Child and Adult Care Food Program (CACFP) o Voluntary OST health recognition programs o Child care licensing laws Promoting healthy eating and physical activity in OST programs through policy

6. http://www.publichealthlawcenter.org/topics/healthy-eating/out-of- school-time

7. www.publichealthlawcenter.org/resources/healthy- child-care Healthy Eating Research grant #69299 from the Robert Wood Johnson Foundation. Also thanks to:

11. HEPA Crosswalk

12. Promising HEPA policy levers for Florida 21 st CCLC Shared use Updating licensing laws Leveraging CACFP Healthy out-of-school time voluntary recognition program

13.  Nutrition standards— MyPlate (2011) or MyPyramid (2005)  Mix of indoor/outdoor activity—no time requirements  Screen time limits for >2 yrs old – no more than 2 hours/day  but not for family providers

14. Florida licensing context Licensed school age care -- kids up to 5 th grade Many OST providers are exempt:  Programs located on school sites  Programs that provide strictly instructional/academic services  Programs serving kids in grade 6 and up exclusively  Programs that:  Operate for less than 4 hours/day (although can go longer on in-service days, etc.)  Do not provide transportation  Allow kids to come and go without adult supervision  Don’t serve food, except through the Afterschool Meals Program or packaged or vending machine food

15. Options  Update standards  Incorporate into child care licensing  Incorporate into Florida’s Gold Seal Quality Care  Offer supplemental reimbursement  Expand coverage to 3 meals plus a snack

16. Key considerations Support is crucial (technical assistance, incentives, grants) for providers Unintended consequences—such as driving providers out of licensed care, discouraging providers from serving food Limited reach – only licensed or participating providers

17. Healthy OST Recognition Approach Calif. DASH law HEPA focus OST focus Statewide Website-based Voluntary Self-certification Marketing tool for providers

18. Key considerations Voluntary = real progress? Consistency with licensing, QRIS, CACFP — when it makes sense Tailoring for exempt OST providers Expectations/standards are clear Meaningful monitoring Support (technical assistance, grants) for providers

19. Julie Julie Ralston Aoki julie.ralstonaoki@wmitchell.edu (651) 290-7532 Natasha Frost Natasha.frost@wmitchell.edu (651) 290-6454 www.publichealthlawcenter.org