1. School Health in Texas Schools

2. What’s Going on in Texas? Texas Obesity Numbers Grow Everything's bigger in Texas, including the people. Houston, We Have a Big Problem Texas senator proposes ‘obesity reports’ Houston again tops fattest city list − USA Today, 2005 America's Fattest City Two years running, Houston heavyweights take the cake − New York Times Company, 2005

3. 11 th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002 *Overweight is > 95th Percentile for BMI by Age/Sex

4. 8 th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002 *Overweight is > 95th Percentile for BMI by Age/Sex

5. 4 th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002 *Overweight is > 95th Percentile for BMI by Age/Sex

6. Texas Responds “Of greatest concern to me is that more than one out of three Texas children, 35 percent to be exact, are considered overweight or obese According to the Texas Obesity Task Force, if nothing is done to change poor eating and exercise habits among our children, the youngest generation is likely to have a shorter life expectancy than their parents” Rick Perry − Speech - January 8, 2004

7. Texas Responds 1.State Laws SB 19/1357/42 2.School Health Advisory Councils 3.Daily Physical Activity 4.Coordinated School Health Program 5.Local Wellness Policy

8. 1. State Laws Senate Bill 19-2001 -Establish a School Health Advisory Council - Implement 4 curriculum components (CDC Model) -Adopt the 4 components of a Coordinated School Health Program-K-6 -Daily Physical Activity -Abstinence Education

9. 1. State Laws Senate Bill 1357-2003 -Amended SB 19 -Strengthen School Health Advisory Councils -Implement 8 curriculum components (CDC Model) -Adopt the 4 components of a Coordinated School Health Program K-6 -Daily Physical Activity -Abstinence Education

10. 1. State Laws House Bill 42-2005 -Expanded SB 1357 -Strengthen School Health Advisory Councils -Implement 8 curriculum components (CDC Model) -Adopt the 4 components of a Coordinated School Health Program (TEA to develop criteria-6-8) -Daily Physical Activity (SBOE to rule) -Abstinence Education

11. 2. School Health Advisory Councils SHAC is a group of parents, community members and school personnel working together to ensure all children have every opportunity to be healthy, and that schools provide a healthy learning environment.

12. 2. School Health Advisory Councils Who Should Be A Member? 51% must be parents in the district that are not employees of the School District. School Personnel Students Colleges Civic Organizations Faith Community Government Business Social Services Medical Community Law Enforcement

13. 3. Daily Physical Activity It authorizes the State Board of Education to adopt rules mandating daily physical activity for students in grades K-6, SBOE adopted rules for physical activity − 30 minutes daily − 135 minutes weekly SBOE may adopt for 6-8.

14. 4. Coordinated School Health Program 4 component for the adoption of a Coordinated School Health Program 8 components for curriculum

15. Components of an ideal coordinated school health program Family & Community Involvement Physical Education School Health Services Nutrition Services Counseling, Psychological & Social Services Comprehensive School Health Education School-site Health Promotion for Staff Healthy School Environment

16. 4. Approved Coordinated School Health Programs Bienestar Health Program − 210-533-8886 CATCH − www.CATCHTexas.org www.CATCHTexas.org The Great Body Shop − www.TheGreatBodyShop.net www.TheGreatBodyShop.net Healthy and Wise − 800-383-1927

17. 5. Wellness Policy Child Nutrition Reauthorization Act 2004 − No later than the first day of the school year beginning after June 30, 2006, each local education agency (LEA) with a federally- funded school meals program must develop and implement a wellness policy. − The law places the responsibility of developing a wellness policy at the local level so the individual needs of each school district can be addressed

18. House Bill 984 Management of Diabetes in School Children Passed

19. What’s It All About? Allows for 3 unlicensed diabetes care assistants if there is no school nurse or 1 if there is a school nurse If school nurse is present, they will provide primary assistance Assistants can give support if parents sign waiver Students if capable can self-manage their own diabetes Bus drivers and others during off campus activities will be provided with a one page information sheet Passed

20. House Bills 1259, 3099 and Senate Bills 467, 545, 1239 Modification of Acanthosis Nigricans Screening Failed

21. What’s It All About? Would have renamed Acanthosis Nigricans Screening Program to Risk Assessment Program for Type 2 Diabetes Would have used BMI as the initial screening mechanism Further screening would use the AN marker and blood pressure to identify Type 2 Diabetes Failed

22. House Bill 3097 and Senate Bill 1666 Diabetes Registry Failed

23. What’s It All About? Would have established a diabetes registration program Failed

24. Senate Bill 42 Expansion of School Health and PE Programs, much more. Oh, and “cupcakes” too. Passed

25. What’s It All About? Adds important accountability requirements existing law Establishes a new state School Health Advisory Committee If the State Board of Education adopts rules, it expands physical activity and coordinated school health into middle school and junior high Allows parents to bring food for birthdays and other celebrations  Contains lots of compromise Passed

26. Senate Bill 426 Childhood obesity prevention and school health Near Miss

27. What’s It All About? Would have required reporting compliance with health and physical activity requirements Would have required reporting through PEIMS Would have required PE in middle and junior high Would have established a Texas Fruit and Vegetable Pilot Program Near Miss

28. Senate Bill 1379 Childhood obesity prevention and school health Near Miss

29. What’s It All About? Would have created an Interagency Obesity Council Would have promoted participation in federal school breakfast and lunch programs Would have prohibited sales of carbonated beverages in containers larger than 12 ounces Near Miss

30. House Bill 107 The “Cheeseburger” Bill Passed

31. What’s It All About? Prevents Texans from suing restaurants or food manufacturers for obesity-related health problems Passed

32. House Bill 3283 A Snack Tax Failed

33. What’s It All About? Would have imposed a 1% tax on the sales of snack foods Funds would have supported childhood obesity programs Failed

34. Senate Bill 205 BMI Report Card Failed

35. What’s It All About? Would have required school districts to compute student BMI and report the results on student report cards Failed

36. House Bill 1316 Immunization of Children Passed

37. What’s It All About? Requires immunization of children in regulated child-care facilities Each child at an appropriate age shall have immunization as recommended by the DSHS by the start of school May be provisionally admitted if immunizations have begun and are completed ASAP Passed

38. Special Sessions Included tobacco excise tax and of course school finance/reform Still Waiting!

39. What’s Next? Not sure.

40. Federal Legislation What has been passed, proposed, it’s impact, and strategies for addressing it.

41. Child Nutrition Reauthorization Act Mandates a wellness policy for every school system In Effect

42. What’s It All About? There’s a ton of stuff regulating the federal child nutrition program A critical component is the requirement that every school system must have a wellness policy In Effect

43. Region Education Service Center Workshop Session: School Health Advisory Council Construction Welcome

45. Coordinated School Health

46. School Health Advisory Councils