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Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses.

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Presentation on theme: "Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses."— Presentation transcript:

1 Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD State Legislative Responses to the Obesity Epidemic Academy Health - June 25, 2006

2 Ann CottenAcademy Health Conference 2006 UB Obesity Report Card TM Purpose Track state level legislative initiatives to address the obesity epidemic Current Status 2005 Report Card Complete 2006 update is in progress Researchers – 2005 Report Card Ann Cotten, Kenneth Stanton, Zoltan Acs, Mary Lovegrove, Joe Creed

3 Ann CottenAcademy Health Conference 2006 Methodology Search for legislation Existing legislation Westlaw Proposed or Enacted Legislation Lexus Thomas Legislation Tracker Legislative analysis Classification Scoring Proposed legislation Enacted

4 Ann CottenAcademy Health Conference 2006 Categories in Legislative Report Card Nutrition Standards for Schools Vending Machine Content and Access Body Mass Index Measured in School Recess and Physical Education

5 Ann CottenAcademy Health Conference 2006 Categories of Legislation in Report Card Obesity Research Obesity Treatment in Health Insurance Obesity Commissions Obesity Programs and Education

6 Ann CottenAcademy Health Conference 2006 Data Gathering Challenges Terminology Volume of Legislation Categorization

7 Ann CottenAcademy Health Conference 2006 Copyright Ann Cotten, Kenneth Stanton, and Zolton Acs 2005

8 Ann CottenAcademy Health Conference 2006 Possible government interventions Copyright Ann Cotten, Kenneth Stanton, and Zolton Acs 2005

9 Ann CottenAcademy Health Conference 2006 Childhood Obesity Legislation Introduced

10 Ann CottenAcademy Health Conference 2006 Trends in Nutrition Standards Fluffernutter Sandwich Angers Mass. Senator By STEVE LeBLANC, Associated Press Writer

11 Ann CottenAcademy Health Conference 2006 Nutrition Standards Competitive Foods Increasing quality foods

12 Ann CottenAcademy Health Conference 2006 Trends in Vending Machine Content American Beverage Association Elementary Schools Water, milk, and 100% juice Middle Schools Same as elementary schools, but larger sizes High School Water, No or low calorie beverage, Milk, 100% juice, light juice, sports drinks 12 oz Light juices and sports drinks * 50% must be water or no/low calorie options e%20Guidelines%20.asp

13 Ann CottenAcademy Health Conference 2006 Vending Machine/Competitive Foods Access Limit time available Limit location Content Poor quality foods Higher quality foods

14 Ann CottenAcademy Health Conference 2006 BMI Monitoring Mandatory BMI monitoring in 10 states Voluntary monitoring in 6 states

15 Ann CottenAcademy Health Conference 2006 Physical Education Trends PE Requirements Research on PE requirements Model PE programs

16 Ann CottenAcademy Health Conference 2006 Obesity Treatment & Insurance Mandated offering of insurance coverage Maryland mandates benefit coverage Numerous states are now considering bills to address morbid obesity CMS will allow approved procedures

17 Ann CottenAcademy Health Conference 2006 Obesity Treatment – New Trends OBESITY TREATMENT Colorado - Obesity Treatment Pilot Program. Iowa will provide dietary counseling to child and adult Medicaid enrollees by 7/1/06.

18 Ann CottenAcademy Health Conference 2006 New trends in public policy Promoting fruit and vegetable consumption Financial incentives to schools for providing healthy food/drink or adopting nutritional standards Set educational requirements for school personnel Legislative prohibitions from individuals suing food businesses from damages resulting from obesity or obesity-related conditions.

19 Ann CottenAcademy Health Conference 2006 New Trends in Public Policy Legislatures have considered a snack tax Improve access to or the safety of public fitness, walking and biking facilities and bills to promote alternative transportation methods. Appropriate general fund dollars to support access to fresh produce for low-income WIC recipients and senior citizens.

20 Ann CottenAcademy Health Conference 2006 Next Steps Continuing the scorecard Evaluation research Seeking partners for evaluation Forthcoming book

21 Ann CottenAcademy Health Conference 2006 Forthcoming Book Obesity, Business and Public Policy Editors Zoltan Acs and C. Alan Lyles Edward Elgar Publishing

22 Ann CottenAcademy Health Conference 2006 Addenda

23 Ann CottenAcademy Health Conference 2006 University of Baltimore Obesity Group Link to the UB Obesity Report Card TM

24 Ann CottenAcademy Health Conference 2006 University of Baltimore Obesity Group José Anderson Professor, School of Law John J. Callahan Program Director Health Systems Management Ann Cotten Director, Schaefer Center for Public Policy Michael V. Laric Director, Division of Management & Marketing Lenneal Henderson Professor, Government & Public Administration David T. Levy Professor, Economics C. Alan Lyles Associate Professor, Government & Public Administration Lee Richardson Jr. Professor, Marketing Kenneth Richard Stanton Assistant Professor, Finance David Stevens Director, Jacob France Institute

25 Ann CottenAcademy Health Conference 2006 About the Schaefer Center The Schaefer Center is an applied research unit within the University of Baltimores School of Public Affairs. The Centers mission is to bring University expertise to bear to help solve the problems facing government and non-profit organizations.

26 Ann CottenAcademy Health Conference 2006 Schaefer Center Services Program Evaluation Policy Research Large scale database management and analysis Opinion Research Center Phone, mail, web surveying, focus group moderating Strategic Management Professional Development Training

27 Ann CottenAcademy Health Conference 2006 Contact Information Ann Cotten Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD scpp.ubalt.edu


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