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State Legislative Responses to the Obesity Epidemic

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Presentation on theme: "State Legislative Responses to the Obesity Epidemic"— Presentation transcript:

1 State Legislative Responses to the Obesity Epidemic
Academy Health - June 25, 2006 State Legislative Responses to the Obesity Epidemic

2 UB Obesity Report CardTM
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 Ann Cotten Academy Health Conference 2006

3 Academy 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 Ann Cotten Academy Health Conference 2006

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

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

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

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

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

9 Childhood Obesity Legislation Introduced
Ann Cotten Academy Health Conference 2006

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

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

12 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 Industry Initiatives Elementary School Bottled water Up to 8 ounce servings of milk and 100% juice** Low fat and non fat regular and flavored milk* with up to 150 calories / 8 ounces 100% juice** with no added sweeteners and up to 120 calories / 8 ounces Middle School Same as elementary school, except juice and milk may be sold in 10 ounce servings*** High School   No or low calorie beverages with up to 10 calories / 8 ounces Up to 12 ounce servings of milk, 100% juice**, light juice and sports drinks Low fat and non fat regular and flavored milk with up to 150 calories / 8 ounces Light juices and sports drinks with no more than 66 calories / 8 ounces At least 50% of beverages must be water and no or low calorie options Last year, the American Beverage Association (ABA) announced a new voluntary vending machine policy for schools which was directed at providing healthier drinks in schools. The policy asked the beverage industry to implement guidelines as follows: Provide only water and 100 percent juice in elementary schools Provide only nutritious and/or low-cal beverages such as water, 100 percent juice, sports drinks, no-calorie sodas and low calorie juice drinks in middle schools (after school, full-calorie sodas and juice drinks with 5 percent or less juice may be provided) Provide a variety of beverages of which no more than 50 percent in the vending machines being sodas. The ABA’s Board of Directors represents 20 beverage companies and 85 percent of beverage sales from school vending machines. The ABA announced in December 2006 that the amount of non-diet soda sales in schools had been reduced by more than 24 percent in 2002 and 2004 and that the sales of sport drinks, water, diet soda and fruit juice had increased. Ann Cotten Academy Health Conference 2006

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

14 Academy Health Conference 2006
BMI Monitoring Mandatory BMI monitoring in 10 states Voluntary monitoring in 6 states BODY MASS INDEX AR, IL, WV, NY, PA, TN (voluntary) are already monitoring BMI CA, FL, MD, MA, MI, MO, NH, NJ, OK, TN (make mandatory), VA, WV (to provide additional guidance), considered bills that require schools to measure and report BMI in schools. Ann Cotten Academy Health Conference 2006

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

16 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 Ann Cotten Academy Health Conference 2006

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

18 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. Ann Cotten Academy Health Conference 2006

19 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. Ann Cotten Academy Health Conference 2006

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

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

22 Academy Health Conference 2006
Addenda Addenda Ann Cotten Academy Health Conference 2006

23 University of Baltimore Obesity Group
Link to the UB Obesity Report CardTM Ann Cotten Academy Health Conference 2006

24 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 Ann Cotten Academy Health Conference 2006

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

26 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 Ann Cotten Academy Health Conference 2006

27 Schaefer Center for Public Policy University of Baltimore
Contact Information Ann Cotten Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 scpp.ubalt.edu Ann Cotten Academy Health Conference 2006


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