School Health in Texas Schools

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

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

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

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

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

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

1. State Laws Senate Bill 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

1. State Laws Senate Bill 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

1. State Laws House Bill Expanded SB 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

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.

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

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.

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

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

4. Approved Coordinated School Health Programs Bienestar Health Program − CATCH − The Great Body Shop − Healthy and Wise −

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

House Bill 984 Management of Diabetes in School Children Passed

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

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

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

House Bill 3097 and Senate Bill 1666 Diabetes Registry Failed

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

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

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

Senate Bill 426 Childhood obesity prevention and school health Near Miss

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

Senate Bill 1379 Childhood obesity prevention and school health Near Miss

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

House Bill 107 The “Cheeseburger” Bill Passed

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

House Bill 3283 A Snack Tax Failed

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

Senate Bill 205 BMI Report Card Failed

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

House Bill 1316 Immunization of Children Passed

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

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

What’s Next? Not sure.

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

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

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

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

Coordinated School Health

School Health Advisory Councils