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State Actions on Overweight and Childhood Obesity

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... or studies Arkansas, Maine, New York, Texas, Rhode Island, Washington ... restaurants, markets, and homes; and increased emphasis on health education and ... – PowerPoint PPT presentation

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Title: State Actions on Overweight and Childhood Obesity


1
  • State Actions on Overweight and Childhood Obesity
    2005 Update
  • By
  • Amy P. Winterfeld, JD
  • Program Principal
  • Health Program
  • National Conference of State Legislatures
  • amy.winterfeld_at_ncsl.org
  • (303) 856-1544

2
Obesity Fast Facts
  • Obesity is epidemic in the U.S. and cost 117
    billion in 2000.
  • Obesity increased 60 percent among U.S. adults in
    the last 10 years.
  • 59 million U.S. adults are obese.
  • 16 percent of U.S. children and adolescents age
    6-19 are overweight (9 million children).
  • Since 1980, obesity has doubled for children and
    tripled for adolescents.
  • Obesity-associated chronic diseases heart
    disease, some cancers, stroke, diabetes are the
    1st, 2nd, 3rd, 6th leading U.S. causes of
    death.

3
Obesity Factors Driving Policy
  • Obesity-attributable U. S. medical expenses were
    estimated at 75 billion for 2003.
  • Taxpayers fund about half of this through
    Medicare and Medicaid.
  • Healthy eating and a physically active lifestyle
    can help children and adults achieve and maintain
    a healthy weight and may reduce or prevent
    obesity-related medical costs and chronic
    diseases.

4
State Medical Obesity Costs in Millions of Dollars
  • Source Obesity Research, Volume 12, No. 1,
    January 2004

5
Obesity Legislative Responses
  • Nutrition Topics
  • Nutrition Standards in Schools
  • Nutrition Education
  • Measurement of Student Body Mass Index (Arkansas
    enacted in 2003)
  • Nutrition Menu Information for School Foods
  • Taxes on Foods or Beverages with Minimal
    Nutritional Value

6
Obesity Legislative Responses
  • Physical Activity Topics
  • Physical Education or Physical Activity in
    Schools
  • Walkable communities - city planning,
    transportation
  • Safe routes to school
  • Partnerships with businesses to increase physical
    activity and healthy eating at workplaces

7
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8
Obesity Legislative Responses
  • General Obesity-Related Legislation
  • Diabetes Screening and Management
  • Insurance Coverage for Obesity Prevention and
    Treatment
  • School Wellness Policies
  • Obesity Task Forces, Commissions, or Studies
  • Raising Awareness
  • Limitations on Lawsuits Against the Food Industry

9
Obesity Costs Another View
10
Nutrition Standards in Schools
  • 38 states considered or enacted school nutrition
    legislation in 2005. This includes
  • 13 states that enacted school nutrition
    legislation in 2005 AZ, AR, CO, CT, KS, KY, MD,
    NM, OK, SC, TX (passed legislature, sent to
    Governor, 6-1-05), UT (resolution sent to the
    lieutenant governor), and WV.
  • 25 states that are considering or have considered
    school nutrition legislation in 2005 AL, AK, CA,
    HI, IL, IN, IA, LA, ME, MA, MO, MS, MT, NE, NH,
    NJ, NY, NC, ND, OH, OR, PA, RI, TN and VA.

11
Nutrition Standards Enacted- 2005
  • Comprehensive food and beverage guidelines that
    require healthy choices or restrict sale of
    competitive foods
  • AZ HB 2544, AR SB 965, CT SB1309, KS SB 154, KY
    SB 172, MD SB 473, NM HB 61, OK SB 265, SC HB
    3499, WV HB 2816
  • Encouraging school districts to adopt nutrition
    wellness guidelines
  • CO SB 81, WV HB 2816
  • Evaluation of nutrition services celebrations
    allowed
  • TX SB 42
  • Regulatory action on school nutrition standards
  • TX (2004), NJ (2005)

12
Body Mass Index (BMI) Legislation
  • 13 states considered or enacted BMI legislation
    in 2005
  • Enacting BMI reporting Tennessee, West Virginia
  • Legislation introduced - Alaska, Connecticut,
    Georgia, Iowa, Maine, New Jersey, New York, North
    Carolina, Oregon, South Carolina, and Texas
  • Considered repeal Arkansas

13
Diabetes Legislation
  • School child screening
  • Enacted CA and IL 2003
  • Considered NY and PA - 2004
  • Considered PA 2005
  • At-school treatment and training of school
    personnel in diabetes management
  • Passed both chambers of legislature HI 2005
  • Considered TX 2005 CA, IL, MA, NJ, PA, TN, VT,
    VA 2004
  • Diabetes awareness in schools
  • Enacted - CA 2005 (SCR 4)

14
Insurance Coverage Obesity Prevention and
Treatment
  • Insurance coverage option required GA, IN, VA
  • States considering insurance coverage
    requirements or strengthening coverage
    requirements in 2005 CA, CT, GA, IN, MD, MO,
    MS, TN
  • Insurance coverage required Maryland

15
Nutrition Content Information for School Foods
Legislation
  • School nutrition information requirements
    considered 2005
  • California, Illinois, Massachusetts, and New York
  • School nutrition information requirements enacted
    2005
  • Colorado, West Virginia

16
Nutrition Education in School Curriculum
  • School nutrition education requirements
    considered 2005
  • Illinois, Maine, Minnesota, New York, New Mexico,
    Oklahoma, Pennsylvania, Vermont, Virginia
  • School nutrition education requirements enacted
    2005
  • Illinois (for food stamp, TANF recipients -
    passed both legislative chambers), South
    Carolina, Texas (passed both legislative
    chambers)

17
Physical Activity Legislative Responses
  • Physical Education or Physical Activity in
    Schools
  • 48 states require P.E. in schools, but scope of
    requirement varies
  • 60 of states require schools to follow national
    or state P.E. guidelines. 80 require adapted or
    mainstream P.E. for IEP students.
  • IL requires daily P.E. for K-12, but exemptions
    allowed. AL requires daily P.E. for K-8.

18
Physical Activity Legislative Responses
  • Physical Education or Physical Activity in
    Schools
  • 8 states enacted or strengthened P.E.
    requirements in 2005 AZ, CO, CT, KS, KY, MT,
    SC, TX
  • 25 states introduced legislation to implement or
    strengthen P.E. requirements in 2005 AL, AK, DE,
    GA, HI, IL, IN, IA, MA, MI, MS, MO, NE, NH, NM,
    NY, OH, OK, OR, PA, RI, TN, UT, VA

19
Physical Activity Legislative Responses
  • Walkable communities through community planning
    and transportation projects that encourage
    walking.
  • Safe routes to school - CA, DE, FL, OR, TX have
    state laws as of 2003.
  • Legislative role models CO legislators
    participate in 10,000 Steps to Better Health and
    created Colorado Walking Wednesday urging parents
    and children to walk to school WI legislators
    resolved to Lose a Ton.

20
Nutrition and Physical Education Food for
Thought
21
School Wellness Policy Legislation
  • Federal Child Nutrition and WIC Reauthorization
    Act of 2004 Requires local school districts
    participating in the National School Lunch or
    Breakfast Programs to establish local wellness
    policies by the beginning of the 2006-2007 school
    year.
  • Statewide wellness policy legislation
    considered in 2005 in CA, OH, RI, TN.
  • Statewide wellness policy legislation enacted
    in 2005 in CO, IL (passed both chambers of
    legislature).

22
Task Forces, Commissions, or Studies
  • Six states previously enacted obesity task
    forces, commissions, or studies Arkansas,
    Maine, New York, Texas, Rhode Island, Washington
  • Legislation introduced for obesity task forces,
    commissions, or studies in 2005 Kansas, New
    Mexico, North Carolina, Virginia, and West
    Virginia

23
Legislative Effort to Raise Awareness
  • California A panoply of awareness raising
    efforts encouraged to increased physical activity
    and improve nutrition and wellness in all
    branches and levels of government, communities,
    schools, workplaces healthy food options in
    restaurants, markets, and homes and increased
    emphasis on health education and prevention of
    obesity and diabetes.
  • Maryland Proposed November as Obesity
    Awareness Month

24
Snack Tax Legislation
  • Nebraska Proposed sales tax on snack foods to
    create a fund for school facilities.
  • Texas Proposed snack and sweets tax to fund
    childhood obesity prevention programs.

25
Additional Resources
  • Links for NCSL and other resources on legislation
    and policy options to address childhood obesity
    are
  • NCSL updated overview of childhood obesity policy
    options considered in 2005 at http//www.ncsl.org
    /programs/health/childhoodobesity-2005.htm
  • NCSL overview of childhood obesity policy options
    considered in 2003-2004 at http//www.ncsl.org/pr
    ograms/health/childhoodobesity.htm
  • NCSL information on access to healthy foods in
    communities at http//www.ncsl.org/programs/healt
    h/publicHealth/foodaccess/index.htm?CFID614822CF
    TOKEN54359522
  • Information about federal wellness policy
    requirements on the U.S. Department of
    Agriculture web site at http//www.fns.usda.gov/t
    n/Healthy/wellnesspolicy.html

26
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