Title: State Actions on Childhood Overweight and Obesity Update for 2005
1- State Actions on Childhood Overweight and
Obesity Update for 2005 - By
- Amy Winterfeld, JD
- Program Principal
- Health Program
- National Conference of State Legislatures
- amy.winterfeld_at_ncsl.org
2Obesity 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.
- Obesity-associated chronic diseases heart
disease, some cancers, stroke, diabetes are the
1st, 2nd, 3rd, 6th leading U.S. causes of
death.
3Obesity Childrens Health
- 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. - The number of children diagnosed with type 2
diabetes (formerly adult onset diabetes) has
increased. - Other health consequences of obesity for children
may include
4Obesity 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.
5State Medical Obesity Costs in Millions of Dollars
- Source Obesity Research, Volume 12, No. 1,
January 2004
6Obesity 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
7Obesity 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
8(No Transcript)
9Obesity 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
10Obesity Costs Another View
11Nutrition Standards in Schools
- 38 states considered or enacted school nutrition
legislation in 2005. This includes - 15 states that enacted school nutrition
legislation in 2005 AZ, AR, CO, IL, KS, KY, LA,
ME, MD, NM, OK, RI, SC, TX and WV. In UT a
resolution encouraging passed the legislature and
was sent to the lieutenant governor. - 21 states that are considering or have considered
school nutrition legislation in 2005 AL, AK, CA,
HI, IN, IA, MA, MO, MS, MT, NE, NH, NJ, NY, NC,
ND, OH, OR, PA,TN and VA. - Information is updated periodically on the NCSL
web site at - http//www.ncsl.org/programs/health/ChildhoodObesi
ty-2005.htm
12Nutrition 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)
-
13Body 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
14Diabetes 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 resolution - CA 2005 (SCR 4)
15Insurance 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
16Nutrition 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, Kentucky, Maine, West Virginia
17Nutrition Education in School Curriculum
- School nutrition education requirements
considered 2005 - Minnesota, New Mexico, New York, Oklahoma,
Pennsylvania, Vermont, Virginia - School nutrition education requirements enacted
2005 - Colorado, Kansas, Illinois (for food stamp, TANF
recipients - passed both legislative chambers),
Maine, South Carolina, Texas and West Virginia
18Physical 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.
19Physical Activity Legislative Responses
- Physical Education or Physical Activity in
Schools - 8 states enacted or strengthened P.E. or physical
activity requirements in 2005 AZ, CO, CT, KS,
KY, MT, SC, TX - 25 states introduced legislation to implement or
strengthen P.E. or physical activity 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.
20Physical 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.
21Nutrition and Physical Education Food for
Thought
22School 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, TN. - Statewide wellness policy legislation enacted
in 2005 in CO, IL, RI.
23Task 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
24Legislative 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
25Snack 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.
26Additional 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
27Thank you!
- NCSL Contact for Additional Childhood Obesity
Policy Information - Amy Winterfeld
- Program Principal
- Health Program
- National Conference of State Legislatures
- 7700 East First Place
- Denver, Colorado 80230
- amy.winterfeld_at_ncsl.org
- 303-364-7700, ext. 1544