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The Task Force on Childhood Nutrition and Fitness-Where We

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Title: The Task Force on Childhood Nutrition and Fitness-Where We


1
The Task Force on Childhood Nutrition and
Fitness-Where Weve Been, Where Were Going and
How Were Going to Get There
  • GROWING HEALTY KIDS IN KENTUCKY
  • Lieutenant Governor Stephen L. Henry, M.D.
  • September 25, 2002

2
Overview of the Task Force
  • Membership
  • More than 100 individuals representing
  • Health Care-nurses, physicians, dietitians,
    diabetes educators
  • Education-academia, school administrators, school
    food service personnel
  • State Government-Public Health, Department of
    Education, Medicaid, Office of Womens Physical
    and Mental Health

3
Overview (continued)
  • Membership
  • Associations-KY Education Association, KY PTA, KY
    Association of School Administrators, KY School
    Board Association, KY Physical Health Education
    Recreation Dance Association, Kentucky Dental
    Health Coalition, KY Pediatric Society, KY Nurses
    Association, KY Association for School Health,
    American Diabetes Association, KY Diabetes
    Network, KY Dietetics Association

4
Brief History
  • Created in May of 2001 due to overwhelming
    concerns regarding
  • The increase in type 2 diabetes in children and
  • The coinciding increase in childhood overweight.

5
Task Force Goal
  • To decrease and prevent overweight and obesity
    and the associated health consequences in
    children and youth.

6
How?
  • Improve child nutrition and physical activity
    through
  • Public Policy Changes
  • Supporting a Healthy School Environment
  • Public Awareness and Education Efforts
  • Grassroots Actions

7
Where Weve Been
  • Issued a position paper in January of 2002
    calling for public policy changes to improve
    school nutrition and physical activity.
  • Through the University of Kentucky and the KY
    Department of Public Health, completed the first
    ever statewide survey assessing the status of
    school vending machines, school stores and
    physical activity.
  • Recommended legislation aimed at improving school
    nutrition and physical activity.

8
House Bill 553 in Review
  • Sponsored by
  • Representative Tom Burch
  • Representative Cosponsors
  • Larry Clark Mary Lou Marizan
  • Jack Coleman Lonnie Napier
  • Mike Denham Ruth Ann Palumbo
  • John Draud Kathy Stein
  • Tim Feeley Mike Weaver
  • Charlie Hoffman Susan Westrom
  • Joni Jenkins Brent Yonts

9
Association Support
  • KY Dietetics Association
  • KY Education Association
  • KY Parent Teacher Association
  • KY Medical Association
  • KY School Food Service Association
  • KY Pediatric Society
  • KY Nurses Association
  • KY Dental Association

10
Association Support (Continued)
  • KY Dental Health Coalition
  • KY Health Department Administrators Association
  • American Heart Association
  • KY Education Support Personnel Association
  • KY Association for School Health
  • American Diabetes Association
  • KY Diabetes Network
  • KY Public Health Association

11
Original Proposal
  • Phase in a requirement of 30 minutes of daily
    physical activity in preschool through primary
    and require the KY Board of Ed to promulgate a
    regulation to establish physical activity
    requirements for sequential grades
  • Require a legislative task force to study the the
    obesity epidemic
  • Allow only the sale of competitive foods that
    meet certain nutritional standards
  • Require penalties for violating competitive food
    sale policies

12
Original Proposal (Continued)
  • Require certification/credentialing for food
    service directors
  • Require continuing education for cafeteria
    managers
  • Prohibit soft drink sales in elementary/middle
    schools during the school day
  • Require school lunches to provide at least 6
    grams of naturally occurring dietary fiber.

13
Why Focus on Schools?
  • Recommendations are inline with recommendations
    retired Surgeon General David Satcher.
  • Children spend a large portion of waking hours in
    the school setting.
  • Schools receive state funds and should be
    responsible for providing a healthy school
    environment that
  • Sets a positive example for students and
  • Provides a positive environment that promotes
    learning.

14
Initial Challenges
  • House Education Committee
  • Were forced to concede a few points in order to
    get a committee hearing
  • Amended the physical activity requirement to a
    recommendation
  • Amended the fiber requirement to a
    recommendation.
  • Took 3 weeks to get the bill out of the committee

15
House Vote
  • Passed 87 to 5 with amendments

16
Onto the Senate
  • More Compromises
  • Allowed middle schools (in addition to high
    schools) to sell soft drinks beginning after
    lunch.
  • Required 3 principals and a school board member
    on the task force
  • Encouraged (rather than required) the Board of Ed
    to develop a plan based the Surgeon Generals
    Report

17
Senate Action
  • Passed out of the Senate Education Committee with
    compromise brokered by Senator Lindy Casebier on
    March 20th.
  • Vote was 11 to 2
  • Amendment filed late in session by Senator Dan
    Kelly that
  • Deletes nutritional criteria and penalties
  • Deletes legislative task force and directs DOE to
    form a study group
  • Shifts the responsibility to the Board of Ed to
    develop regulations for nutritional standards for
    competitive food sales.

18
Final Action in the Senate
  • On April 15th a Childrens Health Rally was held
    in the Capitol Rotunda to signify the level of
    public support for the bill and to encourage
    senators to pass the bill without the watered
    down amendments.
  • Senate votes favorably for the amendment by a
    vote of 22 to 15 and HB 553 (with Kellys
    amendments) passes out of the Senate by a vote of
    27 to 10. This action kills the bill.

19
Victory in the Face of Defeat
  • Issue still very much in the public spotlight
    (newspapers, TV, radio) at a national and state
    level.
  • Task Force membership continues to grow.
  • Other agencies (Department of Education,
    Department of Public Health) now looking at
    issue.
  • This has provided an excellent opportunity to
    educate parents throughout the state

20
Where Do We Go From Here?
  • Continue to promote a healthy school environment
    through pilot projects and technical assistance
    and support.
  • Continue to coordinate public awareness
    initiatives.
  • Continue to build and promote grassroots support
    and networks.
  • Continue to advocate for public policy changes
    via legislation in the 2003 legislative session.

21
How Do We Get There?
  • We have formed subcommittees to focus on
  • Promoting a healthy school environment
  • Organizing public awareness initiatives and
  • Building grassroots networks
  • How you can help
  • Volunteer to serve on a subcommittee

22
Advocating for Public Policy Changes
  • We are in the process of developing a proposal
    for legislation that we will have introduced
    during the 2003 session of the General Assembly.
  • House Bill 553 will serve as a basis for the new
    legislation, but there is likely to be some
    modifications.

23
Road Map for Advocating for Public Policy Changes
  • We will secure sponsorship by early November
    however, there is much work to be done in the
    meantime.
  • How you can participate as an individual
  • First, start by educating yourself on the issues
    (knowledge is power). Know the facts and the key
    points, as we must be able to justify why
    legislation is necessary. We can assist by
    supplying relevant information.

24
How You Can Help (Continued)
  • Next, find out who your representative and
    senator is and how they voted on the bill last
    year.
  • If they supported HB 553, let them know that you
    appreciated it and inform them that you would
    like their support during the upcoming year.
  • If they did not support the bill, ask why.
    Inform them that you want their support for the
    upcoming year. Offer up reasons why they should
    support the bill.

25
How You Can Help (Continued)
  • Methods for Contacting Legislators
  • Telephone
  • Letter
  • Email
  • Face to face meeting most effective

26
Contact Methods
  • Communicating by Phone
  • Be sure to give your name and communicate that
    you live in that persons district.
  • Leave a call back number.
  • Be polite.
  • Outline issue, justify recommended action.
  • Request specific action (i.e., support for the
    bill).
  • Offer to provide information.
  • Ask for a response.

27
Contact Methods (Continued)
  • Communicating by Letter and/or email
  • Include your name, address, phone number and
    email address (if applicable). Note that you
    live in the persons district.
  • Clearly outline the issue and provide
    justification.
  • Be polite-never insulting.
  • Request specific action (i.e., support for the
    bill).

28
Contact Methods (Continued)
  • Offer to serve as a resource if case of
    questions.
  • Ask for a reply.
  • Form letters are often used however, these types
    of standardized letters may not have the same
    impact as something more personalized.
  • Recommend that if you have a form letter, modify
    it to make it more your own.
  • Anecdotally, handwritten letters (must be
    legible) may have a greater impact.

29
Contact Methods (Continued)
  • Communicating via a face to face meeting
  • Call the office and schedule an appointment.
  • If a group of individuals go in at the same time,
    designate a primary spokesperson in advance.
  • During the meeting, be polite, never insulting or
    condescending.
  • Base your presentation on the facts.

30
Contact Methods (Continued)
  • Be prepared to answer questions.
  • Bring supporting documentation with you.
  • Stick to the issues at hand and stay on course.
  • Ask for a specific action (i.e., support for the
    bill).

31
Tips
  • Remember-legislators are most concerned about
    what their own constituents think about a
    particular issue.
  • Contacts with legislators are much more effective
    when the contact comes from a person from the
    legislators home district.
  • While experts are important, potential voters are
    even more important.

32
Tips
  • Legislative sessions are very hectic and are
    demanding on legislators time.
  • Contacting legislators by phone (other than by
    letter or email) during this time may be the
    fastest way to ensure that they receive the
    information (either by contacting their offices
    directly or by leaving a message of the
    legislative message line).

33
Contact Information
  • For a listing of state legislators or other
    additional information, contact the Legislative
    Research Commission at 502-564-8100 or visit
    their website at www.lrc.state.ky.us .
  • To leave a message for a legislator, you can call
    the message line at 1-800-372-7181.

34
Other Ways to Get Involved
  • Organize locally
  • Identify potential allies (concerned parents,
    teachers, health organizations, etc.) in your
    area that would also have a stake in this issue
    and encourage them to join in support.
  • Stage local events with supporters. Invite your
    legislators and local media.
  • Stay in contact with your local media-write
    letters to the editors and encourage the local
    newspapers to write editorials in support of the
    bill.

35
Organizing Locally
  • Volunteer to be a guest on local call-in shows.
  • Join in with your local allies to
  • Contact your local schools and let them know that
    your group is concerned about this issue.
  • Talk to your principal.
  • Ask for an opportunity to address your local
    site-based council.
  • Ask for an opportunity to address the local Board
    of Education.
  • Remember-there is power in numbers . Ensure a
    large crowd of supporters at public gatherings.

36
Participating in State Level Activities
  • Volunteer to help advocate for the bill during
    the legislative session.
  • Help keep people updated through emails and phone
    calls.
  • Volunteer to help organize a Capitol Rally
    (commit to bringing people with you).
  • Keep the legislative message lines ringing.

37
Considering Competing Interests
  • We must be prepared to articulate our position
    while at the same time, considering competing
    interests and other factors. Just because we are
    right, doesnt mean we will be right.

38
Considering Competing Interests
  • Consider
  • Revenue although many of those that oppose a
    bill will not publicly cite revenue as a factor
    (no one wants to be labeled as someone that would
    choose revenue over a childs health), we know
    that schools rely heavily on the money generated
    from competitive food sales. Money goes to
    support good causes (athletics, music programs,
    etc).

39
Competing Interests
  • Response
  • We are not advocating an outright ban on vending
    machines in schools. We recognize that schools
    are dependent on this source of revenue, which is
    why we are proposing a substitution, not a ban.
  • We have researched what works in other states and
    know from West Virginias experience that our
    recommended changes would still allow a viable
    source of revenue.

40
Competing Interests
  • We have also researched what food/beverages would
    be commercially available.
  • We are only asking that schools be more
    responsible with the food/beverage selections.
  • When schools promote the sale of junk food that
    is full of empty calories, while at the same time
    trying to teach nutrition education in the
    classroom, what kind of message is this sending
    to students?

41
Competing Interests
  • Consider
  • Local Control and the KERA Philosophy-under KERA,
    many issues that were once addressed at the state
    level are now in the hands of school districts
    and site-based councils. Why should this be any
    different?
  • Response
  • This is a statewide issue and warrants a
    statewide response

42
Competing Interests
  • The state has legislated and continues to
    legislate issues that impact childrens health in
    schools (pre and post the implementation of
    KERA).
  • Examples statewide requirements for entry level
    and 6th grade physical exams, evidence of
    immunizations, the requirements for eye exams,
    etc.
  • By virtue of the Department of Educations
    regulation that applies to competitive food
    sales, this issue is recognized as as issue of
    physical welfare (702 KAR 6090 promulgated
    under the authority of . to protect the physical
    welfare and safety of public school children.).

43
Competing Interests
  • Consider
  • Soft drink industry as a corporate partner with
    schools. Schools reap many benefits from this
    arrangement including revenue from sales and
    often receive donated items from the companies.
    Soft drink industry reaps many benefits as well,
    especially from exclusive pouring rights
    contracts. Main benefit to industry-brand loyalty

44
Competing Interests
  • Response
  • Soft drink industry has ventured into supplying
    alternatives such as water. As with all types of
    businesses, industry needs to be responsive to
    consumer demands.

45
Stay on Target
  • Remember, dont lose sight of the big picture
    here.
  • All other things aside, this is a matter of
    childrens health and childrens issues,
    especially concerning their health and welfare
    are issues that resonate with the public-this is
    key.

46
Strengths
  • This issue has garnered statewide as well as
    national issue.
  • Media support has been overwhelming.
  • This is an issue that resonates with parents.
  • Numerous associations support us.
  • Other states are moving in this direction.

47
Closing
  • I hope that I have offered some helpful insight,
    not only in terms of the work of the task force,
    but also in terms of how individuals, especially
    when organized, truly can make a difference in
    government.
  • My challenge to you today is to take what you
    have learned and will learn from this conference
    and help us Grow Healthy Kids in KY.
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