Do Food Banks Employee Registered Dietitians

Overall obesity rates remain high and obesity prevalence among children and youth ages ii to 19 and adults in the United States has non changed significantly between 2003-2004 and 2011-2012, according to the Centers for Disease Control and Prevention (CDC).

Currently, 17 per centum of American youth are obese, a figure that continues to reverberate that babyhood obesity rates in the Us have well-nigh tripled in the past 30 years. Counting both obese and overweight, 31.seven percent of American children and adolescents are affected by this epidemic. In sheer numbers, more than 12 million American children and adolescents are obese and more than 23 million are either obese or overweight. For very young children, however, there are signs of progress. Data from CDC'due south National Health and Diet Examination Survey (NHANES) released in February 2014 show a pass up in obesity prevalence in children ages 2 to 5, from most fourteen percentage in 2003-2004, to just over 12 percent in 2009-2010, to a fiddling more viii percent in 2011-2012.

Overall health intendance spending on obesity continues to significantly burden the nation, nevertheless, and the most contempo research data available gauge obesity-related health care costs at nearly $150 billion annually. Taxpayers fund virtually half of these costs, at approximately $60 billion, through Medicare and Medicaid. Babyhood obesity also poses a national security claiming, as obesity has go one of the most mutual disqualifiers for military service; affecting 25 percent of those who utilize to serve.

Obese children and teenagers also remain at greater take a chance for developing serious chronic diseases including type 2 diabetes, heart disease, high claret pressure level, cancer and other health conditions including asthma, sleep apnea, and psychosocial effects such as decreased cocky-esteem. In one large study, 61 percentage of overweight 5- to 10-year-olds already had at least i risk gene for centre disease, and 26 percent had ii or more risk factors. An overweight adolescent has a 70 percent chance of existence overweight or obese as an adult. By adulthood, obesity-associated chronic diseases—eye disease, some cancers, stroke, type 2 diabetes—are the kickoff, 2d, third and seventh leading U.Due south. causes of death.

Many policy options tin can help prevent and reduce babyhood obesity. This page reports policies enacted or adopted by state legislatures in 2013 and classifies them by the policy approaches listed in the table beneath.

50-State Legislation on Babyhood Obesity Policy Options Enacted in 2013
Country	School Diet	Physical Educational activity, Physical Activity	School Wellness	Joint-Shared Use Agreements	Insurance Coverage for Obesity	Job Forces, Studies
Alabama
Alaska						X
Arizona
Arkansas	Ten	X		X
California	X			10
Colorado	X					X
Connecticut						X
Delaware
Florida	Ten
Georgia	X					X
Hawaii	X					X
Idaho					10
Illinois		X
Indiana
Iowa
Kansas	Ten
Kentucky
Louisiana	X					X
Maine	X
Maryland
Massachusetts	X		X
Michigan	X
Minnesota
Mississippi	X					X
Missouri	X
Montana	X
Nebraska
Nevada	X
New Hampshire
New Jersey
New United mexican states
New York
Northward Carolina	X	Ten
North Dakota
Ohio		10
Oklahoma	X
Oregon	X					10
Pennsylvania						X
Rhode Island	10		10
South Carolina	Ten	10				X
South Dakota
Tennessee
Texas	Ten
Utah						X
Vermont
Virginia			X
Washington
West Virginia	Ten
Wisconsin
Wyoming
District of Columbia

Schoolhouse Nutrition Legislation

States have continued to actively innovate in the area of school nutrition policies past enacting legislation and adopting resolutions that both complement and supplement federal efforts to implement the Healthy, Hunger-Free Kids Act of 2010 (P.L. 111-296) and other policies that brand nutritious foods available to school children throughout the school twenty-four hour period. In 2014, 22 states—Arkansas, California, Colorado, Florida, Georgia, Hawaii, Kansas, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nevada, N Carolina, Oklahoma, Oregon, Rhode Island, Due south Carolina, Texas and W Virginia—enacted some type of school nutrition legislation or adopted schoolhouse nutrition resolutions. These laws help ensure students take access to healthier food and beverage options at schoolhouse or encourage other community supports for child diet. An area that drew the attention of legislators in many states in 2014 was wider access to a nutritious school breakfast to help children start the day prepare to acquire.

Summaries of Enacted 2013 School Nutrition Legislation

Arkansas
AR SB 428 (2013, enacted) – As function of the general school improvement appropriation, creates a pilot programme for breakfast nutritional programs in public schools and provides $1 million funding for the airplane pilot.

AR SB 1051 (2013, enacted) – Equally part of a new Whole Kid Recognition Program launched by the legislation, provides for working group efforts to reinforce healthy eating patterns past offering students nutritious and fresh food choices as office of both routine food services, and special programming and events.

California
CA AB 626 (2013, enacted) – Requires California after-school programs to certify that they provide a nutritious snack, meal or both and, in loftier schools, a physical activity element. Allows the use of school cafeteria funds for central food processing expenditures, for the toll of housing and equipping cafeterias, and for the price of providing drinking water in cafeterias. Extends to 1/2 hour before and after the schoolhouse mean solar day the existing schoolhouse nutrition standards that prohibit selling less nutritious nutrient items or beverages, or food containing trans fatty at school. Requires compliance monitoring. Provides for nutrition pilot program participation.

CA AB 290 (2013, enacted) – Requires that as a condition of licensure on or subsequently January 1, 2015 through the California Child Twenty-four hour period Care Act, in improver to whatever other required preparation, at least i manager or teacher at each day care middle and each family day care home licensee who provides care, complete as a part of their minimum of 15 hours of wellness and safety training, at least i 60 minutes of childhood nutrition training as part of the preventive health practices course.

Colorado
CO HB 1006 (2013, enacted) – Creates the Breakfast After the Bong Nutrition Plan to offer free breakfast to students in public schools that have a specified percentage of students who are eligible for free or reduced-cost luncheon under the School Lunch Program. Requires participating schools to comply with nutrition standards and repast patterns for school breakfasts established by the federal Healthy, Hunger-Complimentary Kids Act of 2010 and related federal regulations.

CO SB 153 (2013, enacted) – Continues Colorado's interagency farm-to-schoolhouse coordination chore force indefinitely. Adds task strength members from colleges or universities, a school master or instructor, and a school food services management representative from college education. Makes tracking progress a group task and requires the task force to report its progress, findings, and recommendations to the instruction committees of the house of representatives and the senate, the senate agriculture and natural resources committee, and the house agriculture, livestock, and natural resources committee, or any successor committees, past February one, 2015 and every Feb 1 every two years thereafter.

Florida
FL SB 1500 (2013, enacted) – Amongst other appropriations to assistance local governments, provides $1,067,958,003 to the schoolhouse lunch programme from the Food and Diet Services Trust Fund.

Georgia
GA HB 17 (2013, awaiting, carryover to 2014) - Would create a Subcontract to School program in Georgia to promote the sale of Georgia grown farm products by schools in the state, including creation of a database of farmers interested in selling agricultural products to schools.

GA Hour 558, GA SR 430 (2013, resolutions adopted) – Commends school districts participating in the Subcontract to Schoolhouse 5 Million Meals Campaign and recognize that Georgia agencies, schools, parents, students, farmers, and communities are collaborating and working together to reduce childhood obesity. Recognizes that farm to school programs represent an innovative opportunity for a comprehensive approach that seeks to improve child diet, thus improving bookish performance, and that besides provides local market opportunities for Georgia farmers.

GA HB 105 (2013, enacted) – Among other appropriations, provides diet funding of $597,481,435, including $574,888,212 in federal funds and grants and $22,593,223 in state funds, to provide leadership, training, technical assist, and resources, then local program personnel can deliver meals that support nutritional well-being and functioning at school and comply with federal standards.

Hawaii
HI HR 184 (2013, pending, carryover to 2014) - Would declare October every bit Farm to Schoolhouse month in Hawaii and asking the department of education and the department of agriculture to cooperate to create and implement a farm to schoolhouse programme in public schools in the country.

Kansas
KS SB 171 (2013, enacted) – Appropriates school food assistance funding of $2,510,486.

Louisiana
LA HB 214 (2013, enacted) - Encourages public school governing regime to create partnerships for the purpose of increasing parental involvement in schools; including encouraging participation in parenting classes that educate parents near, among other topics, the importance of sleep and good nutrition in schoolhouse operation. Public school governing authorities and the country's department of instruction are to identify available funding sources for these classes.

LA HB 1 (2013, enacted) – As part of annual appropriations, provides that at least 90% of the meals offered/served by school food services will meet USDA standards for the Kid Nutrition Plan (National School Tiffin/School Breakfast Program), and provides for performance indicators to ensure that nutritious meals are served to children who receive federally reimbursable tiffin or breakfast, such as sponsor reviews and quantities served.

Maine
ME HB 1079 (2013, enacted) – Funds, amidst other items, an update to the school diet spider web-based computer system.

Massachusetts – Nutrition Education
MA HB 3538 (2013, enacted) – Among other items, this appropriations bill provides for incorporating obesity prevention programs, including nutrition and health programs, into school curricula to address the nutrition and lifestyle habits needed for healthy evolution. Also provides funding to increase participation in the summer meals programme and universal school breakfast program. Requires that $200,000 more the amount spent in fiscal year 2013 be expended for the universal school breakfast program in which all children in schools receiving funds under the program are provided complimentary, nutritious breakfasts. Pays for the state share of the National School Luncheon plan in the amount of $5,426,986.

Michigan
MI HB 4228 (2013, enacted) – Provides funding for Michigan schools including an allotment for 2013-2014 of all available federal funding, estimated at $460,000,000.00 for the national school lunch program and allocating an amount not to exceed $5,625,000.00 for 2013-2014 to school districts for schoolhouse breakfast. Requires a purchasing preference for the school tiffin and breakfast programs for nutrient that is grown or produced by Michigan businesses if it is competitively priced and of comparable quality.

Mississippi
MS HB 718 (2013, enacted) - Creates an Interagency Subcontract to School Council and requires information technology to meet at to the lowest degree quarterly, starting no later than Baronial one, 2013. Directs the Quango to facilitate buy and use of locally grown and raised agronomical products in school meals in gild to improve the quality of food served in schools. Also encourages community organizations, restaurants, grocery retail stores and other local organizations and businesses to purchase more local agricultural products. Defines local agricultural products as food products grown on Mississippi farms or gardens including, only non limited to, fruits, vegetables, and nuts grown in Mississippi, meat, poultry, eggs, dairy, fish, seafood and other aquatic products produced in Mississippi, and products processed into value-added products that are grown or produced in Mississippi. Supports the country economy past generating new income for Mississippi farmers. Provides for multi-sector membership, duties and purposes of the Council. Requires an almanac report from the Council to the legislature first Jan i, 2015. Sunsets the Council's existence as of July ane, 2015.

MS SB 2073 (2013, enacted) - Promotes local purchasing of perishable supplies or nutrient for school dejeuner programs amid other state bureau food programs by authorizing certified purchasing offices to include the location of a applicant's local part and inventory in the all-time value calculation.

Missouri
MO HB 2 (2013, enacted) – Appropriates $iii,412,15 from the state's general acquirement fund to the Department of Simple and Secondary Instruction for the School Food Services Plan to reimburse schools for school food programs.

MO HB 14 (2013, enacted) - Appropriates $16,000,000 to the Department of Elementary and Secondary Pedagogy For the School Food Services Program to reimburse schools from Federal Funds for school food programs.

Montana
MT HB 4 (2013, enacted) – Directs all remaining fiscal year 2013 federal budget amendment authority for the financial twelvemonth 2011 specialty ingather block grant plan to develop efficiencies in food processing for rural farm-to-school programs through school food nutrition service cooperative agreements and authorizes them to continue into federal fiscal twelvemonth 2014.

Nevada
NV AB 337 (2013, enacted) – Encourages public schools to found and participate in subcontract to school programs to promote fruit and vegetable consumption.

NV SB 466 (2013, enacted) - Transfers say-so over school diet programs from the state's department of didactics to the director of the state'southward department of agronomics.

N Carolina
NC HB 57, NC SB 193 (same, 2013, enacted) – Prohibits local school administrative units from assessing indirect costs to a school'south child nutrition programme unless the programme is financially solvent with a minimum of one calendar month's operating balance. As well provides that the North Carolina Procurement Brotherhood shall promote optimal pricing for child nutrition program food and supplies.

Oklahoma
OK HB 1418 (2013, enacted) – Requires the country's department of education to develop rules to forestall food waste in public school cafeterias and policies to redistribute leftover school foods to students in need. Allows the section to seek means to receive packaged or nonperishable nutrient and fresh foods such every bit fruits and vegetables to distribute to students in demand without requiring school cafeterias to provide overnight storage.

Oregon
OR HB 2649 (2013, enacted) – Resets requirements for the state's education department regarding grant funds awarded to encourage the purchase of salubrious school foods to require that at least lxxx percent of funds exist used to purchase Oregon grown foods for schools and at least 10 percentage to fund food-based, agriculture-based or garden-based educational activities.

Rhode Isle
RI HB 6291 (2013, enacted) – Provides that local schoolhouse health and wellness subcommittees shall be responsible for, simply not limited to, developing policies, strategies, and implementation plans that promote purchasing and serving locally grown fruits, vegetables and dairy products in schools.

RI SB 513 (2013, enacted) - Promotes purchasing and serving locally grown fruits, vegetables and dairy products to children in Rhode Island schools.

South Carolina
SC SB 191 (2013, enacted) – Establishes a voluntary program in the state'southward department of agriculture to link local farms to school districts and other institutions to provide students and adults with fresh and minimally processed subcontract foods for meals and snacks. Encourages the integration of nutritional and agronomical teaching into school curriculum through hands-on learning opportunities, such as farm visits, cooking demonstrations, and school gardens. Recognizes that the program volition strengthen local economies; create jobs; open up a substantial new market for farmers; and provide beginning farmers with a consequent and secure customer base. Allows the department to seek grants and private funding for the program and requires the section to create a program website.

SC HB 3710 (2013, enacted) – Among other measures to address obesity in this appropriations nib, requires schoolhouse districts to written report to the state health department data regarding their progress towards coming together provisions of the Educatee Health and Fitness Act of 2005 including efforts to promote healthy eating patterns; assessment of school commune wellness education programs; snacks in vending machines; and wellness curriculum. Gives the health section authority to collect, compile and assess state and school districts' progress in coming together these goals, with the overarching goal of facilitating an environment that decreases body mass index in the state.

Texas
TX SB 376 (2013, enacted) - Requires schoolhouse districts or open-enrollment charter schools that participate in the national school breakfast program, in which a specified percentage of the students authorize for a complimentary or reduced-price breakfast, to offer a complimentary breakfast to each student.

TX HCR 101, TX HCR 99 (2013, resolutions adopted) – Resolutions congratulate Burnet Consolidated Independent School Commune for earning a HealthierUS Schoolhouse Challenge Gold Honor of Stardom from the U.S. Department of Agronomics, a voluntary national certification initiative designed to encourage schools to better the quality of food served in school cafeterias and provide nutrition instruction as well as to promote physical education and other opportunities for physical activity for students. Recognizes the district'south nutrient service department and its director for outstanding contributions to this achievement.

Due west Virginia
WV SB 663 (2013, enacted) – Creates a Feed to Accomplish program that requires schoolhouse breakfast and lunch to exist available for all students in guild to ameliorate nutrition and wellness of the country's children. Encourages development of customs gardens and farm to school programs. Provides for public-private funding of the school breakfast program and requires an almanac inspect of donations of individual funds.

Wisconsin
WI AB 40 (2013, enacted) – Among other provisions in the country budget, appropriates $250,000 for subcontract to school grants.

Trunk Mass Index (BMI) or Student Fettle Screening at Schoolhouse

Body mass index (BMI) is a measure of a person's weight in proportion to height. For children, the calculations also accept into consideration age and gender. Body mass index is widely accepted as a reliable indicator of body fat content and a screening tool for weight categories that tin can lead to health problems. The ease of measuring height and weight, without use of expensive equipment, makes BMI screening user-friendly and has led to policies in a number of states that require BMI screening at schoolhouse where near all children can participate.

Legislation that requires individual student BMI measurement has been enacted in some states to aid identify individual children with weight-related wellness risks. Amass BMI data reporting requirements are in place in other states to provide a picture of customs wellness, monitor statewide obesity trends, or evaluate the results of programs intended to reduce or forbid obesity. Individual BMI results by and large are sent to parents in a confidential alphabetic character with suggestions for making good for you changes, which can help motivate families to adopt healthier habits. When screenings identify obesity-related health risks, such as type 2 diabetes, it is important to provide parents with information most how to seek further evaluation and appropriate follow-up. A number of states include BMI measurement as an chemical element of a broader educatee fettle assessment.

At the close of 2013 legislative sessions, legislation related to student trunk mass index measurement remained pending to bear over for 2014 legislative sessions in Massachusetts, New York and Oklahoma. In iii states, Mississippi, Montana and New Jersey, educatee BMI measurement was proposed but not enacted in 2013; while a measure to repeal student trunk mass index measurement failed in Arkansas in 2013. South Carolina legislators enacted an appropriations bill giving the country wellness department authority to collect data to assess the progress of schools in creating an environment to decrease BMI.

Massachusetts
MA HB 2634 (2013, pending, carry over) – Would require, among other items every bit part of babyhood obesity prevention program, measuring body mass index percentile of each student by trained school personnel or others approved past the Department, and in accord with guidelines of the Section in grades one, four, 7, and ten, or, in the case of ungraded classrooms, past a pupil's seventh, tenth, thirteenth and sixteenth birthday.

MA HB 2024 (2013, awaiting, carryover) – Would prohibit the section of public health from collecting data on student top and weight or calculating the body mass alphabetize of a student.

New Bailiwick of jersey
NJ AB 4245, NJ SB 111 (aforementioned) (2013, proposed, not enacted) - Would have required boards of education to calculate body mass alphabetize for students in start, fourth, 7th, and tenth grades.

New York
NY AB 2517, AB 2565, S2363, S2437 (similar) (2013, proposed, pending, carryover ) – Would crave schools to measure out, report and clarify body mass alphabetize (BMI) and weight status category of its students.

Oklahoma
OK HB 1670 (2013, proposed, awaiting, carryover) – As role of a new RIGHTTRACK deed, would crave the opportunity to attend health and wellness schoolhouse assemblies equally a tool in educating and identifying children who may be at risk for poor nutrition, and to provide health and health education with materials from the Centers for Affliction Control and Prevention that provide data about healthy foods, trunk mass alphabetize (BMI) and do. At the health and wellness assemblies, adding of BMI would be available as a tool in screening and identifying students who may be at risk for poor diet and parents or guardians of a student whose BMI is measured would receive a confidential health report including the effect of the student'due south BMI screening, along with basic educational data explaining the results.

Southward Carolina
SC HB 3710 (2013, enacted) – Amid other measures to address obesity in this appropriations nib, requires school districts to report to the state wellness section information regarding their progress towards meeting provisions of the Educatee Health and Fitness Act of 2005, specifically: the average number of minutes students exercise weekly; results of the South Carolina Physical Pedagogy Assessment; efforts to promote healthy eating patterns; assessment of school commune health education programs; snacks in vending machines; and health curriculum. Gives the health department authority to collect, compile and assess state and school districts' progress in meeting these goals, with the overarching goal of facilitating an environs that decreases torso mass alphabetize in the land.

Diabetes Screening and Management at School

As the number of obese and overweight children continues to ascension, type 2 diabetes (formerly called adult-onset diabetes) is increasingly existence diagnosed in schoolchildren. Although not preventive in nature, a number of states, responding to the needs of children already diagnosed with diabetes, have created policies to facilitate care for students with diabetes, such as requiring grooming for schoolhouse personnel to provide diabetes intendance for schoolhouse children or limiting the liability of caregivers and schools that provide such intendance. In 2013, u.s. of Arizona, Arkansas and Missouri enacted laws that refined or described requirements for volunteer school personnel, with appropriate training past medical personnel, to provide school diabetes care.

Some other arroyo has been to provide non-invasive screening for diabetes at school to help identify students at take chances. Together with diet and physical action policies, such screening can assist prevent the actual onset of type 2 diabetes in children and may reduce childhood obesity as well. The 2 general types of state legislation related to diabetes in schoolchildren are summarized below, followed by summaries of enacted 2013 legislation on this topic.

Student Diabetes Risk Screening: Existing constabulary requires not-invasive student diabetes risk screening as a regional pilot program in Texas and statewide in Illinois. California legislation that required non-invasive screening of students in specific pilot locations for risk of type two diabetes was in issue 2003-2008 (California Didactics Lawmaking § 49452.6); the police expired in 2008 just was replaced by statewide distribution of diabetes risk information to students commencing July one, 2010 (California Education Code § 49452.seven).

Educatee Diabetes Care: Counting legislation enacted in 2012-2013, existing law now provides for student diabetes intendance or self-care at school or permits medication administration past, and/or liability protections for, school personnel responding to diabetic students in Arizona, Arkansas, Connecticut, Florida, Georgia, Illinois, Indiana, Missouri, Nebraska, New Jersey, Tennessee, Texas, Rhode Island, Utah, West Virginia and Virginia. A California lawsuit settled in August 2007 interprets federal laws that guarantee equal educational opportunities for children with disabilities to crave schools to accept personnel trained and bachelor to assist diabetic students. Alabama adopted a legislative resolution in 2012 to study training school personnel to provide care to students with diabetes.

Arizona
AZ HB 2042 (2013, enacted) – Allows schools to designate two or more than school employees to serve equally voluntary diabetes intendance administration. Subject to final approving of the voluntary diabetes care administration by the parent or guardian, the administration may administer insulin, assistance the pupil with self-administration of insulin, or administrate glucagon in an emergency situation. The volunteer diabetes intendance assistant must provide the schoolhouse with a written statement signed by a licensed health professional person stating that the voluntary diabetes care assistant has received proper training, including training about techniques for determining the proper insulin dose based on continuing orders from the pupil's dr.. Requires a student's parent to provide all diabetes equipment and supplies.

Arkansas
AR SB 361 (2013, enacted) - Allows school volunteers, who have received signed parental permission and accept completed required grooming, to administer glucagon to students with diabetes in accord with a student's plan under Section 504 of the Rehabilitation Act of 1973, 29 U.s.C. § 701 et seq., as of July one, 2013.

Missouri
MO HB 675 (2013, enacted) – Directs the land's section of education, in consultation with the department of health and senior services, the American Diabetes Association, American Clan of Diabetes Educators, School Nurses Association, Diabetes Control Program, and the state board of nursing to develop guidelines for training to a minimum of 3 volunteer school employees at each school attended by a student with diabetes about diabetes intendance. Requires the school nurse or another health care professional with diabetes expertise to provide follow-up training and supervision as needed to the volunteers. Allows trained school personnel to administer glucagon or insulin or to assistance a student in administering insulin through the insulin delivery system the student uses. Requires the parent or guardian of a student with diabetes who seeks diabetes intendance at school to submit a diabetes medical management plan to the school.

Insurance Coverage for Obesity Prevention and Treatment

Providing insurance coverage for obesity prevention can encourage patients to seek nutrition and physical activity counseling from health care providers. Studies have shown health intendance providers tin play an important part in promoting weight loss among their overweight patients. Guidelines recommend that physicians identify obese patients and counsel them on weight management, using a personalized arroyo, as physician mode and timing when discussing weight management issues are important. To increase the effectiveness of health providers in this part, the kickoff lady'southward "Let'due south Motion" initiative to address childhood obesity recommended that "health care providers have the necessary training and education to effectively prevent, diagnose, and treat obese and overweight children."

Country legislation in this category by and large requires individual insurers, public insurance programs such as Medicaid or SCHIP (Country Children'south Wellness Insurance Programs), or country employee health insurance programs to provide or strengthen obesity health insurance coverage. Land legislation may as well specifically require or encourage coverage for obesity prevention. Although insurance coverage laws do not always specifically refer to childhood obesity, private insurance coverage for families generally includes children, and some states exercise specifically address insurance coverage for childhood obesity. In July 2004, Medicare recognized obesity as a medical condition, opening the door for greater coverage for obesity treatments. Upon review, Medicare will now pay for anti-obesity interventions if scientific and medical evidence demonstrate their effectiveness. Medicaid and private insurers oftentimes follow Medicare coverage policy. Nether Medicaid, states accept flexibility to make up one's mind the scope of covered services within federal guidelines and can include obesity prevention and handling every bit covered services.

In 2013, Idaho adopted a legislative resolution recognizing the potential value of covering nutrition counseling past registered dieticians to preclude or reduce obesity.

Idaho
ID HCR nineteen (2013, resolution adopted) – Observes that about 62% of Idaho'due south adult residents are overweight or obese due to poor nutrition and physical inactivity, putting them at risk for costly chronic diseases, such as diabetes, heart illness and obesity-related cancers. States that a five percent reduction in average body mass index (BMI) of Idaho's citizens could lead to health care savings of more $ane billion in ten years and $3 billion in twenty years. Resolves that past providing medical diet therapy and professional person nutrition counseling past registered dietitians in conjunction with existing services covered by insurance carriers, there volition be a significant positive impact on BMI and chronic disease and significant health care cost savings in Idaho.

Joint or Cooperative Use Agreements for School Facilities

When communities, urban neighborhoods or rural towns lack prophylactic places to exercise and play nearly where people live and piece of work, opening school fields, tracks, courts, playgrounds and gymnasiums to the public, when not in use by students, is a low-cost way to provide opportunities for people to be physically agile. Customs access also helps to accomplish maximum value for funds appropriated by legislatures for school facilities. Articulation or cooperative use agreements are formal agreements between two split entities—frequently a school district and a metropolis or canton regime—that define the roles, responsibilities, terms and conditions for the shared use of public belongings. These agreements often accost matters such as liability, staffing, maintenance, hours and cost-sharing issues. Creation of or enhanced access to places for physical activity is "strongly recommended" by the Guide to Community Preventive Services, an initiative of the Centers for Disease Command and Prevention that reviews research evidence on population-based approaches to wellness, because of its "effectiveness in increasing physical activeness and improving physical fettle amidst adults."

In 2013, three states—Arkansas, California, and Florida—enacted joint-use legislation to facilitate or encourage shared customs employ of school facilities for recreation.

Arkansas
AR SB 1062 (2013, enacted) – Allows the use of public schoolhouse facilities for customs activities to promote the public health and well-existence of school communities past providing that, at times other than the regular instructional school twenty-four hour period, a school district may allow members of the community to use school country or facilities for community purposes, including social and civic events, recreation, health and health activities. Provides that school districts may charge a fee to offset the price of customs use of schoolhouse facilities and may besides accept gifts, grants or donations from the private sector, local government and the federal regime and may enter into joint use agreements with other public or private entities or nonprofit organizations for shared use and responsibleness of school state or a public school facility.

AR SB 233 (2013, enacted) – Amidst other pedagogy budget items, appropriates $500,000 to support articulation utilize of schoolhouse facilities.

California
CA AB 1359 (2013, enacted) – As office of planning for approving of a tentative or package subdivision map to include defended park and recreation state, provides that a urban center, county, or other local agency to which park land or fees in lieu of land are conveyed or paid may enter into a joint or shared employ agreement with one or more other public districts in the jurisdiction, including, but non express to, a school district or community college commune, in order to provide access to park or recreational facilities to residents of subdivisions with fewer than 3 acres of park area per 1,000 members of the population.

Florida
FL HB 277, FL SB 396 (similar) (2013, introduced; 2014, pending) – Finds that greater access to recreation and sports facilities is needed to reduce the affect of obesity on personal health and health care expenditures. For that purpose, would requite school districts discretion to enter into joint-employ agreements with local governments or private organizations or to adopt public access policies for indoor or outdoor recreation and sports facilities on public school property. Observes that joint-use agreements or public access policies content should specify the facilities to be used, dates and times of utilise, and terms and conditions governing use of the facilities and may also include provisions for liability insurance coverage and indemnification of the school district. Authorizes schoolhouse districts to enter into joint-use agreements or prefer public access policies; provides immunity from liability except for gross negligence or intentional misconduct.

Physical Activeness or Physical Education in Schools and School Recess Legislation

The first national Physical Activity Guidelines for Americans, issued past the U.S. Section of Health and Human Services in October 2008, recommend 60 minutes of age-appropriate, enjoyable and varied daily, moderate-to-vigorous concrete activeness for children. Developed by experts in exercise science and public wellness, the Guidelines are based on research findings nigh the benefits of concrete activity and recommended activity levels. A research review by the Centers for Disease Control and Prevention (CDC) concluded that physical action during the school day not only provides health benefits—such as strengthening the heart, muscles and bones—merely also increases students' academic achievement.

Before the guidelines were issued, the National Clan for Sport and Physical Instruction (NASPE) had recommended that all children from prekindergarten through course 12 receive daily physical didactics taught past certified specialists, and that schools have appropriate P.Eastward. form sizes, facilities and equipment. NASPE recommends 150 minutes per calendar week of concrete education for elementary school students and 225 minutes per week for middle and high schoolhouse students, with qualified physical educational activity teachers providing a developmentally advisable program and a instructor-student ratio similar to other classroom settings. Fantabulous physical instruction programs can nurture enjoyment of concrete activity and set the stage for an agile lifestyle in all children, regardless of athletic power.

Currently, well-nigh 30 percent of children do not do even three days per calendar week. Only 17 percent of high school students say they exercise the minimum recommended one hour daily. Legislators have considered and enacted laws to support physical pedagogy programs in schools to bridge this gap. Although all l states have some type of statewide standards for concrete education or physical activeness at school, their scope varies greatly. Policy approaches to increasing physical activity at school include setting physical instruction time standards at all form levels, providing for daily physical instruction, ensuring that P.E. is taught by qualified instructors, and preserving recess time for physical activity.

At least v states—Arkansas, Illinois, N Carolina, Ohio and South Carolina—enacted legislation or adopted resolutions related to physical education or physical activeness at schoolhouse in 2013, with Arkansas' directing consideration of a requirement for a daily, twenty infinitesimal school recess for elementary and heart school students. Ii additional states, Massachusetts and New York, had proposed 2013 concrete education legislation that remained pending and carried over to 2014.

Arkansas
AR SB 1051 (2013, enacted) – Launches a Whole Child Recognition Program to create a framework for recognizing community and state efforts to ensure all children receive comprehensive support of the whole customs. Requests that the Whole Child working group consider how to provide elementary and middle school students with a dailty recess of at to the lowest degree 20 minutes; provide quality physical education instruction; offer opportunities for elementary, middle, and high school students of all abilities to participate in a wide variety of intramural and extracurricular activities that provide them with positive concrete, social, and emotional experiences; and integrate movement into lessons and across the schoolhouse solar day. Too provides for efforts to reinforce healthy eating patterns by offer students nutritious and fresh nutrient choices as part of both routine nutrient services, and special programming and events.

Illinois
IL HR 24 (2013, resolution adopted) – Recognizing that poor diet and lack of practise are the 2 principal causes of babyhood obesity, urges schoolhouse teachers and administrators statewide to promote hour of daily physical activeness for schoolchildren so they will enjoy healthier, agile lifestyles and urges parents and their children to embrace better nutritional educational activity to further build healthier lifestyles.

Massachusetts
MA HB 2634 (2013, proposed, carryover) – As office of proposed legislation to create a program to reduce babyhood obesity, would crave that if a school does not teach formal physical instruction classes daily, all students shall have at least 30 minutes of daily concrete activeness performed in the classroom or during recess.

MA HB 478 (2013, proposed, carryover) – Would require physical education for students in all grades in public and charter schools. For students in grades K-eight would require a minimum of 30 minutes of daily of moderate to vigorous physical activeness that could exist completed through regular concrete educational activity, physical activities, recess, classroom energizers or other curriculum based physical education activity programs. Would besides establish a Healthy Kids Accolade program to advantage M-12 schools that implement policies and practices that create opportunities for students to be physically active and brand salubrious nutrient choices available throughout the school day.

New York
NY SB 135 (2013, proposed, carryover) – States that the United states of america is confronting a devastating obesity epidemic and that the chief causes of babyhood obesity are lack of physical activity and poor diet and that the epidemic will toll billions more dollars if left un-reversed. In response, would direct the commissioner of education to create a airplane pilot program to meliorate physical education and physical activity programs in at least ten public elementary, middle or high schools in the country, or more if there is interest and funding available, to participate in a ii yr pilot plan aimed at improving concrete education and concrete activity programs. Seventy-five percentage of the schools selected would exist located in New York City and the remainder be selected based upon applications for participation in the pilot programme from schools where: (1) at least 50% of the students authorize for federal complimentary and reduced lunches; (2) school facilities and/or resources to implement a physical education program are limited; and (3) the school would be able to provide a "site coordinator" including but non limited to a member of the facility or member of a parent/teacher organization. The bill also notes that pupil-teacher ratios for physical education in New York City are an estimated 730 to 1, and although New York state requires physical fitness pedagogy in schools, many schools have difficulties implementing the requirements due to express funding and/or space.

NY AB 2517 (2013, proposed, awaiting) – Would crave concrete pedagogy for all pupils historic period 8 years and older, including those with disabilities or in culling teaching programs in all elementary and secondary schools under the direction of the commissioner of pedagogy every bit the country's board of regents may determine, with the goal of developing students' character, citizenship, overall physical fettle and adept health. Where feasible, would include daily physical exercise or activity. Would require a minimum of one hundred 20 minutes per week in concrete education, exercise or activity for secondary schoolhouse pupils. Would permit regents to provide for a two-year phase-in schedule for daily physical education in elementary schools.

NY SB 2374 (2013, proposed, pending) – This omnibus obesity and respiratory disease reduction act would, amid other provisions, allow the lath of regents to provide in its rules that the physical instruction educational activity requirement for all students enrolled in unproblematic and secondary school grades shall, where viable, include daily concrete exercise or activity, including students with disabling weather and those in culling education programs. Would require secondary school students to participate in physical pedagogy, do or action for a minimum of one hundred twenty minutes during each school week. Would permit board of regents to provide in its rules for a two-year phase-in schedule for daily physical didactics in elementary schools. Would crave instruction about the long term wellness risks associated with obesity and methods for preventing and reducing obesity, including good diet and regular practise, as an integral part of required wellness, scientific discipline, or physical educational activity courses. Would too require after-school programs to present some form of educational pedagogy or academic cloth, or promote physical educational activity. Includes additional provisions on school nutrition.

North Carolina
NC SB 402 (2013, enacted) – Amidst other provisions in this appropriations beak, provides for promoting healthy physical instruction, sports policies, and practices.

Ohio
OH HB 59 (2013, enacted) – Among appropriations for the biennium kickoff July 1, 2013, and ending on June 30, 2015, funds concrete pedagogy in schools. Reaffirms requirement for half unit of measurement of physical instruction for high school graduation, allows school districts to grant physical education credit for participation for two full seasons in interscholastic athletics, marching band or cheerleading; or in ROTC for two full years. Schools established every bit science, technology, engineering and mathematics pilot programs must provide at least thirty minutes of moderate to rigorous concrete activity each school day or at least i hundred 50 minutes of moderate to rigorous physical activeness each week, sectional of recess. A schoolhouse sponsored physical action before or later on the regular schoolhouse twenty-four hours at which attendance can be verified meets the physical activeness requirement. Requires physical education teachers to hold a valid license. Requires an annual report, as prescribed past the department, of how the districts or schools take implemented the 30 minutes of daily concrete action requirement and the financial costs of implementation.

Southward Carolina
SC HB 3710 (2013, enacted) – Among other measures to address obesity in this appropriations bill, requires school districts to report to the land health department data regarding their progress towards meeting provisions of the Pupil Health and Fitness Human activity of 2005, specifically: the average number of minutes students exercise weekly; results of the South Carolina Physical Instruction Assessment; efforts to promote good for you eating patterns; assessment of school commune health education programs; snacks in vending machines; and health curriculum. Gives the wellness section authorisation to collect, compile and assess land and school districts' progress in meeting these goals, with the overarching goal of facilitating an environment that decreases body mass index in the state.

Raising Awareness

States go on to adopt legislative resolutions to heighten public awareness of childhood obesity and of policy options to address information technology. A sample of resolutions from 2013 are summarized beneath.

Idaho
ID HCR xix (2013, resolution adopted) – States legislative findings that poor diet and physical inactivity are putting Idahoans at risk for costly chronic diseases, such as diabetes, heart affliction and obesity-related cancers; and that a reduction of 5 percentage in the average Torso Mass Index of Idaho'south citizens could lead to health intendance savings of more than one billion dollars in ten years and three billion dollars in 20 years. Encourages the inclusion wellness classes and nutrition services provided by registered dietitians as an integral component in the prevention and treatment of chronic disease.

Louisiana
LA HB 214 (2013, enacted) - Encourages public schoolhouse governing government to create partnerships for the purpose of increasing parental involvement in schools; including encouraging participation in parenting classes that brainwash parents about, amidst other topics, the importance of sleep and adept nutrition in school performance. Public schoolhouse governing government and the state's department of education are to identify available funding sources for these classes.

North Carolina
NC SB 402 (2013, enacted) – Among other appropriations, funds programs promoting health, concrete activity, and health teaching programming for N Carolinians.

Tennessee
TN HJR 514 (2013, resolution adopted) - Recognizes the Robertson County Family YMCA for existence named the Robertson County Bedroom of Commerce Business of the Year and as a leader in the community in the Sleeping accommodation'due south effort to facilitate mentoring and afterwards school and wellness programs to address social and didactics issues to improve the quality of life in Robertson County.

Texas
TX HCR 101, TX HCR 99 (2013, resolutions adopted) – Resolutions congratulate Burnet Consolidated Independent School District for earning a HealthierUS School Claiming Gold Laurels of Distinction from the U.South. Department of Agriculture, a voluntary national certification initiative designed to encourage schools to ameliorate the quality of food served in school cafeterias and provide diet education as well every bit to promote concrete education and other opportunities for physical activeness for students. Recognizes the commune's food service department and its director for outstanding contributions to this achievement.

Utah
UT HCR 2 (2013, resolution adopted) - Recognizes obesity as a meaning public wellness and economical issue in Utah. Expresses support for improving the wellness and lifestyles of adults and children in Utah by promoting activities that encourage healthy weight; and supports policies that promote increased access to good for you food and physical activity.

School Wellness Policies

Kickoff with the 2006-2007 school year, federal police required each local school district participating in the National School Dejeuner and Breakfast programs to establish a local wellness policy. Most school districts wrote health policies but the policies varied in strength and abyss. Assessments of wellness policy implementation condition reported that some policies were nearly consummate but others were inconsistent. State legislation, with or without referencing the federal requirement, has helped to fill the gaps or encourage policy implementation. With implementation of the Good for you, Hunger Free Kids Human activity of 2010, wellness policy requirements have go more robust. States have continued to enact policies that complement federal school health policy efforts.

In 2013, Massachusetts, Rhode Isle and Virginia enacted legislation to strengthen school-based wellness and wellness programs. Massachusetts provided funding for incorporating nutrition and health into school curriculum, Rhode Island added health duties related to serving local produce and dairy products in schools and Virginia took a school wellness arroyo to schoolhouse physical fitness programs and school curriculum.

Massachusetts
MA HB 3401 (2013, enacted) – Amongst other appropriations items, provides for incorporating obesity prevention programs, including nutrition and health programs into school curriculum to address nutrition and lifestyle habits needed for salubrious evolution.

MA SB 246 (2013, proposed, carry over) – Would provide for physical activity goals to be incorporated into schoolhouse wellness plans, including those for lease schools.

Rhode Island
RI HB 6291, RI SB 513 (2013, enacted, similar) – Both laws provide that local school health and wellness subcommittees shall be responsible, among other matters, for, developing policies, strategies, and implementation plans to promote purchasing and serving locally grown fruits, vegetables and dairy products in schools.

Virginia
VA HB 2028 (2013, enacted) – Among other provisions related to school instructional programs, requires local school boards to incorporate into school wellness policies a goal for the implementation of a program of physical fitness bachelor to all students for at least 150 minutes per week on average during the regular school year. Allows those programs to include whatever combination of physical teaching classes, extracurricular athletics, or other programs and physical activities deemed appropriate by the local school board.

Task Forces, Commissions, Studies, Grants and Other Special Programs

State legislatures were agile in 2013 in creating obesity-related legislative task forces, commissions, councils, programs, studies, working groups or the like.
11 states enacted legislation or adopted resolutions in 2013 to launch or go on these types of initiatives, including usa of Alaska, Colorado, Connecticut, Georgia,

Hawaii, Louisiana, Mississippi, Oregon, Pennsylvania, South Carolina and Utah.

In addition, an Executive Order in the state of Washington creates a new, comprehensive healthier food service policy for all country agencies.

Alaska
AK HCR 1 (2013, resolution adopted) - Establishes a country nutrient resource development working group to piece of work with the Alaska Food Policy Council to identify resources and set policies to build a strong and sustainable healthy food system in the country.

Colorado
CO SB 153 (2013, enacted) – Continues the existence of, and adds new representatives to, Colorado'southward Farm-to-Schoolhouse Coordination Task Strength. Makes tracking progress a group job and requires the task force to study its progress, findings, and recommendations to the teaching committees of the house of representatives and the senate, the senate agriculture and natural resource committee, and the house agriculture, livestock, and natural resource commission, or any successor committees, by February 1, 2015 and every February 1 every two years thereafter.

Connecticut
CT HB 6525 (2013, enacted) – Establishes a multidisciplinary task strength commencing October 1, 2013, to: (1) gather and maintain electric current data regarding childhood obesity that can be used to better sympathise the impact of obesity on children's health; (2) examine diet standards for all nutrient procured by the state; (3) explore ways to increase concrete activity in children; (4) recommend the implementation of a pilot program through one local or regional board of education to schedule recess before lunch in unproblematic school; and (v) propose the legislature and governor about how to coordinate and administrate state programs that may reduce babyhood obesity. Requires the task force to submit a study to the legislature's joint committee on children by October 1, 2014.

Georgia
GA HB 298 (2013, enacted) – Creates a multidisciplinary Agricultural Commodity Commission for Georgia Grown Products to study and promote the marketing of Georgia grown products. Provides for public hearings and marketing orders by the commission. Authorizes the commission to levy assessments on producers or processors utilizing the Georgia grown trademark. Allows the commission to accept private donations.

Hawaii
How-do-you-do HCR 23 (2013, resolution adopted) - Requests formation of a job forcefulness to develop recommendations for improving obesity prevention-related services and counseling in accordance with the implementation of the federal Patient Protection and Affordable Care Human action (federal health reform). Directs the task strength to (1) Assess gaps in healthcare providers' ability to foreclose obesity and provide handling for obesity-related services and counseling; (ii) Investigate providers' reimbursement options for the provision of these services; (3) Brainwash providers about these reimbursement options; and (4) Encourage providers' utilization of reimbursement options. Also instructs the task force to ane) Inquiry how other states are implementing obesity prevention reimbursement practices; (2) Develop recommendations for increasing the provision of obesity-related services and counseling by healthcare providers through boosted International Classification of Diseases, 9th Edition and 10th Edition codes, training and education, or other strategies; and (3) Submit a study of its findings and recommendations, including any proposed legislation, to the Legislature no later than 20 days prior to the convening of the Regular Session of 2014. Dissolves the task force on June 30, 2014.

Louisiana
LA SR five (2013, enacted) – Requires the land's section of education to study public schools' compliance with state law that requires physical activity in schools and its effectiveness in combating obesity. Directs the section to submit a written report to the Louisiana Senate Select Committee on Women and Children on or earlier December 31, 2013 and requires the Select Committee to hold a public meeting on the study before March 1, 2014. Recognizes the demand for targeted intervention strategies that address and produce sustained results amid African-American children battling obesity and that reduce childhood obesity by the development of and the support of sustainable programs to combat childhood obesity.

Mississippi
MS HB 718 (2013, enacted) – Creates a Mississippi Farm to School Interagency Council to help facilitate procurement and use of locally grown and locally raised agricultural products in school meals in order to amend the quality of school food statewide.

Oregon
OR HB 2992 (2013, enacted) – Authorizes the Oregon Health Authority to operate both a Farm Direct Diet Program and a Senior Farm Direct Nutrition Plan to help enable participants in the Women, Infants and Children nutrition program and low-income seniors to buy fresh produce at farmers markets or roadside stands.

Pennsylvania
PA HR 243 (2013, resolution adopted) - Directs the Joint State Government Committee to constitute a multidisciplinary advisory commission to bear a comprehensive study of babyhood obesity, to propose strategies for healthier eating and physical action for children and to report to the House of Representatives with its findings, recommendations and legislation within 12 months. Notes that the Pennsylvania Section of Health reports that 32.6 pct of children in kindergarten through class half-dozen and 34.one percent of children in grades 7 through twelve in the state are overweight or obese.

S Carolina
SC HB 3710 (2013, enacted) – Amongst other measures to address obesity in this appropriations neb, creates a statewide collaborative effort to "fight against obesity in South Carolina." Names the Department of Health and Environmental Control, considering it is charged with addressing public health of South Carolina's citizens, as the convener and coordinator of efforts to accost obesity in the land. Recognizes that the obesity epidemic as well requires behavioral, educational, systemic, medical, and community interest, and directs other state agencies to use their best efforts to cooperate with the requests of the health section and its partners to facilitate an environment that decreases body mass index, including the Department of Education; Department of Health and Human Services; Section of Social Services; Department of Mental Health; Medical University of Southward Carolina; Academy of South Carolina Arnold School of Public Wellness; Department of Parks, Recreation & Tourism; Department of Commerce; Department of Transportation; and Committee for the Blind.

Utah
UT HJR 20 (2013, resolution adopted) - Among Legislative Management Commission items that may be assigned to interim committees for written report and to make recommendations for legislative activity, includes the topic of obesity and policies that could be implemented by land and local governments, in partnership with the individual sector, to effectively support healthy lifestyle choices and reduce obesity.

UT HCR two (2013, enacted, signed past governor) - Recognizes obesity every bit a meaning public wellness and economic issue in Utah and urges back up of policy development to address the obesity problem in Utah and promote public awareness of the adverse affects of obesity on private health. Expresses support for improving the health and lifestyles of adults and children by promoting activities to encourage healthy weight.

Washington
WA Executive Order 13-06 (issued October 30, 2013) - Establishes a comprehensive food service policy for the state, requiring all executive agencies to adopt the Washington Land Healthy Nutrition Guidelines and to fully implement the guidelines by the terminate of 2016.

Taxes, Revenue enhancement Credits, Tax Exemptions and Other Fiscal Incentives

States go on to consider fiscal options to encourage healthy lifestyles. In 2013, an additional state, Oregon, provided for tax relief for donations to food banks, A few states proposed or enacted taxes on foods or beverages with less nutritional value in club to discourage their consumption and/or raise acquirement. Mississippi authorized a city to revenue enhancement prepared foods and direct the revenues to fund a citywide parks and recreation plan. Massachusetts and Rhode Island considered proposals to tax candy, soft drinks or sugar sweetened beverages to provide funding for childhood obesity prevention efforts but neither was enacted in 2013 although both proposals carried over to 2014. Community or schoolhouse programs for wellness and prevention and other testify-based obesity prevention programs would be funded by these proposed taxes.

Massachusetts
MA HB 2634 (2013, proposed, carryover) – Would create a plan to reduce childhood obesity funded by revenues from taxes on candies, confectionaries and soft drinks. The fund shall consist of revenues collected by the commonwealth including: (i) any revenue from appropriations or other monies authorized by the full general court and specifically designated to be credited to the fund; (2) all monies received by the commonwealth every bit excises upon the sale of candy, confectionary, or soft drinks as defined by the provisions of chapter 64H; (3) any fines and penalties allocated to the fund under the Full general Laws; (iv) whatever funds from public and individual sources such as gifts, grants and donations to further customs-based prevention activities; (5) any interest earned on such revenues; and (6) whatever funds provided from other sources.

Mississippi
MS SB 2921 (2013, enacted) – Authorizes the city of Pascagoula to levy a tax upon the gross proceeds derived from the sale of prepared foods by restaurants and caterers in the urban center; provides that the city may employ the revenue from the taxation to implement a comprehensive parks and recreation master plan adopted past the city and for related purposes.

Oregon
OR HB 2788 (2013, enacted) - Includes donating nutrient to a local nutrient bank or school as a "farm apply" for purposes of holding revenue enhancement special assessment.

Rhode Isle
RI HB 5228 (2013, proposed, carryover) - Would impose a tax on distributors, manufacturers and wholesalers of sugar-sweetened beverages, and direct the revenue to establish and fund a prevention and wellness trust fund and advisory board.

Other links for NCSL resources on legislative and policy options to address obesity are:
NCSL's Leadership for Healthy Communities Web Page

Please contact the Health Plan to study any comments or corrections to this document.

Support for this spider web page and legislative tracking is provided in part by the W.One thousand. Kellogg Foundation and by the Robert Forest Johnson Foundation equally office of its Leadership for Healthy Communities national programme.