Senate Bill sb1324c1

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                           CS for SB 1324

    By the Committee on Health Care; and Senators Peaden and Hill





    587-1907-06

  1                      A bill to be entitled

  2         An act relating to the prevention of obesity;

  3         amending s. 381.0054, F.S.; requiring the

  4         Department of Health to collaborate with other

  5         state agencies in developing policies and

  6         strategies to prevent obesity which shall be

  7         incorporated into agency programs; requiring

  8         the department to advise health care

  9         practitioners regarding morbidity, mortality,

10         and costs associated with the conditions of

11         being overweight or obese; requiring the

12         department to inform health care practitioners

13         about clinical best practices for obesity

14         prevention and to encourage practitioners to

15         counsel their patients regarding the adoption

16         of healthy lifestyles; requiring the Department

17         of Health in partnership with the Department of

18         Education to award grants to local school

19         districts to implement a pilot program to

20         promote healthy eating habits, increase

21         physical activity, and improve fitness;

22         specifying requirements for the pilot program;

23         requiring the Office of Program Policy Analysis

24         and Government Accountability to complete a

25         report to determine the program's effectiveness

26         in changing body mass index, increasing

27         knowledge, and improving attitudes and

28         behaviors of students related to nutrition and

29         physical activity; requiring the Department of

30         Health and the program provider to seek

31         partnerships with various entities and

                                  1

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1         organizations for assistance in providing

 2         funding and resources; requiring school

 3         districts that participate in the pilot program

 4         to collect certain information that is

 5         identified by the Office of Program Policy

 6         Analysis and Government Accountability for the

 7         evaluation of the program's effectiveness;

 8         providing an appropriation; providing an

 9         effective date.

10  

11         WHEREAS, in 2003, 14 percent of high school students

12  were at risk of being overweight and an additional 12.4

13  percent were overweight, and

14         WHEREAS, in 2003, more than 50 percent of high school

15  students did not participate in any physical education at

16  school, and

17         WHEREAS, in 2003, only approximately 20.7 percent of

18  high school students in this state ate five or more servings

19  of fruits or vegetables each day in a 7-day period, and

20         WHEREAS, in 2003, 42.7 percent of high school students

21  watched television for 3 or more hours on an average school

22  day, and

23         WHEREAS, in 2003, 39.9 percent of middle school

24  students did not go to physical education classes at all

25  during an average school week, and

26         WHEREAS, in 2003, on an average school day, 45.3

27  percent of middle school students watched television for 3 or

28  more hours, 18.2  percent used the computer for fun for 3 or

29  more hours, and 14.8 percent reported playing video games for

30  3 or more hours, and

31  

                                  2

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1         WHEREAS, in 2003, only 11.3 percent of middle school

 2  students reported eating five or more servings of fruits and

 3  vegetables per day, and

 4         WHEREAS, approximately 60 percent of overweight

 5  children have at least one risk factor for cardiovascular

 6  disease such as high blood pressure or high cholesterol, and

 7  about 25 percent of overweight children have two or more risk

 8  factors, and

 9         WHEREAS, 25 percent of adults and children are obese

10  and 15 million Americans are morbidly obese, and

11         WHEREAS, obesity as a cause of death is preventable and

12  20,000 Floridians die annually from obesity-related diseases,

13  and

14         WHEREAS, obesity-related medical expenditures for

15  adults in this state total more than $3.9 billion yearly, with

16  over half of the costs being financed by Medicare and

17  Medicaid, NOW, THEREFORE,

18  

19  Be It Enacted by the Legislature of the State of Florida:

20  

21         Section 1.  Subsection (1) of section 381.0054, Florida

22  Statutes, is amended to read:

23         381.0054  Healthy lifestyles promotion.--

24         (1)  The Department of Health shall promote healthy

25  lifestyles to reduce the prevalence of excess weight gain

26  overweight and obesity in Florida by implementing appropriate

27  physical activity and nutrition programs that are directed

28  towards target all Floridians by:

29         (a)  Using all appropriate media to promote maximum

30  public awareness of the latest research on healthy lifestyles

31  and chronic diseases and disseminating relevant information

                                  3

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1  through a statewide clearinghouse relating to wellness,

 2  physical activity, and nutrition and their impact on chronic

 3  diseases and disabling conditions.

 4         (b)  Providing technical assistance, training, and

 5  resources on healthy lifestyles and chronic diseases to the

 6  public, county health departments, health care providers,

 7  school districts, and other persons or entities, including

 8  faith-based organizations, which that request such assistance

 9  to promote physical activity, nutrition, and healthy lifestyle

10  programs.

11         (c)  Developing, implementing, and using all available

12  research methods to collect data, including, but not limited

13  to, population-specific data, and track the incidence and

14  effects of weight gain, obesity, and related chronic diseases.

15  The department shall include an evaluation and data collection

16  component in all programs as appropriate.

17         (d)  Partnering with the Department of Education, local

18  communities, school districts, and other entities to encourage

19  Florida schools to promote activities during and after school

20  to help students meet a minimum goal of 60 minutes of activity

21  per day.

22         (e)  Partnering with the Department of Education,

23  school districts, and the Florida Sports Foundation to develop

24  a program that recognizes schools whose students demonstrate

25  excellent physical fitness or fitness improvement.

26         (f)  Collaborating with other state agencies to develop

27  policies and strategies for preventing obesity, which shall be

28  incorporated into programs administered by each agency and

29  shall include promoting healthy lifestyles of employees of

30  each agency.

31  

                                  4

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1         (g)  Advising, in accordance with s. 456.081, health

 2  care practitioners licensed in this state regarding the

 3  morbidity, mortality, and costs associated with the conditions

 4  of being overweight or obese, informing such practitioners of

 5  clinical best practices for preventing obesity, and

 6  encouraging practitioners to counsel their patients regarding

 7  the adoption of healthy lifestyles.

 8         (h)(f)  Maximizing all local, state, and federal

 9  funding sources, including grants, public-private

10  partnerships, and other mechanisms, to strengthen the

11  department's current physical activity and nutrition programs

12  and to enhance similar county health department programs.

13         Section 2.  (1)  The Department of Health in

14  partnership with the Department of Education shall award

15  grants to local school districts to implement a 3-year pilot

16  program that targets students in the fourth and fifth grades

17  in 10 geographically and demographically diverse counties. The

18  pilot program must:

19         (a)  Have a program provider. The program provider

20  shall:

21         1.  Have a prevention-education program currently in

22  use throughout the school districts in this state in order to

23  receive funds under the grants provided by the pilot program;

24         2.  Promote the "Fresh 2-U" campaign by the Department

25  of Agriculture and Consumer Services;

26         3.  Have an established partnership with the Produce

27  for Better Health Foundation and promote its "5 A Day the

28  Color Way" campaign; and

29         4.  Work with school districts to use multimedia

30  methods and awareness events and promote healthful nutrition

31  

                                  5

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1  and physical activity opportunities throughout the school year

 2  targeting students, staff, parents, and caregivers.

 3         (b)  Establish a school-based program in elementary

 4  schools for purposes of promoting healthy eating habits,

 5  increasing physical activity, and improving fitness, and

 6  include formal curriculum on physical activity and nutrition

 7  which is consistent with recommendations from the Governor's

 8  Task Force on the Obesity Epidemic, February 2004.

 9         (c)  Provide education and professional-development

10  training to teachers on how to implement the program to model

11  physical activity and healthy eating behavior, and on the

12  importance of building positive physical habits during school

13  and away from school.

14         (d)  Empower teachers to facilitate educational

15  opportunities to support and sustain lifelong physical

16  activity and healthy eating.

17         (e)  Incorporate physical activity and nutrition

18  education into core classroom subject areas and various

19  curricula, including, but not limited to, math, science, home

20  economics, and language arts and be linked to the Sunshine

21  State Standards.

22         (f)  Integrate nutrition and physical activities into

23  other educational opportunities both inside and outside of the

24  classroom. Teachers, administrators, school food service

25  personnel, other school personnel, and parents and students

26  shall collaborate on creating a positive physical activity and

27  healthy nutrition environment. The program must also include

28  resources and activities that engage and involve parents and

29  caregivers.

30         (g)  Provide resources and education for core classroom

31  teachers to promote collaboration between the physical

                                  6

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1  education and core classroom teachers and create a

 2  comprehensive educational experience for the students to

 3  develop the skills, knowledge, and attitudes to make healthy

 4  decisions using critical thinking skills throughout their

 5  lives, while enhancing students' reading and academic skills.

 6         (h)  Provide resources that are sustainable and provide

 7  open, web-based resources to teachers and students across the

 8  state.

 9         (i)  Be compliant with applicable state education

10  standards.

11         (j)  Have nutrition-education activities that are

12  developed in partnership with the Produce for Better Health

13  Foundation.

14         (k)  Be evidence and researched-based and have had

15  results published in a peer-reviewed journal demonstrating a

16  statistically significant reduction in body mass index and an

17  increase in fruit and vegetable consumption and levels of

18  physical activity among participating students.

19         (l)  Hire a statewide coordinator to provide ongoing

20  support for teachers and staff who implement the program.

21         (2)  At the completion of the 3-year pilot program, the

22  Office of Program Policy Analysis and Government

23  Accountability shall conduct a performance evaluation to

24  determine the program's effectiveness in changing body mass

25  index, increasing knowledge, and improving attitudes and

26  behaviors of students related to nutrition and physical

27  activity. Following the completion of the 2006-2007 and

28  2007-2008 school years, the Office of Program Policy Analysis

29  and Government Accountability shall submit interim reports to

30  the Legislature.

31  

                                  7

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1         (3)  To be eligible for the grant, school districts

 2  must agree to collect information that the Office of Program

 3  Policy Analysis and Government Accountability needs to conduct

 4  its evaluations. This information will facilitate the Office

 5  of Program Policy Analysis and Government Accountability's

 6  evaluation of the pilot program's effectiveness in changing

 7  body mass index, increasing knowledge, and improving attitudes

 8  and behaviors related to nutrition and physical activity. The

 9  Office of Program Policy Analysis and Government

10  Accountability must supply a form for participating school

11  districts to record the information and identify the

12  information that must be collected for the evaluation. The

13  school district must collect baseline and school-year-end

14  information concerning the participating students.

15         (4)  In addition to working with the Department of

16  Education and local school districts, the Department of

17  Health, working together with the program provider, shall seek

18  partnerships with local businesses, industries, corporations,

19  philanthropies, and other organizations, including state and

20  federal grant opportunities that may assist in providing

21  funding or resources to schools.

22         Section 3.  The sum of $_______ is appropriated from

23  the General Revenue Fund to the Department of Health for the

24  purpose of implementing s. 381.0054, Florida Statutes, during

25  the 2006-2007 fiscal year.

26         Section 4.  This act shall take effect July 1, 2006.

27  

28  

29  

30  

31  

                                  8

CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2006                           CS for SB 1324
    587-1907-06




 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 1324

 3                                 

 4  The committee substitute requires the Department of Health in
    partnership with the Department of Education to award grants
 5  to local school districts to implement a pilot program to
    promote healthy eating habits, increase physical activity, and
 6  improve fitness. The Office of Program Policy Analysis and
    Government Accountability must complete interim reports to
 7  determine the program's effectiveness and school districts
    participating on the pilot program must collect data to be
 8  used in the evaluation of the pilot program.

 9  

10  

11  

12  

13  

14  

15  

16  

17  

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

                                  9

CODING: Words stricken are deletions; words underlined are additions.