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Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses to the Obesity Epidemic Academy Health - June 25, 2006

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Page 1: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Dr. Ann CottenDirector

Schaefer Center for Public PolicyUniversity of Baltimore1304 Saint Paul StreetBaltimore, MD 21202

State Legislative Responses to the Obesity Epidemic

Academy Health - June 25, 2006

Page 2: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

UB Obesity Report CardTM

Purpose Track state level legislative initiatives to

address the obesity epidemic

Current Status 2005 Report Card Complete 2006 update is in progress

Researchers – 2005 Report Card Ann Cotten, Kenneth Stanton, Zoltan Acs,

Mary Lovegrove, Joe Creed

Page 3: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Methodology

Search for legislation Existing legislation

Westlaw Proposed or Enacted Legislation

Lexus Thomas Legislation Tracker

Legislative analysis Classification Scoring

Proposed legislation Enacted

Page 4: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Categories in Legislative Report Card

Nutrition Standards for Schools

Vending Machine Content and Access

Body Mass Index Measured in School

Recess and Physical Education

Page 5: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Categories of Legislation in Report Card

Obesity Research

Obesity Treatment in Health Insurance

Obesity Commissions

Obesity Programs and Education

Page 6: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Data Gathering Challenges

Terminology Volume of Legislation Categorization

Page 7: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Copyright Ann Cotten, Kenneth Stanton, and Zolton Acs

2005

Page 8: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Possible government interventions

Copyright Ann Cotten, Kenneth Stanton, and Zolton Acs

2005

Page 9: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Childhood Obesity Legislation Introduced

Page 10: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Trends in Nutrition Standards

Fluffernutter Sandwich Angers Mass. SenatorBy STEVE LeBLANC, Associated Press Writer

Page 11: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Nutrition Standards

Competitive Foods Increasing quality foods

Page 12: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Trends in Vending Machine Content

American Beverage Association

Elementary Schools Water, milk, and 100% juice

Middle SchoolsSame as elementary schools, but larger sizes

High SchoolWater, No or low calorie beverage, Milk, 100% juice, light juice, sports drinks 12 ozLight juices and sports drinks *50% must be water or no/low calorie options

http://www.ameribev.org//schools/School%20Beverage%20Guidelines%20.asp

Page 13: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Vending Machine/Competitive Foods

Access Limit time available Limit location

Content Poor quality foods Higher quality foods

Page 14: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

BMI Monitoring

Mandatory BMI monitoring in 10 states

Voluntary monitoring in 6 states

Page 15: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Physical Education

Trends PE Requirements

Research on PE requirements

Model PE programs

Page 16: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Obesity Treatment & Insurance

Mandated offering of insurance coverage

Maryland mandates benefit coverage

Numerous states are now considering bills to address morbid obesity

CMS will allow approved procedures

Page 17: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Obesity Treatment – New Trends

OBESITY TREATMENT Colorado - Obesity Treatment Pilot

Program.

Iowa will provide dietary counseling to child and adult Medicaid enrollees by 7/1/06.

Page 18: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

New trends in public policy

Promoting fruit and vegetable consumption

Financial incentives to schools for providing healthy food/drink or adopting nutritional standards

Set educational requirements for school personnel

Legislative prohibitions from individuals suing food businesses from damages resulting from obesity or obesity-related conditions.

Page 19: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

New Trends in Public Policy

Legislatures have considered a “snack tax”

Improve access to or the safety of public fitness, walking and biking facilities and bills to promote alternative transportation methods.

Appropriate general fund dollars to support access to fresh produce for low-income WIC recipients and senior citizens.

Page 20: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Next Steps

Continuing the scorecard Evaluation research Seeking partners for evaluation Forthcoming book

Page 21: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Forthcoming Book

Obesity, Business and Public Policy

Editors Zoltan Acs and C. Alan Lyles

Edward Elgar Publishing

Page 22: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Addenda

Addenda

Page 23: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

University of Baltimore Obesity Group

Link to the UB Obesity Report CardTM

http://www.ubalt.edu/experts/obesity/

Page 24: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

University of Baltimore Obesity Group

José Anderson Professor, School of Law

John J. Callahan Program DirectorHealth Systems Management

Ann Cotten Director, Schaefer Center for Public Policy

Michael V. Laric Director, Division of Management &

Marketing

Lenneal HendersonProfessor,Government & Public Administration

David T. Levy Professor, Economics

C. Alan Lyles Associate Professor, Government & Public Administration

Lee Richardson Jr. Professor, Marketing

Kenneth Richard Stanton Assistant Professor, Finance

David StevensDirector, Jacob France Institute

Page 25: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

About the Schaefer Center

The Schaefer Center is an applied research unit within the University of Baltimore’s School of Public Affairs. The Center’s mission is to bring University expertise to bear to help solve the problems facing government and non-profit organizations.

Page 26: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Schaefer Center Services

Program Evaluation Policy Research Large scale database management and

analysis Opinion Research Center

Phone, mail, web surveying, focus group moderating

Strategic Management Professional Development Training

Page 27: Dr. Ann Cotten Director Schaefer Center for Public Policy University of Baltimore 1304 Saint Paul Street Baltimore, MD 21202 State Legislative Responses

Ann Cotten Academy Health Conference 2006

Contact Information

Ann Cotten

Schaefer Center for Public Policy

University of Baltimore

1304 Saint Paul Street

Baltimore, MD 21202

[email protected]

scpp.ubalt.edu


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