School Health in Texas Schools
What’s Going on in Texas?• Texas Obesity Numbers Grow
• Everything's bigger in Texas, including the people. • Houston, We Have a Big Problem • Texas senator proposes ‘obesity reports’
• Houston again tops fattest city list − USA Today, 2005
• America's Fattest City Two years running, Houston heavyweights take the cake − New York Times Company, 2005
11th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002
*Overweight is > 95th Percentile for BMI by Age/Sex
8th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002
*Overweight is > 95th Percentile for BMI by Age/Sex
4th Grade Prevalence of Overweight* by Public Health Region in Texas, 2000-2002
*Overweight is > 95th Percentile for BMI by Age/Sex
Texas Responds
“Of greatest concern to me is that more than one out of three Texas children, 35 percent to be exact, are considered overweight or obese
• According to the Texas Obesity Task Force, if nothing is done to change poor eating and exercise habits among our children, the youngest generation is likely to have a shorter life expectancy than their parents” Rick Perry− Speech - January 8, 2004
Texas Responds
1.State Laws • SB 19/1357/42
2.School Health Advisory Councils
3.Daily Physical Activity
4.Coordinated School Health Program
5.Local Wellness Policy
1. State LawsSenate Bill 19-2001-Establish a School Health Advisory Council
- Implement 4 curriculum components (CDC Model)
-Adopt the 4 components of a Coordinated School Health Program-K-6
-Daily Physical Activity
-Abstinence Education
1. State LawsSenate Bill 1357-2003-Amended SB 19
-Strengthen School Health Advisory Councils
-Implement 8 curriculum components (CDC Model)
-Adopt the 4 components of a Coordinated School Health Program K-6
-Daily Physical Activity
-Abstinence Education
1. State LawsHouse Bill 42-2005-Expanded SB 1357
-Strengthen School Health Advisory Councils
-Implement 8 curriculum components (CDC Model)
-Adopt the 4 components of a Coordinated School Health Program (TEA to develop criteria-6-8)
-Daily Physical Activity (SBOE to rule)
-Abstinence Education
2. School Health Advisory Councils
• SHAC is a group of parents, community members and school personnel working together to ensure all children have every opportunity to be healthy, and that schools provide a healthy learning environment.
2. School Health Advisory Councils
Who Should Be A Member?
• 51% must be parents in the district that are not employees of the School District.
• School Personnel • Students
• Colleges • Civic Organizations
• Faith Community • Government
• Business • Social Services
• Medical Community • Law Enforcement
3. Daily Physical Activity
• It authorizes the State Board of Education to adopt rules mandating daily physical activity for students in grades K-6,
• SBOE adopted rules for physical activity−30 minutes daily−135 minutes weekly
• SBOE may adopt for 6-8.
4. Coordinated School Health Program
4 component for the adoption of a Coordinated School Health Program
8 components for curriculum
Componentsof an ideal
coordinated school health
program
Family &CommunityInvolvement
PhysicalEducation
School Health
Services
Nutrition Services
Counseling, Psychological & Social Services
ComprehensiveSchoolHealth
Education
School-site Health
Promotion forStaff
HealthySchool
Environment
4. Approved Coordinated School Health Programs
• Bienestar Health Program −210-533-8886
• CATCH −www.CATCHTexas.org
• The Great Body Shop −www.TheGreatBodyShop.net
• Healthy and Wise −800-383-1927
5. Wellness Policy
Child Nutrition Reauthorization Act 2004
− No later than the first day of the school year beginning after June 30, 2006, each local education agency (LEA) with a federally-funded school meals program must develop and implement a wellness policy.
− The law places the responsibility of developing a wellness policy at the local level so the individual needs of each school district can be addressed
House Bill 984Management of Diabetes in School Children
Passed
What’s It All About?• Allows for 3 unlicensed diabetes
care assistants if there is no school nurse or 1 if there is a school nurse
• If school nurse is present, they will provide primary assistance
• Assistants can give support if parents sign waiver
• Students if capable can self-manage their own diabetes
• Bus drivers and others during off campus activities will be provided with a one page information sheet
Passed
House Bills 1259, 3099 and Senate
Bills 467, 545, 1239Modification of Acanthosis Nigricans
Screening
Failed
What’s It All About?• Would have renamed Acanthosis
Nigricans Screening Program to Risk Assessment Program for Type 2 Diabetes
• Would have used BMI as the initial screening mechanism
• Further screening would use the AN marker and blood pressure to identify Type 2 Diabetes
Failed
House Bill 3097 and Senate Bill 1666
Diabetes Registry
Failed
What’s It All About?• Would have established a
diabetes registration program
Failed
Senate Bill 42Expansion of School Health and PE
Programs, much more. Oh, and “cupcakes” too. Passed
What’s It All About?• Adds important accountability
requirements existing law
• Establishes a new state School Health Advisory Committee
• If the State Board of Education adopts rules, it expands physical activity and coordinated school health into middle school and junior high
• Allows parents to bring food for birthdays and other celebrations
• Contains lots of compromise
Passed
Senate Bill 426Childhood obesity prevention and school
health
Near Miss
What’s It All About?• Would have required reporting
compliance with health and physical activity requirements
• Would have required reporting through PEIMS
• Would have required PE in middle and junior high
• Would have established a Texas Fruit and Vegetable Pilot Program
Near Miss
Senate Bill 1379Childhood obesity prevention and school
health
Near Miss
What’s It All About?• Would have created an
Interagency Obesity Council
• Would have promoted participation in federal school breakfast and lunch programs
• Would have prohibited sales of carbonated beverages in containers larger than 12 ounces
Near Miss
House Bill 107The “Cheeseburger” Bill
Passed
What’s It All About?• Prevents Texans from suing
restaurants or food manufacturers for obesity-related health problems
Passed
House Bill 3283A Snack Tax
Failed
What’s It All About?• Would have imposed a 1% tax on
the sales of snack foods
• Funds would have supported childhood obesity programs
Failed
Senate Bill 205BMI Report Card
Failed
What’s It All About?• Would have required school
districts to compute student BMI and report the results on student report cards
Failed
House Bill 1316Immunization of Children
Passed
What’s It All About?• Requires immunization of
children in regulated child-care facilities
• Each child at an appropriate age shall have immunization as recommended by the DSHS by the start of school
• May be provisionally admitted if immunizations have begun and are completed ASAP
Passed
Special SessionsIncluded tobacco excise tax and of course
school finance/reform Still Waiting!
What’s Next?• Not sure.
Federal Legislation
What has been passed, proposed, it’s impact, and strategies for addressing it.
Child Nutrition Reauthorization ActMandates a wellness policy for every school
system
In Effect
What’s It All About?• There’s a ton of stuff regulating
the federal child nutrition program
• A critical component is the requirement that every school system must have a wellness policy
In Effect
Region Education
Service Center Workshop Session:
School Health Advisory Council
Construction
Welcome
Coordinated School HealthCoordinated School Health
School Health
Advisory Councils