School Health in Texas Schools

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School Health in Texas Schools
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Whats 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

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11th Grade Prevalence of Overweight by Public
Health Region in Texas, 2000-2002
Overweight is gt 95th Percentile for BMI by
Age/Sex
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8th Grade Prevalence of Overweight by Public
Health Region in Texas, 2000-2002
Overweight is gt 95th Percentile for BMI by
Age/Sex
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4th Grade Prevalence of Overweight by Public
Health Region in Texas, 2000-2002
Overweight is gt 95th Percentile for BMI by
Age/Sex
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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

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Texas Responds

• State Laws
• SB 19/1357/42
• School Health Advisory Councils
• Daily Physical Activity
• Coordinated School Health Program
• Local Wellness Policy

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1. State Laws

• Senate 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

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1. State Laws

• Senate 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

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1. State Laws

• House 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

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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.

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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

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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.

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4. Coordinated School Health Program

• 4 component for the adoption of a Coordinated
  School Health Program
• 8 components for curriculum

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Componentsof an ideal coordinated school health
program
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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

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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

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House Bill 984

• Management of Diabetes in School Children
• Passed

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Whats It All About?
Passed

• 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

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House Bills 1259, 3099 and Senate Bills 467, 545,
1239

• Modification of Acanthosis Nigricans Screening
• Failed

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Whats It All About?
Failed

• 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

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House Bill 3097 and Senate Bill 1666

• Diabetes Registry
• Failed

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Whats It All About?
Failed

• Would have established a diabetes registration
  program

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Senate Bill 42

• Expansion of School Health and PE Programs, much
  more. Oh, and cupcakes too.
  Passed

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Whats It All About?
Passed

• 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

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Senate Bill 426

• Childhood obesity prevention and school health
• Near Miss

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Whats It All About?
Near Miss

• 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

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Senate Bill 1379

• Childhood obesity prevention and school health
• Near Miss

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Whats It All About?
Near Miss

• 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

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House Bill 107

• The Cheeseburger Bill
• Passed

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Whats It All About?
Passed

• Prevents Texans from suing restaurants or food
  manufacturers for obesity-related health problems

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House Bill 3283

• A Snack Tax
• Failed

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Whats It All About?
Failed

• Would have imposed a 1 tax on the sales of snack
  foods
• Funds would have supported childhood obesity
  programs

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Senate Bill 205

• BMI Report Card
• Failed

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Whats It All About?
Failed

• Would have required school districts to compute
  student BMI and report the results on student
  report cards

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House Bill 1316

• Immunization of Children
• Passed

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Whats It All About?
Passed

• 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

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Special Sessions

• Included tobacco excise tax and of course school
  finance/reform
  Still Waiting!

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Whats Next?

• Not sure.

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Federal Legislation

• What has been passed, proposed, its impact, and
  strategies for addressing it.

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Child Nutrition Reauthorization Act

• Mandates a wellness policy for every school
  system
• In Effect

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Whats It All About?
In Effect

• Theres 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

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Region Education Service Center
Welcome

• Workshop Session
• School Health Advisory Council Construction

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(No Transcript)
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Coordinated School Health
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School Health Advisory Councils