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