| 1 | A bill to be entitled |
| 2 | An act relating to the prevention of obesity; amending s. |
| 3 | 381.0054, F.S.; authorizing the Department of Health to |
| 4 | require certain food service establishments to display the |
| 5 | number of calories in food items for sale; providing |
| 6 | exemptions; providing penalties; providing immunity from |
| 7 | liability under certain circumstances; providing |
| 8 | conditions under which such nutritional-information |
| 9 | requirements may be superseded by federal law, rules, or |
| 10 | regulations; providing effective dates. |
| 11 |
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| 12 | WHEREAS, death due to obesity is preventable and more than |
| 13 | 40,000 Florida residents die annually from obesity-related |
| 14 | diseases, and |
| 15 | WHEREAS, in 2008, more that 60 percent of the adults and 30 |
| 16 | percent of the children in Florida were overweight and at least |
| 17 | half of these numbers were obese, with a body mass index greater |
| 18 | than 30, and |
| 19 | WHEREAS, approximately 60 percent of overweight children |
| 20 | have at least one risk factor for cardiovascular disease and 25 |
| 21 | percent of overweight children have two or more risk factors, |
| 22 | and |
| 23 | WHEREAS, the number of overweight and obese children has |
| 24 | tripled in the last 20 years, and |
| 25 | WHEREAS, excessive body weight affects virtually every |
| 26 | organ system in the body and increases the risks of diabetes, |
| 27 | myocardial infarction, stroke, cancer, sleep apnea, and |
| 28 | osteoarthritis, and |
| 29 | WHEREAS, obesity-related medical expenditures for adults in |
| 30 | this state total more than 5 billion dollars annually, with over |
| 31 | half of those costs being financed by Medicare and Medicaid, and |
| 32 | the direct economic effects of obesity are far greater than this |
| 33 | figure when missed workdays and other costs outside the medical |
| 34 | care system and the economic valuation of reduced longevity and |
| 35 | quality of life are considered, and |
| 36 | WHEREAS, in 2008, almost 50 percent of food dollars were |
| 37 | spent away from the home, and according to a recent poll by |
| 38 | Peter D. Hart Research Associates, 79 percent of registered |
| 39 | voters favor a law that would require restaurants to provide |
| 40 | detailed nutritional information in writing, and |
| 41 | WHEREAS, the current economic crisis provides a unique |
| 42 | opportunity to examine questions of fundamental importance to |
| 43 | public health, especially those related to obesity and physical |
| 44 | activity, NOW, THEREFORE, |
| 45 |
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| 46 | Be It Enacted by the Legislature of the State of Florida: |
| 47 |
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| 48 | Section 1. Section 381.0054, Florida Statutes, is amended |
| 49 | to read: |
| 50 | 381.0054 Healthy lifestyles promotion.-- |
| 51 | (1) The Department of Health shall promote healthy |
| 52 | lifestyles to reduce the prevalence of excess weight gain and |
| 53 | obesity in Florida by implementing appropriate physical activity |
| 54 | and nutrition programs that are directed towards all Floridians |
| 55 | by: |
| 56 | (a) Using all appropriate media to promote maximum public |
| 57 | awareness of the latest research on healthy lifestyles and |
| 58 | chronic diseases and disseminating relevant information through |
| 59 | a statewide clearinghouse relating to wellness, physical |
| 60 | activity, and nutrition and their impact on chronic diseases and |
| 61 | disabling conditions. |
| 62 | (b) Providing technical assistance, training, and |
| 63 | resources on healthy lifestyles and chronic diseases to the |
| 64 | public, county health departments, health care providers, school |
| 65 | districts, and other persons or entities, including faith-based |
| 66 | organizations, that request such assistance to promote physical |
| 67 | activity, nutrition, and healthy lifestyle programs. |
| 68 | (c) Developing, implementing, and using all available |
| 69 | research methods to collect data, including, but not limited to, |
| 70 | population-specific data, and track the incidence and effects of |
| 71 | weight gain, obesity, and related chronic diseases. The |
| 72 | department shall include an evaluation and data collection |
| 73 | component in all programs as appropriate. |
| 74 | (d) Partnering with the Department of Education, local |
| 75 | communities, school districts, and other entities to encourage |
| 76 | Florida schools to promote activities during and after school to |
| 77 | help students meet a minimum goal of 60 minutes of activity per |
| 78 | day. |
| 79 | (e) Partnering with the Department of Education, school |
| 80 | districts, and the Florida Sports Foundation to develop a |
| 81 | program that recognizes schools whose students demonstrate |
| 82 | excellent physical fitness or fitness improvement. |
| 83 | (f) Collaborating with other state agencies to develop |
| 84 | policies and strategies for preventing and treating obesity, |
| 85 | which shall be incorporated into programs administered by each |
| 86 | agency and shall include promoting healthy lifestyles of |
| 87 | employees of each agency. |
| 88 | (g) Advising, in accordance with s. 456.081, health care |
| 89 | practitioners licensed in this state regarding the morbidity, |
| 90 | mortality, and costs associated with the condition of being |
| 91 | overweight or obese, informing such practitioners of clinical |
| 92 | best practices for preventing and treating obesity, and |
| 93 | encouraging practitioners to counsel their patients regarding |
| 94 | the adoption of healthy lifestyles. |
| 95 | (h) Maximizing all local, state, and federal funding |
| 96 | sources, including grants, public-private partnerships, and |
| 97 | other mechanisms, to strengthen the department's current |
| 98 | physical activity and nutrition programs and to enhance similar |
| 99 | county health department programs. |
| 100 | (2) The Department of Health shall require standard food |
| 101 | items served or offered for sale at least 30 days per calendar |
| 102 | year in a food service establishment, as defined in s. |
| 103 | 500.03(1)(p), to bear a label or display information that |
| 104 | indicates in a clear and conspicuous manner the number of |
| 105 | calories in each food item, to be determined within a reasonable |
| 106 | basis, as follows: |
| 107 | (a) Calories displayed on menu board.--The number of |
| 108 | calories shall be displayed on the menu board prior to the point |
| 109 | of purchase by one of the following means: |
| 110 | 1. On a menu board adjacent to the item or its price; |
| 111 | 2. On a sign presenting standard food items in a manner |
| 112 | similar to the menu board and located on the same wall as the |
| 113 | menu board; or |
| 114 | 3. On a sign at eye level in the consumer queue prior to |
| 115 | the point of purchase. |
| 116 | (b) Calories displayed on menu.--The number of calories |
| 117 | shall be displayed on the menu prior to the point of purchase by |
| 118 | one of the following means: |
| 119 | 1. In the menu adjacent to the item or its price; or |
| 120 | 2. In an insert that accompanies or is attached to the |
| 121 | menu. |
| 122 | (c) Referral statement.--A menu board or a menu shall bear |
| 123 | a statement directing the consumer to the location of additional |
| 124 | nutritional information that may be known and available but not |
| 125 | required, such as, but not limited to, the amount of sodium, |
| 126 | trans fat, saturated fat, cholesterol, carbohydrates, sugars, |
| 127 | and protein in each food item. |
| 128 | (d) Applicability.--This subsection does not apply to: |
| 129 | 1. Food offered for sale at a not-for-profit food |
| 130 | establishment. |
| 131 | 2. Food offered at no cost. |
| 132 | 3. Food exempted by the State Surgeon General by rule. |
| 133 | (e) One determination per item.--A reasonable basis for |
| 134 | determination of nutrition information can be made with |
| 135 | appropriate accuracy by consulting nutrient databases, |
| 136 | cookbooks, laboratory analyses, or other sources that provide a |
| 137 | reasonable basis of information regarding the nutrient content |
| 138 | of a food, notwithstanding variability in the portion size, |
| 139 | formulation, and other characteristics of such food or its |
| 140 | preparation method. |
| 141 | (f) Penalty.--A person who knowingly and willfully |
| 142 | violates this subsection by: |
| 143 | 1. Willfully failing to make a disclosure required by this |
| 144 | subsection, or |
| 145 | 2. Making a disclosure under this section with an intent |
| 146 | to deceive, |
| 147 |
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| 148 | commits a misdemeanor of the second degree, punishable as |
| 149 | provided in s. 775.082 or s. 775.083. |
| 150 | (g) Liability.--Unless a food service establishment |
| 151 | knowingly and willfully violates paragraph (f), the |
| 152 | establishment may not be held liable. |
| 153 | (3)(2) The department may adopt rules pursuant to ss. |
| 154 | 120.536(1) and 120.54 to administer this section. |
| 155 | (4)(3) Subsection (1) This section shall be implemented |
| 156 | contingent on an appropriation in the General Appropriations |
| 157 | Act. |
| 158 | (5) Subsection (2) may be superseded by federal law if a |
| 159 | single, consistent national nutrition labeling standard is |
| 160 | established under federal law, rules, or regulations that |
| 161 | accomplish the same purpose of providing responsible nutritional |
| 162 | information to the consumer. |
| 163 | Section 2. This act shall take effect January 1, 2010, |
| 164 | and, from January 1, 2010, through December 31, 2010, shall |
| 165 | apply to all food service establishments having five or more |
| 166 | locations, and, on January 1, 2011, and thereafter, shall apply |
| 167 | to all food service establishments. |