Local Wellness Policy Requirements (Proposed) 2014-15 Cheri White and Tami Drake New Hampshire Department of Education Bureau of Nutrition Programs and Services August 13, 2014

The National School Lunch Act (NSLA) was established in 1946 "In the long view, no nation is healthier than its children, or more prosperous than its farmers." President Harry Truman, on signing the 1946 National School Lunch Act

The National School Lunch Act 1946 A Mission of Health & Well-Being The NSLA was established “as a measure of national security, to safeguard the health and well-being of the Nation's children and to encourage the domestic consumption of nutritious agricultural commodities and other food,… for the operation and expansion of nonprofit school lunch programs.” The issue back at that time was the young men were going into the armed forces undernourished and underweight. To counter this, the government established the National School Lunch Program to offer school children a healthy lunch. At the time, items such as butter were readily served because of the concentration of calories that it had. Fat and different types of fat and how they work in the body had not been researched at that time. If anyone knows an older food service worker things such as peanutbutter was cut with butter to get a smooth melt in your mouth texture.

History of School Lunch 1966-1980 1966-Child Nutrition Act added breakfast grant funding and the special milk program 1975- the School Breakfast Program became a permanent program 1980- Type A lunch phased out multiple meal patterns different portion sizes different age/grade groups Type A lunch is now referred to as a reimbursable meal.

Where are we Now? The Obesity Epidemic 2014 2/3 of adults and 1/3 of children are currently overweight or obese in the U.S since 1980 the prevalence of obesity in the U.S. more than doubled among adults and tripled among children an obese teenager has a 70% greater risk of becoming an obese adult From the Surgeon Generals Report for “a Healthy and Fit Nation, 2010 ”

Consequences of Obesity Obesity negatively impacts: health behavior self esteem and diminishes the quality of life it is a risk factor in almost every chronic disease

A National Epidemic American society has become characterized by environments that promote increased food intake, non healthful foods, and physical inactivity. In 2004 the (CDC) ranked obesity as the number one health risk facing America. The nation’s total medical costs for obesity related diseases were $147 billion in 2008. From the CDC Vital signs Report “State Specific Obesity Prevalence Among Adults-United States”, 2009. Food is available everywhere we go these days. There is a constant push to sell and make money from food items, some of these items are not necessarily healthful choices. We live in a technology savvy society where activities are done for use by machines or computers. This may increase efficiency, but decreases the chance for movement through work and play. Therefore, American’s must actually set aside time to “work out”.

A National Security Risk Being overweight or obese is the number one medical reason why young adults cannot enlist in the military. One in four young adults are too overweight to serve in the military. The military spends well over $1 billion a year on treating weight-related diseases.   From “Still too Fat To Fight” http://www.missionreadiness.org/2012/still-too-fat-to-fight/

Portion Size of Food & Beverage Increase 1950-2012 2/3 of adults Fast Food became popular in the 1950s. Households who had disposable income to go out to eat increased. Along with that, sizes of food items increased and have been increasing steadily.

Trends in Childhood Obesity Rates 1963-2008

In 68 years since the passage of the NSLA in 1946………….. malnutrition and hunger have not been solved and are now compounded by obesity children’s health remains a national security concern as they have become overweight, malnourished and sedentary health care costs continue to rise from obesity related diseases and have reached unsustainable levels At the beginning – malnutrition discussed. It is still discussed. Health still a national security concern.

Solutions Policy and environmental change initiatives that make healthy choices in nutrition and physical activity available, affordable, and easy will likely prove most effective in combating obesity. From the CDC Vital signs Report “State Specific Obesity Prevalence Among Adults-United States”, 2009.

Schools Provide Opportunities for Change Each school day provides multiple opportunities for students to learn about health and practice healthy behaviors. HealthierUS School Challenge Application KitHealthierUS School Challenge Application Kit

Local School Wellness Policy In 2004 it was required that all schools have a written local school wellness policy in SY 2005-2006 In 2004, Congress passed the Child Nutrition and Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Reauthorization Act (Sec. 204 of Public Law 108-205). This act required that all LEAs participating in the NSLP or other child nutrition programs create local school wellness policies by School Year 2006. At that time USDA worked with CDC and other governmental agencies to create technical assistance documents for the local wellness policy

Impact on Students improve the health of the nation’s children Local wellness policies in general: improve the health of the nation’s children increase consumption of healthful foods during the school day create an environment that reinforces the development of healthy eating habits These proposed standards will impact students in several ways. The intent of the proposed changes is to improve the health and well-being of the Nation’s children, increase consumption of healthful foods during the school day and create an environment that reinforces the development of healthy eating habits. The last bullet is the item we will discuss next.

Local Wellness Policy Requirements CDC website: A local school wellness policy (wellness policy) is a written document that guides a local educational agency or school district’s efforts to create supportive school nutrition and physical activity environments. Each local education agency participating in the National School Lunch Program or the School Breakfast Program is required to develop and implement a wellness policy as established by the Child Nutrition and WIC Reauthorization Act of 2004, and more recently by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) . CDC is a partner with USDA for development of the local wellness policy framework. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

Required Elements of the 2004 Local Wellness Policy Goals for: -nutrition education -physical activity -other school based activities that promote student wellness

Required Elements of 2004 Continued Local Discretion: SAUs can determine the specific policies appropriate for the schools under their jurisdiction, provided that the policies address all of the required elements. Stakeholder Involvement: SAUs are required to involve parents, students and representatives of the school food service, school board, school administrators and the public.

Required Elements of 2004 Continued Measuring Implementation: SAUs are required to establish a plan for measuring implementation. To do this, SAUs would delegate one person with the responsibility for ensuring policy compliance.

Healthy Hunger Free Kids Act (HHFKA)-2010 Nutrition Standards in the NSLP and SBP Programs historic legislation updating the nutrition standards in the NSLP & SBP for the first time in 15 years Enter the 2010 Healthy Hunger Free Kids Act. This Act strengthens the 2004 requirements and adds requirements.

Local Wellness Policy Overview The HHFKA of 2010 (Sec. 204) strengthened old provision and added new provisions for local school wellness policies related to implementation, evaluation, and publicly reporting on progress . Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

2010 Local Wellness Policy Requirements Continued Each SAU must permit teachers of physical education and school health professionals to participate in the development of the LWP. Each SAU must develop goals for nutrition promotion, education and physical activity that promote wellness Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

2010 Local Wellness Policy Requirements continued SAU’s must also establish: reimbursable school meal guidelines if there is a desire to make them more restrictive than the federal guidelines. nutrition guidelines for all foods available on campus during the school day USDA Nutrition guidelines as found in the Smart Snacks. Plus those found in A list and Alliance for Healthier Generation. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

2010 Local Wellness Policy Requirements continued LEA’s must designate a LWP leader for implementation and compliance. See assessment resources in packet. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

2010 Local Wellness Policy Requirements continued SAU’s must notify the public about the LWP and make the LWP and updates and assessment reports available to the public Notify the public yearly about the LWP progress on achieving the goals and activities that the school conducts related to the policy Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

2010 Local Wellness Policy Requirements continued An assessment of the LWP to be conducted at a minimum every 3 years (triennial) which is available to the public and include a plan for measuring implementation, evaluation & reporting at a minimum SAU’s must document compliance, triennial assessment , notification and progress reports Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

Local Wellness Policy Resources USDA http://www.fns.usda.gov/school-meals/local-school-wellness-policy Centers for Disease Control http://www.cdc.gov/healthyyouth/npao/wellness.htm Bridging The Gap-The Robert Wood Johnson Foundation http://www.bridgingthegapresearch.org/ Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

USDA’s “School Nutrition Environment and Wellness Resources” Technical Assistance and Resources Local School Wellness Policy Process Wellness Policy Elements Healthy School Nutrition Environment Samples, Stories, and Guidance Research Reports Grants/Funding Opportunities http://healthymeals.nal.usda.gov/school-wellness-resources Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

Centers for Disease Control & Bridging The GAP (BTG) Position Briefs Developed by CDC and BTG to help stakeholders: Strengthen existing policies Implement new policies 7 topic areas + methods document Briefs include: Background information Data highlights Expert recommendations and guidance Resources from CDC, USDA, AFHK, and others Schools play a critical role in promoting student health and preventing childhood obesity. Therefore, each local educational agency must have a local school wellness policy that addresses the foods available to students outside of the Federal meal programs and the school nutrition environment. At a minimum, the policy must include: Goals for nutrition education, physical activity and other school-based activities that are designed to promote student wellness. Nutrition guidelines selected by the local educational agency for all foods available on each school campus during the school day. Guidelines for reimbursable school meals that are no less restrictive than regulations and guidance issued by the Secretary of Agriculture. A plan for measuring implementation of the wellness policy, including designation of someone to ensure that each school fulfills the district's local wellness policy. Community involvement (including parents, students, and the public) in the development of the school wellness policy. Section 204 and Section 209 of the Healthy Hunger-Free Kids Act of 2010 strengthened local wellness policy requirements and transparency to the public on key areas affecting the nutritional environment in schools. New activities include evaluation of wellness policy implementation, community engagement.

The HealthierUS School Challenge (HUSSC) A Look to the Future The HUSSC is USDA’s recognition of excellence for schools participating in the NSLP & SBP that have created healthier school environments through the promotion of nutrition, nutrition education and physical activity. The HUSSC schools have had an easier implementation of the HHFKA while preparing schools for future changes.

Thank you for your time "We seek to ultimately ensure that education no longer views or needs to view health as an extra or adjunct to education, but rather as foundational to an effective education system. Health and education are related. They are interrelated. They are symbiotic." —Dr. Gene R. Carter, Executive Director & CEO, ASCD Thank you. Cheri White, NH DOE, BNPS Cheri.white@doe.nh.gov Tami Drake, NH DOE, BNPS Tami.drake@doe.nh.gov Reminder: We must all work together to align schools, to provide nutritious foods and create healthful environments so that all children are able to reach their potential and lead successful, healthy, happy and productive lives