| January 22, 2010 Meeting Notes|
Welcome to the Governor's Child Health Advisory Committee Meeting!
Attendance: John Evans, James Guillory, Paul Getto, Dennis Cooley, Diane Daldrup, Linda Kenney, Mary Ann Shorman, Nick rogers, Jason Eberhart-Phillips, Gianfranco Pezzino, Sharon Homan, Angela Nordhus, Susan Croucher, Gary Brunk, Christy Schunn, Richard Morrissey, Jamie Kim, Joseph Kotsch, Brenda Nickel, Ileen Meyer, Garry Kelly, Greg Crawford, Jeffrey Colvin
Dr. J E-P: KDHE Exciting legislative agenda. Our focus is changing the context in such a way that where people live, work, or go to school, choices can be healthy options. Focus is changing policy environment in way that don't enrich our programs or cost the state anything, instead, should save the state $. Highlighting tobacco a
1. Tobacco - clean indoor air is moving forward again. New evidence that we have as public health professionals of the increase in heart attack risk for non-smokers. Learning there is an increased risk even for non-smokers with minimal exposure. Estimate about 2100 or more heart attacks per year in state. If could eliminate but 100 of those, could save $5 million in direct economic costs. Gov is fully advocating increase in tobacco tax, just bringing us up to national average. Every 10% increase in cost of tobacco will reduce addiction in Kansas kids.
2. Obesity. Preventable condition. Estimated to account for at least 10% of Medicaid payments that wouldn't have been necessary. Diabetes. Enormous cost burden. Trying again to think about changing the context. Make default option the healthy option. Increase people's exposure to healthy foods. Find ways to limit their exposure to unhealthy foods. Finding ways to promote more physical activity in built environment. For this group, fact that childhood obesity has tripled in the last several years...urgency of this issue for them is acute. Two proposals made it through with Gov support. Seeking your support and testimony:
(1) set guidelines for menu labeling in KS
(2) regulate the competitive food market in KS schools
On menu labeling, we know that people are eating out now more than ever. Typical child will eat about twice as many calories at meal eaten outside of home vs. in home. Very hard for people to judge on their own how much a given menu choice will cost them in terms of allotment with a healthy diet. Data and studies are showing the potential health advantages that this legislation could make.
On competitive food market...looking to move schools to 'exemplary' category.
Drinks limited to water, milk, juice, no soda. This would be 'exemplary' under the wellness policies.
Concerns include that this may prevent schools from profiting. We don't think that substituting healthy foods will cut into their profits. We think that once students are used to it (as has happened in areas that have done this), they will take advantage of what is there.
Other bills include...
* Joining forces with transportation to support passage of primary seatbelt law.
* Supporting anti-texting while driving.
* Shepherding the passage of stricter TB screenings...would like to see this become an opt-out system so every woman routinely gets this screening with her labs.
* 3 public health bills.
- One bill that would have changed renewal period for child care providers from one year to 3 years; other parts of that bill will rationalize the penalties that providers would face. Trying to create middle-ground for sanctions.
- Another bill would create an open records system for people who want to see the records for providers. That could come open and could go online for parents. Should have no opposition.
- Other bill - home care would be subjecting to inspection when open for business. Opportunity for teaching for technical assistance, etc. After that, would not be inspected unless there is a complaint. With this, Secretary would have the power to inspect with registered homes. Don't currently have that. To pay for this, inspections on others would go from 12 mo to 15 mo.
*** Gary Brunk
Have been working with Senator Barnett. Was introduced 2 days ago. Do not have a bill # yet. Sen Barnett is very supportive. Others they've talked with have been supportive as well. Cautiously optimistic. No hearings have been scheduled yet. We're sure there will be and we will keep everyone informed.
* Restaurants - all?
No, only chain. Think with 10 or more.
Beverage industry developed voluntary standards. Pretty good - not quite exemplary - if they are participating. Not everyone is. This would bring everyone to level playing field. Sodas, etc. have gotten better, but high sugar, fat, and salt content in other vending.
Vicki Hoffman encouraged KDHE to not limit this bill to vending only. If vending is addressed, it will not solve the problem, it will just move it to another venue. Dr. Eberhart-Phillips said he would have one of his staff consult with Vicki to see how they could make this bill better.
Prenatal-HIV testing. Working to get this introduced in committee.
Several of these probably fit under our recommendations. Think several on our committee could testify, if needed.
*** Gary Brunk passed out policy brief.
Also passing out piece on larger policy agenda. Much of our legislative issues this year will be defensive, protecting gains from recent past. This applies to HealthWave as well as early childhood education, improving quality of child care. Couple of things funded by Children's Initiative Fund, such as Parents as Teachers and other early childhood program, could be vulnerable this year.
Child care -inspect the rest. Were a few deaths in child care. This will work towards inspecting and having the same quality standards at all child care facilities, including home-based.
Gianfranco Pezz: Any sense of support for MCH surveillance bill?
Brunk: Based on our conversations with Sen Barnett and some people on committee, they were optimistic.
Gian Pezz: KDHE will support?
J E-P: yes, wouldn't have any other way. Very supportive.
Sharon Homan: Have this nice one page summary, Gary. Are there other materials? Gianfranco and I could prepare other issue briefs or information. Do you have an idea of what would be timeline?
Gary Brunk will have someone from his office get with KHI.
Linda: Federal grant opportunities should be available in about a year.
*** Interim recommendations brief. Two-page.
Any questions or comments on this?
Could this go under letter from Chair to legislative committe heads?
Could we coordinate this with a media blitz? Press release?
Would be great. Can Dept coordinate.
Linda. Think it would be good. Think it would be good to show Kansas Action for Children, others. Include in document groups that have been part of the panel.
Sharon. Depending on who the audience is for this brief, have a one-sentence executive summary at the beginning. And, then say what our media priorities are now.
Gary - think that is a good idea. Recommend keep this to a 2 pager.
Dennis - would Sharon & Gianfranco be willing to work on this, keep to 2 pages?
Diane: should we present to Governor?
J E-P: We can ask if Governor would like to be involved.
Don't think we'll have any problem with the Sec wanting to be involved.
Diane: What about asking legislators to be available?
Gary: Think Senator Barnett may be interessted. Good idea. Not sure we have identified champion in the House yet.
Sharon: Could we have a smaller group work on a communications plan?
Dennis: Sure, but need to be sensitive to time. What time frame are we thinking about for having a news conference.
Gianfr: Need to do soon. need to gain momentum now.
Sharon: How about targeting first of Feb?
Gary: yes, sooner the better.
Small group: KHI, KDHE, Suzanne (Kansas Action for Children), March of Dimes.
Diane: When this is final, we would like to post on website.
Sharon will set up time for this small group to meet.
* Child Death Review Board - had a couple of panel members who met with the Child Death Review Board. Think it went well. Since then, Brenda Nickels has been appointed to be part of that Board. Will turn it over to Angela for updates.
angela - great meeting on Dec 21, Board had a lot of questions. In draft policy recommendations, did send mention partnerships with KDHE for neonatal/infant mortality review, also partnership with SIDS. One member did note that had uptick in drowning deaths so wanted to increase awareness on that. Hope to have annual report posted next week.
Brenda: Annual report, Angela and the Board had added in a section to discuss maternal, neonatal, and post-neonatal health and some health prevention and health promotion strategies. There was a lot of interest by Board members on even preconception health of women.
* Perinatal Council. Perinatal Council and the Child Adolescent Health Council joined together as one. John Evans, Jim Guillory,and Diane Daldrup are also members of that. have a lot of optimism. Think this will be a good group, might be a group that would take on some of these initiatives from the Blue Ribbon Panel.
* Christy - Safe Sleep. Will hopefully have product (the video) we're working on to show you at the next meeting. Safe Sleep training for providers and parents, as well. Meeting with others to see how they have dissminated information. Our hope is that all physicians will have this in their office, hospitals will show it to moms before they leave the hospital. Will also be avaialble on our web. Hope is media-blitz it across the state so everyone has a consistent message. Will be in Spanish is not yet. Variety of family situations portrayed in DVD. Hope to have the entire DVD in Spanish and probably a couple of other languages as well.
Diane: They were able to take a small grant from us and triple it in 60 days. They aren't just giving out free cribs to families who can't afford to buy one, they are tying it to safe sleep information. They are educating as they are giving out these cribs.
* Genetics Plan - Update from Linda Williams.
See website for copy of plan.
* Carol Moyer. Description of new data report.
See link on website.
*** Next Steps for Blue Ribbon Panel.
Publication of report.
How will we be notified?
Will send out information.
Dr. Cooley also recommended going to the Kansas Action for Children website and using that.
Gary - big on focus. Suggest really focusing in these next few months.
Next meeting will be of the Blue Ribbon Panel.
April - Blue Ribbon Panel
Sept, Nov - CHAC.