Examples of State Collaboration

Healthy Eating

Healthy Eating

California Gubernatorial Task Force Addresses Obesity 

In 2010, Gov. Arnold Schwarzenegger signed an executive order to create the California Health in All Policies Task Force, the first of its kind in the United States. The California Strategic Growth Council, which supports environmental sustainability for the state, oversees the task force. It is comprised of representatives from 19 diverse state agencies including those that address housing, transportation, education, workforce development, parks, and planning. Based on public input, the task force developed a report with more than 30 recommendations for policies, programs, and strategies that can improve health and meet other agencies' goals on key issues. These recommendations fall into six primary categories: 1) active transportation; 2) housing and indoor spaces; 3) parks, urban greening, and places to be active; 4) community safety; 5) healthy food; and 6) processes for healthy public policy. The task force then prioritized 11 recommendations for near-term implementation, one of which is to advance the state's healthy food procurement. To implement this recommendation the task force assessed state agencies' food environments and developed a report summarizing current state procurement policies and practices, including an outline of state procurement policy preferences with regards to agency food purchasing. A statewide food procurement group was established and convened an initial meeting in January 2013 to develop nutrition and sustainability standards for procurement policies. Read the full case study in ASTHO's Health in All Policies Toolkit.

Delaware Features Healthier Food in State Worksites and Parks

In an effort to improve workplace wellness, Delaware Health and Social Services (DHSS) initiated a Healthy Vending Pilot Program. The pilot program supported Delaware Gov. Jack Markell's Executive Order 19, which calls for health promotion to extend to areas where Delawareans live, learn, work, and play to reduce the incidence of obesity and other lifestyle-related diseases. The language in section 5(d) of the executive order calls for the state of Delaware, as an employer, to set "the standard for workplace health promotion and disease prevention, including healthy foods in vending machines, physical activity opportunities, and health promotion benefits to state employees and their families." Section 5(j) mandates the promotion of "practices and policies in worksites so that employees are educated and have opportunities to make healthy choices." Two divisions within DHSS, the Visually Impaired-Business Enterprise Program and and Public Health, entered into a memorandum of understanding to provide compensation for potential losses incurred by the Visually Impaired-Business Enterprise Program vendors during the Healthy Vending Pilot. A larger healthy eating initiative currently underway called Munch Better at Delaware State Parks was launched in 2010. Delaware's state parks offer healthy food items for sale and from vending machines as part of its commitment to promote healthy lifestyles.

Maine's Let's Go! 5210 Campaign on Healthy Eating and Active Living Toolkits

Let's Go! 5210 is a nationally recognized childhood obesity prevention program with the goal to increase physical activity and healthy eating for children from birth to 18 through policy and environmental change. Let's Go! is a program of The Kids Co-op at the Barbara Bush Children's Hospital at Maine Medical Center and is implemented in partnership with MaineHealth. Let's Go! has six programs to reach families where they live, learn, work, and play and shares the message of the four healthy habits of "5 2 1 0" every day across all programs. Maine has created toolkits for each program area, including K-5, Middle and High School, After School, Early Childhood, Healthcare, and Workplace. The toolkits are loaded with information on how to integrate Let's Go!'s evidence-based strategies and the 5210 message into specific environments. While primarily in the state of Maine, Let's Go! has partnerships all over the United States. Learn more about using this program outside of Maine.

Massachusetts Sets Nutrition Standards for State Agencies 

In January 2009, Massachusetts Gov. Deval Patrick issued Executive Order 509, Establishing Nutrition Standards for Food Purchased and Served by State Agencies, which requires state agencies to follow specific nutrition standards when contracting for the purchase of foods and beverages. To implement the executive order, the Massachusetts Department of Public Health formed an advisory workgroup, developed a draft of nutrition standards, and surveyed 60 state agencies to identify which ones would be impacted by the policy. The workgroup collaborated with the nine affected state agencies (the Departments of Children and Families, Corrections, Developmental Services, Mental Health, Youth Services, and Veteran Services; Executive Office of Elder Affairs; Public Health Hospitals; and the Sheriff's Department) to help finalize the nutrition standards and develop online resources to assist with implementation of the standards. Massachusetts has also developed a consumer guide to sodium reduction, including information on how much sodium to consume, what foods tend to have high levels of sodium, and how to compare labels.

Minnesota Salad Bars to Schools Initiative Transforms School Lunch

Working with the national Let's Move Salad Bars to Schools initiative, the Minnesota Department of Health is helping schools throughout Minnesota get salad bars and stock them with produce items. This national campaign is an effort to mobilize and engage stakeholders at the local, state and national level to support salad bars in schools. It connects donors and schools that participate in the National School Lunch Program with the goal funding and awarding 6,000 salad bars by the end of 2013. In Minnesota, the state offers a website to highlight the Let's Move Salad Bars to Schools partnership, where schools and partners can find helpful information to learn about the program and how to apply for salad bars. The site highlights specific materials for schools to use to implement a salad bar including A Field Guide to Salad Bars in Schools, fact sheets for schools, fact sheets for supporters, an outreach card, and superintendent sample letter.

Massachusetts Sets School Nutrition Standards for Competitive Foods and Beverages

In 2010, Massachusetts State Legislature passed a law requiring the Massachusetts Department of Public Health (MDPH), in coordination with the Massachusetts Department of Elementary and Secondary Education (MDESE), to develop evidence-based nutrition standards for foods that are sold at school outside of and in competition with the federally reimbursable meal programs in public schools, which are known as "competitive foods." Read the full case study»