Senate Concurrent Resolution No. 13–Senators Wiener, Cegavske, Titus, Rawson, Care, Mathews, Raggio and Washington
March 4, 2003
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Referred to Committee on Legislative Affairs and Operations
SUMMARY—Directs Legislative Commission to conduct interim study concerning economic, medical and societal costs and impacts of obesity in Nevada. (BDR R‑25)
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EXPLANATION
– Matter in bolded italics is new; matter
between brackets [omitted material] is material to be omitted.
Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).
Senate Concurrent RESOLUTION—Directing the Legislative Commission to conduct an interim study concerning the economic, medical and societal costs and impacts of obesity in Nevada.
1-1 Whereas, Obesity manifests itself as one of our nation’s most
1-2 significant public health concerns as proven by recent statistics from
1-3 the Centers for Disease Control and Prevention which reveal that in
1-4 the United States, approximately 38.8 million adults, 19.8 percent of
1-5 adults in the United States, are classified as obese, and an estimated
1-6 9 million children and adolescents between the ages of 6 and 19
1-7 years, 15 percent of that age group, are categorized as overweight;
1-8 and
1-9 Whereas, These statistics represent such an extremely rapid
1-10 rise of obesity in our society over the last decade that members of
1-11 the medical profession attach the word “epidemic” to the problem, a
1-12 word usually reserved for massive outbreaks of infectious disease;
1-13 and
1-14 Whereas, Obesity is a chronic disease, and studies show that
1-15 about one half of children who are overweight by the time they are 6
1-16 or 7 years of age remain overweight as adults and 75 percent of
1-17 adolescents who are overweight will remain overweight as adults;
1-18 and
1-19 Whereas, Research has established that there is a direct causal
1-20 relationship between obesity and heart disease, hypertension, stroke,
1-21 elevated cholesterol, type 2 diabetes, gallbladder disease, arthritis,
2-1 breathing problems, gout, and forms of cancer such as uterine,
2-2 cervical, ovarian, breast, gallbladder, colorectal and prostate; and
2-3 Whereas, Statistics for the year 2000 from the Centers for
2-4 Disease Control and Prevention disclose that 4,089 deaths in
2-5 Nevada were the result of heart disease and that 3,763 deaths were
2-6 caused by cancer, and obesity almost assuredly played a role in
2-7 many of these deaths; and
2-8 Whereas, Not only does obesity affect physical health, but
2-9 obese persons may also experience low self-esteem, social
2-10 stigmatism, discrimination, poor body image and increased risk of
2-11 emotional problems, and disorders such as chronic depression,
2-12 anxiety and obsessive compulsive disorder have commonly been
2-13 linked to obesity; and
2-14 Whereas, According to The Surgeon General’s Call to Action
2-15 to Prevent and Decrease Overweight and Obesity, issued in 2001,
2-16 an estimated 300,000 people die each year from illnesses directly
2-17 caused or worsened by being overweight, a fact that prompted
2-18 former Surgeon General David Satcher to warn that obesity may
2-19 soon overtake tobacco as the leading cause of preventable death in
2-20 America; and
2-21 Whereas, In 2000, the total economic costs of this epidemic in
2-22 the United States rose to an estimated $117 billion per year,
2-23 consisting of $61 billion in direct costs for preventive, diagnostic
2-24 and treatment services for medical care and $56 billion in losses
2-25 relating to productivity in the workforce and the value of future
2-26 earnings lost by premature death; and
2-27 Whereas, Such costs definitely constitute a governmental issue
2-28 because the government pays for a portion of the costs related to
2-29 health care and certainly has a stake in the loss of productivity in the
2-30 workforce; and
2-31 Whereas, In addition to these medical costs and losses in
2-32 productivity, the 33 to 40 percent of women and 20 to 24 percent of
2-33 men in this nation who are attempting to lose weight spend $33
2-34 billion a year on weight-reduction products and services; and
2-35 Whereas, There is a compelling need for an aggressive
2-36 program of prevention and treatment because the direct and indirect
2-37 costs resulting from obesity are expected to increase rapidly as the
2-38 problem worsens and because the prevention and amelioration of
2-39 obesity could have a significantly positive impact on health care
2-40 costs in this state; and
2-41 Whereas, The problem of obesity must not be considered only
2-42 a personal responsibility but a responsibility which is shared by the
2-43 community and which must be addressed by the community in the
2-44 same way as problems with alcohol, substance abuse and tobacco
2-45 have been addressed; and
3-1 Whereas, Conquering the problem of obesity must begin with
3-2 the process of accumulating sound scientific data as a foundation for
3-3 fostering awareness of the role that genetics, behavior and
3-4 environment play in obesity and finding solutions to improve the
3-5 quality of life; now, therefore, be it
3-6 Resolved by the Senate of the State of Nevada, the
3-7 Assembly Concurring, That the Legislative Commission is
3-8 hereby directed to appoint an interim committee, composed of three
3-9 members of the Assembly and three members of the Senate, one of
3-10 whom must be appointed as Chair of the committee, to conduct a
3-11 study of the economic, medical and societal costs and impacts of
3-12 obesity on the State of Nevada; and be it further
3-13 Resolved, That the Chair of the committee may appoint an
3-14 advisory committee of not more than three persons, who are not
3-15 Legislators and are nonvoting members, who are knowledgeable in
3-16 the areas of the study, to consult with and to assist in conducting the
3-17 study; and be it further
3-18 Resolved, That the study must include, without limitation:
3-19 1. An analysis of available information relating to the
3-20 economic, medical and societal costs and impacts of obesity on
3-21 Nevadans;
3-22 2. An analysis of the fiscal impact of obesity on health care
3-23 costs and productivity in Nevada and a determination of possible
3-24 savings in health care costs resulting from the prevention and proper
3-25 treatment of obesity;
3-26 3. The identification of existing resources in Nevada that may
3-27 be available for use in programs relating to obesity;
3-28 4. Recommendations for specific programs aimed at the
3-29 prevention of and intervention in obesity;
3-30 5. The identification of programs and practices that have been
3-31 established in Nevada and other states which are cost-effective and
3-32 could be implemented throughout Nevada;
3-33 6. Recommendations for coalitions between the public and
3-34 private sectors that could be instituted in communities;
3-35 7. Recommendations for programs to increase public
3-36 awareness regarding the causes, prevention, risks and treatment of
3-37 obesity;
3-38 8. An examination of the particular effects of the 24-hour
3-39 lifestyle and transient nature of some of the population of this state
3-40 on obesity;
3-41 9. An evaluation of the current health standards in Nevada that
3-42 may have an influence on obesity and an assessment of the progress
3-43 toward treating obesity in states that establish and monitor such
3-44 standards; and
4-1 10. Any other proposals for legislation relating to health care
4-2 for obesity that the committee may receive or develop; and be it
4-3 further
4-4 Resolved, That any recommended legislation proposed by the
4-5 committee must be approved by a majority of the members of the
4-6 Senate and a majority of the members of the Assembly appointed to
4-7 the committee; and be it further
4-8 Resolved, That the Legislative Commission shall submit a
4-9 report of the results of the study and any recommendations for
4-10 legislation to the 73rd Session of the Nevada Legislature.
4-11 H