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Nutrition labeling requirements of the Affordable Care Act

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Furthermore, nutrition information is to be established on a ‘reasonable basis’ through nutrient analysis, cookbooks, or nutrient databases. In the case that there are variations in menu items (i.e. soft drinks, flavors, toppings and combination meals), the Secretary of Health and Human Services will
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Section 4205 of the ACA addresses the issues of obesity and chronic disease by raising awareness of calories consumed outside of the home, as, according to the American Journal of Preventive Medicine, these types of calories increase obesity, a disease that costs the U.S. $ 147 billion in health care
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The FDA estimates the initial cost of compliance to be $ 315 million with a continuous annual cost of approximately $ 44 million; however, the food industry estimates that the total costs of completing nutrition analyses, updating labeling, training employees, and developing new menu boards will be
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Under Section 4205, owners of 20 or more vending machines must make calorie information for each item sold in the machine visible to consumers prior to purchase, either by making nutrition information on individual packages visible or by posting calorie information in close proximity to the food.
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The FDA’s Proposed Requirements under Section 4205 apply to all “restaurants or similar retail food establishments with 20 or more locations doing business under the same name and offering for sale substantially the same menu items." The primary business activity of a covered establishment is the
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Over 5 million vending machines, maintained by roughly 10,800 companies, will be required to comply with nutrition labeling regulations under section 4205. The FDA estimates the cost to display this information at $ 25.8 million initially, with an additional $ 24 million per year for subsequent
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This act falls under Title IV of the ACA: Prevention of Chronic Disease and Improving Public Health, which seeks to "transition from a system focused primarily on treating the sick to one that helps keep people well throughout their lives." Section 4205 is an amendment to the nutrition labeling
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According to the FDA, 27% of restaurant chains have obtained the necessary nutrition analysis information for their menu items that comply with state and local regulations. These establishments will not experience additional expenses associated with compliance with national policy.
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Despite the requirement of these provisions immediately upon enactment of the law, several provisions cannot be enforced until the regulations are finalized. The FDA must establish the requirements for the following provisions before they may be enforced:
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Covered establishments must provide consumers a “succinct statement concerning suggested daily caloric intake”, which is intended to increase consumers’ contextual awareness of their food choice in relation their recommended daily caloric intake.
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Some states imposed nutrition labeling regulations prior to the enactment of the ACA. Section 4205 prohibits states from imposing nutrition labeling requirements that are different from or not included in section 4205.
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Additional nutrition information for standard menu items must include total calories, calories from fat, total fat, saturated fat, cholesterol, trans fat, sodium, total carbohydrates, sugars, dietary fiber and
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Post calorie information on a sign in close proximity to the article of food or the selection button with a “clear and conspicuous statement disclosing the number of calories contained in the article.”
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Restaurants and vending machine owners who are not subject to the law may voluntarily participate by registering with the Secretary of Health and Human Services within 120 days of enactment.
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Standards to determine and disclose nutrient content for standard menu items that come in different flavors, varieties or combinations, however, they are listed as a single menu item.
40:(NLEA). Section 4205 mandates labeling nutrition information for foods at chain restaurants and vending machine items to help consumers make more informed food choices. 284:
The FDA may issue additional nutrient disclosure regulations under Section 4205, at their discretion, to further assist the public in making healthy eating choices.
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Food items that do not require a calorie count include: condiments and other general use items, daily specials and items appearing on the menu for less than 90 days.
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Disclose the number of calories in each food article on a sign located in close proximity to each article of food (or the selection button) unless the Nutrition
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Establishments must provide a calorie display, statement regarding calorie intake, and additional written nutrition information available upon request.
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Prohibits State and local government from imposing different or additional requirements for food sold in covered establishments under Federal law;
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roughly 1 billion dollars. According to the FDA’s Center for Food Safety and Applied Nutrition, there are three elements of cost for this rule:
685:"Food Labeling: Nutrition Labeling of Standard Menu Items in Restaurants and Similar Retail Food Establishments Notice of Proposed Rulemaking" 33: 150:
Display of calories contained per serving of foods on display or self-service foods, such as salad bars, buffets, and fountain beverages;
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Statement of availability of additional written nutrition information available upon request must be displayed on menus and menu boards.
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Provide calorie information, per serving/food item, for self-service items and food on display, on a sign adjacent to each food item.
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State the availability of written nutrition information in a "prominent, clear, and conspicuous" manner on menus and menu boards; and
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Provisions for the nutrition labeling of standard menu items at chain restaurants became effective on March 23, 2010, when President
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Enables State and local governments to establish nutrition labeling requirements for establishments not covered under Federal law.
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requires that standard menu items at qualifying chain restaurants and vending machines have proper nutrition labeling. Though the
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Requirements for a statement on the menu or menu board to include calorie information in terms of total daily caloric intake; and
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Facts Panel is visible to the consumer. This information must be visible to the consumer prior to purchasing the items.
684: 629:"Food Labeling; Nutrition Labeling of Standard Menu Items in Restaurants and Similar Retail Food Establishments" 551: 381: 417: 24:
was signed into federal law in 2010, implementation of the menu labeling requirements was delayed by the
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Scourboutakos, M.J. (September 2012). "Restaurant Menus: Calories, Caloric Density, and Serving Size".
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The requirement to implement these changes has been extended to an additional year, to May 7, 2018.
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signed the bill into law. Because specific provisions of the law depend on rules developed by the
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Disclose calorie count on all menus and menu boards, labelled with the words "Calories" or "Cal";
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Immediately upon enactment of the law, the following provisions of Section 4205 were required:
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Please help update this article to reflect recent events or newly available information.
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Restaurants or similar food establishments covered by the provision were required to:
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Disclose the number of calories of each standard menu item on menus and menu boards;
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More than 50% of the establishments total floor area is used for the sale of food.
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All other establishments that do not exist for the primary purpose to sell food.
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sale of food to consumers. A business is covered under this requirement if:
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Chain vending machine operators covered by the provision were required to:
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Provisions of Section 4205 Immediately Required upon the Passage of the ACA
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Businesses may also voluntarily apply to take part in these requirements.
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The FDA’s proposed regulations in relationship to State and local laws:
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Make available written nutrition information to consumers upon request;
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Utilize the term "Calorie" or "Cal" on postings of caloric information;
418:"Title IV. Prevention of Chronic Disease and Improving Public Health" 434: 56: 233:, certain requirements could not be immediately enforced. 28:
several times until they went into effect on May 7, 2018.
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Revising or replacing existing menus and menu boards; and
502:(3). American Journal of Perventative Medicine: 249–55. 406:
Affordable Care Act's calorie count rules go into effect
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establish standards to account for these differences.
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Collecting and managing nutritional analysis records;
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The establishment presents itself as a restaurant, or
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Display calorie information clearly and prominently;
678: 676: 147:Disclose calorie ranges for variable menu items; 18:Patient Protection and Affordable Care Act (ACA) 110:Not covered under these regulations are: 462: 460: 458: 456: 454: 452: 450: 448: 446: 444: 335:Pre-existing Laws at the State and Local Level 8: 532:. Centers for Disease Control and Prevention 382:"Patient Protection and Affordable Care Act" 38:Nutrition Labeling and Education Act of 1990 167:Additional Written Nutritional Information 710:"Calorie info coming to vending machines" 32:requirements of Section 403(q)(5) in the 656:"Nutrition Labeling of Restaurant Menus" 144:Clear and prominent display of calories; 360: 376: 374: 372: 370: 368: 366: 364: 7: 716:. Associated Press. 28 December 2013 530:"Fast Stats: Obesity and Overweight" 34:Federal Food, Drug, and Cosmetic Act 585:U.S. Food & Drug Administration 14: 114:Mass transit (such as airplanes); 26:U.S. Food and Drug Administration 661:. Congressional Research Service 61: 609:. Supermarket News. 2 May 2017 607:"Menu labeling delayed a year" 1: 508:10.1016/j.amepre.2012.05.018 231:Food and Drug Administration 158:Statement of Caloric Intake 758: 387:. United States Government 70:This article needs to be 299:Covered Establishments 94:Covered Establishments 471:. FDA. Archived from 654:Corby-Edwards, A.K. 581:"Menu Labeling FRIA" 475:on 29 September 2013 469:"Labeling Nutrition" 16:Section 4205 of the 742:Affordable Care Act 128:Caloric Information 36:(FFDCA), under the 22:Affordable Care Act 315:Employee training. 49:expenses in 2008. 635:. 1 December 2014 435:National Archives 91: 90: 749: 726: 725: 723: 721: 706: 700: 699: 697: 695: 689: 680: 671: 670: 668: 666: 660: 651: 645: 644: 642: 640: 633:Federal Register 625: 619: 618: 616: 614: 603: 597: 596: 594: 592: 577: 571: 570: 568: 566: 556: 548: 542: 541: 539: 537: 526: 520: 519: 491: 485: 484: 482: 480: 464: 439: 438: 432: 430: 414: 408: 403: 397: 396: 394: 392: 386: 378: 325:Vending Machines 185:Vending Machines 86: 83: 77: 65: 64: 57: 757: 756: 752: 751: 750: 748: 747: 746: 732: 731: 730: 729: 719: 717: 708: 707: 703: 693: 691: 687: 682: 681: 674: 664: 662: 658: 653: 652: 648: 638: 636: 627: 626: 622: 612: 610: 605: 604: 600: 590: 588: 587:. 26 March 2018 579: 578: 574: 564: 562: 561:. 23 March 2010 554: 550: 549: 545: 535: 533: 528: 527: 523: 493: 492: 488: 478: 476: 466: 465: 442: 428: 426: 416: 415: 411: 404: 400: 390: 388: 384: 380: 379: 362: 357: 337: 328: 302: 295: 290: 239: 220: 212: 194:Calorie Display 187: 136:Calorie Display 117:Bowling alleys; 96: 87: 81: 78: 75: 66: 62: 55: 46: 12: 11: 5: 755: 753: 745: 744: 734: 733: 728: 727: 701: 672: 646: 620: 598: 572: 559:HealthCare.gov 543: 521: 486: 440: 423:whitehouse.gov 409: 398: 359: 358: 356: 353: 352: 351: 348: 336: 333: 327: 322: 317: 316: 313: 310: 301: 296: 294: 291: 289: 286: 282: 281: 278: 270: 269: 266: 259: 258: 255: 252: 249: 238: 235: 219: 218:Implementation 216: 211: 208: 207: 206: 203: 200: 186: 183: 178: 177: 173: 155: 154: 151: 148: 145: 142: 122: 121: 118: 115: 108: 107: 104: 95: 92: 89: 88: 69: 67: 60: 54: 51: 45: 42: 13: 10: 9: 6: 4: 3: 2: 754: 743: 740: 739: 737: 715: 711: 705: 702: 686: 679: 677: 673: 657: 650: 647: 634: 630: 624: 621: 608: 602: 599: 586: 582: 576: 573: 560: 553: 547: 544: 531: 525: 522: 517: 513: 509: 505: 501: 497: 496:Am J Prev Med 490: 487: 474: 470: 463: 461: 459: 457: 455: 453: 451: 449: 447: 445: 441: 436: 425: 424: 419: 413: 410: 407: 402: 399: 383: 377: 375: 373: 371: 369: 367: 365: 361: 354: 349: 346: 345: 344: 341: 334: 332: 326: 323: 321: 314: 311: 308: 307: 306: 300: 297: 292: 287: 285: 279: 276: 275: 274: 267: 264: 263: 262: 256: 253: 250: 247: 246: 245: 242: 236: 234: 232: 228: 223: 217: 215: 209: 204: 201: 198: 197: 196: 195: 191: 184: 182: 174: 171: 170: 169: 168: 164: 160: 159: 152: 149: 146: 143: 140: 139: 138: 137: 133: 130: 129: 125: 119: 116: 113: 112: 111: 105: 102: 101: 100: 93: 85: 73: 68: 59: 58: 52: 50: 43: 41: 39: 35: 29: 27: 23: 19: 718:. 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Index

Patient Protection and Affordable Care Act (ACA)
Affordable Care Act
U.S. Food and Drug Administration
Federal Food, Drug, and Cosmetic Act
Nutrition Labeling and Education Act of 1990
Barack Obama
Food and Drug Administration







"Patient Protection and Affordable Care Act"
Affordable Care Act's calorie count rules go into effect
"Title IV. Prevention of Chronic Disease and Improving Public Health"
whitehouse.gov
National Archives










"Labeling Nutrition"

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