January 2022
Healthy Retail Education Packet
Table of Contents
Richmond Checkout Fact Sheet
The results of advocates' two-year community assessment of Richmond's food landscape.
Rethinking Retail in California
Background about Healthy Retail efforts throughout the state.
Frequently Asked Questions
FAQ about the Richmond initiative and the HOPS advocate team.
Berkeley Healthy Checkout Article
An article covering the City of Berkeley's passage of Healthy Checkout in 2020 from the Berkeley High Jacket.
Qualifying Products Sample List
A non-exhaustive list of example products that could be sold at checkout under Healthy Retail.
NANA Model Nutrition Standards
The nutrition standards that informed the ordinance suggestions, focused on snacks sold in convenient to-go settings.
Ordinance Template
A template ordinance for the City of Richmond, written by public health lawyers at Center for Science in the Public Interest. p1
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40% 0.9% 60%
ofFOODSsoldatcheckoutsareUNHEALTHY ofFOODSsoldatcheckoutsareUNHEALTHY In Richmond, a city facing food apartheid with only 3 full service grocers, unhealthy food and beverages are promoted repeatedly throughout stores. Snacks high in salt, saturated fat, and added sugars dominate checkout aisles, which are designed to prompt impulse purchases. Such curated food environments in largely
low income communities of color have
been shown to contribute to health issues
such as dental cavities, heart disease,
and type 2 diabetes. This especially
impacts families; 1 in 2 children of
color in the US will be diagnosed
with type 2 diabetes in their lifetime.
Over the past two years, HOPS youth
advocates assessed the food retail landscape
and heard from residents. When it came to the checkout
experience, many shoppers describe overwhelming feelings of stress.
Healthy Options at Point of Sale (HOPS)
We want to bring the
community together and
change these numbers by
including more healthy foods
such as fruits and nuts. The
City of Richmond can
implement Healthy Checkout
to promote and support the
health of all residents!
"
Candy accounts for 40percent of all food atcheckout.
Fresh fruit and vegetablesmake up less than onepercent of products sold atcheckout. 2/32/3
A majority of beveragesavailable at grocerycheckouts areunhealthy.
Questions? Contact Ingrid De Santiago at [email protected] " Few stores
stock fresh
fruits and
veggies
Social
responsibility
to youth
Desire
to purchase
from local
farmers
Exposure
to greater
healthy
variety
100%100%
support fromsupport from
intervieweesinterviewees
Rethinking Retail in California:
The Healthy Checkout, Healthy Families Act
California Is Facing a Public Health Crisis
•
•
Grocery Stores are a Prime Place for Policy Change
•
•
•
Sugary drinks at a Berkeley store checkout
Californians Want Healthier Checkout Options
Retailers Across the State Are Already Taking Steps to Support Health
"I care for the health of my
people, my community. As
a manager at a local grocery
store, I believe healthy
checkout is good for both
the clients and our business"
-Javier, Mi Tierra Foods
Healthy Options at Point of Sale (HOPS)
Do stores currently get money or discounts for product placement? Yes, some stores receive payments, or slotting fees, from food manufacturers to place and promote particular products throughout the store, including in the checkout aisle.
Once the ordinance is passed, how will it be implemented and enforced? HOPS plans to provide outreach to store managers and Richmond residents to ensure that both stores and the community understand what products fit into healthy checkout. The Contra Costa Environmental Health Department is well positioned to enforce the ordinance as they already conduct annual inspections of retail stores.
Frequently Asked Questions
How does HOPS define healthy?
For the assessments phase HOPS referenced the National Alliance for Nutrition and Activity (NANA) standards in which healthy beverages are 100% juice, plain low-fat milks, and water, and healthy snacks are composed predominantly of fruits, nuts and vegetables. In order to streamline implementation and enforcement, HOPS will focus on limiting added sugars to 5g and sodium to 200mg on products sold at checkout.
What will the impact be on small stores and/or small local businesses? HOPS is advocating to phase this ordinance in first with retail stores with over 4,000 square feet. Additionally, we are gathering retailer input throughout the process will support small businesses with implementation.
Why a healthy checkout ordinance instead of “junk food” tax? Currently, we don’t think our friends and neighbors are ready for a “junk food” tax, though some countries, including Mexico and Chile, have enacted taxes on “non essential” foods and beverages including calorie dense candy bars and sugar sweetened beverages.
HOPS believes a policy approach that increases the availability of healthy food at checkout will help provide a more level playing field by reducing the promotion and marketing of less healthy foods and helping all Richmond residents have a more positive experience in the checkout aisle. HOPS is not trying to prohibit or restrict the sale of candy, chips, or sodas throughout other parts of the store.
How to ensure the new, healthy options will be affordable? Retailers count on customers making impulse purchases at checkout and are skilled at offering low-dollar products to increase last-minute consumer purchases. In order to continue profiting from last minute consumer purchases, merchants will price items at a price point that consumers will purchase.
For more information contact Ingrid De Santiago at [email protected].
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Chewing Gum & Mints
Trident Spearmint Gum
Brand: Trident
Parent Company: Mondelez
Added Sugar: 0g
Sodium: 0 mg
Ice Breakers Duo Watermelon
Brand: Ice Breakers
Parent Company: Hershey Trust Company
Added Sugar: 0g
Sodium: 0 mg
Extra Classic Bubble
Brand: Extra
Parent Company: Wrigley Jr. Company
Added Sugar: 0g
Sodium: 0mg
Altoids Peppermint
Brand: Altoids
Parent Company: Wrigley Jr. Company
Added Sugar: 0g
Sodium: 35mg
Fruit and Vegetables
Dried Chili Mango
Brand: Peeled
Parent Company: Peel Snacks
Added Sugar: 0g
Sodium: Varies
No Sugar Added Organic Applesauce
Brand: Mott’s
Parent Company: Keurig Dr. Pepper
Added Sugar: 0g
Sodium: 5mg
Diced Yellow Cling Peaches in 100% Fruit Juice
Brand: Dole
Parent Company: Dole Food Company, Inc.
Added Sugar: 0g
Sodium: 5mg
Terra Original Chips
Parent Company: Hain Celestial Group
Added Sugar: 0g
Sodium: 110mg
Brand: Terra
Whole Fruits and Vegetables
Brand: Varies
Parent Company: Varies
Added Sugar: 0g
Sodium: 30mg
Nuts, Seeds & Legumes
Snak Club Yogurt Trail Mix
Brand: Snak Club
Parent Company: Insignia Capital Group
Added Sugar: 3g
Sodium: 0mg
Dry Roasted Pistachios
Brand: Planters
Parent Company: Kraft-Heinz
Added Sugar: 0g
Sodium: 150mg
Mesquite Barbeque Crunchy Broad Beans
Brand: Bada Bean Bada Boom
Parent Company: Enlightened
Added Sugar: 1g
Sodium: 150 mg
Vegan White Cheddar Hippeas
Brand: Hippeas Organic Chickpea Snacks
Parent Company: Green Park Snacks Ltd.
Added Sugar: 1g
Sodium: 140mg
Blue Diamond Whole Natural Almonds
Brand: Blue Diamond
Parent Company: Co-op
Added Sugar: 0g
Sodium: 0 mg
Whole Grains
Smart50 Sea Salt Popcorn
Brand: Smartfood
Parent Company: PepsiCo
Added Sugar: 0g
Sodium: 150mg
Boom Chicka Pop Sea Salt Popcorn
Brand: Angie’s Boom Chicka Pop
Parent Company: Conagra Brands
Added Sugar: 0g
Sodium: 130mg
Kids Organic Whole Grain Bites
Brand: Quaker
Parent Company: PepsiCo
Added Sugar: 4g
Sodium: 55 mg
Apple Cinnamon Crunchy Rice Rollers
Brand: Crunchy Rollers
Parent Company: General Mills
Sodium: 0 mg
*Estimate (contains 3g total sugar)
Added Sugar: 3g*
Kracklin’ Kamu Brand Ancient Grain – Sea Salt
Brand: Kracklin' Kamut
Parent Company: Big Sandy Organics
Added Sugar: 0g
Sodium: 180mg
Yogurt & Cheese
Chobani Clingstone Peach Less Sugar
Greek Yogurt
Brand: Chobani
Parent Company: Chobani Global Holdings, Inc.
Added Sugar: 5g
Sodium: 50mg
Siggi’s Vanilla Skyr
Brand: Siggi’s
Parent Company: Lactalis
Added Sugar: 5g
Sodium: 55mg
Tillamook Medium Cheddar
Parent Company: Tillamook County Creamery
Association (TCCA)
Added Sugar: 0g
Sodium: 125mg
Sargento String Cheese
Brand: Sargento
Parent Company: Gentine family
Added Sugar: 0g
Sodium: 190mg
Brand: Tillamook
Multi-Category Foods
Blueberry Vanilla Cashew Kind Bar
Brand: Kind
Parent Company: Mars
Added Sugar: 4g
Sodium: 20mg
Toasted Coconut Almond Granola
Brand: Bear Naked
Parent Company: Kellogg’s
Added Sugar: 5g
Sodium: 10mg
Kashi Peanut Peanut Butter Granola Bar
Brand: Kashi
Parent Company: Kellogg’s
Added Sugar: 5g
Sodium: 100mg
Mint Chip Brownie Lärabar
Brand: Lärabar
Parent Company: General Mills
Added Sugar: 4g
Sodium: 0 mg
Tart Cherry and Apple Superfood Bites
Brand: Urban Foods
Parent Company: Urban Foods
Added Sugar: 3g
Sodium: 0 mg
Spindrift, Blackberry
Brand: Spindrift
Parent Company: VMG Partners
Added Sugar: 0g
Sodium: 0mg
La Colombe Pure Black Cold-Pressed Coffee
Brand: La Colombe
Parent Company: La Colombe
Added Sugar: 0g
Sodium: 25mg
Aquafina
Brand: Aquafina
Parent Company: PepsiCo
Added Sugar: 0g
Sodium: 0mg
Minute Maid 100% Orange Juice
Brand: Minute Maid
Parent Company: Coca-Cola
Added Sugar: 0g
Sodium: 25 mg
Bubly, Strawberry
Brand: Bubly
Parent Company: PepsiCo
Added Sugar: 0g
Sodium: 0
Beverages
National Alliance for Nutrition and Activity Model Nutrition Standards for “Grab-and-Go” Foods and Beverages1
Often, there is a lack of healthy options when eating away from home, particularly selections from vending machines and checkout aisles. Applying nutrition standards for foods and beverages in these “grab-and-go” venues can improve access to healthier options and support people’s ability to eat well.
These guidelines are an update of the 2012 NANA standards for municipal, state, and federal government leased or operated vending machines or vending machines on public property.
They can also be used in private worksites, checkout aisles, concession stands, and other convenience-oriented food venues. In 2020 they were revised to reflect updates to the Dietary Guidelines for Americans and the current food and beverage marketplace. They are similar, though not identical, to the United States Department of Agriculture’s Smart Snacks guidelines for schools.
Beverage Standards:
• 100% of beverages must be one or a combination of the following:
o Water, including carbonated water (no added caloric sweeteners); o Coffee or tea with no added caloric sweeteners (if condiments are provided, sites may provide sugars and sugar substitutes and milk/creamer products that have less fat than cream, such as whole or 2% milk);
o No more than 200 calories per container of fat-free dairy milk, 1% low-fat dairy milk, or calcium- and vitamin-D-fortified plant-based milks that contain at least 6 grams of protein per 8 oz;
o 100% fruit/vegetable juice or juice combined with water or carbonated water (limited to a maximum of 12-ounce container; no added caloric sweeteners; and ≤ 200 milligrams of sodium per container); and
o Low-calorie beverages that are ≤ 40 calories per container.
Food Standards:
Provide a variety of healthier foods with more fruits, vegetables, and whole grains and moderate amounts of saturated fat, added sugars, and sodium. • 100% of snack foods and side dishes must meet all of the following criteria as offered (per package/container):
o No more than 200 calories;
o Less than 10% calories from saturated fat (which would be no more than 2 grams of saturated fat for a 200 calorie snack, for example) with the exception of packages that contain 100% nuts or seeds; snack mixes that contain components
1 Adapted from the NANA Model Beverage and Food Vending Machine Standards and the NANA Model Nutrition Standards for Checkout, with input from members of the NANA Steering Committee.
other than nuts and seeds must have no more than 10% of calories from saturated fat;
o No more than 10% of calories from added sugars and a maximum of 5 grams of added sugars, with the exception of yogurts that contain no more than 10 grams of added sugars per 5.3 oz container;
o No more than 200 mg of sodium; and
o One of the following must be listed as the first ingredient (or second ingredient after water):
Fruit or non-fried vegetable;
Fat-free/low-fat dairy or calcium- and vitamin D-fortified plant-based alternative;
Legumes, nuts, or seeds; or
Non-fried whole grain, with at least 50% of the grain ingredients being whole grain (indicated by the product having whole grain as the first ingredient, from the manufacturer, or if the product has a whole grain claim stating that at least 50% of the grains are whole grain). o Sugarless chewing gum can be sold without having to meet the above nutrition standards.
• 100% of entrée-type foods (e.g., sandwich, pizza, burger) must meet all of the following criteria per item as offered (per package/container):
o No more than 400 calories;
o Less than 10% calories from saturated fat (which would be less than 4.5 grams saturated fat for a 400 calorie entrée-type item, for example); o No more than 10% of calories from added sugars and a maximum of 10 grams of added sugars;
o No more than 480 mg of sodium; and
o One of the following must be listed as the first ingredient (or second ingredient after water):
Fruit or non-fried vegetable;
Fat-free/low-fat dairy or calcium- and vitamin D-fortified plant-based alternative;
Lean protein food (e.g., fish, legumes, poultry); or
Non-fried whole grain, with at least 50% of the grain ingredients being whole grain (indicated by the product having whole grain as the first ingredient, from the manufacturer, or if the product has a whole grain claim stating that at least 50% of the grains are whole grain).
Healthy Retail Ordinance: Model Language
Healthy Retail Placement and Checkout Ordinance
##.##. Findings.
A.Diets with an excess of added sugars and sodium are correlated with chronic health issues including hypertension, type 2 diabetes, tooth decay, and stroke.
B.The safety of many low/reduced-calorie sweeteners is questionable, especially for children.
Many have not been well tested, some appear to pose a risk of cancer, and some can cause gastrointestinal distress, especially when consumed in large amounts.
C.Grocery and convenience stores are Americans’ top source for foods and beverages. More than 70 percent of Americans’ caloric intake comes from food items purchased at large grocery retailers.
D.The environments in which food choices are made affect those choices. The placement of unhealthy snack foods and beverages near the checkout registers and on aisle endcaps and freestanding displays throughout retail stores increase the likelihood that consumers will make unplanned purchases of unhealthy foods. The placement of unhealthy snack foods and sugar-sweetened beverages at checkout, therefore, undermines public health initiatives and consumers’ desire to make healthy choices.
E.Providing customers with the choice to avoid undue pressure to purchase high-calorie, low-nutrient food when they shop is in the interest of the health, safety, and welfare of all who live, work, and do business in Richmond.
##.##. Purpose.
A.The purpose of the ordinance is to encourage healthy purchases and improve the health of Richmond by providing healthy alternatives to consumers in checkout areas and limiting consumer exposure to sugar-sweetened beverages and unhealthy foods at Small Retail Stores and Large Retail Stores in Richmond.
##.##. Definitions.
A.“Added Sugars” means sugars added during the processing of foods and beverages, or are packaged as such, and include sugars (free, mono and disaccharides), sugars from syrups and honey, and sugars from concentrated fruit or vegetable juices that are in excess of what would be expected from the same volume of 100 percent fruit or vegetable juice of the same type, as defined in Section 101.9 of Title 21 of the Code of Federal Regulations.
B.“Aisle Endcap” means product displays placed at the endpoints of aisles that contain products for sale.
C.“Alcoholic Beverages” means beverages regulated as alcohol under STATUTE.
D.“Artificial Sweeteners” means sweeteners with few to no calories that have a higher intensity of sweeteners per gram than sucrose.
E.“Category List” means the list of foods and beverages which meet the standards ofRMC XXX.
F.“Checkout Area” means any area that is accessible to a customer of the Retail Store that is:
1.Within 3 feet in any direction of any Register; or
2.Designated primarily for or utilized primarily by customers to wait in line to make a purchase at a register; up to and including the Checkout Endcap.
G.“Checkout Endcap” means product displays placed at endpoints of areas designated primarily for or utilized primarily by customers to wait in line to make a purchase.
H.“Freestanding Display” means a freestanding fixture, not attached to another structure that displays products for sale.
I.“Health Checkout Areas Standards” means the standards for foods and beverages set forth in [HEALTHY CHECKOUT AREAS (A)-(D)].
J.“Healthy Retail Placement standards” means the standards for foods and beverages set forth in [HEALTHY RETAIL PLACEMENT (A)-(C)].
K.“Large Retail Store” means a commercial establishment selling goods to the public with a total floor area of 4001 square feet or more and selling 25 linear feet or more of food and beverage products.
L.“Prepared Foods” refer to foods sold or served that are produced by the retailer for immediate consumption.
M.“Refrigerated Beverages” means beverages that must be or should be refrigerated or frozen for freshness and are traditionally displayed for sale in refrigerators or freezers.
N.“Register” means a device used for monetary transactions that calculates the sales of goods and displays the amount of sales for the customer.
O.“Retail Store” means a commercial establishment selling goods to the public and selling 25 linear feet or more of food and beverage products.
P.“Small Retail Store” means a commercial establishment selling goods to the public with a total floor area between 0 and 4000 square feet and selling 25 linear feet or more of food and beverage products.
##.##. Healthy Checkout Areas.
Each Retail Store shall at all hours during which the Retail Store is open to the public ensure that all foods and beverages displayed for sale in the Checkout Areas meet the following standards:
A.Beverages with no Added Sugars and no Artificial Sweeteners.
B.Beverages must be in the following categories: waters, milk and milk alternatives, 100% juice, coffee, and tea.
C.Food items with no more than 5 grams of Added Sugars and 200 milligrams of sodium per labeled serving.
D.Prepared foods are exempted from the above requirements.
The City of Richmond will conduct an annual review of qualifying beverage categories in the Healthy Checkout Areas Standards. There will be a 180-day phase-in period if changes to the Healthy Checkout Area Standards are made.
##.##. Healthy Retail Placement.
Each Retail Store shall at all hours during which the Retail Store is open to the public ensure that foods and beverages displayed for sale in the store meet the following standards:
A.Beverages with Added Sugars and/or Artificial Sweeteners may only be displayed for sale in one aisle within the store and in the two Aisle Endcaps at each end of that aisle. Beverages with Added Sugars and/or Artificial Sweeteners may not be displayed in any other locations within the store.
B.Beverages with Added Sugars and/or Artificial Sweeteners may not be displayed for sale in Freestanding Displays.
C.Refrigerated Beverages and Alcoholic Beverages are exempted from the above requirements.
There will be a 180-day phase-in period if changes to the Healthy Retail Placement Standards are made.
##.##. Enforcement.
A.[The City]is authorized to issue all rules and regulationsconsistent with this ordinance.
B.[HOW WILL COMPLIANCE BE ADMINISTERED, e.g. duringregular inspections by Contra Costa Environmental Health of Retail Stores]
C.[The City] may require information necessary to determinecompliance with this Chapter. ##.##. Violations – Penalties.
A.A Retail Store found to be in violation of this Chapter may be subject to [PENALTY] B.This section shall not limit[the City/Enforcementagency]from recovering costs from implementing this Chapter or investigating complaints.
##.##. Effective Date.
This ordinance and the legal requirements set forth herein shall take effect and be in force for Large Retail Stores as of [DATE]and Small Retail Storesas of[DATE (six months after large stores)].
For more information, please contact the Center for Science in the Public Interest at [email protected].
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