Thats not true. Folks can sell outside of school, which is what these candy deals are. Outside of school theres no prohibition. Times we have that. I dont think thats the they may be mistaken. Thank you for being with us today. Thank you both for your respective work on committee report. I know that this is no simple undertaking. I appreciate the fact that it takes and requires months and months of scientific analysis and consideration of thousand of stake holder comments and thoughtful collaboration of agency staff and i want to say that i appreciate the process of the Advisory Committee went through. Its a solid process. Many opportunities for the public to weigh in. To put this in perspective here, my colleagues understand that in this country today, one is school age children, more than one and three American Adults suffers from cardiovascular disease and diabetes, clearly, we can do better. Thats what we are all talking about here. This is an attempt for us to get it better, and if people arent interested in the wellbeing of citizen, they should be supported of what you are talking about today, because at the end of the day, it means lower healthcare costs. So we all benefit here. You mentioned earlier that you referred to hhs blog yesterday where the issue of sustainability issues were taken off the table for inclusion in the if i believe guidelines, and i get thats the case and i respect your decision, but but this is an important issue and you both have acknowledged that. Sustainability somehow in this congress is auditory word. I dont quite get it. Its important and we ought to talk about sustainability when we talk about issues of diet and food security. Its important that at least we start the conversation. I also appreciate both of your testimonies do good job of emphasizing nutrition and disease presentation and punting into context. On congress we have to focus on prevention. We should be highlighting what the science says on Good Nutrition for kids and families. It was in todays hill or newspapers by the president s of American Academy and pediatrics. Keep politics out of diet ri guidelines, i would like to ensure that in the record. They talk about the importance of dietry guidelines. We know more today than we did yesterday. Our Research Techniques have improved over the last 1020 years. When we learned the latest science, then we need to make the necessary adjustments, but as you know, some of the biggest critics are from the industries that produce least healthy foods. I was reading about some billionaire from texas who is Funding Initiatives to try to raise questions i dont know what enron knows about dietry guidelines, trying to question science, and so i i just conclude by saying, i encourage you to keep first and foremost the health and wellbeing, and maybe in my last minute you can talk about, if we all improved our diets, what would be the impact of rates and costs of diabetes Heart Disease. As one goes out over period of time, both Heart Disease and something we know, are two very large cost drivers as a nation and they are cost drivers because they are conditions that continue, you know, over an extended period of time and specially as we have a population that lives longer which is a good thing, but the idea that these are costs that are controllable and i would also say that in my engagement with the private sector and ceos of companies, im sure you hear this in the districts, the reason they are so deeply focused on the issue is because they are putting initiatives in place because they are starting to see. I was with the National Association with manufacturers and had ceos that says she has dope it for almost ten years now and has analytics, they are worthy enough to make decisions on the taxpayers money. Diabetes and Heart Disease are two of the leading costers that we have both publicly and privately. Time expired. I ask my colleagues, hard stop at 11 30, four minutes for questioning so we we give a chae to make that happen. Without objection we will go to four minutes as we go forward. Thank you, mr. Chairman. Kind of keeping on that subject, a lot of attention has been paid to the dietry guidelines and the fact that they are guidelines and they are not rules, am i correct in that . Yes, they are guidelines. So they actually are used pretty pretty hard and fast on rule making, correct . It depends on which programs, so for instance, School Lunch Programs in our area, the administration for Community Living in terms of meals on wheels and those types of programs. We heard a lot of talk about the Lunch Program. I know my colleague mentioned he had gotten a text just in the last few minutes, Lunch Program implemented in 2012 but very little attention of how we role out and apply it rigidly to snap program. It seems like using the argument that while we can be proactive and sort of help the regulate the kind of food that people eat that we can control, the secretary mentioned department of defense. We mentioned School Nutrition program, meals but not actively engaging in how administering and why dont we do a better job on dietry structure as it applies to snap program . First of all, we are trying to address this on a variety of mechanisms. Designed to provide assistance ar help for snap programs to purchase more fruits and vegetables and the like, expansion of Farmers Market is giving them the opportunity, we had a database, researchedbase program to determine what would actually provide direction in terms of purchasing nutrition food, making nutritious food, a very Serious Technology challenge in trying to prohibit snap for certain products. I know that our travel card will deny a purchase, if you try to fill up and put a snickers on there, itll decline that purchase. I know the technology exists that we can do a better job there are 300,000 different products that are sold across the united states. Here is the problem. Thats the question. Do you want to exclude that. Im not asking you. Im trying to get feedback from you. They are. They are. They are used in the snap program in terms of providing guidance and direction, where they can buy fruits and vegetables and how to use recipes. You mentioned incentives, what incentives cash incentives, when a person goes to Farmers Market and they buy 5 worth tomatoes will get to buy 10, its more bang for their buck. Associations involved to provide sales, provide promotions torques provide recipes, a whole series of programs. We will be happy to provide you grants under that initiative and what might be done. Thank you, i appreciate it. Yield back. Mr. Aguilar, four minutes. Thank you, mr. Chairman, thank you for the secretaries for being here. I wanted to expand on that discussion. I participated and i mentioned it to my colleagues in the snap challenge earlier this year and the biggest piece that struck me and clearly but it was the budgetary constraints on healthy eating. You were talking about the program and the success that you are seeing in those and i hope that we can continue to grow those programs, and i understand that within the dietry guidelines also release material, you talk about choose my plait. Showing folks how to live on allow budget and a balanced diet in the in the Advisory Committee report its mentioned that the food patterns of healthy living, the health healy vegetarian pattern, do you know approximately how much it would afford lifestyles per week and can you expand a little bit on the programs of lowincome families like the Food Insecurity program . Well, the guidelines help to inform a series of meal patterns, goes from high end to the low end. Its the plan. I dont know the specific dollar am, obviously, it depends on the choices that people make, congressmen. I think we need to sort of spell the myth that necessarily eating has to be more expensive. This is why people think that. If you take a portion of potato chips and broccoli, in the past we looked at 100 calories potato chips, when you look at portion sizes, fruits and vegetables become, you know, affordable, number one. If you look at recipes, its also an opportunity. There are ways in which we can stretch dollars. Part of initiative is to provide with recipes and informations that allows them to use fruits and vegetables more effectively and also the incentive programs we have where we work with foundations to encourage Farmers Market purchases by incenting those, food nutrition incentives that allow bonus points, if you will, and wide variety of things, we are also working with food banks to make sure that the areas of opportunity that they have to help struggling families also include more healthy choices. So theres a wide variety of steps and we are attempting to make a difference. I would love to see more, i would say it was incredibly tough, mr. Sectary, my wife and i 66 on the snap challenge to include, you know, healthy portions, managing our portions, i ate salads. Its not engineered or funded to be the endall to american citizens it is. Thats why we work with shelters and other as, thats why we have a school lunch, School Breakfast program. Thats why we have afterschool efforts to try to su suplemen. Your time has expired. I can count one finger the city has reached to all members of the Committee Prior if they had any concerns. Thank you for that. I appreciate for that. Thats time consuming very very thoughtful. Historically the dietry guidelines which you say will be released in december have not made suggestions about specific ingredients and commodities by the u. S. Population and potential health risk of ingredients, one of the most widely studied Food Additives in the history of fda and approval in more than a decade. Fda has asserted and reasserted, process to call question of safety citing extremely weak science that shows otherwise. They are calling more research and concluded theres no increase risk of cancer from consumption. During your interagency review of the guidelines are you consulting on recommendations after they spent years reviewing the science . Yes, fda is part of the process of h hrk s, with regard to safety and basically five products that fda has said in given content are fine and safe. Fda is part of the h hrk s process. How did they impact the final recommendation . Something that we are reviewing but our own experts, not just fda for us and nhs as well, the whole department is part of the process, reviews everything together, that forms the recommendations that we will be receive from our department collectively together. Okay. Additionally recommends replace sugared beverages or lowfat milk only for guidelines to be effective. In your final recommendations how do you intend to balance ideals that are idealistic on recommendations . You are getting ahead and wouldnt be able to comment on specifics. When we say balance, its also about the issue the secretary raised of nutritional value. When youre trying to have a set number of calories and certain numbers of nutrition, how you can get the puz puzzles together is something we will put together. Thank you, recommendations were voted and discussion of red, versus lien and packaged meat, recognized lien meat dense food and were encouraged to increase, its important for the dietry guidelines to have background to give americans clear advise on diets and health, can you give me assurances that you have taken into account to ensure Scientific Evidence is foundation for the 2015 guidelines . I can also suggest that its my understanding maybe im wrong about this, that the report basically is fairly consistent with the recommendation that was made in the 2010 guideline to lien meat. Thank you, sir. If i may. Four minutes, i have it. Thank both secretaries for efforts in reaching out. I do appreciate that. I think to the degree that we collaborate on a greater basis we all do a better job. A lot of discussion this morning has been talked about the process in these guyed lines and i do appreciate emphasizing that they are guidelines, part of total work product, i guess i would like to get your take, both of you on how we measure success. Clearly we all i believe, i hope thats not in debate, lealty healthy americans is a healthy diet and part of Preventive Health care, pound of cure, how do we measure success in terms of incredible changes that have been taking place in americans dietry habits over decades and this effort to use these guidelines as the means to provide better diets so that we have healthier lifestyles . Have you thought about that in this process . I mean, we are asking you the questions. How can you make the process better . First the guidelines them themselves about quality product. The second thing is how the guidelines get used in terms of people understanding what they are. Do you think we are making progress along those lines . Skew their eating habits. Yes, that comes to the third. The knowledge has to be activated so people are acting and behaving. We as a nation can improve and improve it at a population level and improve it in ways that we use the programs and whether thats the programs at usda or hhs in terms of applying them and cdc is another place that i believe we can make progress. How do you measure your success . I would only add, take a look at the eating index that we have which is a 100point system. Currently the average american is about 57. We have seen improvement over the years. I dont know what your mother said 56 out of 100. My mother wasnt satisfied with that. Not good. Thats one way of measuring. Another way is to measure whether or not we are making head way on obesity. Im pleased that in Young Children we are seeing some indication and even a slight decline in obesity rates, thats good news, but we still have work to do. In terms of improving the process i would schismy simply, i think the debate is healthy. Theres a misunderstanding between prevention or orientation versus a lot of the criticisms often are because they wont be helpful with dealing with obesity. Maybe theres a way to expand or create an avenue for that treat discussion to take place. I have other questions regarding bio tech trades. When i grew up, it was a few year ago. 8 owns was considered a regular thing, 12ounce is big. Today 24. I think large part of our just sizes and amounts and how we combat against obesity. Thats the comment. Thank you, mr. Chairman. Thank you, secretaries, i really appreciate the work that youre doing. Taught nutrition for many years. Its very important. Im very encouraged to hear that youre going to make sure that it is, i wanted to focus on the nutrition evidence libraries, we heard much about it with usda officials, but i have heard concerns that the Nutrition Evidence Library has ignored a large credible and growing body of peer review science on low carb diets, can you elaborate on out scientific studies are added to the Nutrition Library and what can be done what Cutting Research is considered . There are existing reports, new reports that are if you if d in, there are a review of what the capital diet of american might be. Food pattern. Theres a broad array thats included in this effort. The issue of lowcarb diet raises the point that i made with representative costa. How do you treat a particular condition, obesity, for example . It may very well be that allowcarb diet might be a way for a physician might prescribe for an obese individual deal with obesity. There isnt an avenue within the guidelines for that treatment discussion. I think theres a lot of confusion about it and a lot lot of angst about it. We are looking at what the law requires us to do and that is sure. Folks on dietry and nutritional guidelines relative to prevention. So it actually would be helpful to include that. In that circumstances you have competing studies, which is why its important to understand that it is about wellinformed opinion. I wish there were scientific facts. The reality is stuff changes, stuff changes. The key here is taking a look at the greater weight of the evidence and trying to make a judgment based on the greater weight of the evidence. If you have one study on one side and 15 studies on one side, thats why we do this every five years to give an opportunity for the quality study for further enhanced so that five years from now, maybe there are 15 studies on this side and 15 studies on this side. The its an evolving process. This may not be true or certain populations this may not be helpful. Do you include that or do you say pick one . Its a caveat that these are recommendations focused on prevention. Im not sure we havent crafted it yet. Is there any population . Theres got to be differences perhaps for different populations . Were well, there are guidelines may not be onesize fits all. Its a combenl general guideline. In theory you could have 317 million different guidelines because they are slightly different in slightly different circumstances. You have to create kind of a wide birth here. This is what we are recommending. If youre interested in healthy diet or risk of diabetes or cardiovascular, this is a course that you might want to consider. Obviously, people are going to make choices and decisions based on whats best for you. Four minutes. Yes, thank you, mr. Chairman. Good morning to you. Thank you so much for your time today. I was just looking at the volume of comments that you had received, the 29,000 comments after the rereport came out. Can you explain how youre going to and will you able be to meet the time frame that you have for an evaluation of all those responses to be able to issue that report, the guidelines . Yes, our staff has gone through all of the comments, one of the things thats helpful in a sense is that large percentage of them were form letters, as the secretary reflected only about 8,000 were individual not only bus less than 29,000 in terms of our ability to get through. The secretary and i are working very hard with our teams to meet the deadline of this year. Great. My other question is related to moderate alcohol intake. Looking at the guidelines that were issued in 2010, i was wondering