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Emily Apple, public policy student at CUNY Hunter College, was awarded the 2012-13 Spitzer Capstone Prize for Best Policy Project for her report "Food to the People: Evaluating New York City’s Food Access Policies." The Spitzer Capstone Prize for Best Policy Project is awarded each academic year, with the winner earning a $100 Amazon.com gift card and her/his Public Policy Project report published on the Roosevelt House website.
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Food to the People: Evaluating New York City’s Food Access Policies
Emily Apple
Roosevelt House Public Policy Institute at Hunter College
Public Policy Capstone
May 7, 2013
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Contents
Executive Summary ........................................................................................................................ 3 Introduction ..................................................................................................................................... 5
What is a food desert? ................................................................................................................. 5 New York City’s Supermarket Need Index (SNI) ...................................................................... 7
Policy Interventions ........................................................................................................................ 7 Incentivizing New Providers: FRESH & FFFI ........................................................................... 8 Harnessing Entrepreneurship: Green Carts, Farmers’ Markets & Fresh Moves ........................ 9
Bringing Down the Cost: Health Bucks.................................................................................... 10 Out with the Old, In with the New: Healthy Bodegas .............................................................. 10 Green in the City: Agricultural Gardens and Farms ................................................................. 11
Weighing the Outcomes ................................................................................................................ 11 Incentivizing New Providers: FRESH & FFFI ......................................................................... 12
Harnessing Entrepreneurship: Green Carts, Stellar Farmers’ Markets & Fresh Moves ........... 13
Bringing Down the Cost: Health Bucks.................................................................................... 15 Out with the Old, In with the New: Healthy Bodegas .............................................................. 16 Green in the City: Urban Agriculture ....................................................................................... 17
Policy Recommendations.............................................................................................................. 18 Restructure FRESH ................................................................................................................... 19
Ramp Up Green Carts & Divest from Farmers’ Markets ......................................................... 19 Invest in Health Bucks .............................................................................................................. 19 Sustain Healthy Bodegas .......................................................................................................... 20
Create Spaces for Urban Agriculture ........................................................................................ 20 Conclusion .................................................................................................................................... 20
Bibliography ................................................................................................................................. 21 Acronyms ...................................................................................................................................... 23
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Executive Summary According to the United States Department of Agriculture’s Economic Research Service, there
are over 23.5 million Americans living in food deserts—areas defined as urban neighborhoods
and rural towns without ready access to fresh, healthy, and affordable food. Of those 23.5
million, it is estimated that over half of those individuals (13.5 million) are low-income.1 In New
York City alone, City government estimates put the number of people living in food deserts at
over 3 million.2 With nearly a third of city residents living in food deserts, New York City faces
a crisis of food accessibility. The New York City Council’s 2010 FoodWorks report identified
the impetus for action on the issue of healthy food accessibility: “New York City’s food system
is not fully secure” and “faces a number of issues that compromise its long-term sustainability.”3
With the sustainability of the food system at risk and millions of New Yorkers living in food
insecure environments, this report will examine what the New York City government and other
cities have done to increase access to healthy foods throughout New York as well as make
recommendations for continued improvements in healthy food accessibility.
This report examines five city programs which are currently underway: (1) Food Retail
Expansion to Support Health (FRESH), (2) Green Carts, (3) Stellar Farmers’ Markets, (4) Health
Bucks, and (5) Healthy Bodegas. It will also examine comparable programs in Pennsylvania and
Chicago and explore the potential for urban agriculture in New York City. FRESH and
Pennsylvania’s Fresh Food Financing Initiative (FFFI) are programs that offer monetary
incentives to open new supermarkets in areas of high need. Green Carts, farmers’ markets, and
Chicago’s Fresh Moves mobile market are public-private partnerships with entrepreneurs and
nonprofit organizations to bring mobile food providers to areas with low-access to healthy foods.
Health Bucks is a voucher program that distributes $2 vouchers redeemable at farmers’ markets,
primarily for food stamp recipients. Healthy Bodegas is a program that increases the stock of
healthy foods in small bodegas across the city. Finally, while the city does not currently have an
urban agriculture policy, this report will examine the potential impact of urban agriculture on
food security.
Each of these programs was evaluated on three evaluative criteria:
1. Does the program increase the quantity of healthy foods available?
2. Does the program make the healthy foods more affordable?
3. Does the benefit outweigh the cost to the city and to local businesses?
1 United States Department of Agriculture, "Creating Access to Healthy, Affordable Foods," ed. Agricultural
Marketing Service (Washington, DC2011). 2 New York City Food Policy Taskforce, "Going to Market: New York City's Neighborhood Grocerty Store and
Supermarket Shortage," (New York: Office of the Mayor, 2008). 3 Sarah Brannen, "Foodworks: A Vision to Improve Nyc's Food System," (New York: New York City Council,
2010).
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Considering these evaluative criteria, the following policy changes are recommended:
FRESH
FRESH should be converted to the FFFI model of leveraging public dollars to create private
investment. However, FRESH should maintain its current requirements to ensure that food
retailers must continue to provide large quantities of healthy options.
Green Carts
New York City government must expedite the licensing process for Green Carts to move people
off the waiting lists and onto the streets providing healthy foods in communities.
The Green Cart licensing process should be altered so that each cart is assigned a location to
prevent dense clusters to ensure that communities in need of food retailers are being equally
served.
Farmers’ Markets
New York City should divest from directly running farmers’ markets and allow the nonprofit
sector to continue operating markets. This allows investment in other areas of food access
policies not otherwise served by nonprofits.
Mobile Food Providers
The Metropolitan Transit Authority (MTA) should donate decommissioned buses for use as a
mobile food provider, similar to Chicago’s Fresh Moves initiative.
Health Bucks
The Health Bucks program should be expanded to focus on other low-income populations
besides SNAP beneficiaries through the assistance of community organizations working with
populations in need.
Healthy Bodegas
The focus of the Healthy Bodegas program should be shifted with an eye toward sustaining
existing changes through an expansion of the “Adopt-a-Bodega” and “Farm to Bodega”
initiatives. “Adopt-a-Bodega” would allow community groups to encourage bodega owners to
keep the changes already made with the assistance of Healthy Bodegas outreach workers and
create new changes if desired. “Farm to Bodega” would increase the stock of fresh produce
available in bodegas and utilize existing farmers’ markets and urban farms.
Urban Agriculture
The city should rezone vacant lands in areas of low-access to healthy foods for urban agricultural
purposes and partner with community organizations to create agricultural gardens that could sell
produce grown there to community members at low-cost.
The New York City Housing Authority (NYCHA) should work to have an agricultural
community garden on every NYCHA property that can then sell fresh produce to NYCHA
residents at low-cost.
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Introduction According to the United States Department of Agriculture (USDA), there are over 23.5 million
Americans living in food deserts—areas defined as urban neighborhoods and rural towns without
ready access to fresh, healthy, and affordable food. Of those 23.5 million, it is estimated that
over half of those individuals (13.5 million) are low-income.4 In New York City alone, City
government estimates put the number of people living in food deserts at over 3 million.5 With
nearly one third of city residents living in food deserts, New York City faces a crisis of food
accessibility. The New York City Council’s 2010 FoodWorks report identified the impetus for
action on the issue of healthy food accessibility: “New York City’s food system is not fully
secure,” and “faces a number of issues that compromise its long-term sustainability.”6 With the
sustainability of the food system at risk and millions of New Yorkers living in food insecure
environments, it is crucial to closely examine the issue of food insecurity, specifically regarding
the healthfulness of the foods in communities across the city. This report will examine what the
New York City government has done to increase access to healthy foods throughout New York
as well as make recommendations for continued improvements in healthy food accessibility
policies.
What is a food desert?
According to the USDA, a food desert is formally defined as, “A census tract with a substantial
share of residents who live in low-income areas that have low levels of access to a grocery store
or healthy, affordable food retail outlet.”7 Census tracts qualify as food deserts if they meet the
following low-income and low-access thresholds:
1. They qualify as "low-income communities," based on having: a) a poverty rate of 20% or
greater, OR b) a median family income at or below 80 percent of the area median family income;
AND
2. They qualify as "low-access communities", based on the determination that at least 500
persons and/or at least 33% of the census tract's population live more than one mile from a
supermarket or large grocery store (10 miles in the case of non-metropolitan census tracts).8
The USDA has done extensive work around food deserts and increasing access to healthy foods
across the country, yet there is something lacking in its definition that excludes many areas of
New York City from classification as a food desert. According to the USDA there are only three
census tracts that qualify as food deserts in the five boroughs, all in Staten Island, totaling about
10,000 residents (see Figure 2). This is inconsistent with New York City’s own estimates that
large swaths of Brooklyn, Manhattan, and the Bronx are food deserts, totaling over 3 million
residents.9 The contrasts are stark when placed side by side, as seen in Figures 1 and 2.
4 United States Department of Agriculture, "Creating Access to Healthy, Affordable Foods."
5 New York City Food Policy Taskforce, "Going to Market: New York City's Neighborhood Grocery Store and
Supermarket Shortage." 6 Brannen, "Foodworks: A Vision to Improve NYC's Food System."
7 United States Department of Agriculture, "Creating Access to Healthy, Affordable Foods."
8 Ibid.
9 New York City Food Policy Taskforce, "Going to Market: New York City's Neighborhood Grocery Store and
Supermarket Shortage."
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Figure 1: New York City Supermarket Need
Index
Source: New York City Department of City Planning
Figure 2: USDA Food Desert Map
Source: United States Department of Agriculture
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So what makes the New York City estimates so vastly different from the federal government’s?
Some have speculated that bodegas—small corner or convenience stores—have been counted as
grocery stores in the USDA estimates whereas they are usually excluded in New York City’s
own calculations. Additionally, the USDA’s one-mile specification might also be too much for
New York City; one-mile in New York is about twenty city blocks—too much for many New
Yorkers to travel for food, including the elderly and disabled.10
New York City’s Supermarket Need Index (SNI)
Because the USDA definition excludes most parts of New York, local officials have been left to
develop their own definition that works for New York City's food security policy. What New
York City has developed is not a food desert locator, like the USDA’s, but rather a Supermarket
Need Index (SNI). SNI differs from the food desert measurements in that it reflects the
geographic and economic barriers to purchasing healthy foods and the health status of
communities.11
The index takes into account 9 different factors including household income,
access to a car, consumption of fruits and vegetables, and the share of fresh food retailers. Based
on this index, large areas of Northern Manhattan, Central Brooklyn, and the Bronx have been
identified as areas of high supermarket need; however, areas of high need are not limited to those
areas and exist across the five boroughs (see Figure 1). The SNI has allowed the city to target
policy remedies to areas of the highest need and lowest access.
The SNI also changed the general supermarket-to-person formula used throughout the United
States. The normal ratio is about 50,000 to 100,000 square feet store per 10,000 people within an
8- to 10-minute drive. This formula is better suited to suburban areas with large shopping
centers. First, there are few places in the five boroughs that could accommodate 50,000 to
100,000 square feet of retail space; second, New Yorkers are much more likely to walk to their
local supermarket than to drive. Instead, under the new SNI the ratio is 15,000 square feet per
10,000 people, though the Department of City Planning (DCP) is hoping with targeted initiatives
to raise the ratio to 30,000 square feet per 10,000 people.
Policy Interventions Mayor Michael Bloomberg has been deemed by many the “public health mayor,” and has made
improving the health of New York City residents a primary goal of his tenure. While recent
reports may cast doubt on the link between food deserts and obesity, Bloomberg has nonetheless
made increasing access to healthy foods across the city as a crucial part of any strategy to combat
obesity.12
Bloomberg has been careful to define healthy foods not just as fruits and vegetables,
but also includes low-fat milk, whole grains, and more generally non-processed foods that are
low in carbohydrates, fat, calories, and cholesterol. As part of this strategy, Mayor Bloomberg
created the New York City Food Policy Task Force and the Office of the Food Policy
10
Elizabeth Whalen and Michael Seserman, "Looking for an Oasis in a Food Desert: Low Income New Yorkers
Lack Access to Healthy Foods," (New York October 2011). 11
Laura Smith et al., "Developing a Supermarket Need Index," in Geospatial Analysis of Environmental Health, ed.
Juliana A. Maantay and Sara McLafferty, Geotechnologies and the Environment (Springer Netherlands, 2011). 12
A 2012 RAND Corporation study (see Am and Sturm, 2012) challenged common wisdom that the food
environment—the type of foods located in a given area—was closely linked with rates of obesity. Dr. Sturm, the
study’s main researcher, said that within a couple of miles of almost any urban area “you can get basically any type
of food.”
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Coordinator to administer a number of programs to combat low access to healthy foods across a
dozen agencies including the Department of Health and Mental Hygiene (DOHMH), Department
of City Planning (DCP), and the Human Resources Administration (HRA).13
The task force has
created a number of policies and programs to increase accessibility to healthy foods, which are
discussed below.
Incentivizing New Providers: FRESH & FFFI
The Food Retail Expansion to Support Health (FRESH) program’s goal is to “promote the
establishment and retention of grocery stores in underserved communities by providing zoning
and financial incentives.”14
Stores must open in areas pre-determined as FRESH zones (northern
Manhattan, the South Bronx, central Brooklyn, areas of Queens) to be eligible for the incentives.
Additionally, the stores must: (1) provide a minimum of 6,000 square feet of retail space for food
and nonfood grocery products; (2) provide at least 50% of the space for consumable goods; (3)
provide at least 30% for perishable goods (i.e. dairy, produce, fresh meats, etc.); and (4) provide
at least 500 square feet for fresh produce.15
According to an analysis of food retailers across the
city, FRESH neighborhoods the average square footage of grocery store per person in FRESH
areas was 0.8 square feet, whereas in non-FRESH areas it was 1.5 square feet.16
FRESH incentives come in three forms: NYC Department of City Planning (DCP) zoning
incentives, NYC Industrial Development Agency (IDA) incentives, and NYS Energy Research
and Development Group (NYSERDA) benefits (see Table 1). These benefits are targeted toward
developers to build new retail spaces for supermarkets so that neighborhoods with low access
have a grocery store that carries produce in their neighborhood.
Similarly, Pennsylvania, both in rural and urban areas, established a fund to incentivize the
creation of new food retailers in areas of need. The fund is a public-private partnership with The
Reinvestment Fund (TRF) and the Food Trust, forming the Pennsylvania Fresh Food Financing
Initiative (FFFI). The goal of the program is similar to New York City’s FRESH program, to
create new supermarkets in areas of low-access with high rates of obesity and obesity related
diseases (i.e. heart disease, diabetes). The funding can simply be used to sustain or pay down
debt for an existing market in an area of low-access or can be used to build entirely new markets
in areas that need them most, though unlike FRESH, FFFI will give direct grants to
supermarkets, not just tax breaks or zoning incentives. To qualify for direct grants supermarkets
must be located in low- to moderate-income census tracts and in an area the government deems
“underserved.” Grants range between $250,000 and $1 million, with no such cap for loans. The
majority of the funding goes toward the New Markets Tax Credit (NMTC) to allow tax relief for
new or struggling businesses in underserved communities.17
13
Office of the Mayor of the City of New York, "Office of the Food Policy Coordinator,"
http://www.nyc.gov/html/ceo/html/programs/food_policy.shtml. 14
New York City Food Policy Taskforce, "Fresh: Food Retail Expansion to Support Health," (New York: Office of
the Mayor, 2012). 15
Ibid. 16
AECOM, "Final Project Report: Nyc Full Service Grocery Store Analysis," (New York New York City
Department of Health and Mental Hygiene, May 27, 2010). 17
Pennsylvania House Appropriations Committee, "Pennsylvania Fresh Food Financing Initiative," (Harrisburg, PA
Pennsylvania House of Representatives, March 4, 2010).
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Table 1: FRESH Incentives
NYCDIA Financial Incentives DCP Zoning Incentives NYSERDA Programs
Real Estate Tax Reductions
•Land Taxes •Building Taxes
Additional Development Rights
•One additional square foot of
floor area in mixed
residential development and
commercial buildings for
every square foot provided
for a grocery store, up to a
20,000 square foot limit.
Existing Facilities Program
•Retrofitting existing facilities
Sales Tax Exemption
•Exemption from 8.875% sales
tax on materials to construct
or renovate
Reduction in Required Parking
•Stores up to 40,000 square feet
in commercial districts that
permit residential buildings
with ground floor retail will
not be required to provide
parking.
New Construction program
•Assistance and incentives to
incorporate energy efficient
measures into construction
Mortgage Recording Tax Deferral
•A deferral of mortgage
recording tax relating to the
project's financing
Larger-As-Of-Right Stores in
Light Manufacturing Districts
•Grocery stores up to 30,000
square feet permitted in M1
districts.
FlexTech/Technical Assistance
Program
· 50-50 energy cost sharing
program with NYSERDA
Source: “FRESH: Food Retail Expansion to Support Health,” New York City Food Policy Task
Force (2012).
Harnessing Entrepreneurship: Green Carts, Farmers’ Markets & Fresh Moves
New York City has also partnered with individuals, foundations, and nonprofit organizations to
bring healthy foods into neighborhoods that need it most. Instead of simply relying on large
supermarkets to provide the bulk of the healthy food, the city has created partnerships to bring in
healthy foods on a smaller scale, with smaller startup costs.
The first of these programs is the NYC Green Carts, a partnership with individual entrepreneurs
and the Laurie M. Tisch Illumination Fund. The fund granted DOHMH $1.5 million in 2008 to
help increase access to healthy foods across New York City. The money is not to pay for the
individual carts, but to subsidize the permitting process so that there is no cost to the city; the
costs are instead passed on to entrepreneurs who want to operate Green Carts. David Borenstein,
an author tracking social innovation, writes that, “The idea is to harness the enterprise of small-
business people to mitigate a social problem in a sustainable way.”18
By partnering with
entrepreneurs the city reduces its own costs and can still provide fresh produce in areas of
greatest need, not to mention encouraging entrepreneurship. Local Law 9 changed city code to
allow the issuance of 1,000 new permits for street vendors, but to be eligible for the permit the
cart must only sell fresh produce and must sell in an area of low access to produce. The vendors
18
David Borenstein, "Conquering Food Deserts with Green Carts," The New York Times April 18, 2012.
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granted these permits are deemed “Green Carts.” In Brooklyn and the Bronx 350 permits were
allocated in each borough, 150 for Manhattan, 100 for Queens, and 50 for Staten Island.
The city has also partnered with nonprofit organizations like GreeNYC to open farmers’ markets
across the five boroughs. At select markets across the city, DOHMH hosts workshops to educate
the public about nutrition and how best to shop at the farmers’ market to get the most bang for
the buck as part of their “Stellar Farmers’ Markets” initiative.19
The goal of the program is
twofold: to bring healthy, locally sourced foods into neighborhoods that would not otherwise
have access; and to educate the public about how to cook healthy foods and how to feed a family
in a nutritious and cost-effective manner.
Outside New York, other cities have also been partnering to bring new food providers into
neighborhoods that need them most. In June 2012 Chicago Mayor Rahm Emmanuel announced a
partnership with a local nonprofit organization, Fresh Moves, to bring food trucks into food
deserts to sell fresh produce. The initiative repurposes decommissioned public buses and
converts them into mobile farmers’ markets that move between Chicago’s poorest
neighborhoods with low levels of access to healthy foods or any supermarket at all. All the Fresh
Moves buses also accept Electronic Benefit Transfer (EBT) cards—food stamp benefits—
increasing the likelihood that they will be used by low-income residents. Funding was provided
through the City of Chicago and the USDA Healthy Food Financing Initiative.20
Bringing Down the Cost: Health Bucks
Farmers’ markets have become increasingly prevalent across the five boroughs, but to make
them accessible to low-income families and individuals DOHMH has begun handing out
vouchers to SNAP beneficiaries (more commonly referred to as food stamps) and community
groups for use at farmers’ markets. These vouchers—Health Bucks—are worth $2 each and are
given to SNAP recipients or community groups for redemption at farmers’ markets. For every $5
spent on EBT cards, food stamp recipients receive one $2 voucher. The goal of the program is to
increase the buying power of an individual on food stamps and to allow that increased budget to
go toward the purchase of healthy, fresh foods. This program also has the added benefit of
supporting farmers’ markets in low-income areas that might not otherwise flourish without
Health Bucks.
Out with the Old, In with the New: Healthy Bodegas
Healthy Bodegas is an initiative of DOHMH working with local bodega owners to increase the
availability of healthy foods in small convenience stores, usually full of processed and unhealthy
food options. These bodegas are often the only form of grocery store in many neighborhoods; in
areas of Central Brooklyn bodegas make up as much as 80% of food providers.21
The program is
small in scale relative to the number of bodegas across the city, only targeting neighborhoods
19
New York City Department of Health and Mental Hygiene, "Stellar Farmers' Markets," (New York: Office of the
Mayor, 2009). 20
Mayor's Press Office, "Mayor Emanuel and Us Department of Agriculture Secretary Vilsack Announce
Investment in Mobile Fresh Food Market in Chicago," ed. Office of the Mayor of the City of Chicago (Chicago June
8, 2012). 21
New York City Department of Health and Mental Hygiene, "New York City Healthy Bodegas Initiative 2010
Report," (New York: Office of the Mayor, 2010), 1.
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with the highest rates of diabetes and obesity: East and Central Harlem, the South Bronx, and
North and Central Brooklyn.
A bodega is defined as a store that: (1) has no more than two cash registers; (2) sells mostly food
and does not specialize in any one item; and (3) sells milk. Stores that agree to work with the
DOHMH agree to: (1) stock and sell a variety of healthy foods including, but not limited to,
fresh fruits and vegetables, whole grain products, and low-fat and fat-free milk; (2) display
nutritious foods prominently; and (3) label and promote healthful items.22
This program is designed not only to increase the availability of healthy foods, but also to
replace unhealthy foods with healthy alternatives. As part of this initiative DOHMH also began a
farm-to-bodega pilot program that linked bodegas with local farmers’ markets to stock shelves
with local, fresh produce at a lower cost to consumers. There are no incentives offered to bodega
owners for participating in the program, but they can receive technical assistance and training if
requested.
Green in the City: Agricultural Gardens and Farms
When people hear “New York City,” most people do not think of farms or gardens. However,
within the five boroughs there are currently 700 farms and gardens growing food.23
These farms
range from small rooftop gardens to large (at least by New York standards) plots of land for
serious horticulture. Farms are run by individuals or nonprofit groups; they grow for personal
consumption or for sale. The variation across the urban agricultural system is vast. However, the
one common thread between them is that they are not funded by government dollars. The New
York City government has a number of policies, as discussed in this section, to increase the
availability of healthy foods in areas of need across the city. However, there has been little effort
to tap into the urban agriculture community to date. There are a number of community gardens
across the city, but not used for primarily agricultural purposes. The New York City Council’s
FoodWorks plan outlined the potential for urban agriculture, but it has not yet been integrated
into city policy or programming.24
Weighing the Outcomes With the host of programs throughout New York and the country, it can be difficult to know
which programs are best at fulfilling their mission of increasing access to healthy foods. The
main criterion for evaluating the success of any food access program obviously must be its
ability to increase the quantity of healthy foods available in the targeted area. There is no point in
discussing the viability of any program if it does not effectively meet this goal. Yet access is not
only about the sheer quantity of food; there is a crucial second component that must be
considered when evaluating programs: does the program increase the affordability of the healthy
foods? There is little point in having a supermarket full of healthy foods that no one can afford to
buy. Finally, like any policy, the program must be evaluated on its cost efficiency, measuring the
relative costs and benefits to both the city and local businesses. In each of the initiatives outlined
above, programs will be evaluated using the following criterion:
22
Ibid, 2. 23
Nevin Cohen, et al., Five Borough Farm: Seeding the Future of Urban Agriculture in New York City (New York:
Design Trust for Public Space, 2012). 24
New York City Council, FoodWorks: A Vision to Improve NYC’s Food System, (New York: 2010), 26-30.
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Does the program increase the quantity of healthy foods available?
Does the program make the healthy foods more affordable?
Does the benefit outweigh the cost to the city and to local businesses?
Incentivizing New Providers: FRESH & FFFI
As of April 10, 2013, there were 13 supermarkets taking advantage of FRESH incentives. While
this may appear to be a small number relative to the thousands of grocery stores across the city, it
is three above the city’s own goal, as set by their grant.25
The supermarkets are spread
throughout the city with the majority concentrated in Brooklyn and the Bronx.26
Of these 13
supermarkets, all took advantage of FRESH financial incentives, but only one claimed the
zoning incentives. 27
Started in 2004, Pennsylvania’s Fresh Food Financing Initiative (FFFI) is more robust than its
NYC counterpart. It is structured as a public-private partnership fund with an initial $30 million
investment from the Pennsylvania State government that was then leveraged by The
Reinvestment Fund (TRF) to create a pool of $120 million from 2004 to 2009. Of the $120
million, $40.5 million is for supermarket financing loans, with unspecified allocations for grants
and the New Markets Tax Credit. The program attracted 203 applications from across the State
of Pennsylvania and 88 have been approved, totaling $72.9 million in loans and $11.3 million in
grants given directly to supermarkets to support continued operations and entirely new markets.
Pennsylvania estimates this funding has created over 5,000 jobs and 1.6 million square feet of
retail space.28
Both FRESH and FFFI are ambitious programs to support existing food providers and encourage
the development of new businesses in areas of highest need. Both programs have been successful
in increasing the quantity of foods available in an area, though FRESH goes much further to
ensure that healthy options must be included to receive benefits. However, FFFI has had much
larger success than FRESH in the sheer retail space created. This is due in part to the amount of
space available in the entire state of Pennsylvania compared with the small amounts of retail
space available in a densely populated city like New York. The great success of FFFI is not in
the numbers alone, but in its conception as a public-private partnership that leverages a relatively
small amount of public money to encourage private investment in the creation of food retailers.
In this way, the cost to government is minimal and still supports local businesses. Neither of
these programs aims to make healthy foods more affordable, but simple economic laws of supply
and demand suggest when there are more retailers in a given area the price must come down
because of competition between retailers. More retailers will ultimately make healthy foods more
affordable; the challenge is making sure that new retailers dedicate substantial space to healthy
foods, which FRESH ensures.
25
Sabrina Baronberg (Director, Food Access and Community Health Programs, NYC DOHMH) in discussion with
the author, April 2013. 26
New York City Department of Health and Mental Hygiene, “FRESH Projects,” 2013. 27
New York City Department of Health and Mental Hygiene. "Fresh Projects," 2013. 28
Committee, "Pennsylvania Fresh Food Financing Initiative."
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Harnessing Entrepreneurship: Green Carts, Stellar Farmers’ Markets & Fresh Moves
Between 2008 and 2011 the city received 1,954 applications for Green Cart permits, nearly
double the number of permits available. Yet as of September 2011—the most recently available
public data—only half (501) of the total permits for Green Carts had been issued. Table 2
demonstrates the city’s slow progress to issue permits for Green Carts despite the high demand.29
Table 2: Green Cart Permits (data as of September 9, 2011)
Bronx Brooklyn Manhattan Queens Staten
Island
Citywide
Total
Permits
Available
350 350 150 100 50 1,000
Applications
Submitted
618 752 343 195 46 1,954
Current Permits
Issued
197 171 90 39 4 501
Percentage of
Available
Permits
Allocated
56.3% 48.9% 60% 39% 8% 50.1%
People on Wait
List at FY2011
End
133 160 1,770 830 0 N/A*
Source: New York City Department of Health and Mental Hygiene, “Report to the New York
City Council on Green Carts FY2011”
*Not applicable for Citywide Total; a person may be on the wait list for multiple boroughs
In addition to the lack of permits issued, it is unclear if the Green Cart permits that have been
issued are truly covering the areas of highest need for healthy foods. DOHMH has not conducted
a full scale evaluation of the Green Carts program, but there have been independent evaluations
of Green Cart areas. One such evaluation found that in the Bronx, Green Carts were clustered
close to areas of high pedestrian traffic in a very small swath of the Bronx.30
While this
maximized the amount of customers, the high concentration of Green Carts in a small area was
antithetical to the program’s goal to widely expand access to fresh produce across the city. The
29
New York City Department of Health and Mental Hygiene, "Report to the New York City Council on Green Carts
Fy2011," (New York2011). 30
Andrew Maroko Sean C. Lucan, Renee Shanker, and William B. Jordan, "Green Carts (Mobile Produce Vendors
in the Bronx)–Optimally Positioned to Meet Neighborhood Fruit-and-Vegetable Needs? ," Journal of Urban Health
88, no. 5 (October 2011).
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study concluded that based on the high concentration of Green Carts in small areas, the program
was only covering approximately 57% of the needy areas the city had previously identified.31
Stellar Farmers’ Markets is a relatively small program focusing primarily on education. In 2011,
the Health Department conducted 1,300 nutrition workshops and cooking demonstrations at 18
markets, reaching more than 37,000 people.32
Workshops were only held at 18 farmers’ markets
with GrowNYC, but there are many more markets than only the city’s “Stellar” markets.
GrowNYC alone hosts 54 farmers’ markets across the five boroughs,33
and there are a number of
other organizations that also host markets. As can be seen in Figure 3, the majority of the city's
markets are concentrated in Manhattan, the Bronx, and Brooklyn.
31
Ibid. 32
New York City Department of Health and Mental Hygiene, "New York City Health Department Farmers' Market
Programs," (New York June 2012). 33
GrowNYC, "Greenmarket Farmers Markets," http://www.grownyc.org/greenmarket.
Figure 3: New York City
Farmers’ Markets
Source: New York City Department of
Health and Mental Hygiene
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While New York City has struggled somewhat to effectively and efficiently create mobile food
providers, Chicago has had resounding success with its Fresh Moves mobile supermarket. Fresh
Moves was a nonprofit launched in 2006 after a report estimated that 600,000 Chicago residents
lived in food deserts, more than 20% of the city’s population. In five years, the number of people
living in food deserts has decreased by 40% to less than 400,000.34
There has been no formal
evaluation to determine the true impact of the Fresh Moves buses on these results, but the
program has been effective enough to receive national attention and funding from the likes of the
City of Chicago, the United States Department of Agriculture, and Oprah Winfrey.35
The
operation currently costs $275,000 per year and brings in about $50,000 in sales revenue.36
While it is not a profitable venture, the City of Chicago sees it as worthy of investment and has
committed more money and more buses to its continued operation.37
All three of these public-private partnerships have been extremely successful in increasing the
quantity of healthy foods available in communities across the city. Green Carts has had some
problems covering the areas of need and preventing small clusters of carts. The city has also
been moving slowly to distribute the licenses, despite long waiting lists of entrepreneurs looking
to make the leap and open a Green Cart. Farmers’ Markets also have little presence in Northern
Manhattan and Queens, but have been successful in expanding to most of the areas of need in
Brooklyn and the Bronx.38
All have also been successful in efforts to make healthy foods more accessible to low-income
populations by providing EBT machines at vendors. While this does not bring down the actual
price of the food, it makes it more feasible for SNAP beneficiaries to spend their benefits on
healthy foods rather than only processed foods. This, paired with Health Bucks (discussed
below) makes it feasible for an individual or family on food stamps to afford fresh produce.
These public-private partnerships harness the power of entrepreneurs and nonprofits to create
their own businesses. Initiatives like Fresh Moves, Farmers’ Markets and Green Carts both
represent little cost to the city and a good opportunity for entrepreneurs to make a relatively low
startup investment in a cart or farmers’ market stand and start a business venture.
Bringing Down the Cost: Health Bucks
Health Bucks was launched in 2005 by the NYC Human Resources Administration and has been
largely successful in increasing farmers’ market sales among low-income populations. Health
Bucks has grown to the largest SNAP incentive program in the nation, totaling $180,000 worth
of Health Bucks distributed. Health Bucks increase SNAP purchasing power by 40%, allowing
beneficiaries to stretch their dollar further, and healthier. Redemption rates among SNAP
beneficiaries was 93% in 2011; among community organizations it was 71%. While the
34
Sandra Guy, "Report: Chicago Food Desert Shrinks 40 Percent," Chicago Sun-Times October 24, 2011. 35
Office, "Mayor Emanuel and Us Department of Agriculture Secretary Vilsack Announce Investment in Mobile
Fresh Food Market in Chicago." 36
Angie Schmitt, "'Fresh Moves' Produce Market: Greening the (Food) Desert," AIArchitect November 16, 2012. 37
Mayor’s Press Office, "Mayor Emanuel and Us Department of Agriculture Secretary Vilsack Announce
Investment in Mobile Fresh Food Market in Chicago." 38
New York City Department of Health and Mental Hygiene, "Farmers' Market Map,"
http://www.nyc.gov/html/doh/downloads/pdf/cdp/farmers-market-map.pdf.
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redemption rate among community organizations is not as high, it has increased 18% since
2008.39
Health Bucks for SNAP beneficiaries are dependent on EBT spending, and since the introduction
of Health Bucks average EBT sales at farmers’ markets have more than doubled from $237 to
$597. Farmers’ Markets that accepted Health Bucks received an average of $170 more in daily
EBT sales than non-Health Bucks markets. DOHMH estimates that EBT sales coupled with
Health Bucks yielded more than $640,000 in additional revenue for local farmers.40
Health Bucks, more than any other city policy, has worked the hardest to make healthy foods
more affordable to low-income individuals and families. Farmers’ markets were long thought to
be the territory of the city’s yuppies and wealthy families, but Health Bucks shatters this
assumption and makes it possible for those on a tight budget to stretch their benefits and afford
the quality, healthy foods available at farmers’ markets. Vendors and individuals have clearly
taken to the vouchers, demonstrated by high redemption rates and increased revenues. The cost
to city government in 2011 was approximately $217,000: $180,000 worth of vouchers, $22,500
in administrative processing costs ($0.25 per voucher), and $15,000 for printing and postage
costs.41
Out with the Old, In with the New: Healthy Bodegas
The Healthy Bodegas program has been one of DOHMH’s most labor intensive programs, but it
has yielded positive results in nearly all areas. While the program initially began as a small pilot,
since the program’s inception in 2006 DOHMH outreach workers have worked with over 1,000
bodegas in the identified areas in Brooklyn, Manhattan and the Bronx.42
DOHMH outreach
workers conducted a program evaluation in 2011 with 60 bodegas, visiting each store 10 times
over five months to assess progress and success. Outreach workers evaluated success based on
16 health-promoting criteria relating to the availability of fruits and vegetables, low-sodium
products, multigrain products, no-sugar-added products, and low-fat milk.43
Stores stocking at
least four types of fresh fruits increased from 36% to 47%; stores with refrigerated water—not
soda or other sugary drinks—at eye level increased from 35% to 64%; 78% of store owners
reported that after the intervention, sales of healthy products increased.44
While the percentage
change may not be overwhelming, the trend is a positive step toward the goal of healthier food
providers. However, evaluators noted that, “Our findings indicate that although improving the
inventory of healthy foods in corner stores is feasible, changing customer purchases is more
difficult.”45
Sabrina Baronberg, Director of Food Access and Community Programs for
DOHMH, conceded the difficulty of changing customer attitudes and sustaining change in these
39
New York City Department of Health and Mental HygieneHygiene, "New York City Health Department Farmers'
Market Programs," 2-3. 40
Ibid., 4. 41
National Association of County & City Health Officials, "Model Practices Program Details: Health Bucks,"
http://www.naccho.org/topics/modelpractices/database/practice.cfm?practiceID=523. 42
Rachel Dannefer et al., "Healthy Bodegas: Increasing and Promoting Healthy Foods at Corner Stores in New York
City," American Journal of Public Health 102, no. 10 (2012): e27. 43
Ibid., e28. 44
Ibid., e29. 45
Ibid., e30.
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stores.46
The Adopt-a-Bodega program has become an offshoot of the Healthy Bodegas program
to engage community groups, nonprofits, elected officials, and everyday individuals to sustain
the healthy changes made in their bodegas and help influence community members to make the
healthier choices in these bodegas.47
Healthy Bodegas is labor intensive, and therefore expensive for the city, costing about $180,000
per year with no guarantee of any direct benefit to consumers or business owners.48
Food
retailers take risks when they change their inventory and are not paid by the city to do so. It is a
gamble for bodega owners, but one that many have undertaken in some small way. When bodega
owners do opt to make changes, it becomes much easier for neighborhood residents to have
access to healthy foods. In many neighborhoods the bodega is the primary food retailer, and their
stock dictates what is in residents’ refrigerators and kitchen cabinets. The goal of Healthy
Bodegas is not to decrease the price of healthy foods, but to provide healthy alternatives to the
standard processed choices available, which are hopefully within the price range of the average
consumer. The growth of the farm-to-bodega initiative can help decrease costs of produce and
establish partnerships between farmers’ markets and bodegas.
Green in the City: Urban Agriculture
Even advocates of urban agriculture concede that it cannot provide enough food to feed the city,
but nonetheless it still provides some food for city residents. In 2010 there were 87,690 pounds
of vegetables grown on 71,950 square feet in 67 gardens, averaging 1.2 pounds of produce per
square foot. Based on crop yield capabilities calculated by the USDA and the vacant space in
New York City, there is potential to supply the produce needs of as many as 174,000 people, far
from the city’s population, but a substantial number nonetheless considering how little space is
available in New York City. 49
This calculation did not include the potential of rooftop gardens or
repurposing already occupied spaces, such as schoolyards or space in New York City Housing
Authority complexes.
Urban farms that are not solely for personal consumption currently sell their produce through
Community Supported Agriculture (CSA) programs, farmers’ markets, or give their produce to
local food banks. Yet these efforts still have not made large contributions to the food security of
many New Yorkers. Figure 4 demonstrates that there are high concentrations of vacant lands and
community gardens in areas identified as being of the highest need. Much of this vacant land
could be utilized as a community agricultural garden or farm and provide at least some form of
support to the existing food environment to provide more fresh produce.
46
Sabrina Baronberg (Director, Food Access and Community Health Programs, NYC DOHMH) in discussion with
the author, April 2013. 47
New York City Department of Health and Mental Hygiene, "New York City Healthy Bodegas Initiative 2010
Report." 48
New York City Center for Economic Opportunity, "Ceo Internal Program Review Summary: Healthy Bodegas, a
Program of the New York City Department of Health and Mental Hygiene," (New York 2009). 49
Kubi Ackerman, "The Potential for Urban Agriculture in New York City," ed. The Earth Institute at Columbia
University (New York Urban Design Lab 2012), 20.
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Urban farming can bring new produce into neighborhoods without traditional retailers. Because
there are no transport costs the cost to consumers would also be lower than at most retailers. The
maintenance of an urban farm would not be a great cost in dollars, but in time. However, if there
was community buy-in and partnerships with nonprofit community organizations, small
community farms could not only provide healthy options for neighborhoods, but also a
neighborhood institution that have great community value.
Policy Recommendations New York City has been exemplary in its food access policies and has set a solid foundation that
cities across the globe can build on. With a new mayor coming into office next year, it is
important not to solely rest on the progress of the Bloomberg Administration and say the work is
done. There are still millions of New Yorkers living without sufficient access to a healthy food
retailer, or unable to afford the healthy foods available to them. These programs represent an
excellent beginning to what is sure to be a decades-long effort to ensure that all New Yorkers
have equal access to healthy foods.
Figure 4: Public Vacant Lands in
NYC
Source: The Potential for Urban
Agriculture in New York City, 2012
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Restructure FRESH
FRESH has gone above and beyond its grant requirement, but that does not mean it should not be
pushed even further. Getting new, large retailers into neighborhoods is a crucial part of any food
access strategy. The FFFI model may provide a way to scale the program up—using a small
public investment to encourage private investors—especially given the program’s grant will be
expiring next year.50
FRESH should restructure itself as a general fund that supermarkets could
take advantage of, rather than just a tax break or zoning incentive program. Store owners might
be keener to take advantage of a cash-based grant program rather than only incentives. However,
to improve upon the FFFI model the FRESH program should keep current requirements to
receive funding to ensure that food retailers are providing ample healthy options in their stores
and that the retailers are going where they are most needed.
Ramp Up Green Carts & Divest from Farmers’ Markets
The city has only released about half of the licenses available for Green Carts. The licensing
process must be expedited to get Green Carts out on the streets. With wait lists in the hundreds,
there is no reason to delay this process any further. The city should also monitor cart location to
ensure that there are not large clusters in small areas, but rather that the carts are spread out over
areas of need. This could be done by including a specific location for the Green Cart in the
license, determined by the city government and not by the retailer. The city should also ensure
that every Green Cart has an EBT machine so that SNAP beneficiaries can take advantage of
these healthy retailers.
While the Stellar Farmers’ Market has done an excellent job conducting workshops and lessons
for consumers, it is likely that this duty could be handled by nonprofit organizations, and it is at
many farmers’ markets. To ensure city resources are being used most efficiently, the city should
consider divesting from farmers’ market initiatives since this niche seems to be well served by a
number of nonprofit organizations.
The city should also seek to create a program like Chicago’s Fresh Moves, with mobile
supermarkets converted from decommissioned city buses. A program like this could provide
healthy food options beyond just fruits and vegetables. It also ensures that residents of different
neighborhoods are ensured the same quality of healthy foods.
Invest in Health Bucks
Health Bucks has primarily been targeted toward SNAP beneficiaries, with lower emphasis on
community organizations. While it is crucial to continue handing out vouchers to SNAP
beneficiaries, there should be increased focus on community organizations helping needy
populations, but that might not always be receiving SNAP benefits. There are plenty of low-
income New Yorkers who could benefit from this program, and the city should seek to
aggressively expand this crucial program. There is little point in having healthy food available in
a neighborhood if no one can afford it. The city should also explore expanding these vouchers
beyond only farmers’ markets to retailers like Green Carts or bodegas that have participated in
the Healthy Bodegas program.
50
Sabrina Baronberg (Director, Food Access and Community Health Programs, NYC DOHMH) in discussion with
the author, April 2013.
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Sustain Healthy Bodegas
With over 1,000 bodegas participating in the Healthy Bodegas program, the city should shift its
efforts toward sustaining changes already made by shifting focus to its “Adopt-a-Bodega”
program, which trains community organizers, nonprofits, and individuals to work with bodega
owners to make new healthy changes and to sustain old changes.
The program should also focus more on its “Farm to Bodega” initiative, which could be boosted
by an increase in urban farms and agricultural gardens in the city. This could also be bolstered by
foods directly from farmers’ markets across the city. This will increase stock of healthy produce
and hopefully lower the costs because of the low transport costs.
Create Spaces for Urban Agriculture
Urban agriculture is currently the most lacking in the city’s food policy toolkit. Agricultural
gardens and farms have been the purview of nonprofit organizations and individuals and have
been successful on a small scale. While the city should refrain from directly operating farms, a
time and labor intensive process, the city should instead devote a portion of vacant, city owned
land in areas of low access to healthy foods to community organizations committed to creating
and sustaining urban agricultural space. The city should also rezone those vacant lots to allow
gardens and farms to be developed with minimal bureaucratic interference.
The city can also explore creating agricultural gardens on New York City Housing Authority
(NYCHA) properties, many of which are in areas lacking sufficient access to healthy food. There
is already a well-established NYCHA program, “Garden and Greening,” began in 1962, that
establishes community gardens on NYCHA properties.51
However, this is mostly for
beautification purposes. This program should be expanded, with the help of community partners,
to eventually create an agricultural garden on every NYCHA property. According to an
independent evaluation, there are currently 1,199 acres of NYCHA green space that could be
used for potential agricultural farms or gardens.52
Conclusion These numerous programs created by the Bloomberg Administration can be altered and
expanded beyond their current parameters to make healthy foods accessible both geographically
and economically. The economic component is especially important as the city moves forward.
Mayor Bloomberg and the Food Policy Task Force have created a solid set of programs that
increase geographic access to healthy foods. The next mayor, whoever that may be, can put his
or her unique mark on this issue by focusing on economic accessibility. The next Administration
must continue to build upon this foundation so that a zip code is not a determinant of someone’s
diet or their access to healthy food options.
51
New York City Housing Authority, "Community Programs & Services: Garden Program,"
http://www.nyc.gov/html/nycha/html/community/garden.shtml. 52
Ackerman, "The Potential for Urban Agriculture in New York City."
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Acronyms
CSA Community Supported Agriculture
EBT Electronic Benefit Transfer
DCP Department of City Planning
DOHMH Department of Health and Mental Hygiene
FFFI Fresh Food Financing Initiative
FRESH Food Retail Expansion to Support Health
HRA Human Resources Administration
IDA Industrial Development Agency
NMTC New Market Tax Credit
NYCHA New York City Housing Authority
NYSERDA New York State Energy Research and Development Association
SNAP Supplemental Nutrition Assistance Program
SNI Supermarket Need Index
TRF The Reinvestment Fund
USDA United States Department of Agriculture