Starting with New York City in 2006 and more recently in California and Massachusetts, an increasing number of municipalities and states have enacted or are considering legislation mandating calorie posting by fast food restaurants. In recent months, the House and Senate introduced health care reform bills with provisions for menu labeling. The House bill—based on the Menu Education and Labeling (MEAL) Act—would require chain restaurants with 20 or more locations to post the number of calories, grams of saturated fat, and milligrams of sodium next to menu items.