- Author: Brianna Aguayo Villalon
- Editor: Danielle Lee
- Editor: Lorrene Ritchie
The federal Child and Adult Care Food Program, commonly known as CACFP, provides tiered reimbursements to family childcare homes to ensure children in low-income communities have access to healthy meals. To address heightened food insecurity during the COVID-19 pandemic, tiers were eliminated and all participating family childcare home providers received increased CACFP reimbursement rates. Nutrition Policy Institute researchers examined the perceived impacts of increased reimbursements on CACFP participation and challenges anticipated with the reinstatement of tiered rates after the pandemic from surveys completed by 518 California providers. Results showed that the temporary higher reimbursement rates lowered out-of-pocket food costs, were more adequate than rates prior to COVID-19, and supported greater perceived variety, quality, and healthfulness of foods served, especially for tier 2 providers who previously received the lowest reimbursement. Removal of the tiered reimbursements may help improve child nutrition and address the rise of nutrition-related chronic conditions. The study was published in the Nutrients journal by NPI researchers Lorrene Ritchie, Kassandra Bacon, Celeste Felix, and Danielle Lee, Samantha Marshall and Elyse Homel Vitale with the CACFP Roundtable, and Susana Matias with the Department of Nutritional Sciences and Toxicology at the University of California, Berkeley.
A 2023 Arizona survey of food service directors and school nutrition staff identified the effects of the move away from free school meals for all students in the 2022-2023 academic year. While Arizona students no longer were provided free school meals for all, a statewide policy that eliminated co-pays for reduced-price lunch took effect in January 2023, expanding the population of students able to receive meals without charge. The survey respondents represented almost one-third of Arizona school districts with most districts having at least 40% of students eligible for free or reduced-price lunch. That academic year, 71% of schools reported experiencing a decline in school meal participation. Respondents perceived that inadequate meal variety, taste or portion sizes, as well as stigma around free and reduced-price lunch contributed to the student participation decline. Respondents also reported perceiving that students prefer meals from home or skipping meals potentially due to high cost. Food service professionals felt that parents were confused about changing meal costs and the burden of an additional application process to qualify for free or reduced-price lunch. More than half of respondents reported an increase in paperwork for administration and staffing challenges. Factors that helped schools during this time included federal Supply Chain Assistance funds, state and federal funding for school meals, and a supportive district administration.
A 2024 article by Lela Nargi of The Guardian discussed the issue of potable water in schools and how inconsistent regulation can put children at risk for under-hydration or lead exposure. The article highlighted a 2022 study by NPI's Christina Hecht and collaborators and included quotes from Hecht, who described the development of legislation for drinking water in the federal child nutrition programs. In 2010, the Healthy, Hunger-Free Kids Act made free potable drinking water a requirement during meal times at all US schools participating in the National School Lunch Program and childcare facilities participating in the Child and Adult Care Food Program. However, states' varied implementation of the law plus a lack of funding for drinking water needs has left some schools with inadequate water sources or compromised quality. While a 2019 USDA survey of 1,257 schools indicated a 95% compliance rate with the Healthy, Hunger-Free Kids Act, experts including Christina Hecht, who coordinates the National Drinking Water Alliance with the Nutrition Policy Institute, highlight how this survey did not collect adequate data to determine whether safe and appealing drinking water was truly accessible. Lead contamination is a primary concern. Hecht and partners' 2022 study found 13% to 81% of 5,688 schools in seven states with available data had tap water with lead levels above 5 parts per billion (ppb). For comparison, FDA requires that bottled water have no more than 5 ppb of lead while the American Academy of Pediatrics recommends a maximum of 1 ppb for school drinking water. States have varying requirements for lead testing of school and licensed childcare drinking water and, while federal funds for testing have been available since 2016 through an EPA-administered program, it was only with the passage of the Bipartisan Infrastructure Law of 2021 that federal funds were allocated to assist schools with remediation of lead in tap water.
Nutrition Policy Institute Director Dr. Lorrene Ritchie presents at the Society for Nutrition Education and Behavior, SNEB, 2024 international conference. This year's international conference, themed “Understanding Foodways: Learning, Growing, and Sustaining,” will highlight the reasons why we eat the foods we eat and the impacts of those choices on ourselves and our communities. The SNEB conference takes place at the University of Tennessee in Knoxville and through a virtual livestream from July 29th through August 1st, 2024. Lorrene Ritchie participates in a session on August 1, 3:30-4:30 p.m. ET titled “Food Waste Reduction Efforts: The Intersection of Food Ways, Climate Change, and Human Health,” along with Sara Elkbakib and Yu Meng. Additionally, Ritchie presents a poster on July 31, 4:30-5:30 p.m. ET titled “Boosting the Benefits of WIC: Exploring Participant Perspectives from the 2023 Multi-State WIC Survey;” co-authored by NPI's Danielle Lee and Celeste Felix as well as Georgia Machell, and Loan Kim. Ritchie is one member of the team for an additional poster presentation on July 31, 4:30-5:30 p.m. EST titled “Child and Adult Care Food Program Meal Reimbursement Rates and Program Participation by Family Child Care Homes in California,” presented by Susana Matias of UC Berkeley's Nutritional Sciences and Toxicology Department, and co-authored by NPI's Danielle Lee, Kassandra Bacon, and Celeste Felix, and CACFP Roundtable's Samantha Kay-Daleiden Marshall and Elyse Homel Vitale. Furthermore, Ritchie gives an oral presentation on July 31, 2:30-3:15 p.m. ET titled “Impact of Increased Child and Adult Care Food Program Reimbursement Rates for Family Child Care Home Providers in California,” co-authored by NPI's Danielle Lee, Kassandra Bacon, and Celeste Felix, CACFP Roundtable's Samantha Kay-Daleiden Marshall and Elyse Homel Vitale, and UC Berkeley's Susana Matias. Lastly, Ritchie speaks on July 31, 3:30-4:30 p.m. ET and a subsequent invited poster presentation on August 1, 4:30-5:30 p.m. ET titled “Transition to freshly prepared school meals: impact of meal appeal student participation, intake, food and packaging waste & school finance,” co-authored by NPI's Celeste Felix, Danielle Lee, and Wendi Gosliner, as well as UC Berkeley School of Public Health's Hannah Thompson, Caroline Nguyen, and Kris Madsen.
A recently published study reveals that California students appreciate Universal School Meals, reporting that having meals free of charge for all students made school meals more accessible, reduced stigma, improved food security, and streamlined the process for receiving meals. Prompted by the rise in food insecurity during the COVID-19 pandemic, in 2020-2022 the USDA implemented an unprecedented change allowing schools to serve meals free of charge to all students regardless of household income. For many students, school meals are their primary source of nutritious food. This qualitative study, conducted in 9 different regions in California, interviewed 67 middle and high school students, representative of the demographic profile of students in the state, about their experiences with Universal School Meals during the pandemic. Students expressed widespread appreciation for the program and a desire for its continuation. Students of different backgrounds agreed that the program supported food security by relieving the financial burden on families during an economically hard time. This was achieved through easier access to school meals by eliminating income barriers and the eligibility process. Universal School Meals also reduced the stigma faced by those who receive free or reduced-price school meals by including everyone in the program. There is still room for improvement, as students expressed concern about the quality and quantity of food served during the pandemic and perceived greater food waste. California was the first state to commit to continuing Universal School Meals beyond the 2021-2022 school year. This study was published online in the Journal of Nutrition Education and Behavior co-authored by Dania Orta-Aleman, Monica Zuercher, Kassandra Bacon, Carolyn Chelius, Christina Hecht, Ken Hecht, Lorrene Ritchie, and Wendi Gosliner of the Nutrition Policy Institute and Juliana Cohen of Merrimack College. This research was funded by California General Fund SB 170.