Expanding CACFP
The federal Child and Adult Care Food Program (CACFP) provides financial support for food service in ECE programs, rendering it a key policy lever in addressing food security and improving nutrition in young children. When children eat their meals and snacks at CACFP-participating centers or daycare homes, their families save up to $33.15 (in FY2021/2022) per child in weekly food costs. CACFP also supports the success of ECE programs because without CACFP meal reimbursements, providers might need to charge higher tuition or stop providing meals to children in need. CACFP also provides nutrition education free of charge, which can benefit the ECE providers as well as the children in their care.
Despite the benefits of participation in CACFP – including the availability of federal funds to help more children - program utilization remains low, limiting access to healthy meals and snacks for millions of young children. Our goal is to support expanded access to CACFP and correct a lost economic opportunity for thousands of ECE providers and children they serve.
Read about our projects and explore resources about expanding CACFP below.
Projects
Understanding the Lost Opportunity of CACFP in Improving Child Nutrition and Reducing Health Inequities
Barriers to Participation in CACFP: Opportunities for Expansion
This study aims to understand experiences and challenges faced by CACFP-participating programs in order to identify opportunities for expanding access to CACFP. In an online survey of CACFP-participating child care centers in Connecticut, we describe center experiences with CACFP, including reasons for participation, challenges with adherence to the program requirements and implementation of the revised CACFP meal patterns. We gather center recommendations to make CACFP participation and uptake easier for child care providers and propose policy changes for making them a reality. Finally, we provide an economic rationale for states to expand access to CACFP. We calculate an economic cost of CACFP underutilization in the state of Connecticut, including federal funding lost due to lack of participation among eligible child care providers. We compare it with the financial burden on families whose young children did not receive nutritious CACFP meals that they are entitled to and that would help them thrive.
Funded by a grant administered by the Child Health and Development Institute of Connecticut and funded by the Children’s Fund of Connecticut, Connecticut Health Foundation, and Newman’s Own Foundation.
Resources
Publications
- Kenney E. L., Tucker, K., Plummer, R. S., Mita, C., & Andreyeva, T. (2023). The Child and Adult Care Food Program and young children’s health: a systematic review. Nutrition Reviews, nuad016. https://doi.org/10.1093/nutrit/nuad016
- Andreyeva T, Marple K, Moore TE, Powell LM. (2022). Evaluation of Economic and Health Outcomes Associated With Food Taxes and Subsidies: A Systematic Review and Meta-analysis. JAMA Network Open, 5(6), 1-15. DOI:10.1001/jamanetworkopen.2022.14371
- Andreyeva T, Marple K, Marinello S, Moore TE, Powell LM. (2022). Outcomes Following Taxation of Sugar-Sweetened Beverages: A Systematic Review and Meta-analysis. JAMA Network Open, 5(6), 1-18. DOI:10.1001/jamanetworkopen.2022.15276
- Andreyeva T., Mozaffarian, R. S., & Kenny, E. L. (2022). Updated Meal Patterns in the Child and Adult Care Food Program and Changes in Quality of Food and Beverages Served: A Natural Experimental Study. Nutrients, 14(18), 3786. https://doi.org/10.3390/nu14183786
- McCann, M., Prager, J., Andreyeva, T. (2022). The Child and Adult Care Food Program: Evaluation of State Agency Websites. UConn Rudd Center for Food Policy and Health. https://uconnruddcenter.org/wp-content/uploads/sites/2909/2022/06/CACFP_FactSheet-062722.pdf
- Andreyeva A, Sun X, Cannon M, Kenney E. The Child and Adult Care Food Program: Barriers to Participation and Financial Implications of Underuse, Journal of Nutrition Education and Behavior, 2021. ISSN 1499-404. https://doi.org/10.1016/j.jneb.2021.10.001.
- Bauer, K. W., Chriqui, J. F., Andreyeva, T., Kenney, E. L., Stage, V. C., Dev, D., Lessard, L., Cotwright, C. J., & Tovar, A. (2021). A Safety Net Unraveling: Feeding Young Children During COVID-19. American Journal of Public Health, 111(1), 116–120. https://doi.org/10.2105/AJPH.2020.305980.