Ultra-processed foods (UPFs) are ubiquitous in the U.S. food supply, while growing evidence shows that UPFs harm children’s health. Schools offer a promising setting to introduce UPF regulation and reduce the availability of UPFs. This brief explores the issue of UPFs in school meals and identifies opportunities and challenges to replace UPFs with more fresh More
In 2022, Colorado became one of the first states in the nation to pass a universal free school meal program when Proposition FF created Colorado Healthy School Meals for All (HSMA). In May 2025, the Colorado General Assembly passed HB25-1274 to fully fund the HSMA program, which has been referred to two ballot measures in More
The Robert Wood Johnson Foundation’s (RWJF) commitment to child obesity ends in December 2025, marking the conclusion of a two-decade investment in Healthy Eating Research (HER). As part of our RWJF legacy, HER is developing a national research agenda for policy, systems, and environmental (PSE) interventions and strategies to promote food and nutrition security, optimal More
This study aimed to examine the impact of federal- and state-level Universal Free School Meal (UFSM) policies and related policies on National School Lunch Program (NSLP) and School Breakfast Program (SBP) participation rates during and after the COVID-19 pandemic. This comparative effectiveness research study used a natural experiment created by the COVID-19 pandemic to analyze More
School meals play an important role in supporting children’s nutrition. Despite substantial improvements in the nutritional quality of school meals following the 2010 Healthy, Hunger-Free Kids Act, concerns remain regarding the level of processing of the foods served in schools. This may be due to growing evidence of potential adverse outcomes associated with ultra-processed foods, More
The Community Eligibility Provision (CEP) eligibility expansion intends to offer benefits to more students, yet leaders of eligible districts may choose not to apply for CEP to avoid related fiscal challenges, such as covering the cost of meals and potential loss of state aid. This project is the first to examine characteristics of the eligible More
Universal free school meals (UFSMs) can reduce disparities in food and nutrition security by addressing barriers to accessing nutritious food. Eight states have passed permanent UFSMs policies and others are underway; however, existing research mainly considers the effects of UFSMs without examining their implementation. This study aims to: 1) Describe how UFSMs have been implemented More
The aim of this project is to update and synchronize two measures: the Wellness School Assessment Tool (WellSAT), which is a quantitative measure of written district wellness policies, and the Centers for Disease Control and Prevention’s School Health Index (SHI), which is a self-report measure of school-based practices. The WellSAT and SHI are the leading More
Although interventions to change nutrition policies, systems, and environments (PSE) for children are generally cost effective for preventing childhood obesity, existing evidence suggests that nutrition education curricula, without accompanying PSE changes, are more commonly implemented. This study aimed to estimate the societal costs and potential for cost-effectiveness of 3 nutrition education curricula frequently implemented in More
This study aimed to evaluate parent perceptions of the influence of Massachusetts’ statewide UFSM policy on households eligible and ineligible for FRPM, using a cross-sectional survey of parents across income categories conducted during the 2022-2023 school year. Participants were Massachusetts parents (N = 403) with children in grades kindergarten through grade 12 with incomes ranging More
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