This report evaluates states’ healthy eating and physical activity regulations for two types of child care facilities: child-care centers and child-care homes. To determine states’ performance, experts first compiled a list of top ten healthy eating and top ten physical activity regulations, then compared this list against existing child-care regulations for the 50 United States, the District of Columbia, the U.S. Virgin Islands, Puerto Rico, and the Department of Defense. The study found that most states had few regulations in place. Researchers also calculated a grade for each state on the basis of more general healthy eating and physical activity regulations.