State: California

“It’s just not worth it anymore”: A Mixed Methods Study Examining the Impact of Reinstating Reimbursement Tiers in the Child and Adult Care Food Program

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This study aimed to assess impacts of the Child and Adult Care Food Program (CACFP) reinstatement of tiered reimbursements among family child care home (FCCH) providers, sponsors, and families in California. Irrespective of tier, surveyed providers reported that the reinstated, tiered reimbursements were insufficient (92.4%), resulting in reduced food variety (39.1%) and quality (14.8%), and More

Trends in California Child and Adult Care Food Program Participation Among Family Child Care Home Providers: The Role of Tiered Meal Reimbursements

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In March 2020, the coronavirus disease 2019 (COVID-19) pandemic triggered lockdowns in several states, which immediately affected the number of children served by the CACFP. Nationally, there was a 23% reduction in the number of meals served through CACFP in 2020 compared with 2019. From July 2021 through June 2023, a series of USDA waivers More

Perspectives on Messaging Strategies to Increase Participation in Universal Free School Meal Programs: A Qualitative Study With Parents of Elementary School-Aged Children

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At least eight U.S. states currently offer universal free school meal programs, providing meals at no cost to all students regardless of household income. While marketing campaigns may help increase student participation, limited research has examined what message content and design most effectively motivate parents to encourage school meal use. This qualitative study explored parents’ More

Impact of Deimplementing Universal Free School Meals: School Food Authority Perspectives

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This study examined the impact of deimplementing universal free school meal (UFSM) policies compared with continuing UFSM at the state level. A cross-sectional survey was conducted in spring 2023 with 941 school food authorities (SFAs) across eight U.S. states, assessing outcomes such as meal participation, foodservice revenues, staffing needs, administrative burdens, stigma, and student meal More

Provider, sponsor and family perceptions of Child and Adult Care Food Program (CACFP) participation and COVID-19 reimbursement increases

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Family childcare home (FCCH) providers’ participation in the Child and Adult Care Food Program (CACFP) has declined, often due to inadequate tiered reimbursements. During COVID-19, federal waivers temporarily removed tiers and raised reimbursement rates, offering insight into program impacts. From September 2023 to February 2024, interviews with California FCCH providers (n=31), CACFP sponsors (n=10), and More

Lived Experiences of Families Navigating Safety Net Expansions and Retractions During the Pandemic: A Qualitative Study

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This study aimed to understand the experiences of families with low income in California with pandemic safety net support expansions and retractions, including barriers to program access. Using open-ended questions, we explored the self-reported experiences of pandemic-era safety net expansions and expirations between January and June 2023 among a group of caregivers of young children More

Take-up of the 2021 child tax credit expansion among disadvantaged households in California: Continuing barriers to health equity

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In 2021 Congress expanded the Child Tax Credit (CTC), one of the largest US economic supports for working families with proven benefits for health. Information on CTC take-up among eligible families is lacking. Understanding barriers to anti-poverty programs is an urgent policy issue, as low take-up is an established barrier to health equity. Among a More

WIC Service Use, Benefit Redemption, and Continued Participation among Participants in California

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The objectives of this study were to describe WIC service utilization patterns (in-person, telephone, video conference, interactive texting, online individual education, online group education) and assess associations of service utilization with WIC benefit redemption and continued participation. Study data include survey and administrative data from households with a WIC-participating child aged 1 to 4 years More

Safety net program participation patterns, sociodemographic factors, and health: A latent transition analysis in a US cohort study

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U.S. safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health. Surveys among California households with low income (N=380) conducted in 2020-2021 and 2023 captured take-up of federal assistance programs (Medicaid; Supplemental Nutrition Assistance Program [SNAP]; More

Pilot-testing a peer navigator intervention for the Child and Adult Care Food Program to bridge a gap in nutrition supports in family childcare

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CACFP has the potential to reach many families with low income to support improved food security, diet quality, and financial stability. Yet just over half of FCCHs in California participate. Previously HER-funded research shows this is due in part to complex program administrative burdens. This project will develop and pilot a peer navigator intervention to More