FACTS Child Nutrition Reauthorization Act Summer Feeding Service Program OVERVIEW Nearly 31.8% or 23.9 million U.S. children ages 2-19 are overweight or obese1 and it is projected that 42% of the country will be obese by 2030, up from about one-third today.2 Currently, it is estimated that America spends $14.3 billion annually to treat obese children.3, 4,5 The need to create and continue federally funded programs to address childhood obesity is enormous. Federal nutrition programs have been successful in combating childhood obesity by increasing access to healthy meals; economists estimate that receipt of a free or reduced price school lunch reduces obesity rates by at least 17%.6 One of those programs is the Summer Feeding Service Program (SFSP), which provides nutritious meals for the summer months. SFSP can help alleviate the risk of young children potentially having a BMI gain during summer vacation by continuing to provide nutritious meals when schools are not in session.7 Eating more fruits,vegetables, and whole grains, and limiting intake of sugar-sweetened beverages and sodium are important strategies for consuming a healthy diet; these are key priorities for the American Heart Association as we try to improve the cardiovascular health of the U.S. population by 20% by 2020. BACKGROUND The United States Department of Agriculture (USDA) Food and Nutrition Services (FNS) administers various programs to address the nutritional needs of children. The two largest programs, the National School Lunch Program (NSLP) and School Breakfast Program (SBP), provide nutritious meals and snacks for children who attend public and non-profit private schools, as well as those who live in residential child care institutions. An additional program, the Summer Feeding Service Program (SFSP), was established in 1968 to cover the summer months when children eligible for NSLP and SBP lose access to the programs only offered during the school year.8 School districts and other organizations that sponsor SFSP are reimbursed in various ways. SFSP meals must meet USDA nutritional guidelines.9 Current SFSP regulations lay out meal patterns that each lunch must meet: one serving of milk, two servings of fruits and/or vegetables, and one serving of grain and protein.10 THE EVOLUTION OF THE PROGRAM Congress has identified and worked to address some challenges within the SFSP program. Consolidated Appropriations Act of 200111 This act addressed the issue of how sponsors reported that programmatic paperwork was time-consuming and resulted in excessive administrative costs.12 It authorized a pilot study in some states to test the effects of a streamlined administrative process that reimbursed meals at a fixed rate, dropped the requirement of sponsors having to report administrative and operational costs to the state to receive reimbursements, and also relaxed restrictions regarding the use of program funds to pay for operational expenses. The Child Nutrition and WIC Reauthorization Act of 200411 Due to the pilot’s successful outcomes this act extended the simplified paperwork process to sponsors and families which further increased program participation. Together, these adjustments brought the total number of participating states to 27 with a concomitant increase in sponsor and child participation. 1150 Connecticut Ave. NW Suite 300 Washington, DC 20036 Phone: (202) 785-7900 Fax: (202) 785-7950 www.heart.org/policyfactsheets FACT SHEET: Summer Feeding Service Program The Consolidated Appropriations Act of 200811 This act extended the simplified SFSP accounting procedures to all SFSP sponsors across the nation. This allowed sponsors in all states to be reimbursed on a per-meal basis and ultimately helped increase state participation and involvement. Food and Nutrition Services Grant 2010-11 Program sponsors noted that the limited hours of programs and transportation was an issue for participating children.12 Under the Healthy Hunger-Free Kids Act, $85 million was granted to develop and test alternative methods of providing summer access to food for lowincome children in urban and rural areas.13 The study focused on three areas: financial incentives for the sponsors, take-home backpacks and Summer Electronic Benefits Transfer for Children. Each area enabled the children to either get a nutritious meal remotely or on non-operating days. Participating states saw an increase in the participation rates. OTHER CHALLENGES In response to challenges some sites were having in meeting the nutritional recommendations, the Food Research and Action Center (FRAC) developed a recognition program, Standards of Excellence. To encourage nutritional guideline achievement at SFSP sites, levels are awarded according to achievement of certain meal requirements.14 Plate waste, food that children select or is served but not eaten,12 has been a concern for the program. Plate waste is not just a SFSP concern and is part of a larger societal trend. One study found that food waste has increased from about 30% of the available food supply in 1974 to almost 40% in recent years.15 Food waste in the SFSP program does occur, but a Harvard study that looked at NSLP, found that a short-term investment in the right resources and staff can alleviate this problem.16 SFSP could invest in implementing these same innovative strategies to address this concern. CURRENT SITUATION A 2014 FRAC report shows a consistent and growing demand for the SFSP program. In July 2013, SFSP and NSLP together served lunch to nearly three million children on an average day and the total number of children participating increased by more than 161,000 from 2012 to 2013.17 Both the number of SFSP sponsors and sites also increased between 2013 and 2012, with 44 sponsors and 2,370 children added nationally. In 2013, USDA surpassed its goal and served seven million more meals in the summer of 2013 than 2012.17 Individual states have implemented innovative strategies. For example, Yuma Union High School in Arizona has expanded from two to 18 sites in over three years by partnering with the public library. This initiated a work training program for teenagers to teach them about food, safety, baking, preparing meals and the responsibility of holding a job.18 THE ASSOCIATION ADVOCATES The American Heart Association supports the SFSP program and encourages Congress to incorporate the following recommendations into its consideration of the program as part of the next child nutrition reauthorization process. • The nutritional guidelines for various feeding programs should be standardized so that there is consistency across them. These guidelines should specify calorie, sodium and saturated fat intake, as well as what types of beverages to serve—similar to the standars in school meal program and the Child and Adult Care Feeding Program. • Current funding should be directed to support the ongoing and expanded implementation of the SFSP to address areas such as accessibility, transportation and meeting nutritional guidelines. The funding will enable programs to invest in resources to address these areas. 1. Cynthia L. Ogden, PhD; Margaret D. Carroll, MSPH; Brian K. Kit, MD, MPH; Katherine M. Flegal, PhD, Prevalence of Child and Adult Obesity in the United States, 2011-2012. JAMA. 2014;311(8):806-814 2. Finkelstein, Eric A., et al. "Obesity and Severe Obesity Forecasts through 2030." American Journal of Preventive Medicine 42.6 (2012): 563-70. Print. 3. Hammond, R. A., and R. Levine. "The Economic Impact of Obesity in the United States." Diabetes, metabolic syndrome and obesity : targets and therapy 3 (2010): 285-95. Print. 4. Cawley J. The economics of childhood obesity. Health Aff (Millwood). 2010;29(3):364–371. 5. Trasande L, Chatterjee S. The impact of obesity on health service utilization and costs in childhood. Obesity (Silver Spring). 2009; 17(9):1749–1754. 6. Gundersen, Craig, Brent Kreider, and John Pepper. "The Impact of the National School Lunch Program on Child Health: A Nonparametric Bounds Analysis." Journal of Econometrics 166.1 (2012): 79-91. Print. 7. Von Hippel, Paul T., et al. "The Effect of School on Overweight in Childhood: Gain in Body Mass Index during the School Year and during Summer Vacation." American Journal of Public Health 97.4 (2007): 696-702. Print. 8. "Analysis of Summer Food Service Program and Food Needs of Nonparticipating Children." Summer Food Services Program. USDA , n.d. Web. 1 Aug. 2014. <http://www.fns.usda.gov/sites/default/files/SFSPFoodNeeds.pdf>. 9. "Dietary Guidelines for Americans." Dietary Guidelines for Americans. N.p., n.d. Web. 4 Aug. 2014. <http://www.cnpp.usda.gov/dietaryguidelines.htm>. 10. Summer Food Serve Program. Web. 24 Sept. 2014. <http://www.fns.usda.gov/sfsp/sfsp-mealsand-snacks> 11. "Evaluation of the Impact of Enhancement Demonstrations on Participation in the Summer Food Service Program (SFSP): FY 2011." Food and Nutrition Service. N.p., n.d. Web. 4 Aug. 2014. <http://www.fns.usda.gov/evaluation-impact-enhancement-demonstrations-participationsummer-food-service-program-sfsp-fy-2011>. 12. Gordon, Anne, et al. Feeding Low-Income Children when School is Out: The Summer Food Service Program. Mathematica Policy Research, 2003. Print. 13. "Report on the Summer Food for Children Demonstration Projects for Fiscal Year 2012." U.S. Department of Agriculture Food and Nutrition Service, A Report to Congress. USDA , n.d. Web. 1 Aug. 2014. <http://www.fns.usda.gov/sites/default/files/2012SFCReporttoCongress.pdf>. 14. Food Research and Action Center. Afterschool Nutrition Standards of Excellence. Web. 24. Sept. 2014. <http://frac.org/newsite/wp-content/uploads/2009/06/afstandards.pdf> 15. Hall, Kevin D., et al. "The Progressive Increase of Food Waste in America and its Environmental Impact." PLoS One 4.11 (2009): e7940. Print. 16. Cohen, Juliana FW, et al. "School Lunch Waste among Middle School Students: Nutrients Consumed and Costs." American Journal of Preventive Medicine 44.2 (2013): 114-21. Print. 17. "Hunger Doesn't Take a Vacation ." Summer Nutrition Status Report 2014. Food Research and Action Center , n.d. Web. 1 Aug. 2014. 18. Model Summer Programs. Web. <http://frac.org/federal-foodnutrition-programs/summerprograms/model-summer-programs/>. HPFS/1014