Meals Offered by Tier 2 CACFP Family Child Care Providers - Effects of Lower Meal Reimbursements: A Report to Congress on the Family Child Care Homes Legislative Changes Study
Mary Kay Crepinsek , Nancy Burstein , Ellen Lee , Stephen Kennedy , and William Hamilton
The introduction of tiered reimbursement rates in 1997 did not substantially affect the food and nutrient composition of meals offered by Tier 2 providers in the Child and Adult Care Food Program (CACFP). The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 mandated a tiered reimbursement structure designed to target benefits more narrowly to low-income children and called for a study of its effects on program participation and child nutrition. PRWORA reduced reimbursement rates for Tier 2 providers (providers who are not low-income themselves and do not live in low-income areas). According to our 1999 study, Tier 2 providers neither cut back on meals and snacks served nor offered less nutritious foods, despite initial concerns about how Tier 2 providers would react to the reduced rates. Tier 2 meals have not compromised the overall goal of the CACFP meal component requirements: to provide a mix of foods that make an important contribution to a child's major nutritional needs.