The Child and Adult Care Food Program subsidizes nutritious meals and snacks served to participants in child care nationwide, providing different levels or “tiers” of meal reimbursement based on the income level of participating children, providers, and nearby geographic areas. Policymakers have long been concerned that programs such as CACFP are not as accessible to eligible children in rural areas as in urban areas.

The Child Nutrition and WIC Reauthorization Act of 2004 authorized a pilot to operate in rural Pennsylvania during the summers of 2005 and 2006. The purpose was to test whether lowering the site eligibility threshold from 50 percent to 40 percent would increase the number of children participating in the program.