In 2007, USDA introduced a new set of food packages via an Interim Rule based on recommendations from the Institute of Medicine, which were implemented by October 2009. The contents of the food packages were finalized via a Final Rule in 2014. The Final Rule clarified some provisions in the Interim Rule and allowed some additional options and substitutions.

This report includes findings from formative research undertaken to help USDA assist child care providers in following the nutrition, physical activity, and electronic media use recommendations outlined in the Healthy, Hunger-Free Kids Act of 2010.