Latest / Nutrition Connection by Dr. Kristen Hicks-Roof / 75: Stephanie Simms Hodges MS, MPH, RDN - FOOD POLICY
Transcript
- Kristen Hicks-Roof PhD, RD: Welcome back to the Nutrition Connection Podcast, the show where science meets storytelling. I'm your host, Dr. Kristen Hicksroof, dietitian, researcher, and lifelong advocate of the role of nutrition, health, and wellness. Each episode, I sit down with dietitians and nutrition experts all across the food and healthcare landscapes, leaders whose work touches nearly every aspect of our lives. The views, thoughts, and comments on this podcast do not reflect those of my employer nor the employers of my guests. Y'all, I'm super excited to bring on today's guest today. She's deep in the food policy space, but it all started back in school meals and government relations. So you're gonna learn all about it. We have Stephanie Hodges. She's the founder and owner and food policy consultant with the Nourished Principles. Welcome to the show, Stephanie. Stephanie Hodges: Thanks for having me. Kristen Hicks-Roof PhD, RD: So it's always fun to bring people on, especially in this food policy space where there's a lot of curiosity, I think. You know, the academy talks very frequently about advocacy and advancing our profession. But I think a lot of people aren't necessarily sure how do I get into it? What kind of jobs are there? So I'm hoping you can help to decipher and give some ideas as people are intrigued in this area. but I want to bring it to be to the beginning of your career. What really inspired you and made you we want to become a nutrition professional? Stephanie Hodges: So being a dietitian and working in nutrition was not on my radar, as happens, I feel like with so many of us. I stumbled upon an intro to nutrition course when I was an undergrad and really found that not only did I love the subject, but all of the professors that I had just seemed like they loved their jobs. They loved the work that they do. They loved how impactful it could be. And so once I finished undergrad, I actually did an AmeriCorps Vista year of service at a very small community-based nonprofit in Richmond, Virginia, where I currently live. And we were doing a lot of school-based programming around improving nutrition and improving physical activity. And what I kept coming back to was if there's no policy to back up how long a child has to sit in the lunchroom to eat their lunch, if there's no policy around how many times they have recess a week and how long that is, or how often they have PE. It doesn't necessarily get prioritized. So once I finished that year of service, I went and got a dual master's degrees from Tufts University, one in food policy and one in public health. And during that time, I actually did a public policy research internship at the National WIC Association on the Hill. And from there I just fell in love with the subject of policy and really how it can help. Improved nutrition, whether it's a federal nutrition assistance program, whether it's whether it's generally in communities. And so from there, I finished school, I did my dietetic internship. Everything just kept pulling me back to policy. And my first job out of my internship, I actually worked in the governor's office in Virginia. And so at that time, that administration. was very curious and very hardly working on how to improve food security actually through the federal program. So a ton of work in school meals. I then moved over to our State Department of Education and oversaw about $10 million in USDA demonstration grants. and one of those was actually Summer EBT when it was a demonstration, which is now a permanent project or a permanent program. So it's really fun to see the trajectory of some of the things that I've gotten to work on. But for the last eight years, I've been my own boss. I've been able to work with a lot of really great clients supporting things that really happen in the policy space in terms of improving food and nutrition security. Kristen Hicks-Roof PhD, RD: Really interesting and it goes all the way back to that AmeriCorps opportunity that you had. Like what really drove you into that? And when did you actually realize that policy was that almost foundational structure to be able to allow, you know, depending on what foods are served or how much opportunity they have with physical activity or so on and so forth? Stephanie Hodges: Yeah, so when I graduated college, we were still in a little bit of an economic recession. I really didn't know what I wanted to do. I had a bachelor's in human, nutrition, foods, and exercise. It was really focused on health promotion. So many of my classmates were going to med school or physical therapy school or dental school. And I just really didn't know what that next step was. And so I started looking into shorter term opportunities. And that's really when I came across the AmeriCorps Vista opportunity. And it it still exists. and it's a really great way to spend almost a gap year trying to figure out what that next step is. And I actually had an offer and an opportunity. I could have stayed on with the organization, but I really found that I wanted to go to graduate school and really earn the credentials and the degrees that I wanted to be able to work in this space. But over and over again during that year, we would talk to Teachers, we would talk to principals, we would talk to community members, and everything truly was rooted in policy. Obviously, there needed to be funds to back up those policies and that support, but really it came back to, you know, what are we requiring, what is mandated? And it's sometimes that's not really the best way to look at it, but if it really is rooted in policy and you have those supports, then that really is the best way to either implement a program or really change. The environment that you're working in. Kristen Hicks-Roof PhD, RD: And this is something near and dear to my heart in my former academic life, is like, you know, a lot of times in the nutrition profession, we have people, dietitians and others saying, We need more money, right? We we deserve more money. We're offering great benefits. And one of the things that I was trying to do in my academic life was let's actually continue to have data and publications on. What the medical nutrition therapy intervention is, and what was that health outcome or diet quality outcome or whatever it is, right? Because when you want to go in and change policy, typically you want to have data supporting why. What's the ROI of it? Is it really usable? Is it tangible? And I think that's a direction that is a policy facing, but also I think sometimes there's a disconnect with. These are things that we should do and then how the policy gets aligned. So how like what is your day-to-day look like in terms of how are you helping to bridge that gap, especially with the amount of policies that are coming around food, health, nutrition, so on. Stephanie Hodges: Every single day looks different, which is really what I love about consulting. so one day I might actually be, I do some grant writing still, which I really enjoy. A lot of those are federal grants. So one day I might be writing a grant for a client to address food waste, for example, was one that I wrote a couple of years ago in schools, which was really great. Another day I might be putting on a webinar for a client that bridges both the private and the public sector. Another day, if a proposed rule comes out, I might be reviewing that and then providing an overview to clients to say this is how school meals are going to change, or this is how Wick is going to change, or food labeling. And then also advising them on if you want to write comments, if you want to schedule meetings around whatever is changing or happening with the right person. So it really varies day to day, but At the root of it all is kind of that science and evidence driven information, right? And whenever I'm doing my advocacy work, I really lean on three pillars. One is like, what's the historical context? Like, have we done this before? What do we know? The second part is the data. And then the last is the storytelling. You know, as dietitians and science-based professionals, I think a lot of us spend a lot of time in the facts and the figures and the numbers. And those are so important. But if you can have a school teacher talking about how integral the fresh fruit and vegetable program has been for her kids in the afternoon to have more nutrition, to explore new fruits and vegetables, and they can even incorporate that into their lessons. That means so much more than just talking about what the program is in itself and the data that we have on it. And so I really try to make sure that I'm always incorporating all of that in. telling clients and advising them on that as well in their advocacy efforts. Kristen Hicks-Roof PhD, RD: It's a great opportunity for if you are in the nutrition profession, like we can write comments, right? If you see patients day to day or you work with community clinics or you're in school meals, whatever sector you might be in, there's many different federal comment periods that touch every one of us in one way or another, depending on what niche and sector you're in. And we can write comments on behalf of organizations, on behalf of individuals. So there is that opportunity to go into, but I know before I, you know, after I left academia is really when I was opened into the food policy space. And like I didn't even I didn't even know you could sit in on dietary guidelines. Like there was some things that I was so disconnected. so I think it's fascinating to see more and more dietitians in these spaces to really bridge that intersection between Agriculture, education, our profession, and policy ultimately to a rising tide is going to lift all boats. So, how did you like you talk you gave a little bit of snapshots about your kind of your career journey? But considering this is maybe a new arena for other people, obviously you did a master's it within food policy. So you kind of had that competitive advantage, but What about people who are interested in the journey who maybe don't come from that sort of training or background? Is it possible for them to get in these spaces? Stephanie Hodges: It is. And I think it's something that I wish more people knew about. even if you don't go to graduate school for it, even if you don't work in state government, if you don't work in a governor's office, there a lot of times are opportunities with your current employer or volunteer positions. If you are, even if you're working at a hospital, like, hey, let's learn about the policies in the hospital. Let's see maybe where we can improve it as the nutrition experts. So Just kind of trying to find those opportunities where you currently are, I think, is always a really good place to start. There's always also a lot of webinars on these topics. If you are really interested in WIC, there are a million WIC policy webinars that you could listen to to really kind of immerse yourself in that topic area. So I always encourage people to find something that you might be interested in. We all have interests. And so really kind of figure out from there. What are the policy opportunities there? Can I volunteer? Can I learn more? Not all of us need to make a full career out of it, but it is so important that we engage in it. And that's really because policy and advocacy is such a long game. We're still advocating on the same issues that we were 30, 40, 50 years ago. And I don't say that as a way to maybe be pessimistic. I say that in it's so important to kind of Do that drumbeat over and over and make sure that the right people are hearing the message. Because, you know, if you kind of get silent or you aren't advocating, and unfortunately, we've seen this over the last couple of years, programs get canceled, they go away, they're no longer considered a priority. And it's not because they weren't good, it's not because they weren't evidence-based, it's because they weren't talked about over and over again or they didn't show. the data and the research over and over, or they didn't have the ROI that maybe does exist, but they didn't have that information to show it. So it's just really key that we show up in these spaces over and over again and make sure that even though we think someone might be aware of them and how important it is, that we're the ones telling those stories. Kristen Hicks-Roof PhD, RD: It reminded me when I lived in Florida, we were fighting I feel like it was every couple years, we were fighting for state licensure in the in the state of Florida because there were people who didn't believe that there should be a state licensure that anyone could practice nutrition. And it you're right, it's like you kind of gotta always be this drumbee. And and this is not just in the food policy space. I mean, you can say it across every sector. Like if you're a clinical dietitian. the value that you bring to the patients, the healthcare team, and the ROI for the hospital. You have to beat that drum over and over, right? To like to get more FTE, to have more credibility, whatever it might be. So I think everyone kind of faces this challenge. but I do think as a collective, we have an opportunity to dr beat that drum, depending on whatever niche you're in, to help to it, you know, really move forward and move the needle. on the nutrition profession as a whole. So I'm curious, Stephanie, you know, obviously you talked a little bit about storytelling, but I want to bring it back to the data side. Like, how does science and data really integrate in your day to day? Stephanie Hodges: It is the foundation, I would say, of pretty much everything that I do every day. And I am constantly reviewing Google alerts on new nutrition research or policy research. I'm attending conferences or meetings or webinars. And, you know, I think there's so much that gets published. There's so much out there. And so I'm sure there's something that I'm missing. But it's really important to be able to really connect the dots, right? If you have a policy, maybe it hasn't been implemented, you have an idea, you use that data to support it. if you're looking at writing a grant, it's always asking you, what's the problem you're trying to solve with this grant funding, right? And so you want to back that up by data and evidence. And, you know, I will say it's been really, really important in the policy and advocacy space forever, but especially over the last couple of years, you know, we've seen legislation be introduced through appropriations that would reduce the wick cash value benefit for fruits and vegetables. We have data on how positive that increased benefit was, and we're able to show that to the decision makers that are saying we should cut that, right? So it's really key in all conversations, in all meetings, to be able to really point to those data points and be able to say, And we also know that if you go in this other direction that you're potentially going, these are the negative outcomes that we're gonna have. Right now, a lot of the conversation is on cost, whether it be healthcare costs or any other type of costs. And so I've really been encouraging clients to, if you don't have research in that space, to look at what would it take to get those data points. but if you do to really kind of move those up in your talking point document to really focus on costs and what something may or may not cost, either positive or negative. Kristen Hicks-Roof PhD, RD: Yeah, I was at American Society for Nutrition Conference earlier in 26, and I attended a talk on science communications and how do we do this? Again, no matter what sector or area you are in the nutrition space, we all in one way or another are science communicators as an evidence based profession in nutrition. And one of the things I thought was really interesting is they talked about almost getting giving the two sides of the coin on whatever topic you're talking about. So When you when you're advising clients of submitting comments of, okay, here's the advantages and here's the data to support why, and here's maybe the disadvantages and the data to support why. And so I'm trying to integrate some of that and some of my social content too of okay, this new study is out. Here's what it says, here's some of the advantages, and then let's play devil's advocate in a way of someone saying, Okay, well, here were some of the gaps and and how that's there's some nuance here. So I think as clinicians and you know science experts, I think we can do a better job of kind of like opening up this viewpoint where it's not just like, here's what you have to know. This is my point of view, but like I understand your point. Like if cost is a concern for you, here, here's some of the cost data. So sometimes it's knowing your audience and kind of just being open minded, which I think is a really big challenge in some of these spaces. So Stephanie, what's been I mean, the food policy space has transformed widely, right? You were talking about being part of Summer EBT, which is now it's actually fully, you know, introduced and ongoing. So what's been kind of like your favorite or something you're most proud of in your career so far? Stephanie Hodges: So one of the demonstration projects that I oversaw when I was working in the state agency was actually piloting universal school meals. It wasn't really called universal school meals at the time, but we had a rural cohort of school districts and an urban cohort of school districts. And they were providing breakfast, lunch, after school meals, as well as weekend food backpacks and nutrition education through extensions, so through Snap Ed. To the families and students attending these schools. We were able to evaluate that program, and it has really kind of paved the way and not just the one that I was working on, but other demonstration projects that are piloting universal school meals to make it a reality. You know, I actually thought we're probably never gonna see this because of the cost, but we have seen so many states say this is a priority for us. We know that kids cannot come to school and learn if they are not properly nourished. And so states have taken it upon themselves to make up the difference in cost from what it would be at the federal level versus, you know, paying for kids who maybe wouldn't qualify for free or reduced. And it really has just kind of leveled the playing field, right? We always hear about stigma in programs. And so You know, you don't know that the kid sitting next to you at lunch actually doesn't qualify for free or reduced price meals because your state has said this is a priority for us and we're going to make sure that every kid has access to the same nutritious meals. So I think that's one of the biggest things is, you know, I thought we were never going to see universal school meals. And I would obviously love to see it on a federal level, maybe before I retire or die. but we'll see that and I'll throw a huge celebration. But, you know, any of these pilot programs, and I think that's What's so important about grants and government funding is they really help us figure out is this something that we can sustain? Is this something that's needed? What are the data points that we get out of it? And so when I see cancellations of these sorts of programs or grants, it's like we're never gonna know, right? And so you don't know what works and what doesn't if you don't try it. but that was really kind of the biggest is I was able to pilot a universal school meals program and now we see it happening in in multiple states, which is really incredible. Kristen Hicks-Roof PhD, RD: When really that is the research process, right? You generate a hypothesis thinking, okay, this might work. And then the result may be really good or maybe really bad. And then you learn from that and you generate new hypotheses. So I think you're right of you have to have those sort of pilot programs or expansion of those programs to really figure out can this be more widely adopted? And I'm gonna selfishly talk about here. So my kids are in a CEP program, which is the community community eligibility provision. Is that what it is? Okay. Stephanie Hodges: Mm-hmm. Yeah, that's right. Kristen Hicks-Roof PhD, RD: So super cool because you're right. Like whoever they go to school with, there's no judgment on you're low income, you're not low income. Like there's you almost remove that barrier of of feeling, which I remember as a kid. I mean, I wasn't in that situation, but I remember that that dynamic of, you get a free meal. Like that's not fair. And you don't even understand the nuance, right? So I love it. Number one, I think it's awesome because think about the nutrition that kids are actually getting at school. Incredible. I mean, the data is pretty clear and evident. But I'm also gonna talk, right? Devil's advocate. I'm gonna play the other side of the coin. As a parent, It has reduced the amount of stress, burden, time, labor, money. I mean, there is a whole slew of endpoints that you could also measure in pilot programs of how it can be mu mutually beneficial for the whole cycle within the people and all your stakeholders involved. So I'm with you one day. I would love to see some of that. And I think we need to continue to get more data on all the different stakeholders and how it's be advantageous or disadvantageous for all those different stakeholders ultimately to make whatever rule would make sense. But that's cool that, you know, when you were part of some of those projects and demonstration programs, like to see things come to life, I mean you you just can't measure, especially in the policy space, because it can take years, decades, right? To see it, which is different than if you work one on one with clients, you may see a change in three months. And you just don't see that as much in those bigger arenas. Stephanie Hodges: Well, and I will say, you know, there was obviously a lot of bad that came out of COVID and the pandemic, but I think the flip side is we actually had universal school meals for the entire country during COVID. And I think that allowed some states and policymakers to wake up and see, hey, we're doing it now. Why not continue it? Right. Especially as kids were going back to school and it was confusing of like, no, you don't get that anymore. same with summer EBT, right? It was done as pandemic EBT, P EBT during that time. And so then it was like, okay, why not, why not do this on a national level? So we have some of those times where things are not great, right? People were waiting in mile-long lines at food banks. But on the flip side of that, we had incredible champions at the district level and state level saying, We're gonna feed kids and we're gonna do it with every single tool in our toolbox. And then when that finally kind of ended, said, Hey, why don't we why don't we keep this? And and it does come down to to funds and whether or not it's sustainable and you know possible. But at the end of the day, you saw so much positive of that. And CEP is a relatively new program. It actually was written into Healthy Hunger Free Kids Act that was passed in 2010. And we have seen schools adopt this in a way that has been so just consequential in such a positive way. And we have seen the amount of school districts that some are school district wide, no school is collecting free or overduced price applications. Unfortunately, because of the reconciliation bill that was signed into law in July 2025, with some of the changes to SNAP participation, we're actually seeing it now go in reverse order. So we're actually seeing some schools no longer be able to participate in CEP because they don't have as many kids that are directly certified by being SNAP participants. Miami Date School System was CEP division wide. They had over, I think, 400 schools. And now they unfortunately are only going to be able to offer that at 121. So what that looks like on a day-to-day side for a school district is applications. Again, the application for free and reduced price meals, I encourage anyone listening to this to go look at it. It's quite complex. It's very complicated, and it can be even more complicated if English is not your first language. You then have to have someone on the district side to track down any information that they can't read. Maybe it was in you know, somebody had poor handwriting, maybe they left something blank to track down that information. So that is staff time and cost that schools previously didn't have to worry about if they were division-wide. And then just the reality of some people not knowing they have to fill out an application, some people being fearful of filling out an application due to citizenship status. So it's one thing that I encourage everyone in the nutrition space and public health and just generally being a good citizen to pay attention to is what are the impacts going to start being on school meals and on our families? We're seeing an increase in demand at food banks, but it really is gonna start hitting the schools as well. And they're gonna respond as best they can, but there's definitely gonna be impacts to CEP and we're already seeing that. Kristen Hicks-Roof PhD, RD: I know I've been reading a little bit about it. I'm like, please no, please don't go after our school district because it really is such a relief. And we had earlier on the podcast there was an episode with Ashley Robbins. She's a K twelve school director. And so definitely check out that episode. If you really want to learn, you know, one of her key takeaways was offering those meals during the COVID area and like how they adapted and modified and were able to make it work, which You gotta think, like even in an example that you gave of Miami Dade, when you go from offering four hundred plus schools universal meals in a way, right, with CEP, and then you bring that down, that changes staffing, food availability, costs of the, you know, of the districts. And so there's a lot of trickle downs, and especially for those who are in the nutrition spaces who may work in K-12 systems. That's just one really good example. So I'm glad you kind of were able to contextualize that a little bit. And now I want to go look at the free and reduce application because yeah, I've never looked at it. And it you see that for a lot of other programs too, right? Just the amount. It's like going to the the DMV and trying to get all your paperwork and you like forgot one document and then all of a sudden you gotta go back. so I can only imagine. So Stephanie, what tips or suggestions we should you have for someone who's interested in the food policy space? What can they do now? What can they do in the near future? And then what do you think like kind of long term of what we need to do as a as a nutrition profession? Stephanie Hodges: So the first place I always start is get plugged in. There are so many free resources like newsletters that go out daily, weekly. You can set up Google alerts on food policy. That's one of mine that I see news all the time. And that's both at the state. It can even be at the local or federal level. So if this is something you're interested in, really just start signing up for newsletters, starting to listen to podcasts on these topics. You can go as far as watching Senate or House hearings on these topics, you know. you can go back and watch all of the dietary guidelines meetings as well. So I really say, you know, if you're interested in just kind of in general, start there. But if you're interested in a specific program or a specific area of food policy, really try to, you can find someone possibly who works in that space, but try to find those specific resources. Webinars that are recorded are really great for this. And then if you really want to get engaged, if there are volunteer opportunities, and we all have food banks in our backyard. Food banks are very much driven by the policies that are provided to them, right? TFAP, the emergency food assistance program, is how most of the food is funneled through food banks to their partners, to their communities. Look to see if there's opportunities there to be able to help them with their policies or, you know, hey, I, you know, I can be an advocate for you. What do you all need? So there are so many opportunities right in our backyard, but then also, you know, at the state level, we have a I'm in Virginia, we have a federation of food banks that represents all the food banks that does a lot of policy and advocacy work. We have a food as medicine coalition that does a lot of policy and advocacy work. So it's really figuring out how to get plugged into those opportunities and really going from there. And I understand I gave you a lot of extra things to add to your plate as a volunteer, which people are probably like, we don't have time for that. but it really could end up being a career path for you because you know, when I started in this space, there there are always people working in it, but we always need more. Even as a consultant, you know, it's great that I have so much work and that I'm booked, but we could always use more people that are really smart and that really can look at the science and can really help in this space. So there's definitely not a shortage of opportunities. CPG companies all the time have government relations folks. even commodity groups have people working to understand policies. So obviously nonprofits are another one that have a lot of people working policies. So there's a lot of different avenues you could even go if you're thinking, I really want to make this a career because I think it's grown so much. And I think we're only gonna see it grow, especially as we have this national focus on food and nutrition, which is kind of where we are. Kristen Hicks-Roof PhD, RD: I think you gave some really good examples. I mean, one of the the two newsletters that I love getting, well, probably three. I love getting food fix. So it's a subscription model, but man, does Helena a whip? I mean, that girl, she knows what's going on and it's a really good way to get kind of updated with some of them. I also like I think it's nutrition directions. So that's one of my favorite newsletters that come every week and just kind of highlights like whether it's a food safety issue, something in the US, something abroad. So that's another that's a free resource there. And then and then American Society for Nutrition, if you're a member, I know it's a science facing organization, but they have bulletins and and newsletters that go out that talk about policies that impact research, policies that impact food programs, food banks, like you said, and where you can be involved in all of those. So I you know Like you, Stephanie, there's a lot of ways that you could go out there and do it. It just kind of depends what are you able to do now? And small steps may make meaningful changes in the long run. And then I also have to shout out Lindsay Datlow, Dr. Lindsay Datlow. She was on our pot on my podcast as well. So check out that episode if you're interested more in the food policy space. So Stephanie, Stephanie Hodges: Yeah. Kristen Hicks-Roof PhD, RD: my favorite question, if you had a crystal ball, what do you think is coming next to nutrition? And boy, this list is probably massive. Stephanie Hodges: I could tell you an answer for tomorrow, and I could tell you an answer for next year, and they probably would both be different, and they probably would both be wrong. I think we're gonna continue to see a lot of movement in the labeling space. It's something that other countries are implementing, whether it's mandatory or stricter sorts of standards. So I think we're gonna continue to see that. And then I think we're gonna continue to unfortunately see dismantling of our food safety net with CEP happening. SNAP requirements are changing. We're starting to see a lot of pressure on state budgets with the change in cot SNAP cost share. I could go into that for like seven hours. I won't, but states are gonna have to pick up a significant portion of administrative costs, which is new starting this year, October one. But then also a portion of SNAP benefits if they have a payment error rate over six. And so that is putting a lot of pressure on states where they are having to decide: do we keep participation where it is? or do we maybe change some things like different ways that allowances are calculated or different ways that bank accounts are looked at. And so I'd say those are kind of the two big spaces that I'm definitely watching is kind of more the FDA regulatory space and labeling and then also just generally our food federal nutrition assistance programs. And I encourage all of us to pay attention. We all have neighbors, we all could have neighbors that are experiencing food insecurity. And it really is helpful if we know where to point those folks in the right direction to. Kristen Hicks-Roof PhD, RD: Yeah, and I think you you'll continue to see challenges in that space. And I'm an eternal optimist, so I always struggle to stay too deep in the challenges space. But in my mind, I'm like, look at all the potential opportunities that you can have nutrition experts serving as part of brands for nutrition and regulatory. You can be on the government level, on the f state, federal, local, to say, okay, here's nutrition programs that could be modified, adjusted, improved, decreased, whatever it might be. which again, I'm eternal optimist, so I take that everything take everything I say with a grain of salt because I don't typically live in the negative. but Stephanie, it was so great to have you on. And I'm so glad that you're able to really share your story and give some of these like really tangible insights too on how we as a nutrition profession can get involved no matter what area you're in. So make sure if you like the show, you can like, subscribe, leave a review. But most importantly, check out the next episode because every episode I bring out a different dietitian and nutrition expert to share their story and give you tips and advice on how to be successful.