Approximately 60% and 90% of children in the United States age 2-18 do not meet recommendations for fruit and vegetable consumption, respectively. School meals influence dietary quality, as these programs provide up to 75% of children���s daily caloric intake. These programs are particularly important for children eligible for free or reduced price (FRP) meals, as they rely more on school meals compared to children from higher income households. F2S is an optional program for school districts that facilitates getting local food procurement and has been shown to improve school meal quality. This dissertation uses the 2015 F2S Census, a survey sent to all school districts in the United States in 2015 about their level of engagement with F2S. In the first aim, we explored demographic predictors of any F2S participation, and number of activities among participating districts. Compared to urban school districts, suburban and rural school districts were less likely to participate in F2S (aOR 0.53, 95% CI 0.39-0.72; aOR 0.42, CI 0.30-0.57, respectively). A greater percent of FRP eligibility was associated with reduced odds of F2S participation (Z-score OR 0.74, 95% CI 0.64-0.85). State legislation significantly moderated the relationship between free and reduced price (FRP) eligibility and F2S participation. Few district demographic characteristics were significant when exploring level of F2S among participating districts. In the second aim, we examined the association between frequency of serving local fruits and vegetables (FV) in the cafeteria and self-reported benefits (e.g. reduced food waste) of F2S among participating districts. At least one benefit of F2S participation was reported by 75% of participating F2S districts. Compared to those that did not serve local FV, districts serving local fruit have 1.77 times the odds (95% CI 1.20, 2.60) and local vegetables 3.05 times the odds (95% CI 2.05, 4.53) of reporting a benefit of F2S participation. Each benefit was analyzed individually but generally followed this trend of increased local FV service associated with greater odds of reporting benefits. The results of this dissertation can inform outreach and technical assistance efforts, which are critical to expanding F2S and promoting equity in access to F2S programs.