This Early Care and Education State Indicator Report, 2016 focuses on state policy and system supports for obesity prevention in the ECE setting and provides examples of how some states have incorporated obesity prevention into their ECE system. It presents information on 15 indicators representing seven areas from the Spectrum of Opportunities framework. State health department staff and other key ECE stakeholders can use this information to guide future ECE obesity prevention efforts and to educate decision makers about existing policy and system supports for ECE obesity prevention in their state. The indicators in this report describe activities that vary in reach but have the potential to improve ECE care statewide, thus benefiting large numbers of children. This report also contains Stories from the Field that illustrate in more detail how state agencies are working to improve the ECE setting. (author abstract)