This report examines the impact of using Medicaid data to directly certify students for free and reduced-price school meals in the NSLP and SBP in fifteen states in school year 2019-20. It assesses outcomes related to certification, participation, federal reimbursement, and state administrative costs in SY 2019-20 and over the course of the demonstration.

This study examines the implementation of provisions to improve our understanding of the variation in state and local approaches, the challenges encountered in restoring eligibility, the degree to which the eligibility restorations brought new immigrant households into the program; and the potential impacts of sponsor deeming and liability policies.