This report examines the impact of using Medicaid data to directly certify students for free and reduced-price school meals in the National School Lunch and School Breakfast Programs in 15 states in school year 2017-18. Certification, participation and reimbursement outcomes for Cohort 1 states in their second year of implementation and Cohort 2 states in their first year of implementation are discussed.

This study was designed to describe the characteristics of adolescent women in WIC, as well as to identify their special needs, such as nutrition education, referral to other agencies, and their satisfaction with the services they received. The Adolescent WIC Participants Study was the first national survey of pregnant teenagers and mothers served by the WIC program.