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 report fulfills a Congressional request for the Food and Nutrition Service (FNS) to report on "a comprehensive, integrated approach to nutrition education as a complement to the various nutrition assistance programs." FNS reviewed its current nutrition education efforts, and consulted with a wide range of nutrition education experts and stakeholders.

One activity that reflects USDA’s commitment to nutrition promotion is the development of state nutrition networks. Since October 1995, FNS has awarded cooperative agreements to 22 states to create nutrition networks that would develop innovative, large-scale and sustainable approaches to providing nutrition education to low-income families that participate or are eligible to participate in the Food Stamp Program.