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.

While a great deal of breastfeeding promotion and support is happening in WIC at both the state and local levels, there has been no systematic effort to evaluate what might work best in the WIC setting. Within this context, FNS  contracted for a breastfeeding intervention design study with the following goals: Identify interventions to increase the incidence, duration and intensity of breastfeeding among women participating in WIC; and design an evaluation plan to examine the implementation and effectiveness of these interventions.