The second Access, Participation, Eligibility and Certification Study (APEC II) included a follow-on report that provided statistically-derived state-level estimates of school meals erroneous payments. However, while APEC II provided a rough indicator of relative risk for groups of states (e.g., higher than average, about average, lower than average), it was not a state-representative direct measure, and creating actual annual measures of such erroneous payments at the state level using APEC methodology is cost-prohibitive. This report explores alternative approaches to developing measurement-based state-specific estimates that are responsive to year-to-year changes in the actual underlying rate in each state. It also provides cost and burden estimates for the implementation of each of these methods.

This study updates a 2009 analysis of the nutrient and food group content of the USDA Foods offered and delivered through federal nutrition assistance programs. The study also estimated the Healthy Eating Index (HEI) scores under the HEI-2010 and the HEI-2005 scoring systems for each program’s benefits.