This data collection fulfills states’ reporting requirements and describes trends in program participation during the COVID-19 pandemic from July 2020 through Dec. 2021. It is part of an ongoing study series examining CN program operations, repurposed to collect waiver reports from all states. A previous report in the series detailed waiver usage and trends in program participation and operations from March through Sept. 2020.

The Consolidated Appropriations Act of 2023 authorized Summer Electronic Benefits Transfer for Children (Summer EBT) as a permanent federal food assistance entitlement program beginning in summer 2024. Summer EBT has been tested through evaluations of demonstration projects since 2011. With pending implementation of this new program, this is an appropriate time to reflect on what USDA, FNS research has learned through more than a decade of study.

The USDA Food and Nutrition Service’s 1990 WIC Medicaid Study I found that prenatal WIC participation was associated with improved birth outcomes and savings in Medicaid costs. A 2003 study by Buescher, et al., found that WIC participation during childhood was associated with increased health care utilization and Medicaid costs, and concluded that WIC enhanced children’s linkages to the health care system.

Authorized by the 2014 Farm Bill, the USDA Pilot Project for Procurement of Unprocessed Fruits and Vegetables was designed to provide states with additional flexibility in the procurement of unprocessed fruits and vegetables. Participating states and school food authorities can purchase approved items with existing USDA Foods National School Lunch Program entitlement funds from any USDA Pilot-authorized vendor in support of the school meal standards.

This study—authorized by the 2010 Child Nutrition Act—tests innovative strategies to end childhood hunger and food insecurity.