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 examined some of the key food and financial challenges, as well as factors that influence SNAP participation choices, among elderly people. It also assessed how States implemented interventions designed to improve elderly access to SNAP, and their impacts.