The Healthy, Hunger-Free Kids Act of 2010 required the Food and Nutrition Service to conduct a demonstration that adds Medicaid to the list of programs used to directly certify students for free school meals. Although students receiving Medicaid are not categorically eligible for free meals, the DC-M demonstration authorizes selected States and districts to use income information from Medicaid files to directly certify those students found to be eligible for free meals.

This report summarizes findings from the fourth School Nutrition Dietary Assessment Study, which collected data from nationally representative samples of school districts and schools in school year 2009-10.