This report examines the impact of using Medicaid data to directly certify students for free and reduced-price school meals in the NSLP and SBP in fifteen states in school year 2019-20. It assesses outcomes related to certification, participation, federal reimbursement, and state administrative costs in SY 2019-20 and over the course of the demonstration.

In September 2016, FNS awarded Team Nutrition Training Grants to 14 state agencies that administer the USDA’s NSLP, SBP and CACFP. This TNTG cohort was different than previous cohorts because, for the first time, grantees were asked to outline a plan to evaluate some or all of the interventions they would implement with grant funding.

The evaluation analyzed administrative data acquired from the six States that participated in the 2012 Enhanced Summer Food Service Program (eSFSP) Demonstrations to examine the impact of the demonstrations on participation. It found that the impacts on participation were mixed. For the Backpack demonstration, sites in one State increased the number of children and meals served, sites in another State served more meals but did not increase the number of children served, and both meals and children served decreased in the third State. Analysis of the Meal Delivery demonstration indicates the demonstration likely increased the number of children served.

The evaluation examined the impact of a $30 per child per month benefit on child, adult and household food security relative to a $60 monthly benefit. It found that the $30 benefit was as effective in reducing the most severe category of food insecurity among children during the summer as the $60 benefit.

This Congressional report summarizes the implementation and evaluation of two approaches tested in the summers of 2011 through 2013. 

The Healthy Incentive Pilot (HIP) is being evaluated using a rigorous research design. The overall goal of the evaluation is to assess the impact of HIP on participants’ intake of fruits and vegetables.