This report responds to the Consolidated Appropriations Act, 2021, which directs the FNS to provide a report on the amount of added sugars in school meals.

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.