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      Federal Nutrition Programs after the Pandemic: Learning from P-EBT and SNAP to Create the Next Generation of Food Safety Net Programs

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          Abstract

          It is thought that childhood food insecurity rates increased to 18 million impacted children in 2020. In response, innovative policy solutions from the Supplemental Nutrition Assistance Program (SNAP) and the Pandemic Electronic Benefit Transfer (P-EBT) were swiftly implemented. These innovations must serve as catalysts to create the next generation of food safety net programs. These include the removal of administrative barriers to enrollment, the use of streamlined procedures to access food, the expansion of P-EBT to daycare and childcare centers, and the uncoupling of receipt of benefits from physical presence in schools. Critical gaps also remain. SNAP benefit amounts are often too low, leaving many families ineligible. More realistic benefit amounts are needed, such as those used in the USDA’s Moderate Cost Food Plan. Eligibility cut-offs exclude many food insecure families. Better alignment of SNAP eligibility with income levels that substantially increase food insecurity risk are critical. Lastly, creating slower phase-out periods for benefits as incomes rise is essential. Additionally, food insecurity continues to disproportionately impact racial and ethnic minority populations and low-income households. These deeply rooted inequalities in access to nutrition play an important role in driving health disparities, including obesity, hypertension, diabetes, and other chronic comorbidities and must be further examined. Changes to SNAP and the P-EBT program illustrate how innovative, broad-scale policy solutions can expeditiously support the nutritional needs of families with children. While pandemic-inspired innovation offers critical lessons for designing the next generation of nutrition assistance, there remain gaps that can perpetuate disparities in access to food and health. As a community of medical providers, we must advocate for broader, more inclusive policies to support those facing food insecurity. The future depends on it.

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          Food Insecurity during COVID ‐19

          Abstract For a decade, Feeding America's Map the Meal Gap (MMG) has provided sub‐state‐level estimates of food insecurity for both the full‐population and for children. Along with being extensively used by food banks, it is widely used by state‐ and local‐governments to help plan responses to food insecurity in their communities. In this paper, we describe the methods underpinning MMG, detail the approach Feeding America has used to make projections about the geography of food insecurity in 2020, and how food insecurity rates may have changed due to COVID‐19 since 2018. We project an increase of 17 million Americans who are food insecure in 2020 but this aggregate increase masks substantial geographic variation found in MMG.
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            Aligning Programs and Policies to Support Food Security and Public Health Goals in the United States

            Food insecurity affects 1 in 8 US households and has clear implications for population health disparities. We present a person-centered, multilevel framework for understanding how individuals living in food-insecure households cope with inadequate access to food themselves and within their households, communities, and broader food system. Many of these coping strategies can have an adverse impact on health, particularly when the coping strategies are sustained over time; others may be salutary for health. There exist multiple opportunities for aligning programs and policies so that they simultaneously support food security and improved diet quality in the interest of supporting improved health outcomes. Improved access to these programs and policies may reduce the need to rely on individual- and household-level strategies that may have negative implications for health across the life course.
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              SNAP, Young Children's Health, and Family Food Security and Healthcare Access

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                Author and article information

                Journal
                Inquiry
                Inquiry
                INQ
                spinq
                Inquiry: A Journal of Medical Care Organization, Provision and Financing
                SAGE Publications (Sage CA: Los Angeles, CA )
                0046-9580
                1945-7243
                26 March 2021
                Jan-Dec 2021
                : 58
                : 00469580211005190
                Affiliations
                [1 ]Yale University School of Medicine, New Haven, CT, USA
                [2 ]University of North Carolina, Chapel Hill, NC, USA
                [3 ]University of California, San Francisco, San Francisco, CA, USA
                Author notes
                [*]Lilanthi Balasuriya, National Clinician Scholars Program, Yale University School of Medicine, 333 Cedar Street, SHM IE-66, PO Box 208088, New Haven, CT 06510-8088, USA. Email: lilanthi.balasuriya@ 123456yale.edu
                Author information
                https://orcid.org/0000-0002-5438-4113
                Article
                10.1177_00469580211005190
                10.1177/00469580211005190
                8743939
                33769116
                2a3edd1b-7555-466c-b186-2de8a364b04b
                © The Author(s) 2021

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 23 February 2021
                : 23 February 2021
                : 2 March 2021
                Categories
                Editorial
                Custom metadata
                January-December 2021
                ts1

                snap,food assistance programs,food insecurity,policy,editorial

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