This study is the fourth in a series that uses the National Health and Nutrition Examination Survey data to examine the relationship between SNAP participation and indicators of diet quality, nutrition, and health. As in previous studies, this study compares SNAP participants with income-eligible and higher income nonparticipants, by age and gender.

This study identifies the barriers that SNAP participants face when trying to achieve a healthy diet through a nationally representative survey of SNAP participants.

This report presents information on direct certification with the Supplemental Nutrition Assistance Program for free school meals for SY 2017-2018 and SY 2018-2019.