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.

The U.S. Department of Agriculture (USDA) provides nutrition assistance to Tribal communities through the Food Distribution Program on Indian Reservations (FDPIR). The last nationally representative study of FDPIR was based on 1989 data. Since that time, there have been many changes in FDPIR affecting eligibility, warehouse operations and distribution, customer service, and improvements in the types and variety of products offered in the food package. This report provides an update of FDPIR participant characteristics and program operations, based on a nationally representative sample of participants and sites.

In this report, data from the NFSPS are used to address three important areas of interest to FNS that relate to the quality of FSP customer service: (1) the monetary and nonmonetary costs of participating, (2) client satisfaction with services provided, and (3) the accessibility of the FSP to eligible households.