Take-up of the 2021 child tax credit expansion among disadvantaged households in California: Continuing barriers to health equity

In 2021 Congress expanded the Child Tax Credit (CTC), one of the largest US economic supports for working families with proven benefits for health. Information on CTC take-up among eligible families is lacking. Understanding barriers to anti-poverty programs is an urgent policy issue, as low take-up is an established barrier to health equity. Among a More

Implementation Insights and Equity: Considerations for Summer EBT in 2024

In 2024, the US Department of Agriculture introduced a new federal nutrition initiative, the Summer Electronic Benefits Transfer (EBT) program—also known as SUN Bucks. This program offers grocery benefits to low-income families with children during the summer months to help address gaps in summer food assistance. In 2024, 37 states, all 5 US territories, and More

WIC Service Use, Benefit Redemption, and Continued Participation among Participants in California

The objectives of this study were to describe WIC service utilization patterns (in-person, telephone, video conference, interactive texting, online individual education, online group education) and assess associations of service utilization with WIC benefit redemption and continued participation. Study data include survey and administrative data from households with a WIC-participating child aged 1 to 4 years More

SUN Meals To-Go: Addressing Summer Child Hunger in Rural America

The noncongregate summer meal service program, known as SUN Meals To-Go, was permanently enacted by the federal government in 2023. Compared with the traditional congregate summer meal option, SUN Meals To-Go allows summer meal sponsors in designated rural areas to provide “grab-and-go” or delivery-style meals, for children. This report describes the challenges encountered by state More

Safety net program participation patterns, sociodemographic factors, and health: A latent transition analysis in a US cohort study

U.S. safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health. Surveys among California households with low income (N=380) conducted in 2020-2021 and 2023 captured take-up of federal assistance programs (Medicaid; Supplemental Nutrition Assistance Program [SNAP]; More

Consumption of the Food Groups with the Revised Benefits in the New WIC Food Package: A Scoping Review

On 18 April 2024, the United States Department of Agriculture (USDA) published the first food package changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in over a decade, which reduced some food benefits (juice, milk, canned fish, and infant fruits and vegetables) and offered substitutes (cash-value vouchers (CVVs) or cash-value More

A Systematic Review: The Impact of COVID-19 Policy Flexibilities on SNAP and WIC Programmatic Outcomes

The objective of this study was to explore the impact of policy flexibilities deployed during the COVID-19 public health emergency on access, enrollment/retention, benefit utilization, and perceptions of SNAP and WIC. The review identified 37 eligible articles. Twelve studies evaluated policy flexibilities in SNAP only, 21 in WIC only, and 4 in both programs. Across More