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 these, 12 studies explored program access, 7 enrollment/retention, 13 benefit utilization, and 15 program perceptions. JBI critical appraisal tools were used to assess risk of bias. The reviewed articles show that although SNAP and WIC participants identified challenges to access, there were increases in enrollment/retention due to policy flexibilities enabling remote services and reducing administrative burden in both programs. Benefit increases led to greater purchase of preferred foods in SNAP and greater access to fruit and vegetables in WIC. Overall, participants were satisfied with the flexibilities and reported most were beneficial for their households. Some implementation challenges were identified by participants and staff. A few studies showed potential risks of bias, including selection bias and confounding bias. COVID-19-related policy flexibilities in SNAP and WIC demonstrated significant improvements in selected program outcomes; however, challenges communicating policy flexibilities to authorized vendors and participants created difficulties to benefiting from the flexibilities. Findings from the evaluations of these flexibilities can inform future program enhancements and long-term regulatory changes.
Published: January 2025
Journal: Adv Nutr
Authors: Crespo-Bellido M, Headrick G, López MÁ, Holcomb J, Khan A, Sapkota S, Hollis-Hansen K
Age Groups: Adults and Families, Pregnant women, infants and toddlers (ages 0 to 2), Preschool-age children (ages 3 to 5)
Keywords: COVID-19, Supplemental Nutrition Assistance Program (SNAP), Women, Infants, and Children (WIC)
Focus Areas: Early Childhood, Nutrition Policy & Programs
Resource Type: Journal Article
Related Research
July 2026
Forecasting WIC Funding Needs: Supporting Families, Strengthening Access
In partnership with Westat and with support from Healthy Eating Research, the National WIC Association (NWA) developed a new forecasting model to project funding needs of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) for Fiscal Year 2027. Report This report describes the model development, including methodology, as well as analysis conducted MoreMay 2026
SNAP participation and the healthfulness of food purchased by households with children during the pandemic
Changes in the Supplemental Nutrition Assistance Program (SNAP) after the start of the COVID-19 pandemic included emergency benefit allotments and operation waivers. Using five expenditure-based measures of the nutritional quality of food purchases, we tested whether changes in SNAP during the first year of the pandemic were associated with better nutritional quality of food purchases MoreMay 2026