National Food as Medicine Program

Summary#

This bill would create a federal grant program at the Department of Health and Human Services (HHS) to help States plan, implement, expand, or evaluate "Food as Medicine" programs through Medicaid 1115 waivers. Grants would support programs that provide medically supportive food and nutrition interventions, such as tailored meals, produce prescriptions, nutrition coaching, and cooking education. The bill favors programs that use locally- or regionally-sourced agricultural products grown using "covered methods" (regeneratively produced, organically produced, or both). States awarded grants must report to HHS at least 3 years after receiving funds with evaluations and outcome data. The Department of Agriculture (USDA) would run a technical assistance program to help producers connect with health care providers and to build infrastructure; eligible partners include land-grant universities, food hubs, and USDA Regional Food Business Centers. HHS must issue guidance within one year on implementing Food as Medicine programs, including clinical nutrition training, eligibility, duration and dosage of interventions, and value-based procurement that can reward purchases of covered-method products. HHS and USDA must consult stakeholders and provide a public comment period for guidance. The bill also requires a report to Congress within one year after the first grant is awarded.

What it means for you#

  • States: Can apply for HHS grants to run or expand Medicaid waiver Food as Medicine programs and must submit reports 3 years after grant awards.
  • Medicaid beneficiaries: May be eligible for medically supportive food and nutrition services under state waivers; interventions listed include tailored meals, produce prescriptions, and nutrition coaching when prescribed by a health care professional.
  • Farmers and producers: May receive technical assistance, infrastructure support, and priority if they are beginning or socially disadvantaged producers, or if they grow products using covered methods (regenerative or organic).
  • Health care providers and food hubs: Are named as partners in program design and implementation and may be identified as entities that prescribe or deliver medically supportive food.

Expenses#

No publicly available information.

Proponents' View#

The bill describes the program as intended to reduce nutrition-related chronic conditions, address food and nutrition insecurity, and improve health by providing culturally appropriate, nutrient-rich whole foods and related supports. It also emphasizes supporting locally- and regionally-sourced producers, including beginning and socially disadvantaged farmers, and building links between agriculture and health care.

Opponents' View#

No publicly available information.