7 U.S.C. § 7517
Section 7517 · Hunger-free communities
Current version, with additions and removals from the February 7, 2014 version.
In this section:
In this section:
(1) Eligible entity
(1) Eligible entity
(A) a nonprofit organization (including an emergency feeding organization);
(2) Emergency feeding organization
The term "emergency feeding organization" has the meaning given the term in section 7501 of this title.
(3) Supplemental nutrition assistance program
The term "supplemental nutrition assistance program" means—
(A) the supplemental nutrition assistance program established under the Food and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.); and
(B) the programs for nutrition assistance under section 19 of such Act (7 U.S.C. 2028).
(4) Healthcare partner
The term "healthcare partner" means a healthcare provider, including—
(A) a hospital;
(B) a Federally-qualified health center (as defined in section 1905(l) of the Social Security Act (42 U.S.C. 1396d(l)));
(C) a hospital or clinic operated by the Secretary of Veterans Affairs; or
(D) a healthcare provider group.
(5) Member
The term "member" means, as determined by the applicable eligible entity or healthcare partner carrying out a project under subsection (c) in accordance with procedures established by the Secretary—
(A) an individual eligible for—
(i) benefits under the Food and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.); or
(ii) medical assistance under a State plan or a waiver of such a plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) and enrolled under such plan or waiver; and
(B) a member of a low-income household that suffers from, or is at risk of developing, a diet-related health condition.
(1) Authorization
(A) In general
In each of the years specified in subsection (c), the Secretary shall make grants to eligible entities in accordance with paragraph (2).
(B) Partners and collaborators
An eligible entity that receives a grant under this subsection may partner with, or make subgrants to, public, private, nonprofit, or for-profit entities, including—
(i) an emergency feeding organization;
(xii) another eligible entity that receives a grant under this subsection; and
(2) Emergency feeding organization
The term "emergency feeding organization" has the meaning given the term in section 7501 of this title.
(3) Supplemental nutrition assistance program
The term "supplemental nutrition assistance program" means the supplemental nutrition assistance program established under the Food and Nutrition Act of 2008 (7 U.S.C. 2011 et seq.).
(1) Authorization
(A) In general
In each of the years specified in subsection (c), the Secretary shall make grants to eligible entities in accordance with paragraph (2).
(i) In general
(i) In general
The non-Federal share of the cost of an activity under this subsection may be provided—
The non-Federal share of the cost of an activity under this subsection may be provided—
(I) in cash or in-kind contributions as determined by the Secretary, including facilities, equipment, or services; and
(I) in cash or in-kind contributions as determined by the Secretary, including facilities, equipment, or services; and
(II) by a State or local government or a private source.
(II) by a State or local government or a private source.
(ii) Limitation
(ii) Limitation
In the case of a for-profit entity, the non-Federal share described in clause (i) shall not include services of an employee, including salaries paid or expenses covered by the employer.
In the case of a for-profit entity, the non-Federal share described in clause (i) shall not include services of an employee, including salaries paid or expenses covered by the employer.
(iii) Tribal agencies
The Secretary may allow a Tribal agency to use funds provided to the Indian Tribe of the Tribal agency through a Federal agency (including the Indian Health Service) or other Federal benefit to satisfy all or part of the non-Federal share described in clause (i) if such use is otherwise consistent with the purpose of such funds.
(2) Criteria
(2) Criteria
(A) In general
(A) In general
For purposes of this subsection, an eligible entity is a governmental agency or nonprofit organization that—
To receive a grant under this subsection, an eligible entity shall—
(III) agrees to participate in the evaluation described in paragraph (4);
(III) except in the case of projects receiving $100,000 or less over 1 year, would measure the purchase of fruits and vegetables by low-income households participating in the supplemental nutrition assistance program;
(V) includes effective and efficient technologies for benefit redemption systems that may be replicated in other States and communities.
(V) has adequate plans to collect data for reporting and agrees to provide that information for the report described in subsection (e)(2)(B)(iii); and
(VI) would share information with the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Centers established under subsection (e).
(B) Priority
(B) Priority
In awarding grants under this section, the Secretary shall give priority to projects that—
In awarding grants under this section, the Secretary shall give priority to projects that—
(i) maximize the share of funds used for direct incentives to participants;
(i) maximize the share of funds used for direct incentives to participants;
(ii) use direct-to-consumer sales marketing;
(ii) use direct-to-consumer sales marketing;
(iii) demonstrate a track record of designing and implementing successful nutrition incentive programs that connect low-income consumers and agricultural producers;
(iii) demonstrate a track record of designing and implementing successful nutrition incentive programs that connect low-income consumers and agricultural producers;
(iv) provide locally or regionally produced fruits and vegetables;
(iv) provide locally or regionally produced fruits and vegetables;
(v) are located in underserved communities; or
(v) include a project design—
(I) that provides incentives when fruits or vegetables are purchased using supplemental nutrition assistance program benefits; and
(II) in which the incentives earned may be used only to purchase fruits or vegetables;
(vi) have demonstrated the ability to provide services to underserved communities;
(vii) include coordination with multiple stakeholders, such as farm organizations, nutrition education programs, cooperative extension services, public health departments, health providers, private and public health insurance agencies, cooperative grocers, grocery associations, and community-based and nongovernmental organizations;
(viii) offer supplemental services in high-need communities, including online ordering, transportation between home and store, and delivery services;
(ix) include food retailers that are open—
(I) for extended hours; and
(II) most or all days of the year; or
(1) In general
The Secretary shall establish a grant program under which the Secretary shall award grants to eligible entities to conduct projects that demonstrate and evaluate the impact of the projects on—
(A) the improvement of dietary health through increased consumption of fruits and vegetables;
(B) the reduction of individual and household food insecurity; and
(C) the reduction in healthcare use and associated costs.
(2) Healthcare partners
In carrying out a project using a grant received under paragraph (1), an eligible entity shall partner with 1 or more healthcare partners.
(3) Grant applications
(A) In general
To be eligible to receive a grant under paragraph (1), an eligible entity—
(i) shall—
(I) prescribe fresh fruits and vegetables to members;
(II) submit to the Secretary an application containing such information as the Secretary may require, including the information described in subparagraph (B); and
(ii) may—
(I) provide financial or non-financial incentives for members to purchase or procure fresh fruits and vegetables;
(II) provide educational resources on nutrition to members; and
(III) establish additional accessible locations for members to procure fresh fruits and vegetables.
(B) Application
An application shall—
(i) identify the 1 or more healthcare partners with which the eligible entity is partnering under paragraph (2); and
(ii) include—
(I) a description of the methods by which an eligible entity shall—
(aa) screen and verify eligibility for members for participation in a produce prescription project, in accordance with procedures established under subsection (a)(5);
(bb) implement an effective produce prescription project, including the role of each healthcare partner in implementing the produce prescription project;
(cc) evaluate members participating in a produce prescription project with respect to the matters described in subparagraphs (A) through (C) of paragraph (1);
(dd) provide educational opportunities relating to nutrition to members participating in a produce prescription project; and
(ee) inform members of the availability of the produce prescription project, including locations at which produce prescriptions may be redeemed;
(II) a description of any additional nonprofit or emergency feeding organizations that shall be involved in the project and the role of each additional nonprofit or emergency feeding organization in implementing and evaluating an effective produce prescription project;
(III) documentation of a partnership agreement with a relevant State Medicaid agency or other appropriate entity, as determined by the Secretary, to evaluate the effectiveness of the produce prescription project in reducing healthcare use and associated costs;
(IV) adequate plans to collect data for reporting and agreement to provide that information for the report described in subsection (e)(2)(B)(iii); and
(V) agreement to share information with the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Centers established under subsection (e).
(4) Coordination
In carrying out the grant program established under paragraph (1), the Secretary shall coordinate with the Secretary of Health and Human Services and the heads of other appropriate Federal agencies that carry out activities relating to healthcare partners.
(5) Partnerships
(A) In general
In carrying out the grant program under paragraph (1), the Secretary may enter into 1 or more memoranda of understanding with a Federal agency, a State, or a private entity to ensure the effective implementation and evaluation of each project.
(B) Memorandum of understanding
A memorandum of understanding entered into under subparagraph (A) shall include—
(i) a description of a plan to provide educational opportunities relating to nutrition to members participating in produce prescription projects;
(ii) a description of the role of the Federal agency, State, or private entity, as applicable, in implementing and evaluating an effective produce prescription project; and
(iii) documentation of a partnership agreement with a relevant State Medicaid agency or other appropriate entity, as determined by the Secretary.
(4) Evaluation
(A) Independent evaluation
The Secretary shall provide for an independent evaluation of projects selected under this subsection that measures the impact of each project on—
(i) improving the nutrition and health status of participating households receiving incentives under this subsection; and
(ii) increasing fruit and vegetable purchases in participating households.
(1) In general
The Secretary shall—
(A) establish 1 or more Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Centers, in consultation with the Director of the National Institute of Food and Agriculture; and
(B) to the extent practicable, consult on the design and scope of such Centers with grocers, farmers, health professionals, researchers, incentive program managers, and employees of the Department of Agriculture with direct experience with implementation of existing incentive programs or projects.
(2) Establishment
The Centers shall be capable of providing services related to grants under subsections (b) and (c), including—
(A) offering incentive program training and technical assistance to applicants and grantees to the extent practicable, including—
(i) collecting and providing information on best practices that may include communications, signage, record-keeping, incentive instruments, development and integration of point of sale systems, and reporting;
(ii) disseminating information and assisting with collaboration among grantee projects, applicable State agencies, and nutrition education programs;
(iii) facilitating communication between grantees and the Department of Agriculture and applicable State agencies; and
(iv) providing support for the development of best practices for produce prescription projects and the sharing of information among eligible entities and healthcare providers that participate in a produce prescription project under subsection (c); and
(v) other services identified by the Secretary; and
(B) creating a system to collect and compile core data sets from eligible entities that—
(i) uses standard metrics with consideration of outcome measures for existing projects;
(ii) includes to the extent practicable grocers, farmers, health professionals, researchers, incentive program managers, and employees of the Department of Agriculture with direct experience with implementation of existing incentive programs in the design of the instrument through which data will be collected and the mechanism for reporting;
(iii) compiles project data from grantees, and beginning in fiscal year 2020 generates an annual report to Congress on grant outcomes, including—
(I) the results of the project; and
(II) the amount of grant funds used for the project; and
(iv) creates and maintains a publicly accessible online site that makes annual reports and incentive program information available in an anonymized format that protects confidential, personal, or other sensitive data.
(3) Cooperative agreement
(A) In general
To carry out paragraph (1), the Secretary may, on a competitive basis, enter into 1 or more cooperative agreements with 1 or more organizations with expertise in developing outcome-based reporting, at least 1 of which has expertise in the food insecurity nutrition incentive program and at least 1 of which has expertise in produce prescription projects.
The independent evaluation under subparagraph (A) shall use rigorous methodologies capable of producing scientifically valid information regarding the effectiveness of a project.
(C) Costs
The Secretary may use funds not to exceed 10 percent of the funding provided to carry out this section to pay costs associated with administering, monitoring, and evaluating each project.
The organizations referred to in subparagraph (A) may include—
(i) nongovernmental organizations;
(ii) State cooperative extension services;
(iii) regional food system centers;
(iv) Federal, State, or Tribal agencies;
(v) institutions of higher education (as defined in section 1001(a) of title 20); or
(vi) other appropriate entities as determined by the Secretary.
(1) Authorization of appropriations
(1) Authorization of appropriations
(2) Mandatory funding
(2) Mandatory funding
(A) $35,000,000 for the period of fiscal years 2014 and 2015;
(A) $35,000,000 for the period of fiscal years 2014 and 2015;
(C) 1 $45,000,000 for fiscal year 2019;
(D) $48,000,000 for fiscal year 2020;
(E) $48,000,000 for fiscal year 2021;
(F) $53,000,000 for fiscal year 2022; and
(G) $56,000,000 for fiscal year 2023 and each fiscal year thereafter.
(3) Use of funds
With respect to funds made available under this section for fiscal years 2019 through 2023—
(A) for each fiscal year the Secretary shall use not more than 10 percent of such funds available for such fiscal year for the produce prescription program described in subsection (c);
(B) for each fiscal year not more than 8 percent of such funds available for such fiscal year shall be used by the National Institute of Food and Agriculture and the Food and Nutrition Service for administration; and
(C) the Secretary shall use for the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Centers established under subsection (e) not more than—
(i) $17,000,000 in the aggregate for fiscal years 2019 and 2020; and
(ii) $7,000,000 for each of the fiscal years 2021 through 2023.