Original Investigation

Supplemental Nutrition Assistance Program Policies and Food Insecurity

JAMA Health Forum 10.1001/jamahealthforum.2025.5597

December 12, 2025 at 11:00 AM EST

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Are state-level Supplemental Nutrition Assistance Program (SNAP) policies related to eligibility assessment and administrative burden, which differ between states, associated with county food insecurity rates in the US?In this cross-sectional study across 3134 US counties, state-level SNAP policies associated with greater SNAP participation were also associated with lower county-level food insecurity rates between 2009 and 2019.State-level SNAP policies that minimize barriers to participation may play a role in improving food insecurity rates in the US.

Corresponding Author: Sameed Ahmed M. Khatana, MD, MPH, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Dr, 1212 Blockley, Philadelphia, PA 19104 (sameed.khatana@pennmedicine.upenn.edu).

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