Original Investigation

State Supplemental Nutrition Assistance Program Policies and Cardiovascular Mortality

JAMA Network Open 10.1001/jamanetworkopen.2026.24095

July 20, 2026 at 11:00 AM EDT

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Are state Supplemental Nutrition Assistance Program (SNAP) policies that impact participation associated with county-level cardiovascular mortality rates in the US?In this cross-sectional study of 3127 US counties, a 1-point absolute increase in an index of state SNAP polices (range, 0 to 10) was associated with a 1.02% lower county cardiovascular mortality rate between 2006 and 2019.These findings suggest that SNAP policies that increase participation among food-insecure individuals may play a role in improving cardiovascular health.

Corresponding Author: Sameed Ahmed M. Khatana, MD, MPH, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, 3600 Civic Center Blvd, 7W-102, Philadelphia, PA 19104 (sameed.khatana@pennmedicine.upenn.edu).

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