SNAP uptake rates were high after the policy change. 001), and were less likely to report cost-related medication nonadherence (24.1% vs 17.7%, P <. 001), were more likely to report excellent/very good health (26.8% vs 27.6%, P <. 001), required less additional money for food ($73.33 vs $47.72 weekly, P <. At follow-up, compared with baseline, participants were less likely to report food insecurity (83.1% vs 67.5%, P <. Of 157 participants at follow-up, 114 (72.6%) were newly enrolled in SNAP. Of 213 participants at baseline, 56.8% were male, 43.7% were Black/African American, 88.7% had an annual income of less than $15,000, and 89.7% were currently housed. Multivariable analyses adjusted for age, sex/gender, race/ethnicity, and education. We examined changes in food insecurity (primary outcome), health status, stress, medication adherence, and dietary intake from baseline to follow-up. We administered a survey to SSI recipients (N = 213) before (May–August 2019) and after (September 2019–January 2020) the policy change. The objective of this study was to determine whether SNAP eligibility was associated with changes in food insecurity and health among older adults and adults with disabilities. In California, Supplemental Security Income beneficiaries were ineligible to receive Supplemental Nutrition Assistance Program (SNAP) benefits until a June 2019 policy change. Policies that streamline the receipt and maintenance of benefits may improve the health of older adults and adults with disabilities. Older adults and adults with disabilities are likely to derive substantial benefit from SNAP enrollment. What are the implications for public health practice? We demonstrated that expansion of SNAP eligibility to recipients of Supplemental Security Income (SSI) in California was associated with improvements in food security and general health. Little is known about how new eligibility for SNAP affects food insecurity and health, especially among older adults and adults with disabilities. Federally funded food assistance programs such as the Supplemental Nutrition Assistance Program (SNAP) reduce food insecurity and improve health in the general population.
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