Sec. 4403. Gus Schumacher nutrition incentive program
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Section 4405 of the Food, Conservation, and Energy Act of 2008 ( 7 U.S.C. 7517 ) is amended— in subsection (a), by redesignating paragraphs (3), (4), and
(5)as paragraphs (5), (3), and (4), respectively, and moving the paragraphs so as to appear in numerical order; in subsection (b)— in paragraph (1)— in subparagraph (A), by striking subsection
(c)and inserting subsection
(g); in subparagraph (C)— by striking (D)(iii) and inserting (D)(ii) ; and by striking 50 and inserting 80 ; and in subparagraph (D)— in clause (i)(I), by striking or services and inserting services, or retailer associate wages ; by striking clause (ii); and by redesignating clause
(iii)as clause (ii); in paragraph (2), by adding at the end the following: The Secretary may not require that projects test innovative or promising strategies or technologies. ; and by adding at the end the following: Subject to the criteria and priorities described in subparagraphs
(A)and
(B)of paragraph (2), respectively, beginning in fiscal year 2025, the Secretary may enter into a cooperative agreement with a State agency administering the supplemental nutrition assistance program, or a nonprofit entity in partnership with such a State agency, for a project that— is proposed by a State agency or nonprofit entity that— has previously received a large-scale grant under this subsection; has a demonstrated record for launching and maintaining projects described in paragraph (2)(A)(ii); and has the project design, infrastructure, and administrative support necessary for project implementation in, as applicable, a State, region, or Indian lands; will expand participation and access levels in a State, region, or land of an Indian Tribe compared to the existing project carried out by the State agency or nonprofit entity using the grant described in clause (i)(I); will allocate, by the fourth year of the cooperative agreement, not less than 90 percent of the amount of the cooperative agreement to providing direct incentives to households participating in the supplemental nutrition assistance program; will be carried out in a variety of retail settings; and will be for a duration of not less than 4 years. For the period of fiscal years 2025 through 2029, the Secretary may enter into new cooperative agreements under this paragraph for a total of not more than 15 projects. ; in subsection (c)— by redesignating paragraphs
(2)through
(5)as paragraphs
(3)through (6), respectively; by striking paragraph
(1)and inserting the following: The Secretary shall establish a grant program— that meets the purposes described in paragraph (2); and under which the Secretary shall— award grants of not more than $400,000 per project to 1 or more eligible entities— to study previously unknown facts about designing produce prescription projects; to establish or validate best practices for produce prescription projects; or to establish infrastructure that aids Federally-qualified health centers described in subsection (a)(3)(B) and independent produce retailers, including direct marketing farmers, in carrying out produce prescription projects; and award grants of not less than $1,000,000 per project to 1 or more eligible entities— that have a demonstrated ability to expand clinical research on the value of delivering a produce prescription project through healthcare partners; and to carry out produce prescription projects that— demonstrate and evaluate the impact of the projects on each of the purposes of the program described in paragraph (2); have a minimum intervention cohort of 300 patients; compare intervention results to a control group; have an intervention duration of not less than 12 months; and have demonstrated the ability to scale when delivered through healthcare partners. The purposes of the grant program established under paragraph
(1)are— to improve dietary health through increased consumption of fruits and vegetables; to reduce individual and household food insecurity; and to optimize healthcare use and associated costs. ; in paragraph
(4)(as so redesignated)— by striking subparagraph
(A)and inserting the following: An eligible entity seeking a grant under paragraph
(1)shall submit to the Secretary an application containing such information as the Secretary may require, including the information described in subparagraph (B). ; in subparagraph (B)— in clause (i), by striking paragraph
(2)and inserting paragraph
(3); and in clause (ii)(I)(cc), by striking subparagraphs
(A)through
(C)of paragraph
(1)and inserting items
(aa)through
(dd)of paragraph (1)(B)(ii)(II), if applicable ; and by adding at the end the following: In awarding grants under this subsection, the Secretary shall give priority to produce prescription projects that include multiple locations or a variety of locations at which produce prescriptions may be redeemed. The Secretary shall establish a panel— to review applications submitted to the Secretary pursuant to this paragraph; and to make recommendations to the Secretary with respect to those applications. The panel established under clause
(i)shall include— at least 1 individual with experience as a healthcare provider; at least 1 individual with experience administering health plans; and at least 1 individual with experience providing healthcare in community-based health clinics. ; and by adding at the end the following: In this subsection, the term produce prescription project means a project under which an eligible entity— prescribes fruits and vegetables to members; provides financial or nonfinancial incentives for members to purchase or procure fruits and vegetables; and may— provide educational resources on nutrition to members; and establish additional accessible locations for members to procure fruits and vegetables. ; in subsection (e)— in paragraph (2)— in the matter preceding subparagraph (A)— by inserting and cooperative agreements after grants ; and by inserting as applicable, before including ; in subparagraph (A)— in the matter preceding clause (i), by striking grantees and inserting recipients of grants and cooperative agreements ; in clause (ii), by striking grantee projects and inserting the projects of those recipients ; in clause (iii)— by striking grantees and inserting those recipients ; and by striking and at the end; by redesignating clauses
(iv)and
(v)as clauses
(v)and (vi), respectively; and by inserting after clause
(iii)the following: developing training and guidance, in conjunction with the Food and Nutrition Service, on providing, and promoting the provision of, direct incentives to participants electronically, such as through the electronic benefit transfer system of a State agency; ; and in subparagraph (B)(iii)— in the matter preceding subclause (I)— by striking grantees and inserting those recipients ; and by striking grant outcomes and inserting project outcomes ; and in subclause (II), by inserting or cooperative agreement after grant ; and in paragraph (3), by adding at the end the following: Any organization entering into a cooperative agreement with the Secretary under this paragraph shall commit— to working collaboratively and sharing appropriate data with any other organization entering into a cooperative agreement with the Secretary under this paragraph; and to the maximum extent practicable, to providing 1-on-1 technical assistance to applicants for grants and cooperative agreements under subsections
(b)and (c). ; by redesignating subsection
(f)as subsection (g); by inserting after subsection
(e)the following: The Secretary shall establish policies and procedures— to require coordination between the appropriate partner agencies within the Department of Agriculture— that allows reasonable timeframes for each agency to review applications for grants and cooperative agreements under subsections
(b)and
(c)to ensure that eligible entities receiving those grants or cooperative agreements— meet the grant administration requirements; and comply with the applicable statutory and regulatory requirements for the supplemental nutrition assistance program; and relating to conflicts of interest, including prohibiting any individual from reviewing or selecting eligible entities to receive grants under this section if the financial interest of that individual would directly or predictably be affected by such a grant. ; and in subsection
(g)(as so redesignated)— in paragraph (2)— by redesignating the second subparagraph
(C)(relating to fiscal year 2019) through subparagraph
(G)as subparagraphs
(D)through (H), respectively; in subparagraph
(G)(as so redesignated), by striking and at the end; in subparagraph
(H)(as so redesignated), by striking fiscal year 2023 and each fiscal year thereafter. and inserting each of fiscal years 2023 and 2024; and ; and by adding at the end the following: $150,000,000 for fiscal year 2025 and each fiscal year thereafter. ; and in paragraph (3)— in the matter preceding subparagraph (A), by striking 2023 and inserting 2029 ; in subparagraph (B), by striking and at the end; in subparagraph (C)(ii), by striking 2023. and inserting 2029; and ; and by adding at the end the following: the Secretary shall, to the maximum extent practicable, use for cooperative agreements under subsection (b)(3) not less than $75,000,000 for fiscal year 2025 and each fiscal year thereafter. .
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Sec. 4403
Gus Schumacher nutrition incentive program
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