Low-income families in the East Bay area may soon have easier access to fresh, locally grown produce thanks to an expansion of a state Medi-Cal program called Cal Aim starting in June.

A local nonprofit called Urban Tilth is working with the William Jenkins Health Center and Contra Costa Health Plan to bring the "medically tailored food plan" to the community.

Marco Lemus, food as medicine program coordinator with Urban Tilth, said if you increase access to healthy foods, you confront the region's top killers: heart disease, obesity, diabetes and cancer.

"Creating a system where people have affordable options and have food boxes delivered straight to their homes helps people avoid chronic diseases," Lemus explained. "And start it from a young age rather than waiting until people are already sick to try to give them care."

People can talk to their doctors about getting a referral to the program.

Lemus pointed out Urban Tilth's Veggie Rx program has been delivering weekly low-cost and free food boxes for years, but the need tripled during the pandemic.

"People tell them to make better choices, but they literally don't have that choice, especially our seniors, disabled folks, low-income people, people with no transportation," Lemus outlined. "A lot of the quality grocery stores are located far from where people live. And then we are plagued with liquor stores, poor quality food, smoke shops."

Urban Tilth is hoping to supercharge its efforts by participating in the School of Public Leadership, a six-month program run by the nonprofit HEAL Food Alliance.

Marla Larrave, political education director for the Alliance, said they help local advocates make a real difference.

"You can deepen these campaigns within your community, you can win policy change, you can influence decision-makers," Larrave contended.

In the central valley, previous graduates of the School of Political Leadership led the charge to get the pesticide chlorpyrifos banned at the state and federal levels.

Hunger is an issue for many students on Washington state's postsecondary campuses this holiday season.

A survey of nearly 10,000 students in Washington state in the fall of 2022 found many students are struggling to get the food they need and secure housing.

Jennifer Dellinger, policy associate for the Washington State Board for Community and Technical Colleges, noted half the students surveyed were experiencing insecurity in housing and food the previous year.

"Less than half of students experiencing those insecurities were able to actually access the supports or resources that they needed to meet those needs within six months," Dellinger reported.

The needs were higher for certain groups, such as Black and Native American students, with about two-thirds of students saying they had a hard time meeting basic needs.

Jamielyn Wheeler senior director of strategic initiatives for the nonprofit Northwest Harvest, said, "This is a chronic problem that is severely impacting students' ability to push through to degree attainment."

Dellinger emphasized the state found students do better when they have access to supports. However, applying for food and housing resources can be complicated. Lawmakers passed a bill in 2023 to put people on university and community and technical college campuses to help with this issue.

"That's how the Basic Needs Act kind of was born," Dellinger recounted. "It really established a way to support students at being able to navigate benefits through positioning those navigators at all 34 of our CTCs."

Under the Basic Needs Act, colleges and universities must also implement a strategic plan to address basic needs for students. Dellinger pointed out her office is collecting data to find places where it can help the most and bring potential solutions to lawmakers. She added it might be ensuring food stamps, or EBT, is accepted on campuses, providing child care or simply making sure more food is available.

"We have pantries at our campuses but are they stocked appropriately enough? Can we support local collaborations for farm fresh foods to be delivered and distributed to campuses?" Dellinger suggested.


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North Dakota is expected to rejoin the debate over whether all school children, regardless of their family income, should have access to no-cost meals.

Universal lunch programs have been adopted by nearly 10 states, including neighboring Minnesota. A broad coalition of organizations gathered Thursday to push for adding North Dakota to the list. The federal government funds free or reduced-cost meals to income-eligible students. States with universal policies cover the remaining expenses so all kids eat free.

Michelle Wagner, child nutrition director for Bismarck Public Schools and legislative chair for the North Dakota School Nutrition Association, said working in a school cafeteria has opened her eyes about the need.

"As a food service director, we see firsthand that many of these students depend on school meals as their primary source of nutrition," Wagner explained.

The coalition said one in three North Dakota children relies on the Great Plains Food Bank, and many do not meet school meal eligibility requirements. North Dakota lawmakers temporarily boosted meal eligibility last session but advocates said wider permanent access is needed. A likely bill sponsor said there appears to be bipartisan support but expects pushback over cost concerns, even with a budget surplus.

Coalition members argued this type of move works as a tax cut, estimating North Dakota families would save more than $850 per child each year.

Robin Nelson, CEO of the Boys & Girls Club of the Red River Valley, said by putting kids in a better position to learn, the state would also be able to address workforce shortages down the road.

"If I were a company that was trying to recruit employees, I would use this for anybody to move to the state," Nelson suggested.

Statewide polling in North Dakota has shown strong public support for expanded school meals. In Minnesota, policy observers said the state's program, approved in 2023, is proving to be popular but demand has been strong, elevating costs. Those behind North Dakota's effort said they hope lawmakers get a full scope of what is needed when they begin debating the issue.


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Congressional efforts to avoid a government shutdown could extend funding for SNAP, the program formerly known as food stamps. And if the continuing resolution introduced in the U.S. House this week is passed, SNAP participants won't go hungry if they fall victim to electronic theft.

Carmen Mooradian, senior public policy manager with Hunger Free Colorado, said the resolution extends protections from practices - such as skimming data from EBT cards, which function like debit cards - through September of 2028.

"This is when a device is placed on a point-of-sale terminal, and it's used to take that account information, and to clone it into a new card, that is then used to drain that person's account," Mooradian said.

Electronic theft protections were set to expire this Friday. Nearly one in five families with children in Colorado have gone without food because they can't afford it, and advocates are urging lawmakers to improve emergency food assistance programs by removing barriers such as additional work requirements; getting more eligible people enrolled; allowing participants to make their own healthy food choices; and increasing benefit levels to keep up with rising costs.

The minimum SNAP benefit is currently $23 per month, and the average SNAP benefit is $6 a day. Mooradian said lessons learned during the COVID public-health emergency show what's possible when benefits are increased.

"It can actually protect against food insecurity. People have access to healthier foods, because they can afford healthier foods," Mooradian added. "So, we need to make sure that we are moving toward more adequate benefits. "

Sen. Michael Bennet, D-CO, has introduced a bill that would allow people with disabilities or working multiple jobs to use SNAP to buy hot prepared foods at grocery stores. Mooradian said it's also important for lawmakers to remove additional work and other requirements for the 40% of community college students experiencing hunger.

"There are a lot of restrictions on student eligibility right now that make it harder for students to access this program. When students aren't focusing on having to feed themselves, they are actually able to do better in school," Mooradian added.