Purpose:
To allow a supported decision-maker (SDM)âsuch as a licensed doctor, dietitian, or guardianâto assist individuals with disabilities or medical conditions in making healthier food choices within the Supplemental Nutrition Assistance Program (SNAP). The goal is to improve health, reduce preventable hospitalizations, and respect individual autonomy while ensuring medical and nutritional safety.
Key Features:
- Personalized Nutrition Plans:
- Individuals in group homes could voluntarily enroll in a supported nutrition option under SNAP.
- Approved medical or dietary professionals could document foods that cause adverse reactions (e.g., dizziness, behavioral triggers, or blood sugar spikes).
- SNAP purchase systems (EBT cards) could flag or substitute healthier alternatives.
- State-Federal Collaboration:
- States could apply for USDA pilot waivers to test the program in partnership with HHS, Medicaid, and state disability agencies.
- Oversight and Safeguards:
- Participation must be voluntary and documented in a supported decision-making plan.
- No restrictions could be made without consent from the beneficiary and their SDM team.
- Independent advocacy boards would review all dietary restrictions to prevent abuse.
- Expected Outcomes:
- Lower rates of diet-related hospital visits and medication dependence.
- Improved independence and quality of life for adults in group homes.
- Cost savings in Medicare and Medicaid through preventive nutrition.
Support Needed:
- Congress: Amend the Farm Bill to authorize supported decision-making pilots within SNAP.
- USDA (FNS): Develop regulations and technological systems for individualized EBT controls.
- HHS & CMS: Integrate nutrition data with Medicaid and disability support services.
- State Governments: Administer local pilots and monitor participant outcomes.
- Medical & Advocacy Groups: Provide training and oversight to ensure ethical implementation.
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