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. 2019 Dec;109(12):1641–1645. doi: 10.2105/AJPH.2019.305359
SNAP Program Change Considerations/Recommendations for Change in Rural Context
Offer financial incentives for F&V purchases Canned, frozen, and dried fruits and vegetables should be eligible for F&V incentive.
Increase FINI funding to increase the reach of incentive programs, or incorporate incentives into SNAP electronic benefit transfer (universal F&V incentive approach).
Expand SNAP electronic benefit transfer acceptance at farmers markets Provide additional funds and technical support to reduce barriers to purchasing and operating SNAP electronic benefit transfer machines at farmers markets/farm stands.
In consideration of resource constraints, focus funds and support on farmers markets/farm stands most highly used by low-income families in rural communities.
Allow SNAP electronic benefit transfer to be used for purchasing food from online grocers Analyses of data collected as part of the SNAP online purchasing pilot should evaluate feasibility and usefulness in rural SNAP participants specifically.
Prohibit use of program benefits for purchasing energy-dense nutrient-poor foods Additional rigorous evaluation research is needed, and rural SNAP participants should be included in these studies.
Distribute benefits more than once per month Research evaluating potential benefits and unintended consequences is needed before this type of program change is made, and rural SNAP participants should be included in these studies.
Increase program benefit level Additional rigorous research is needed, and rural SNAP participants should be included in these studies.
Expand and enhance SNAP-Ed Direct education component of SNAP-Ed should be redesigned to take into account transportation-related barriers faced by rural families, and mixed-methods research should be carried out to guide redesign efforts.

Note. FINI = Food Insecurity Nutrition Incentive Program; F&V = fruits and vegetables; SNAP = Supplemental Nutrition Assistance Program; SNAP-Ed = Supplemental Nutrition Assistance Program Education.