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Healthy Eating Active Living (HEAL) Program 8/10/17 Amy Ellings Washington State Department of Health Amy.ellings@doh.wa.gov Healthy Eating Active Living Goals Reduce the burden of obesity and chronic disease and increase the proportion


  1. Healthy Eating Active Living (HEAL) Program 8/10/17 Amy Ellings Washington State Department of Health Amy.ellings@doh.wa.gov

  2. Healthy Eating Active Living Goals • Reduce the burden of obesity and chronic disease and increase the proportion of Washingtonians with a healthy weight. • Build a healthier Washington through policy, systems and environmental changes that make it easier for people to eat healthy and be active -- wherever they are.

  3. HEAL Projects • Health in All Policies • Healthy Nutrition Guidelines (Executive Order 13-06) • Coordinate Breastfeeding Friendly Washington • Washington’s Food Insecurity Nutrition Incentives (FINI) Program • Healthy food in communities, including sodium reduction, in retail, food banks and restaurants • Complete Streets, Safe Routes to School, and Shared Use • Healthy eating and active play in childcare • Comprehensive School Physical Activity Programs and healthy eating in schools • Support Healthiest Next Generation Initiative

  4. Food Insecurity Nutrition Incentive (FINI) Grant

  5. Food Insecurity Nutrition Incentive (FINI) Grant Program • Background: – Managed by the National Institute of Food and Agriculture (NIFA) at USDA – Provision of the Farm Bill • Goal: Increase the purchase of fruits and vegetables and improve the nutrition and health status of SNAP clients • Strategy: Provide monetary incentives at the point-of- purchase

  6. FINI Advisory Network

  7. The Network Anti-Hunger and Nutrition Coalition Office of the Governor Childhood Obesity Prevention Northwest Harvest Coalition OneAmerica Children's Alliance Seattle YMCA Department of Agriculture Senator Patty Murray’s Office Department of Social and Health State Board of Health Services University of Washington School of Empire Health Foundation Public Health Foundation for Healthy Generations Washington State Farmers Market Got Green Association Governor's Council on Health Washington State University - Disparities Extension WithinReach

  8. FINI in WA – At a Glance Start | End April 1, 2015 – March 31, 2020 Award $5.86M (federal) Subawardees 11 – diverse food system stakeholders Incentive Strategies 1. Farmers Market Match 2. Fruit and Vegetable Prescriptions 3. Fruit and Vegetable Coupons at Safeway Outlets 77 markets 150 Safeway grocery stores www.doh.wa.gov/CompleteEats For more information www.doh.wa.gov/FINI

  9. Incentives Strategy Incentive Form Terms and Conditions Eligible F/V $1:$1 SNAP Market Use SNAP benefits to $5 flat tokens and purchase any SNAP-eligible $2:$6 SNAP paper item  Get market tokens market $4:$10 SNAP to buy F/V currency $6:$15 SNAP No purchase necessary; 1- $10 Rx Paper month expiration; $20 Rx voucher Prescription can be used $40 Rx like cash to buy F/V only Coupon; Use SNAP benefits to purchase F/V  Get dollars generated/ $5:$10 SNAP redeemed off the next purchase of by POS F/V; 1-month expiration

  10. Key achievements and outcomes (so far)

  11. Farmers Market Match Skagit County King County Clark County Pierce County West Sound Eastern Washington

  12. Mt. Vernon Farmers Market

  13. Farmers Market Match Outcomes from 2015 and 2016 73 Farmers markets in 18 counties participated in 2016 46K SNAP transactions $640K SNAP$ spent at farmers markets $408K FINI-funded incentives spent at farmers markets $1.05M Total SNAP$ and incentives spent at farmers markets $1.88M Overall economic impact

  14. Fruit and Vegetable Prescriptions

  15. Fruit and Vegetable Prescriptions Outcomes from July 2016 – March 2017 11 Health systems in 7 counties issued Rx to SNAP clients/patients 6,286 Grocery Store Rx vouchers issued worth $62,860 Grocery Store Rx vouchers redeemed at 86 grocery stores $43,810 statewide, about a 70% redemption rate 784 Fresh Bucks Rx vouchers issued worth $20,640 Fresh Bucks Rx vouchers redeemed at farmers markets, about $13,420 a 65% redemption rate

  16. Fruit and Vegetable Coupons • NEW! Just launched • Spend $10 EBT/SNAP on qualifying fruits and vegetables, get $5 off • Coupons print at the register during checkout • Available in Safeway stores in Washington

  17. Complete Eats Launch

  18. FINI needs • Sustainability- goes through spring of 2020 • Match from non-Federal sources • Continued partnership • Expanded partnerships

  19. More Information www.doh.wa.gov/CompleteEats www.doh.wa.gov/FINI – SNAP participant audience – Professional audience – Information on incentives – Information on grant – Landing page for Farmers – Download fact sheets, data Market Match & Fruit and briefs Vegetable Coupons Social Media – DOH Facebook page – @WADeptHealth

  20. Questions?

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