,i #aaith ,,congress #b;d ,session ,h4 ,r4 #gega ,,in ,,the ,,house ,,of ,,representatives ,february #ac1 #bjbf,mr4 ,crawford 7for himself and ,mr4 ,nunn of ,iowa7 introduced the following bill2 which was referred to the ,committee on ,agriculture ,a ,,bill ,to amend the ,food1 ,conservation1 and ,energy ,act of #bjjh with respect to the ,gus ,schumacher ,nutrition ,incentive ,program and the sustainability of such program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,gus,n,i,p ,expansion ,act of #bjbf4 #b4 ,improving the financing of the ,gus ,schumacher ,nutrition ,incentive ,program 7a7 ,food insecurity nutrition incentive grants ,section #ddje7;b7 of the ,food1 ,conservation1 and ,energy ,act of #bjjh 7#g ,u4,s4,c4 #geag7;b77 is amended-- 7#a7 in paragraph 7#a71 by amending subparagraph 7,c7 to read as follows3 7,c7 ,federal share 7i7 ,in general ,except as provided in clause 7ii7 and subparagraph 7,d77iii71 the ,federal share of the cost of carrying out an activity under this subsection shall not exceed #ej percent of the total cost of the activity4 7ii7 ,waiver for persistent poverty areas ,the ,secretary may waive the application of clause 7i7 in the case of an activity carried out-- 7,i7 in a county that1 during the preceding #cj-year period has had a population of which greater than or equal to #bj percent of such population are living in poverty 7as measured by the most recent decennial censuses and most recent ,small ,area ,income and ,poverty ,estimates of the ,bureau of the ,census72 or 7,,ii7 in a census tract with poverty rate of at least #bj percent during the preceding #cj-year period as measured by the most recent #e-year data series available from ,the ,american ,community ,survey of the ,bureau of the ,census4 2 and 7#b7 by adding at the end the following3 7#c7 ,cooperative agreements to scale statewide incentive programs 7,a7 ,in general ,for the purposes of scaling existing incentive programs under paragraphs 7#a7 and 7#b71 the ,secretary shall establish cooperative agreements between-- 7i7 eligible entities and ,food and ,nutrition ,service or the ,national ,institute of ,food and ,agriculture 7or both72 and 7ii7 either-- 7,i7 a ,state ,,snap agency2 or 7,,ii7 a non-profit or local government in partnership with a ,state ,,snap agency4 7,b7 ,criteria ,each agreement entered into pursuant to this paragraph-- 7i7 shall-- 7,i7 be for a duration of at least #d years2 7,,ii7 include a requirement that any project carried out pursuant to the agreement be subject to the criteria and priorities under paragraphs 7#a7 and 7#b72 and 7,,iii7 require that before the end of the agreement1 at least #ij percent of the funds received pursuant to the agreement are spent on redeemed incentives at the eligible retailer2 and 7ii7 may only be entered in to with an entity that previously received a grant under this subsection4 7,c7 ,priority ,the ,secretary shall prioritize cooperative agreements-- 7i7 in the same manner as projects under paragraph 7#b72 and 7ii7 that work in a variety of retail settings1 including independent retailers and farmers markets4 4 7b7 ,produce prescription program ,section #ddje7;c7 of the ,food1 ,conservation1 and ,energy ,act of #bjjh 7#g ,u4,s4,c4 #geag7;c77 is amended-- 7#a7 by amending paragraph 7#a7 to read as follows3 7#a7 ,in general ,the ,secretary shall establish-- 7,a7 a pilot grant program under which the ,secretary shall award grants to eligible entities to conduct projects that demonstrate and evaluate the impact of the projects on-- 7i7 the improvement of dietary health through increased consumption of fruits and vegetables2 7ii7 the reduction of individual and household food insecurity2 and 7iii7 the reduction in healthcare use and associated costs2 and 7,b7 a grant program described in subparagraph 7,a7 that has a demonstrated ability to expand clinical research on the value of delivering the program through clinical practice4 2 7#b7 in paragraph 7#c71 by adding at the end the following3 7,c7 ,criteria 7i7 ,seeding infrastructure grants ,the ,secretary shall establish criteria for awarding grants under paragraph 7#a77;,a7 that-- 7,i7 study previously unknown facts about the program design2 7,,ii7 establish or validate best practices2 or 7,,iii7 establish infrastructure that aids community health centers and independent produce retail outlets4 7ii7 ,expansion grants ,the ,secretary shall establish criteria for awarding grants under paragraph 7#a77;,b7 that have-- 7,i7 a minimum intervention cohort of #cjj patients2 7,,ii7 a matched group or have demonstrated the ability to scale when delivered through clinical practice2 and 7,,iii7 an intervention duration of #ab months or longer4 2 and 7#c7 by adding at the end the following3 7#f7 ,range of awards ,the amount of a grant awarded-- 7,a7 under subsection 7c77#a77;,a7 shall be not less than #ajj1jjj and not more than #djj1jjj2 and 7,b7 under subsection 7c77#a77;,b7 shall be not less than #a1jjj1jjj and not more than #b1ejj1jjj4 7#g7 ,report ,not later than #c years after the date of the enactment of the ,gus,n,i,p ,expansion ,act of #bjbf1 the ,secretary1 in consultation with the ,comptroller ,general of the ,united ,states1 the ,secretary of ,health and ,human ,services1 the ,administrator of the ,centers for ,medicare and ,medicaid ,services1 and any other relevant agency head shall conduct a study and issue recommendations on how to transition payment for the produce prescription program to health insurance programs not later than #aj years after the date of the enactment of the ,gus,n,i,p ,expansion ,act of #bjbf4 7#h7 ,review panel ,not later than #a year after the date of enactment of the ,gus,n,i,p ,expansion ,act of #bjbf1 the ,secretary shall establish a review panel to review grant applications under this subsection4 4 7c7 ,funding ,section #ddje7;f7 of the ,food1 ,conservation1 and ,energy ,act of #bjjh 7#g ,u4,s4,c4 #geag7;f77 is amended-- 7#a7 in paragraph 7#a71 by striking #bjbc and inserting #bjca2 7#b7 in paragraph 7#b7-- 7,a7 in subparagraph 7,f71 by striking and at the end2 7,b7 in subparagraph 7,g71 by striking and each fiscal year thereafter4 and inserting 2 and2 and 7,c7 by adding at the end the following3 7,h7 #eg1ejj1jjj for fiscal years #bjbg through #bjca2 and 7,i7 #ef1jjj1jjj for fiscal year #bjcb and each fiscal year thereafter4 2 and 7#c7 in paragraph 7#c7-- 7,a7 in the matter preceding subparagraph 7,a71 by striking #bjbc and inserting #bjca2 7,b7 in subparagraph 7,a71 by striking the semicolon and inserting3 -- 7i7 #ej percent of such funds shall be used for pilot grants described in subsection 7c77#a77;,a72 and 7ii7 #ej percent of such funds shall be used for grant programs described in subsection 7c77#a77;,b72 2 7,c7 in subparagraph 7,c7-- 7i7 in clause 7i71 by striking and at the end2 7ii7 in clause 7ii71 by striking the period at the end and inserting 2 and2 and 7iii7 by adding at the end the following3 7iii7 #ab1jjj1jjj for each of the fiscal years #bjbg through #bjca2 and 2 and 7,d7 by adding at the end the following3 7,d7 the ,secretary shall use #hj percent of remaining funds for cooperative agreements under subsection 7b7 of this section4 4