BOISE, Idaho -- A pilot program that prescribes a trip to the produce aisle has been a success in Idaho.

The Nebraska-based Gretchen Swanson Center for Nutrition evaluated the Idaho Hunger Relief Task Force's (IHRTF) Prescription for Fresh Fruits and Vegetables program, which offers vouchers to food-insecure patients with diabetes and prediabetes.

It found significant improvements in participants' health.

Julie Walker, manager of diabetes education at Saint Luke's Humphreys Diabetes Center in Boise, said there was a lot of positive feedback, including from a young woman with Type 1 diabetes.

"She had called and wanted to know if there was any way she could get re-enrolled in the program because she really attributed that to her success in reducing her A1C, and if she could be re-enrolled again it would really be helpful," Walker recalled. "And fortunately, she was."

A1C levels measure a person's blood sugar.

Walker said levels above 7 significantly increase the risk of nerve damage, and the woman's A1C was cut from 9 to 6.3 during the program. The evaluation found participants' A1C levels dropped by an average of 13% over the course of the program.

Cliff Metcalf, owner of Cliff's Country Market in Caldwell, accepted vouchers for the program.

"We ring it up like a regular transaction," Metcalf explained. "They give us the vouchers instead of cash, and then they go home with some really good produce."

Metcalf added people get the vegetables and then find out they like them more than the sugary foods they're used to buying.

Christina Tierney, manager of the Prescription for Fresh Fruits and Vegetables program for IHRTF, said the budget for fresh foods is often the first thing to go when people are experiencing food insecurity. She reiterated a lack of these healthy foods in people's diets is tied to diseases like diabetes.

"What we've proven through the Prescription for Fresh Fruits and Vegetables is that access to fresh fruits and vegetables actually can reverse those diagnoses and bring down the A1C levels," Tierney confirmed.

Tierney added they hope to scale the program up beyond the Treasure Valley.

South Dakotans face high prices at the grocery store and some are working to ease the burden.

A new report from the Federal Trade Commission finds some grocery retailers used the supply-chain disruptions of the pandemic to raise prices and collect bigger profits, even after supply chains regulated.

One South Dakota group is trying to reduce sticker shock by targeting the state sales tax on groceries. Dakotans for Health is sponsoring a citizens ballot initiative to repeal the 4.2 % tax.

Rick Weiland, co-founder of the group, said lower food bills would make a meaningful difference for some.

"People of modest means, or low income hardworking families, disproportionately spend upwards of 30% on food," Weiland pointed out. "This is going to be helpful."

South Dakota is one of only two states in the country to apply its full state sales tax rate to groceries with no exemptions, Mississippi being the other. More than 9% of South Dakotans are considered food insecure, meaning they do not always have access to enough healthy food.

The grocery tax has been a popular topic among state legislators in recent years. Republican Gov. Kristi Noem even campaigned on the promise to repeal it. Critics have said proposing a tax cut without a way to finance it is irresponsible.

Weiland pointed out Gov. Noem had a formula spelled out when she brought forward her bill in 2023, which was voted down.

"She had no problem defending her position in front of the Legislature, in terms of how much revenue the state was going to lose and where they could make it up," Weiland recounted.

The initiative needs about 17,500 signatures by next month to appear on the November ballot.

Colorado families must sign up before the end of April to receive $120 per child to buy food through the new Summer EBT program approved by Congress. Families with incomes that qualify for free and reduced-price school lunches - up to around $49,000 a year for a family of three - must enroll through their school.

Anya Rose, public policy director with Hunger Free Colorado, said as school cafeterias close their doors for summer, EBT cards can help kids get the nutrition they need to return to school in the fall ready to learn.

"A lot of families will be automatically enrolled, if they are enrolled in programs like TANF, SNAP, Medicaid. If you are unsure, then talk to your school about filling out the household income form to make sure you can qualify this year if you're income eligible," she said.

EBT grocery cards can be used to buy fruits and vegetables, milk, cheese, eggs, breads, meat, fish and other food at all grocery stores that accept SNAP, the Supplemental Nutrition Assistance Program formerly known as food stamps.

Rose noted grocery cards will be sent by mail, so it's important to make sure schools have your correct address.

Some 337,000 Colorado children are eligible for the program that is expected to generate up to $72 million in economic activity across the state. Grocery cards are available to all income-qualifying households regardless of their immigration status.

"There are no immigration eligibility requirements. And accessing Summer EBT and school meals do not impact immigration status in any way," she explained.

Filling out your school's household income application, sometimes called a school meal or benefit form, will also bring critical federal dollars into Colorado's Healthy School Meals for All initiative. It's currently running $24 million over budget. Rose adds there are other benefits for families who participate in Summer EBT.

"That same form can also qualify students to get discounts on school-related fees for things like SAT or ACT testing, or athletics or band or field trips or other activities," she said.

Oregon is participating in a federal food benefits program for children, called Summer EBT.

Dollars from the program will go even farther to purchase produce, through the Double Up Food Bucks program.

The Oregon Legislature approved the state's participation in the Summer EBT program, making nearly 300,000 children eligible to receive $40 for food each month over the summer.

Mason Durfee, Double Up Food Bucks organizer with Oregon Food Bank, said the additional benefits can be used for the Double Up program.

"Essentially, that increases their total monthly budget that they have," said Durfee, "but also what's really cool about Summer EBT is any of the Summer EBT benefits can also be used to earn Double Up, because they're just being treated as additional SNAP dollars on someone's card."

The Double Up Food Bucks program allows participants with benefits through the Supplemental Nutrition Assistance Program, or SNAP, to buy fresh produce and have the dollars they spend matched - essentially doubling their purchasing power.

Double Up Food Bucks coordinator with Oregon Food Bank, Jas Eppesheimer, said the program is available at a variety of venues across the state.

"The benefits at participating farmers markets are amazing, grocery stores and CSA - Community Supported Agriculture - farms," said Eppesheimer. "So, shoppers can bring home just a lot more fresh produce."

The program matches up to $20 of purchases per day at participating farmers markets. At participating grocery stores, up to $20 spent on fruits and vegetables can be redeemed for produce on the next visit.

The program can also go toward CSA memberships. Oregonians can find participating organizations at doubleuporegon.org.