Gunen Bengucan, Klassen Ann C
Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, United States.
Health Aff Sch. 2025 Apr 19;3(5):qxaf087. doi: 10.1093/haschl/qxaf087. eCollection 2025 May.
The 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) revised eligibility for the Supplemental Nutrition Assistance Program (SNAP), permanently banning individuals with past felony drug-related convictions, but allowing states to opt out or modify bans. By 2024, 28 states and Washington, DC, fully opted out and 21 states modified PRWORA; only South Carolina maintains a full ban. However, because federal restrictions remain, state legislatures episodically consider reintroduction of restrictions or bans. Household food insecurity exacerbated by SNAP restrictions increases risk of both recidivism and adverse family health. To strengthen advocacy arguments for full SNAP access, we examined state-level public discourse regarding PRWORA policies, including stakeholders and arguments highlighted. We analyzed local media coverage of PRWORA/SNAP legislative and related activity, identifying 84 stories between 1997 and 2022. State-specific case studies compared coverage in states considering lifting (West Virginia), relaxing (Missouri), or tightening (Pennsylvania) PRWORA provisions. Although most coverage was positive towards lifting bans, stories lacked content on nutrition or health policy. Without repeal of the 1996 federal statute, state-specific PRWORA provisions continue to threaten SNAP access. Nutrition advocacy should monitor and influence public discourse about this social justice issue, to shape policies protecting vulnerable populations from food insecurity.
1996年的《个人责任与工作机会协调法案》(PRWORA)修订了补充营养援助计划(SNAP)的资格规定,永久禁止有与毒品相关重罪前科的个人参与该计划,但允许各州选择退出或修改禁令。到2024年,28个州和华盛顿特区完全选择退出,21个州修改了PRWORA;只有南卡罗来纳州维持全面禁令。然而,由于联邦限制仍然存在,州立法机构会不定期考虑重新引入限制或禁令。SNAP限制加剧的家庭粮食不安全增加了累犯和家庭健康不良的风险。为了加强支持全面获得SNAP福利的宣传论据,我们研究了州一级关于PRWORA政策的公共话语,包括突出的利益相关者和论据。我们分析了当地媒体对PRWORA/SNAP立法及相关活动的报道,确定了1997年至2022年间的84篇报道。针对特定州的案例研究比较了考虑取消(西弗吉尼亚州)、放宽(密苏里州)或收紧(宾夕法尼亚州)PRWORA条款的州的报道情况。尽管大多数报道对取消禁令持积极态度,但报道缺乏关于营养或健康政策的内容。在1996年联邦法规未被废除的情况下,特定州的PRWORA条款继续威胁着SNAP福利的获取。营养宣传应监测并影响关于这个社会正义问题的公共话语,以制定保护弱势群体免受粮食不安全影响的政策。