Title page 1

Contents 1

IMPROVE PROGRAM INTEGRITY IN SNAP 2

CLOSE FINANCING GIMMICKS IN MEDICAID 3

RESTRUCTURE FEDERAL CHILD NUTRITION PROGRAMS 5

CLOSE ACCOUNTABILITY GAPS IN TANF 6

ADDRESS ADMINISTRATIVE FAILURES IN SUPPLEMENTAL SECURITY INCOME 8

THE PATH FORWARD 9

Figure 1. 9 out of 10 SNAP dollars are federal spending 2

Figure 2. States are shifting Medicaid's cost burden to federal taxpayers 4

Figure 3. GAO found 162 audit deficiencies in TANF programs across 37 states 7

Figure 4. SSI's improper payment rates are 56 percent higher than they were in fiscal year 2015 8