Now, a landmark study has provided the first comprehensive look at the empirical consequences of these bans. The research, published by the National Bureau of Economic Research (NBER) and currently undergoing the rigorous process of peer review, indicates that soda purchases fell by approximately 12% among SNAP-enrolled households following the implementation of restrictions in 10 states. While critics might view a 12% decline as modest, the study’s authors and public health advocates suggest it represents a meaningful shift in consumer behavior. According to the data, this reduction translates to the average SNAP recipient consuming roughly 34 fewer 12-ounce cans of soda per year. In the context of a national obesity epidemic where incremental changes can have compounding effects over a lifetime, this "drop in the bucket" may hold significant weight for long-term epidemiological outcomes.
The study arrived at a critical juncture for the Make America Healthy Again (MAHA) movement, a political and social coalition that has prioritized metabolic health, food quality, and the reduction of ultra-processed food consumption. The movement’s influence has reached the highest levels of the U.S. Department of Agriculture (USDA), which oversees the $100 billion-plus SNAP program. Traditionally, the USDA was hesitant to grant waivers that allowed states to deviate from federal standards regarding eligible food items. However, the current administrative climate has fostered a more permissive environment for state-led experimentation. To date, 23 states have successfully applied for and received USDA waivers to implement varying degrees of restrictions on soda, candy, and other "junk foods." The landscape remains legally volatile, however; in five of those states, the bans are currently suspended following rulings from federal judges who have questioned the statutory authority of the USDA to allow such exclusions without explicit Congressional approval.
The health stakes underlying this policy debate are immense. A 2025 study published in Nature Medicine underscores the global toll of sugar-sweetened beverages (SSBs), linking them to approximately 1 million new cases of heart disease and 2 million new cases of type 2 diabetes annually worldwide. In the United States, where sugary drink consumption remains higher than in many other developed nations, the impact on the healthcare system is profound. The NBER study’s authors—led by Matt Notowidigdo, an economics professor at the University of Chicago Booth School of Business—utilized these epidemiological frameworks to estimate the specific impact of the SNAP bans. They project that the observed 12% drop in soda consumption would reduce the risk of developing type 2 diabetes by 2.6% over the next decade. While that percentage sounds small, it equates to roughly 34,000 fewer new cases of diabetes across the country.
From a fiscal perspective, the implications are equally noteworthy. Notowidigdo notes that this reduction in disease burden could lead to roughly $1 billion in annual savings for the healthcare system. To put this in perspective, the United States spent an estimated $5.3 trillion on healthcare in 2024. While $1 billion represents a tiny fraction of total national health expenditures, it is a significant sum in the context of preventable disease costs. "If the goal is to reduce obesity and the cases of diabetes caused by overconsuming sugary beverages, this is probably one part of a broader set of policies," Notowidigdo explained. He emphasized that no single policy is a "silver bullet," but rather a component of a multi-pronged strategy to address metabolic health.
However, the study also highlights a significant challenge known as the "substitution effect." When the government restricts the use of SNAP funds for soda, recipients do not necessarily stop consuming sugar altogether. The NBER data revealed that SNAP recipients used up to 39% of the money they saved from not buying soda to purchase other sugary drinks or fruit juices that were not covered by the state bans. Many fruit juices, while containing vitamins, possess sugar concentrations and glycemic loads similar to those of carbonated soft drinks. This suggests that if the ultimate policy goal is the reduction of total sugar intake, the current bans may be too narrow in scope. "If the goal is to reduce sugar consumption, you want the ban to be more comprehensive, not less," Notowidigdo noted.
The methodology of the study involved a granular analysis of grocery purchase data from the first six months of 2026. The researchers tracked 15,000 households using SNAP benefits, 3,291 of which were located in the 10 states that had actively implemented restrictions. While the sample size is robust, some experts urge caution in generalizing the results. Benjamin Chrisinger, an assistant professor of community health at Tufts University, pointed out that the data might not fully represent the diverse demographics of the 42 million Americans who rely on SNAP. Furthermore, the study touched on a sensitive sociological aspect of the policy: the emotional and social impact on the recipients themselves.
A survey conducted alongside the purchase analysis found that SNAP recipients in states with restrictions were more likely to report feeling judged, disrespected, or "othered" at the checkout counter. This stigma is a central point of contention for advocacy groups that represent low-income families. They argue that SNAP is already a stigmatized program and that adding "policing" at the cash register exacerbates the shame associated with food insecurity. Chrisinger noted that this finding is particularly concerning because "stigma is difficult to compare to other health indicators, which complicates any assessment of trade-offs." The question for policymakers becomes: is a 2.6% reduction in diabetes risk worth the social cost of further marginalizing millions of citizens?
This tension has led some experts to advocate for alternative interventions that do not target a specific demographic. Robert Paarlberg, a professor emeritus of political science at Wellesley University and a specialist in food policy, suggests that sugary beverage taxes may be a more effective and equitable tool. Paarlberg pointed to the precedent set in Philadelphia, where a city-wide tax on sugar-sweetened beverages led to a 31% cut in consumption across all demographic groups—not just those on government assistance. "When Philadelphia did this, they got a much larger cut in consumption, along with revenue they could use for neighborhood projects to offset the regressive nature of the tax," Paarlberg said. Crucially, the Philadelphia policy avoided the issue of stigma because it applied to every consumer regardless of income, and the political messaging focused on revenue for pre-K programs rather than the "unhealthy habits" of the poor.
The funding for the NBER study also warrants mention, as it reflects the broader political economy of public health advocacy. The research was supported by a grant from Bloomberg Philanthropies, an organization founded by former New York City Mayor Michael Bloomberg. Bloomberg has been a staunch, long-time advocate for sugary drink taxes and stricter nutritional standards, having famously attempted to implement a "soda portion cap" during his tenure as mayor. Bloomberg Philanthropies also provides funding to various media outlets and research institutions, including STAT, though the organization maintains strict editorial independence.
As the Make America Healthy Again movement continues to push for systemic changes to the American food environment, the debate over SNAP restrictions is likely to intensify. The NBER study provides a vital piece of evidence: bans do work to reduce consumption, but their efficacy is dampened by substitution and their implementation carries a social cost. Future policy iterations may look toward more comprehensive bans that include a wider array of high-sugar products, or they may pivot toward the "carrot" rather than the "stick"—providing deeper incentives for the purchase of fruits, vegetables, and whole foods.
Ultimately, the 12% reduction in soda purchases serves as a proof of concept for the MAHA movement’s philosophy. It demonstrates that the levers of government can indeed shift consumer habits in the interest of public health. However, as the legal battles continue in federal courts and the sociological data on stigma rolls in, the challenge for the next generation of food policy will be to find a balance between improving the nation’s metabolic health and preserving the dignity and autonomy of its most vulnerable citizens. Whether through SNAP restrictions, universal sugar taxes, or a total overhaul of the food supply, the drive to "Make America Healthy Again" is fundamentally reshaping the relationship between the American state and the American plate.

