The 1115 Waiver gives MQD the authority to provide HRSN nutrition supports, such as coverage of nutrition instruction, home delivered meals or pantry stocking, medically tailored meals, and nutrition prescriptions. 

In December 2025, MQD launched a one-month pilot: Kau 'Ai Pono: Season of Eating Well Pilot. 

The full benefit is set to live in fall 2026.