In Virginia, one pediatrician tweaked electronic health record billing codes so Medicaid and private insurers are paying for patients’ trips to food banks.

In California, Colorado, Massachusetts and Vermont, variant comprehensive models of getting payers involved in setting standards for dealing with food insecurity are underway or already up and running.

But the mounting push to expand and hone how the medical community treats food insecurity is clashing with the fight over food stamp restrictions currently raging on Capitol Hill. The farm bill that passed Wednesday out of the key House committee along a party-line vote would put a controversial 20-hour work requirement on adults who buy food through the Supplemental Nutrition Assistance Program.