Special Supplemental Nutrition Program for Women, Infants and Children (WIC): Revisions in the WIC Food Packages
Federal Register, Volume 79 Issue 47 (Tuesday, March 11, 2014)
Federal Register Volume 79, Number 47 (Tuesday, March 11, 2014)
Rules and Regulations
Pages 13497-13498
From the Federal Register Online via the Government Printing Office www.gpo.gov
FR Doc No: C1-2014-04105
Page 13497
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Part 246
FNS-2006-0037
RIN 0584-AD77
Special Supplemental Nutrition Program for Women, Infants and Children (WIC): Revisions in the WIC Food Packages
Correction
In rule document 2014-04105, appearing on pages 12273-12300 in the issue of Tuesday, March 4, 2014, make the following correction:
Sec. 246.10 Corrected
0
On pages 12295-12296, in Sec. 246.10(e)(9), Table 3 is corrected to read as follows:
Table 3--Maximum Monthly Allowances (MMA) of Supplemental Foods for Children and Women With Qualifying
Conditions in Food Package III
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Children Women
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Pregnant and
Foods \1\ partially Postpartum (up
1 through 4 breastfeeding to 6 months Fully breastfeeding, (up to
years (up to 1 year postpartum) \3\ 1 year post-partum) \4\ \5\
postpartum) \2\
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Juice, single strength \6\... 128 fl oz....... 144 fl oz....... 96 fl oz........ 144 fl oz.
WIC Formula 7 8.............. 455 fl oz liquid 455 fl oz liquid 455 fl oz liquid 455 fl oz liquid
concentrate. concentrate. concentrate. concentrate.
Milk......................... 16 qt 9 10 11 12 22 qt 9 10 11 12 16 qt 9 10 11 12 24 qt. 9 10 11 12 14
13. 14. 14.
Breakfast cereal 15 16....... 36 oz........... 36 oz........... 36 oz........... 36 oz.
Cheese....................... N/A............. N/A............. N/A............. 1 lb.
Eggs......................... 1 dozen......... 1 dozen......... 1 dozen......... 2 dozen.
Fruits and vegetables 17 18 $8.00 in cash- $10.00 in cash $10.00 in cash- $10.00 in cash-value
19. value vouchers. value vouchers. value vouchers. vouchers.
Whole wheat or whole grain 2 lb............ 1 lb............ N/A............. 1 lb.
bread \20\.
Fish (canned)................ N/A............. N/A............. N/A............. 30 oz.
Legumes, dry \21\............ 1 lb............ 1 lb............ 1 lb............ 1 lb
and/or....................... Or.............. And............. Or.............. And
Peanut butter................ 18 oz........... 18 oz........... 18 oz........... 18 oz.
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Table 3 Footnotes: N/A = the supplemental food is not authorized in the corresponding food package.
\1\ Table 4 of paragraph (e)(12) of this section describes the minimum requirements and specifications for the
supplemental foods. The competent professional authority (CPA), as established by State agency policy, is
authorized to determine nutritional risk and prescribe supplemental foods per medical documentation.
\2\ This food package is issued to two categories of WIC participants: Women participants with singleton
pregnancies and breastfeeding women whose partially (mostly) breastfed infants receive formula from the WIC
Program in amounts that do not exceed the maximum formula allowances as appropriate for the age of the infant
as described in Table 1 of paragraph (e)(9) of this section.
\3\ This food package is issued to two categories of WIC participants: Non-breastfeeding postpartum women and
breastfeeding postpartum women whose breastfed infants receive more than the maximum infant formula allowances
as appropriate for the age of the infant as described in Table 1 of paragraph (e)(9) of this section.
\4\ This food package is issued to four categories of WIC participants: Fully breastfeeding women whose infants
do not receive formula from the WIC Program; women pregnant with two or more fetuses; women partially (mostly)
breastfeeding multiple infants from the same pregnancy, and pregnant women who are also partially (mostly)
breastfeeding singleton infants.
Page 13498
\5\ Women fully breastfeeding multiple infants from the same pregnancy are prescribed 1.5 times the maximum
allowances.
\6\ Combinations of single-strength and concentrated juices may be issued provided that the total volume does
not exceed the maximum monthly allowance for single-strength juice.
\7\ WIC formula means infant formula, exempt infant formula, or WIC-eligible nutritionals.
\8\ Powder and ready-to-feed may be substituted at rates that provide comparable nutritive value.
\9\ Whole milk is the standard milk for issuance to 1-year-old children (12 through 23 months). Fat-reduced
milks may be issued to 1-year-old children as determined appropriate by the health care provider per medical
documentation. Lowfat (1%) or nonfat milks are the standard milks for issuance for children >= 24 months of
age and women. Whole milk or reduced fat (2%) milk may be substituted for lowfat (1%) or nonfat milk for
children = 24 months of age and women as determined appropriate by the health care provider per
medical documentation.
\10\ Evaporated milk may be substituted at the rate of 16 fluid ounces of evaporated milk per 32 fluid ounces of
fluid milk or a 1:2 fluid ounce substitution ratio. Dry milk may be substituted at an equal reconstituted rate
to fluid milk.
\11\ For children and women, cheese may be substituted for milk at the rate of 1 pound of cheese per 3 quarts of
milk. For children and women in the pregnant, partially breastfeeding and postpartum food packages, no more
than 1 pound of cheese may be substituted. For women in the fully breastfeeding food package, no more than 2
pounds of cheese may be substituted for milk. State agencies do not have the option to issue additional
amounts of cheese beyond these maximums even with medical documentation. (No more than a total of 4 quarts of
milk may be substituted for a combination of cheese, yogurt or tofu for children and women in the pregnant,
partially breastfeeding and postpartum food packages. No more than a total of 6 quarts of milk may be
substituted for a combination of cheese, yogurt or tofu for women in the fully breastfeeding food package.)
\12\ For children24 months of and women, yogurt may be substituted for fluid milk at the rate of 1 quart of
yogurt per 1 quart of milk; a maximum of 1 quart of milk can be substituted. Additional amounts of yogurt are
not authorized. Whole yogurt is the standard yogurt for issuance to 1-year-old children (12 through 23
months). Lowfat or nonfat yogurt may be issued to 1-year-old children (12 months to 23 months) as determined
appropriate by the health care provider per medical documentation. Lowfat or nonfat yogurts are the standard
yogurt for issuance to children >= 24 months of age and women. Whole yogurt may be substituted for lowfat or
nonfat yogurt for children = 24 months of age and women as determined appropriate by the health
care provider per medical documentation. (No more than a total of 4 quarts of milk may be substituted for a
combination of cheese, yogurt or tofu for children and women in the pregnant, partially breastfeeding and
postpartum food packages. No more than a total of 6 quarts of milk may be substituted for a combination of
cheese, yogurt or tofu for women in the fully breastfeeding food package.)
\13\ For children, soy-based beverage and tofu may be substituted for milk as determined appropriate by the
health care provider per medical documentation. Soy-based beverage may be substituted for milk on a quart for
quart basis up to the total maximum allowance of milk. Tofu may be substituted for milk for children at the
rate of 1 pound of tofu per 1 quart of milk. (No more than a total of 4 quarts of milk may be substituted for
a combination of cheese, yogurt or tofu for children.) Additional amounts of tofu may be substituted, up to
the maximum allowance for fluid milk for children, as determined appropriate by the health care provider per
medical documentation.
\14\ For women, soy-based beverage may be substituted for milk on a quart for quart basis up to the total
maximum monthly allowance of milk. Tofu may be substituted for milk at the rate of 1 pound of tofu per 1 quart
of milk. (No more than a total of 4 quarts of milk may be substituted for a combination of cheese, yogurt or
tofu for women in the pregnant, partially breastfeeding and postpartum food packages. No more than a total of
6 quarts of milk may be substituted for a combination of cheese, yogurt or tofu for women in the fully
breastfeeding food package.) Additional amounts of tofu may be substituted, up to the maximum allowances for
fluid milk, as determined appropriate by the health care provider per medical documentation.
\15\ 32 dry ounces of infant cereal may be substituted for 36 ounces of breakfast cereal as determined
appropriate by the health care provider per medical documentation..
\16\ At least one half of the total number of breakfast cereals on the State agency's authorized food list must
have whole grain as the primary ingredient and meet labeling requirements for making a health claim as a
``whole grain food with moderate fat content'' as defined in Table 4 of paragraph (e)(12) of this section.
\17\ Both fresh fruits and fresh vegetables must be authorized by State agencies. Processed fruits and
vegetables, i.e., canned (shelf-stable), frozen, and/or dried fruits and vegetables may also be authorized to
offer a wider variety and choice for participants. State agencies may choose to authorize one or more of the
following processed fruits and vegetables: canned fruit, canned vegetables, frozen fruit, frozen vegetables,
dried fruit, and/or dried vegetables. The cash-value voucher may be redeemed for any eligible fruit and
vegetable (refer to Table 4 of paragraph (e)(12) of this section and its footnotes). Except as authorized in
paragraph (b)(1)(i) of this section, State agencies may not selectively choose which fruits and vegetables are
available to participants. For example, if a State agency chooses to offer dried fruits, it must authorize all
WIC-eligible dried fruits.
\18\ Children and women whose special dietary needs require the use of pureed foods may receive commercial
jarred infant food fruits and vegetables in lieu of the cash-value voucher. Children may receive 128 oz of
commercial jarred infant food fruits and vegetables and women may receive 160 oz of commercial jarred infant
food fruits and vegetables in lieu of the cash-value voucher. Infant food fruits and vegetables may be
substituted for the cash-value voucher as determined appropriate by the health care provider per medical
documentation.
\19\ The monthly value of the fruit/vegetable cash-value vouchers will be adjusted annually for inflation as
described in Sec. 246.16(j).
\20\ Whole wheat and/or whole grain bread must be authorized. State agencies have the option to also authorize
brown rice, bulgur, oatmeal, whole-grain barley, whole wheat macaroni products, or soft corn or whole wheat
tortillas on an equal weight basis.
\21\ Canned legumes may be substituted for dry legumes at the rate of 64 oz. (e.g., four 16-oz cans) of canned
beans for 1 pound dry beans. In Food Packages V and VII, both beans and peanut butter must be provided.
However, when individually tailoring Food Packages V or VII for nutritional reasons (e.g., food allergy,
underweight, participant preference), State agencies have the option to authorize the following substitutions:
1 pound dry and 64 oz. canned beans/peas (and no peanut butter); or 2 pounds dry or 128 oz. canned beans/peas
(and no peanut butter); or 36 oz. peanut butter (and no beans).
FR Doc. C1-2014-04105 Filed 3-10-14; 8:45 am
BILLING CODE 1505-01-D
