Review of WIC Food Packages Proposed Framework for Revisions: Interim Report (2016) / Chapter Skim
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Appendix T: Chronology of Statutes Pertaining to the Definition of WIC Supplemental Foods
Appendix T: Chronology of Statutes Pertaining to the Definition of WIC Supplemental Foods
Pages 553-562
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92-433. The term "supplemental foods" is defined in the original Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
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101-147. Child Nutrition and WIC Reauthorization Act of 1989 continues the statutory emphasis on providing nutrients for which WIC participants are most vulnerable to deficiencies and adds concern regarding nutrient density and how to effectively provide the priority nutrients.
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Child Nutrition Act § 17, includes the following relevant provisions in a paragraph primarily addressing state operations: "(f)
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bread Protein foods Total meat, poultry, organ meat, cured 1 egg meat, seafood, eggs, soy, and nuts and seeds; excludes legumes (oz-eq) Meat, poultry, Total meat, poultry, organ meat, and 28.35 g cooked, lean meat or eggs cured meat (oz-eq)
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Added sugars Foods defined as added sugars: honey, 1 tsp-eq of added sugars = corn syrup, white sugar, brown sugar, 4 g of added sugars such as fructose (tsp-eq) honey, corn syrup NOTES: c-eq = cup equivalents; DGAC = Dietary Guidelines Advisory Committee; FPED = Food Patterns Equivalent Database; oz-eq = ounce equivalents; Tbsp = tablespoon; tsp-eq = tsp equivalents.
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Permit flexibility of Increase flexibility whole grain pasta package sizes up to 16 ounces Canned fish: Offer pregnant women canned seafood DGA recommends more fish Add canned wild Alaskan salmon Comments regarding nutritional value and supporting local economy in Alaska Offer tuna as an option for children Cereal: Increase options for hot cereals (e.g. single Participants would like more options packages)
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APPENDIX T 559 TABLE T-2 Continued Proposed Modification Rationale Provided Cheese: Allow cheese for pregnant and Cheese can be tolerated better than milk for postpartum women lactose intolerant Peanut Butter/Legumes: Make canned beans an option "If participants can get peanut butter with added sugar and salt, canned beans should be an option." Decrease amount of peanut butter, consider Packages have too much peanut butter (1 limiting additives allowed for peanut comment) butters including hydrogenated oils and Many participants with peanut allergy sweeteners added as "seasoning," allow natural nut butters Eggs: Increase egg allowance Eggs are an important protein source for growing toddlers and pregnant moms Cholesterol is important for central nervous system development Juice: Increase CVV and remove or reduce juice Participants ask for more fruits and Allow partial or full replacement of the vegetables in place of juice juice benefit with CVV Minimal nutrition Dental dangers Mixed message of juice being a health food since provided by WIC Request by recipients Referred to as liquid candy Infant foods: Offer additional forms of fruits/vegetables Would reduce confusion among participants with infant CVV and allows more shelf-stable fruits/ vegetables for families in rural areas Add meat for formula-fed infants; do not Majority of families do not choose infant add meat meats Flexibility for infants 6–12 months to use Families can make their own baby foods fresh fruits and vegetables instead of jarred foods Reduce the amount of baby foods to Excessive amounts of baby foods increase risk exclusively breastfed infants of abuse Consider additional complementary foods Infant cereal and infant fruits and vegetables for infants age 9–11 months as they are provided by WIC are inappropriate texture transitioning to soft table foods such as for this age group regular breakfast cereal continued
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Offer vegan substitutions in the eggs/fish Vegetarians might be at risk for protein, iron, categories vitamin B12, zinc, calcium, and vitamin D deficiencies Continue to allow organic foods and Organic foods are perceived by some Farmers' Market Nutrition Program participants to be of improved safety benefits or nutritional quality compared to conventionally produced foods Expand organic food options at the state level Administration: Consider a flexible range of package sizes 16-ounce size of bread and 16-ounce whole that allow practical and cost-effective wheat pasta are difficult to obtain, implementation vegetable juices not available in 48 ounce Consider practical application of sizes recommendations Often difficult for staff to explain allowable items and difficult for participants to find Incentivize breastfeeding by increasing items at store the dollar amount of CVV for fully breastfeeding women above postpartum, pregnant, and partially breastfeeding Support breastfeeding through prenatal education, not food package incentives Allow option for frozen foods Round to next dollar amount instead of rounding down; allow flexibility to go above the maximum benefit when state funds allow Provide CVVs instead of specific foods for all food groups Simplify shopping experience, eliminate need for cost containment (participants will be Revisit cost containment of formula elastic consumers) , reduce vendor fraud Rebate model is unsustainable and some argue it violates the World Health Organization Do not place the 67 kcal per 100 mL code minimum energy requirement on Increasing range of childhood obesity.
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All public comments are accessible through the National Academies Public Access File. Email: paro@nas.edu.
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