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Summary
Pages 1-16

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From page 1...
... The program's goals have evolved to include promoting and supporting breastfeeding by providing the breastfeeding mother with benefits for up to 1 year; providing WIC participants with a wider variety of foods, including vegetables, fruits, and whole grains; and providing WIC state agencies greater flexibility in prescribing food packages to accommodate the food preferences of WIC participants. WIC, like some other nutrition assistance programs, has been aligned with the Dietary Guidelines for Americans (DGA)
From page 2...
... In addition, the committee was charged to ensure that recommendations for revising the WIC food packages are consistent with the DGA and address the health and cultural needs of the WIC participant population. Finally, the committee's recommendations should operate efficiently and be effectively administered across the geographic scope of the program.
From page 3...
... Guided by information gathered, the committee used an iterative process to identify potential food package changes. The committee then compared the impact of potential changes against the criteria, within the constraints of the cost-neutral requirement, to develop its BOX S-1 Criteria for Inclusion of Foods in the WIC Food Packages 1.
From page 4...
... * The sensitivity analysis tests the assumptions applied to develop the costneutral revised food packages.
From page 5...
... was conducted to test the committee's assumptions and a regulatory impact analysis (see Chapter 10) was conducted to assess the projected impact of the recommended food packages changes on program participation, the value of the food packages as selected, and program costs and administration.
From page 6...
... Table S-2 presents the food packages for children and for pregnant women. Summary of Recommendations to Revised WIC Food Packages In response to its task, the committee recommended revisions to the WIC food packages that align with the DGA and are more consistent with
From page 7...
... . The food choices allowed in the 2009 food package revisions were retained, and additional choices were added (i.e., a substitution of CVV for jarred infant fruits or vegetables or juice, some fish in place of some jarred infant food meats, an additional quart of yogurt for milk, additional grain choices, and options for vegan participants, including soy-based cheese and yogurt substitute products)
From page 8...
... (FP II or III) For Infants Formula -- -- 0 to 3 months: up Up to 312 fl oz 0 to 3 months: up Up to 624 fl oz to 364 fl oz to 806 fl oz 4 to 5 months: up 4 to 5 months: up to 442 fl oz to 884 fl oz Infant cereal -- 16 oz -- 8 oz -- 8 oz Infant food -- 128 oz or -- 128 oz or -- 128 oz or vegetables 64 oz and $10 64 oz and $10 64 oz and $10 and fruits CVV or CVV or CVV or 0 oz and $20 0 oz and $20 0 oz and $20 CVV CVV CVV Infant food -- 40 oz -- -- -- -- meats
From page 9...
... 16 qt 16 qt 16 qt Breakfast 36 oz 36 oz 36 oz cereal Whole grains 16 to 24 oz 16 to 24 oz -- Peanut butter 16 to 18 oz every 3 months 16 to 18 oz every 3 months 16 to 18 oz every 3 months Eggs 2 dozen 1 dozen 1 dozen Fish 60 oz every 3 months 30 oz every 3 months 10 oz every 3 months NOTES: -- = the WIC food category is not authorized in the corresponding food package; CVV = cash value voucher; FP = food package. See Table 6-1 for additional details and all substitution options.
From page 10...
... WIC formula -- -- -- Up to 455 fl oz of liquid concentrate, if appropriate Vegetables and fruits $12.00 CVV $12.00 CVV $15.00 CVV Other foods in food packages Legumes 1 lb every 3 months 1 lb every 3 months 2 lb every 3 months IV and V-A are provided as Juice 64 fl oz 64 fl oz 64 fl oz appropriate Dairy (milk) 12 qt 14 qt 16 qt Breakfast cereal 36 oz 36 oz 36 oz Whole grains 16–24 oz 16–24 oz 16–24 oz Peanut butter 16–18 oz every 3 months 16–18 oz every 3 months 16–18 oz every 3 months Eggs 1 dozen 1 dozen 1 dozen Fish 10 oz every 3 months 10 oz every 3 months 10 oz every 3 months NOTES: -- = the food is not authorized in the corresponding food package; CVV = cash value voucher; FP = food package.
From page 11...
... COST EVALUATION OF THE REVISED FOOD PACKAGES The committee generated nutrient and cost profiles for the current and revised food packages using detailed assumptions about participation, food choices, food prices, and redemption rates. The weighted average, per-participant cost of the revised set of food packages is $37.32, 5 cents more than the cost of the current set of food packages (see Chapter 7, Table 7-2)
From page 12...
... , and the current food packages meet nearly 100 percent of the DGA recommended intake for several population subgroups, so amounts of legumes and peanut butter were reduced in several of the revised packages. Revisions to the whole grain requirement increase the ratio of whole-to-refined grains provided in the revised packages.
From page 13...
... The Revised Packages Consider WIC Agency and Vendor Burdens Before changing the food specifications for yogurt and ready-to-eat cereal, the committee obtained information on market availability of these products to ensure vendors nationwide would be able to implement them. The revised food packages also consider that new food options are allowed in sizes commonly available to vendors and therefore accessible to participants.
From page 14...
... USDA-FNS should fund research to evaluate the effects of the recommended revisions to the WIC food packages on participant satisfaction, participation in the program, redemption of WIC foods, and participants' diets and health. 11-3a. USDA-FNS should collect WIC state agency policies on an annual basis and establish a national database of elec tronic benefit transfer (EBT)
From page 15...
... . USDA-FNS asked that the committee identify changes to the food packages that should be made if funding for the WIC food packages is 10 percent higher or is 10 percent lower than cost-neutrality.
From page 16...
... The committee's strategy for revisions includes several noteworthy innovations. These include the committee's development of the concept of supplemental as applied to the WIC food packages and its use as a criterion for the revision of the packages, use of data on redemption and the distribution of redemption to inform estimates of actual use of the food packages, and consideration of the dyadic nature of infant feeding related to the contents of the food packages.


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