Special Supplemental Nutrition Program for Women, Infants and Children (WIC): Miscellaneous Provisions, 56708-56741 [06-7875]
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Federal Register / Vol. 71, No. 187 / Wednesday, September 27, 2006 / Rules and Regulations
7 CFR Part 246
Program Development Branch,
Supplemental Food Programs Division,
Food and Nutrition Service, 3101 Park
Center Drive, Room 522, Alexandria,
Virginia 22302, (703) 305–2746.
RIN 0584–AB10
SUPPLEMENTARY INFORMATION:
Special Supplemental Nutrition
Program for Women, Infants and
Children (WIC): Miscellaneous
Provisions
Executive Order 12866
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
This rule has been determined to be
significant and was reviewed by the
Office of Management and Budget under
Executive Order 12866.
Food and Nutrition Service
(FNS), USDA.
ACTION: Final rule.
AGENCY:
This final rule amends a
number of existing provisions in the
WIC Program regulations to address
issues raised by WIC State agencies,
other members of the WIC community,
and the United States Government
Accountability Office (GAO). This final
rule also incorporates recent legislation
and certain longstanding program
policies and State agency practices into
the regulations. Further, the final rule
also streamlines certain requirements in
the regulations.
In particular, this rulemaking
streamlines the Federal requirements for
financial and participation reporting by
State agencies, and clarifies the
requirements pertaining to the
confidentiality of WIC information in
order to strengthen coordination with
public organizations and private
physicians. It also incorporates recent
legislation which provided the WIC
State agencies with the option to extend
the certification period for breastfeeding
women. Further, it incorporates
longstanding program policies and State
agency practices into the regulations
regarding State agency responses to
subpoenas and other court-ordered
requests for confidential information.
Other provisions in this final rule are
designed to improve eligibility
determinations, incorporating program
policies and State agency practices that
have been in effect for some time.
These changes are intended to
reinforce program policies and State
agency practices that strengthen services
to WIC participants, improve Program
administration, and increase State
agency flexibility in managing the
Program. Many of these provisions are
options the State agency may choose to
implement in operating the program.
DATES: Effective Date: This rule is
effective November 27, 2006.
Implementation Date: State agencies
must implement the provisions of this
rule no later than March 27, 2007.
FOR FURTHER INFORMATION CONTACT:
Debra R. Whitford, Chief, Policy and
SUMMARY:
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Regulatory Impact Analysis
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As required for all rules that have
been designated as Significant by the
Office of Management and Budget, a
Regulatory Economic Impact Analysis
was developed for this final rule. A
complete copy of the Impact Analysis
appears in the appendix to this rule.
The conclusions of this analysis are
summarized below.
Need for Action
This action is needed to address
issues raised by WIC State agencies and
other members of the WIC community;
address issues raised by the GAO;
incorporate recent legislation;
incorporate certain longstanding
program policies and State agency
practices into the regulations; and,
streamline certain requirements in the
regulations.
Two provisions in this final rule may
have a notable financial impact. One of
these provisions prohibits the use of
possibility of regression to a previous
nutrition risk as the basis for
determining nutrition risk eligibility in
consecutive certifications when this
nutrition risk is not actually present.
The second provision which may
have a notable financial impact provides
WIC States agencies with the option to
extend the certification period for all
participant categories until the end of
the last month of the certification
period, and also provides the option to
extend a breastfeeding woman’s
certification period up to her infant’s
first birthday or until the woman ceases
to breastfeed. This provision
incorporates recent legislation. Section
203(b)(1) of the Child Nutrition and WIC
Reauthorization Act of 2004, Public Law
108–265, amended section 17(d)(3) of
the Child Nutrition Act of 1966, 42
U.S.C. 1786, to allow WIC State agencies
the option to certify a breastfeeding
woman for up to one year postpartum,
or until the woman stops breastfeeding,
whichever occurs first. This option
became effective on October 1, 2004,
pursuant to Section 502(b)(2) of Public
Law 108–265.
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Benefits
This rule serves to streamline program
administration and clarify program
requirements, while minimizing
economic and administrative burdens.
As previously noted, one of this rule’s
provisions which may have a notable
financial impact prohibits the use of the
possibility of regression to a previous
nutrition risk as the basis for
determining nutrition risk eligibility in
consecutive certifications when this
nutrition risk is not actually present.
For example, this provision would
permit use of the possibility of
regression to anemia as the nutrition
risk for a certification following a
certification when anemia was actually
present, but not for any subsequent
certification. If all of the participants
certified based on the possibility of
regression as a nutrition risk criterion in
2004 were subsequently certified on this
basis for one six-month certification
period, then prohibiting use of this
nutrition risk for consecutive
certifications could save over $20
million and reduce participation by over
70,000 in that six-month period.
However, given that possibility of
regression is rarely used as the sole
basis for determining nutrition risk, and
that participants who had actually
regressed to the previous nutrition risk
would presumably be certified again,
significant savings are unlikely.
Costs
Most of the provisions in this final
rule are generally economically
insignificant to the costs and overall
operations of the WIC Program. Some of
the provisions reflect the current
practice of many WIC State agencies,
while others are optional at the
discretion of WIC State agencies.
As previously noted, one of this rule’s
provisions which may have a notable
financial impact provides WIC State
agencies with the option to extend the
certification period for all participant
categories until the end of the last
month of the certification period, and
also provides the option to extend a
breastfeeding woman’s certification
period up to her infant’s first birthday
or until the woman ceases to breastfeed.
Since this provision is optional, the
number of WIC State agencies which
may choose to extend these certification
periods is unknown. Also, most women
who continue to breastfeed longer than
six months are presumably certified for
a second six-month period. Therefore,
implementation of the option to extend
the certification period of breastfeeding
women is not likely to have a major
impact on either program participation
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among breastfeeding women or on
program costs.
Regulatory Flexibility Act
This rule has been reviewed with
regard to the requirements of the
Regulatory Flexibility Act of 1980 (5
U.S.C. 601–612). Kate Coler, Deputy
Under Secretary, Food, Nutrition, and
Consumer Services, has certified that
this rule will not have a significant
impact on a substantial number of small
entities. State and local WIC agencies
would be most affected because there
are several additional program
administration requirements. However,
this rule also reduces considerably more
program administration requirements.
The net effect on State and local
agencies is expected to result in reduced
and streamlined administrative
procedures. Participants and applicants
would also be affected by changes in
application processing, certification,
and the disclosure of information.
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Unfunded Mandates Reform Act
Title II of the 1995 (UMRA), Public
Law 104–4, establishes requirements for
Federal agencies to assess the effects of
their regulatory actions on State, local,
and tribal governments and the private
sector. Under section 202 of the UMRA,
the Department generally must prepare
a written statement, including a cost/
benefit analysis, for proposed and final
rules with ‘‘Federal mandates’’ that may
result in expenditures to State, local, or
tribal governments in the aggregate, or
to the private sector, of $100 million or
more in any one year. When such a
statement is needed for a rule, section
205 of the UMRA generally requires the
Department to identify and consider a
reasonable number of regulatory
alternatives and adopt the least costly,
more cost-effective or least burdensome
alternative that achieves the objectives
of the rule.
This rule contains no Federal
mandates (under the regulatory
provisions of Title II of the UMRA) that
impose costs on State, local, or tribal
governments or to the private sector of
$100 million or more in any one year.
This rule is, therefore, not subject to the
requirements of sections 202 and 205 of
the UMRA.
Executive Order 12372
The Special Supplemental Nutrition
Program for Women, Infants and
Children (WIC) is listed in the Catalog
of Federal Domestic Assistance
Programs under No. 10.557. For reasons
set forth in the final rule in 7 CFR Part
3015, Subpart V, and related Notice (48
FR 29115, June 24, 1983), this program
is included in the scope of Executive
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Order 12372 that requires
intergovernmental consultation with
State and local officials.
Federalism Summary Impact Statement
Executive Order 13132 requires
Federal agencies to consider the impact
of their regulatory actions on State and
local governments. Where such actions
have federalism implications, agencies
are directed to provide a statement for
inclusion in the preamble to the
regulations describing the agency’s
considerations in terms of the three
categories called for under section
(6)(b)(2)(B) of Executive Order 13121.
The Food and Nutrition Service (FNS)
has considered the impact of this rule
on State and local governments and has
determined that this rule does not
impose substantial or direct compliance
costs on State and local governments,
but that it does have Federalism
implications because this rule preempts
State law. Therefore, under section 6(b)
of the Executive Order, a federalism
summary impact statement is required.
Prior Consultation With State Officials
Prior to drafting the final rule, a
comment period was provided to permit
State and local agencies and the general
public the opportunity to comment on
the proposed changes. In addition, some
of the proposed changes were as a result
of input from State and local agencies
such as changing certification periods
and greater flexibility in sharing
confidential WIC information. Further,
because the WIC Program is a Stateadministered, Federally funded
program, FNS regional offices have
formal and informal discussions with
State and local officials on an ongoing
basis regarding program and policy
issues. This arrangement allows State
and local agencies to provide comments
that form the basis for many
discretionary decisions in this and other
WIC Program rules. Comments on the
proposed rule and other comments,
concerns and recommendations by State
and local agencies through other forums
have been beneficial in ensuring this
final rule reflects concerns raised by
these entities.
Nature of Concerns and the Need To
Issue This Rule
State agencies generally want greater
flexibility in their implementation of
program policy. As stated previously,
this final rule provides State and local
agencies greater flexibility in some areas
such as certification periods and sharing
WIC information. However, it was
necessary in some areas to strengthen
program accountability and integrity.
Comments made by State and local
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agencies through the proposed rule
process and through other forums
assisted us in identifying areas of the
regulations where greater flexibility can
be afforded State and local agencies.
Extent to Which We Meet Those
Concerns
FNS has considered the impact of the
final rule on State and local agencies.
This rule makes changes to improve the
accountability and effectiveness of the
WIC Program, and to provide State and
local agencies with greater flexibility in
how they operate the program. The
effects on State agencies are minimal
since some requirements such as
obtaining proof of pregnancy are
optional requirements, and other
requirements are codifying existing
policy that the majority of State agencies
have already implemented.
Executive Order 12988
This rule has been reviewed under
Executive Order 12988, Civil Justice
Reform. This rule is intended to have
preemptive effect with respect to any
State or local laws, regulations or
policies which conflict with its
provisions or which would otherwise
impede its full implementation. This
rule is not intended to have retroactive
effect. Prior to any judicial challenge to
the provisions of this rule or the
application of its provisions, all
applicable administrative procedures
must be exhausted.
In the Special Supplemental Nutrition
Program for Women, Infants and
Children (WIC), the administrative
procedures which must be exhausted
are as follows. First, State agency
hearing procedures pursuant to 7 CFR
246.9 must be exhausted for participants
concerning denial of participation,
disqualification, and claims. Second,
State agency hearing procedures
pursuant to 7 CFR 246.18(a)(1) must be
exhausted for vendors concerning
denial of authorization, termination of
agreement, disqualification, civil money
penalty or fine. Third, the State agency
process for providing the vendor an
opportunity to justify or correct the food
instrument pursuant to 7 CFR
246.12(k)(3) must be exhausted for
vendors concerning delaying payment
for a food instrument or a claim. Fourth,
State agency hearing procedures
pursuant to 7 CFR 246.18(a)(3) must be
exhausted for local agencies concerning
denial of application, disqualification,
or any other adverse action affecting
participation. Fifth, FNS hearing
procedures pursuant to 7 CFR 246.22
must be exhausted for State agencies
concerning sanctions imposed by FNS.
Sixth, administrative appeal to the
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extent required by 7 CFR 3016.36 must
be exhausted for vendors and local
agencies concerning procurement
decisions of State agencies.
Civil Rights Impact Analysis
FNS has reviewed this final rule in
accordance with the Department
Regulation 4300–4, ‘‘Civil Rights Impact
Analysis,’’ to identify and address any
major civil rights impacts the rule might
have on minorities, women, and persons
with disabilities. After a careful review
of the rule’s intent and provisions, and
the characteristics of WIC Program
applicants and participants, FNS has
determined that there is no way to
soften their effect on any of the
protected classes. All data available to
FNS indicate that protected individuals
have the same opportunity to participate
in the WIC Program as non-protected
individuals. FNS specifically prohibits
State and local agencies operating the
WIC Program from engaging in actions
that discriminate against any individual
in any of the protected classes; see 7
CFR 246.8(a) for the non-discrimination
policy of the WIC Program. Where State
agencies have options, and they choose
to implement a certain provision, they
must implement it in such a way that it
complies with the regulations at 7 CFR
246.8.
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Paperwork Reduction Act
The Paperwork Reduction Act of 1995
(44 U.S.C. Chap. 35; see 5 CFR part
1320) requires that the Office of
Management and Budget (OMB)
approve all collections of information
by a Federal agency from the public
before they can be implemented.
Respondents are not required to respond
to any collection of information unless
it displays a current valid OMB control
number. Information collections in this
final rule have been previously
approved under OMB #0584–0043, and
no changes are needed as a result of this
final rule.
E-Government Act Compliance
FNS is committed to compliance with
the E-Government Act, to promote the
use of the Internet and other
information technologies to provide
increased opportunities for citizen
access to Government information and
services, and for other purposes. The
new definitions of ‘‘electronic
signature’’ and ‘‘sign or signature’’ are
intended to facilitate paperless systems
in all administrative activities of the
program. The new State Plan
requirements, as is the case with the
entire State Plan, may be transmitted
electronically by the State agency to
FNS. Also, State agencies may share
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participant information electronically
pursuant to a written agreement and
consistent with Federal policy,
including such information sharing
based on the new non-WIC purposes
provided in this final rule as well as the
previously allowed non-WIC purposes.
Background
On December 2, 2002, the Department
published a proposed rule at 67 FR
71774 concerning revisions of
miscellaneous provisions of the WIC
regulations. The comment period ended
on April 1, 2003. Thirty-five letters were
submitted to the Department to provide
comments on the proposed revisions.
We greatly appreciate these comments,
all of which were carefully considered
in the development of this final rule.
Following is a discussion of each
provision as proposed, the comments
received, and an explanation of the
provisions set forth in this final rule.
1. Definitions (§ 246.2)
The proposed rule included new
definitions for ‘‘sign or signature’’ and
‘‘electronic signature,’’ to provide State
agencies the option of using electronic
signatures in their administration of the
WIC Program. This definition of
‘‘electronic signature’’ was derived from
the Electronic Signatures in Global and
National Commerce Act (Pub. L. 106–
229, signed June 30, 2000), also known
as ESIGN. The Department sought to
introduce these definitions to clarify
that use of the terms ‘‘sign’’ or
‘‘signature’’ throughout 7 CFR Part 246
is not intended to exclude the use of
electronic signatures. At the same time,
we also wanted to make clear that
electronic signatures may be used only
if the State agency ensures the reliability
and integrity of the technology used and
the security and confidentiality of
electronic signatures collected in
accordance with sound management
practices, WIC Program regulations, and
applicable Office of Management and
Budget Circulars, including A–130,
concerning confidentiality.
All of the commenters supported the
new definitions. However, several
commenters sought clarifications. One
commenter questioned whether the new
definitions constituted an endorsement
of the ‘‘paperless office’’ concept, e.g.,
electronic certification forms. Similarly,
another commenter asked whether the
new definitions applied to vendor
agreements. Finally, one commenter
pointed to the need for protecting access
to benefits in the event of a technology
failure.
The Department did not intend to
confine the use of electronic signatures
to one part of WIC Program
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administration, such as certification, so
that electronic signatures could not be
used in other administrative activities of
the program, such as vendor
management. Indeed, as indicated in the
preamble of the proposed rule, the new
definitions were intended to facilitate
paperless systems. We recognize the
efficiencies and advantages of paperless
systems, and encourage State agencies
to implement such systems in all
administrative activities of the program.
Of course, as previously noted, the
reliability and integrity of such systems
is paramount; this would include
safeguarding benefits in the event of a
technology failure or disaster.
In addition, even though the
Department supports the paperless
office concept, this concept would not
be mandated. This would be a State
option, including the specific kind of
technology adopted, as discussed in the
preamble of the proposed rule. State
agencies need to consider the costs, the
views of participants, and the legal
aspects of implementing this option. In
this latter regard, State agencies should
consult legal counsel on whether State
law permits electronic signatures for
certain kinds of documents, such as
vendor agreements or contracts with
local agencies. Accordingly, as set forth
in the proposed rule, the definitions of
‘‘sign or signature’’ and ‘‘electronic
signature,’’ as proposed, are retained in
this final rule.
Recently, the Governmentwide
Requirements for Drug-Free Workplace
have been moved from 7 CFR part 3017
to 7 CFR part 3021 of the Departmental
regulations. Therefore, this final rule
includes a new definition of 7 CFR part
3021 to reference these requirements,
and removes the reference to the drugfree requirements in the definition of 7
CFR part 3017. In addition, all other
references to the drug-free workplace
requirements in 7 CFR part 246 have
been changed to reference Departmental
regulations at 7 CFR part 3021. Further,
unlike 7 CFR part 3017, 7 CFR part 3021
does not require a certification regarding
a drug-free workplace; accordingly, this
certification requirement has been
deleted from § 246.3(c)(2). These
changes are nondiscretionary, and do
not require that the public be given an
opportunity to comment.
In addition, in this final rule, the
definition of ‘‘State’’ has been revised to
reflect a change in the definition of
‘‘State’’ in section 15 of the Child
Nutrition Act of 1966 (CNA), 42 U.S.C.
1786, which applies to all programs
under the CNA, including the WIC
Program. The CNA no longer refers to
the Trust Territory of the Pacific Islands
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since the Trust Territory no longer
exists.
Therefore, the revision to the
definition of ‘‘State’’ is included in this
final rule.
Finally, we have added a definition of
‘‘Employee fraud and abuse,’’ as
discussed in section 4 of this preamble.
2. State Plan Requirements (§ 246.4(a))
We proposed a number of new State
Plan provisions which would be
required under § 246.4(a) of the WIC
regulations. The comments on some of
these State Plan provisions require more
discussion than the comments on other
proposed State Plan provisions.
Therefore, these provisions are
addressed in other sections of the
preamble. Section 2 of this preamble
addresses provisions and comments
which do not require extensive
discussion.
First, one commenter pointed out that
we had not included a State Plan
provision to provide State agencies the
option to require applicants to provide
proof of pregnancy in § 246.4(a) of the
proposed rule. As indicated elsewhere
in the proposed rule and its preamble,
we had intended that a new State Plan
provision would be added to § 246.4(a).
However, this new provision was
inadvertently omitted from the
Proposed Rule. Accordingly, we have
added it to this final rule.
Second, several commenters objected
to the proposed State Plan requirement
for listing all of the organizations with
which the State agency or its local
agencies had written agreements on the
sharing of confidential participant
information. One of these commenters
pointed out that this provision could
delay implementation of an
information-sharing agreement if this
agreement was executed after the annual
submission of the State Plan. Another
commenter stated that such a list in the
State Plan would not constitute
adequate notice to the applicant.
As noted under section 22–C of this
preamble, the proposed State Plan
provision for listing all programs that
have information-sharing agreements
with the State agency and its local
agencies, and the uses of such
information, are only intended for
informational purposes. As proposed,
FNS did not intend to approve State
agencies’ decisions in this matter as
long as the reasons for sharing
information were consistent with the
authorized uses in the proposed rule.
Therefore, State and local agencies can
execute such agreements prior to
submission in State Plans. The process
of providing a list to FNS is not
intended to create a barrier to entering
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into information sharing agreements.
Further, such lists are not intended to
serve as notice to WIC applicants and
participants. As proposed, and as
required in this final rule, State agencies
are required to provide applicants and
participants with notification at
certification of public organizations that
WIC intends to share confidential WIC
information and the purposes for
sharing such information.
Third, we have not included a
revision to § 246.4(a)(11)(ii) in this final
rule. The proposed revision in this
paragraph referred to describing the
criteria for deciding who will be offered
individual care plans. This proposed
change has not been included in this
final rule since it was an inadvertent
error; we did not intend to propose a
change in this paragraph.
Finally, we have added a new
sentence to § 246.4(a) to require the use
of a Universal Identifier as part of State
Plans. The Office of Management and
Budget (OMB) requires entities applying
for Federal grants to provide
government agencies with a Universal
Identifier. This requirement is set forth
in an OMB Policy Directive, ‘‘Use of a
Universal Identifier by Grant
Applicants,’’ which was published in
the Federal Register on June 27, 2003,
at 68 FR 38402. The annual WIC
Program State Plan submission is
considered an application for a federal
grant, and thus covered by this
requirement. Currently, the Universal
Identifier system in use is the Data
Universal Numbering System (DUNS)
identification number. FNS has issued
guidance on how to obtain a DUNS
number. FNS will address the
submission of DUNS numbers as part of
the WIC State Plan Guidance. It is not
necessary for FNS to issue a proposed
rule on this revision to the WIC Program
regulations since the OMB Policy
Directive is nondiscretionary and is
already in effect. Also, as explained in
the preamble of the OMB Policy
Directive, OMB has determined that use
of a DUNS number is not a significant
burden under the Paperwork Reduction
Act.
3. Conflict of Interest (§ 246.4(a))
The Department proposed a new State
Plan requirement for addressing
employee conflicts of interest at the
local agency level, as recommended by
an August 1999 Report by the
Government Accountability Office
(GAO), FOOD ASSISTANCE: Efforts to
Control Fraud and Abuse in the WIC
Program Can Be Strengthened. We
proposed a new paragraph in § 246.4(a)
to require that State agencies develop
and implement policies and procedures
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to prevent conflicts of interest within
the local agency staffs. Specifically, we
wanted State agencies to develop
policies and procedures concerning
local agency employees certifying
themselves, relatives or friends, and also
concerning an employee both certifying
and issuing food benefits to a
participant, i.e., lack of separation of
duties.
At the same time, we recognized in
the preamble of the proposed rule that
there may be practical circumstances,
such as the availability of only one
employee to conduct a clinic, which
would preclude a strict prohibition on
some practices. For such situations, we
pointed out, an effective alternative
policy or procedure would be needed,
such as supervisory review of the
records of the certifications and benefits
issuance performed by such employees.
As noted below in this section, we have
added language to the proposed
paragraph to recognize that effective
alternative policies and procedures will
be needed when strict prohibition is not
possible.
Most of the commenters supported
the proposed provision. (The 1999 GAO
study found that most of the WIC State
agencies had policies on conflicts of
interest and separation of duties.)
Commenters opposing the proposed
provision based their position on the
practical difficulties precluding a strict
prohibition on conflicts of interest,
arguing that sometimes no effective
alternative policy or procedure would
be possible. In this regard, one of the
supporting commenters requested that
the proposed provision itself require
reasonable policies and procedures
when actual separation of duties is not
possible, instead of stating this only in
the preamble. Also, one of the
commenters opposing the provision
stated that separation of duties is not
violated when one staff member
conducts part of the certification and
also issues food instruments; for
example, if one staff member determines
income eligibility and issues food
instruments, this should be deemed
acceptable if another staff member
determines nutrition risk.
As previously noted, we have added
language to the proposed paragraph to
permit effective alternative policies and
procedures when strict prohibition is
not possible. This additional language
provides more explicit guidance than
merely inserting the term ‘‘reasonable.’’
Also, we do not support the comment
that there may be circumstances where
no effective alternative policy or
procedure is possible. State agencies
should consult with the appropriate
FNS Regional office and with legal
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counsel for advice on alternative
approaches to deal with difficult
circumstances complicating strict
compliance with the requirements
regarding conflicts of interest and
separation of duties.
We agree with the comment
indicating that separation of duties is
not violated if at least two WIC
personnel are integral to the
certification of a participant. The reason
for the separation of duties concept is to
ensure that one employee cannot both
certify and issue benefits. The
commenter opposing the provision
correctly pointed out that this
requirement is satisfied if two WIC
employees are required to perform
certification determinations even
though one of them also issues food
instruments, since the person issuing
food instruments could not complete
the certification process alone.
Therefore, we have revised the proposed
paragraph to require the State agency to
prohibit one employee from being solely
responsible for determining the
eligibility of an applicant for all
certification requirements and for
issuing food instruments to that
participant, or to provide effective
alternative policies and procedures for
situations when such prohibition is not
possible. Moreover, this revision also
applies to circumstances when an
employee might be certifying herself or
friends and relatives because no other
staff is available.
Accordingly, in this final rule, the
proposed paragraph has been added to
§ 246.4(a), revised as noted above.
4. Participant and Employee Fraud and
Abuse (§ 246.4(a))
Also in response to the GAO study on
WIC fraud and abuse, the Department
proposed to require a description in the
State Plan of the State agency’s plans for
collecting and maintaining information
on cases of participant and employee
fraud and abuse, including the nature of
the fraud detected and the associated
dollar losses. As proposed, this
requirement would be added to
§ 246.4(a).
Most of the commenters supported
the proposed provision. In fact, the GAO
study reflected that 30 of the 51 WIC
State agencies responding to the GAO
survey collected information on the
number and characteristics of
participants who engage in fraud and
abuse. Commenters opposing the
proposed provision stated that it was
unnecessary because participant and
employee fraud is minimal; one
commenter stated that participant fraud
and abuse should have declined as a
result of the WIC Certification Integrity
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Rule (65 FR 77245, December 11, 2000),
which requires applicants to provide
proof of income, residency and identity.
We do not support these positions. It
is not possible to determine the extent
of potential fraud and abuse in the
program when some State agencies may
not be collecting data on this matter.
Moreover, the documentation
requirements of the Certification
Integrity Rule are only one part of our
efforts to detect and prevent fraud and
abuse. Such requirements cannot be
relied upon to prevent all fraud and
abuse. Further, the Certification
Integrity Rule did not address employee
fraud and abuse.
Some commenters opposing the
proposed provision also stated that
collecting information on participant
and employee fraud and abuse would be
administratively burdensome. We
recognize that such activity will involve
some administrative burden, but we do
not believe that collecting information
on the nature and costs of participant
and employee fraud and abuse is
unduly burdensome. As previously
noted, a majority of WIC State agencies
are already collecting this data.
Moreover, as indicated by GAO, failure
to collect such information may send an
unintentional message to agency
officials and other stakeholders that
preventing and detecting participant/
employee fraud and abuse is a low
priority, thus damaging the public’s
trust in the WIC Program.
Some of the supportive commenters
requested clarification on the meaning
of several terms, including ‘‘participant
fraud and abuse,’’ ‘‘employee fraud and
abuse,’’ and ‘‘dollar losses.’’ Two of
these terms have already been defined
in the regulations and further clarified
in a policy memorandum. Section 246.2
sets forth the definition of ‘‘participant
violation,’’ which is the equivalent of
‘‘participant fraud and abuse.’’
Regarding dollar losses, § 246.23(c)(1)(i)
requires a claim for the full value of
benefits that have been obtained or
disposed of improperly as the result of
a participant violation. The full value of
such benefits would be either the total
purchase price of the food instruments
involved or the total post-rebate food
cost of the benefits involved, and would
not include the nutrition services and
administration (NSA) costs expended
for the participant; see WIC Policy
Memorandum #2002–1, Revision 1,
Clarification of WIC Food Delivery
Systems Final Rule Questions and
Answers, June 10, 2003, page M–1,
Question 1. Finally, we agree that
‘‘employee fraud and abuse’’ should be
defined in the regulations. Accordingly,
in this final rule, in § 246.2, we have
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added a definition of this term, based on
the definition used in the GAO study.
Several supportive commenters raised
other issues. Several commenters
indicated that the State agency should
collect the information on participant
and employee fraud and abuse, instead
of making local agencies responsible for
collecting and maintaining the
information. The preamble of the
proposed rule indicated that this
provision would require only a
description of the State agency’s plans
for collecting this information.
Therefore, as set forth in the proposed
rule, State agencies should track this
information in order to detect trends
and to allocate its investigative, audit,
and technical assistance resources
accordingly. Also, such information
does not always originate at the local
agency level, as when a State agency
initiates an investigation based on an
anonymous tip provided to the State
agency indicating fraudulent activity
involving a local agency. Therefore, a
revision to the provision, as suggested,
is not necessary.
Finally, we note that several
comments expressed concern that the
requirement for collecting information
on participant and employee fraud and
abuse would ultimately become a
requirement for State agencies to report
this information to FNS. The proposed
rule did not include a requirement to
report such information to FNS, and
neither does this final rule. However,
the aforementioned GAO study clearly
pointed towards such a reporting
requirement, finding that the absence of
this data adversely impacts FNS’ and
State agencies’ ability to manage the
program. As explained in the study,
GAO decided not to recommend such a
reporting requirement because FNS had
indicated that it would work with State
agencies and the National WIC
Association (NWA) to develop costeffective strategies for reporting the data
to FNS. FNS and NWA are currently
working to identify such a strategy.
5. Selection of Local Agencies (§ 246.5)
The Department proposed to remove
the requirement in the current
§ 246.5(c)(1) and (d)(2) of the regulations
for WIC State agencies to fund new local
agencies in areas based on the
sequential order of neediest areas listed
in the Affirmative Action Plans that are
part of each State agency’s Plan of
Operation. This change was intended to
provide State agencies with the
flexibility to select a local agency in the
neediest unserved area where practical
circumstances permit, so that, for
example, a local agency may be selected
in an unserved needy area where a
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health care infrastructure exists instead
of a local agency in an area with greater
need but without a health care
infrastructure.
The majority of the commenters
supported the proposed provision.
However, a few commenters either
opposed the proposed revision or
expressed reservations. The opposing
commenters stated that areas with the
greatest need should continue to be the
highest priority for selection of new
local agencies. One of the commenters
recommended that the provision specify
that the selection of local agencies is
contingent on the availability of funds,
and another commenter recommended
that the Affirmative Action Plan should
be required until WIC services have
been made available equally throughout
all areas of the State.
It was not the intent of the proposed
provision that State agencies ignore the
Affirmative Action Plan. The proposed
rule would have required the State
agency to consider the Affirmative
Action Plan, but not be bound by it. The
Department believes that the State
agency is in the best position to judge
whether the practical circumstances
should supersede the Affirmative
Action Plan when selecting a new local
agency. Also, it is not necessary to state
in the regulations that selection of a new
local agency is subject to the availability
of funds. It is understood that the State
agency is responsible for ensuring the
availability of funds and applying this
factor in the selection of local agencies.
Accordingly, as proposed, this final
rule removes the requirement in
§ 246.5(c)(1) and (d)(2) of the regulations
for WIC State agencies to fund new local
agencies in areas based on the
sequential order of neediest areas listed
in the Affirmative Action Plans that are
part of each State agency’s Plan of
Operation.
6. Requesting Proof of Pregnancy,
Checking Identification and Other Basic
Certification Procedures (§ 246.7(c))
The Department proposed to expand
§ 246.7(c) to address several basic
certification procedures, along with the
delineation of eligibility criteria, in an
effort to highlight the importance of
certain procedures, such as providing
proof of residency and proof of identity,
and ensuring that applicants are not
charged for certification. To accomplish
this, we proposed to move several
provisions and to add a provision. We
proposed to move the provision
addressing proof of residency/proof of
identity from § 246.7(l)(2) to
§ 246.7(c)(2)(i), and to move the
provision requiring program
certification without charge to the
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applicant from § 246.7(m) to
§ 246.7(c)(4). We also proposed a new
provision addressing pregnancy tests.
Proof of Pregnancy
The Department proposed basic
guidelines that State and local agencies
must observe if the State agency chose
to require documentation of pregnancy
as part of the certification process. For
these reasons, we proposed to add a
new paragraph (c)(2)(ii) stating that
State agencies may issue benefits to
applicants who claim to be pregnant
(assuming that all other eligibility
criteria are met) but whose conditions
(as pregnant) are not visibly noticeable
and do not have documented proof of
pregnancy at the time of the certification
interview and determination. The State
agency would then be allowed a
reasonable period of time, not to exceed
60 days, for the applicant to provide the
requested documentation. If such
documentation was not provided as
requested, the local agency would then
be justified in terminating the woman’s
WIC participation during the
certification period.
The majority of commenters
supported the proposed provision,
although some of these comments
sought clarification on whether this
provision would be optional. Some of
the supportive commenters also
recommended the provision apply only
when fraud was suspected. Other
supportive commenters recommended
visual observation by a professional to
confirm pregnancy instead of selftesting or testing by WIC. Also, one
commenter recommended 90 days for
the participant to provide proof,
consistent with current WIC policy.
Commenters opposing the proposed
provisions stated that requiring proof of
pregnancy would be a barrier to
participation, potentially eroding
prenatal care and leading to lower birth
weights.
As indicated in the preamble of the
proposed rule, the Department intends
for proof of pregnancy to be a State
option. Therefore, in response to
commenters’ concerns, we have revised
the proposed paragraph to clarify this
issue. State agencies concerned about
proof of pregnancy becoming a barrier to
participation could choose not to
implement this option. Further, a State
agency could choose to continue to use
visual observation of pregnancy, and
require proof only when the information
is questionable and/or fraud is
suspected.
The Department agrees with
commenters who expressed concern
about the cost of pregnancy tests. Proof
of pregnancy is not a mandatory
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condition of eligibility for the WIC
Program. As a result, the costs
associated with obtaining such
documentation are not allowable WIC
nutrition services and administrative
expenditures. Also, such costs cannot be
borne by the participant since
§ 246.7(m) requires that the certification
procedure shall be performed at no cost
to the participant.
As noted above, some commenters
recommended a 90-day timeframe for
the participant to provide
documentation of pregnancy, consistent
with current WIC policy. This policy
was issued in 1992. However, this
policy was superseded by legislation.
Section 17(d)(3)(B) of the CNA was
added in 1994. The legislation specifies
that an income-eligible pregnant woman
may be considered presumptively
eligible to participate in the WIC
Program and may be certified
immediately without an evaluation of
nutritional risk for a period up to 60
days. Since the determination of
nutrition risk requires knowledge of the
participant’s categorical status, i.e., her
pregnancy, proof of pregnancy must be
provided within 60 days after
certification, assuming that the State
agency has opted to require such proof.
Therefore, the provisions as proposed
pertaining to proof of pregnancy remain
unchanged in this final rule.
7. Determining Income Eligibility
(§ 246.7(d))
The Department proposed several
changes to this section of the
regulations, as discussed below.
A. Use of State or Local Income Health
Care Guidelines to Determine Income
Eligibility for WIC
The first proposed revision, at
paragraph (d)(2)(iii), would require State
agencies using State or local income
guidelines for free or reduced-price
health care to base the income eligibility
determinations of WIC applicants on the
income and family definition and
exclusions set forth in §§ 246.7(d)(2)(ii),
246.2, and 246.7(d)(2)(iv), respectively.
This change would continue to allow
variation among the State agencies only
with regard to the actual income
guidelines used (i.e., the percent of
gross income above the Federal poverty
income guidelines, up to a maximum of
185 percent), but not with the definition
of income, family, or exclusions from
income. This proposed revision would
continue the WIC Program’s current
policy of excluding from these
requirements persons who are
determined adjunctively or
automatically income eligible.
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We proposed this change for two
reasons. First, although § 246.7(d)(1)
permits use of State or local free or
reduced-price health care income
guidelines, these guidelines cannot
exceed 185 percent of the Federal
poverty income guidelines; in fact, all
WIC State agencies currently use 185
percent of the Federal poverty income
guidelines. Second, procedurally it
would be simpler for local agencies to
apply the WIC income definition and
exclusions outlined in the regulations to
all applicants rather than apply two sets
of income guidelines and family
definitions and exclusions to ensure
WIC eligibility requirements are met.
The majority of commenters
supported this revision, although one
supportive commenter suggested that
the Department consider adopting the
definition of ‘‘family’’ used by the
Federal Department of Health and
Human Services (HHS) to promote onestop shopping. Similarly, one of the few
opposing commenters stated that the
revision would force the cessation of
integrated applications for multiple
programs because WIC income
determinations would no longer be able
to use the income definitions of other
programs.
Use of the HHS definition of ‘‘family’’
could result in the exclusion of income
potentially being shared by household
members such as unrelated individuals
who are living together. Such action
would not represent actual household
circumstances with regard to income
eligibility. Further, by law, WIC income
eligibility guidelines (185 percent of
poverty) are those guidelines used for
the National School Lunch Program
(NSLP). Therefore, the rules and
policies used for the NSLP are used for
the WIC Program with regard to normal
income screening procedures, including
definition of family. As a result, the
Department does not support this
commenter’s recommendation.
Accordingly, this final rule, in
§ 246.7(d)(2)(iii) retains the provisions
as proposed.
B. Consideration of Loans as Income
The Department proposed to exclude
short-term, unsecured loans from the
WIC income determination process.
Program regulations have not
specifically addressed this issue;
however, FNS Instruction 803–3, Rev. 1,
WIC Program—Certification: Income
Eligibility, dated April 1, 1988, clarifies
that funds from loans are not to be
counted as income because they are
only temporarily available and must be
repaid.
All of the commenters supported the
revision. However, several commenters
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requested guidance on the meaning of
the term ‘‘short-term, unsecured,’’ and
guidance on the types of loans that
would be excluded.
Accordingly, in § 246.7(d)(2)(iv)(C) of
this final rule, the Department has
decided to delete the term ‘‘short-term,
unsecured,’’ and to delete the reference
to the expectation that the loan will be
repaid in a reasonably short period of
time since these phrases are
unnecessary. By definition, loans are
only temporarily available and must be
repaid, so that inclusion of loans as
income would be inappropriate in the
WIC income determination process. We
have retained the term ‘‘constant and
unlimited access,’’ since this explains
why a loan would not constitute
income. This is consistent with the term
‘‘other cash income’’ at
§ 246.7(d)(2)(ii)(L), which refers to
resources which are easily accessible to
the family.
8. Limitation on the Use of Possibility of
Regression as a Nutrition Risk Criterion
(§ 246.7(e)(1)(vi))
As explained in the proposed rule,
historically, program regulations have
permitted WIC participants to remain on
the program due to the possibility of
regression, i.e., previously certified
participants who might regress in
nutritional status if they are not allowed
to continue to receive WIC benefits.
This has been allowed as a nutrition risk
criterion in order to prevent the
revolving door situation whereby the
nutrition risk status of individuals
improves as a result of participation in
the WIC Program and they are removed
at the conclusion of a certification
period, only to deteriorate in nutrition
status at a later date, necessitating reentry into the program.
It has always been the Department’s
position that the possibility of
regression as a nutrition risk criterion
should not be used excessively because
it could result in situations where
individuals with no current nutrition
risk condition are served while eligible
applicants who have current,
documented risks go unserved.
Therefore, in regulations, the
Department confirmed the State
agency’s authority to limit the number
of times and circumstances under which
a participant may be certified for
possible regression. Many State agencies
have adopted limitations.
In an effort to ensure that all State
agencies target benefits to those at
greatest nutrition risk, the Department
proposed to limit the use of regression
as a nutrition risk criterion to only one
time following a certification period. In
other words, consecutive certification
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periods based on regression would not
be allowable. In addition, as proposed,
individuals who are certified based on
the possibility of regression would be
placed in either the same priority for
which they were initially certified, or in
Priority VII (for all participants certified
based on regression), if the State agency
is using that priority level.
The majority of commenters
supported the proposed provisions.
Those commenters opposing the
limitation on the use of regression stated
that WIC serves a vulnerable population
that is food insecure, often spending
scarce dollars on food last, after other
expenses. Therefore, applicants denied
certification due to lack of a nutrition
risk would be certified shortly thereafter
with a nutrition risk that may not have
occurred had they remained on the
program. Such commenters stated that
this result would conflict with WIC’s
preventive role. However, the
Department continues to believe that the
repeated use of regression in
consecutive certification periods
undermines the Department’s efforts to
target benefits to those persons in
greatest need and at greatest nutrition
risk.
Further, some commenters cited the
Institute of Medicine (IOM) report
‘‘Dietary Risk Assessment in the WIC
Program,’’ March 2002, as supporting
their position that the proposed
provision would conflict with WIC’s
preventive role since some nutrition
risks may require more than one
regression certification period to be
resolved. One commenter stated that the
use of regression should not be limited
since the IOM findings indicate that the
tools to assess dietary adequacy are not
valid.
The IOM report found that 96 percent
of all individuals in the United States
and a higher percentage of low-income
individuals fail to consume the
recommended number of daily servings
specified by the Dietary Guidelines for
Americans, and that there is no
scientifically valid method to assess an
individual’s usual dietary intake.
Concerning WIC eligibility, the report
recommended a presumption of
nutrition risk for all otherwise eligible
women, and children 2 to 5 years old,
based on failure to meet dietary
guidelines. The IOM report did not
include findings or recommendations
specific to regression. The Department
believes that prohibiting consecutive
certification periods based on regression
will not result in denying benefits to
WIC applicants who are at nutrition risk
based on dietary inadequacy.
Several supporting commenters
recommended certain revisions to the
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proposal. One commenter stated that the
provision should allow an applicant to
be certified for regression to a different
priority, such as children to Priority V
who had previously been certified at
Priority III, consistent with § 246.7(e)(4).
Another commenter sought clarification
of the rule so that regression only
applies to children and breastfeeding
women. Finally, one commenter
requested that the final rule clarify
whether the provision to certify only
once based on regression can actually be
used more than once for the same
participant as long as the occurrences
are not consecutive.
The Department agrees with the
suggestion that WIC agencies should be
permitted to assign an applicant to a
different priority level for regression
other than the one used in the previous
certification, or Priority VII, as long as
it is a lower priority than the priority
level assigned at the previous
certification, consistent with
§ 246.7(e)(4). It is important to recognize
that a participant certified for
regression, without any currentlyexisting nutrition risk condition, could
be placed in a higher priority level than
a participant who has, for example, a
dietary condition. In the event of
funding limitations, this could result in
the certification of one applicant based
on regression while another applicant
with an existing nutrition risk condition
is denied benefits. To avoid this
consequence, as we pointed out in the
preamble of the proposed rule, the State
agency should consider assigning a
lower priority level for participants
certified based on regression.
Accordingly, in § 246.7(e)(1)(vi) of
this final rule, in addition to placing
applicants certified based on regression
in the same priority category used at
initial certification, or in Priority VII,
State agencies may also use another
priority level lower than the priority
level for which they were assigned at
the previous certification, consistent
with § 246.7(e)(4).
We have also clarified in this final
rule that applicants shall not be certified
for regression for consecutive
certification periods. Therefore,
participants could be certified for
regression more than once during the
time they actually participate in the
program, as long as they are not certified
based on regression for consecutive
certification periods.
Based on commenters’ concerns, the
final rule also clarifies that when
certifying participants for regression and
assigning a priority category, the
nutrition risk criterion of the participant
during the previous certification period
56715
must be appropriate for the category of
the participant for the subsequent
certification. For instance, as pointed
out in the preamble of the proposed
rule, a postpartum woman should not be
certified based on the possibility of
regression to hyperemesis gravidum
(morning sickness), since this condition
is unique to pregnancy and cannot
occur postpartum. As previously noted,
a supporting commenter requested a
prohibition on the use of regression as
a nutrition risk criterion for pregnant
women, infants and postpartum nonbreastfeeding women since only one
certification period is permitted for
these categories. Actually, under the
current § 246.7(g), a State agency may
provide a six-month certification period
for infants, but the commenter correctly
indicates that certain nutrition risk
conditions cannot cross over from one
category to another.
9. Certification Periods (§ 246.7(g)(1))
In response to concerns cited by
Congress, State agencies, and the NWA,
the Department proposed to modify the
timeframes for certification periods in
order to make them more consistent
across participant categories. Section
246.7(g)(1) of the current regulations
establishes the following timeframes for
certification:
A/an:
Is currently certified:
Pregnant woman .................................................
For the duration of her pregnancy, and up to six weeks after the infant is born or the pregnancy is ended.
Up to 6 months after the baby is born or the pregnancy is ended (postpartum).
Every six months ending with the infant’s first birthday.
Approximately every six months. The State agency may permit its local agencies to certify infants under six months of age for a period extending up to the first birthday, provided the
quality and accessibility of health care services are not diminished.
Approximately every six months ending with the last day of the month in which a child reaches
his/her fifth birthday.
Postpartum woman .............................................
Breastfeeding woman .........................................
Infant ...................................................................
Child ....................................................................
Some State agencies expressed
concern that the current timeframes for
establishing certification periods are
complicated and administratively
burdensome, requiring the frequent
proration of monthly food benefits and
special data processing capabilities to
accommodate specific cut-off dates.
Also, NWA expressed concern about the
lack of consistency in current
certification period timeframes. In
response, the Department proposed to
allow certification periods for all
participant categories to be extended to
the end of the month. Specifically, the
following maximum certification
periods were proposed in § 246.7(g)(1):
A/an:
Will be certified:
Pregnant woman .................................................
For the duration of her pregnancy, and up to the last day of the month in which the infant becomes six weeks old. (For example, if the infant is born June 4, six weeks after birth would
be July 16, and certification would end July 31).
Up to the last day of the sixth month after the baby is born or the pregnancy ends
(postpartum).
Approximately every six months ending with the last day of the month in which the infant turns
1 year old.
Approximately every six months. The State agency may permit its local agencies to certify infants under six months of age up to the last day of the month in which the infant turns 1
year old, provided the quality and accessibility of health care services are not diminished.
Approximately every six months ending with the last day of the month in which a child reaches
his/her fifth birthday. (No change from current regulations).
Postpartum woman .............................................
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Breastfeeding woman .........................................
Infant ...................................................................
Child ....................................................................
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Commenters overwhelmingly
supported the proposed changes to the
certification period. However, many of
the supporters requested further
revision of the certification period
requirements to extend the current sixmonth certification periods for
breastfeeding women to coincide with
the option to certify breastfed infants up
to the infant’s 1st birthday, or until the
women cease breastfeeding, whichever
occurs first, and to establish 12-month
certification periods for children.
Subsequent to publication of the
proposed rule and receipt of comments,
the certification period for breastfeeding
women was addressed in Congress in
Public Law 108–265, the Child
Nutrition and WIC Reauthorization Act
of 2004, enacted on June 30, 2004.
Section 203(b)(1) of that Act amended
section 17(d)(3) of the CNA to allow
State agencies the option to certify a
breastfeeding woman for up to one year
postpartum, or until the woman stops
breastfeeding, whichever occurs first.
This provision became effective on
October 1, 2004. FNS notified State
agencies of the effective date of this
provision on August 5, 2004.
Consequently, there is no need to
address the comments on the proposed
rule concerning the certification period
for breastfeeding women. Instead, we
are using this final rule to revise
§ 246.7(g)(1)(iii) to codify the option set
forth in legislation on the certification
period for breastfeeding women.
However, we do not support the
recommendation of some commenters to
change the certification period for
children from every 6 months to every
12 months. The current six-month
certification period increases the
likelihood that the child will receive a
health assessment and that nutrition
education or other nutrition
intervention will be provided to the
parent/caretaker. Assessing a child’s
nutritional and health status at sixmonth intervals is also consistent with
the WIC Program’s emphasis on
preventing childhood obesity.
One commenter who opposed the
proposed changes to the certification
periods indicated that costly changes
would be needed to an automated
system that defaults to the 30th day
even if a month ends on the 31st day.
Another commenter who opposed the
changes expressed concern about the
need for partial food packages if the
proposed rule would require that food
packages could only be issued to the
end of the month. Likewise, one
commenter who supported the changes
requested clarification on the
implications of the proposed rule if the
certification period ends on the first day
of a month.
As noted in the preamble of the
proposed rule and intended by this final
rule, these new provisions would not
remove the authority of State agencies to
maintain current certification period
lengths or to permit local agencies to
shorten certification periods on a caseby-case basis. For example, some State
agencies that certify all infants every six
months, may choose to continue
certifying breastfeeding women every
six months and not implement the
option to extend certification periods up
to the end of the month in which infants
turn one year old. Further, proration of
program benefits continues to be an
effective means of targeting benefits and
managing program costs. Also, the final
rule does not abridge the discretion of
State agencies to maintain current
certification periods or to prorate
benefits in order to accommodate
automated systems, although
enhancement of such systems may be a
more effective strategy to address
certification periods. As indicated
previously, State agencies are
encouraged to contact the appropriate
FNS regional office to identify potential
sources of funds for this purpose in
addition to the administrative funds
provided as part of the WIC grant.
Accordingly, this final rule provides
for the following certification periods in
§ 246.7(g)(1):
A/an:
Will be certified:
Pregnant woman .................................................
For the duration of her pregnancy, and up to the last day of the month in which the infant becomes six weeks old. (For example, if the infant is born June 4, six weeks after birth would
be July 16, and certification would end July 31).
Up to the last day of the sixth month after the baby is born or the pregnancy ends
(postpartum).
Approximately every six months. The State agency may permit its local agencies to certify a
breastfeeding woman up to the last day of the month in which her infant turns 1 year old, or
until the woman ceases breastfeeding, whichever occurs first.
Approximately every six months. The State agency may permit its local agencies to certify an
infant under six months of age up to the last day of the month in which the infant turns 1
year old, provided the quality and accessibility of health care services are not diminished.
Approximately every six months, ending with the last day of the month in which a child
reaches his/her fifth birthday. (No change from current regulations.)
Postpartum woman .............................................
Breastfeeding woman .........................................
Infant ...................................................................
Child ....................................................................
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10. Mid-Certification Actions
(§ 246.7(h))
The Department proposed several
revisions to this section, the most
significant of which would require local
agencies to reassess a participant’s
income eligibility (including household
composition) during the certification
period when information is received
about a change in circumstances,
indicating possible income ineligibility.
Many State agencies require
reassessment of income eligibility based
on receipt of information indicating a
change in circumstances. However,
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current regulations do not mandate such
assessments.
The Department proposed that
reassessment of Program eligibility
would apply only to income eligibility,
not to the participant’s nutrition risk
status. In addition, the Department
specified mandatory versus optional
mid-certification actions. As proposed,
mandatory mid-certification actions
included reassessment of income
eligibility based on information received
and disqualification of participants,
including family members, if found to
be over-income. Optional midcertification disqualification actions
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included those necessitated by funding
shortages or the failure of a participant
to pick up food instruments or
supplemental foods for a number of
consecutive months as established by
the State agency.
The proposed change would require
local agencies to reassess income
eligibility when information is received
indicating that a change in income
eligibility has occurred. Local agencies
would not be required to seek out
information. However, if information
comes to their attention, either from the
participant or from other sources, which
suggests ineligibility, this would trigger
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the regulatory requirement to reassess
WIC income eligibility. For an
adjunctively or automatically incomeeligible participant, an income
reassessment would be generated within
a certification period if the local agency
obtained/received confirmation that the
individual or other eligible family
member is no longer participating in
any of the programs which are
authorized/permitted to be used to
deem an individual as income eligible
for the WIC Program. Further, the
Department proposed to require that the
reassessment of income ineligibility also
applies to other household members
currently receiving WIC benefits. When
one household member is reassessed for
income eligibility and determined
ineligible based on household size and
income, in effect all participating
household members have been
reassessed and are ineligible.
The majority of commenters generally
supported the proposed midcertification income reassessment
process. Several State agencies
indicated that they already require such
assessments. However, some
commenters opposed the proposed
requirement. One commenter indicated
that enrollment entails a commitment to
a full certification period. Another
commenter stated that the core purpose
of the WIC Program is to provide
supplemental foods and nutrition
education over a period of time. Further,
as noted in the preamble to the
proposed rule, a commitment to an
entire certification period is implied
because the entire certification period
may be needed to improve the nutrition
status of participants.
In the preamble of the proposed rule,
the Department emphasized that the
CNA does not permit WIC benefits for
persons who no longer meet the basic
income eligibility requirements set forth
in the CNA. If information comes to the
attention of the local agency suggesting
that a participant may be income
ineligible, an income reassessment is
the only way to determine whether the
participant meets the income eligibility
requirements of the CNA. Moreover, in
response to one commenter, there is no
provision in the CNA permitting the
continued receipt of WIC benefits for
someone who is income ineligible on
the basis that this continued receipt of
benefits would be viewed as transitional
assistance.
As previously noted, the proposed
revision of § 246.7(h) would distinguish
between mandatory mid-certification
disqualifications of participants and
those that are optional. At the same
time, we also proposed to remove the
reference to disqualification based on
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participant violations from § 246.7(h)
because the process for sanctions and
claims based on participant violations
was set forth in § 246.12(u). However, in
this final rule, we are retaining the
reference to sanctions for participant
violations in § 246.7(h) to ensure that
such sanctions for participant violations
are clearly understood to be mandatory,
except as otherwise provided in
§ 246.12(u).
Several commenters indicated that
disqualifying a participant based on
unsolicited information is unfair since
other potential income ineligible
participants may not be disqualified
because changes in income are not
known or reported to the local agency.
The Department recognizes the
commenter’s concern. However, all
participants are potentially subject to
reassessment of income during their
certification periods, based on new
information that may come from any
source. Therefore, as noted in the
preamble of the proposed rule, the
proposed provision is a reasonable
balance between responsible action and
unnecessary paperwork.
Several commenters felt that the
proposed mid-certification income
reassessment would be unfair because
the information triggering the
reassessment would often originate from
an unreliable or biased source. The
Department recognizes that information
may come from persons who are not
aware of all of the facts, and that such
persons may be providing the
information because of personal
animosity towards the participant.
However, this does not necessarily
mean that the information is false or
without consequence. The only way to
determine the validity of the
information is to conduct an income
reassessment.
Several commenters indicated that the
proposed provision would conflict with
other requirements, including the
Verification of Certification (VOC)
process and the State option to
determine income eligibility based on
assessing annual income as opposed to
current income. The Department does
not agree with this position. The VOC
process at § 246.7(k) provides
continuation of certification and
benefits for a participant transferring
from one local agency to another,
without requiring reapplication at the
new local agency; the VOC process does
not prevent a reassessment of income if
new information is made known to the
new local agency after the transfer. Also,
the State agency option to calculate
income based on the past 12 months, at
§ 246.7(d), instead of using current
income, applies at any time an income
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determination is made, including midcertification; this provision does not
conflict with reassessment of income
mid-certification.
Several commenters asserted that
reassessment of income midcertification would result in frequent
disqualifications followed by
subsequent certifications, due to income
fluctuations, as well as other
administrative burdens such as an
increased number of disqualification
letters and appeals. Several commenters
also asserted that information
technology systems would need costly
modifications, e.g., to be able to change
income information in the system midcertification.
The Department does not anticipate a
significant increase in administrative
activities as a result of mid-certification
income reassessments. Over 56 percent
of WIC participants are adjunctively
income eligible for WIC based on their
eligibility to receive Food Stamps,
Medicaid, or Temporary Assistance for
Needy Families (TANF). (See WIC
Participant and Program Characteristics
2002, USDA Food and Nutrition
Service, Report No. WIC–03–PC,
September 2003.) Under § 246.7(d),
adjunct or automatic WIC income
eligibility is determined based on
documentation of an individual’s, or
certain family members’, eligibility to
receive benefits in other programs such
as Food Stamps, Medicaid and TANF.
These programs screen for income
eligibility and use maximum income
limits at or below WIC income
guidelines (185 percent of poverty).
Therefore, the normal WIC income
eligibility screening process is not used
for a large majority of participants.
Further, § 246.7(d) permits State
agencies to designate other programs as
establishing automatic income
eligibility for WIC in a manner similar
to adjunctive income eligibility. Thus,
most mid-certification income
reassessments may likely involve little
more than reconfirming adjunctive or
automatic WIC income eligibility.
In this regard, one commenter
expressed concern about the
administrative burden imposed on local
agency staff and participants by income
reassessments for postpartum WIC
participants whose Medicaid eligibility
ceases 60 days following birth.
However, under § 246.7(d), adjunctive
income eligibility extends not only to
the WIC applicant who is certified for
Medicaid, but also to a WIC applicant
who is a member of a family in which
a pregnant woman or infant is certified
for Medicaid (or is a member of a family
certified for TANF). Thus, assuming that
the reassessment of the postpartum
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woman is triggered only by her loss of
Medicaid eligibility and that her infant
is also a WIC participant, her
reassessment would likely involve no
more than confirming the infant’s
Medicaid eligibility, which would have
already been done when the infant was
determined eligible for the WIC
Program. In fact, the reassessment of
WIC income eligibility could be
eliminated if the postpartum woman is
determined to be income eligible at
certification based on the eligibility of
her infant for the Medicaid Program.
We recognize that some State
agencies’ management information
systems may need enhancements in
order for income reassessments to be
processed mid-certification. Therefore,
for this reason and others, we are
providing an extended implementation
period to accommodate, for example,
any system revisions or enhancements
that may be necessary. WIC State
agencies that need to enhance their
information systems to accommodate
mid-certification income reassessments,
or for other reasons, are encouraged to
contact the appropriate FNS regional
office to identify potential sources of
funds for this purpose in addition to the
administrative funds provided as part of
the WIC grant.
Finally, the Department finds
considerable merit in two other
comments received regarding
reassessment of income midcertification. One of these comments
pointed out that a participant, parent or
guardian would have no incentive to
cooperate with the reassessment process
after receiving the last set of food
instruments for the certification period.
The other comment asserted that the
participant, parent or guardian would
need a reasonable amount of time to
provide income documentation to the
local agency.
The Department agrees that, if the
food instruments for the last month of
certification have already been provided
to the participant, action to reassess
income eligibility and all necessary
follow-up action may be pointless. In
addition, a sufficient period of time
would be needed to contact the
participant, reassess income eligibility,
process any necessary disqualification
action and allow sufficient time for
potential appeal of the action by the
participant, parent or guardian, as set
forth in § 246.9(e), and to provide for
continuation of benefits if an appeal is
submitted within the 15-day advance
notice period required by § 246.7(j). In
addition, in some State agencies, two or
three months of benefits are issued at
one time (i.e., bi-monthly or tri-monthly
issuance).
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Therefore, § 246.7(h)(1) in this final
rule remains as proposed, except as
follows, based on commenters’
concerns. The Department has provided
an exception in this final rule to the
requirement that local agencies reassess
a participant’s income eligibility during
the certification period if new
information indicates that the
participant’s household income may
have changed. In this final rule,
reassessment of income eligibility is not
required in cases where sufficient time
does not exist to effect the change.
Recognizing the necessary action
required ultimately to disqualify an
individual, if necessary, ‘‘sufficient
time’’ means 90 days or less before the
expiration of the certification period.
11. Certification Forms (§§ 246.4(a) and
246.7(i))
The Department proposed to allow
State agencies the option of substituting
simpler language for the statements on
rights and responsibilities required by
§ 246.7(i)(10) and § 246.7(j)(2)(i) through
(j)(2)(iii), which must be provided in
writing or read to the applicant (or
parent/caregiver of a participating infant
or child) at the time of certification. As
proposed, such modified language
would be subject to FNS approval
during the State Plan approval process,
contingent upon whether the language
substitutions convey the same meaning
and intent as the existing regulatory
text. A new State Plan provision was
proposed for this purpose.
All of the commenters supported the
proposed revisions, although one
commenter sought assurance that FNS
would use its approval authority to
ensure consistent language substitutions
throughout the States. We will not. The
purpose of this proposed provision is to
provide each State agency with the
flexibility to use language appropriate to
its needs in order to convey the meaning
of the statements required by the
regulations.
Also, one commenter requested
clarification on whether this language
substitution process would also apply to
joint application forms involving WIC
and other programs. The same process
would apply to joint application forms,
if the regulatory language is not used.
However, the State agency would be
responsible for ensuring the language
used also has the approval of other
programs involved in the joint
application form. The provision in the
final rule is optional, so that a State
agency could decide not to develop and
submit substitute language.
Accordingly, the final rule remains as
proposed. One technical amendment
has been made, however, to paragraph
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(i)(11) of this section. In the first
sentence, the reference to paragraph
(i)(8) of this section has been changed to
the correct reference, paragraph (i)(10)
of this section.
12. Continuation of Benefits During Fair
Hearings (§ 246.9(g))
The Department proposed to revise
§ 246.9(g) to prevent the continuation of
benefits for a participant who has
become categorically ineligible while
awaiting a hearing decision on an
appeal of an adverse action, such as a
breastfeeding participant who continues
to receive WIC benefits while awaiting
the decision even though she had
discontinued breastfeeding and was
more than six months postpartum. The
current language of paragraph (g) of this
section technically permits the
continuation of benefits in such cases.
Commenters overwhelmingly
supported the proposed provision.
However, one commenter recommended
that benefits should be reinstated if the
participant prevails on appeal. We do
not support the commenter’s
recommendation. The reinstatement of
benefits for a categorically ineligible
person would mean that retroactive
benefits would be provided.
Historically, we have not permitted
retroactive benefits in the WIC Program,
as discussed below in section 16 of this
preamble.
Another commenter stated that a
participant should be immediately
terminated based on documented fraud,
subject to resumption should the
participant prevail on appeal, but not
retroactively. We do not support the
commenter’s recommendation.
Although the participant may prevail on
appeal, the individual would not be
eligible for benefits based on a different
categorical status, without
reapplication, nor for retroactive
benefits. Such benefits have historically
not been permitted in the WIC Program,
as discussed below in section 16 of this
preamble. Further, prior to disqualifying
any participant, the individual has the
right to due process and a right to a fair
hearing, as required by WIC regulations.
We believe that the proper balance is to
permit the continuation of benefits until
a hearing decision is rendered, until the
current certification period expires, or
until categorical eligibility expires,
whichever occurs first. Should the
appeal be denied, a participant would
be subject to a disqualification for up to
one year, as well as a claim for the value
of all benefits based on fraud, consistent
with § 246.12(u). Therefore, the
continuation of benefits prior to the
appeal decision would not protect the
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participant from the consequences of
the fraudulent conduct.
Therefore, in § 246.9(g) in this final
rule, the provision remains as proposed.
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13. Technical Amendment
(§ 246.11(c)(5))
This final rule makes a technical
amendment to § 246.11(c)(5). In
§ 246.11(c)(5), we have changed the
cross references to several paragraphs.
References to paragraphs (c)(8), (d), and
(e) have been changed to paragraphs
(c)(7), (d), and (e).
14. Closeout Procedures
(§§ 246.12(f)(2)(iv), 246.12(q), and
246.17(b)(2))
In response to a Congressional
directive contained in a report
accompanying the Fiscal Year 1999
appropriations, (H. Rept. 825, 105th
Cong., 2nd sess. (1998)), the Department
proposed to reduce the timeframe for
reporting closeout data for each
reporting month from 150 to 120 days.
The Department proposed to achieve the
120-day closeout cycle by reducing the
time allowed for vendors to bill State
agencies from 90 to 60 days from the
first valid date of the food instrument.
Efforts to get State agencies to
voluntarily reduce the time used to
report closeout data to 120 days have
been underway for more than a decade.
Currently, about 55 percent of State
agencies voluntarily report closeout data
at 120 days or less.
Of the 20 comments received, 12
supported and 8 opposed the proposed
reduction to a 120-day closeout cycle.
Concerns raised by two supporters as
well as those opposing were that State
agencies not already reporting closeout
data within 120 days would need to
reduce the time allowed for vendors to
redeem food instruments, reprogram
automated systems, and renegotiate the
terms and cycles of support from
centralized State and local accounting
departments.
About 84 percent of State agencies
have already reduced the redemption
period for vendors from 90 to 60 days.
Therefore, a provision requiring this
reduction would impose a burden on
vendors or State agencies. Over 65
percent of State agencies that require
their vendors to redeem food
instruments in 60 days have, in turn,
used the reduced redemption period to
achieve a 120-day closeout cycle. A 60day redemption period benefits vendors
with timely payments as well as
provides State agencies with the
opportunity to achieve a timely
closeout.
Regarding the other issues raised,
voluntary compliance with a 120-day
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closeout cycle by approximately 55
percent of State agencies demonstrates
that all State agencies should be able to
close out within 120 days without great
difficulty. The Department maintains
that advances in automated systems
technology should readily provide
timely data needed to improve the
budgeting and funding process.
However, the Department agrees State
agencies will need time to take the
necessary actions. The proposed
reduction to a 120-day closeout cycle
remains, but with an implementation
date of October 1, 2006 (Federal Fiscal
Year 2007).
15. Penalties for Misuse or Illegal Use of
Program Funds, Assets, or Property
(§§ 246.12(h)(3)(xx) and 246.23(d))
Section 104(b) of Public Law 105–336,
the William F. Goodling Child Nutrition
Reauthorization Act of 1998, enacted
October 31, 1998, amended section 12(g)
of the Richard B. Russell National
School Lunch Act (NSLA), 42 U.S.C.
1760(g), by increasing the maximum
penalty for misuse or illegal use of
funds, assets or property of a grant or
other assistance under the NSLA, with
a value of $100 or more, from $10,000
to $25,000. As set forth in section 12(g)
of the NSLA, the maximum penalty also
applies to programs under the CNA.
This change is nondiscretionary, and
does not require that the public have an
opportunity to comment. Therefore, in
accordance with section 12(g) of the
NSLA, the Department is amending
§§ 246.12(h)(3)(xx) and 246.23(d) of the
WIC regulations to reflect the increase
in the maximum fine from $10,000 to
$25,000, for misuse or illegal use of
funds, assets or property of a grant or
other assistance under the CNA, with a
value of $100 or more.
16. Prohibition Against the Use of
Program Funds To Provide Retroactive
Benefits (§ 246.14(a))
The Department proposed to specify
in regulations that WIC Program funds
may not be used to provide retroactive
benefits to participants. This has been
long-standing policy in the WIC
Program, but the regulations have not
previously addressed this policy. The
WIC food package is designed to be
consumed during specified periods
when participants are undergoing
critical growth and development.
Providing retroactive benefits is not an
effective use of program benefits.
Commenters overwhelmingly
supported this provision. The few
commenters opposing the provision
stated that providing retroactive benefits
is the only fair way to remedy wrongful
denial of benefits. We do not support
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this position. As noted previously, a
participant may protect current benefits
by requesting a hearing within 15 days
of the advance notice of
disqualification, which will guarantee
the continuation of benefits until a
hearing decision is rendered, expiration
of the current certification period, or
loss of categorical eligibility, whichever
occurs first. Further, WIC benefits are
intended to improve health status based
on existing nutrition risk conditions at
the time of application. Providing WIC
foods to persons after they have passed
through such periods is not consistent
with the nutritional goals of the WIC
Program, nor is it appropriate to give
participants more food than they can
reasonable consume within a given
period of time.
If a hearing decision is rendered
which supports the participant, then he/
she will be provided benefits
prospectively, assuming the certification
period has not expired or the individual
is no longer categorically eligible. We
recognize that this process may
occasionally result in a successful
appellant having gone without benefits
during the appeal process. However, the
WIC Program is a supplemental
nutrition program. Providing retroactive
benefits in such cases is not an effective
use of program benefits.
Another commenter indicated support
for the proposed provision only if it
would not prohibit providing a full
month’s benefits, instead of pro-rating
benefits, for a participant who misses an
appointment but subsequently visits the
local agency before the expiration of the
30-day period. The commenter
expressed concern about the cost of
enhancing an automated system, which
does not currently provide for pro-rating
benefits. FNS encourages the pro-ration
of benefits for participants whose
eligibility is effective late in the
monthly issuance cycle or who are late
picking up food instruments. Also, as
with similar concerns discussed in
previous sections of this preamble, we
believe that enhancements to automated
systems are an effective solution for
such issues. However, we do not intend
to mandate pro-ration of the current
month’s benefits. We do not view the
provision of WIC benefits late in the
same month as constituting retroactive
benefits. However, providing WIC
benefits in a subsequent month, which
are intended for a previous month,
constitutes retroactive benefits.
Accordingly, in this final rule, the
provision remains as proposed.
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17. Transportation as Allowable Costs
(§ 246.14(c)(7))
The Department proposed to amend
§ 246.14(c)(7) by removing the limiting
term ‘‘rural’’ from the allowability of
costs in transporting applicants and
participants to clinics, so that the
existing State agency option for funding
transportation in rural areas could also
be applied to urban and suburban areas.
Also, the Department proposed revising
§ 246.4(a)(21) to require that a State
agency which elects to allow the
provision of transportation to
participants must include its policy for
approving such costs in the portion of
the State Plan that describes the State
agency’s plans to provide program
benefits to eligible persons most in need
of such benefits.
Most of the commenters supported
these proposed provisions. Some
commenters stated that the proposed
revisions would drain WIC nutrition
services and administration funds
(NSA), making WIC the source of funds
for transportation of participants instead
of Medicaid; create a welfare image for
WIC; burden WIC with safety and
liability issues; and, result in the
transportation of non-WIC participants.
The Department proposed the
aforementioned revisions because State
agencies had been seeking approval to
purchase vans for transporting
participants to and from inner city and
suburban clinics. Because State agencies
could purchase vans with WIC NSA
funds to bring WIC services to rural
participants, it is reasonable to allow the
use of WIC NSA funds for transportation
of WIC participants to WIC clinic sites
in any situation, rural or non-rural,
where access is a barrier. At the same
time, as noted in the preamble of the
proposed rule, we were concerned with
some of the same issues raised by
commenters. As a result, we wanted to
ensure that State agencies developed
carefully structured rationales for use of
NSA funds to transport participants. For
this reason, we proposed revising the
State Plan requirements of the
regulations; a State agency would need
to gain FNS approval for a State Plan
amendment setting forth this rationale
in order to use NSA funds for
transporting participants. These
safeguards are sufficient. Further, State
agencies are not required to use NSA
funds for transporting participants,
urban or rural. Therefore, in this final
rule, the provision remains as proposed.
18. Capital Expenditures Which Require
Agency Approval (§ 246.14(d))
The Department proposed revisions to
this section to reflect current rather than
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dated prior approval requirements for
capital expenditures. In advance of the
proposed rulemaking, changes in OMB
Circular A–87 allowed FNS to establish
and implement policy and guidance
reducing the paperwork burden
associated with obtaining prior approval
of capital expenditures. FNS policy and
guidance is the current source for
specific dollar thresholds above which
State agencies must obtain prior
approval from FNS for capital
expenditures, including automated
information systems, and was
referenced as such. FNS policy that
deleted the requirement to obtain prior
approval of management studies was
also reflected in the proposal.
All but one commenter supported the
proposed revisions. Considering the
reference to FNS policy and guidance
vague, the opponent recommended
setting a dollar threshold of $10,000. An
across-the-board threshold of $10,000 is
more restrictive than that found in
current FNS policy and guidance for all
capital expenditures but those for
automation, would increase the current
paperwork burden, and may become
dated by future revisions in
government-wide rules. For these
reasons, we did not accept the
commenter’s suggestion. The revisions
remain as proposed.
19. Other Program Income (§ 246.15(b))
All comments supported using the
addition method of applying program
income, as proposed. The provision
remains unchanged from the proposed
rule.
20. State Audit Responsibilities (or
Monetary Amount of the Food Not
Received (§ 246.20(b)(1) and (b)(2))
The majority of comments fully
supported the proposed revisions to this
section. None opposed. However, a few
supporters either did not fully
understand the proposed revisions or
expressed concern that the proposed
revisions would result in changes to
local agency audit requirements.
Existing audit requirements remain
unchanged by the proposed revisions.
The revisions simply update this section
to refer to government-wide audit
requirements to which State and local
agencies are already subject. State and
local agencies are simply informed of
their responsibility to obtain audits in
accordance with Departmental
regulations at 7 CFR 3052, which
codifies the Office of Management and
Budget (OMB) Circular A–133, Audits of
States, Local Governments and NonProfit Organizations.
A few comments expressed concern
that local agencies might obtain
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program-specific audits. OMB Circular
A–133 provides that a non-Federal
entity, such as a local agency, operating
only one Federal program may elect a
program-specific instead of an
organization-wide audit. However, most
local agencies operate more than one
Federal program and will, therefore, be
required by OMB Circular A–133 to
satisfy their audit requirement with an
organization-wide audit. The revisions
remain as proposed.
21. State Agency Reporting
Requirements (§ 246.25(b) and (c))
Participation Reporting
The Department proposed revisions to
this section to reflect data collections
currently approved by OMB. Revisions
to this section will not change current
State agency reporting requirements.
The majority of commenters
supported the proposed revisions.
Seven commenters opposed the
revisions in whole or part. All but one
of the seven expressed concern that the
proposed revision would require State
agencies to report State appropriated
funds. The proposed revision does not
require reporting of State appropriated
funds. There is no data element for State
funds on Program reports and the data
element for participation supported by
State appropriated funds was removed
beginning with fiscal year 2001.
However, we believe that State agencies
should voluntarily continue to inform
FNS each year of their appropriations,
i.e., provide the amount, period of
availability, and purpose (food or
nutrition services and administration
(NSA)). The availability of State
appropriated funds impacts and helps to
explain Federal funding spending
patterns.
Other items causing concern or
opposed by at least one of the
commenters included reporting and
defining cash allowances and excess
balances; whether monthly NSA
expenditures include unliquidated NSA
obligations; the meaning of itemized
annual NSA expenditure reports;
reporting a food cost/outreach NSA
funds ratio; reporting available food and
NSA by source year; and, suggesting the
reporting of migrants each year rather
than every other year.
Only two modifications were made to
the proposed revisions. The remainder
of the revisions remain as proposed.
First, the reference to a requirement to
report cash allowances and excess
balances was deleted. An old
requirement to report cash allowances
and excess balances has long since been
eliminated. Second, unliquidated
obligations were added to the monthly
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reporting of NSA expenditures. Data
collections currently approved by OMB
require State agencies to report NSA
unliquidated obligations as well as
expenditures.
Clarification is provided regarding the
following reporting requirements.
Annual reporting of itemized NSA
expenditures refers to an existing
requirement to report NSA expenditures
by functional category on the FNS–
798A. There is no requirement to report
a food cost/outreach funds ratio and no
such requirement was proposed.
Federal funds are currently reported
by source year on line 29 (report year
formula grant) and on lines 30a and 38b
(funds spent forward from prior year or
back spent from following year) and 30b
and 38a (funds back spent to prior year
and funds spent forward to following
year) of the FNS–798. Such data is
readily available.
The annual reporting of migrant data
is required to meet the requirement of
section 17(g)(4) of the Child Nutrition
Act of 1966, 42 U.S.C. 1786(g)(4), to
make at least 9⁄10 of 1 percent available
first for eligible members of migrant
populations each year. Therefore, the
existing annual migrant reporting
requirement cannot be reduced to a
biennial reporting requirement as it
would be insufficient for monitoring
compliance with the Act.
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Racial/Ethnic Group and Local Agency
Reporting
Most commenters supported the
proposed revisions. Several commenters
opposed reporting local agency changes
as they occur. However, the current data
collection for the local agency directory
(FNS–648), which was initially
approved by OMB in 1992, requires
local agency address changes to be
reported as they occur.
Current technology only provides for
an annual publication of the directory.
However, future automated systems
upgrades will make it possible for State
agencies to directly enter and access
local agency address changes via an online Web-based local agency directory.
The new technology will be very userfriendly, making updates easy.
Currently, many State agencies are not
providing local agency updates until
FNS pursues them as part of the annual
local agency directory publication
activities. However, the final rule
should reflect the terms of the OMB
approved data collection and the
capabilities of future technology
upgrades.
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22. Confidentiality of Participant
Information (§ 246.26(d) Through(i))
The Department proposed to revise
§ 246.26(d) and (g) of the current WIC
regulations, and to add paragraphs (h)
and (i) to § 246.26, to address the use
and disclosure of confidential
information. The Department proposed
these changes in order to remove
barriers to coordination among
programs caused by restrictions on
sharing participant information, and to
provide regulatory clarification and
guidance on legal issues pertaining to
the release of confidential applicant and
participant information in connection
with court proceedings, criminal
investigations, or instances of known or
suspected child abuse or neglect. WIC
agencies continue to be accountable to
all applicable requirements pertaining
to the confidentiality of information.
As clarified in the preamble to the
proposed rule, confidential applicant
and participant information could only
be used or disclosed to the extent
permitted by these proposed provisions.
Any other use or disclosure would not
be permitted. Additionally, information
obtained from WIC applicants or
participants would be protected, in
accordance with WIC regulations,
regardless of the manner in which the
information is recorded or stored, with
access limited to those that have a need
to know and shared only as permitted
under these regulations.
The additional flexibility in the
proposed rule was intended to maintain
a balance between sharing information
in the interest of enhanced services and
safeguarding information so that barriers
to Program participation are not created.
We are fully committed to the principle
that the integration of health care and
social service programs must proceed
with careful regard for an individual’s
right to privacy.
A. Treatment of Confidential Applicant
and Participant Information
The Department proposed in
246.26(d)(1) to expand the concept of
confidential applicant and participant
information to include all information
about applicants and participants,
including information obtained from
other sources, as well as information
generated as a result of WIC application,
certification, or participation. The
majority of commenters overwhelmingly
supported this proposed clarification.
One supporting commenter, however,
recommended that in order to avoid
confusion, the regulations should
specify that in protecting the
confidentiality of applicant and
participant information in WIC files,
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WIC local agencies must comply with
WIC regulations and applicable federal
statutes, not the U.S. Department of
Health and Human Services’ (HHS)
regulations implementing the Health
Insurance Portability and
Accountability Act (HIPAA). We agree
with the commenter and have clarified
this point in the final regulatory
provision 246.26(d)(1).
As set forth in WIC regulations, WIC
State and local agencies are required to
comply with the regulations,
instructions and other guidelines issued
by the Department, including those
focused on the protection of applicant
and participant confidentiality.
Applicant or participant information
contained in WIC files may include
information that originated in other
federal, state or local program’s files,
which was subject to those respective
programs’ confidentiality provisions.
However, once information is included
in WIC’s files, WIC confidentiality
protections attach to the information,
regardless of the original source and
exclusive of previously applicable
confidentiality provisions. Thus, WIC
confidentiality protections, rather than
HIPAA requirements or any other
Federal, State or local programs’
confidentiality provisions, attach to and
take precedence in protecting applicant
and participant information.1
Health departments, which operate
many WIC local agencies, are affected
by HIPAA requirements. In those
instances and pursuant to HIPAA
regulations, health departments may
declare themselves ‘‘hybrid entities’’.
Covered entities within a health
department would then comply with
HIPAA regulations, while the WIC local
agency, as a non-covered entity, would
continue to follow existing, applicable
confidentiality requirements.
Coordination of programs and services
can continue, even when program
confidentiality requirements differ.
We encourage State and local agencies
to consult first with their legal counsel
on issues regarding confidentiality,
including issues pertaining to HIPAA.
State agencies are encouraged to contact
appropriate FNS Regional offices for
1 HHS’ HIPAA regulations establish standards to
protect the privacy of individually identifiable
health information and those standards apply to
information maintained by health plans, health care
clearinghouses and certain health care providers. In
the preamble to the initial final rule published in
the Federal Register by HHS on December 28, 2000,
at 65 FR 82462, and in subsequent questions and
answers issued by HHS on the HIPAA rules,
respectively, HHS clarified that WIC agencies are
not considered ‘‘health plans’’ for HIPAA purposes
and that the HIPAA standards do not extend to WIC
agencies.
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assistance should unresolved issues
remain after consultation.
Therefore, the final rule remains as
proposed, with the addition of
clarification that WIC confidentiality
protections in relevant Federal and State
authorities attach to applicant and
participant information, regardless of
the original source of that information
and exclusive of previously applicable
Federal, State or local confidentiality
provisions.
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B. Use in the Administration and
Enforcement of the WIC Program
The proposed provision sought to
clarify in regulations those entities
involved in the administration and
enforcement of the WIC Program, by
identifying the persons to whom
confidential applicant/participant
information may be disclosed based on
their direct connection with the
administration and enforcement of the
WIC Program. The proposed provision
clarified that such persons must have a
need to know the confidential
information for WIC Program purposes
as determined by the State agency. Also,
the provision clarified that such persons
may include the staff of the State
agency’s local agencies, the staff of other
State agencies and their local agencies,
persons under contract with the State
agency to conduct research concerning
WIC, and persons investigating and
prosecuting WIC Program violations
under Federal, State, or local law.
All of the commenters were
supportive of this proposed provision,
although additional clarification was
requested concerning the types of staff
encompassed by the provision, and also
concerning the meaning of the term
‘‘need to know.’’
The preamble of the proposed rule
pointed out that all employees of a State
or local agency do not need access to
confidential participant information. In
using the term ‘‘need to know,’’ we did
not intend to introduce a new
requirement, but rather to reinforce the
requirement in the current regulations
restricting access to staff directly
connected with the administration or
enforcement of the WIC program.
Moreover, the listing in the provision of
functions demonstrating a need to know
was not intended to be all-inclusive, but
rather to be illustrative. It is not possible
to anticipate and list all of the staff
positions or functions involved with
administration and enforcement of the
WIC Program. We agree, however, that
the regulations should clearly indicate
that the list of persons that have a need
to know is not limited to those
referenced in the regulations.
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This specific listing is not necessary
in the regulations. Instead, State
agencies must apply the general
principles provided by the regulatory
language, in consultation with legal
counsel. For instance, one commenter
sought the specific inclusion of
information technology staff. We
recognize that such staff may be directly
involved in the administration and
enforcement of the program and have a
need to know confidential participant
information, but not necessarily all such
staff. For example, it might be necessary
for some technology staff to see
confidential information when they are
conducting data runs on WIC
information or to assist WIC staff with
computer equipment problems.
However, it is unlikely that technology
staff assigned to provide support and
assistance only to other specified
programs, and not WIC, would need
such access. As indicated above, each
State agency must define who is
authorized access in accordance with
general principles set forth in WIC
regulations, in consultation with legal
counsel.
We also did not intend to exclude
State contract staff who are conducting
audits of the WIC Program pursuant to
7 CFR part 3052, the Department’s
regulations implementing the Single
Audit Act. Such staff would be
considered as involved in the
administration or enforcement of the
program, and would need access to
confidential information if, for instance,
they want to sample certification
records to ensure that income eligibility
determinations have been correctly
calculated during certifications.
Likewise, staff of a bank under contract
with a WIC State agency for food
instrument processing will see the
names of participants on WIC checks,
and have a justifiable need to know.
Contract terms and conditions should
address the confidentiality of WIC
information and the penalties for
unauthorized sharing or access. Such
contract entities perform programmatic
functions on behalf of the WIC agencies
and have a need to access confidential
WIC information under the terms and
conditions of the contract.
Another commenter suggested that
the provision specifically allow for the
disclosure of confidential participant
information, without consent, to prevent
multiple enrollments. Such a general
statement is not needed since the term
‘‘administration and enforcement of the
WIC Program’’ clearly encompasses the
prevention of dual participation or
multiple enrollments. The proposed
rule clarified that individuals who have
a need to know include personnel from
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local agencies and other WIC State or
local agencies. As pointed out in the
preamble of the proposed rule, this
clarification was needed to facilitate the
transfer of participants from one State
agency or local agency to another and
for program oversight; clearly, the term
‘‘program oversight’’ includes the
prevention of dual participation. Thus
applicant or participant consent is not
needed for sharing confidential
applicant or participant information
between State or local agencies
regarding the prevention or detection of
multiple WIC enrollments as well as
regarding the transfer of participants
between State or local agencies. Such
consent is not needed for sharing
confidential information for any
purpose properly within the meaning of
the term ‘‘administration and
enforcement of the WIC Program,’’ when
the information is provided to staff with
a need to know. With regard to sharing
information with the Commodity
Supplemental Food Program (CSFP) to
detect or prevent dual participation,
and/or for other coordination reasons,
WIC and CSFP are required to enter into
a written agreement.
Finally, as set forth in §§ 246.25(a)(4)
and 246.26(g), the State agency must
provide the Department and the
Comptroller General with access to all
records. The use of the term
‘‘Department’’ includes the
Department’s Office of Inspector
General (OIG) and other USDA agencies
or offices involved in the program such
as FNS, and the Economic Research
Service which is involved in conducting
studies of the WIC Program. The
Comptroller General is the head of the
Government Accountability Office
(GAO), which is an arm of Congress.
The reference to the Comptroller
General also includes other GAO staff
such as those who conducted the
previously mentioned survey on
participant and employee fraud and
abuse.
In general, confidential participant
information may be used in connection
with the appeal of adverse action taken
against State or local WIC personnel.
However, prior to such release, legal
counsel should be consulted to provide
advice on ways to share information
with those that have a need to know
while also protecting the confidentiality
of information to those who do not have
a need to know, e.g., the judge could see
the information but not the general
public attending the hearing.
Accordingly, these provisions remain
as proposed, except we have clarified in
the final rule that the list of persons that
have a need to know is not limited to
those referenced.
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C. Use and Disclosure for Non-WIC
Purposes
The Department proposed to allow
State agencies greater flexibility in
determining organizations to which they
may disclose confidential applicant/
participant information pursuant to
written agreements as well as the
permissible uses of such information.
Specifically, the Department proposed
in § 246.26(d)(2) to remove the reference
to sharing confidential WIC information
only with public organizations that
administer ‘‘health or welfare’’ programs
that serve WIC participants. As
proposed, this change would provide
State agencies with greater latitude in
choosing appropriate programs with
which to coordinate and share
information. Additionally, proposed
§ 246.26(h)(3)(i) would expand the
permitted uses of confidential
applicant/participant information to add
three new categories. As proposed, the
three new categories of permissible uses
were:
• Enhancing the health, education, or
well-being of WIC applicants or
participants;
• Streamlining administrative
procedures in order to minimize
burdens on staff and applicants or
participants; and
• Assessing and evaluating a State’s
health system in terms of
responsiveness to participants’ health
care needs and health care outcomes.
Currently, State agencies choosing to
disclose applicant/participant
information to public organizations
designated by the chief State health
officer must execute a written agreement
with each agency. The agreement must
limit the use of the information by the
receiving agency to establishing
eligibility for their own programs and
conducting outreach for such programs.
Further, the organizations must assure
that WIC applicant/participant
information will not be disclosed to a
third party. Also, § 246.7(i)(9) in current
regulations requires State agencies to
inform WIC applicants on the WIC
certification form that information they
provide may be disclosed to public
organizations that administer other
health or welfare programs for purposes
of determining eligibility and
conducting outreach.
However, as a balance to the proposed
expansion, the Department also
proposed a new § 246.4(a)(24) that
would require State agencies to include
in their State Plan a list of the programs
with which the State agency or its local
agency has or intends to execute written
agreements for the disclosure and use of
confidential applicant/participant
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information and planned use of the
information, consistent with the uses
authorized in proposed § 246.26(d). In
addition, the proposed rule included a
cross-reference to the State plan
requirement in proposed § 246.26(h)(3).
These changes were proposed as a
result of State agency comments and
concerns that they needed greater
flexibility to share confidential
information for administrative purposes
and to benefit applicants and
participants. Additional flexibility
would eliminate, for example, barriers
to coordination, enhance one-stop
shopping by applicants who could
apply for multiple programs, and
improve access to other programs and
services available to the population
served by the WIC Program.
The proposed rule also clarified in
§ 246.26(d)(2) and (h)(3) that the
conditions for disclosing confidential
applicant/participant information
would extend to non-WIC uses of the
information by the State agency and its
local agencies. In these cases, the
written agreement would be between
the WIC State agency or local agency
and the unit of the WIC State agency or
local agency that would be using the
information for non-WIC purposes.
Further, the rule proposed to require a
written agreement in these instances
because the State or local agency
personnel who would be using the
information for non-WIC purposes
might be unfamiliar with the limits on
the use of the information. Requiring a
written agreement in these cases would
provide an additional safeguard for
sensitive information.
As noted above, the proposed
regulations continued the existing
requirement that State agencies notify
applicants and participants at the time
of application or through a subsequent
notice that information about their
participation in the WIC Program may
be used by State and local WIC agencies
and public organizations in the
administration of their programs that
serve persons eligible for the WIC
Program. Such notification would also
be required when information is shared
through written agreements for non-WIC
purposes under §§ 246.7(i)(11) and
246.26(h)(2) of the proposed rule.
The majority of commenters
supported the proposed provisions.
Many commenters that supported the
proposed provisions requested
clarification or changes to certain
portions of the proposal. Several
commenters suggested a requirement for
State agency oversight of local agency
agreements. However, such a provision
is unnecessary. Current regulations at
§ 246.26(h)(1) specify that the chief
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State health officer (or in the case of an
Indian State agency, the governing
authority) is required to designate the
public organizations with which WIC
agencies can enter into written
agreements. The proposed rule reflects
our intent to continue this requirement
by further refining the provision. It
would require the chief State health
officer to designate in writing the
permitted non-WIC uses of confidential
WIC information and the names of the
organizations with which such
information will be shared. Therefore,
State agency oversight of local agency
agreements currently exists and is
intended in the proposed rule.
Several commenters that supported
the rule suggested that the term ‘‘public
organizations’’ be defined to include
Federal, State and local agencies and
other government/tribal authorities. In
general, this is the intended meaning of
the term. It has never been the intent of
the Department for State agencies to
interpret this term so narrowly as to
consider only State agency entities.
However, as discussed below, this term
is not intended to be interpreted
broadly, for example, to include State or
local law enforcement agencies. We do
not believe, however, that the
regulations should specifically define
the term. Such action could potentially
exclude or restrict State agency
flexibility for the chief State health
officer to identify and designate public
organizations that may be appropriate to
share WIC information. State agencies
are encouraged to consult with legal
counsel as they attempt to identify
public organizations that they consider
sharing confidential WIC information.
Several commenters that supported
the provisions, as proposed, requested
clarification on the extent to which
independent researchers conducting
general scientific research would be
authorized to have access to
confidentiality WIC information. This
rule maintains the Department’s
longstanding position that independent
researchers would not be considered
public organizations. Therefore,
confidential WIC information could not
be shared with such entities through
information-sharing agreements. The
options for sharing WIC information
with such researchers would be either
through signed release forms from
applicants and participants, or
providing aggregate data, with no
confidential identifiers.
A number of supportive commenters
requested clarification on the
permissibility of a public organization
that receives WIC information through
an information-sharing agreement to redisclose such information to its
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outreach contractors. We do not view
such action as a re-disclosure of WIC
information, but rather using the
information in the administration and
operation of its program, via the use of
contractors, to identify potential
individuals eligible for services
provided by the organization. Therefore,
such uses of WIC information would be
permissible and not viewed as
disclosing the information to a third
party.
Other clarifications and suggestions
by commenters supporting the proposed
provisions covered a broad array of
issues. Therefore, the following
statements are intended to respond to
most of these issues with respect to this
final rule. WIC agencies are not required
to enter into information-sharing
agreements with public organizations
and take on any added burden by this
process. This is only one of several
options for possible sharing of
confidential WIC information. However,
there are ways to limit the amount of
paperwork involved in written
agreements in some situations. For
example, FNS Instruction 800–1 states
that separate agreements do not have to
be executed for each program. Instead,
the chief State health officer (or his
equivalent) may list in one agreement
all of the programs with which
information is to be disclosed.
Responsible officials for each of the
programs listed would then sign the
written agreement.
Another option for sharing
confidential WIC information is
obtaining signed release forms from
applicants and participants, or sharing
information in aggregate, with no
identifiers. If signed release forms are
used, applicants and participants must
be given the right to refuse to the
sharing of information. FNS Instruction
800–1 provides guidance on this issue.
WIC agencies are in the best position
to determine which option(s) are best
suited to their needs. Therefore, it
would be inappropriate to mandate only
one approach to sharing WIC
information with other entities. Further,
State agencies have the authority to
decide what WIC information will be
shared with other public organizations.
It is not our intent for State/local
agencies to share all WIC information
about applicants and participants with
other organizations, but rather only
those data elements necessary for the
receiving organization to, for example,
contact the individual regarding
potential services. Therefore, WIC
agencies already have the authority to
protect and not disclose highly sensitive
WIC information such as that relative to
AIDS/HIV and substance abuse.
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The provisions pertaining to
information-sharing agreements were
not designed to permit an applicant or
participant to refuse such sharing. It was
designed to be a part of the WIC
application process. By signing the
rights and responsibilities statement and
agreeing to participate in WIC, the
individual agrees to the sharing of
information with other public
organizations that may provide needed
services. Therefore, no additional
applicant or participant consent is
necessary for such information sharing.
The proposed State Plan provision for
listing all programs that have
information-sharing agreements with
the State agency and its local agencies,
and the uses of such information, are
only intended for informational
purposes. As proposed, FNS did not
intend to approve State agencies’
decisions in this matter as long as the
reasons for sharing information were
consistent with the authorized uses in
the proposed rule. Therefore, State and
local agencies can execute such
agreements prior to submission of the
information in State Plans. Any
questions or issues about the
appropriateness of sharing information
should be directed to the respective FNS
Regional office prior to execution of the
agreement.
The process of providing a list to FNS
is not intended to create a barrier to
entering into information-sharing
agreements. Further, such lists are not
intended to serve as notice to WIC
applicants and participants. State
agencies are required to provide
applicants and participants with
notification at certification of public
organizations that WIC intends to share
confidential WIC information.
Several supportive commenters also
requested clarification on the proposed
provision that permits WIC agencies to
enter into information-sharing
agreements with Child Protective
Services (CPS) to report known or
suspected child abuse or neglect not
otherwise required by State law. One
commenter questioned whether WIC
agencies can also share information
based on inquiries from CPS to follow
up on information received from other
sources. Under this final rule, an
information-sharing agreement between
WIC and CPS, if a WIC agency is
contacted by CPS to check its records
for possible abuse and neglect, it may
respond to CPS’ inquiry.
A few commenters opposed the
proposed provisions. One reason for
opposition included an objection to the
prohibition on the public organization
receiving confidential WIC information
to disclose it to a third party. The
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commenter stated that this precludes
sharing with immunization registries,
and recommended such sharing be
permitted. However, we are committed
to maintaining the confidentiality of
applicant/participant information as
programs coordinate services and share
information, although the task becomes
more challenging. One way to control
the access of confidential information
while promoting coordination is
through the use of a written agreement
between programs, specifying what data
will be shared, how it will be shared,
whether data may be subsequently
disclosed, and the proposed use(s) of
such information. With regard to most
immunization registries, WIC agencies
currently have the authority to share
information with organizations
administering immunization registries.
WIC agencies may share confidential
WIC information by obtaining written
release forms from applicants and
participants, and individuals can be
informed about potential subsequent
release of their information.
One commenter recommended
deleting the proposed reference to
executing written agreements for the
purpose of streamlining administrative
procedures in either the receiving
program or WIC. Coordination among
programs and ‘‘one-stop shopping’’ for
applicants to access multiple programs’
benefits has increased. This provision is
intended to facilitate coordination of
services among programs and minimize
or eliminate duplication of efforts; thus,
the reference to streamlining
administrative procedures.
One commenter opposed the
permissible use of sharing information
to enhance the health, education or
well-being of WIC applicants or
participants, as set forth in the proposed
rule. The commenter felt this provision
was too broad. However, the intent of
this provision was to provide State
agencies with the flexibility to identify
and designate programs with which to
share information in order to truly
benefit the WIC population. For
example, State or local agencies could
elect to enter into one written agreement
with programs in the health department,
including their Communicable Disease
Program, to share confidential WIC
information. In consultation with its
legal counsel, we believe State agencies
are in the best position to make these
determinations. The purposes for
sharing were expanded to accommodate
State agencies’ concerns that current
purposes were too restrictive.
As indicated in the proposed rule, the
Department is committed to maintaining
the confidentiality of the financial and
health information of WIC applicants
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and participants. The Department
understands that individuals may refuse
to apply or participate in the WIC
Program if they fear that their privacy
will not be safeguarded.
Therefore, the provisions set forth in
§ 246.26(h) of the proposed rule
pertaining to sharing of WIC
information for non-WIC purposes and
entering into information-sharing
agreements remain as proposed.
D. Child Abuse and Neglect Reporting
Encouraged by the Child Abuse
Prevention and Treatment Act (42
U.S.C. 5106a), many States have enacted
statutes requiring the reporting of
known or suspected child abuse or
neglect. Under current WIC policy, if a
State statute requires known or
suspected child abuse or neglect to be
reported, then WIC staff must report or
release applicant/participant
information to State or local officials, as
required by State law. In the proposed
rule, we sought to codify current policy,
as set forth in FNS Instruction 800–1.
Currently, if State law does not require
the reporting of known or suspected
child abuse and neglect by public
programs, such as WIC, the guidance in
FNS Instruction 800–1 encourages WIC
State agencies to consult with State legal
counsel to determine the
appropriateness of reporting such
information. In the proposed rule at
§ 246.26(h)(3)(i)(C), State agencies are
provided the option to report known or
suspected child abuse or neglect when
not mandated by State statute if a
written agreement has been executed
between the WIC State or local agency
and the appropriate child protective
service organization.
All of the comments supported these
proposed provisions, although some
revisions or clarifications were
requested. Several commenters
requested that we clarify in the
regulatory language that the
participant’s consent is not needed by
the local agency in order to provide
such information to the appropriate
child protective authority. We agree that
a participant’s written consent to share
such information is not required. WIC
agencies are reminded that FNS
Instruction 800–1 provides specific
guidance on the use of informationsharing agreements and addresses this
issue.
One commenter requested that we
address the impact of the Indian Child
Welfare Act (25 U.S.C. 1902), stating
that it addresses abuse and neglect and
takes precedence over State law. Based
on consultation with HHS, the Indian
Child Welfare Act does not include
requirements for reporting child abuse
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and neglect. This law deals with
custody proceedings and the placement
of Indian children in foster care.
One other commenter suggested that
the term ‘‘best interests of the program,’’
introduced in the proposed rule
regarding subpoenas and search
warrants, may be applicable to the
disclosure of confidential participant
information for substantiating child
abuse allegations made by a third party.
We do not support this position. As
indicated in the proposed rule, State
law governs such disclosures.
Accordingly, in this final rule, the
provisions pertaining to reporting
known or suspected child abuse and
neglect in § 246.26(d)(3) and (h)(3)(C)
remain as proposed.
E. Release Forms
State agencies have requested latitude
to allow medical information to be
disclosed to private physicians and
other health care providers treating WIC
applicants and participants. The
Department recognizes that increased
flexibility by WIC agencies to share such
information can be beneficial to the
applicant or participant, as well as the
requesting health care providers. As a
result, the Department proposed in
§ 246.26(d)(4) to permit the use of
release forms authorizing disclosure to
the applicant or participant’s
physician(s) or other health care
provider(s) at the time of application or
certification for the WIC Program.
However, as proposed, to underscore
the voluntary nature of the release form,
all other requests of the applicant to
sign release forms to share WIC
information would continue to be
required to take place after the
application and certification process is
completed. In using release forms, WIC
agencies should be aware that such
policies must include the right of the
applicant/participant to refuse to sign
the consent without affecting eligibility
for Program participation. Current
policy and guidance on the use of
release forms is in FNS Instruction 800–
1.
Most of the commenters supported
the proposed provision. Several
commenters asserted that releases to
parties other than health care providers
should also be allowed at certification.
One of these commenters recommended
such release forms be a part of the
certification form to eliminate the need
for a second form; the commenter stated
that the participant’s use of the release
form would in fact be voluntary. We do
not support this recommendation. The
presentation and execution of such
releases are required after the WIC
certification process is complete, i.e.,
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the applicant is determined eligible for
WIC benefits, because to do otherwise
may create a barrier to WIC
participation. The participant may
perceive that signing the release is a
condition of WIC program participation.
Presenting a release form to WIC
applicants for signature for all purposes,
except to share information with
physicians or other health care
providers, can occur during the
certification visit but must occur after
the determination of WIC eligibility.
The release form to share information
with physicians or other health care
providers may be a part of or attached
to the WIC certification form. However,
release forms for all other purposes
must be separate from the WIC
certification form.
Therefore, the provisions pertaining
to participant release forms in
§ 246.26(d)(4) in this final rule remain
as proposed.
F. Access by Applicants and
Participants
The proposed rule sought to codify in
§ 246.26(d)(5) the current policy
requiring State and local agencies to
provide applicants and participants
access to the information they provide.
In the case of an applicant or participant
who is an infant or child, the State or
local agency would be required to
provide access to the parent or guardian
of the infant or child, assuming that any
issues regarding custody or
guardianship are resolved. Further, as
proposed, State and local agencies
would not be required to provide access
to any other information concerning an
applicant or participant, such as
documentation of income provided by
third parties and staff assessments of the
participant’s condition or behavior,
unless required by Federal, State, or
local law or policy or unless the
information supports a State or local
agency decision that is being appealed
by the applicant or participant pursuant
to § 246.9.
All commenters supported the
provisions as proposed. However,
several of these commenters requested
clarification such as the provision of
guidelines for proof of custody, the
provision of access by the parent or
guardian of an infant or child who
signed at certification, or whose
signature is on file. All issues regarding
custody and policy developed in this
area must involve legal counsel since
State law must be followed in handling
such issues. Therefore, the provisions
pertaining to applicant and participant
access to WIC information at
§ 246.26(d)(5) in this final rule remain
as proposed.
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G. Access by the USDA and the
Comptroller General of the United
States
The proposed rule would have
revised §§ 246.25(a)(4) and 246.26(g) to
clarify that access to Program records by
the Department and Comptroller
General of the United States includes
confidential applicant and participant
information. However, the proposed
rule prohibited any reports or other
documents resulting from the
examination of such records that are
publicly released from including
confidential applicant or participant
information.
All of the commenters supported
these proposed provisions, although one
commenter requested that GAO and the
Department’s OIG be specifically
referenced in the provision because both
of these offices have become
increasingly active in reviewing the
program. This change is unnecessary
since OIG is part of USDA and GAO is
under the authority of the Comptroller
General. Therefore, §§ 246.25(a)(4) and
246.26(g) in this final rule remain as
proposed.
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H. Subpoenas and Search Warrants
The Department proposed to add a
new paragraph (i) to § 246.26 that would
specify the procedures State and local
agencies must follow in responding to
requests from courts for confidential
information pertaining to WIC
applicants, participants, and vendors.
The Department proposed to add these
procedures to the WIC regulations in
response to an increase in instances in
which State and local agencies are
presented with subpoenas or search
warrants seeking confidential applicant
and participant information. The
Department proposed step-by-step
procedures that State and local agencies,
in consultation with legal counsel,
would be required to follow in handling
these requests. The proposed
procedures were intended to create a
basic, standard approach that
emphasizes the importance of
preserving confidentiality within the
scope of the Federal regulations
governing the WIC Program. At the same
time, these procedures would protect
WIC staff from adverse legal action for
refusals to release confidential
information.
Further, in § 246.6(i), the Department
proposed to identify the situations in
which State or local agencies must
release information, for example, when
served with a search warrant. As
explained in the preamble to the
proposed rule, if the State or local
agency fails to comply in these
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situations, WIC staff may face adverse
legal action, including imprisonment.
The proposed rule set forth different
procedures for responding to subpoenas
as opposed to search warrants in
recognition of the differences between
these legal documents. A subpoena is a
written directive for information to be
provided by an individual or entity.
Generally, a subpoena directs an
individual or entity to appear at a stated
time and place and give information on
a topic about which the individual or
entity is knowledgeable. One type of
subpoena is a subpoena duces tecum. A
subpoena duces tecum is a written
directive that orders the production and
delivery of documents. Documents may
be requested by type, e.g. all records for
participants of a certain age and gender,
or by topic, e.g., all documents which
deal with immunization. The deadline
for delivery, as well as the site for
delivery, is generally specified. Search
warrants are issued by the courts and
are used by law enforcement officers to
obtain information, and sometimes
objects, from specific premises.
Compliance with a search warrant is
required at the time the search warrant
is served.
The majority of commenters
supported the provisions as proposed.
However, some of these commenters
also requested various clarifications or
changes to some of the provisions. Some
commenters felt that the provision was
not clear that WIC agencies should
protect participant confidentiality when
served with a subpoena. The intent of
the process set forth in the proposed
rule is in fact to protect confidential
WIC information. Therefore, consulting
with legal counsel is set forth as one of
the first steps. In general, subpoenas are
merely requests for information and do
not require the immediate surrender of
information. On the other hand, failing
to immediately comply with a search
warrant could result in imprisonment of
WIC State and local agency staff.
Therefore, no change to the proposed
process is necessary.
Several commenters requested
clarification on whether State agencies
would have sole or concurrent
jurisdiction with local agencies to
comply with subpoenas and search
warrants. We believe that concurrent
jurisdiction is warranted given that WIC
State agencies are ultimately responsible
for the administration and operation of
the program within the State agency,
including by its local agencies. Local
agencies are under contract with the
State agency to operate the program in
accordance with Federal regulations.
Therefore, State agencies should
provide oversight authority for its local
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agencies in responding to subpoenas,
search warrants and court orders.
As required in the proposed rule and
this final rule, a local agency is required
to notify its State agency when it is
served with subpoenas and search
warrants. This same policy should
apply to court orders received by local
agencies. In addition, copies of
subpoenas, search warrants and court
orders are considered records pertaining
to WIC operations, and as such, must be
retained on file by WIC agencies for a
minimum of three years, as required by
§ 246.25(a)(2) of the regulations. In
addition, such information provides
documentation of action taken and
supports the action to release
confidential WIC information, if
subsequent legal issues arise.
Several commenters requested that
the regulations clarify access to WIC
information by law enforcement
officials. It would not be appropriate or
necessary to include in the regulations
an exhaustive list of all individuals that
can or cannot access confidential WIC
information. We can provide guidance
in this preamble and through further
guidance that FNS will issue to address
a number of confidentiality issues raised
by commenters on the proposed rule.
As set forth in current and proposed
regulations, confidential WIC
information can only be shared with
individuals involved in the
administration and enforcement of the
WIC Program; through written
agreement with public health
organizations, and, as stated previously
in this preamble, State agencies should
not interpret this category to include
law enforcement officials; through
written consent from applicants/
participants; and, in aggregate form.
None of these options permit the
sharing of confidential WIC information
with law enforcement officials, except
those involved in enforcing the WIC
Program. Therefore, the avenue set forth
in the proposed rule, which reflects
current policy, is that such law
enforcement officials must seek a court’s
decision to issue a subpoena or search
warrant in order to access/attempt to
access confidentiality WIC information.
We believe the courts are in a better
position to make determinations on
whether such requests for information
have merit and are warranted. As
reflected in the proposed rule, even if a
subpoena is issued by a court for WIC
information, WIC agencies, or their
representatives, have the right to argue
their case before the courts and to
clarify that WIC information must be
kept confidential pursuant to Federal
regulations. Ultimately, it is up to the
courts to determine whether a specific
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enunciated need to access such
information overrides Federal
requirements.
A number of commenters expressed
concerns regarding quashing subpoenas,
that is, appearing before a court to argue
why confidential WIC information
requested in a subpoena should not be
released. Several commenters indicated
that WIC agencies do not need to move
to quash a subpoena if they informally
convince the requesting party to
withdraw the subpoena. We agree with
commenters that in such a situation,
moving to quash the subpoena would be
mooted by its withdrawal. It would still
be necessary for the State or local
agency, in consultation with legal
counsel for State or local agency
counsel, to provide an appropriate
response to the respective court in the
matter. The language of the final rule is
unchanged.
Other commenters were concerned
with disclosing confidential information
based on the best interest of the
program. One commenter felt that this
provision was too broad. Other
commenters recommended that this
standard be replaced to explicitly allow
the disclosure of confidential
information when participants verbally
or physically abuse WIC staff or
undertake any criminal activity on WIC
premises. Again, when a subpoena is
issued, we believe that WIC State
agencies, in consultation with legal
counsel, should have the flexibility to
decide on a case-by-case basis whether
the circumstances warrant release of the
information, given the circumstances;
that it is in the best interest of the
program. As indicated in the preamble
of the proposed rule, there may be rare
instances in which a State or local
agency in consultation with legal
counsel could decide that disclosing
confidential applicant or participant
information would be in the best
interest of the Program. Because
requests arising from investigations of
this caliber and seriousness are rare, we
expect State and local agencies to
conclude only infrequently that such
disclosure is necessary. Therefore, this
regulation cannot attempt to address all
cases in which State agencies, or their
representatives, should move to quash
subpoenas or decide to disclose
confidential information. State agencies
and legal counsel should ultimately
make these decisions on a case-by-case
basis in conformance with State and
Federal privacy requirements.
Beyond responding to subpoenas,
WIC confidentiality rules do not
prohibit WIC agencies from contacting
law enforcement if applicants or
participants become verbally or
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physically abusive to WIC staff or are
suspected of stealing either WIC
Program property or personal items
from employees or other individuals.
Legal counsel can assist State agencies
in developing policies to follow in
handling such cases, without breaching
confidentiality. For example, a WIC
employee could report to law
enforcement what she/he knows about
who may have taken a purse or WIC
Program property, without providing
information from the WIC record.
Several commenters requested that
the regulations address the procedures
to follow for responding to court orders
to which they are not parties, and that
along with subpoenas and search
warrants, the same or similar steps
should be followed. We agree with the
commenter that the proposed
procedures for responding to subpoenas
and search warrants apply to those in
which WIC is a direct or indirect party.
As proposed, the regulations are general
in their direction and intent on how to
respond to subpoenas and search
warrants, and do not specify that the
procedures apply only when WIC is a
direct party. Further, with regard to
responding to court orders, State and
local agencies should consult with its
legal counsel on such matters. We
anticipate that in most cases, State
agencies will need to respond to court
orders in a manner similar to the
procedures for responding to search
warrants.
The requirements in proposed
Program regulations pertaining to
subpoenas and search warrants are
intended to clarify the primacy of
Federal authority to limit disclosure of
information in the interest of preserving
the confidentiality of WIC applicant/
participant information. In addition, the
Department sought to communicate a
national, uniform approach to
disclosure of WIC records that will
assist the courts in handling matters
related to the confidentiality of Program
information. Again, because of variation
in State law, the Department sought to
enunciate a regulatory framework that is
sufficiently flexible to accommodate
State laws in this area.
Accordingly, § 246.26(i) in this final
rule remains as proposed, except that
the entire section has been renumbered
for clarity to include an introductory
statement and two paragraphs.
23. Corrections to Program Information
(§ 246.27)
This final rule makes technical
revisions to § 246.27 to reflect address
changes or corrections for the Southeast
Regional Office and the Western
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56727
Regional Office of the Food and
Nutrition Service.
List of Subjects in 7 CFR Part 246
Food assistance programs, Food
donations, Grant programs-social
programs, Indians, Infants and children,
Maternal and child health, Nutrition,
Nutrition education, Public assistance
programs, WIC, Women.
For the reasons set forth in the
preamble, 7 CFR part 246 is amended as
follows:
I
PART 246—SPECIAL SUPPLEMENTAL
NUTRITION PROGRAM FOR WOMEN,
INFANTS AND CHILDREN
1. The authority citation for part 246
continues to read as follows:
I
Authority: 42 U.S.C. 1786.
2. In § 246.2:
a. Add new definitions of ‘‘Electronic
signature’’, ‘‘Employee fraud and
abuse’’, ‘‘7 CFR part 3021’’ and ‘‘Sign or
signature’’, in alphabetical order;
I b. Revise the definition of ‘‘7 CFR part
3017’’; and
I c. Revise the definition of ‘‘State’’.
The revisions and additions read as
follows:
I
I
§ 246.2
Definitions.
*
*
*
*
*
Electronic signature means an
electronic sound, symbol, or process,
attached to or associated with an
application or other record and
executed and or adopted by a person
with the intent to sign the record.
Employee fraud and abuse means the
intentional conduct of a State, local
agency or clinic employee which
violates program regulations, policies,
or procedures, including, but not
limited to, misappropriating or altering
food instruments, entering false or
misleading information in case records,
or creating case records for fictitious
participants.
*
*
*
*
*
7 CFR part 3017 means the
Department’s Common Rule regarding
Governmentwide Debarment and
Suspension (Non-procurement). Part
3017 implements the requirements
established by Executive Order 12549
(February 18, 1986).
*
*
*
*
*
7 CFR part 3021 means the
Department’s Common Rule regarding
Governmentwide Requirements for
Drug-Free Workplace. Part 3021
implements the requirements
established in section 5151–5160 of the
Drug-Free Workplace Act of 1988 (Pub.
L. 100–690).
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Sign or signature means a
handwritten signature on paper or an
electronic signature. If the State agency
chooses to use electronic signatures, the
State agency must ensure the reliability
and integrity of the technology used and
the security and confidentiality of
electronic signatures collected in
accordance with sound management
practices, and applicable Federal law
and policy, and the confidentiality
requirements in § 246.26.
State means any of the fifty States, the
District of Columbia, the
Commonwealth of Puerto Rico, the
Virgin Islands, Guam, American Samoa,
or the Commonwealth of the Northern
Mariana Islands.
*
*
*
*
*
I 3. In § 246.3, revise paragraphs (b) and
(c)(2) to read as follows:
§ 246.3
Administration.
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*
*
*
*
*
(b) Delegation to the State agency.
The State agency is responsible for the
effective and efficient administration of
the Program in accordance with the
requirements of this part; the
Department’s regulations governing
nondiscrimination (7 CFR parts 15, 15a,
and 15b); governing administration of
grants (7 CFR part 3016); governing
nonprocurement debarment/suspension
(7 CFR part 3017); governing restrictions
on lobbying (7 CFR part 3018); and
governing the drug-free workplace
requirements (7 CFR 3021); FNS
guidelines; and, instructions issued
under the FNS Directives Management
System. The State agency shall provide
guidance to local agencies on all aspects
of Program operations.
(c) * * *
(2) The written agreement shall
include a certification regarding
lobbying and, if applicable, a disclosure
of lobbying activities, as required by 7
CFR part 3018.
*
*
*
*
*
I 4. In § 246.4:
I a. Revise paragraphs (a)(11)(i) and
(a)(11)(ii);
I b. Add a sentence to the end of
paragraph (a)(21);
I c. Amend paragraph (a)(23) by adding
the words ‘‘in compliance with
requirements in 7 CFR part 3021’’ at the
end of the sentence; and
I d. Add new paragraphs (a)(24)
through (a)(27).
The revisions and additions read as
follows:
§ 246.4
State plan.
(a) * * *
(11) * * *
(i) Certification procedures, including:
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(A) A list of the specific nutritional
risk criteria by priority level which
explains how a person’s nutritional risk
is determined;
(B) Hematological data requirements
including timeframes for the collection
of such data;
(C) The procedures for requiring proof
of pregnancy, consistent with
§ 246.7(c)(2)(ii), if the State agency
chooses to require such proof;
(D) The State agency’s income
guidelines for Program eligibility;
(E) Adjustments to the participant
priority system (see § 246.7(e)(4)) to
accommodate high-risk postpartum
women or the addition of Priority VII;
and,
(F) Alternate language for the
statement of rights and responsibilities
which is provided to applicants,
parents, or caretakers when applying for
benefits as outlined in § 246.7(i)(10) and
(j)(2)(i) through (j)(2)(iii). This alternate
language must be approved by FNS
before it can be used in the required
statement.
(ii) Methods for providing nutrition
education to participants. Nutrition
education will include information on
drug abuse and other harmful
substances. Participants will include
homeless individuals.
*
*
*
*
*
(21) * * * The State agency will also
describe its policy for approving
transportation of participants to and
from WIC clinics.
*
*
*
*
*
(24) A list of all organizations with
which the State agency or its local
agencies has executed or intends to
execute a written agreement pursuant to
§ 246.26(h) authorizing the use and
disclosure of confidential applicant and
participant information for non-WIC
purposes.
(25) The State agency’s policies and
procedures for preventing conflicts of
interest at the local agency or clinic
level in a reasonable manner. At a
minimum, this plan must prohibit the
following WIC certification practices by
local agency or clinic employees, or
provide effective alternative policies
and procedures when such prohibition
is not possible:
(i) Certifying oneself;
(ii) Certifying relatives or close
friends; or,
(iii) One employee determining
eligibility for all certification criteria
and issuing food instruments or
supplemental food for the same
participant.
(26) The State agency’s plan for
collecting and maintaining information
on cases of participant and employee
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fraud and abuse. Such information
should include the nature of the fraud
detected and the associated dollar
losses.
(27) The State agency’s Universal
Identifier number.
*
*
*
*
*
I 4. In § 246.5:
I a. Revise the first sentence of
paragraph (c)(1) and remove the last
sentence; and
I b. Revise paragraph (d)(2).
The revisions read as follows:
§ 246.5
Selection of local agencies.
*
*
*
*
*
(c) * * *
(1) The State agency will consider the
Affirmative Action Plan (see
§ 246.4(a)(5)) when funding local
agencies and expanding existing
operations, and may consider how
much of the current need is being met
at each priority level. * * *
*
*
*
*
*
(d) * * *
(2) The State agency must, when
seeking new local agencies, publish a
notice in the local media (unless it has
received an application from a local
public or nonprofit private health
agency that can provide adequate
services). The notice will include a brief
explanation of the Program, a
description of the local agency priority
system (outlined in this paragraph (d)),
and a request that potential local
agencies notify the State agency of their
interest. In addition, the State agency
will contact all potential local agencies
to make sure they are aware of the
opportunity to apply. If an application
is not submitted within 30 days, the
State agency may then select a local
agency in another area. If sufficient
funds are available, a State agency will
give notice and consider applications
outside the local area at the same time.
*
*
*
*
*
I 5. In § 246.7:
I a. Revise the heading of paragraph (c)
and revise paragraph (c)(1);
I b. Redesignate paragraph (c)(2) as
paragraph (c)(3) and add new
paragraphs (c)(2) and (c)(4);
I c. Revise paragraph (d)(2)(iii);
I d. Redesignate paragraph (d)(2)(iv)(C)
as paragraph (d)(2)(iv)(D) and add a new
paragraph (d)(2)(iv)(C);
I e. Revise paragraph (e)(1)(vi);
I f. In paragraph (e)(4)(vii), remove the
second ‘‘and,’’ and remove the reference
to ‘‘paragraph (e)(1)(iii)’’ and add in its
place ‘‘paragraph (e)(1)(vi).’’
I g. Revise paragraph (g)(1);
I h. Revise paragraph (h);
I i. Revise paragraph (i)(10)
introductory text;
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j. Revise paragraph (i)(11);
k. Revise paragraph (j)(2) introductory
text;
I l. Revise paragraph (l); and,
I m. Remove paragraph (m), and
redesignate paragraphs (n), (o), (p), and
(q) as paragraphs (m), (n), (o), and (p),
respectively.
The revisions and additions read as
follows:
I
I
§ 246.7
Certification of participants.
*
*
*
*
*
(c) Eligibility criteria and basic
certification procedures.
(1) To qualify for the Program, infants,
children, and pregnant, postpartum, and
breastfeeding women must:
(i) Reside within the jurisdiction of
the State (except for Indian State
agencies). Indian State agencies may
establish a similar requirement. All
State agencies may determine a service
area for any local agency, and may
require that an applicant reside within
the service area. However, the State
agency may not use length of residency
as an eligibility requirement.
(ii) Meet the income criteria specified
in paragraph (d) of this section.
(iii) Meet the nutritional risk criteria
specified in paragraph (e) of this
section.
(2)(i) At certification, the State or
local agency must require each
applicant to present proof of residency
(i.e., location or address where the
applicant routinely lives or spends the
night) and proof of identity. The State
or local agency must also check the
identity of participants, or in the case of
infants or children, the identity of the
parent or guardian, or proxies when
issuing food or food instruments. The
State agency may authorize the
certification of applicants when no
proof of residency or identity exists
(such as when an applicant or an
applicant’s parent is a victim of theft,
loss, or disaster; a homeless individual;
or a migrant farmworker). In these cases,
the State or local agency must require
the applicant to confirm in writing his/
her residency or identity. Further, an
individual residing in a remote Indian
or Native village or an individual served
by an Indian tribal organization and
residing on a reservation or pueblo may
establish proof of residency by
providing the State agency their mailing
address and the name of the remote
Indian or Native village.
(ii) For a State agency opting to
require proof of pregnancy, the State
agency may issue benefits to applicants
who claim to be pregnant (assuming that
all other eligibility criteria are met) but
whose conditions (as pregnant) are not
visibly noticeable and do not have
documented proof of pregnancy at the
time of the certification interview and
determination. The State agency should
then allow a reasonable period of time,
not to exceed 60 days, for the applicant
to provide the requested documentation.
If such documentation is not provided
as requested, the woman can no longer
be considered categorically eligible, and
the local agency would then be justified
in terminating the woman’s WIC
participation in the middle of a
certification period.
*
*
*
*
*
(4) The certification procedure shall
be performed at no cost to the applicant.
(d) * * *
(2) * * *
(iii) Use of a State or local health care
definition of ‘‘Income’’. If the State
agency uses State or local free or
reduced-price health care income
guidelines, it will ensure that the
definitions of income (see paragraph
(d)(2)(ii) of this section), family (see
§ 246.2) and allowable exclusions from
income (see paragraph (d)(2)(iv) of this
section) are used uniformly to
determine an applicant’s income
eligibility. This ensures that households
with a gross income in excess of 185
percent of the Federal income
56729
guidelines (see paragraph (d)(1) of this
section) are not eligible for Program
benefits. The exception to this
requirement is persons who are also
income eligible under other programs
(see paragraph (d)(2)(vi) of this section).
(iv) * * *
(C) Loans, not including amounts to
which the applicant has constant or
unlimited access.
*
*
*
*
*
(e) * * *
(1) * * *
(vi) Regression. A WIC participant
who is reapplying for WIC benefits may
be considered to be at nutritional risk in
the next certification period if the
competent professional authority
determines that the applicant’s
nutritional status may regress to the
nutritional risk condition(s) certified for
in the previous certification period
without supplemental foods and/or WIC
nutrition services, and if the nutritional
risk condition(s) certified for in the
previous certification period is/are
appropriate to the category of the
participant in the subsequent
certification based on regression.
However, such applicants shall not be
considered at nutritional risk based on
the possibility of regression for
consecutive certification periods.
Applicants who are certified based on
the possibility of regression should be
placed either in the same priority for
which they were certified in the
previous certification period; a priority
level lower than the priority level
assigned in the previous certification
period, consistent with § 246.7(e)(4); or
in Priority VII, if the State agency is
using that priority level.
*
*
*
*
*
(g) * * *
(1) Program benefits will be based
upon certifications established in
accordance with the following
timeframes:
A/an:
Will be certified:
(i) Pregnant woman .............................................
For the duration of her pregnancy, and up to the last day of the month in which the infant becomes six weeks old or the pregnancy ends (for example, if the infant is born June 4, six
weeks after birth would be July 16, and certification would end July 31).
Up to the last day of the sixth month after the baby is born or the pregnancy ends
(postpartum).
Approximately every six months. The State agency may permit its local agencies to certify a
breastfeeding woman up to the last day of the month in which her infant turns 1 year old, or
until the woman ceases breastfeeding, whichever occurs first.
Approximately every six months. The State agency may permit its local agencies to certify an
infant under six months of age up to the last day of the month in which the infant turns 1
year old, provided the quality and accessibility of health care services are not diminished.
Approximately every six months ending with the last day of the month in which a child reaches
his/her fifth birthday.
(ii) Postpartum woman ........................................
(iii) Breastfeeding woman ....................................
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(iv) Infant .............................................................
(v) Child ...............................................................
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*
*
*
*
*
(h) Mandatory and optional midcertification actions. Mid-certification
actions are either mandatory or optional
as follows:
(1) Mandatory reassessment of income
eligibility mid-certification. (i) The local
agency must reassess a participant’s
income eligibility during the current
certification period if the local agency
receives information indicating that the
participant’s household income has
changed. However, such assessments
are not required in cases where
sufficient time does not exist to effect
the change. Sufficient time means 90
days or less before the expiration of the
certification period.
(ii) Mandatory disqualification midcertification for income ineligibility. The
local agency must disqualify a
participant and any other household
members currently receiving WIC
benefits who are determined ineligible
based on the mid-certification income
reassessment. However, adjunctivelyeligible WIC participants (as defined in
paragraphs (d)(2)(vi)(A) or (d)(2)(vi)(B)
of this section) may not be disqualified
from the WIC Program solely because
they, or certain family members, no
longer participate in one of the other
specified programs. The State agency
will ensure that such participants and
other household members currently
receiving WIC benefits are disqualified
during a certification period only after
their income eligibility has been
reassessed based on the income
screening procedures used for
applicants who are not adjunctively
eligible.
(2) Mandatory sanctions or other
actions for participant violations. The
local agency must impose
disqualifications, or take other actions
in accordance with the procedures set
forth in § 246.12(u), in response to
participant violations including, but not
limited to, the violations listed in the
definition of Participant violation in
§ 246.2.
(3) Optional mid-certification actions.
A participant may be disqualified
during a certification period for the
following reasons:
(i) A State agency may allow local
agencies to disqualify a participant for
failure to obtain food instruments or
supplemental foods for several
consecutive months. As specified by the
State agency, proof of such failure
includes failure to pick up
supplemental foods or food instruments,
nonreceipt of food instruments (when
mailed instruments are returned), or
failure to have an electronic benefit
transfer card revalidated for purchase of
supplemental foods; or
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(ii) If a State agency experiences
funding shortages, it may be necessary
to discontinue Program benefits to some
certified participants. The State agency
must explore alternatives (such as
elimination of new certifications) before
taking such action. In discontinuing
benefits, the State agency will affect the
least possible number of participants
and those whose nutritional and health
status would be least impaired by the
action. When a State agency elects to
discontinue benefits due to insufficient
funds, it will not enroll new
participants during that period. The
State may discontinue benefits by:
(A) Disqualifying a group of
participants; and/or,
(B) Withholding benefits from a group
with the expectation of providing
benefits again when funds are available.
(i) * * *
(10) A statement of the rights and
obligations under the Program. The
statement must contain a signature
space, and must be read by or to the
applicant, parent, or caretaker. It must
contain the following language or
alternate language as approved by FNS
(see § 246.4(a)(11)(i)), and be signed by
the applicant, parent, or caretaker after
the statement is read:
*
*
*
*
*
(11) If the State agency exercises the
authority to use and disclose
confidential applicant and participant
information for non-WIC purposes
pursuant to § 246.26(d)(2), a statement
that:
(i) Notifies applicants that the chief
State health officer (or the governing
authority, in the case of an Indian State
agency) may authorize the use and
disclosure of information about their
participation in the WIC Program for
non-WIC purposes;
(ii) Must indicate that such
information will be used by State and
local WIC agencies and public
organizations only in the administration
of their programs that serve persons
eligible for the WIC Program; and,
(iii) Will be added to the statement
required under paragraph (i)(10) of this
section. This statement must also
indicate that such information can be
used by the recipient organizations only
for the following:
(A) To determine the eligibility of
WIC applicants and participants for
programs administered by such
organizations;
(B) To conduct outreach for such
programs;
(C) To enhance the health, education,
or well-being of WIC applicants and
participants currently enrolled in those
programs;
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(D) To streamline administrative
procedures in order to minimize
burdens on participants and staff; and,
(E) To assess and evaluate a State’s
health system in terms of
responsiveness to participants’ health
care needs and health care outcomes.
(j) * * *
(2) At the time of certification, each
Program participant, parent or caretaker
must read, or have read to him or her,
the statement provided in paragraph
(i)(10) of this section (or an alternate
statement as approved by FNS). In
addition, the following sentences (or
alternate sentences as approved by FNS)
must be read:
*
*
*
*
*
(l) Dual participation. The State
agency is responsible for the following:
(1) In conjunction with WIC local
agencies, the prevention and
identification of dual participation
within each local agency and between
local agencies under the State agency’s
jurisdiction, including actions to
identify suspected instances of dual
participation at least semiannually. The
State or local agency must take followup action within 120 days of detecting
instances of suspected dual
participation;
(2) In areas where a local agency
serves the same population as an Indian
State agency or a CSFP agency, and in
areas where geographical or other
factors make it likely that participants
travel regularly between contiguous
local service areas located across State
agency borders, entering into an
agreement with the other agency for the
detection and prevention of dual
participation. The agreement must be
made in writing and included in the
State Plan;
(3) Immediate termination from
participation in one of the programs or
clinics for participants found in
violation due to dual participation; and
(4) In cases of dual participation
resulting from intentional
misrepresentation, the collection of
improperly issued benefits in
accordance with § 246.23(c)(1) and
disqualification from both programs in
accordance with § 246.12(u)(2).
*
*
*
*
*
I 6. In § 246.9, revise paragraph (g) to
read as follows:
§ 246.9 Fair hearing procedures for
participants.
*
*
*
*
*
(g) Continuation of benefits.
Participants who appeal the termination
of benefits within the period of time
provided under paragraph (e) of this
section must continue to receive
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Program benefits until the hearing
official reaches a decision or the
certification period expires, whichever
occurs first. This does not apply to
applicants denied benefits at initial
certification, participants whose
certification period has expired or
participants who become categorically
ineligible for benefits. Applicants who
are denied benefits at initial
certification, or participants who
become categorically ineligible during a
certification period (or whose
certification period expires), may appeal
the denial or termination, but must not
receive benefits while awaiting the
hearing.
*
*
*
*
*
§ 246.11
[Amended]
7. In § 246.11(c)(5), remove the words
‘‘paragraphs (c)(8), (d), and (e)’’, and add
in their place the words ‘‘(c)(7), (d), and
(e)’’.
I
§ 246.12
[Amended]
8. In § 246.12:
a. Amend paragraph (f)(2)(iv) by
removing the words ‘‘90 days’’ wherever
they appear and by adding in their place
the words ‘‘60 days’’;
I b. Amend paragraph (h)(3)(xx) by
removing the reference to ‘‘$10,000’’
and by adding in its place a reference to
‘‘$25,000’’; and
I c. Amend paragraph (q) by removing
the words ‘‘150 days’’ and by adding in
their place the words ‘‘120 days’’.
I 9. In § 246.14:
I a. Add a new sentence at the
beginning of paragraph (a)(2);
I b. Amend the first sentence of
paragraph (c)(7) by removing the word
‘‘rural’’; and,
I c. Revise paragraph (d).
The addition and revision read as
follows:
I
I
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§ 246.14
Program costs.
(a) * * *
(2) Program funds may not be used to
pay for retroactive benefits. * * *
*
*
*
*
*
(d) Costs allowable with approval.
The costs of capital expenditures
exceeding the dollar threshold
established in Agency policy and
guidance are allowable only with the
approval of FNS prior to the capital
investment. These expenditures include
the costs of facilities, equipment
(including medical equipment),
automated data processing (ADP)
projects, other capital assets, and any
repairs that materially increase the
value or useful life of such assets.
*
*
*
*
*
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10. In § 246.15, revise the first
sentence of paragraph (b) to read as
follows:
I
§ 246.15
grants.
Program income other than
*
*
*
*
*
(b) * * * The State agency may use
current program income (applied in
accordance with the addition method
described in § 3016.25(g)(2) of this title)
for costs incurred in the current fiscal
year and, with the approval of FNS, for
costs incurred in previous years or
subsequent fiscal years. * * *
§ 246.17
[Amended]
11. In § 246.17, remove the words
‘‘150 days’’ in paragraph (b)(2), and add
in their place the words ‘‘120 days’’.
I 12. In § 246.20:
I a. Revise paragraph (b)(1); and,
I b. Remove paragraph (b)(2), and
redesignate paragraph (b)(3) as
paragraph (b)(2).
The revision reads as follows:
I
§ 246.20
Audits.
*
*
*
*
*
(b) * * *
(1) State agencies must obtain annual
audits in accordance with part 3052 of
this title. In addition, States must
require local agencies under their
jurisdiction to obtain audits in
accordance with part 3052 of this title.
*
*
*
*
*
§ 246.23
[Amended]
13. In § 246.23, amend paragraph (d)
by removing the reference to ‘‘$10,000,’’
and by adding in its place a reference to
‘‘$25,000.’’
I 14. In § 246.25, revise paragraphs
(a)(4), (b) and (c) to read as follows:
I
§ 246.25
Records and reports.
(a) * * *
(4) All records shall be available
during normal business hours for
representatives of the Department and
the Comptroller General of the United
States to inspect, audit, and copy. Any
reports or other documents resulting
from the examination of such records
that are publicly released may not
include confidential applicant or
participant information.
(b) Financial and participation
reports.
(1) Monthly reports. (i) State agencies
must submit financial and program
performance data on a monthly basis, as
specified by FNS, to support program
management and funding decisions.
Such information must include, but may
not be limited to:
(A) Actual and projected
participation;
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56731
(B) Actual and projected food funds
expenditures;
(C) A listing by source year of food
and NSA funds available for
expenditure; and,
(D) NSA expenditures and
unliquidated obligations.
(ii) State agencies must require local
agencies to report such financial and
participation information as is necessary
for the efficient management of food and
NSA funds expenditures.
(2) Annual reports. (i) Every year,
State agencies must report to FNS the
average number of migrant farmworker
household members participating in the
Program during a 12-month period of
time specified by FNS.
(ii) State agencies must submit
itemized NSA expenditure reports
annually as an addendum to their WIC
Program closeout reports, as required by
§ 246.17(b)(2).
(3) Biennial reports. (i) Participant
characteristics report. State and local
agencies must provide such information
as may be required by FNS to provide
a biennial participant characteristics
report. This includes, at a minimum,
information on income and nutritional
risk characteristics of participants,
information on breastfeeding incidence
and duration, and participation in the
Program by category (i.e., pregnant,
breastfeeding and postpartum women,
infants and children) within each
priority level (as established in
§ 246.7(e)(4)) and by migrant
farmworker households.
(ii) Civil rights report. Racial and
ethnic participation data contained in
the biennial participant characteristics
report will also be used to fulfill civil
rights reporting requirements.
(c) Other reports. State agencies must
submit reports to reflect additions and
deletions of local agencies
administering the WIC Program and
local agency address changes as these
events occur.
*
*
*
*
*
I 15. In § 246.26, revise paragraphs (d)
and (g) and add new paragraphs (h) and
(i) to read as follows:
§ 246.26
Other provisions.
*
*
*
*
*
(d) Confidentiality of applicant and
participant information.
(1) WIC purposes.
(i) Confidential applicant and
participant information is any
information about an applicant or
participant, whether it is obtained from
the applicant or participant, another
source, or generated as a result of WIC
application, certification, or
participation, that individually
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identifies an applicant or participant
and/or family member(s). Applicant or
participant information is confidential,
regardless of the original source and
exclusive of previously applicable
confidentiality provided in accordance
with other Federal, State or local law.
(ii) Except as otherwise permitted by
this section, the State agency must
restrict the use and disclosure of
confidential applicant and participant
information to persons directly
connected with the administration or
enforcement of the WIC Program whom
the State agency determine have a need
to know the information for WIC
Program purposes. These persons may
include, but are not limited to:
personnel from its local agencies and
other WIC State or local agencies;
persons under contract with the State
agency to perform research regarding
the WIC Program, and persons
investigating or prosecuting WIC
Program violations under Federal, State
or local law.
(2) Non-WIC purposes. (i) Use by WIC
State and local agencies. Any WIC State
or local agency may use confidential
applicant and participant information in
the administration of its other programs
that serve persons eligible for the WIC
Program in accordance with paragraph
(h) of this section.
(ii) Disclosure to public organizations.
The State agency and its local agencies
may disclose confidential applicant and
participant information to public
organizations for use in the
administration of their programs that
serve persons eligible for the WIC
Program in accordance with paragraph
(h) of this section.
(3) Child abuse and neglect reporting.
Staff of the State agency and its local
agencies who are required by State law
to report known or suspected child
abuse or neglect may disclose
confidential applicant and participant
information without the consent of the
participant or applicant to the extent
necessary to comply with such law.
(4) Release forms. Except in the case
of subpoenas or search warrants (see
paragraph (i) of this section), the State
agency and its local agencies may
disclose confidential applicant and
participant information to individuals
or entities not listed in this section only
if the affected applicant or participant
signs a release form authorizing the
disclosure and specifying the parties to
which the information may be
disclosed. The State or local agency
must permit applicants and participants
to refuse to sign the release form and
must notify the applicants and
participants that signing the form is not
a condition of eligibility and refusing to
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sign the form will not affect the
applicant’s or participant’s application
or participation in the WIC Program.
Release forms authorizing disclosure to
private physicians or other health care
providers may be included as part of the
WIC application or certification process.
All other requests for applicants or
participants to sign voluntary release
forms must occur after the application
and certification process is completed.
(5) Access to information by
applicants and participants. The State
or local agency must provide applicants
and participants access to all
information they have provided to the
WIC Program. In the case of an
applicant or participant who is an infant
or child, the access may be provided to
the parent or guardian of the infant or
child, assuming that any issues
regarding custody or guardianship have
been settled. However, the State or local
agency need not provide the applicant
or participant (or the parent or guardian
of an infant or child) access to any other
information in the file or record such as
documentation of income provided by
third parties and staff assessments of the
participant’s condition or behavior,
unless required by Federal, State, or
local law or policy or unless the
information supports a State or local
agency decision being appealed
pursuant to § 246.9.
*
*
*
*
*
(g) USDA and the Comptroller
General. The State agency must provide
the Department and the Comptroller
General of the United States access to all
WIC Program records, including
confidential vendor, applicant and
participant information, pursuant to
§ 246.25(a)(4).
(h) Requirements for use and
disclosure of confidential applicant and
participant information for non-WIC
purposes. The State or local agency
must take the following steps before
using or disclosing confidential
applicant or participant information for
non-WIC purposes pursuant to
paragraph (d)(2) of this section.
(1) Designation by chief State health
officer. The chief State health officer (or,
in the case of an Indian State agency,
the governing authority) must designate
in writing the permitted non-WIC uses
of the information and the names of the
organizations to which such information
may be disclosed.
(2) Notice to applicants and
participants. The applicant or
participant must be notified either at the
time of application (in accordance with
§ 246.7(i)(11)) or through a subsequent
notice that the chief State health officer
(or, in the case of an Indian State
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agency, the governing authority) may
authorize the use and disclosure of
information about their participation in
the WIC Program for non-WIC purposes.
This statement must also indicate that
such information will be used by State
and local WIC agencies and public
organizations only in the administration
of their programs that serve persons
eligible for the WIC Program.
(3) Written agreement and State plan.
The State or local agency disclosing the
information must enter into a written
agreement with the other public
organization or, in the case of a nonWIC use by a State or local WIC agency,
the unit of the State or local agency that
will be using the information. The State
agency must also include in its State
plan, as specified in § 246.4(a)(24), a list
of all organizations (including units of
the State agency or local agencies) with
which the State agency or its local
agencies has executed or intends to
execute a written agreement. The
written agreement must:
(i) Specify that the receiving
organization may use the confidential
applicant and participant information
only for:
(A) Establishing the eligibility of WIC
applicants or participants for the
programs that the organization
administers;
(B) Conducting outreach to WIC
applicants and participants for such
programs;
(C) Enhancing the health, education,
or well-being of WIC applicants or
participants who are currently enrolled
in such programs, including the
reporting of known or suspected child
abuse or neglect that is not otherwise
required by State law;
(D) Streamlining administrative
procedures in order to minimize
burdens on staff, applicants, or
participants in either the receiving
program or the WIC Program; and/or
(E) Assessing and evaluating the
responsiveness of a State’s health
system to participants’ health care needs
and health care outcomes; and
(ii) Contain the receiving
organization’s assurance that it will not
use the information for any other
purpose or disclose the information to a
third party.
(i) Subpoenas and search warrants.
The State agency may disclose
confidential applicant, participant, or
vendor information pursuant to a valid
subpoena or search warrant in
accordance with the following
procedures:
(1) Subpoena procedures. In
determining how to respond to a
subpoena duces tecum (i.e., a subpoena
for documents) or other subpoena for
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confidential information, the State or
local agency must use the following
procedures:
(i) Upon receiving the subpoena,
immediately notify its State agency;
(ii) Consult with legal counsel for the
State or local agency and determine
whether the information requested is in
fact confidential and prohibited by this
section from being used or disclosed as
stated in the subpoena;
(iii) If the State or local agency
determines that the information is
confidential and prohibited from being
used or disclosed as stated in the
subpoena, attempt to quash the
subpoena unless the State or local
agency determines that disclosing the
confidential information is in the best
interest of the Program. The
determination to disclose confidential
information without attempting to
quash the subpoena should be made
only infrequently; and,
(iv) If the State or local agency seeks
to quash the subpoena or decides that
disclosing the confidential information
is in the best interest of the Program,
inform the court or the receiving party
that this information is confidential and
seek to limit the disclosure by:
(A) Providing only the specific
information requested in the subpoena
and no other information; and,
(B) Limiting to the greatest extent
possible the public access to the
confidential information disclosed.
(2) Search warrant procedures. In
responding to a search warrant for
confidential information, the State or
local agency must use the following
procedures:
(i) Upon receiving the search warrant,
immediately notify its State agency;
(ii) Immediately notify legal counsel
for the State or local agency;
(iii) Comply with the search warrant;
and,
(iv) Inform the individual(s) serving
the search warrant that the information
being sought is confidential and seek to
limit the disclosure by:
(A) Providing only the specific
information requested in the search
warrant and no other information; and
(B) Limiting to the greatest extent
possible the public access to the
confidential information disclosed.
I 16. In § 246.27, revise paragraphs (c)
and (g) to read as follows:
rwilkins on PROD1PC63 with RULES_3
§ 246.27
Program information.
*
*
*
*
*
(c) Alabama, Florida, Georgia,
Kentucky, Mississippi, North Carolina,
South Carolina, Tennessee: U.S.
Department of Agriculture, FNS,
Southeast Region, 61 Forsyth Street,
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30303.
*
*
*
*
*
(g) Alaska, American Samoa, Arizona,
California, the Commonwealth of the
Northern Mariana Islands, Guam,
Hawaii, Idaho, Nevada, Oregon,
Washington: U.S. Department of
Agriculture, FNS, Western Region, 550
Kearny Street, room 400, San Francisco,
California 94108.
Dated: August 30, 2006.
Kate Coler,
Deputy Under Secretary, Food, Nutrition, and
Consumer Services.
Note: This appendix will not be published
in the Code of Federal Regulations.
Appendix:
Regulatory Impact Analysis
Title: 7 CFR 246: Special Supplemental
Nutrition Program for Women, Infants and
Children (WIC): Miscellaneous Provisions
a. Nature: Final Rule.
b. Need: This final rule amends a number
of existing provisions in the WIC program
regulations to (1) address issues raised by
WIC State agencies and other members of the
WIC community; (2) address
recommendations made by the United States
Government Accountability Office (GAO); (3)
incorporate certain longstanding program
policies and State agency practices into the
regulations; and (4) streamline certain
requirements in the regulations.
In particular, this rulemaking streamlines
the Federal requirements for financial and
participation reporting by State agencies, and
clarifies the requirements pertaining to the
confidentiality of WIC information in order
to strengthen coordination with public
organizations and private physicians. It also
incorporates longstanding program policies
and State agency practices into the
regulations regarding State agency responses
to subpoenas and other court-ordered
requests for confidential information. Other
provisions in this final rule are designed to
improve eligibility determinations,
incorporating program policies and State
agency practices that have been in effect for
some time.
These changes are intended to reinforce
program policies and State agency practices
that strengthen services to WIC participants,
improve program administration, and
increase State agency flexibility in managing
the program. Many of these provisions are
options the State agency may choose to
implement in operating the program.
c. Affected Parties: The parties affected by
this regulation are the USDA–FNS, State and
local WIC agencies, WIC participants, and
potentially eligible applicants.
Cost-Benefit Assessment: Most of the
provisions in this rule are generally
economically insignificant to the costs or
overall operations of the WIC program. Some
of the provisions are already current practice
in many states, while others are presented as
optional changes at the State level. The
potential effects of these provisions are
highlighted in the accompanying table. As a
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56733
whole, this rule serves to streamline program
administration and clarify program
requirements while minimizing economic
and administrative burdens.
Two provisions in this final rule may have
a notable financial impact; both are found
within § 246.7 Basic Certification
Procedures:
(1) Prohibits the use of ‘‘possibility of
regression’’ for consecutive certifications and
clarifies priority level requirements based on
regression:
Currently, State agencies are not required
to limit the number of certifications per
participant based on regression, although
some States do have limits in place.
According to data from the 2002 WIC
Program and Participant Characteristics (PC)
report, a maximum of 0.9% of all WIC
participants are certified based on regression
as their sole nutritional risk. Assuming that
this is a relatively constant proportion of
participants over time, approximately 74,000
WIC participants were certified based on
regression in 2004. According to PC data,
children comprise a majority of the
participants who are certified with regression
as the sole nutritional risk. We do not have
any data to indicate how many participants
are recertified on this basis.
If each of those 74,000 participants was
certified with regression as the only
nutritional risk factor for more than one
consecutive certification period, the food and
administrative costs to the WIC program
could reach as high as $3.8 million for one
month. Assuming that all of these
participants would be recertified for a sixmonth period, the proposed rule could save
over $20 million and reduce participation by
over 70,000 in the six-month period.
However, given that ‘‘possibility of
regression’’ is rarely used as a sole basis of
nutrition risk, and that if they do regress,
participants would become certified again,
significant savings are unlikely.
(2) Provides states with the option to
extend certification periods for all participant
categories until the end of the last month;
also provides option to extend breastfeeding
woman’s certification period up to the
infant’s first birthday or until the woman
ceases to breastfeed:
Currently, states may extend a child’s
certification period through the last day of
the month in which the six-month
certification ends. Certification periods for all
other participant categories must end on
various dates throughout the month,
depending on the initial certification date.
This provision will give states the option to
extend certification periods for all participant
categories through the last day of the month
in which the certifications end.
This extension is offered in order to
streamline administrative procedures and
make certification periods for the various
participant categories more consistent. States
may incur an initial expense if their MIS
systems are not compatible with this change;
reliable data is not currently available on
how many states may choose this option and/
or how many states may need MIS upgrades
as a result.
As certification periods are extended, food
costs naturally increase. According to 2002
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WIC PC data, this extension would add an
average of 15 days worth of food benefits for
each woman or infant participant. For this
analysis, the assumption was made that this
increased cost would be realized only when
participants exit the program. The
nonchildren categories most likely not to
recertify (thus exiting the program) include:
breastfeeding women; postpartum, nonbreastfeeding women; and about 31% of
infants 1. Therefore, the extra food package
costs for breastfeeding women, postpartum/
non-breastfeeding women, and 31% of
infants (i.e.) the infants who do not recertify
Current rule
Proposed rule
as children) were calculated based on PC
2002 participation data and current food
package cost estimates. The annual cost for
the additional supplemental food benefits
(approximately 15 days per participant) to
the three categories of participants
mentioned above totals over $25 million. The
actual cost will likely be much lower, as this
total assumes that all State agencies will
adopt this optional provision.
Currently, states may certify breastfeeding
women for intervals of six months, until the
breastfed infant’s first birthday. This
provision would give State agencies the
Final rule
Final rule effects
on:
option to extend the certification period for
one full year. Since this provision is entirely
optional, the number of states who would
change their certification procedures is
unknown. It is assumed that most women
who continue to breastfeed longer than six
months are already being recertified for the
second six-month period; therefore this
extended certification period is not likely to
have a major impact on either program
participation among breastfeeding women or
on program costs.
State agencies
Local agencies
Participants
No effect ..............
If electronic signatures are adopted, may assist
with streamlining program
operations and
ease future
transition to
EBT. Several
State agencies
are already utilizing electronic
signatures.
If electronic signatures are adopted, may reduce
the burden of
paper file storage in Local
agency offices.
No effect.
No effect ..............
This provision will
lead to a minimal increase in
time necessary
to revise the
State plan. The
increase will
likely be a onetime event as
state officials
add the new
provisions to
the current
State plan.
No effect ..............
No effect.
No effect ..............
This provision
may lead to an
initial need for
State officials to
ensure that new
rules are understood and are
being implemented at the
local level.
Many State
agencies already have a
similar provision
in place.
Compliance with
this provision
may require
minor administrative/staffing
changes at the
local level.
Many lcal agencies already
have a plan for
separation of
duties and will
not be affected.
No effect.
USDA–FNS
Sec. 246.2 Definitions.
No current provision
on electronic signatures.
Sec. 246.2 Definitions.
Adds new definitions of ‘‘sign or
signature’’ and
‘‘electronic signature’’; State
agencies may
use electronic
signatures if reliability and integrity assured.
Sec. 246.2 Definitions.
Adds new definitions of ‘‘sign or
signature’’ and
‘‘electronic signature’’ as proposed, but also
adds ‘‘employee
fraud and
abuse’’ and ‘‘7
CFR part 3017’’
and ‘‘State.’’.
Sec. 246.4(a) State
Plan Requirements.
No current provisions requiring
State Plan
amendments reflecting requirements of the new
rule.
Sec. 246.4(a)
State Plan Requirements.
Technical requirements associated with
changes described below.
Conflict of Interest ..
Sec. 246.4(a)(25)
Conflict of Interest/Separation
of Duties.
Requires State
agencies to implement policies
and procedures
to prevent conflicts of interest
within local
agency staffs,
and to implement separation
of duties.
Sec. 246.4(a)
State Plan Requirements.
Same as proposed and additional provisions
on proof of
pregnancy and
universal identifiers; also
added is language revising
the proposed
State Plan provisions on conflict of interest
and separation
of duties.
Sec. 246.4(a)(25)
Conflict of Interest/Separation
of Duties.
Same as proposed and separation of duties
clarified to permit a local
agency employee to take
part in the certification process and issue
benefits if at
least one other
employee is involved in the
process.
rwilkins on PROD1PC63 with RULES_3
No current provision, but 8/99
GAO report recommends policy
on local agency
staff conflict of interest.
1 Based on PC data and FNS administrative data
from 1996–2002, approximately 31% of WIC infants
do not recertify as children.
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56735
State agencies
Local agencies
Participants
No effect ..............
This provision
may lead to a
minor increase
in administrative
effort on the
State level to
incorporate the
tracking of
fraud/abuse into
current data
collection mechanisms. This increased effort
may be
counterbalanced by more efficient handling
of fraud/abuse
cases and ultimately streamline program
administration.
This provision
may lead to a
negligible increase in administrative effort at the local
agency, due to
formal reporting
requirements to
the State. In
most cases,
local agencies
are already reporting cases of
fraud/abuse to
the State agency.
No effect.
No effect ..............
The provision will
enhance State
agency flexibility in funding
new agencies.
This provision
may allow new
local agencies
to be authorized
more readily.
This provision
may expedite
the availability
of services to
populations in
areas where
need exists, but
not at the highest level.
This provision will
assist in
streamlining
WIC funding
paperwork at
the Federal
level, particularly in USDA–
FNS Regional
Offices.
This provision
may initially increase administrative burden in
State agencies
that are not currently following
these guidelines. Any initial
burden is expected to be
short-lived.
Many State
agencies are already following
these guidelines
and will experience no effect.
No effect ..............
This provision
may necessitate
that a few local
agencies adopt/
learn new
standards for
income certification. Most
local agencies
are in states
where these
guidelines are
already in effect; thus no effect is expected
in those agencies.
This provision will
promote equal
consideration of
applicant eligibility nationwide.
No effect ..............
This provision
may allow a
minor increase
in participant
eligibility for
program benefits.
USDA–FNS
Participant/Employee Fraud/
Abuse.
Sec. 246.4(a)(26)
Participant or
Employee
Fraud and
Abuse.
Requires the
State agency
assurance of a
system(s) in
place at the
local level to
collect information on fraud/
abuse by employees and
participants.
Sec. 246.4(a)(26)
Participant or
Employee
Fraud and
Abuse.
Same as proposed; also,
definition of
‘‘employee
fraud and
abuse’’ added,
as noted above.
Sec. 246.5 Selection of New Local
Agency.
Requires States to
fund new local
agencies only in
the order of need.
Sec. 246.5 Selection of New
Local Agency.
Deletes requirement for states
to fund new
local agencies
only in the
order of need.
Sec. 246.5 Selection of New
Local Agency.
Same as proposed.
Sec. 246.7 Basic
Certification Procedures.
State agencies may
use State or local
income guidelines
instead of the
Federal guidelines.
Sec. 246.7 Basic
Certification
Procedures.
State agencies
must use the
WIC regulatory
income and
family definitions and exclusions.
Sec. 246.7 Basic
Certification
Procedures.
Same as proposed.
No current provision
in regulations on
short-term, nonsecured loans.
Short-term, nonsecured loans
are added to
the list of income exclusions.
Excludes loans to
which the applicant does not
have constant
or unlimited access.
No effect ..............
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No current provision, but 8/99
GAO report recommends data
collection on participant and staff
fraud/abuse.
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Proposed rule
Final rule
Final rule effects
on:
State agencies
Local agencies
Participants
This provision is
optional for
State agencies;
thus some
State agencies
will experience
no effect. For
those State
agencies
choosing to
adopt the provision, a minimal
increase in effort may be
necessary in
providing guidance and monitoring the Local
agencies.
This provision will
allow State WIC
agency resources (funding, staff time)
to be directed
toward higherrisk participants.
Many State
agencies will
experience no
effect, since
they already
have this provision in place.
Only about
0.9% (max.) of
WIC participants are certified on regression, so an
overall impact is
relatively small.
Many Local agencies will experience no effect,
since the provision is optional.
If the provision
is adopted at
the state level,
Local agencies
may experience
a minimal increase in time
spent certifying
pregnant applicants.
This provision will
require pregnant applicants
to the WIC program to provide
proof of pregnancy, but only
in States choosing to adopt this
optional provision.
This provision will
allow Local WIC
agency resources (funding, staff time)
to be directed
toward higherrisk participants.
Many Local
agencies will
experience no
effect since
they already
have this provision in place.
Only about
0.9% (max.) of
WIC participants are certified on regression alone, so
an overall impact is relatively
small.
This provision will
limit benefits for
WIC participants who do
not maintain
any nutrition
risk factors beyond ‘‘possibility
of regression.’’
These provisions
will assist in
streamlining
program administration at the
state level by
providing State
agencies the
option to align
certification periods for ease
of tracking.
States choosing
to extend certification periods
will experience
increased food
and administrative costs according to their
caseloads.
If State agencies
adopt these options, Local
agencies will
experience
more streamlined certification procedures, due to
the consistency
of certification
periods ending
on the last day
of the month.
Local agencies
will also not
have to complete the paperwork necessary
to recertify
breastfeeding
women at sixmonth intervals.
This provision relieves
breastfeeding
women of one
recertification
visit to the local
WIC clinic. In
addition, all participants may
receive extra
benefits, according to the
proximity of
their certification dates to
the end of the
month.
USDA–FNS
Provides State
agencies the
option to require proof of
pregnancy.
Same as proposed except
that proof may
be required
when the pregnancy is not
visibly noticeable and no
documentation
of proof is available at certification.
No effect ..............
State agency not
required to limit
the number of
certifications
based on regression.
Prohibits the use
of ‘‘possibility of
regression’’ for
consecutive
certifications.
Same as proposed and priority levels clarified for certifications based
on regression.
Certification periods
for some categories of participants—
breastfeeding
women and children—end at the
end of a month;
the certification
periods for all
other categories
of participants
may end at any
time during a
month, which
may result in prorated benefits.
rwilkins on PROD1PC63 with RULES_3
No current provision
on proof of pregnancy.
Certification periods for all participant categories are extended to the
end of the last
month.
Same as proposed and certification for
breastfeeding
women may be
extended up to
the infant’s first
birthday, or until
the woman
ceases to
breastfeed,
whichever occurs first.
This provision
could result in
an estimated
maximum decline of 0.9% of
participation,
equaling about
74,000 people.
Given the 2004
average food
and administrative cuts, this
decline in participation could
result in savings
of approximately $20 million per year.
Savings of this
magnitude are
highly unlikely,
given the nearly
impossible circumstances
that must be
met.
These provisions
will potentially
increase annual
program costs
by over $25 million if every
state chooses
to extend benefits until the last
day of the last
month. These
provisions are
optional at the
state level; thus
the total financial impact may
be limited.
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on:
56737
State agencies
Local agencies
Participants
This provision
may assist
State agencies
with directing
resources toward participants with a
higher need,
rather than providing benefits
to participants
who are ineligible. This provision may also
lead to a minimal increase in
administrative
burden at the
state level.
This provision is
optional; many
State agencies
will experience
no effect. For
those states
choosing to use
more simple
language, a
small amount of
time will be
necessary initially to develop,
test, and disseminate the
language.
This provision
may assist
Local agencies
with directing
resources toward participants with a
higher need,
rather than providing benefits
to participants
who are ineligible.
This provision will
reduce benefits
for those participants who become ineligible
based on an increased income; however,
information regarding
changes in income level
would have to
be brought to
the attention of
WIC staff.
This provision will
enable Local
agencies to
have flexibility
in communicating Rights
and Responsibilities to participants. Since
the provision is
optional, many
Local agencies
will experience
no effect.
This provision increases the
likelihood that
more participants will have
a full understanding of their
Rights and Responsibilities.
This provision
may result in
very minimal
food cost savings at the national level. Reliable estimates
of these savings are not
available because of limited
information on
the number of
participants affected.
This provision allows State
agencies to direct resources
to eligible participants, rather
than participants who may
not be actually
be eligible to receive benefits.
This provision allows Local
agencies to direct resources
to eligible participants, rather
than participants who may
not be actually
be eligible to receive benefits.
Participants who
become ineligible while
awaiting a hearing decision will
no longer receive benefits.
No effect ..............
No effect ..............
No effect ..............
No effect.
USDA–FNS
Requires disqualification if reassessment of program eligibility is
conducted midcertification.
Requires reassessment of income eligibility
mid-certification
based on new
information, and
disqualification
if over-income.
Same as proposed, except
that the reassessment is not
required if sufficient time does
not exist to effect the change;
‘‘sufficient time’’
means 90 days
prior to the expiration of the
certification period.
This provision has
the potential to
reduce total
program costs
nationally by
not providing
benefits to ineligible participants. However,
the dollar
amount saved
is likely to be
minimal, given
the limited number of people
affected.
State agency may
not deviate from
the mandated
Participant Rights
and Responsibilities language.
State agencies
are permitted to
use simpler language.
Same as proposed.
No effect ..............
246.9(g) Continuation of Benefits.
Sec. 246.9(g)
Continuation of
Benefits.
Prohibits participants who become categorically ineligible
from continuing
to receive program benefits
while awaiting a
hearing decision.
Sec. 246.9(g)
Continuation of
Benefits.
Same as proposed.
Sec.
246.12(h)(3)(xx)
& 246.23(d)
Claims/Penalties.
No revision proposed.
Sec.
246.12(h)(3)(xx)
& 246.23(d)
Claims/Penalties.
Maximum fine for
criminal fraud
raised to
$25,000 per
non-discretionary requirement of an
amendment to
the National
School Lunch
Act.
Does not prohibit
the continuation
of benefits when
a participant becomes ineligible
while awaiting a
hearing decision
on other matters.
Sec.
246.12(h)(3)(xx)
& 246.23(d)
Claims/Penalties.
rwilkins on PROD1PC63 with RULES_3
Maximum fine for
criminal fraud is
$10,000.
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Federal Register / Vol. 71, No. 187 / Wednesday, September 27, 2006 / Rules and Regulations
Current rule
Proposed rule
Final rule
Final rule effects
on:
State agencies
Local agencies
Participants
No effect is expected since it
is not current
practice to provide retroactive
WIC benefits.
State agencies
will need to balance Local
agency requests for approval with the
need for funds
in other areas
of program administration.
No effect ..............
No effect.
This provision will
give Local
agencies the
flexibility to provide transportation to both
urban and rural
WIC clients,
subject to prior
approval of the
State agency
based on documentation that
such service
would be essential for program access.
This provision
may allow
greater access
to WIC benefits
for eligible persons in urban
areas.
This provision
This provision
may decrease
may decrease
administrative
administrative
burden by reburden by reducing time/paducing time/paperwork inperwork involved in grantvolved in reing approval for
questing apthe stated costs.
proval for the
stated costs.
No effect ..............
No effect.
Same as proposed.
No effect, as FNS
policy and guidance is current
practice.
No effect, as FNS
policy and guidance is current
practice.
No effect ..............
No effect.
Same as proposed.
No effect, as the
addition method
is current practice.
No effect, as the
addition method
is current practice.
No effect ..............
No effect.
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USDA–FNS
Sec. 246.14 Use of
Program Funds.
Sec. 246.14 Use
of Program
Funds.
Prohibits use of
program funds
to provide retroactive benefits
to participants.
Sec. 246.14 Use
of Program
Funds.
Same as proposed.
Only allows use of
program funds for
transportation in
rural area.
Allows use of program funds to
provide transportation to and
from WIC offices in nonrural as well as
rural areas.
Same as proposed.
Sec. 246.14, 15, 17
Funding Issues.
Sec. 246.14, 15,
17 Funding
Issues.
Sec. 246.14(d)
codifies the actual practice of
deleting prior
approval for
costs of management studies. Continues
the actual practice of requiring
prior approval
of capital expenditures exceeding the dollar threshold established in
agency policy,
including ADP.
Dollar threshold
for prior approval of capital
expenditures is
deleted from
Sec. 246.14,
designing FNS
policy and guidance as the
new reference
for this, as per
actual practice.
Sec. 246.15(b)
codifies actual
practice of
using the addition method of
applying program income.
Sec. 246.14, 15,
17 Funding
Issues.
Same as proposed.
No current provision
on retroactive
benefits.
Sec. 246.14(d) requires prior approval for the
costs of ADP systems and management studies.
rwilkins on PROD1PC63 with RULES_3
Sec. 246.14(d) requires prior approval for capital
expenditures over
$2,500.
Sec. 246.15(b) is
currently silent on
the addition method of applying
program income,
although 7 CFR
3016 allows this if
stated in program
regulations.
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No effect ..............
No effect ..............
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Proposed rule
Final rule
Final rule effects
on:
56739
State agencies
Local agencies
Participants
This provision will
provide greater
efficiency in financial administrative at the regional and national level.
This provision will
provide greater
efficiency in financial administration at the
state level.
No effect ..............
No effect.
No effect ..............
No effect ..............
No effect ..............
No effect.
Same as proposed, except
deletes proposed requirement for reporting on cash allowances exceeding three
days.
This provision
may streamline
the process of
information collection at the
regional level.
This provision
may reduce administrative burden by reducing
the amount of
information that
must be formally submitted
monthly.
This provision
may reduce administrative burden by reducing
the amount of
information that
must be formally submitted
monthly.
No effect.
Same as proposed.
No effects; the
annual of biennial data reporting is current
practice.
No effect; the annual or biennial
data reporting is
current practice.
No effect; the annual or biennial
data reporting is
current practice.
No effect.
No effect ..............
No effect ..............
No effect ..............
No effect.
Same as proposed; preamble clarifies
that persons
administering or
enforcing WIC
includes WIC IT
staff, contract
Single Audit
staff, and WIC
contractor bank
staff.
No effect ..............
This provision
may enhance
collaboration
between programs at the
state level.
This provision
may enhance
collaboration
between programs at the
local level.
This provision
may allow participants to receive enhanced
services
through program collaboration.
PO 00000
Fmt 4701
USDA–FNS
Sec 246.17 provides for a 150day reporting
cycle.
Sec. 246.17(b)(2)
Same as proreduces food inposed.
strument closeout cycle from
150 to 120 days.
Sec. 246.20, 246.25
Audits/Reporting.
Sec. 246.20,
246.25 Audits/
Reporting.
Sec. 246.20(b)(1)
refers to the
current citation.
Sec. 246.25(b)(1)
no longer requires itemized
NSA expenditures or the
number of persons on wait
lists to be reported on a
monthly basis.
Sec. 246.25(b)(2)
codifies annual
or biennial reporting of this
data, but requires change
of local agency
information
whenever such
change occurs,
as per actual
practice.
Sec. 246.26(d)–(i)
Confidentiality.
Clarifies that all
information
about a participant or applicant is protected.
Clarifies that another State or
local agency
has access to
confidential applicant or participant information.
Sec. 246.20(b)(1)
refers to a dated
citation.
Sec. 246.25(b)(1)
requiems monthly
reporting of certain information
on participation,
administrative
funds, and local
agencies.
Under Sec.
246.25(b)(3) and
(c), FNS required
certain participation, Civil Rights,
and local agency
data on a quarterly basis.
Sec. 246.26 Confidentiality.
Pertains only to information obtained from participants and applicants.
rwilkins on PROD1PC63 with RULES_3
Information may be
shared with persons directly administering or enforcing WIC,
health and welfare programs,
and the Comptroller General.
VerDate Aug<31>2005
17:34 Sep 26, 2006
Jkt 208001
Sec. 246.20,
246.25 Audits/
Reporting.
Same as proposed.
Sec. 246.26(d)–(i)
Confidentiality.
Same as proposed.
Frm 00033
Sfmt 4700
E:\FR\FM\27SER3.SGM
27SER3
56740
Federal Register / Vol. 71, No. 187 / Wednesday, September 27, 2006 / Rules and Regulations
Current rule
Proposed rule
Final rule
Final rule effects
on:
State agencies
Local agencies
Participants
USDA–FNS
State option for information-sharing
agreements with
‘‘health or welfare’’ programs;
shared information may only be
used for eligibility
and outreach.
Allows the sharing
of WIC information through
agreements with
other programs
administered by
the State/local
agency.
No current provision
in regulations.
FNS Instruction
800–1 requires
that information to
private parties
such as physicians must be
through written
consent obtained
after certification.
No current provision
in regulations.
FNS Instruction
800–1 permits reporting on child
abuse.
rwilkins on PROD1PC63 with RULES_3
Required notification to participant/
applicant at certification on how
confidential information will be
shared.
VerDate Aug<31>2005
Allows information
sharing with
public organizations other than
health and welfare, and for
purposes other
than eligibility in
other programs
and outreach;
the additional
allowed purposes include
(1) enhancing
the health, education and wellbeing of participants and applicants, (2)
streamlining administrative procedures, and
(3) evaluating
the State’s
health system.
Allows a WIC
State/local
agency to share
information
through written
agreements
with its other
programs.
Allows the use of
signed release
forms from applicants and
participants as
part of the WIC
application and
certification
process in order
to share information with private doctors.
Clarifies that State
and local agency staffs are
permitted to
share information to comply
with required
reporting of
known or suspected child.
Requires notification to participant or applicant at certification or later
on how confidential information will be
shared for nonWIC purposes.
17:34 Sep 26, 2006
Jkt 208001
Same as proposed; preamble clarifies
that MOU may
permit information sharing
with Child Protective Services
upon request if
WIC suspects
abuse, and
public organization includes
non-WIC public
agencies, but
not law enforcement or researchers.
No effect ..............
This provision
may enhance
collaboration
between programs as the
state level.
This provision
may enhance
collaboration
between programs at the
local level.
This provision
may allow participants to receive enhanced
services
through program collaboration, while remaining assured that confidential information is not
being misused.
Same as proposed.
No effect ..............
No effect ..............
No effect ..............
No effect.
Same as proposed.
No effect ..............
This provision
may streamline
and provide
consistency to
the consent
process. This
provision is optional at the
state level.
This provision
may streamline
and provide
consistency to
the consent
process.
No effect.
Same as proposed; additional clarification added regarding information-sharing
with Child Protective Authorities as noted
above with respect to public
organizations.
Same as proposed.
No effect ..............
No effect; a current FNS instruction allows
reporting of
child abuse.
No effect; a current FNS instruction allows
reporting of
child abuse.
No effect; a current FNS instruction allows
reporting of
child abuse.
No effect ..............
No effect ..............
No effect ..............
No effect.
PO 00000
Fmt 4701
Frm 00034
Sfmt 4700
E:\FR\FM\27SER3.SGM
27SER3
Federal Register / Vol. 71, No. 187 / Wednesday, September 27, 2006 / Rules and Regulations
Current rule
Proposed rule
Final rule
Final rule effects
on:
State agencies
Local agencies
No effect ..............
No effect ..............
Participants
USDA–FNS
No current provision
in the regulations.
Policy Memorandum 94–3 addresses subpoenas and
search warrants.
Requires State/
Same as prolocal agency to
posed and clariconsult with
fies in the final
legal counsel
rule that no aton subpoenas
tempt is needed
and comply with
to quash a subsearch warrants.
poena if it is
withdrawn
through the
courts.
No effect ..............
[FR Doc. 06–7875 Filed 9–26–06; 8:45 am]
rwilkins on PROD1PC63 with RULES_3
BILLING CODE 3410–30–P
VerDate Aug<31>2005
17:34 Sep 26, 2006
Jkt 208001
PO 00000
Frm 00035
Fmt 4701
Sfmt 4700
E:\FR\FM\27SER3.SGM
27SER3
56741
No effect.
Agencies
[Federal Register Volume 71, Number 187 (Wednesday, September 27, 2006)]
[Rules and Regulations]
[Pages 56708-56741]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-7875]
[[Page 56707]]
-----------------------------------------------------------------------
Part IV
Department of Agriculture
-----------------------------------------------------------------------
Food and Nutrition Service
-----------------------------------------------------------------------
7 CFR Part 246
Special Supplemental Nutrition Program for Women, Infants and Children
(WIC): Miscellaneous Provisions; Final Rule
Federal Register / Vol. 71, No. 187 / Wednesday, September 27, 2006 /
Rules and Regulations
[[Page 56708]]
-----------------------------------------------------------------------
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Part 246
RIN 0584-AB10
Special Supplemental Nutrition Program for Women, Infants and
Children (WIC): Miscellaneous Provisions
AGENCY: Food and Nutrition Service (FNS), USDA.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: This final rule amends a number of existing provisions in the
WIC Program regulations to address issues raised by WIC State agencies,
other members of the WIC community, and the United States Government
Accountability Office (GAO). This final rule also incorporates recent
legislation and certain longstanding program policies and State agency
practices into the regulations. Further, the final rule also
streamlines certain requirements in the regulations.
In particular, this rulemaking streamlines the Federal requirements
for financial and participation reporting by State agencies, and
clarifies the requirements pertaining to the confidentiality of WIC
information in order to strengthen coordination with public
organizations and private physicians. It also incorporates recent
legislation which provided the WIC State agencies with the option to
extend the certification period for breastfeeding women. Further, it
incorporates longstanding program policies and State agency practices
into the regulations regarding State agency responses to subpoenas and
other court-ordered requests for confidential information. Other
provisions in this final rule are designed to improve eligibility
determinations, incorporating program policies and State agency
practices that have been in effect for some time.
These changes are intended to reinforce program policies and State
agency practices that strengthen services to WIC participants, improve
Program administration, and increase State agency flexibility in
managing the Program. Many of these provisions are options the State
agency may choose to implement in operating the program.
DATES: Effective Date: This rule is effective November 27, 2006.
Implementation Date: State agencies must implement the provisions
of this rule no later than March 27, 2007.
FOR FURTHER INFORMATION CONTACT: Debra R. Whitford, Chief, Policy and
Program Development Branch, Supplemental Food Programs Division, Food
and Nutrition Service, 3101 Park Center Drive, Room 522, Alexandria,
Virginia 22302, (703) 305-2746.
SUPPLEMENTARY INFORMATION:
Executive Order 12866
This rule has been determined to be significant and was reviewed by
the Office of Management and Budget under Executive Order 12866.
Regulatory Impact Analysis
As required for all rules that have been designated as Significant
by the Office of Management and Budget, a Regulatory Economic Impact
Analysis was developed for this final rule. A complete copy of the
Impact Analysis appears in the appendix to this rule. The conclusions
of this analysis are summarized below.
Need for Action
This action is needed to address issues raised by WIC State
agencies and other members of the WIC community; address issues raised
by the GAO; incorporate recent legislation; incorporate certain
longstanding program policies and State agency practices into the
regulations; and, streamline certain requirements in the regulations.
Two provisions in this final rule may have a notable financial
impact. One of these provisions prohibits the use of possibility of
regression to a previous nutrition risk as the basis for determining
nutrition risk eligibility in consecutive certifications when this
nutrition risk is not actually present.
The second provision which may have a notable financial impact
provides WIC States agencies with the option to extend the
certification period for all participant categories until the end of
the last month of the certification period, and also provides the
option to extend a breastfeeding woman's certification period up to her
infant's first birthday or until the woman ceases to breastfeed. This
provision incorporates recent legislation. Section 203(b)(1) of the
Child Nutrition and WIC Reauthorization Act of 2004, Public Law 108-
265, amended section 17(d)(3) of the Child Nutrition Act of 1966, 42
U.S.C. 1786, to allow WIC State agencies the option to certify a
breastfeeding woman for up to one year postpartum, or until the woman
stops breastfeeding, whichever occurs first. This option became
effective on October 1, 2004, pursuant to Section 502(b)(2) of Public
Law 108-265.
Benefits
This rule serves to streamline program administration and clarify
program requirements, while minimizing economic and administrative
burdens. As previously noted, one of this rule's provisions which may
have a notable financial impact prohibits the use of the possibility of
regression to a previous nutrition risk as the basis for determining
nutrition risk eligibility in consecutive certifications when this
nutrition risk is not actually present.
For example, this provision would permit use of the possibility of
regression to anemia as the nutrition risk for a certification
following a certification when anemia was actually present, but not for
any subsequent certification. If all of the participants certified
based on the possibility of regression as a nutrition risk criterion in
2004 were subsequently certified on this basis for one six-month
certification period, then prohibiting use of this nutrition risk for
consecutive certifications could save over $20 million and reduce
participation by over 70,000 in that six-month period. However, given
that possibility of regression is rarely used as the sole basis for
determining nutrition risk, and that participants who had actually
regressed to the previous nutrition risk would presumably be certified
again, significant savings are unlikely.
Costs
Most of the provisions in this final rule are generally
economically insignificant to the costs and overall operations of the
WIC Program. Some of the provisions reflect the current practice of
many WIC State agencies, while others are optional at the discretion of
WIC State agencies.
As previously noted, one of this rule's provisions which may have a
notable financial impact provides WIC State agencies with the option to
extend the certification period for all participant categories until
the end of the last month of the certification period, and also
provides the option to extend a breastfeeding woman's certification
period up to her infant's first birthday or until the woman ceases to
breastfeed.
Since this provision is optional, the number of WIC State agencies
which may choose to extend these certification periods is unknown.
Also, most women who continue to breastfeed longer than six months are
presumably certified for a second six-month period. Therefore,
implementation of the option to extend the certification period of
breastfeeding women is not likely to have a major impact on either
program participation
[[Page 56709]]
among breastfeeding women or on program costs.
Regulatory Flexibility Act
This rule has been reviewed with regard to the requirements of the
Regulatory Flexibility Act of 1980 (5 U.S.C. 601-612). Kate Coler,
Deputy Under Secretary, Food, Nutrition, and Consumer Services, has
certified that this rule will not have a significant impact on a
substantial number of small entities. State and local WIC agencies
would be most affected because there are several additional program
administration requirements. However, this rule also reduces
considerably more program administration requirements. The net effect
on State and local agencies is expected to result in reduced and
streamlined administrative procedures. Participants and applicants
would also be affected by changes in application processing,
certification, and the disclosure of information.
Unfunded Mandates Reform Act
Title II of the 1995 (UMRA), Public Law 104-4, establishes
requirements for Federal agencies to assess the effects of their
regulatory actions on State, local, and tribal governments and the
private sector. Under section 202 of the UMRA, the Department generally
must prepare a written statement, including a cost/benefit analysis,
for proposed and final rules with ``Federal mandates'' that may result
in expenditures to State, local, or tribal governments in the
aggregate, or to the private sector, of $100 million or more in any one
year. When such a statement is needed for a rule, section 205 of the
UMRA generally requires the Department to identify and consider a
reasonable number of regulatory alternatives and adopt the least
costly, more cost-effective or least burdensome alternative that
achieves the objectives of the rule.
This rule contains no Federal mandates (under the regulatory
provisions of Title II of the UMRA) that impose costs on State, local,
or tribal governments or to the private sector of $100 million or more
in any one year. This rule is, therefore, not subject to the
requirements of sections 202 and 205 of the UMRA.
Executive Order 12372
The Special Supplemental Nutrition Program for Women, Infants and
Children (WIC) is listed in the Catalog of Federal Domestic Assistance
Programs under No. 10.557. For reasons set forth in the final rule in 7
CFR Part 3015, Subpart V, and related Notice (48 FR 29115, June 24,
1983), this program is included in the scope of Executive Order 12372
that requires intergovernmental consultation with State and local
officials.
Federalism Summary Impact Statement
Executive Order 13132 requires Federal agencies to consider the
impact of their regulatory actions on State and local governments.
Where such actions have federalism implications, agencies are directed
to provide a statement for inclusion in the preamble to the regulations
describing the agency's considerations in terms of the three categories
called for under section (6)(b)(2)(B) of Executive Order 13121. The
Food and Nutrition Service (FNS) has considered the impact of this rule
on State and local governments and has determined that this rule does
not impose substantial or direct compliance costs on State and local
governments, but that it does have Federalism implications because this
rule preempts State law. Therefore, under section 6(b) of the Executive
Order, a federalism summary impact statement is required.
Prior Consultation With State Officials
Prior to drafting the final rule, a comment period was provided to
permit State and local agencies and the general public the opportunity
to comment on the proposed changes. In addition, some of the proposed
changes were as a result of input from State and local agencies such as
changing certification periods and greater flexibility in sharing
confidential WIC information. Further, because the WIC Program is a
State-administered, Federally funded program, FNS regional offices have
formal and informal discussions with State and local officials on an
ongoing basis regarding program and policy issues. This arrangement
allows State and local agencies to provide comments that form the basis
for many discretionary decisions in this and other WIC Program rules.
Comments on the proposed rule and other comments, concerns and
recommendations by State and local agencies through other forums have
been beneficial in ensuring this final rule reflects concerns raised by
these entities.
Nature of Concerns and the Need To Issue This Rule
State agencies generally want greater flexibility in their
implementation of program policy. As stated previously, this final rule
provides State and local agencies greater flexibility in some areas
such as certification periods and sharing WIC information. However, it
was necessary in some areas to strengthen program accountability and
integrity. Comments made by State and local agencies through the
proposed rule process and through other forums assisted us in
identifying areas of the regulations where greater flexibility can be
afforded State and local agencies.
Extent to Which We Meet Those Concerns
FNS has considered the impact of the final rule on State and local
agencies. This rule makes changes to improve the accountability and
effectiveness of the WIC Program, and to provide State and local
agencies with greater flexibility in how they operate the program. The
effects on State agencies are minimal since some requirements such as
obtaining proof of pregnancy are optional requirements, and other
requirements are codifying existing policy that the majority of State
agencies have already implemented.
Executive Order 12988
This rule has been reviewed under Executive Order 12988, Civil
Justice Reform. This rule is intended to have preemptive effect with
respect to any State or local laws, regulations or policies which
conflict with its provisions or which would otherwise impede its full
implementation. This rule is not intended to have retroactive effect.
Prior to any judicial challenge to the provisions of this rule or the
application of its provisions, all applicable administrative procedures
must be exhausted.
In the Special Supplemental Nutrition Program for Women, Infants
and Children (WIC), the administrative procedures which must be
exhausted are as follows. First, State agency hearing procedures
pursuant to 7 CFR 246.9 must be exhausted for participants concerning
denial of participation, disqualification, and claims. Second, State
agency hearing procedures pursuant to 7 CFR 246.18(a)(1) must be
exhausted for vendors concerning denial of authorization, termination
of agreement, disqualification, civil money penalty or fine. Third, the
State agency process for providing the vendor an opportunity to justify
or correct the food instrument pursuant to 7 CFR 246.12(k)(3) must be
exhausted for vendors concerning delaying payment for a food instrument
or a claim. Fourth, State agency hearing procedures pursuant to 7 CFR
246.18(a)(3) must be exhausted for local agencies concerning denial of
application, disqualification, or any other adverse action affecting
participation. Fifth, FNS hearing procedures pursuant to 7 CFR 246.22
must be exhausted for State agencies concerning sanctions imposed by
FNS. Sixth, administrative appeal to the
[[Page 56710]]
extent required by 7 CFR 3016.36 must be exhausted for vendors and
local agencies concerning procurement decisions of State agencies.
Civil Rights Impact Analysis
FNS has reviewed this final rule in accordance with the Department
Regulation 4300-4, ``Civil Rights Impact Analysis,'' to identify and
address any major civil rights impacts the rule might have on
minorities, women, and persons with disabilities. After a careful
review of the rule's intent and provisions, and the characteristics of
WIC Program applicants and participants, FNS has determined that there
is no way to soften their effect on any of the protected classes. All
data available to FNS indicate that protected individuals have the same
opportunity to participate in the WIC Program as non-protected
individuals. FNS specifically prohibits State and local agencies
operating the WIC Program from engaging in actions that discriminate
against any individual in any of the protected classes; see 7 CFR
246.8(a) for the non-discrimination policy of the WIC Program. Where
State agencies have options, and they choose to implement a certain
provision, they must implement it in such a way that it complies with
the regulations at 7 CFR 246.8.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995 (44 U.S.C. Chap. 35; see 5 CFR
part 1320) requires that the Office of Management and Budget (OMB)
approve all collections of information by a Federal agency from the
public before they can be implemented. Respondents are not required to
respond to any collection of information unless it displays a current
valid OMB control number. Information collections in this final rule
have been previously approved under OMB 0584-0043, and no
changes are needed as a result of this final rule.
E-Government Act Compliance
FNS is committed to compliance with the E-Government Act, to
promote the use of the Internet and other information technologies to
provide increased opportunities for citizen access to Government
information and services, and for other purposes. The new definitions
of ``electronic signature'' and ``sign or signature'' are intended to
facilitate paperless systems in all administrative activities of the
program. The new State Plan requirements, as is the case with the
entire State Plan, may be transmitted electronically by the State
agency to FNS. Also, State agencies may share participant information
electronically pursuant to a written agreement and consistent with
Federal policy, including such information sharing based on the new
non-WIC purposes provided in this final rule as well as the previously
allowed non-WIC purposes.
Background
On December 2, 2002, the Department published a proposed rule at 67
FR 71774 concerning revisions of miscellaneous provisions of the WIC
regulations. The comment period ended on April 1, 2003. Thirty-five
letters were submitted to the Department to provide comments on the
proposed revisions. We greatly appreciate these comments, all of which
were carefully considered in the development of this final rule.
Following is a discussion of each provision as proposed, the comments
received, and an explanation of the provisions set forth in this final
rule.
1. Definitions (Sec. 246.2)
The proposed rule included new definitions for ``sign or
signature'' and ``electronic signature,'' to provide State agencies the
option of using electronic signatures in their administration of the
WIC Program. This definition of ``electronic signature'' was derived
from the Electronic Signatures in Global and National Commerce Act
(Pub. L. 106-229, signed June 30, 2000), also known as ESIGN. The
Department sought to introduce these definitions to clarify that use of
the terms ``sign'' or ``signature'' throughout 7 CFR Part 246 is not
intended to exclude the use of electronic signatures. At the same time,
we also wanted to make clear that electronic signatures may be used
only if the State agency ensures the reliability and integrity of the
technology used and the security and confidentiality of electronic
signatures collected in accordance with sound management practices, WIC
Program regulations, and applicable Office of Management and Budget
Circulars, including A-130, concerning confidentiality.
All of the commenters supported the new definitions. However,
several commenters sought clarifications. One commenter questioned
whether the new definitions constituted an endorsement of the
``paperless office'' concept, e.g., electronic certification forms.
Similarly, another commenter asked whether the new definitions applied
to vendor agreements. Finally, one commenter pointed to the need for
protecting access to benefits in the event of a technology failure.
The Department did not intend to confine the use of electronic
signatures to one part of WIC Program administration, such as
certification, so that electronic signatures could not be used in other
administrative activities of the program, such as vendor management.
Indeed, as indicated in the preamble of the proposed rule, the new
definitions were intended to facilitate paperless systems. We recognize
the efficiencies and advantages of paperless systems, and encourage
State agencies to implement such systems in all administrative
activities of the program. Of course, as previously noted, the
reliability and integrity of such systems is paramount; this would
include safeguarding benefits in the event of a technology failure or
disaster.
In addition, even though the Department supports the paperless
office concept, this concept would not be mandated. This would be a
State option, including the specific kind of technology adopted, as
discussed in the preamble of the proposed rule. State agencies need to
consider the costs, the views of participants, and the legal aspects of
implementing this option. In this latter regard, State agencies should
consult legal counsel on whether State law permits electronic
signatures for certain kinds of documents, such as vendor agreements or
contracts with local agencies. Accordingly, as set forth in the
proposed rule, the definitions of ``sign or signature'' and
``electronic signature,'' as proposed, are retained in this final rule.
Recently, the Governmentwide Requirements for Drug-Free Workplace
have been moved from 7 CFR part 3017 to 7 CFR part 3021 of the
Departmental regulations. Therefore, this final rule includes a new
definition of 7 CFR part 3021 to reference these requirements, and
removes the reference to the drug-free requirements in the definition
of 7 CFR part 3017. In addition, all other references to the drug-free
workplace requirements in 7 CFR part 246 have been changed to reference
Departmental regulations at 7 CFR part 3021. Further, unlike 7 CFR part
3017, 7 CFR part 3021 does not require a certification regarding a
drug-free workplace; accordingly, this certification requirement has
been deleted from Sec. 246.3(c)(2). These changes are
nondiscretionary, and do not require that the public be given an
opportunity to comment.
In addition, in this final rule, the definition of ``State'' has
been revised to reflect a change in the definition of ``State'' in
section 15 of the Child Nutrition Act of 1966 (CNA), 42 U.S.C. 1786,
which applies to all programs under the CNA, including the WIC Program.
The CNA no longer refers to the Trust Territory of the Pacific Islands
[[Page 56711]]
since the Trust Territory no longer exists.
Therefore, the revision to the definition of ``State'' is included
in this final rule.
Finally, we have added a definition of ``Employee fraud and
abuse,'' as discussed in section 4 of this preamble.
2. State Plan Requirements (Sec. 246.4(a))
We proposed a number of new State Plan provisions which would be
required under Sec. 246.4(a) of the WIC regulations. The comments on
some of these State Plan provisions require more discussion than the
comments on other proposed State Plan provisions. Therefore, these
provisions are addressed in other sections of the preamble. Section 2
of this preamble addresses provisions and comments which do not require
extensive discussion.
First, one commenter pointed out that we had not included a State
Plan provision to provide State agencies the option to require
applicants to provide proof of pregnancy in Sec. 246.4(a) of the
proposed rule. As indicated elsewhere in the proposed rule and its
preamble, we had intended that a new State Plan provision would be
added to Sec. 246.4(a). However, this new provision was inadvertently
omitted from the Proposed Rule. Accordingly, we have added it to this
final rule.
Second, several commenters objected to the proposed State Plan
requirement for listing all of the organizations with which the State
agency or its local agencies had written agreements on the sharing of
confidential participant information. One of these commenters pointed
out that this provision could delay implementation of an information-
sharing agreement if this agreement was executed after the annual
submission of the State Plan. Another commenter stated that such a list
in the State Plan would not constitute adequate notice to the
applicant.
As noted under section 22-C of this preamble, the proposed State
Plan provision for listing all programs that have information-sharing
agreements with the State agency and its local agencies, and the uses
of such information, are only intended for informational purposes. As
proposed, FNS did not intend to approve State agencies' decisions in
this matter as long as the reasons for sharing information were
consistent with the authorized uses in the proposed rule. Therefore,
State and local agencies can execute such agreements prior to
submission in State Plans. The process of providing a list to FNS is
not intended to create a barrier to entering into information sharing
agreements. Further, such lists are not intended to serve as notice to
WIC applicants and participants. As proposed, and as required in this
final rule, State agencies are required to provide applicants and
participants with notification at certification of public organizations
that WIC intends to share confidential WIC information and the purposes
for sharing such information.
Third, we have not included a revision to Sec. 246.4(a)(11)(ii) in
this final rule. The proposed revision in this paragraph referred to
describing the criteria for deciding who will be offered individual
care plans. This proposed change has not been included in this final
rule since it was an inadvertent error; we did not intend to propose a
change in this paragraph.
Finally, we have added a new sentence to Sec. 246.4(a) to require
the use of a Universal Identifier as part of State Plans. The Office of
Management and Budget (OMB) requires entities applying for Federal
grants to provide government agencies with a Universal Identifier. This
requirement is set forth in an OMB Policy Directive, ``Use of a
Universal Identifier by Grant Applicants,'' which was published in the
Federal Register on June 27, 2003, at 68 FR 38402. The annual WIC
Program State Plan submission is considered an application for a
federal grant, and thus covered by this requirement. Currently, the
Universal Identifier system in use is the Data Universal Numbering
System (DUNS) identification number. FNS has issued guidance on how to
obtain a DUNS number. FNS will address the submission of DUNS numbers
as part of the WIC State Plan Guidance. It is not necessary for FNS to
issue a proposed rule on this revision to the WIC Program regulations
since the OMB Policy Directive is nondiscretionary and is already in
effect. Also, as explained in the preamble of the OMB Policy Directive,
OMB has determined that use of a DUNS number is not a significant
burden under the Paperwork Reduction Act.
3. Conflict of Interest (Sec. 246.4(a))
The Department proposed a new State Plan requirement for addressing
employee conflicts of interest at the local agency level, as
recommended by an August 1999 Report by the Government Accountability
Office (GAO), FOOD ASSISTANCE: Efforts to Control Fraud and Abuse in
the WIC Program Can Be Strengthened. We proposed a new paragraph in
Sec. 246.4(a) to require that State agencies develop and implement
policies and procedures to prevent conflicts of interest within the
local agency staffs. Specifically, we wanted State agencies to develop
policies and procedures concerning local agency employees certifying
themselves, relatives or friends, and also concerning an employee both
certifying and issuing food benefits to a participant, i.e., lack of
separation of duties.
At the same time, we recognized in the preamble of the proposed
rule that there may be practical circumstances, such as the
availability of only one employee to conduct a clinic, which would
preclude a strict prohibition on some practices. For such situations,
we pointed out, an effective alternative policy or procedure would be
needed, such as supervisory review of the records of the certifications
and benefits issuance performed by such employees. As noted below in
this section, we have added language to the proposed paragraph to
recognize that effective alternative policies and procedures will be
needed when strict prohibition is not possible.
Most of the commenters supported the proposed provision. (The 1999
GAO study found that most of the WIC State agencies had policies on
conflicts of interest and separation of duties.) Commenters opposing
the proposed provision based their position on the practical
difficulties precluding a strict prohibition on conflicts of interest,
arguing that sometimes no effective alternative policy or procedure
would be possible. In this regard, one of the supporting commenters
requested that the proposed provision itself require reasonable
policies and procedures when actual separation of duties is not
possible, instead of stating this only in the preamble. Also, one of
the commenters opposing the provision stated that separation of duties
is not violated when one staff member conducts part of the
certification and also issues food instruments; for example, if one
staff member determines income eligibility and issues food instruments,
this should be deemed acceptable if another staff member determines
nutrition risk.
As previously noted, we have added language to the proposed
paragraph to permit effective alternative policies and procedures when
strict prohibition is not possible. This additional language provides
more explicit guidance than merely inserting the term ``reasonable.''
Also, we do not support the comment that there may be circumstances
where no effective alternative policy or procedure is possible. State
agencies should consult with the appropriate FNS Regional office and
with legal
[[Page 56712]]
counsel for advice on alternative approaches to deal with difficult
circumstances complicating strict compliance with the requirements
regarding conflicts of interest and separation of duties.
We agree with the comment indicating that separation of duties is
not violated if at least two WIC personnel are integral to the
certification of a participant. The reason for the separation of duties
concept is to ensure that one employee cannot both certify and issue
benefits. The commenter opposing the provision correctly pointed out
that this requirement is satisfied if two WIC employees are required to
perform certification determinations even though one of them also
issues food instruments, since the person issuing food instruments
could not complete the certification process alone. Therefore, we have
revised the proposed paragraph to require the State agency to prohibit
one employee from being solely responsible for determining the
eligibility of an applicant for all certification requirements and for
issuing food instruments to that participant, or to provide effective
alternative policies and procedures for situations when such
prohibition is not possible. Moreover, this revision also applies to
circumstances when an employee might be certifying herself or friends
and relatives because no other staff is available.
Accordingly, in this final rule, the proposed paragraph has been
added to Sec. 246.4(a), revised as noted above.
4. Participant and Employee Fraud and Abuse (Sec. 246.4(a))
Also in response to the GAO study on WIC fraud and abuse, the
Department proposed to require a description in the State Plan of the
State agency's plans for collecting and maintaining information on
cases of participant and employee fraud and abuse, including the nature
of the fraud detected and the associated dollar losses. As proposed,
this requirement would be added to Sec. 246.4(a).
Most of the commenters supported the proposed provision. In fact,
the GAO study reflected that 30 of the 51 WIC State agencies responding
to the GAO survey collected information on the number and
characteristics of participants who engage in fraud and abuse.
Commenters opposing the proposed provision stated that it was
unnecessary because participant and employee fraud is minimal; one
commenter stated that participant fraud and abuse should have declined
as a result of the WIC Certification Integrity Rule (65 FR 77245,
December 11, 2000), which requires applicants to provide proof of
income, residency and identity.
We do not support these positions. It is not possible to determine
the extent of potential fraud and abuse in the program when some State
agencies may not be collecting data on this matter. Moreover, the
documentation requirements of the Certification Integrity Rule are only
one part of our efforts to detect and prevent fraud and abuse. Such
requirements cannot be relied upon to prevent all fraud and abuse.
Further, the Certification Integrity Rule did not address employee
fraud and abuse.
Some commenters opposing the proposed provision also stated that
collecting information on participant and employee fraud and abuse
would be administratively burdensome. We recognize that such activity
will involve some administrative burden, but we do not believe that
collecting information on the nature and costs of participant and
employee fraud and abuse is unduly burdensome. As previously noted, a
majority of WIC State agencies are already collecting this data.
Moreover, as indicated by GAO, failure to collect such information may
send an unintentional message to agency officials and other
stakeholders that preventing and detecting participant/employee fraud
and abuse is a low priority, thus damaging the public's trust in the
WIC Program.
Some of the supportive commenters requested clarification on the
meaning of several terms, including ``participant fraud and abuse,''
``employee fraud and abuse,'' and ``dollar losses.'' Two of these terms
have already been defined in the regulations and further clarified in a
policy memorandum. Section 246.2 sets forth the definition of
``participant violation,'' which is the equivalent of ``participant
fraud and abuse.'' Regarding dollar losses, Sec. 246.23(c)(1)(i)
requires a claim for the full value of benefits that have been obtained
or disposed of improperly as the result of a participant violation. The
full value of such benefits would be either the total purchase price of
the food instruments involved or the total post-rebate food cost of the
benefits involved, and would not include the nutrition services and
administration (NSA) costs expended for the participant; see WIC Policy
Memorandum 2002-1, Revision 1, Clarification of WIC Food
Delivery Systems Final Rule Questions and Answers, June 10, 2003, page
M-1, Question 1. Finally, we agree that ``employee fraud and abuse''
should be defined in the regulations. Accordingly, in this final rule,
in Sec. 246.2, we have added a definition of this term, based on the
definition used in the GAO study.
Several supportive commenters raised other issues. Several
commenters indicated that the State agency should collect the
information on participant and employee fraud and abuse, instead of
making local agencies responsible for collecting and maintaining the
information. The preamble of the proposed rule indicated that this
provision would require only a description of the State agency's plans
for collecting this information.
Therefore, as set forth in the proposed rule, State agencies should
track this information in order to detect trends and to allocate its
investigative, audit, and technical assistance resources accordingly.
Also, such information does not always originate at the local agency
level, as when a State agency initiates an investigation based on an
anonymous tip provided to the State agency indicating fraudulent
activity involving a local agency. Therefore, a revision to the
provision, as suggested, is not necessary.
Finally, we note that several comments expressed concern that the
requirement for collecting information on participant and employee
fraud and abuse would ultimately become a requirement for State
agencies to report this information to FNS. The proposed rule did not
include a requirement to report such information to FNS, and neither
does this final rule. However, the aforementioned GAO study clearly
pointed towards such a reporting requirement, finding that the absence
of this data adversely impacts FNS' and State agencies' ability to
manage the program. As explained in the study, GAO decided not to
recommend such a reporting requirement because FNS had indicated that
it would work with State agencies and the National WIC Association
(NWA) to develop cost-effective strategies for reporting the data to
FNS. FNS and NWA are currently working to identify such a strategy.
5. Selection of Local Agencies (Sec. 246.5)
The Department proposed to remove the requirement in the current
Sec. 246.5(c)(1) and (d)(2) of the regulations for WIC State agencies
to fund new local agencies in areas based on the sequential order of
neediest areas listed in the Affirmative Action Plans that are part of
each State agency's Plan of Operation. This change was intended to
provide State agencies with the flexibility to select a local agency in
the neediest unserved area where practical circumstances permit, so
that, for example, a local agency may be selected in an unserved needy
area where a
[[Page 56713]]
health care infrastructure exists instead of a local agency in an area
with greater need but without a health care infrastructure.
The majority of the commenters supported the proposed provision.
However, a few commenters either opposed the proposed revision or
expressed reservations. The opposing commenters stated that areas with
the greatest need should continue to be the highest priority for
selection of new local agencies. One of the commenters recommended that
the provision specify that the selection of local agencies is
contingent on the availability of funds, and another commenter
recommended that the Affirmative Action Plan should be required until
WIC services have been made available equally throughout all areas of
the State.
It was not the intent of the proposed provision that State agencies
ignore the Affirmative Action Plan. The proposed rule would have
required the State agency to consider the Affirmative Action Plan, but
not be bound by it. The Department believes that the State agency is in
the best position to judge whether the practical circumstances should
supersede the Affirmative Action Plan when selecting a new local
agency. Also, it is not necessary to state in the regulations that
selection of a new local agency is subject to the availability of
funds. It is understood that the State agency is responsible for
ensuring the availability of funds and applying this factor in the
selection of local agencies.
Accordingly, as proposed, this final rule removes the requirement
in Sec. 246.5(c)(1) and (d)(2) of the regulations for WIC State
agencies to fund new local agencies in areas based on the sequential
order of neediest areas listed in the Affirmative Action Plans that are
part of each State agency's Plan of Operation.
6. Requesting Proof of Pregnancy, Checking Identification and Other
Basic Certification Procedures (Sec. 246.7(c))
The Department proposed to expand Sec. 246.7(c) to address several
basic certification procedures, along with the delineation of
eligibility criteria, in an effort to highlight the importance of
certain procedures, such as providing proof of residency and proof of
identity, and ensuring that applicants are not charged for
certification. To accomplish this, we proposed to move several
provisions and to add a provision. We proposed to move the provision
addressing proof of residency/proof of identity from Sec. 246.7(l)(2)
to Sec. 246.7(c)(2)(i), and to move the provision requiring program
certification without charge to the applicant from Sec. 246.7(m) to
Sec. 246.7(c)(4). We also proposed a new provision addressing
pregnancy tests.
Proof of Pregnancy
The Department proposed basic guidelines that State and local
agencies must observe if the State agency chose to require
documentation of pregnancy as part of the certification process. For
these reasons, we proposed to add a new paragraph (c)(2)(ii) stating
that State agencies may issue benefits to applicants who claim to be
pregnant (assuming that all other eligibility criteria are met) but
whose conditions (as pregnant) are not visibly noticeable and do not
have documented proof of pregnancy at the time of the certification
interview and determination. The State agency would then be allowed a
reasonable period of time, not to exceed 60 days, for the applicant to
provide the requested documentation. If such documentation was not
provided as requested, the local agency would then be justified in
terminating the woman's WIC participation during the certification
period.
The majority of commenters supported the proposed provision,
although some of these comments sought clarification on whether this
provision would be optional. Some of the supportive commenters also
recommended the provision apply only when fraud was suspected. Other
supportive commenters recommended visual observation by a professional
to confirm pregnancy instead of self-testing or testing by WIC. Also,
one commenter recommended 90 days for the participant to provide proof,
consistent with current WIC policy. Commenters opposing the proposed
provisions stated that requiring proof of pregnancy would be a barrier
to participation, potentially eroding prenatal care and leading to
lower birth weights.
As indicated in the preamble of the proposed rule, the Department
intends for proof of pregnancy to be a State option. Therefore, in
response to commenters' concerns, we have revised the proposed
paragraph to clarify this issue. State agencies concerned about proof
of pregnancy becoming a barrier to participation could choose not to
implement this option. Further, a State agency could choose to continue
to use visual observation of pregnancy, and require proof only when the
information is questionable and/or fraud is suspected.
The Department agrees with commenters who expressed concern about
the cost of pregnancy tests. Proof of pregnancy is not a mandatory
condition of eligibility for the WIC Program. As a result, the costs
associated with obtaining such documentation are not allowable WIC
nutrition services and administrative expenditures. Also, such costs
cannot be borne by the participant since Sec. 246.7(m) requires that
the certification procedure shall be performed at no cost to the
participant.
As noted above, some commenters recommended a 90-day timeframe for
the participant to provide documentation of pregnancy, consistent with
current WIC policy. This policy was issued in 1992. However, this
policy was superseded by legislation. Section 17(d)(3)(B) of the CNA
was added in 1994. The legislation specifies that an income-eligible
pregnant woman may be considered presumptively eligible to participate
in the WIC Program and may be certified immediately without an
evaluation of nutritional risk for a period up to 60 days. Since the
determination of nutrition risk requires knowledge of the participant's
categorical status, i.e., her pregnancy, proof of pregnancy must be
provided within 60 days after certification, assuming that the State
agency has opted to require such proof.
Therefore, the provisions as proposed pertaining to proof of
pregnancy remain unchanged in this final rule.
7. Determining Income Eligibility (Sec. 246.7(d))
The Department proposed several changes to this section of the
regulations, as discussed below.
A. Use of State or Local Income Health Care Guidelines to Determine
Income Eligibility for WIC
The first proposed revision, at paragraph (d)(2)(iii), would
require State agencies using State or local income guidelines for free
or reduced-price health care to base the income eligibility
determinations of WIC applicants on the income and family definition
and exclusions set forth in Sec. Sec. 246.7(d)(2)(ii), 246.2, and
246.7(d)(2)(iv), respectively. This change would continue to allow
variation among the State agencies only with regard to the actual
income guidelines used (i.e., the percent of gross income above the
Federal poverty income guidelines, up to a maximum of 185 percent), but
not with the definition of income, family, or exclusions from income.
This proposed revision would continue the WIC Program's current policy
of excluding from these requirements persons who are determined
adjunctively or automatically income eligible.
[[Page 56714]]
We proposed this change for two reasons. First, although Sec.
246.7(d)(1) permits use of State or local free or reduced-price health
care income guidelines, these guidelines cannot exceed 185 percent of
the Federal poverty income guidelines; in fact, all WIC State agencies
currently use 185 percent of the Federal poverty income guidelines.
Second, procedurally it would be simpler for local agencies to apply
the WIC income definition and exclusions outlined in the regulations to
all applicants rather than apply two sets of income guidelines and
family definitions and exclusions to ensure WIC eligibility
requirements are met.
The majority of commenters supported this revision, although one
supportive commenter suggested that the Department consider adopting
the definition of ``family'' used by the Federal Department of Health
and Human Services (HHS) to promote one-stop shopping. Similarly, one
of the few opposing commenters stated that the revision would force the
cessation of integrated applications for multiple programs because WIC
income determinations would no longer be able to use the income
definitions of other programs.
Use of the HHS definition of ``family'' could result in the
exclusion of income potentially being shared by household members such
as unrelated individuals who are living together. Such action would not
represent actual household circumstances with regard to income
eligibility. Further, by law, WIC income eligibility guidelines (185
percent of poverty) are those guidelines used for the National School
Lunch Program (NSLP). Therefore, the rules and policies used for the
NSLP are used for the WIC Program with regard to normal income
screening procedures, including definition of family. As a result, the
Department does not support this commenter's recommendation.
Accordingly, this final rule, in Sec. 246.7(d)(2)(iii) retains the
provisions as proposed.
B. Consideration of Loans as Income
The Department proposed to exclude short-term, unsecured loans from
the WIC income determination process. Program regulations have not
specifically addressed this issue; however, FNS Instruction 803-3, Rev.
1, WIC Program--Certification: Income Eligibility, dated April 1, 1988,
clarifies that funds from loans are not to be counted as income because
they are only temporarily available and must be repaid.
All of the commenters supported the revision. However, several
commenters requested guidance on the meaning of the term ``short-term,
unsecured,'' and guidance on the types of loans that would be excluded.
Accordingly, in Sec. 246.7(d)(2)(iv)(C) of this final rule, the
Department has decided to delete the term ``short-term, unsecured,''
and to delete the reference to the expectation that the loan will be
repaid in a reasonably short period of time since these phrases are
unnecessary. By definition, loans are only temporarily available and
must be repaid, so that inclusion of loans as income would be
inappropriate in the WIC income determination process. We have retained
the term ``constant and unlimited access,'' since this explains why a
loan would not constitute income. This is consistent with the term
``other cash income'' at Sec. 246.7(d)(2)(ii)(L), which refers to
resources which are easily accessible to the family.
8. Limitation on the Use of Possibility of Regression as a Nutrition
Risk Criterion (Sec. 246.7(e)(1)(vi))
As explained in the proposed rule, historically, program
regulations have permitted WIC participants to remain on the program
due to the possibility of regression, i.e., previously certified
participants who might regress in nutritional status if they are not
allowed to continue to receive WIC benefits. This has been allowed as a
nutrition risk criterion in order to prevent the revolving door
situation whereby the nutrition risk status of individuals improves as
a result of participation in the WIC Program and they are removed at
the conclusion of a certification period, only to deteriorate in
nutrition status at a later date, necessitating re-entry into the
program.
It has always been the Department's position that the possibility
of regression as a nutrition risk criterion should not be used
excessively because it could result in situations where individuals
with no current nutrition risk condition are served while eligible
applicants who have current, documented risks go unserved. Therefore,
in regulations, the Department confirmed the State agency's authority
to limit the number of times and circumstances under which a
participant may be certified for possible regression. Many State
agencies have adopted limitations.
In an effort to ensure that all State agencies target benefits to
those at greatest nutrition risk, the Department proposed to limit the
use of regression as a nutrition risk criterion to only one time
following a certification period. In other words, consecutive
certification periods based on regression would not be allowable. In
addition, as proposed, individuals who are certified based on the
possibility of regression would be placed in either the same priority
for which they were initially certified, or in Priority VII (for all
participants certified based on regression), if the State agency is
using that priority level.
The majority of commenters supported the proposed provisions. Those
commenters opposing the limitation on the use of regression stated that
WIC serves a vulnerable population that is food insecure, often
spending scarce dollars on food last, after other expenses. Therefore,
applicants denied certification due to lack of a nutrition risk would
be certified shortly thereafter with a nutrition risk that may not have
occurred had they remained on the program. Such commenters stated that
this result would conflict with WIC's preventive role. However, the
Department continues to believe that the repeated use of regression in
consecutive certification periods undermines the Department's efforts
to target benefits to those persons in greatest need and at greatest
nutrition risk.
Further, some commenters cited the Institute of Medicine (IOM)
report ``Dietary Risk Assessment in the WIC Program,'' March 2002, as
supporting their position that the proposed provision would conflict
with WIC's preventive role since some nutrition risks may require more
than one regression certification period to be resolved. One commenter
stated that the use of regression should not be limited since the IOM
findings indicate that the tools to assess dietary adequacy are not
valid.
The IOM report found that 96 percent of all individuals in the
United States and a higher percentage of low-income individuals fail to
consume the recommended number of daily servings specified by the
Dietary Guidelines for Americans, and that there is no scientifically
valid method to assess an individual's usual dietary intake. Concerning
WIC eligibility, the report recommended a presumption of nutrition risk
for all otherwise eligible women, and children 2 to 5 years old, based
on failure to meet dietary guidelines. The IOM report did not include
findings or recommendations specific to regression. The Department
believes that prohibiting consecutive certification periods based on
regression will not result in denying benefits to WIC applicants who
are at nutrition risk based on dietary inadequacy.
Several supporting commenters recommended certain revisions to the
[[Page 56715]]
proposal. One commenter stated that the provision should allow an
applicant to be certified for regression to a different priority, such
as children to Priority V who had previously been certified at Priority
III, consistent with Sec. 246.7(e)(4). Another commenter sought
clarification of the rule so that regression only applies to children
and breastfeeding women. Finally, one commenter requested that the
final rule clarify whether the provision to certify only once based on
regression can actually be used more than once for the same participant
as long as the occurrences are not consecutive.
The Department agrees with the suggestion that WIC agencies should
be permitted to assign an applicant to a different priority level for
regression other than the one used in the previous certification, or
Priority VII, as long as it is a lower priority than the priority level
assigned at the previous certification, consistent with Sec.
246.7(e)(4). It is important to recognize that a participant certified
for regression, without any currently-existing nutrition risk
condition, could be placed in a higher priority level than a
participant who has, for example, a dietary condition. In the event of
funding limitations, this could result in the certification of one
applicant based on regression while another applicant with an existing
nutrition risk condition is denied benefits. To avoid this consequence,
as we pointed out in the preamble of the proposed rule, the State
agency should consider assigning a lower priority level for
participants certified based on regression.
Accordingly, in Sec. 246.7(e)(1)(vi) of this final rule, in
addition to placing applicants certified based on regression in the
same priority category used at initial certification, or in Priority
VII, State agencies may also use another priority level lower than the
priority level for which they were assigned at the previous
certification, consistent with Sec. 246.7(e)(4).
We have also clarified in this final rule that applicants shall not
be certified for regression for consecutive certification periods.
Therefore, participants could be certified for regression more than
once during the time they actually participate in the program, as long
as they are not certified based on regression for consecutive
certification periods.
Based on commenters' concerns, the final rule also clarifies that
when certifying participants for regression and assigning a priority
category, the nutrition risk criterion of the participant during the
previous certification period must be appropriate for the category of
the participant for the subsequent certification. For instance, as
pointed out in the preamble of the proposed rule, a postpartum woman
should not be certified based on the possibility of regression to
hyperemesis gravidum (morning sickness), since this condition is unique
to pregnancy and cannot occur postpartum. As previously noted, a
supporting commenter requested a prohibition on the use of regression
as a nutrition risk criterion for pregnant women, infants and
postpartum non-breastfeeding women since only one certification period
is permitted for these categories. Actually, under the current Sec.
246.7(g), a State agency may provide a six-month certification period
for infants, but the commenter correctly indicates that certain
nutrition risk conditions cannot cross over from one category to
another.
9. Certification Periods (Sec. 246.7(g)(1))
In response to concerns cited by Congress, State agencies, and the
NWA, the Department proposed to modify the timeframes for certification
periods in order to make them more consistent across participant
categories. Section 246.7(g)(1) of the current regulations establishes
the following timeframes for certification:
------------------------------------------------------------------------
A/an: Is currently certified:
------------------------------------------------------------------------
Pregnant woman.................... For the duration of her pregnancy,
and up to six weeks after the
infant is born or the pregnancy is
ended.
Postpartum woman.................. Up to 6 months after the baby is
born or the pregnancy is ended
(postpartum).
Breastfeeding woman............... Every six months ending with the
infant's first birthday.
Infant............................ Approximately every six months. The
State agency may permit its local
agencies to certify infants under
six months of age for a period
extending up to the first birthday,
provided the quality and
accessibility of health care
services are not diminished.
Child............................. Approximately every six months
ending with the last day of the
month in which a child reaches his/
her fifth birthday.
------------------------------------------------------------------------
Some State agencies expressed concern that the current timeframes
for establishing certification periods are complicated and
administratively burdensome, requiring the frequent proration of
monthly food benefits and special data processing capabilities to
accommodate specific cut-off dates. Also, NWA expressed concern about
the lack of consistency in current certification period timeframes. In
response, the Department proposed to allow certification periods for
all participant categories to be extended to the end of the month.
Specifically, the following maximum certification periods were proposed
in Sec. 246.7(g)(1):
------------------------------------------------------------------------
A/an: Will be certified:
------------------------------------------------------------------------
Pregnant woman.................... For the duration of her pregnancy,
and up to the last day of the month
in which the infant becomes six
weeks old. (For example, if the
infant is born June 4, six weeks
after birth would be July 16, and
certification would end July 31).
Postpartum woman.................. Up to the last day of the sixth
month after the baby is born or the
pregnancy ends (postpartum).
Breastfeeding woman............... Approximately every six months
ending with the last day of the
month in which the infant turns 1
year old.
Infant............................ Approximately every six months. The
State agency may permit its local
agencies to certify infants under
six months of age up to the last
day of the month in which the
infant turns 1 year old, provided
the quality and accessibility of
health care services are not
diminished.
Child............................. Approximately every six months
ending with the last day of the
month in which a child reaches his/
her fifth birthday. (No change from
current regulations).
------------------------------------------------------------------------
[[Page 56716]]
Commenters overwhelmingly supported the proposed changes to the
certification period. However, many of the supporters requested further
revision of the certification period requirements to extend the current
six-month certification periods for breastfeeding women to coincide
with the option to certify breastfed infants up to the infant's 1st
birthday, or until the women cease breastfeeding, whichever occurs
first, and to establish 12-month certification periods for children.
Subsequent to publication of the proposed rule and receipt of
comments, the certification period for breastfeeding women was
addressed in Congress in Public Law 108-265, the Child Nutrition and
WIC Reauthorization Act of 2004, enacted on June 30, 2004. Section
203(b)(1) of that Act amended section 17(d)(3) of the CNA to allow
State agencies the option to certify a breastfeeding woman for up to
one year postpartum, or until the woman stops breastfeeding, whichever
occurs first. This provision became effective on October 1, 2004. FNS
notified State agencies of the effective date of this provision on
August 5, 2004. Consequently, there is no need to address the comments
on the proposed rule concerning the certification period for
breastfeeding women. Instead, we are using this final rule to revise
Sec. 246.7(g)(1)(iii) to codify the option set forth in legislation on
the certification period for breastfeeding women.
However, we do not support the recommendation of some commenters to
change the certification period for children from every 6 months to
every 12 months. The current six-month certification period increases
the likelihood that the child will receive a health assessment and that
nutrition education or other nutrition intervention will be provided to
the parent/caretaker. Assessing a child's nutritional and health status
at six-month intervals is also consistent with the WIC Program's
emphasis on preventing childhood obesity.
One commenter who opposed the proposed changes to the certification
periods indicated that costly changes would be needed to an automated
system that defaults to the 30th day even if a month ends on the 31st
day. Another commenter who opposed the changes expressed concern about
the need for partial food packages if the proposed rule would require
that food packages could only be issued to the end of the month.
Likewise, one commenter who supported the changes requested
clarification on the implications of the proposed rule if the
certification period ends on the first day of a month.
As noted in the preamble of the proposed rule and intended by this
final rule, these new provisions would not remove the authority of
State agencies to maintain current certification period lengths or to
permit local agencies to shorten certification periods on a case-by-
case basis. For example, some State agencies that certify all infants
every six months, may choose to continue certifying breastfeeding women
every six months and not implement the option to extend certification
periods up to the end of the month in which infants turn one year old.
Further, proration of program benefits continues to be an effective
means of targeting benefits and managing program costs. Also, the final
rule does not abridge the discretion of State agencies to maintain
current certification periods or to prorate benefits in order to
accommodate automated systems, although enhancement of such systems may
be a more effective strategy to address certification periods. As
indicated previously, State agencies are encouraged to contact the
appropriate FNS regional office to identify potential sources of funds
for this purpose in addition to the administrative funds provided as
part of the WIC grant.
Accordingly, this final rule provides for the following
certification periods in Sec. 246.7(g)(1):
--------------