Special Supplemental Nutrition Program for Women, Infants and Children (WIC): Vendor Cost Containment, 51745-51759 [E9-24143]
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Federal Register / Vol. 74, No. 194 / Thursday October 8, 2009 / Rules and Regulations
§ 2424.22
[Amended]
15. Amend section 2424.22 as follows:
a. In paragraph (b)(3), add ‘‘and’’ after
the semi-colon;
■ b. In paragraph (b)(4), remove the
semi-colon and the word ‘‘and’’ from
the end of the paragraph and add a
period in their place; and
■ c. Remove paragraph (b)(5).
■
■
§ 2424.24
[Amended]
16. Amend section 2424.24 as follows:
a. In paragraph (c)(3), add the word
‘‘and’’ after the semi-colon;
■ b. In paragraph (c)(4), remove the
semi-colon and the word ‘‘and’’ from
the end of the paragraph and add a
period in their place; and
■ c. Remove paragraph (c)(5).
■
■
§ 2424.25
[Amended]
17. Amend section 2424.25 by
removing paragraph (c)(3).
■
§ 2424.26
[Amended]
18. Amend section 2424.26 as follows:
a. Add the word ‘‘and’’ after the semicolon at the end of paragraph (c)(1)(iv);
■ b. In paragraph (c)(2), remove the
semi-colon and the word ‘‘and’’ from
the end of the paragraph and add a
period in their place; and
■ c. Remove paragraph (c)(3).
■
■
PART 2429—MISCELLANEOUS AND
GENERAL REQUIREMENTS
19. The authority cited for part 2429
continues to read as follows:
Authority: 5 U.S.C. 7134; § 2429.18 also
issued under 28 U.S.C. 2112(a).
20. Section 2429.21 is amended by
revising paragraph (b) to read as follows:
■
Computation of time for filing
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(b) Except when filing an unfair labor
practice charge pursuant to part 2423 of
this subchapter, a representation
petition pursuant to part 2422 of this
subchapter, and a request for an
extension of time pursuant to
§ 2429.23(a) of this part, when this
subchapter requires the filing of any
paper with the Authority, the General
Counsel, a Regional Director, or an
Administrative Law Judge, the date of
filing shall be determined by the date of
mailing indicated by the postmark date
or the date a facsimile is transmitted. If
no postmark date is evident on the
mailing, it shall be presumed to have
been mailed 5 days prior to receipt. If
the date of facsimile transmission is
unclear, the date of transmission shall
be the date the facsimile transmission is
received. If the filing is by personal
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§ 2429.22 Additional time after service by
mail or commercial delivery.
Except as to the filing of an
application for review of a Regional
Director’s Decision and Order under
§ 2422.31 of this subchapter, whenever
a party has the right or is required to do
some act pursuant to this subchapter
within a prescribed period after service
of a notice or other paper upon such
party, and the notice or paper is served
on such party by mail or commercial
delivery, 5 days shall be added to the
proscribed period: Provided, however,
that 5 days shall not be added in any
instance where an extension of time has
been granted.
■ 22. Section 2429.25 is revised to read
as follows:
§ 2429.25
size.
■
§ 2429.21
papers.
delivery, it shall be considered filed on
the date it is received by the Authority
or the officer or agent designated to
receive such materials. If the filing is
deposited with a commercial delivery
service that will provide a record
showing the date the document was
tendered to the delivery service, it shall
be considered filed on the date when
the matter served is deposited with the
commercial delivery service.
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■ 21. Section 2429.22 is revised to read
as follows:
Number of copies and paper
Unless otherwise provided by the
Authority or the General Counsel, or
their designated representatives, as
appropriate, or under this subchapter,
and with the exception of any
prescribed forms, any document or
paper filed with the Authority, General
Counsel, Administrative Law Judge,
Regional Director, or Hearing Officer, as
appropriate, under this subchapter,
together with any enclosure filed
therewith, shall be submitted on 8c by
11 inch size paper, using normal
margins and font sizes. The original and
four (4) legible copies of each document
or paper must be submitted. Where
facsimile filing is permitted pursuant to
§ 2429.24(e), one (1) legible copy,
capable of reproduction, shall be
sufficient. A clean copy capable of being
used as an original for purposes such as
further reproduction may be substituted
for the original.
■ 23. Section 2429.27 is amended by
revising paragraph (d) to read as
follows:
§ 2429.27
Service; statement of service.
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(d) The date of service or date served
shall be the day when the matter served
is deposited in the U.S. mail, delivered
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in person, deposited with a commercial
delivery service that will provide a
record showing the date the document
was tendered to the delivery service or,
in the case of facsimile transmissions,
the date transmitted.
■ 24. Add § 2429.29 to subpart B to read
as follows:
§ 2429.29
Content of filings.
Any document that a party files in a
proceeding covered by this subchapter
that is before the Authority or the Office
of Administrative Law Judges must
include a table of contents if the
document exceeds 10 double-spaced
pages in length.
Dated: September 25, 2009.
Carol Waller Pope,
Chairman.
[FR Doc. E9–23552 Filed 10–7–09; 8:45 am]
BILLING CODE 6727–01–P
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Part 246
[FNS–2009–0001]
RIN 0584–AD71
Special Supplemental Nutrition
Program for Women, Infants and
Children (WIC): Vendor Cost
Containment
AGENCY: Food and Nutrition Service,
USDA.
ACTION: Final rule.
SUMMARY: This final rule adopts, with
changes, an interim rule published on
November 29, 2005 amending the WIC
regulations. The final rule incorporates
into program regulations new legislative
requirements for vendor cost
containment that affect the selection,
authorization, and reimbursement of
retail vendors. These requirements are
contained in the Child Nutrition and
WIC Reauthorization Act of 2004,
enacted on June 30, 2004. The final rule
reflects the statutory provisions that
require State agencies to implement a
vendor peer group system, competitive
price criteria, and allowable
reimbursement levels in a manner that
ensures the WIC Program pays
authorized vendors competitive prices
for supplemental foods. It also requires
State agencies to ensure vendors that
derive more than 50 percent of their
annual food sales revenue from WIC
food instruments (‘‘above-50-percent
vendors’’) do not cause higher food
costs for the program than do other
vendors (‘‘regular vendors’’). The intent
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of these provisions is to maximize the
number of eligible women, infants, and
children served with available Federal
funding.
DATES: Effective Date: This rule is
effective November 9, 2009.
FOR FURTHER INFORMATION CONTACT:
Debra 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 in
conformance with Executive Order
12866.
Regulatory Impact Analysis Summary
As required for all rules designated as
Significant by the Office of Management
and Budget, a Regulatory Impact
Analysis was developed for the WIC
Vendor Cost Containment Final Rule. A
complete copy of the Impact Analysis is
available by contacting the person
indicated in the FOR FURTHER
INFORMATION CONTACT section of this
Preamble.
Need for Action
This action is needed to implement
the vendor cost containment provisions
of the Child Nutrition and WIC
Reauthorization Act of 2004, Public Law
108–265, which amended the Child
Nutrition Act (CNA). The rule requires
WIC State agencies to operate vendor
management systems that effectively
contain food costs by ensuring that
prices paid for supplemental foods are
competitive. The rule also responds to
data which indicate that WIC food
expenditures increasingly include
payments to above-50-percent vendors
whose prices are not governed by the
market forces that affect most retail
grocers. As a result, the prices charged
by these vendors tend to be higher than
those of other retail grocery stores
participating in the program. To ensure
the program pays competitive prices,
this rule confirms the codification of the
new statutory requirements in the
interim rule for State agencies to use in
evaluating vendor applicants’ prices
during the vendor selection process and
when paying vendors for supplemental
foods following authorization, with a
few exceptions. However, in response to
comments, the interim rule’s
requirement for weighting food
instruments in quarterly cost neutrality
assessments has been made optional in
§ 246.12(g)(4)(i)(D) of this final rule.
Also, the requirement for recouping
excess payments or terminating vendor
agreements based on food instruments
which had exceeded cost neutrality
levels calculated during quarterly cost
neutrality assessments, but were
submitted for redemption within the
maximum allowable reimbursement
levels in effect at the time of
redemption, has been removed from
§ 246.12(g)(4)(i)(D). Further, the final
rule includes one new requirement
based on the comments received; a
sentence has been added to
§ 246.12(g)(4) stating the State agency
must inform all vendors of the criteria
for peer groups, and must inform each
individual vendor of its peer group
assignment. This one new requirement
is not expected to increase the
administrative burden of State agencies
since State agencies are already doing
this, as indicated during the processing
of the certification and exemption
requests.
While the Child Nutrition and WIC
Reauthorization Act mandates that State
agencies establish peer groups,
competitive price criteria and allowable
reimbursement levels, and states that
these requirements must result in the
outcome of paying above-50-percent
vendors no more than regular vendors,
the Act does not specify particular
criteria for peer groups or acceptable
methods of setting competitive price
criteria and allowable reimbursement
levels. The Food and Nutrition Service
(FNS) considered using the interim rule
to mandate specific means of
developing peer groups, competitive
price criteria and allowable
reimbursement levels in order to ensure
the outcome of this legislation was
achieved. However, given the
responsibility of the State agencies to
manage WIC as a discretionary grant
program, the varying retail food market
conditions in each State, and the wide
variations in current vendor cost
containment systems operated by State
agencies, the interim rule provided State
agencies with flexibility to develop their
own peer groups, competitive price
criteria and allowable reimbursement
levels.
The State agency vendor cost
containment plans and exemption
requests approved by FNS following the
implementation of the interim rule
reflected considerable diversity in peer
group criteria, competitive price criteria,
and allowable reimbursement levels.
Paragraph 246.12(g)(4)(vi) of the interim
rule required State agencies which
authorized above-50-percent vendors to
obtain certification for their vendor cost
containment systems from FNS. Also,
State agencies could seek an exemption
from the requirement to establish peer
groups under § 246.12(g)(4)(v), from the
requirements for a geographic peer
group criterion, or for the use of more
than one peer group criterion under
§ 246.12(g)(4)(ii)(A). The peer group
requirements applied to all State
agencies, regardless of whether above50-percent vendors were authorized.
These vendor cost containment
certification submissions and requests
for exemption provided the data needed
to determine whether State agency
vendor cost containment systems
actually reflected the flexibility
intended by the interim rule. The
following chart summarizes this data
from the vendor cost containment plans
submitted by the 32 State agencies
which sought certification from FNS:
Number of State
agencies using the
peer group criteria/
reimbursement
policy
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Peer group criteria/reimbursement policy
Geography/Population Density ....................................................................................................................................................
Number of Cash Registers ..........................................................................................................................................................
Type of Ownership (e.g., Sole Proprietorship, Corporate) ..........................................................................................................
Size (e.g., Square Footage) ........................................................................................................................................................
Type of Store (e.g., Small Neighborhood Store, Chain) .............................................................................................................
WIC Sales Volume ......................................................................................................................................................................
Separate Peer Groups for Supercenter Stores or Commissaries ..............................................................................................
Separate Peer Groups for Above-50-Percent Vendors; Paid Statewide Average .....................................................................
Above-50-Percent Vendors in Same Peer Groups with Regular Vendors; Paid Statewide Average ........................................
Above-50-Percent Vendors in Same Peer Groups with Regular Vendors; Paid Peer Group Average .....................................
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Further, FNS granted exemptions
from the peer group requirements in
entirety to 28 State agencies which did
not authorize above-50-percent vendors.
In addition, FNS granted exemptions
from the requirement for a geographic
peer group criterion to all 10 State
agencies which had requested such
exemptions. Finally, FNS granted
exemptions from the requirement to use
more than one peer group criterion to
both State agencies which had requested
such exemptions; for both of these State
agencies, the geographic peer group
criterion is the only peer group
criterion.
Thus, the interim rule gave State
agencies flexibility to design cost
containment practices that would be
effective in their own markets and
would ensure adequate participant
access. The final rule maintains this
flexibility, while continuing to ensure
that above-50-percent vendors do not
result in higher costs to the program
than regular vendors as required by the
CNA.
Benefits
The WIC Program will benefit from
the provisions of this rule by reducing
unnecessary food expenditures, thereby
increasing the potential to serve more
eligible women, infants, and children
for the same cost. The rule should
ensure that payments to vendors reflect
competitive prices for WIC foods,
particularly regarding above-50-percent
vendors. Previously, the WIC Program
paid above-50-percent vendors more for
supplemental foods than it paid other
authorized vendors. Under the interim
rule, State agencies that chose to
authorize these vendors needed to
demonstrate in their certification
requests that payments to such vendors
would not be higher on average per food
instrument than payments to
comparable vendors.
FNS conservatively estimated that
implementation of the interim rule
would result in a cost savings of
approximately $75 million annually, as
discussed in the Regulatory Impact
Analysis for the interim rule. As
previously noted, one State agency has
already reported that it has been able to
serve more than 40,000 additional
participants because of the savings
resulting from implementation of the
interim rule. However, due to other
factors which impact on food costs,
such as inflation in commodity prices,
it is not possible to confirm with
absolute certainty that food costs for the
Program have declined because of the
interim rule. Even so, FNS stands by its
estimate of savings since it was based on
a comparison of regular vendor prices
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and above-50-percent vendor prices
before the interim rule, when the prices
of above-50-percent vendors were
usually higher than the prices of regular
vendors.
Costs
In order to comply with the interim
rule, State agencies needed to make onetime changes in their vendor cost
containment systems. Some State
agencies were already in full or partial
compliance with the rule, while others
needed to demonstrate that they met the
conditions for an exemption from all or
some of the vendor peer group system
requirements. As indicated by the State
agency comments on the interim rule,
many State agencies, particularly those
that chose to authorize above-50-percent
vendors, incurred additional costs and
administrative burdens to achieve
compliance with its provisions.
Of the eleven WIC State agencies
which submitted comments on the
interim rule, nine addressed the
administrative burden resulting from
implementation of the interim rule. All
nine of these State agencies stated that
implementation of the interim rule had
required a substantial increase in the
administrative burden, citing particular
requirements of the interim rule,
including the requirements to weight
food instrument redemption amounts in
cost neutrality assessments; collect food
prices from vendors at least every six
months following authorization;
document the above-50-percent vendor
status for all vendors; document the
above-50-percent vendor status for
pharmacies; and to conduct quarterly
cost neutrality assessments for State
agencies which do not have automated
systems for performing statistical
analyses. The requirement in the
interim rule for weighting food
instrument redemption amounts for cost
neutrality assessments has been made
optional in this final rule, and
requirement for collecting food prices
from vendors at least every six months
following authorization have been
modified in this final rule to provide for
exemptions.
Also, FNS has provided State agencies
with methodologies for reducing the
administrative burden of identifying
above-50-percent vendors and of the
quarterly cost neutrality assessments.
Over ninety percent of WIC vendors are
also authorized by the Supplemental
Nutrition Assistance Program (SNAP,
formerly the Food Stamp Program). To
assist the State agencies, FNS
established a process for comparing WIC
redemptions to SNAP redemptions; this
process established that about 88
percent of authorized WIC vendors had
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greater SNAP redemptions than WIC
redemptions. As a result, there was no
need to obtain further documentation
from these vendors, such as tax returns
or other verifiable documentation, to
establish whether more than 50 percent
of a vendor’s food sales were derived
from WIC purchases. Further, the State
agency workload for this redemption
comparison process is negligible
because FNS maintains the fully
automated reporting process which
matches the redemption data
maintained by the WIC The Integrity
Profile (TIP) and the SNAP Store
Tracking and Redemption System
(STARS) systems.
One State agency commented that this
process should not use annualized WIC
redemption data for a new WIC vendor
because this may erroneously indicate
that this vendor is an above-50-percent
vendor, resulting in the restriction of
payments to this vendor at the
maximum allowable redemption levels
permitted for above-50-percent vendors.
However, the WIC–SNAP redemption
match cannot result in a determination
that a vendor is an above-50-percent
vendor because this match does not
include eligible food sales made with
cash, credit cards, personal checks, etc.
Instead, this process has one of two
results: Either the vendor is not an
above-50-percent vendor, or the vendor
is potentially an above-50-percent
vendor. If a vendor is designated as a
potential above-50-percent vendor, the
State agency needs to obtain further
documentation before determining
whether the vendor is in fact an above50-percent vendor. Also, as discussed
more fully below in the Background
section of this preamble, the State
agency must ask all vendor applicants
whether they expect to become above50-percent vendors, and, if not, the
vendor must provide supporting
documentation to the State agency.
Regulatory Flexibility Act
This rule has been reviewed with
regard to the requirements of the
Regulatory Flexibility Act (5 U.S.C.
601–612). Although not required by the
Act, the Food, Nutrition, and Consumer
Services hereby certifies that this rule
will not have a significant economic
impact on a substantial number of small
entities. The provisions implemented
through this rulemaking apply to all
State agencies administering the WIC
Program, regardless of size. Further, as
pointed out above, several provisions of
this rule provide considerable flexibility
to WIC State agencies regarding the
manner of implementing its
requirements, rather than new
prescriptive requirements for the
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operation and administration of the
Program.
Public Law 104–4
Title II of the Unfunded Mandates
Reform Act of 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,
FNS generally must prepare a written
statement, including a cost benefit
analysis, for proposed and final rules
with ‘‘Federal mandates’’ that may
result in expenditures by State, local or
tribal governments, in the aggregate, or
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
FNS to identify and consider a
reasonable number of regulatory
alternatives and adopt the most costeffective or least burdensome alternative
that achieves the objectives of the rule.
This final rule contains no Federal
mandates (under the provisions of Title
II of the UMRA) for State, local and
tribal governments or the private sector
of $100 million or more in any one year.
Thus, the rule is not subject to the
requirements of sections 202 and 205 of
the UMRA.
Executive Order 12372
WIC is listed in the Catalog of Federal
Domestic Assistance under 10.557. For
the reasons set forth in 7 CFR 3015,
Subpart V and related Notice (48 FR
29115), this program is included in the
scope of Executive Order 12372, which
requires intergovernmental consultation
with State and local officials.
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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 following
three categories called for under section
(6)(b)(2)(B) of Executive Order 13132.
Prior Consultation With State Officials
State agencies have expressed
concerns and shared information
regarding implementation of the interim
rule. Because the WIC Program is a
State-administered, federally funded
program, FNS regional offices have
formal and informal discussions with
State agencies on an ongoing basis
regarding program implementation and
policy issues. This arrangement allows
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State agencies to raise questions and
provide comments that form the basis
for many of the implementation detail
decisions in this and other WIC Program
rules. Prior to the implementation of the
interim rule, several regional offices
convened meetings with State WIC staff
that included discussion of the vendor
cost containment provisions of this law.
In addition, in October 2004, FNS’
Supplemental Food Programs Division
convened a meeting of WIC State agency
representatives, USDA headquarters and
regional office staff, and an outside
expert on competitive pricing systems,
to obtain more information on State
agencies’ current vendor cost
containment systems. During the
implementation of the interim rule, FNS
further clarified the meaning of the cost
containment provisions in response to
numerous issues raised by the
certification and exemption requests
submitted by State agencies. These
questions and informal comments
received on the interim rule have
assisted FNS in making the final rule
responsive to State agency concerns.
Nature of Concerns and the Need To
Issue This Rule
The comments of most of the State
agencies on the interim rule reflected
concerns about FNS interpretations of
Public Law 108–265, the extent of the
flexibility provided to the State agencies
by the interim rule, and the
administrative burden of implementing
the interim rule. These concerns
focused on several of the interim rule’s
requirements, including: above-50percent vendors may not be paid more
on average per food instrument type
than regular vendors; food instrument
redemption amounts must be weighted
in cost neutrality assessments; food
prices must be collected from vendors at
least every six months following
authorization; and verifiable
documentation must be used to identify
above-50-percent vendors.
Extent to Which Those Concerns Have
Been Met
As discussed more fully below in the
Background section of this preamble,
most of the provisions of the interim
rule reflected the explicit requirements
of Public Law 108–265 and thus cannot
be eliminated or altered. However, as
also discussed below, some provisions
of the interim rule which were not
based on the explicit requirements of
Public Law 108–265 have been modified
in this final rule. Also, several of these
modified provisions had been viewed as
administratively burdensome in the
comments of State agencies, including
the weighting of food redemption
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amounts in cost neutrality calculations,
which has been made optional in the
final rule, and the collection of food
prices from vendors every six months
following authorization, from which a
State agency may be exempted under
the final rule but not under the interim
rule. Additionally, as discussed more
fully in the Regulatory Impact Analysis
section of this preamble, FNS has also
reduced the administrative burden by
developing a methodology which has
eliminated the need to obtain
documentation from approximately 88
percent of authorized vendors regarding
whether they are above-50-percent
vendors. Finally, this final rule
continues the considerable flexibility
provided by the interim rule for the
manner of State agency implementation,
in particular the broad range of peer
group criteria available to State agencies
as noted above in the Regulatory Impact
Analysis section of this preamble.
Indeed, the peer group exemption
process of the interim rule is continued
in the final rule so State agencies may
request exemptions from some or all of
the peer group requirements; 40 State
agencies were granted such exemptions
under the interim rule.
Executive Order 12988
This final rule has been reviewed
under Executive Order 12988, Civil
Justice Reform, and is intended to have
preemptive effect with respect to any
State or local laws, regulations or
policies which conflict with its
provisions, or otherwise impede its full
implementation. This final rule is not
intended to have retroactive effect
unless so specified in the DATES
paragraph of this preamble. Prior to any
judicial challenge to the provisions of
this rule or the application of its
provisions, all applicable administrative
procedures must be exhausted.
Civil Rights Impact Analysis
FNS has reviewed this final rule in
accordance with Departmental
Regulation 4300–4, ‘‘Civil Rights Impact
Analysis,’’ to identify and address any
major civil rights impacts the final rule
might have on minorities, women, and
persons with disabilities. FNS has
determined that this final rule’s intent
and provisions will not adversely affect
access to WIC services by eligible
persons. 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 government agencies
that administer the WIC Program from
engaging in actions that discriminate
based on race, color, national origin,
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sex, age or disability. Section 246.8 of
the WIC regulations (7 CFR part 246)
indicates that Department of Agriculture
regulations on non-discrimination (7
CFR parts 15, 15a and 15b) and FNS
instructions ensure that no person shall
on the grounds of race, color, national
origin, age, sex, or disability, be
excluded from participation in, be
denied benefits of, or be otherwise
subjected to discrimination under the
Program.
Discrimination in any aspect of
program administration is prohibited by
Department of Agriculture regulations
on non-discrimination (7 CFR parts 15,
15a, and 15b), the Age Discrimination
Act of 1975 (Pub. L. 94–135), the
Rehabilitation Act of 1973 (Pub. L. 93–
112, section 504), and title VI of the
Civil Rights Act of 1964 (42 U.S.C.
2000d). Enforcement action may be
brought under any applicable Federal
law. Title VI complaints shall be
processed in accordance with 7 CFR
part 15. Where State agencies have
options, and they choose to implement
a particular provision, they must
implement it in such a way that it
complies with § 246.8 of the WIC
regulations.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995
(44 U.S.C. Chap. 35; see 5 CFR 1320)
requires the Office of Management and
Budget (OMB) approve all collections of
information by a Federal agency 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. Some of the information
collections in this final rule have been
previously approved under OMB No.
0584–0043, based on the information
reporting requirements outlined in the
interim rule WIC Vendor Cost
Containment Interim Rule, published on
November 29, 2005 at 70 FR 71708. The
information collection for this final rule
has been submitted to OMB with
revisions based on comments and new
information, as discussed below.
The preamble of the interim rule
separated the reporting burden of that
rule into three parts. The first part,
listed under § 246.4(a)(14)(xv),
included: The description of the vendor
cost containment system (peer groups,
maximum allowable reimbursement
levels, average redemption amounts for
selected food instruments) in the State
Plan, which is an annual requirement;
State agency notification to FNS
concerning non-profit above-50-percent
vendors exempted by the State agency
from cost containment requirements,
which could occur at any time; request
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for exemption from vendor peer group
requirements, which must be reapproved triennially; information
required for FNS for certification of the
State agency’s vendor cost containment
system, which must be re-approved
triennially; and, detailed assurances
concerning the implementation of the
commitments made under existing
certifications, which must be provided
annually in the State Plan. The second
part, listed under § 246.12(g)(4)(i),
concerns the identification of above-50percent vendors. The third part, listed
under § 246.12(g)(4)(ii)(B), concerns the
collecting of vendor food prices every
six months following authorization of
the vendor.
Comments
As noted in the Regulatory Impact
Analysis Summary of this preamble,
nine commenters, all of them State
agencies, addressed the administrative
burden of the interim rule. However,
only two of these State agencies
suggested different burden hours than
set forth in the interim rule. One of
these State agencies stated that at least
one-half of a staff position would be
needed to manage ongoing reporting
activities, without indicating how this
staff time would be distributed between
the different reporting burdens set forth
in the preamble of the interim rule,
including the burdens which have been
modified in this final rule. Similarly,
the other State agency stated that eight
new staff had been requested to address
the new administrative needs resulting
from the interim rule, including all of
the reporting burdens, but also to
address the administrative needs
unrelated to vendor cost containment—
the State agency’s emerging Electronic
Benefits Transfer (EBT) system.
Although lacking in specificity, these
comments indicate that FNS may have
underestimated the reporting burden
hours.
The Regulatory Impact Analysis
Summary of this preamble also
discusses the other comments on the
administrative burden and how the final
rule reflects accommodations intended
to reduce those burdens. All nine of
these State agencies stated that
implementation of the interim rule had
required a substantial increase in the
administrative burden, citing particular
requirements of the interim rule,
including the requirements to weight
food instrument redemption amounts in
cost neutrality assessments; collect food
prices from vendors at least every six
months following authorization;
document the above-50-percent vendor
status for all vendors; document the
above-50-percent vendor status for
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51749
pharmacies; and to conduct quarterly
cost neutrality assessments for State
agencies which do not have automated
systems for performing statistical
analyses. The information collection
burden hours have also been adjusted
due to these comments, as discussed
below.
Collections Added by the Final Rule
Unlike the interim rule, this final rule
includes a provision which permits
State agencies to seek approval of their
methodologies for excluding partiallyredeemed food instruments from the
required quarterly cost-neutrality
assessments. The commenters who
stated that such food instruments
should be excluded from the cost
neutrality assessments included two
State agencies. Paragraph
246.4(a)(14)(xv) requires State agencies
include information in their State Plan
submissions to FNS demonstrating
compliance with the cost containment
provisions of § 246.12(g)(4), which
includes the quarterly cost neutrality
assessment requirement of
§ 246.12(g)(4)(i)(D). Thus a State agency
would need FNS approval of a State
Plan amendment setting forth a
methodology for excluding partiallyredeemed food instruments. This is one
of the reasons why the information
burden hourly rate for the State Plan
submissions under the interim rule has
been doubled under this final rule.
Burden hours have been added in the
final rule to account for an exemption
process which, unlike the interim rule,
would permit State agencies to seek
exemptions from the requirement set
forth in § 246.12(g)(4)(ii)(B) for biannual
collection of vendor shelf prices. FNS
estimates that 15 State agencies will
seek such exemptions at the same rate
of 16 hours per response used in
connection with the request for
exemption from the peer group
requirement under § 246.4(a)(14)(xv),
resulting in 240 burden hours (15 × 16
= 240). This change in the burden hours
based on the addition of an exemption
process under § 246.12(g)(4)(ii)(B) is the
only change of burden hours due to
program changes. All of the other
changes in burden hours are considered
to be adjustments.
The burden hours per response set
forth in connection with
§ 246.12(g)(4)(ii)(B) of the interim rule
for the collection of vendor food prices
every six months following
authorization has been increased in this
final rule from one to two hours for both
State agencies and vendors in
recognition of the aforementioned
comments. Although this provision has
been modified in the final rule to
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provide for exemptions, the overall
result is a net increase of 223,154
burden hours for the biannual shelf
price collection process. (The final rule
allots 313,332 burden hours for the
collection of shelf prices by the State
agencies and vendors combined, while
the interim rule allotted 90,178 hours
for this.) Such exemptions could be
based on numerous different reasons. As
indicated in the Regulatory Impact
Analysis, 67 percent of the State
agencies are in compliance with the
price collection requirement. Thus the
exemptions would involve some
proportion of the other 33 percent of the
90 State agencies (30 State agencies).
FNS estimates that as many as one half
of these State agencies may be granted
exemptions, i.e., 15 State agencies. (See
section 4 of the Background part of this
preamble for more information on this
exemption process.) Thus the chart
below shows that 75 State agencies will
need to collect vendor shelf prices
biannually under § 246.12(g)(4)(ii)(B),
about 83.3 percent of the State agencies,
and that about 83.3 percent of the
vendors—39,167 vendors—will need to
cooperate with this price collection
process. As a result, the chart also
shows that each of the 75 State agencies
will need to collect prices from 1,044
vendors on average twice per year, i.e.,
(39,167 ÷ 75 = 546.5) × 2 = 1,044.
Unlike the interim rule, § 246.12(g)(4)
of this final rule states that the State
agency must inform all vendors of the
criteria for peer groups and each
individual vendor of its peer group
assignment. State agencies have been
advising vendors of their peer group
assignments and the peer group criteria,
but, for added assurance, a sentence has
been added to § 246.12(g)(4) in this final
rule to state that the State agency must
inform all vendors of the criteria for
peer groups and each individual vendor
of its peer group assignment. Thus this
new requirement set forth in
§ 246.12(g)(4) would not result in any
new information collection burden
hours.
srobinson on DSKHWCL6B1PROD with RULES
Reducing the Collections
As noted in the Regulatory Impact
Analysis section of this preamble, four
State agencies commented that the
interim rule’s requirement for weighting
food instrument redemption amounts
made the cost neutrality assessment
process more burdensome. In response,
FNS has eliminated the requirement for
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weighting food instrument redemption
amounts in the cost neutrality
assessment process. Also, FNS expects
certification requests, exemption
requests, and State Plan submissions in
the future will only involve
amendments and/or updating
information for most State agencies.
Numbers of Certifications and
Exemptions
The previous estimates of 65 State
agencies seeking certification and 30
State agencies seeking exemptions need
to be replaced with numbers based on
actual experience. The certifications
concern the cost neutrality of above-50percent vendors with regards to
comparable regular vendors. The
exemptions concern the peer group
requirements for all vendors. All State
agencies are subject to the peer group
requirements unless granted an
exemption by FNS, but only those State
agencies which authorize above-50percent vendors need to be certified by
FNS regarding their processes for
maintaining the cost neutrality of above50-percent vendors in comparison to
comparable regular vendors. In Fiscal
Years 2005 and 2006, 32 State agencies
requested certification and 42 requested
exemptions.
Conclusions
Balancing the State agency comments
and new requirements against the
factors reducing the paperwork burden
expected for future certification
requests, exemption requests, and State
Plan submissions, the burden hours per
response estimated for the final rule will
be doubled for three of the four
information burden categories related to
these requests and submissions, as
detailed in the chart below. This
includes increasing the hourly
information burden rate for the State
Plan description of the vendor cost
containment system from 4 to 8 hours,
for exemptions from the peer group
requirements from 8 to 16 hours, and for
information related to the certification
and monitoring of the vendor cost
containment system from 8 to 16 hours.
FNS has not been notified by any
State agency that it has authorized a
non-profit above-50-percent vendor, as
required by § 246.12(g)(4)(iv); such
notification would be provided as a
State Plan submission under
§ 246.4(a)(14)(xv). FNS does not know if
any State agencies will elect to
authorize such vendors in the future.
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Thus the current estimate of the number
of State agencies and annual burden
hours related to this notification
requirement will remain unchanged:
five State agencies with one annual
burden hour for each, resulting in a total
of annual five burden hours. This is the
only information burden category
related to certification requests,
exemption requests, and State Plan
submissions for which the burden hours
will not be doubled.
The paperwork burden for the annual
identification of above-50-percent
vendors, per § 246.12(g)(4)(i), was
previously set at 2 hours per response.
As previously noted, the comparison of
WIC and SNAP redemptions has made
it possible to eliminate about 88 percent
of authorized vendors from any need for
further documentation since this
comparison has confirmed that about 88
percent of authorized vendors have
more SNAP redemptions than WIC
redemptions. FNS has established an
automated process which matches the
redemption data maintained by the WIC
TIP and the SNAP STARS systems. The
State agency workload for use of this
process is negligible.
FNS recognizes that obtaining
additional documentation of above-50percent status for the remaining 12
percent of vendors is more burdensome
than the WIC–SNAP redemption match,
for both State agencies and vendors.
Accordingly, in consideration of the
comments on the reporting burden, the
burden hours per response for the State
agencies has been increased from 2 to 4
hours, and for the vendors from 1 to 2
hours for the data collection related to
identifying above-50-percent vendors.
However, this higher number of burden
hours for vendors will only be applied
to the 12 percent of vendors which have
been designated as potential above-50percent vendors based on the WIC–
SNAP redemption match (5,640
vendors), since those vendors which
have been designated as not being
above-50-percent vendors as a result of
the WIC–SNAP redemption match will
not need to provide any documentation
to the State agency at all.
The chart below sets forth the
estimated annual reporting burden for
the final rule to reflect the above-noted
revisions based on State agency
comments and information not available
when the interim rule was published.
Decimals are not included in the chart.
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51751
FINAL RULE ESTIMATED ANNUAL REPORTING BURDEN
Data
collections
or reports
required
annually
Estimated
Number of
respondents
Section of the regulations
§ 246.4(a)(14)(xv):
• Description of vendor peer group system and allowable reimbursement levels; average redemption amounts for selected
food instruments.
• Notification of exemption of non-profit vendors .......................
• Request for exemption from vendor peer group requirement
• Information required for certification of vendor cost containment system and to monitor ongoing compliance with certification requirements.
Estimated
average burden
hours per
response
Estimated annual
burden hours
90
1 ......................
8
720
5
42
32
1 ......................
1—(triennial) ...
1—(triennial) ...
1
16
16
5
224
171
32
90
90
5,640
75
39,167
15
1 ......................
3.66 .................
63 ....................
1 ......................
1,044 ...............
2 ......................
1 ......................
8
............................
4
2
2
2
16
256
1,376
22,560
11,280
156,666
156,666
240
Total Burden Hours Due to Program Changes ...............................................................................................................................
Total Burden Hours Due to Adjustments ........................................................................................................................................
Total Burden Hours for the Final Rule ............................................................................................................................................
Currently Approved WIC Reporting and Recordkeeping Burden Hours .........................................................................................
Total Proposed WIC Reporting and Recordkeeping Burden Hours ...............................................................................................
240
143,629
143,869
3,451,206
3,595,075
§ 246.4(a)(14)(xv) Total ......................................................................
§ 246.12(g)(4)(i) ..................................................................................
Above-50-Percent Determination .......................................................
§ 246.12(g)(4)(ii)(B) .............................................................................
Biannual Price Collection ...................................................................
§ 246.12(g)(4)(ii)(B) Biannual Price Collection Exemption .................
E-Government Act Compliance
FNS is committed to complying 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.
Background
Ninety-two letters and electronic mail
messages of comment were submitted
on the interim rule during the comment
period, from 37 WIC-authorized
vendors; 22 WIC local agencies; 13 WIC
State agencies; 8 members of Congress
(in one joint letter); 5 retailer advocacy
organizations; 5 social service advocacy
organizations; 4 law firms representing
WIC-authorized vendors; 3 general
public individuals; and 2 non-WIC State
agencies. Many of these comment letters
and electronic mail messages addressed
multiple issues.
srobinson on DSKHWCL6B1PROD with RULES
1. Definitions of ‘‘Above-50-Percent
Vendor’’ and ‘‘Food Sales’’ (§ 246.2)
Definition of ‘‘Above-50-Percent
Vendor’’
Section 246.2 of the interim rule
defined ‘‘Above-50-percent vendors’’ as
referring to vendors that derive more
than 50 percent of their annual food
sales revenue from WIC food
instruments, and new vendor applicants
expected to meet this criterion under
guidelines approved by FNS. Two
commenters opposed this definition.
One of these commenters stated that this
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group of vendors should be defined
based on 70 percent of food sales
derived from WIC, so small stores and
convenience stores will not go out of
business due to the requirement that the
redemption amounts of above-50percent vendors must be comparable to
the redemption amounts of chain stores,
potentially leading to inadequate
participant access. The other commenter
stated that the final rule should focus on
vendors with WIC redemptions close to
100 percent of their food sales since
these are the vendors which have
proven to be so costly, not small
vendors with a regular retail vendor
business model who serve a high
percentage of WIC participants in lowincome areas.
The definition of ‘‘above-50-percent
vendor’’ is based on a legislative
requirement in section 17(h)(11)(D)(ii)(I)
of the CNA, i.e., vendors with more than
50 percent of annual food sales revenue
derived from WIC sales. Therefore, this
definition remains as set forth in the
interim rule.
Definition of ‘‘Food Sales’’
Three commenters opposed the
definition of ‘‘food sales’’ in § 246.2 of
the interim rule as referring to all SNAPeligible foods. One of these commenters
stated that ‘‘food sales’’ as defined in the
interim rule cannot be easily verified by
many stores because their scanners
cannot identify SNAP-eligible food or, if
they do, they cannot tally the amounts
and that federal tax forms and other
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documentation maintained by the
vendors do not show the sales based on
SNAP-eligible foods. Another
commenter asserted that State tax forms
in one State were not helpful for
determining above-50-percent status
because these forms do not require a
total sales amount from which taxable
non-food sales could be subtracted to
result in an estimate of food sales, and
some foods are taxable; therefore this
commenter stated that a vendor should
be defined as an above-50-percent
vendor based on total sales, not total
food sales. One other commenter stated
that there is no universal definition of
‘‘food sales,’’ resulting in WIC State
agencies using a variety of conflicting
approaches with disparate results. This
commenter argued that State agencies
should be allowed to accept selfdeclaration of vendors with legal
penalties for inaccuracy, instead of
imposing burdensome data collection
processes on vendors.
However, section 17(h)(11)(D)(ii)(I) of
the CNA identifies above-50-percent
vendors based on more than 50 percent
of annual revenue from the sale of food
items for WIC food instruments, not
food and all other items. Thus the final
rule cannot permit total sales instead of
total food sales as the basis for
identifying above-50-percent vendors.
Also, self-declaration would generally
not serve as a proper basis for
compliance with this provision of the
CNA, since self-declaration would be an
opinion, not objective data. Therefore,
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the definition of ‘‘food sales’’ remains as
set forth in the interim rule.
2. Assessment of Above-50-Percent
Vendor Status (§ 246.12(g)(4)(i))
srobinson on DSKHWCL6B1PROD with RULES
Methodologies for Determining the
Above-50-Percent Status of Vendor
Applicants
Three commenters objected to the
statement at 70 FR 71715 of the
preamble of the interim rule that State
agencies must review invoices as one of
the steps needed to determine the
above-50-percent status of vendor
applicants. These commenters view this
requirement as unduly burdensome,
recommending instead that State
agencies be permitted to review stock
for this purpose during the preauthorization visit or at some other
time, and to consider the history of the
vendor. One of these commenters also
stated that a review of invoices might be
misleading because the State agency has
no way of knowing if it has received all
of a vendor’s invoices. FNS agrees with
the commenters that a review of
invoices should not be required.
Instead, the State agency should have
the option to rely only on a review of
stock at the preauthorization visit, as
recommended by the commenters, or
even to use both methodologies.
Accordingly, new paragraphs
246.12(g)(4)(i)(E) and (g)(4)(i)(F) have
been established in the final rule to set
forth the required methodologies,
previously discussed in the preamble to
the interim rule and in FNS guidance,
for determining the above-50-percent
status of vendor applicants and current
vendors, including the other
methodologies set forth at 70 FR 71715
of the preamble of the interim rule, but
including the review of invoices only as
one option. Also, a reference to these
two new paragraphs has been added to
the second sentence of paragraph
246.12(g)(4)(i).
Timing of Determinations of Above-50Percent Status
One commenter would prefer to
conduct the annual review of the above50-percent status of its vendors at their
individual annual agreement renewal
dates rather than reviewing all of them
at the same time once a year. Like many
State agencies, this State agency
processes vendor applications for
authorization on an ongoing basis.
Paragraph 246.12(g)(4)(i) of the interim
rule stated that each State agency must
annually implement procedures
approved by FNS to identify authorized
vendors and vendor applicants as either
above-50-percent vendors or regular
vendors. The definition of the term
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‘‘above-50-percent vendor’’ in § 246.2 of
the interim rule refers to vendors that
derive more than 50 percent of their
annual food sales revenue from WIC
food instruments, and new vendor
applicants expected to meet this
criterion. These provisions did not
specify that a State agency must make
this determination for all vendors at the
same time. Thus, under these
provisions, FNS may approve
procedures which permit a State agency
to conduct the annual review of the
above-50-percent status of its vendors at
their individual annual agreement
renewal dates. These provisions remain
unchanged in the final rule.
Assessment of Above-50-Percent Status
of Pharmacies
Three commenters recommended
greater discretion for State agencies to
exclude pharmacies from above-50percent status. One of these commenters
stated that pharmacies generally do not
meet the above-50-percent vendor
definition and thus the expenditure of
administrative resources is not justified
to determine their above-50-percent
status. Another commenter contended
that it is inconsistent to permit
exemption of pharmacies which only
provide exempt infant formula and
WIC-eligible medical foods, but not if
these pharmacies also provide contract
infant formula. One other commenter
stated that State agencies should be able
to exempt pharmacies that are
authorized to provide exempt infant
formula, even if they also provide
contract infant formula.
Paragraph 246.12(g)(4)(iv) states that
the State agency may except from the
competitive price criteria and allowable
reimbursement levels pharmacy vendors
that supply only exempt infant formula
and/or WIC-eligible medical foods, and
non-profit vendors for which more than
50 percent of their annual revenue from
food sales consists of revenue derived
from WIC food instruments. This
provision is based on section
17(h)(11)(D) of the CNA, which permits
an exemption from competitive price
criteria and allowable reimbursement
levels for pharmacies that supply only
exempt infant formula and WIC-eligible
medical foods, but not for pharmacies
which also transact food instruments for
contract infant formula. Therefore, this
final rule must reflect the requirement
in the CNA.
State Agency Choice To Authorize
Above-50-Percent Vendors
One commenter recommended a
statement be added to § 246.12(g)(4)(i) to
the effect that a State agency may
choose to not authorize above-50-
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percent vendors. The interim rule
included the equivalent statement in the
last sentence of § 246.12(g)(4)(i) and in
the first sentence of § 246.12(g)(4)(v)(A),
by referring to State agencies choosing
or not choosing to authorize above-50percent vendors. This language mirrors
the language of section 17(h)(11) of the
CNA, which refers to State agencies
electing to authorize or not authorize
above-50-percent vendors. Therefore,
this final rule adopts the language of the
interim rule on this subject.
3. Cost Neutrality Standards and
Assessment—(§ 246.12(g)(4)(i)(D))
Under § 246.12(g)(4)(i)(D) of the
interim rule, the State agency is
required to ensure that the prices of
above-50-percent vendors do not result
in higher total food costs if program
participants transact their food
instruments at above-50-percent
vendors rather than at other vendors
that do not meet the above-50-percent
criterion. (These other vendors were
referred to as ‘‘regular vendors.’’) The
State agency must not permit the
average cost of each type of food
instrument redeemed by above-50percent vendors to exceed the average
cost of the same type of food instrument
redeemed by regular vendors; the State
agency must compute statewide average
costs per food instrument at least
quarterly to monitor compliance with
this requirement. In addition,
§ 246.12(g)(4)(i)(D) also requires that the
average cost per food instrument must
be weighted to reflect the relative
proportion of food instruments
redeemed by each category of vendors
in the peer group system.
Under § 246.12(g)(4)(vi) of the interim
rule, which concerned FNS certification
of State agency vendor cost containment
systems, a State agency is required to
demonstrate to FNS that its competitive
price criteria and allowable
reimbursement levels did not result in
average payments per food instrument
to above-50-percent vendors that are
higher than average payments per food
instrument to comparable vendors that
are not above-50-percent vendors. The
commenters who opposed the statewide
average requirement of
§ 246.12(g)(4)(i)(D) supported the
comparable vendor average requirement
of § 246.12(g)(4)(vi). The term
‘‘comparable vendor’’ refers to the
regular vendors which share common
characteristics or criteria with above-50percent vendors that affect food prices,
as determined by the State agency, for
the purpose of applying appropriate
competitive price criteria to vendors at
authorization and limiting payments for
food to competitive levels.
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Federal Register / Vol. 74, No. 194 / Thursday October 8, 2009 / Rules and Regulations
Twenty-four commenters supported
the requirement that the average
redemption amount per food instrument
for all above-50-percent vendors must
not exceed the average redemption
amount per food instrument of all
regular vendors statewide. Thirty-six
commenters opposed it. The opponents
stated that this provision exceeded the
intent of section 17(h)(11)(A)(i)(III)(bb)
of the CNA, which requires State
agencies to establish competitive price
criteria and allowable reimbursement
levels which do not result in higher
food costs if participants transact food
instruments with above-50-percent
vendors rather than regular vendors.
These commenters stated that cost
neutrality for above-50-percent vendors
should be based on the peer group
average per food instrument, not the
statewide average of all regular vendors
per food instrument, since the statewide
average does not take into account
pricing differences based on location
(e.g., rural/urban) or type of vendor (e.g.,
large/small/military commissaries/
supercenter stores).
One of these commenters pointed out
that section 17(h)(11)(A)(i)(III)(bb) of the
CNA requires that food costs not be
higher if participants use their food
instruments with above-50-percent
vendors than with regular vendors,
unlike section 17(h)(11)(E) of the CNA,
which requires that above-50-percent
vendors not be paid more on average per
food instrument than comparable
regular vendors. According to this
commenter, the absence of the average
payment per food instrument language
in section 17(h)(11)(A)(i)(III)(bb) shows
that Congress intended to permit State
agencies the discretion to consider
participant preferences for above-50percent vendors or other factors that
may affect the different redemption
levels of above-50-percent vendors in
comparison to regular vendors. This
commenter also stated that the final rule
should include the statement in section
17(h)(11) of the CNA to the effect that
the cost containment requirements may
not be construed to compel a State
agency to achieve lower food costs if
participants transact WIC food
instruments with above-50-percent
vendors rather than regular vendors.
FNS does not agree with these
comments. Section
17(h)(11)(A)(i)(III)(bb) of the CNA does
not distinguish between vendors based
on size or location, and does not
provide discretion based on participant
preferences or other factors. Such
interpretations would undermine the
point of this provision—that above-50percent vendors must be cost neutral in
comparison to all other retail vendors.
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51753
Indeed, such interpretations would
make this provision little different from
section 17(h)(11)(E), which allows for
distinctions based on comparability.
Instead, the CNA requires above-50percent vendors to be cost-neutral with
respect to both comparable vendors and
all other retail vendors. Moreover, the
interim rule did not compel State
agencies to achieve lower food costs if
participants transact WIC food
instruments with above-50-percent
vendors rather than regular vendors,
and thus a statement to this effect is not
needed in the final rule.
Twelve commenters stated that
Congress did not intend to put above50-percent vendors out of business.
However, the purpose of the interim
rule was not to put above-50-percent
vendors out of business. Instead, the
interim rule intended to make above50-percent vendors cost-neutral in
comparison to regular vendors, both
with respect to peer groups and all
regular vendors statewide, as required
by the CNA. Ensuring the availability of
funds to serve program participants is
the paramount consideration. Therefore,
the cost neutrality standard remains as
set forth in the interim rule.
Weighting
Paragraph 246.12(g)(4)(i)(D) of the
interim rule required the average cost
per food instrument to be weighted to
reflect the relative proportion of food
instruments redeemed by each category
of vendors in the peer group system. As
discussed in the preamble of the interim
rule, a weighted average enables the
State agency to take into account the
frequency with which vendors redeem
food instruments of varying redemption
amounts. If a State agency makes more
payments to vendors that offer the
lowest prices for WIC foods, a weighted
average will reflect this fact more than
a simple average. The weighted average
correlates with WIC participants’
shopping patterns by giving the most
weight to redemption prices of stores
with the largest number of WIC
transactions. However, following
issuance of the interim rule, FNS issued
guidance making this requirement
optional, pending the final rule, to
prevent any administrative difficulties
in determining the weighted average
from interfering with the certification of
State agency vendor cost containment
systems as required by the statute. Only
one State agency has chosen to use
weighting.
Seven comments were submitted on
weighting; three of these comments
supported the weighting requirement,
while four opposed it. Two of the
supporting comments stated that the
rationale for the weighting requirement,
as set forth in the preamble of the
interim rule, was sound. The third
supporting comment stated that the
weighting requirement and the adding
of standard deviations to redemption
averages would help to avoid price
adjustments unfairly based only on
exceeding a simple average. Three of the
opponents, all State agencies, stated that
the weighting requirement would
greatly complicate cost neutrality
calculations which had already required
a significant expenditure of
administrative funds to modify their
Management Information Systems.
These three State agencies and one
other, also an opponent of this
requirement, stated that weighting
should be an option, not a mandate.
FNS agrees with these commenters;
the use of weighting in cost neutrality
calculations should be optional, not
mandatory. This requirement is not
necessary to implement the cost
neutrality requirements of the CNA, and
some State agencies feel it is
administratively burdensome. However,
as noted above, one State agency has
chosen to use weighting. Accordingly,
weighting has been made optional in
§ 246.12(g)(4)(i)(D) of the final rule.
Recoupment and Termination Based on
Cost Neutrality Assessments
Paragraph 246.12(g)(4)(i)(D) of the
interim rule required the State agency to
conduct quarterly cost neutrality
assessments to ensure that above-50percent vendors are not paid on average
per food instrument more than all
regular vendors statewide. In the event
that the above-50-percent vendors are
paid more on average than the regular
vendors, the State agency had to take
action to ensure compliance, such as
adjusting payment levels. This
provision also states that such action
may have included recouping excess
payments and terminating the vendor
agreements of vendors whose prices are
least competitive and which are not
needed to ensure participant access.
FNS has reconsidered this issue and
decided that State agencies must not
recoup monies that were paid to a
vendor for food instruments redeemed
within the established maximum
allowable reimbursement level for that
vendor, in order to achieve cost
neutrality. Likewise, since a State
agency cannot recoup monies paid to a
vendor for food instruments redeemed
within the established maximum
allowable reimbursement level for that
vendor in order to achieve cost
neutrality, it follows that a State agency
may not terminate the vendor agreement
of a vendor that redeemed food
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instruments within the established
maximum allowable reimbursement
level for that vendor in order to achieve
cost neutrality. Accordingly, the abovenoted language in § 246.12(g)(4)(i)(D) of
the interim rule which referred to the
recoupment of monies and the
termination of vendor agreements has
been deleted in this final rule.
This does not preclude a State agency
from making price adjustments to food
instruments in accordance with
§ 246.12(h)(3)(viii) of this final rule and
recouping amounts paid to the vendor
above the established maximum
allowable reimbursement level
applicable to the vendor. This also does
not preclude a State agency from
terminating the vendor agreement of a
vendor for failure to remain pricecompetitive in accordance with
§ 246.12(h)(3)(viii) of this final rule, i.e.,
for failure to maintain shelf prices at
levels acceptable for authorization, or
for failure to submit food instruments
for redemption within the established
maximum allowable reimbursement
level applicable to that vendor.
Partially-Redeemed Food Instruments
Fifteen commenters stated that
partially-redeemed food instruments
should not be included in cost
neutrality determinations because
above-50-percent vendors typically
redeem all of the supplemental foods
authorized for a food instrument while
many regular vendors do not; a vendor
providing all of the supplemental food
authorized for a food instrument should
not be held to a redemption level based
on food instruments redeemed by other
vendors for less than all of the
supplemental food authorized for a food
instrument. One of these commenters
stated that State agencies should have
the discretion to compensate for relative
rates of partial redemption. FNS agrees
that State agencies should be able to
exclude partially-redeemed food
instruments from the quarterly cost
neutrality assessments.
However, the identification of
partially-redeemed food instruments to
be excluded must be based on an
empirical methodology. For example, a
State agency could exclude a food
instrument because its purchase price is
less than the total of the vendor’s least
expensive food items authorized for that
food instrument. A sentence has been
added to § 246.12(g)(4)(i)(D) in the final
rule to allow a State agency to exclude
partially-redeemed food instruments
from a quarterly cost neutrality
assessment if FNS approves the State
agency’s empirical methodology for
identifying the partially-redeemed food
instruments to be excluded.
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Another sentence has been added to
§ 246.12(g)(4)(i)(D) in the final rule to
clarify that a State agency may not
exclude food instruments from the
quarterly cost neutrality assessment
based on a rate of partially-redeemed
food instruments. A rate of partiallyredeemed food instruments, such as a
percentage of food instruments with the
lowest purchase prices, might include
food instruments which reflect a
vendor’s lower prices instead of partial
redemptions. Also, a definition of
‘‘partially-redeemed food instrument’’
has been added to the definitions in
§ 246.2 to ensure there is a clear
understanding of the meaning of this
term.
Other Cost Neutrality
One commenter recommended that
State agencies be permitted to review no
more than 80 percent of the most
commonly used food instruments to
determine cost neutrality, excluding
food instruments which are not
redeemed very often. However, the CNA
does not provide that a food instrument
may be excluded from cost neutrality
requirements based on how often food
instruments for the same authorized
supplemental foods are redeemed.
Another commenter stated that a State
agency should be able to assess overall
cost neutrality without the redemptions
of competitively priced as well as
noncompetitively priced above-50percent vendors needed for participant
access. FNS does not agree. The
exclusion of the redemptions of
noncompetitively priced above-50percent vendors needed for participant
access is intended to prevent the high
prices of these above-50-percent
vendors from jeopardizing the State
agency’s efforts to achieve overall cost
neutrality, given these State agencies
have little choice but to authorize these
vendors. Since the prices of
competitively priced above-50-percent
vendors would not jeopardize the State
agency’s efforts to achieve overall cost
neutrality, there is no reason for the
exclusion of their prices, even though
these vendors were needed for
participant access.
Finally, two commenters
recommended that quarterly cost
neutrality assessments should not be
required for State agencies which
establish maximum allowable
reimbursement levels for above-50percent vendors based on the statewide
average redemption amount of regular
vendors per food instrument type. FNS
does not agree, since the quarterly
review mechanism would be needed to
ensure this process is working
effectively.
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Exemption From Cost Neutrality
Requirements
One commenter stated that a State
agency should be granted an exemption
from the cost neutrality requirements if
the redemptions of above-50-percent
vendors comprise less than five percent
of total WIC redemptions, as long as the
State agency has implemented
measurable competitive pricing criteria
and allowable reimbursement levels.
Paragraph 246.12(g)(4)(v) states that a
State agency may use a vendor cost
containment approach other than a peer
group system if the State agency
determines that food instruments
redeemed by above-50-percent vendors
comprise less than five percent of the
total WIC redemptions in the State in
the fiscal year prior to a fiscal year in
which the exemption is effective, and
the State agency’s alternative vendor
cost containment system would be as
effective as a peer group system and
would not result in higher costs if
program participants redeem food
instruments at above-50-percent
vendors rather than at regular vendors.
(This provision also permits an
exemption from peer group
requirements for a State agency which
chooses not to authorize above-50percent vendors and meets certain other
conditions.)
This provision is based on section
17(h)(11)(A)(ii) of the CNA, which
permits an exemption from the peer
group requirements if less than five
percent of total WIC redemptions
consist of above-50-percent vendor
redemptions, and for other reasons. The
CNA does not provide for exemptions
from the cost neutrality requirements for
above-50-percent vendors. This rule
cannot establish an exemption from the
cost neutrality requirements which is
not permitted by the CNA.
4. Shelf Price Collection—
(§ 246.12(g)(4)(ii)(B))
Paragraph 246.12(g)(4)(ii)(B) of the
interim rule required the State agency to
collect and monitor each vendor’s shelf
prices at least once every six months
following authorization. FNS
established this requirement to help
State agencies to ensure the shelf prices
of above-50-percent vendors do not
exceed those of regular vendors at
authorization, and to establish
reimbursement levels for above-50percent vendors, as required by
§ 246.12(g)(4)(i)(C); to ensure the State
agency has sufficient data to assess the
effectiveness of peer groups and
competitive price criteria every three
years, and to change a vendor’s peer
group placement when warranted, as
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required by § 246.12(g)(4)(ii)(C); and to
ensure vendors have not, subsequent to
authorization, raised their shelf prices to
a level that would exceed the
competitive price selection criteria
under which they were authorized,
contrary to § 246.12(g)(4)(iii). Otherwise,
State agencies would need to rely on
redemption data alone to fulfill these
requirements.
Two commenters supported the
semiannual price collection
requirement, but on the condition that
this would not involve an
administrative burden for vendors. Four
commenters opposed this requirement.
The opponents stated that comparing
prices to redemptions semiannually is
not useful and is burdensome. They
stated that State agencies should be
permitted to use other methodologies,
such as comparing the redemption
amounts of vendors in the same peer
group, to ensure vendor shelf prices are
appropriate. One of these commenters, a
State agency, bases its competitive price
criteria and maximum allowable
reimbursement levels for above-50percent vendors on the statewide
redemption averages per food
instrument type of the regular vendors,
and thus states that § 246.12(g)(4)(i)(C)
should be revised to provide State
agencies with flexibility regarding the
evaluation of the shelf prices of above50-percent vendors as long as cost
neutrality is achieved.
Another commenter stated that FNS
should grant an exemption from the
semiannual price collection requirement
to a State agency using an efficient and
effective alternative methodology for
monitoring compliance with
§§ 246.12(g)(4)(i)(C), (g)(4)(ii)(C), and
(g)(4)(iii), and that collection of shelf
prices should be required annually
instead of every six months. FNS agrees
that an exemption process should be
available and has added this to
§ 246.12(g)(4)(ii)(B).
However, although a State agency
may be able to demonstrate that an
alternative monitoring process provides
an efficient and effective means to
ensure such compliance with
§§ 246.12(g)(4)(i)(C), (g)(4)(ii)(C), and
(g)(4)(iii), frequent collection of shelf
prices may be needed for other reasons.
Shelf price data collected at least
semiannually may provide the only
empirical basis for detecting and
excluding partial redemptions from cost
neutrality calculations. Further, some
State agencies establish maximum
allowable reimbursement levels based
on shelf prices; such State agencies
would also need frequent shelf price
data. Thus such State agencies would
probably not be eligible for an
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exemption on the basis that the frequent
collection of price data is not needed.
Accordingly, the requirement in
§ 246.12(g)(4)(ii)(B) for State agencies to
collect vendor shelf prices at least once
every six months has been modified in
the final rule to provide that FNS may
grant an exemption from this
requirement if a State agency
demonstrates that its alternative
methodology for monitoring vendor
compliance with §§ 246.12(g)(4)(i)(C),
(g)(4)(ii)(C), and (g)(4)(iii) is efficient
and effective and if other State agency
policies and procedures are not
dependent on frequent collection of
shelf price data. This exemption will
remain in effect until the State agency
no longer meets the conditions on
which the exemption was based, until
FNS revokes the exemption, or for three
years, whichever occurs first.
5. Miscellaneous Issues Regarding
Competitive Price Criteria and
Maximum Allowable Reimbursement
Levels—(§ 246.12(g)(4), (g)(4)(i)(D),
(g)(4)(iii), and § 246.12(h)(3)(viii))
Six comments addressed a variety of
issues and provisions of the interim rule
concerning competitive price criteria
and maximum allowable reimbursement
levels.
Undercharges
One commenter stated that
undercharges on the redemption
amounts of food instruments should be
subtracted from the vendor’s
redemption amounts on other food
instruments which exceed maximum
allowable amounts. However, this
would be inconsistent with the
definition of ‘‘price adjustment’’ in
§ 246.2, which refers to an adjustment to
the purchase price on a food instrument,
not on a group of food instruments.
Moreover, an undercharge on a food
instrument may indicate only that the
prices charged for the food items
covered by that food instrument
resulted in a combined price which was
within the maximum allowable
reimbursement level for that food
instrument. This is not truly an
undercharge, since a maximum
allowable reimbursement level is not
the expected purchase price; rather, it is
expected that the purchase price should
be lower since the maximum allowable
reimbursement level is the maximum
amount which the State agency will pay
for that food instrument. Thus, the
submission of a food instrument with a
purchase price below the maximum
allowed amount does not offset the
submission of another food instrument
with a purchase price exceeding the
maximum allowed amount.
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Category Pricing
Two commenters objected to
‘‘category pricing,’’ i.e., a State agency
establishing a price limit or maximum
allowable reimbursement level for an
entire food category, such as cereal,
instead of allowing for the different
prices of the various products within
that category. One of these commenters
stated that the State agency must be able
to inform vendors of the price limit for
each food product of a food category.
The other commenter contended that it
is unfair to require vendors to base their
prices on a category of food product
instead of individual food products,
because this forces the vendors to adjust
the prices on all of the food products in
that food category for all customers.
These commenters want such category
pricing to be prohibited or limited.
However, this would infringe on the
flexibility which FNS wants the State
agencies to retain. The State agency
needs the flexibility to balance vendor
cost containment and fairness to the
vendor. Some State agencies determine
the per product price limit by averaging
the high and low prices for the different
products of a food product category;
other State agencies base the per
product price limit on the highest price
of the different products of a food
category.
Exclusion of Above-50-Percent Vendor
Prices From Determinations of
Maximum Allowable Reimbursement
Levels
One commenter contended that it is
unfair to exclude the food prices of
above-50-percent vendors from the
determination of peer group maximum
allowable reimbursement levels.
However, section 17(h)(11)(A)(i)(III) of
the CNA clearly requires the State
agency to distinguish between above-50percent vendors and regular vendors by
either establishing separate peer groups
for above-50-percent vendors, or distinct
competitive price criteria and maximum
allowable reimbursement levels for
above-50-percent vendors within a peer
group which also contains regular
vendors. Likewise, section 17(h)(11)(E)
of the CNA states that a State agency
must demonstrate, in order to obtain
certification for its vendor cost
containment system, that the
competitive price criteria and maximum
allowable reimbursement levels do not
result in higher payments per food
instrument for above-50-percent
vendors than for regular vendors. To
comply with these provisions, the food
prices of above-50-percent vendors must
not be included in the determination of
peer group maximum allowable
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reimbursement levels. Accordingly,
unchanged from the interim rule,
§ 246.12(g)(4)(i)(D) of this final rule
requires State agencies to ensure the
prices of above-50-percent vendors do
not inflate the competitive price criteria
and allowable reimbursement levels of
peer groups consisting of both above-50percent and regular vendors.
Necessity for Maximum Allowable
Reimbursement Levels When
Competitive Price Criteria Have Been
Met
One commenter stated that the
redemption amounts of a vendor which
meets competitive price criteria should
logically not exceed maximum
allowable reimbursement levels, and
thus should not be subject to price
adjustments. This commenter also
suggested the use of weighting or
standard deviations may be more likely
to result in fair maximum allowable
reimbursement levels. This commenter
and one other commenter both viewed
the price adjustments applied to the
food instruments of regular vendors as
excessive. The coordination of
competitive price criteria and maximum
allowed amounts is an ongoing process.
Paragraph 246.12(g)(4)(iii) of the interim
rule, adopted by this final rule, states
that the State agency must establish
procedures to ensure a vendor selected
for participation in the program does
not, subsequent to selection, increase
prices to levels that would make the
vendor ineligible for authorization.
Also, § 246.12(h)(3)(viii) states that as
part of the redemption procedures, the
State agency must establish and apply
limits on the amount of reimbursement
allowed for food instruments based on
a vendor’s peer group and competitive
price criteria, and that in setting
allowable reimbursement levels, the
State agency may include a factor to
reflect fluctuations in wholesale prices.
It does not follow that meeting
competitive price criteria should
guarantee that price adjustments need
not occur. Vendor prices change over
time, so that maximum allowable
reimbursement levels will also change
over time. Per § 246.12(h)(1)(i), vendor
agreement periods may not exceed three
years; meeting competitive price criteria
at the beginning of an agreement period
does not ensure a vendor will continue
to do so throughout the agreement
period. State agencies typically use
standard deviations or a percentage
inflator to account for a reasonable
variation in the prices charged by the
vendors in the same peer group. FNS
agrees with the commenter that such
methods will help to ensure price
adjustments are fair.
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Maximum Allowable Reimbursement
Levels That Allow Participants To
Purchase All of the Prescribed Foods
One commenter recommended that
the statement in the preamble of the
interim rule that a State agency must set
maximum allowable reimbursement
levels that allow WIC participants to
purchase all of the foods prescribed on
the food instrument from any
authorized vendor be included in
§ 246.12(g)(4) and (h)(3)(viii). While
FNS continues to support this
statement, there is no need to include it
in the Federal WIC Regulations. FNS
believes this statement is self-evident.
The WIC Program is a nutrition
program. If the participant cannot
purchase all of the food authorized by
a food instrument, then the program’s
goal of enhancing the nutrition of the
participant is undermined.
6. Participant Access Criteria
(§ 246.12(g)(4))
Paragraph 246.12(g)(4) of the interim
rule stated that in establishing
competitive price criteria and allowable
reimbursement levels, the State agency
must consider participant access by
geographic area. One commenter
recommended that FNS revise
§ 246.12(g)(4) by adding a sentence
stating that geographic determinations
regarding participant access must be
narrowly tailored to ensure that
participants have reasonable access to
authorized vendors, including vendors
offering exempt formula. The
commenter noted that this added
statement would better assure
participant access currently jeopardized
by redemption difficulties, the stigma
resulting from redemption difficulties,
lack of transportation, and difficulties
encountered by participants attempting
to obtain exempt formula. The
commenter suggests above-50-percent
vendors should be authorized without
competitive price criteria and maximum
allowable reimbursement levels since
these vendors are needed to address
these forms of inadequate participant
access.
FNS does not agree with this
comment. FNS recognizes that such
barriers to participation exist. It does
not follow, however, that authorization
of above-50-percent vendors is the only
answer. A State agency may, for
example, intensify its training and
monitoring of vendors to reemphasize
stock requirements and the proper
handling of food instruments at the cash
register. Indeed, vendors may be
terminated per § 246.12(g)(3) or
sanctioned per § 246.12(l)(2) based on
such deficiencies. In one innovative
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effort, a State agency contracted with a
faith-based health and human service
agency to provide direct distribution of
supplemental foods to participants
through eighteen sites in a large city.
Moreover, the high prices frequently
charged by above-50-percent vendors
authorized to ensure participant access
would reduce the program’s ability to
provide benefits to participants. Thus
State agencies should explore all
alternatives for addressing such
participant access issues.
FNS is not aware of a participant
access problem regarding exempt infant
formula. Moreover, State agencies need
not rely on retail food vendors for
providing exempt infant formula to
participants; State agencies may
authorize pharmacies for this purpose,
and many State agencies do so. Further,
State agencies may order exempt
formula from the manufacturer or from
wholesalers such as, for example, a nonprofit organization which currently
provides exempt infant formula to
participants in six States. Therefore, the
participant access criteria in the final
rule remains as set forth in the interim
rule.
7. The Geographic Requirement for Peer
Groups (§ 246.12(g)(4)(ii)(A))
Paragraph 246.12(g)(4)(ii)(A) of the
interim rule required State agencies
include at least two criteria for
establishing peer groups, one of which
must be a measure of geography, such
as metropolitan or other statistical areas
that form distinct labor and products
markets, unless the State agency
receives FNS approval to use a single
criterion. Four comments addressed this
requirement; one of these comments
supported this requirement, two
opposed it, and one supported it
conditionally.
One of the opposing comments
expressed doubt that geography is a
reliable indicator of pricing, particularly
for small vendors, and that the use of
geographic criteria results in peer
groups with small numbers of vendors;
this commenter stated that further study
is needed. The other opposing
commenter noted that several studies
conducted by WIC State agencies have
shown that geographic location is not a
key ingredient in pricing.
The comment conditionally
supporting the requirement stated that
the geographic component of peer
groups should conform to vendor
pricing zones or commonly accepted
geographic regions. The comment
supporting the geographic requirement
stated that geographic zones alone were
sufficient for vendor cost containment
in one State.
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FNS is not persuaded that the
geographic requirement should be
removed. Further study and experience
may result in reconsideration of this
requirement. In the meantime,
§ 246.12(g)(4)(ii)(A) of the final rule
provides a mechanism for obtaining an
exemption from this requirement. Thus
far, only 10 State agencies have
requested an exemption from this
requirement, suggesting most State
agencies are also not persuaded that the
geographic requirement should be
removed. The exemption alternative is
available for State agencies which learn
through study or experience that the
geographic component is not conducive
for vendor cost containment in their
circumstances. All 10 of the requests
which have thus far been made for this
exemption have been granted. Thus the
existing exemption mechanism is
sufficient for ensuring the geographic
peer group requirement is not imposed
in inappropriate circumstances.
Therefore, the geographic requirement
for peer groups is adopted as final
without change.
8. Peer Group Transparency
(§ 246.12(g)(4))
Two commenters stated that the peer
group process needs to be transparent.
They stated that State agencies should
ensure key information is available to
vendors, including peer group criteria
and the resulting peer groups, to ensure
that vendors understand their peer
groups and can advise the State agency
if the peer group is inappropriate. One
of these commenters cited an example
of a State agency which allegedly had
not provided this information.
According to this comment, the State
agency provided the vendors with a
description of the peer groups,
including a listing of the vendor types,
geographic locations, and number of
cash registers for each peer group. As
part of this description, the State agency
published a chart listing the counties
included in each geographic area. The
commenter then contacted the State
agency for clarification about how the
geographic areas had been created,
which had not been published. The
State agency then explained the basis
for the geographic areas to the
commenter. The comment stated that
this explanation should have been
published.
Thus the State agency had published
the peer group criteria, but had not, in
the commenter’s opinion, published an
adequate explanation for the basis of
one of its criteria. FNS believes this
State agency’s publication of its peer
group criteria was adequate, and that
the State agency should not be required
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to publish explanations for its criteria.
The State agency is responsible for
establishing the peer group criteria,
subject only to FNS approval. The State
agency needs to inform the vendor of
the peer group criteria which will
determine how the State agency
calculates the maximum allowable
reimbursement amounts applicable to
the vendor. FNS encourages State
agencies to consider the views of
vendors during the development of such
criteria, such as in vendor advisory
councils, but this does not necessarily
involve publication. State agencies have
been advising vendors of their peer
group assignments and the peer group
criteria, but, for added assurance, a
sentence has been added to
§ 246.12(g)(4) in this final rule to state
that the State agency must inform all
vendors of the criteria for peer groups,
and must inform each individual vendor
of its peer group assignment.
Providing vendors with a description
of the peer groups resulting from use of
the criteria does not include a listing of
the individual vendor peer group
assignments. State agencies must not
share the peer group assignment of a
vendor with other vendors or their
representatives or the public, since this
would violate vendor confidentiality per
§ 246.26(e).
9. Administrative Review of Peer Group
Designation and Above-50-Percent
Status (§ 246.18(a)(1)(iii)(B))
One commenter stated that a vendor
should be able to appeal peer group
assignments because a vendor may be
eligible for different peer groups in a
State using multiple criteria, e.g., a
vendor might qualify for one peer group
based on the number of cash registers,
and also qualify for another peer group
based on sales volume; an opportunity
to appeal would provide the vendor
with an opportunity to provide
information ensuring the peer group
assignment is equitable. FNS agrees.
Paragraph 246.18(a)(1)(iii)(B) of the
interim rule stated that the validity or
appropriateness of the State agency’s
vendor peer group criteria and the
criteria used to identify vendors that are
above-50-percent vendors or comparable
to above-50-percent vendors are not
subject to administrative review.
This provision does not preclude
administrative review regarding the
application of the State agency’s peer
group and above-50-percent vendor
status criteria to an individual vendor
when this application of criteria is the
basis for adverse actions (denial of
authorization and termination of a
vendor agreement for cause). For
example, administrative review of such
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51757
adverse actions could cover whether the
State agency had considered all of the
SNAP-eligible food sales documentation
for the 12-month period used by the
State agency to determine a vendor’s
above-50-percent status, or whether the
State agency had used the correct square
footage of the store if such criteria is
used by the State agency to determine
peer group designations for vendors,
although such issues would only be
subject to administrative review under
the current regulations if the State
agency had initiated an adverse action
as a result of the application of this
criteria.
A vendor should be able to seek
administrative review regarding the
State agency’s peer group assignment or
above-50-percent vendor status
determination for that vendor even
though a vendor has not been denied
authorization or terminated. The peer
group assignment and above-50-percent
vendor status determination play crucial
roles in the calculation of the maximum
allowable reimbursement levels applied
to a vendor, i.e., the level of
compensation which a vendor will
receive upon redemption of food
instruments. Thus the peer group
assignment and above-50-percent
vendor status determination have a
major and immediate economic impact
on the vendor. Previously, the adverse
actions subject to administrative review
included only denials of authorization,
terminations of vendor agreements for
cause, disqualifications, and civil
money penalties and fines. Given the
economic impact of peer group
assignments and above-50-percent
vendor status determinations, these
actions are included under
§ 246.18(a)(1)(ii)(C) of this final rule as
adverse actions by themselves.
However, given the narrow factual focus
of such issues, full administrative
reviews per § 246.18(a)(1)(i) would not
be necessary; abbreviated administrative
reviews per § 246.18(a)(1)(ii) would be
sufficient.
The peer group assignment and
above-50-percent vendor status
determination also play crucial roles in
the calculation of the competitive price
levels which will determine whether an
applicant vendor is eligible for
authorization under the competitive
price criteria. Paragraph
246.18(a)(1)(iii)(A) of the WIC
regulations states that the validity or
appropriateness of the State agency’s
vendor limiting or selection criteria are
not subject to administrative review.
Thus administrative review for
competitive price criteria other than
peer group assignments and above-50percent vendor status determinations
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are also limited to the application of
such criteria and also have a narrow
factual focus, such as the percentage or
number of standard deviations above a
peer group’s average prices permitted
for an applicant vendor’s prices in order
for the vendor to be authorized.
Therefore, this final rule includes a new
§ 246.18(a)(1)(ii)(B) which will provide
abbreviated administrative review for
appeals concerning the application of
any competitive price criteria which
results in the denial of authorization.
Paragraph 246.12(g)(4)(vii) of the
interim rule indicated that the
competitive pricing provisions of
§ 246.12(g)(4) do not create a private
right of action based on facts that arise
from the impact or enforcement of these
provisions. Paragraph 246.12(g)(4)(vii)
was not intended to prevent a vendor
from obtaining administrative review
concerning the application of a
competitive price criterion. However,
the reference to facts that arise from the
impact or enforcement of the
competitive price provisions might be
misinterpreted to prevent such
administrative review. Thus the
reference to facts that arise from the
impact or enforcement of the
competitive price provisions has been
removed from § 246.12(g)(4)(vii) of this
final rule.
As pointed out above in connection
with the transparency of peer group
criteria, State agencies must not share
the peer group assignment of a vendor
with other vendors, their representatives
or the public, since this would violate
vendor confidentiality per § 246.26(e) of
the WIC regulations. Thus vendors
would not be entitled to such
information as part of the administrative
review process.
This final rule also includes
conforming revisions of § 246.18(a)(1).
The final rule deletes the application of
competitive price criteria from
§ 246.18(a)(1)(i)(A), which previously
included the application of competitive
price criteria as subject to full
administrative review. Additionally, the
final rule revises the references in
§ 246.18(a)(1) to paragraphs of
§ 246.12(g) to correspond with the
revisions of § 246.12(g) introduced by
the interim rule and retained in this
final rule.
List of Subjects in 7 CFR Part 246
Food assistance programs, Food
donations, Grant programs—Social
programs, Infants and children,
Maternal and child health, Nutrition
education, Public assistance programs,
WIC, Women.
■ Accordingly, the interim rule
amending 7 CFR part 246 which was
VerDate Nov<24>2008
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Jkt 220001
published on November 29, 2005 at 70
FR 71708 is adopted as final with the
following changes:
PART 246—SPECIAL SUPPLEMENTAL
NUTRITION PROGRAM FOR WOMEN,
INFANTS AND CHILDREN
1. The authority citation for part 246
continues to read as follows:
■
Authority: 42 U.S.C. 1786.
2. In § 246.2, add in alphabetical order
the definition of partially-redeemed
food instrument, to read as follows:
■
§ 246.2
Definitions.
*
*
*
*
*
Partially-redeemed food instrument
means a paper food instrument which is
redeemed for less than all of the
supplemental foods authorized for that
food instrument.
*
*
*
*
*
■ 3. In § 246.12:
■ a. Paragraph (g)(4) is amended by
adding a new sentence to the end of the
introductory text;
■ b. Paragraph (g)(4)(i), end of the
second sentence is amended by adding
the words ‘‘, in accordance with
paragraphs (g)(4)(i)(E) and (g)(4)(i)(F) of
this section.’’;
■ c. Paragraph (g)(4)(i)(D), third
sentence is amended by revising the
word ‘‘must’’ to read ‘‘may’’; the fifth
sentence by removing the words ‘‘,
recouping excess payments, or
terminating vendor agreements with
above-50-percent vendors whose prices
are least competitive and that are not
needed to ensure participant access’’;
and by adding two sentences at the end
of the paragraph.
■ d. Add new paragraphs (g)(4)(i)(E) and
(F);
■ e. Revise paragraph (g)(4)(ii)(B); and
■ f. Paragraph (g)(4)(vii) is amended by
removing the words ‘‘based on facts that
arise from the impact or enforcement of
these provisions’’.
The additions and revision read as
follows:
§ 246.12
Food delivery systems.
*
*
*
*
*
(g) * * *
(4) * * * The State agency must
inform all vendors of the criteria for
peer groups, and must inform each
individual vendor of its peer group
assignment.
(i) * * *
(E) Must determine whether vendor
applicants are expected to be above-50percent vendors. The State agency must
ask vendor applicants whether they
expect to derive more than 50 percent
of their annual revenue from the sale of
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food items from transactions involving
WIC food instruments. This question
applies whether or not the State agency
chooses to authorize above-50-percent
vendors. A vendor who answers in the
affirmative must be treated as an above50-percent vendor. The State agency
must further assess a vendor who
answers in the negative, by first
calculating WIC redemptions as a
percent of total food sales in existing
WIC-authorized stores owned by the
vendor applicant. Second, the State
agency must calculate or request from
the vendor applicant the percentage of
anticipated food sales by type of
payment, i.e., cash, Supplemental
Nutrition Assistance Program, WIC, and
credit/debit card. Third, the State
agency must review either the inventory
invoices for food items, or the actual
food items present at the
preauthorization visit required by
paragraph (g)(5) of this section, or both.
Fourth, the State agency must determine
whether WIC authorization is required
in order for the store to open for
business. If the vendor would be
expected to be an above-50-percent
vendor under any of these criteria, then
the vendor must be treated as an above50-percent vendor. State agencies may
use additional data sources and
methodologies, if approved by FNS.
(F) Must determine whether a
currently authorized vendor meets the
above-50-percent criterion, based on the
State agency’s calculation of WIC
redemptions as a percent of the vendor’s
total foods sales for the same period. If
WIC redemptions are more than 50
percent of the total food sales, the
vendor must be deemed to be an above50-percent vendor. As an initial step in
identifying above-50-percent vendors,
the State agency may compare each
vendor’s WIC redemptions to
Supplemental Nutrition Assistance
Program redemptions for the same
period. If more than one WIC State
agency authorizes a particular vendor,
then each State agency must obtain and
add the WIC redemptions for each State
agency that authorizes the vendor to
derive the total WIC redemptions. If
Supplemental Nutrition Assistance
Program redemptions exceed WIC
redemptions, no further assessment is
required since the vendor would not be
an above-50-percent vendor. For
vendors whose WIC redemptions exceed
their Supplemental Nutrition Assistance
Program redemptions, or if this
comparison of redemptions was not
made, the State agency must obtain from
these vendors a statement of the total
amount of revenue derived from the sale
of foods that could be purchased using
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Supplemental Nutrition Assistance
Program benefits. The State agency must
also obtain from these vendors
documentation (such as tax documents
or other verifiable documentation) to
support the amount of food sales
claimed by the vendor. After evaluating
the documentation received from the
vendor, the State agency must calculate
WIC redemptions as a percent of total
food sales and classify the vendor as
meeting or not meeting the above-50percent criterion. State agencies may
use additional methods, if approved by
FNS.
(ii) * * *
(B) Routine collection of vendor shelf
prices at least every six months
following authorization to monitor
vendor compliance with paragraphs
(g)(4)(i)(C), (g)(4)(ii)(C), and (g)(4)(iii) of
this section and to ensure State agency
policies and procedures dependent on
shelf price data are efficient and
effective. FNS may grant an exemption
from this shelf price collection
requirement if the State agency
demonstrates to FNSs’ satisfaction that
an alternative methodology for
monitoring vendor compliance with
paragraphs (g)(4)(i)(C), (g)(4)(ii)(C), and
(g)(4)(iii) of this section is efficient and
effective and other State agency policies
and procedures are not dependent on
frequent collection of shelf price data.
Such exemption would remain in effect
until the State agency no longer meets
the conditions on which the exemption
was based, until FNS revokes the
exemption, or for three years, whichever
occurs first;
*
*
*
*
*
■ 4. In § 246.18:
■ a. Revise paragraph (a)(1)(i)(A);
■ b. Paragraph (a)(1)(ii)(A) is amended
by revising ‘‘(§ 246.12(g)(3)(iii) and
(g)(3)(iv))’’ to read ‘‘(§ 246.12(g)(3)(ii)
and (g)(3)(iii))’’;
■ c. Redesignate paragraphs (a)(1)(ii)(B)
through (a)(1)(ii)(J) as paragraphs
(a)(1)(ii)(D) through (a)(1)(ii)(L), and add
new paragraphs (a)(1)(ii)(B) and
(a)(1)(ii)(C).
■ d. In newly redesignated paragraph
(a)(1)(ii)(F), revise ‘‘§ 246.12(g)(7)’’ to
read ‘‘§ 246.12(g)(8)’’;
■ e. Revise paragraphs (a)(1)(iii)(A) and
(a)(1)(iii)(B).
The revisions and additions read as
follows:
§ 246.18 Administrative review of State
agency actions.
(a) * * *
(1) * * *
(i) * * *
(A) Denial of authorization based on
the application of the vendor selection
criteria for minimum variety and
VerDate Nov<24>2008
16:37 Oct 07, 2009
Jkt 220001
quantity of authorized supplemental
foods (§ 246.12(g)(3)(i)), or on a
determination that the vendor is
attempting to circumvent a sanction
(§ 246.12(g)(6));
*
*
*
*
*
(ii) * * *
(B) Denial of authorization based on
the application of the vendor selection
criteria for competitive price
(§ 246.12(g)(4));
(C) The application of the State
agency’s vendor peer group criteria and
the criteria used to identify vendors that
are above-50-percent vendors or
comparable to above-50-percent
vendors;
*
*
*
*
*
(iii) * * *
(A) The validity or appropriateness of
the State agency’s vendor limiting
criteria (§ 246.12(g)(2)) or vendor
selection criteria for minimum variety
and quantity of supplemental foods,
business integrity, and current
Supplemental Nutrition Assistance
Program disqualification or civil money
penalty for hardship (§ 246.12(g)(3));
(B) The validity or appropriateness of
the State agency’s selection criteria for
competitive price (§ 246.12(g)(4)),
including, but not limited to, vendor
peer group criteria and the criteria used
to identify vendors that are above-50percent vendors or comparable to above50-percent vendors;
*
*
*
*
*
Dated: September 30, 2009.
Kevin W. Concannon,
Under Secretary for Food, Nutrition, and
Consumer Services.
[FR Doc. E9–24143 Filed 10–7–09; 8:45 am]
BILLING CODE 3410–30–P
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
14 CFR Part 25
[Docket No. NM403; Special Conditions No.
25–385–SC]
Special Conditions: Boeing Model 747–
8/–8F Airplanes, Structural Design
Requirements for Four-Post Main
Landing Gear System
AGENCY: Federal Aviation
Administration (FAA), DOT.
ACTION: Final special conditions.
SUMMARY: These special conditions are
issued for the Boeing Model 747–8/–8F
airplane. This airplane will have novel
or unusual design features associated
with a four-post main landing gear
system. The applicable airworthiness
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51759
regulations do not contain adequate or
appropriate safety standards for this
design feature. These special conditions
contain the additional safety standards
that the Administrator considers
necessary to establish a level of safety
equivalent to that established by the
existing airworthiness standards.
DATES: Effective Date: November 9,
2009.
FOR FURTHER INFORMATION CONTACT:
Mark Freisthler, FAA, Airframe & Cabin
Safety Branch, ANM–115, Transport
Airplane Directorate, Aircraft
Certification Service, 1601 Lind
Avenue, SW., Renton, Washington
98057–3356; telephone (425) 227–1119;
facsimile (425) 227–1149.
SUPPLEMENTARY INFORMATION:
Background
On November 4, 2005, The Boeing
Company, P.O. Box 3707, Seattle, WA
98124, applied for an amendment to
Type Certificate Number A20WE to
include the new Model 747–8 passenger
airplane and the new Model 747–8F
freighter airplane. The Model 747–8 and
the Model 747–8F are derivatives of the
747–400 and the 747–400F,
respectively. Both the Model 747–8 and
the Model 747–8F are four-engine jet
transport airplanes that will have a
maximum takeoff weight of 970,000
pounds and new General Electric GEnx–
2B67 engines. The Model 747–8 will
have two flight crew and the capacity to
carry 660 passengers. The Model 747–
8F will have two flight crew and a zero
passenger capacity, although Boeing has
submitted a petition for exemption to
allow the carriage of supernumeraries.
Type Certification Basis
Under the provisions of 14 CFR
21.101, Boeing must show that the
Model 747–8 and 747–8F (hereafter
referred as 747–8/–8F) meet the
applicable provisions of part 25, as
amended by Amendments 25–1 through
25–117, except for earlier amendments
as agreed upon by the FAA. These
regulations will be incorporated into
Type Certificate No. A20WE after type
certification approval of the 747–8/–8F.
In addition, the certification basis
includes other regulations, special
conditions and exemptions that are not
relevant to these special conditions.
Type Certificate No. A20WE will be
updated to include a complete
description of the certification basis for
these model airplanes.
If the Administrator finds that the
applicable airworthiness regulations
(i.e., 14 CFR part 25) do not contain
adequate or appropriate safety standards
for the 747–8/–8F because of a novel or
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Agencies
[Federal Register Volume 74, Number 194 (Thursday, October 8, 2009)]
[Rules and Regulations]
[Pages 51745-51759]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-24143]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Part 246
[FNS-2009-0001]
RIN 0584-AD71
Special Supplemental Nutrition Program for Women, Infants and
Children (WIC): Vendor Cost Containment
AGENCY: Food and Nutrition Service, USDA.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: This final rule adopts, with changes, an interim rule
published on November 29, 2005 amending the WIC regulations. The final
rule incorporates into program regulations new legislative requirements
for vendor cost containment that affect the selection, authorization,
and reimbursement of retail vendors. These requirements are contained
in the Child Nutrition and WIC Reauthorization Act of 2004, enacted on
June 30, 2004. The final rule reflects the statutory provisions that
require State agencies to implement a vendor peer group system,
competitive price criteria, and allowable reimbursement levels in a
manner that ensures the WIC Program pays authorized vendors competitive
prices for supplemental foods. It also requires State agencies to
ensure vendors that derive more than 50 percent of their annual food
sales revenue from WIC food instruments (``above-50-percent vendors'')
do not cause higher food costs for the program than do other vendors
(``regular vendors''). The intent
[[Page 51746]]
of these provisions is to maximize the number of eligible women,
infants, and children served with available Federal funding.
DATES: Effective Date: This rule is effective November 9, 2009.
FOR FURTHER INFORMATION CONTACT: Debra 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 in conformance with Executive Order
12866.
Regulatory Impact Analysis Summary
As required for all rules designated as Significant by the Office
of Management and Budget, a Regulatory Impact Analysis was developed
for the WIC Vendor Cost Containment Final Rule. A complete copy of the
Impact Analysis is available by contacting the person indicated in the
FOR FURTHER INFORMATION CONTACT section of this Preamble.
Need for Action
This action is needed to implement the vendor cost containment
provisions of the Child Nutrition and WIC Reauthorization Act of 2004,
Public Law 108-265, which amended the Child Nutrition Act (CNA). The
rule requires WIC State agencies to operate vendor management systems
that effectively contain food costs by ensuring that prices paid for
supplemental foods are competitive. The rule also responds to data
which indicate that WIC food expenditures increasingly include payments
to above-50-percent vendors whose prices are not governed by the market
forces that affect most retail grocers. As a result, the prices charged
by these vendors tend to be higher than those of other retail grocery
stores participating in the program. To ensure the program pays
competitive prices, this rule confirms the codification of the new
statutory requirements in the interim rule for State agencies to use in
evaluating vendor applicants' prices during the vendor selection
process and when paying vendors for supplemental foods following
authorization, with a few exceptions. However, in response to comments,
the interim rule's requirement for weighting food instruments in
quarterly cost neutrality assessments has been made optional in Sec.
246.12(g)(4)(i)(D) of this final rule. Also, the requirement for
recouping excess payments or terminating vendor agreements based on
food instruments which had exceeded cost neutrality levels calculated
during quarterly cost neutrality assessments, but were submitted for
redemption within the maximum allowable reimbursement levels in effect
at the time of redemption, has been removed from Sec.
246.12(g)(4)(i)(D). Further, the final rule includes one new
requirement based on the comments received; a sentence has been added
to Sec. 246.12(g)(4) stating the State agency must inform all vendors
of the criteria for peer groups, and must inform each individual vendor
of its peer group assignment. This one new requirement is not expected
to increase the administrative burden of State agencies since State
agencies are already doing this, as indicated during the processing of
the certification and exemption requests.
While the Child Nutrition and WIC Reauthorization Act mandates that
State agencies establish peer groups, competitive price criteria and
allowable reimbursement levels, and states that these requirements must
result in the outcome of paying above-50-percent vendors no more than
regular vendors, the Act does not specify particular criteria for peer
groups or acceptable methods of setting competitive price criteria and
allowable reimbursement levels. The Food and Nutrition Service (FNS)
considered using the interim rule to mandate specific means of
developing peer groups, competitive price criteria and allowable
reimbursement levels in order to ensure the outcome of this legislation
was achieved. However, given the responsibility of the State agencies
to manage WIC as a discretionary grant program, the varying retail food
market conditions in each State, and the wide variations in current
vendor cost containment systems operated by State agencies, the interim
rule provided State agencies with flexibility to develop their own peer
groups, competitive price criteria and allowable reimbursement levels.
The State agency vendor cost containment plans and exemption
requests approved by FNS following the implementation of the interim
rule reflected considerable diversity in peer group criteria,
competitive price criteria, and allowable reimbursement levels.
Paragraph 246.12(g)(4)(vi) of the interim rule required State agencies
which authorized above-50-percent vendors to obtain certification for
their vendor cost containment systems from FNS. Also, State agencies
could seek an exemption from the requirement to establish peer groups
under Sec. 246.12(g)(4)(v), from the requirements for a geographic
peer group criterion, or for the use of more than one peer group
criterion under Sec. 246.12(g)(4)(ii)(A). The peer group requirements
applied to all State agencies, regardless of whether above-50-percent
vendors were authorized. These vendor cost containment certification
submissions and requests for exemption provided the data needed to
determine whether State agency vendor cost containment systems actually
reflected the flexibility intended by the interim rule. The following
chart summarizes this data from the vendor cost containment plans
submitted by the 32 State agencies which sought certification from FNS:
------------------------------------------------------------------------
Number of State
agencies using the
peer group
Peer group criteria/reimbursement policy criteria/
reimbursement
policy
------------------------------------------------------------------------
Geography/Population Density........................ 26
Number of Cash Registers............................ 11
Type of Ownership (e.g., Sole Proprietorship, 3
Corporate).........................................
Size (e.g., Square Footage)......................... 6
Type of Store (e.g., Small Neighborhood Store, 11
Chain).............................................
WIC Sales Volume.................................... 10
Separate Peer Groups for Supercenter Stores or 9
Commissaries.......................................
Separate Peer Groups for Above-50-Percent Vendors; 13
Paid Statewide Average.............................
Above-50-Percent Vendors in Same Peer Groups with 16
Regular Vendors; Paid Statewide Average............
Above-50-Percent Vendors in Same Peer Groups with 3
Regular Vendors; Paid Peer Group Average...........
------------------------------------------------------------------------
[[Page 51747]]
Further, FNS granted exemptions from the peer group requirements in
entirety to 28 State agencies which did not authorize above-50-percent
vendors. In addition, FNS granted exemptions from the requirement for a
geographic peer group criterion to all 10 State agencies which had
requested such exemptions. Finally, FNS granted exemptions from the
requirement to use more than one peer group criterion to both State
agencies which had requested such exemptions; for both of these State
agencies, the geographic peer group criterion is the only peer group
criterion.
Thus, the interim rule gave State agencies flexibility to design
cost containment practices that would be effective in their own markets
and would ensure adequate participant access. The final rule maintains
this flexibility, while continuing to ensure that above-50-percent
vendors do not result in higher costs to the program than regular
vendors as required by the CNA.
Benefits
The WIC Program will benefit from the provisions of this rule by
reducing unnecessary food expenditures, thereby increasing the
potential to serve more eligible women, infants, and children for the
same cost. The rule should ensure that payments to vendors reflect
competitive prices for WIC foods, particularly regarding above-50-
percent vendors. Previously, the WIC Program paid above-50-percent
vendors more for supplemental foods than it paid other authorized
vendors. Under the interim rule, State agencies that chose to authorize
these vendors needed to demonstrate in their certification requests
that payments to such vendors would not be higher on average per food
instrument than payments to comparable vendors.
FNS conservatively estimated that implementation of the interim
rule would result in a cost savings of approximately $75 million
annually, as discussed in the Regulatory Impact Analysis for the
interim rule. As previously noted, one State agency has already
reported that it has been able to serve more than 40,000 additional
participants because of the savings resulting from implementation of
the interim rule. However, due to other factors which impact on food
costs, such as inflation in commodity prices, it is not possible to
confirm with absolute certainty that food costs for the Program have
declined because of the interim rule. Even so, FNS stands by its
estimate of savings since it was based on a comparison of regular
vendor prices and above-50-percent vendor prices before the interim
rule, when the prices of above-50-percent vendors were usually higher
than the prices of regular vendors.
Costs
In order to comply with the interim rule, State agencies needed to
make one-time changes in their vendor cost containment systems. Some
State agencies were already in full or partial compliance with the
rule, while others needed to demonstrate that they met the conditions
for an exemption from all or some of the vendor peer group system
requirements. As indicated by the State agency comments on the interim
rule, many State agencies, particularly those that chose to authorize
above-50-percent vendors, incurred additional costs and administrative
burdens to achieve compliance with its provisions.
Of the eleven WIC State agencies which submitted comments on the
interim rule, nine addressed the administrative burden resulting from
implementation of the interim rule. All nine of these State agencies
stated that implementation of the interim rule had required a
substantial increase in the administrative burden, citing particular
requirements of the interim rule, including the requirements to weight
food instrument redemption amounts in cost neutrality assessments;
collect food prices from vendors at least every six months following
authorization; document the above-50-percent vendor status for all
vendors; document the above-50-percent vendor status for pharmacies;
and to conduct quarterly cost neutrality assessments for State agencies
which do not have automated systems for performing statistical
analyses. The requirement in the interim rule for weighting food
instrument redemption amounts for cost neutrality assessments has been
made optional in this final rule, and requirement for collecting food
prices from vendors at least every six months following authorization
have been modified in this final rule to provide for exemptions.
Also, FNS has provided State agencies with methodologies for
reducing the administrative burden of identifying above-50-percent
vendors and of the quarterly cost neutrality assessments. Over ninety
percent of WIC vendors are also authorized by the Supplemental
Nutrition Assistance Program (SNAP, formerly the Food Stamp Program).
To assist the State agencies, FNS established a process for comparing
WIC redemptions to SNAP redemptions; this process established that
about 88 percent of authorized WIC vendors had greater SNAP redemptions
than WIC redemptions. As a result, there was no need to obtain further
documentation from these vendors, such as tax returns or other
verifiable documentation, to establish whether more than 50 percent of
a vendor's food sales were derived from WIC purchases. Further, the
State agency workload for this redemption comparison process is
negligible because FNS maintains the fully automated reporting process
which matches the redemption data maintained by the WIC The Integrity
Profile (TIP) and the SNAP Store Tracking and Redemption System (STARS)
systems.
One State agency commented that this process should not use
annualized WIC redemption data for a new WIC vendor because this may
erroneously indicate that this vendor is an above-50-percent vendor,
resulting in the restriction of payments to this vendor at the maximum
allowable redemption levels permitted for above-50-percent vendors.
However, the WIC-SNAP redemption match cannot result in a determination
that a vendor is an above-50-percent vendor because this match does not
include eligible food sales made with cash, credit cards, personal
checks, etc. Instead, this process has one of two results: Either the
vendor is not an above-50-percent vendor, or the vendor is potentially
an above-50-percent vendor. If a vendor is designated as a potential
above-50-percent vendor, the State agency needs to obtain further
documentation before determining whether the vendor is in fact an
above-50-percent vendor. Also, as discussed more fully below in the
Background section of this preamble, the State agency must ask all
vendor applicants whether they expect to become above-50-percent
vendors, and, if not, the vendor must provide supporting documentation
to the State agency.
Regulatory Flexibility Act
This rule has been reviewed with regard to the requirements of the
Regulatory Flexibility Act (5 U.S.C. 601-612). Although not required by
the Act, the Food, Nutrition, and Consumer Services hereby certifies
that this rule will not have a significant economic impact on a
substantial number of small entities. The provisions implemented
through this rulemaking apply to all State agencies administering the
WIC Program, regardless of size. Further, as pointed out above, several
provisions of this rule provide considerable flexibility to WIC State
agencies regarding the manner of implementing its requirements, rather
than new prescriptive requirements for the
[[Page 51748]]
operation and administration of the Program.
Public Law 104-4
Title II of the Unfunded Mandates Reform Act of 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, FNS
generally must prepare a written statement, including a cost benefit
analysis, for proposed and final rules with ``Federal mandates'' that
may result in expenditures by State, local or tribal governments, in
the aggregate, or 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 FNS to identify and consider a reasonable
number of regulatory alternatives and adopt the most cost-effective or
least burdensome alternative that achieves the objectives of the rule.
This final rule contains no Federal mandates (under the provisions
of Title II of the UMRA) for State, local and tribal governments or the
private sector of $100 million or more in any one year. Thus, the rule
is not subject to the requirements of sections 202 and 205 of the UMRA.
Executive Order 12372
WIC is listed in the Catalog of Federal Domestic Assistance under
10.557. For the reasons set forth in 7 CFR 3015, Subpart V and related
Notice (48 FR 29115), this program is included in the scope of
Executive Order 12372, which 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 following three
categories called for under section (6)(b)(2)(B) of Executive Order
13132.
Prior Consultation With State Officials
State agencies have expressed concerns and shared information
regarding implementation of the interim rule. Because the WIC Program
is a State-administered, federally funded program, FNS regional offices
have formal and informal discussions with State agencies on an ongoing
basis regarding program implementation and policy issues. This
arrangement allows State agencies to raise questions and provide
comments that form the basis for many of the implementation detail
decisions in this and other WIC Program rules. Prior to the
implementation of the interim rule, several regional offices convened
meetings with State WIC staff that included discussion of the vendor
cost containment provisions of this law. In addition, in October 2004,
FNS' Supplemental Food Programs Division convened a meeting of WIC
State agency representatives, USDA headquarters and regional office
staff, and an outside expert on competitive pricing systems, to obtain
more information on State agencies' current vendor cost containment
systems. During the implementation of the interim rule, FNS further
clarified the meaning of the cost containment provisions in response to
numerous issues raised by the certification and exemption requests
submitted by State agencies. These questions and informal comments
received on the interim rule have assisted FNS in making the final rule
responsive to State agency concerns.
Nature of Concerns and the Need To Issue This Rule
The comments of most of the State agencies on the interim rule
reflected concerns about FNS interpretations of Public Law 108-265, the
extent of the flexibility provided to the State agencies by the interim
rule, and the administrative burden of implementing the interim rule.
These concerns focused on several of the interim rule's requirements,
including: above-50-percent vendors may not be paid more on average per
food instrument type than regular vendors; food instrument redemption
amounts must be weighted in cost neutrality assessments; food prices
must be collected from vendors at least every six months following
authorization; and verifiable documentation must be used to identify
above-50-percent vendors.
Extent to Which Those Concerns Have Been Met
As discussed more fully below in the Background section of this
preamble, most of the provisions of the interim rule reflected the
explicit requirements of Public Law 108-265 and thus cannot be
eliminated or altered. However, as also discussed below, some
provisions of the interim rule which were not based on the explicit
requirements of Public Law 108-265 have been modified in this final
rule. Also, several of these modified provisions had been viewed as
administratively burdensome in the comments of State agencies,
including the weighting of food redemption amounts in cost neutrality
calculations, which has been made optional in the final rule, and the
collection of food prices from vendors every six months following
authorization, from which a State agency may be exempted under the
final rule but not under the interim rule. Additionally, as discussed
more fully in the Regulatory Impact Analysis section of this preamble,
FNS has also reduced the administrative burden by developing a
methodology which has eliminated the need to obtain documentation from
approximately 88 percent of authorized vendors regarding whether they
are above-50-percent vendors. Finally, this final rule continues the
considerable flexibility provided by the interim rule for the manner of
State agency implementation, in particular the broad range of peer
group criteria available to State agencies as noted above in the
Regulatory Impact Analysis section of this preamble. Indeed, the peer
group exemption process of the interim rule is continued in the final
rule so State agencies may request exemptions from some or all of the
peer group requirements; 40 State agencies were granted such exemptions
under the interim rule.
Executive Order 12988
This final rule has been reviewed under Executive Order 12988,
Civil Justice Reform, and is intended to have preemptive effect with
respect to any State or local laws, regulations or policies which
conflict with its provisions, or otherwise impede its full
implementation. This final rule is not intended to have retroactive
effect unless so specified in the DATES paragraph of this preamble.
Prior to any judicial challenge to the provisions of this rule or the
application of its provisions, all applicable administrative procedures
must be exhausted.
Civil Rights Impact Analysis
FNS has reviewed this final rule in accordance with Departmental
Regulation 4300-4, ``Civil Rights Impact Analysis,'' to identify and
address any major civil rights impacts the final rule might have on
minorities, women, and persons with disabilities. FNS has determined
that this final rule's intent and provisions will not adversely affect
access to WIC services by eligible persons. 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 government agencies that
administer the WIC Program from engaging in actions that discriminate
based on race, color, national origin,
[[Page 51749]]
sex, age or disability. Section 246.8 of the WIC regulations (7 CFR
part 246) indicates that Department of Agriculture regulations on non-
discrimination (7 CFR parts 15, 15a and 15b) and FNS instructions
ensure that no person shall on the grounds of race, color, national
origin, age, sex, or disability, be excluded from participation in, be
denied benefits of, or be otherwise subjected to discrimination under
the Program.
Discrimination in any aspect of program administration is
prohibited by Department of Agriculture regulations on non-
discrimination (7 CFR parts 15, 15a, and 15b), the Age Discrimination
Act of 1975 (Pub. L. 94-135), the Rehabilitation Act of 1973 (Pub. L.
93-112, section 504), and title VI of the Civil Rights Act of 1964 (42
U.S.C. 2000d). Enforcement action may be brought under any applicable
Federal law. Title VI complaints shall be processed in accordance with
7 CFR part 15. Where State agencies have options, and they choose to
implement a particular provision, they must implement it in such a way
that it complies with Sec. 246.8 of the WIC regulations.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995 (44 U.S.C. Chap. 35; see 5 CFR
1320) requires the Office of Management and Budget (OMB) approve all
collections of information by a Federal agency 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.
Some of the information collections in this final rule have been
previously approved under OMB No. 0584-0043, based on the information
reporting requirements outlined in the interim rule WIC Vendor Cost
Containment Interim Rule, published on November 29, 2005 at 70 FR
71708. The information collection for this final rule has been
submitted to OMB with revisions based on comments and new information,
as discussed below.
The preamble of the interim rule separated the reporting burden of
that rule into three parts. The first part, listed under Sec.
246.4(a)(14)(xv), included: The description of the vendor cost
containment system (peer groups, maximum allowable reimbursement
levels, average redemption amounts for selected food instruments) in
the State Plan, which is an annual requirement; State agency
notification to FNS concerning non-profit above-50-percent vendors
exempted by the State agency from cost containment requirements, which
could occur at any time; request for exemption from vendor peer group
requirements, which must be re-approved triennially; information
required for FNS for certification of the State agency's vendor cost
containment system, which must be re-approved triennially; and,
detailed assurances concerning the implementation of the commitments
made under existing certifications, which must be provided annually in
the State Plan. The second part, listed under Sec. 246.12(g)(4)(i),
concerns the identification of above-50-percent vendors. The third
part, listed under Sec. 246.12(g)(4)(ii)(B), concerns the collecting
of vendor food prices every six months following authorization of the
vendor.
Comments
As noted in the Regulatory Impact Analysis Summary of this
preamble, nine commenters, all of them State agencies, addressed the
administrative burden of the interim rule. However, only two of these
State agencies suggested different burden hours than set forth in the
interim rule. One of these State agencies stated that at least one-half
of a staff position would be needed to manage ongoing reporting
activities, without indicating how this staff time would be distributed
between the different reporting burdens set forth in the preamble of
the interim rule, including the burdens which have been modified in
this final rule. Similarly, the other State agency stated that eight
new staff had been requested to address the new administrative needs
resulting from the interim rule, including all of the reporting
burdens, but also to address the administrative needs unrelated to
vendor cost containment--the State agency's emerging Electronic
Benefits Transfer (EBT) system. Although lacking in specificity, these
comments indicate that FNS may have underestimated the reporting burden
hours.
The Regulatory Impact Analysis Summary of this preamble also
discusses the other comments on the administrative burden and how the
final rule reflects accommodations intended to reduce those burdens.
All nine of these State agencies stated that implementation of the
interim rule had required a substantial increase in the administrative
burden, citing particular requirements of the interim rule, including
the requirements to weight food instrument redemption amounts in cost
neutrality assessments; collect food prices from vendors at least every
six months following authorization; document the above-50-percent
vendor status for all vendors; document the above-50-percent vendor
status for pharmacies; and to conduct quarterly cost neutrality
assessments for State agencies which do not have automated systems for
performing statistical analyses. The information collection burden
hours have also been adjusted due to these comments, as discussed
below.
Collections Added by the Final Rule
Unlike the interim rule, this final rule includes a provision which
permits State agencies to seek approval of their methodologies for
excluding partially-redeemed food instruments from the required
quarterly cost-neutrality assessments. The commenters who stated that
such food instruments should be excluded from the cost neutrality
assessments included two State agencies. Paragraph 246.4(a)(14)(xv)
requires State agencies include information in their State Plan
submissions to FNS demonstrating compliance with the cost containment
provisions of Sec. 246.12(g)(4), which includes the quarterly cost
neutrality assessment requirement of Sec. 246.12(g)(4)(i)(D). Thus a
State agency would need FNS approval of a State Plan amendment setting
forth a methodology for excluding partially-redeemed food instruments.
This is one of the reasons why the information burden hourly rate for
the State Plan submissions under the interim rule has been doubled
under this final rule.
Burden hours have been added in the final rule to account for an
exemption process which, unlike the interim rule, would permit State
agencies to seek exemptions from the requirement set forth in Sec.
246.12(g)(4)(ii)(B) for biannual collection of vendor shelf prices. FNS
estimates that 15 State agencies will seek such exemptions at the same
rate of 16 hours per response used in connection with the request for
exemption from the peer group requirement under Sec. 246.4(a)(14)(xv),
resulting in 240 burden hours (15 x 16 = 240). This change in the
burden hours based on the addition of an exemption process under Sec.
246.12(g)(4)(ii)(B) is the only change of burden hours due to program
changes. All of the other changes in burden hours are considered to be
adjustments.
The burden hours per response set forth in connection with Sec.
246.12(g)(4)(ii)(B) of the interim rule for the collection of vendor
food prices every six months following authorization has been increased
in this final rule from one to two hours for both State agencies and
vendors in recognition of the aforementioned comments. Although this
provision has been modified in the final rule to
[[Page 51750]]
provide for exemptions, the overall result is a net increase of 223,154
burden hours for the biannual shelf price collection process. (The
final rule allots 313,332 burden hours for the collection of shelf
prices by the State agencies and vendors combined, while the interim
rule allotted 90,178 hours for this.) Such exemptions could be based on
numerous different reasons. As indicated in the Regulatory Impact
Analysis, 67 percent of the State agencies are in compliance with the
price collection requirement. Thus the exemptions would involve some
proportion of the other 33 percent of the 90 State agencies (30 State
agencies). FNS estimates that as many as one half of these State
agencies may be granted exemptions, i.e., 15 State agencies. (See
section 4 of the Background part of this preamble for more information
on this exemption process.) Thus the chart below shows that 75 State
agencies will need to collect vendor shelf prices biannually under
Sec. 246.12(g)(4)(ii)(B), about 83.3 percent of the State agencies,
and that about 83.3 percent of the vendors--39,167 vendors--will need
to cooperate with this price collection process. As a result, the chart
also shows that each of the 75 State agencies will need to collect
prices from 1,044 vendors on average twice per year, i.e., (39,167 / 75
= 546.5) x 2 = 1,044.
Unlike the interim rule, Sec. 246.12(g)(4) of this final rule
states that the State agency must inform all vendors of the criteria
for peer groups and each individual vendor of its peer group
assignment. State agencies have been advising vendors of their peer
group assignments and the peer group criteria, but, for added
assurance, a sentence has been added to Sec. 246.12(g)(4) in this
final rule to state that the State agency must inform all vendors of
the criteria for peer groups and each individual vendor of its peer
group assignment. Thus this new requirement set forth in Sec.
246.12(g)(4) would not result in any new information collection burden
hours.
Reducing the Collections
As noted in the Regulatory Impact Analysis section of this
preamble, four State agencies commented that the interim rule's
requirement for weighting food instrument redemption amounts made the
cost neutrality assessment process more burdensome. In response, FNS
has eliminated the requirement for weighting food instrument redemption
amounts in the cost neutrality assessment process. Also, FNS expects
certification requests, exemption requests, and State Plan submissions
in the future will only involve amendments and/or updating information
for most State agencies.
Numbers of Certifications and Exemptions
The previous estimates of 65 State agencies seeking certification
and 30 State agencies seeking exemptions need to be replaced with
numbers based on actual experience. The certifications concern the cost
neutrality of above-50-percent vendors with regards to comparable
regular vendors. The exemptions concern the peer group requirements for
all vendors. All State agencies are subject to the peer group
requirements unless granted an exemption by FNS, but only those State
agencies which authorize above-50-percent vendors need to be certified
by FNS regarding their processes for maintaining the cost neutrality of
above-50-percent vendors in comparison to comparable regular vendors.
In Fiscal Years 2005 and 2006, 32 State agencies requested
certification and 42 requested exemptions.
Conclusions
Balancing the State agency comments and new requirements against
the factors reducing the paperwork burden expected for future
certification requests, exemption requests, and State Plan submissions,
the burden hours per response estimated for the final rule will be
doubled for three of the four information burden categories related to
these requests and submissions, as detailed in the chart below. This
includes increasing the hourly information burden rate for the State
Plan description of the vendor cost containment system from 4 to 8
hours, for exemptions from the peer group requirements from 8 to 16
hours, and for information related to the certification and monitoring
of the vendor cost containment system from 8 to 16 hours.
FNS has not been notified by any State agency that it has
authorized a non-profit above-50-percent vendor, as required by Sec.
246.12(g)(4)(iv); such notification would be provided as a State Plan
submission under Sec. 246.4(a)(14)(xv). FNS does not know if any State
agencies will elect to authorize such vendors in the future. Thus the
current estimate of the number of State agencies and annual burden
hours related to this notification requirement will remain unchanged:
five State agencies with one annual burden hour for each, resulting in
a total of annual five burden hours. This is the only information
burden category related to certification requests, exemption requests,
and State Plan submissions for which the burden hours will not be
doubled.
The paperwork burden for the annual identification of above-50-
percent vendors, per Sec. 246.12(g)(4)(i), was previously set at 2
hours per response. As previously noted, the comparison of WIC and SNAP
redemptions has made it possible to eliminate about 88 percent of
authorized vendors from any need for further documentation since this
comparison has confirmed that about 88 percent of authorized vendors
have more SNAP redemptions than WIC redemptions. FNS has established an
automated process which matches the redemption data maintained by the
WIC TIP and the SNAP STARS systems. The State agency workload for use
of this process is negligible.
FNS recognizes that obtaining additional documentation of above-50-
percent status for the remaining 12 percent of vendors is more
burdensome than the WIC-SNAP redemption match, for both State agencies
and vendors. Accordingly, in consideration of the comments on the
reporting burden, the burden hours per response for the State agencies
has been increased from 2 to 4 hours, and for the vendors from 1 to 2
hours for the data collection related to identifying above-50-percent
vendors. However, this higher number of burden hours for vendors will
only be applied to the 12 percent of vendors which have been designated
as potential above-50-percent vendors based on the WIC-SNAP redemption
match (5,640 vendors), since those vendors which have been designated
as not being above-50-percent vendors as a result of the WIC-SNAP
redemption match will not need to provide any documentation to the
State agency at all.
The chart below sets forth the estimated annual reporting burden
for the final rule to reflect the above-noted revisions based on State
agency comments and information not available when the interim rule was
published. Decimals are not included in the chart.
[[Page 51751]]
Final Rule Estimated Annual Reporting Burden
----------------------------------------------------------------------------------------------------------------
Estimated
Estimated Data collections or average burden Estimated annual
Section of the regulations Number of reports required hours per burden hours
respondents annually response
----------------------------------------------------------------------------------------------------------------
Sec. 246.4(a)(14)(xv):
Description of 90 1...................... 8 720
vendor peer group system and
allowable reimbursement
levels; average redemption
amounts for selected food
instruments.
Notification of 5 1...................... 1 5
exemption of non-profit
vendors.
Request for 42 1--(triennial)......... 16 224
exemption from vendor peer
group requirement.
Information required 32 1--(triennial)......... 16 171
for certification of vendor
cost containment system and
to monitor ongoing
compliance with
certification requirements.
32 1...................... 8 256
Sec. 246.4(a)(14)(xv) Total.... 90 3.66................... ................ 1,376
Sec. 246.12(g)(4)(i)........... 90 63..................... 4 22,560
Above-50-Percent Determination... 5,640 1...................... 2 11,280
Sec. 246.12(g)(4)(ii)(B)....... 75 1,044.................. 2 156,666
Biannual Price Collection........ 39,167 2...................... 2 156,666
Sec. 246.12(g)(4)(ii)(B) 15 1...................... 16 240
Biannual Price Collection
Exemption.
----------------------------------------------------------------------------------------------------------------
Total Burden Hours Due to Program Changes..................................................... 240
Total Burden Hours Due to Adjustments......................................................... 143,629
Total Burden Hours for the Final Rule......................................................... 143,869
Currently Approved WIC Reporting and Recordkeeping Burden Hours............................... 3,451,206
Total Proposed WIC Reporting and Recordkeeping Burden Hours................................... 3,595,075
----------------------------------------------------------------------------------------------------------------
E-Government Act Compliance
FNS is committed to complying 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.
Background
Ninety-two letters and electronic mail messages of comment were
submitted on the interim rule during the comment period, from 37 WIC-
authorized vendors; 22 WIC local agencies; 13 WIC State agencies; 8
members of Congress (in one joint letter); 5 retailer advocacy
organizations; 5 social service advocacy organizations; 4 law firms
representing WIC-authorized vendors; 3 general public individuals; and
2 non-WIC State agencies. Many of these comment letters and electronic
mail messages addressed multiple issues.
1. Definitions of ``Above-50-Percent Vendor'' and ``Food Sales'' (Sec.
246.2)
Definition of ``Above-50-Percent Vendor''
Section 246.2 of the interim rule defined ``Above-50-percent
vendors'' as referring to vendors that derive more than 50 percent of
their annual food sales revenue from WIC food instruments, and new
vendor applicants expected to meet this criterion under guidelines
approved by FNS. Two commenters opposed this definition. One of these
commenters stated that this group of vendors should be defined based on
70 percent of food sales derived from WIC, so small stores and
convenience stores will not go out of business due to the requirement
that the redemption amounts of above-50-percent vendors must be
comparable to the redemption amounts of chain stores, potentially
leading to inadequate participant access. The other commenter stated
that the final rule should focus on vendors with WIC redemptions close
to 100 percent of their food sales since these are the vendors which
have proven to be so costly, not small vendors with a regular retail
vendor business model who serve a high percentage of WIC participants
in low-income areas.
The definition of ``above-50-percent vendor'' is based on a
legislative requirement in section 17(h)(11)(D)(ii)(I) of the CNA,
i.e., vendors with more than 50 percent of annual food sales revenue
derived from WIC sales. Therefore, this definition remains as set forth
in the interim rule.
Definition of ``Food Sales''
Three commenters opposed the definition of ``food sales'' in Sec.
246.2 of the interim rule as referring to all SNAP-eligible foods. One
of these commenters stated that ``food sales'' as defined in the
interim rule cannot be easily verified by many stores because their
scanners cannot identify SNAP-eligible food or, if they do, they cannot
tally the amounts and that federal tax forms and other documentation
maintained by the vendors do not show the sales based on SNAP-eligible
foods. Another commenter asserted that State tax forms in one State
were not helpful for determining above-50-percent status because these
forms do not require a total sales amount from which taxable non-food
sales could be subtracted to result in an estimate of food sales, and
some foods are taxable; therefore this commenter stated that a vendor
should be defined as an above-50-percent vendor based on total sales,
not total food sales. One other commenter stated that there is no
universal definition of ``food sales,'' resulting in WIC State agencies
using a variety of conflicting approaches with disparate results. This
commenter argued that State agencies should be allowed to accept self-
declaration of vendors with legal penalties for inaccuracy, instead of
imposing burdensome data collection processes on vendors.
However, section 17(h)(11)(D)(ii)(I) of the CNA identifies above-
50-percent vendors based on more than 50 percent of annual revenue from
the sale of food items for WIC food instruments, not food and all other
items. Thus the final rule cannot permit total sales instead of total
food sales as the basis for identifying above-50-percent vendors. Also,
self-declaration would generally not serve as a proper basis for
compliance with this provision of the CNA, since self-declaration would
be an opinion, not objective data. Therefore,
[[Page 51752]]
the definition of ``food sales'' remains as set forth in the interim
rule.
2. Assessment of Above-50-Percent Vendor Status (Sec. 246.12(g)(4)(i))
Methodologies for Determining the Above-50-Percent Status of Vendor
Applicants
Three commenters objected to the statement at 70 FR 71715 of the
preamble of the interim rule that State agencies must review invoices
as one of the steps needed to determine the above-50-percent status of
vendor applicants. These commenters view this requirement as unduly
burdensome, recommending instead that State agencies be permitted to
review stock for this purpose during the pre-authorization visit or at
some other time, and to consider the history of the vendor. One of
these commenters also stated that a review of invoices might be
misleading because the State agency has no way of knowing if it has
received all of a vendor's invoices. FNS agrees with the commenters
that a review of invoices should not be required. Instead, the State
agency should have the option to rely only on a review of stock at the
preauthorization visit, as recommended by the commenters, or even to
use both methodologies. Accordingly, new paragraphs 246.12(g)(4)(i)(E)
and (g)(4)(i)(F) have been established in the final rule to set forth
the required methodologies, previously discussed in the preamble to the
interim rule and in FNS guidance, for determining the above-50-percent
status of vendor applicants and current vendors, including the other
methodologies set forth at 70 FR 71715 of the preamble of the interim
rule, but including the review of invoices only as one option. Also, a
reference to these two new paragraphs has been added to the second
sentence of paragraph 246.12(g)(4)(i).
Timing of Determinations of Above-50-Percent Status
One commenter would prefer to conduct the annual review of the
above-50-percent status of its vendors at their individual annual
agreement renewal dates rather than reviewing all of them at the same
time once a year. Like many State agencies, this State agency processes
vendor applications for authorization on an ongoing basis. Paragraph
246.12(g)(4)(i) of the interim rule stated that each State agency must
annually implement procedures approved by FNS to identify authorized
vendors and vendor applicants as either above-50-percent vendors or
regular vendors. The definition of the term ``above-50-percent vendor''
in Sec. 246.2 of the interim rule refers to vendors that derive more
than 50 percent of their annual food sales revenue from WIC food
instruments, and new vendor applicants expected to meet this criterion.
These provisions did not specify that a State agency must make this
determination for all vendors at the same time. Thus, under these
provisions, FNS may approve procedures which permit a State agency to
conduct the annual review of the above-50-percent status of its vendors
at their individual annual agreement renewal dates. These provisions
remain unchanged in the final rule.
Assessment of Above-50-Percent Status of Pharmacies
Three commenters recommended greater discretion for State agencies
to exclude pharmacies from above-50-percent status. One of these
commenters stated that pharmacies generally do not meet the above-50-
percent vendor definition and thus the expenditure of administrative
resources is not justified to determine their above-50-percent status.
Another commenter contended that it is inconsistent to permit exemption
of pharmacies which only provide exempt infant formula and WIC-eligible
medical foods, but not if these pharmacies also provide contract infant
formula. One other commenter stated that State agencies should be able
to exempt pharmacies that are authorized to provide exempt infant
formula, even if they also provide contract infant formula.
Paragraph 246.12(g)(4)(iv) states that the State agency may except
from the competitive price criteria and allowable reimbursement levels
pharmacy vendors that supply only exempt infant formula and/or WIC-
eligible medical foods, and non-profit vendors for which more than 50
percent of their annual revenue from food sales consists of revenue
derived from WIC food instruments. This provision is based on section
17(h)(11)(D) of the CNA, which permits an exemption from competitive
price criteria and allowable reimbursement levels for pharmacies that
supply only exempt infant formula and WIC-eligible medical foods, but
not for pharmacies which also transact food instruments for contract
infant formula. Therefore, this final rule must reflect the requirement
in the CNA.
State Agency Choice To Authorize Above-50-Percent Vendors
One commenter recommended a statement be added to Sec.
246.12(g)(4)(i) to the effect that a State agency may choose to not
authorize above-50-percent vendors. The interim rule included the
equivalent statement in the last sentence of Sec. 246.12(g)(4)(i) and
in the first sentence of Sec. 246.12(g)(4)(v)(A), by referring to
State agencies choosing or not choosing to authorize above-50-percent
vendors. This language mirrors the language of section 17(h)(11) of the
CNA, which refers to State agencies electing to authorize or not
authorize above-50-percent vendors. Therefore, this final rule adopts
the language of the interim rule on this subject.
3. Cost Neutrality Standards and Assessment--(Sec. 246.12(g)(4)(i)(D))
Under Sec. 246.12(g)(4)(i)(D) of the interim rule, the State
agency is required to ensure that the prices of above-50-percent
vendors do not result in higher total food costs if program
participants transact their food instruments at above-50-percent
vendors rather than at other vendors that do not meet the above-50-
percent criterion. (These other vendors were referred to as ``regular
vendors.'') The State agency must not permit the average cost of each
type of food instrument redeemed by above-50-percent vendors to exceed
the average cost of the same type of food instrument redeemed by
regular vendors; the State agency must compute statewide average costs
per food instrument at least quarterly to monitor compliance with this
requirement. In addition, Sec. 246.12(g)(4)(i)(D) also requires that
the average cost per food instrument must be weighted to reflect the
relative proportion of food instruments redeemed by each category of
vendors in the peer group system.
Under Sec. 246.12(g)(4)(vi) of the interim rule, which concerned
FNS certification of State agency vendor cost containment systems, a
State agency is required to demonstrate to FNS that its competitive
price criteria and allowable reimbursement levels did not result in
average payments per food instrument to above-50-percent vendors that
are higher than average payments per food instrument to comparable
vendors that are not above-50-percent vendors. The commenters who
opposed the statewide average requirement of Sec. 246.12(g)(4)(i)(D)
supported the comparable vendor average requirement of Sec.
246.12(g)(4)(vi). The term ``comparable vendor'' refers to the regular
vendors which share common characteristics or criteria with above-50-
percent vendors that affect food prices, as determined by the State
agency, for the purpose of applying appropriate competitive price
criteria to vendors at authorization and limiting payments for food to
competitive levels.
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Twenty-four commenters supported the requirement that the average
redemption amount per food instrument for all above-50-percent vendors
must not exceed the average redemption amount per food instrument of
all regular vendors statewide. Thirty-six commenters opposed it. The
opponents stated that this provision exceeded the intent of section
17(h)(11)(A)(i)(III)(bb) of the CNA, which requires State agencies to
establish competitive price criteria and allowable reimbursement levels
which do not result in higher food costs if participants transact food
instruments with above-50-percent vendors rather than regular vendors.
These commenters stated that cost neutrality for above-50-percent
vendors should be based on the peer group average per food instrument,
not the statewide average of all regular vendors per food instrument,
since the statewide average does not take into account pricing
differences based on location (e.g., rural/urban) or type of vendor
(e.g., large/small/military commissaries/supercenter stores).
One of these commenters pointed out that section
17(h)(11)(A)(i)(III)(bb) of the CNA requires that food costs not be
higher if participants use their food instruments with above-50-percent
vendors than with regular vendors, unlike section 17(h)(11)(E) of the
CNA, which requires that above-50-percent vendors not be paid more on
average per food instrument than comparable regular vendors. According
to this commenter, the absence of the average payment per food
instrument language in section 17(h)(11)(A)(i)(III)(bb) shows that
Congress intended to permit State agencies the discretion to consider
participant preferences for above-50-percent vendors or other factors
that may affect the different redemption levels of above-50-percent
vendors in comparison to regular vendors. This commenter also stated
that the final rule should include the statement in section 17(h)(11)
of the CNA to the effect that the cost containment requirements may not
be construed to compel a State agency to achieve lower food costs if
participants transact WIC food instruments with above-50-percent
vendors rather than regular vendors.
FNS does not agree with these comments. Section
17(h)(11)(A)(i)(III)(bb) of the CNA does not distinguish between
vendors based on size or location, and does not provide discretion
based on participant preferences or other factors. Such interpretations
would undermine the point of this provision--that above-50-percent
vendors must be cost neutral in comparison to all other retail vendors.
Indeed, such interpretations would make this provision little different
from section 17(h)(11)(E), which allows for distinctions based on
comparability. Instead, the CNA requires above-50-percent vendors to be
cost-neutral with respect to both comparable vendors and all other
retail vendors. Moreover, the interim rule did not compel State
agencies to achieve lower food costs if participants transact WIC food
instruments with above-50-percent vendors rather than regular vendors,
and thus a statement to this effect is not needed in the final rule.
Twelve commenters stated that Congress did not intend to put above-
50-percent vendors out of business. However, the purpose of the interim
rule was not to put above-50-percent vendors out of business. Instead,
the interim rule intended to make above- 50-percent vendors cost-
neutral in comparison to regular vendors, both with respect to peer
groups and all regular vendors statewide, as required by the CNA.
Ensuring the availability of funds to serve program participants is the
paramount consideration. Therefore, the cost neutrality standard
remains as set forth in the interim rule.
Weighting
Paragraph 246.12(g)(4)(i)(D) of the interim rule required the
average cost per food instrument to be weighted to reflect the relative
proportion of food instruments redeemed by each category of vendors in
the peer group system. As discussed in the preamble of the interim
rule, a weighted average enables the State agency to take into account
the frequency with which vendors redeem food instruments of varying
redemption amounts. If a State agency makes more payments to vendors
that offer the lowest prices for WIC foods, a weighted average will
reflect this fact more than a simple average. The weighted average
correlates with WIC participants' shopping patterns by giving the most
weight to redemption prices of stores with the largest number of WIC
transactions. However, following issuance of the interim rule, FNS
issued guidance making this requirement optional, pending the final
rule, to prevent any administrative difficulties in determining the
weighted average from interfering with the certification of State
agency vendor cost containment systems as required by the statute. Only
one State agency has chosen to use weighting.
Seven comments were submitted on weighting; three of these comments
supported the weighting requirement, while four opposed it. Two of the
supporting comments stated that the rationale for the weighting
requirement, as set forth in the preamble of the interim rule, was
sound. The third supporting comment stated that the weighting
requirement and the adding of standard deviations to redemption
averages would help to avoid price adjustments unfairly based only on
exceeding a simple average. Three of the opponents, all State agencies,
stated that the weighting requirement would greatly complicate cost
neutrality calculations which had already required a significant
expenditure of administrative funds to modify their Management
Information Systems. These three State agencies and one other, also an
opponent of this requirement, stated that weighting should be an
option, not a mandate.
FNS agrees with these commenters; the use of weighting in cost
neutrality calculations should be optional, not mandatory. This
requirement is not necessary to implement the cost neutrality
requirements of the CNA, and some State agencies feel it is
administratively burdensome. However, as noted above, one State agency
has chosen to use weighting. Accordingly, weighting has been made
optional in Sec. 246.12(g)(4)(i)(D) of the final rule.
Recoupment and Termination Based on Cost Neutrality Assessments
Paragraph 246.12(g)(4)(i)(D) of the interim rule required the State
agency to conduct quarterly cost neutrality assessments to ensure that
above-50-percent vendors are not paid on average per food instrument
more than all regular vendors statewide. In the event that the above-
50-percent vendors are paid more on average than the regular vendors,
the State agency had to take action to ensure compliance, such as
adjusting payment levels. This provision also states that such action
may have included recouping excess payments and terminating the vendor
agreements of vendors whose prices are least competitive and which are
not needed to ensure participant access. FNS has reconsidered this
issue and decided that State agencies must not recoup monies that were
paid to a vendor for food instruments redeemed within the established
maximum allowable reimbursement level for that vendor, in order to
achieve cost neutrality. Likewise, since a State agency cannot recoup
monies paid to a vendor for food instruments redeemed within the
established maximum allowable reimbursement level for that vendor in
order to achieve cost neutrality, it follows that a State agency may
not terminate the vendor agreement of a vendor that redeemed food
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instruments within the established maximum allowable reimbursement
level for that vendor in order to achieve cost neutrality. Accordingly,
the above-noted language in Sec. 246.12(g)(4)(i)(D) of the interim
rule which referred to the recoupment of monies and the termination of
vendor agreements has been deleted in this final rule.
This does not preclude a State agency from making price adjustments
to food instruments in accordance with Sec. 246.12(h)(3)(viii) of this
final rule and recouping amounts paid to the vendor above the
established maximum allowable reimbursement level applicable to the
vendor. This also does not preclude a State agency from terminating the
vendor agreement of a vendor for failure to remain price-competitive in
accordance with Sec. 246.12(h)(3)(viii) of this final rule, i.e., for
failure to maintain shelf prices at levels acceptable for
authorization, or for failure to submit food instruments for redemption
within the established maximum allowable reimbursement level applicable
to that vendor.
Partially-Redeemed Food Instruments
Fifteen commenters stated that partially-redeemed food instruments
should not be included in cost neutrality determinations because above-
50-percent vendors typically redeem all of the supplemental foods
authorized for a food instrument while many regular vendors do not; a
vendor providing all of the supplemental food authorized for a food
instrument should not be held to a redemption level based on food
instruments redeemed by other vendors for less than all of the
supplemental food authorized for a food instrument. One of these
commenters stated that State agencies should have the discretion to
compensate for relative rates of partial redemption. FNS agrees that
State agencies should be able to exclude partially-redeemed food
instruments from the quarterly cost neutrality assessments.
However, the identification of partially-redeemed food instruments
to be excluded must be based on an empirical methodology. For example,
a State agency could exclude a food instrument because its purchase
price is less than the total of the vendor's least expensive food items
authorized for that food instrument. A sentence has been added to Sec.
246.12(g)(4)(i)(D) in the final rule to allow a State agency to exclude
partially-redeemed food instruments from a quarterly cost neutrality
assessment if FNS approves the State agency's empirical methodology for
identifying the partially-redeemed food instruments to be excluded.
Another sentence has been added to Sec. 246.12(g)(4)(i)(D) in the
final rule to clarify that a State agency may not exclude food
instruments from the quarterly cost neutrality assessment based on a
rate of partially-redeemed food instruments. A rate of partially-
redeemed food instruments, such as a percentage of food instruments
with the lowest purchase prices, might include food instruments which
reflect a vendor's lower prices instead of partial redemptions. Also, a
definition of ``partially-redeemed food instrument'' has been added to
the definitions in Sec. 246.2 to ensure there is a clear understanding
of the meaning of this term.
Other Cost Neutrality
One commenter recommended that State agencies be permitted to
review no more than 80 percent of the most commonly used food
instruments to determine cost neutrality, excluding food instruments
which are not redeemed very often. However, the CNA does not provide
that a food instrument may be excluded from cost neutrality
requirements based on how often food instruments for the same
authorized supplemental foods are redeemed.
Another commenter stated that a State agency should be able to
assess overall cost neutrality without the redemptions of competitively
priced as well as noncompetitively priced above-50-percent vendors
needed for participant access. FNS does not agree. The exclusion of the
redemptions of noncompetitively priced above-50-percent vendors needed
for participant access is intended to prevent the high prices of these
above-50-percent vendors from jeopardizing the State agency's efforts
to achieve overall cost neutrality, given these State agencies have
little choice but to authorize these vendors. Since the prices of
competitively priced above-50-percent vendors would not jeopardize the
State agency's efforts to achieve overall cost neutrality, there is no
reason for the exclusion of their prices, even though these vendors
were needed for participant access.