Current through Register Vol. 47, No. 6, September 18, 2024
The authorized supplemental foods shall be prescribed for
participants by a CPA in the contract agency from food packages outlined in
7 CFR 246.10
and in accordance with the following:
(1)
Prescription of foods.
Food packages shall maintain a balance between cost and nutrition integrity.
There are two components to this balance:
(1)
administrative adjustments by the department; and (2) nutrition tailoring by
both the department and the CPA in the contract agencies.
a. Administrative adjustments include
restrictions in the packaging methods, brands, sizes, types, and forms (but not
quantities) of the federally allowable foods in order to establish the approved
food list for the state. Administrative adjustments include decisions to
eliminate more expensive brands or prohibit more costly food items allowed by
regulations. Criteria for considering foods for inclusion in the approved food
list are found in 73.8(3).
b.
Nutrition tailoring includes changes or substitutions to food types, forms, and
quantities in order to prescribe food packages that better meet the nutritional
needs of participants. Tailoring is done to reduce quantities of foods based on
nutritional needs, to accommodate participant preferences, to accommodate
household conditions, such as lack of refrigeration or other special needs and
problems of homeless or transient participants, and to recommend or prescribe
specific forms of the allowable WIC foods based upon a participant's
nutritional needs or goals.
(2)
Tailoring to meet individual
nutritional needs. Food packages are individually tailored to meet the
needs of specific participants according to USDA regulations and the Iowa WIC
Policy and Procedure Manual.
(3)
Criteria for approving products for inclusion in the WIC food
package.
a. A product shall meet the
federal regulations governing the WIC food package.
b. Variety in the food package is encouraged
to increase the likelihood of products being used and to allow participants to
exercise responsibility in shopping.
c. Inquiries from food companies about new
and continuing products can be submitted at any time. Food items that are
required to be listed by brand on the approved food list will be reviewed and
approved on a quarterly basis. Food items that are not required to be listed by
brand on the approved food list will be reviewed and approved as they are
received. The state reserves the right to change the food list more frequently
if necessary.
d. Cereals shall meet
federal guidelines for content and shall also meet the following conditions:
(1) The brand is carried by current Iowa
WIC-approved vendors.
(2) The
department reserves the right to limit the number of approved cereals for
administrative efficiency.
e. Juices shall meet the federal guidelines
for vitamin C content and all of the following conditions:
(1) Juices are 100 percent juice and contain
no added sugar, sweeteners or artificial sweeteners.
(2) The brand is carried by current Iowa
WIC-approved vendors.
f.
The following conditions apply to dairy products:
(1) To qualify, brands of whole, 1%, or
fat-free skim milk marketed in Iowa must contain or be fortified with vitamins
A and D to meet the federal standards. The department reserves the right to
disqualify brands which have a retail value of 115 percent or higher than the
state average for this product.
(2)
Fluid milk with added bacterial cultures or enzymes, including but not limited
to sweet acidophilus or lactose-reduced milk, may qualify. Brands are approved
by the department on a case-by-case basis.
(3) All brands of natural cheese designated
in the USDA WIC regulations qualify. The cheese shall have no added flavors
(e.g., smoke flavoring, peppers, wine).
(4) Yogurt shall meet federal guidelines for
content and shall also meet the following conditions:
1. The brand or any private-label (store)
brand is carried by current Iowa WIC-approved vendors.
2. Nonfat, lowfat, and whole yogurts cannot
contain artificial sweeteners. No frozen yogurt, yogurt tubes, or drinkable
yogurts are allowed.
g. All brands of packaged dried beans or peas
are approved; however, no soup mixes and no dried beans or peas with added
vegetables, fruits, meat, sugars, fats, or oils are allowed.
h. Peanut butter must meet federal
guidelines. Brands may be either refrigerated or nonrefrigerated.
i. Eggs shall be fresh, Grade A large chicken
eggs. Eggs which have a retail value of 115 percent or higher than the state
average for this product may not be approved.
j. If a vendor offers specialty eggs for
retail sale, the vendor shall maintain an inventory of conventional eggs for
retail sale sufficient to meet federal and state requirements for participation
in the WIC program.
k. Any brand of
tuna or salmon qualifies if it is either water- or oil-packed, in cans or
pouches, chunked, solid, or flaked. Fish packaged with other items such as
crackers, relish or other flavorings may not be purchased. Albacore tuna is not
allowed.
l. Commercial infant
formula shall meet the following conditions:
(1) It is registered with the Food and Drug
Administration as complying with the legal definition of infant
formula.
(2) It complies with the
calorie and iron content prescribed by the USDA.
(3) It is approved by the USDA for use in the
WIC program.
(4) The product form
and marketing approach are consistent with the promotion of good nutrition and
education.
m. At least
two whole grain options that meet federal guidelines will be
provided.
n. Infant food fruits,
vegetables and meats must meet the federal guidelines.
o. Fresh and frozen vegetables and fruits
that meet federal guidelines will be available for purchase with cash-value
benefits specifically for fruits and vegetables.
p. Soy beverages shall meet federal
guidelines.
q. Tofu shall meet
federal guidelines.
r. Products
will be evaluated for use in the Iowa WIC program based on nutrient content,
packaging, container size, labeling, availability to wholesale distributors,
cost and participant preference. The state reserves the right to limit the
number of foods, infant formulas, exempt infant formulas, and WIC-eligible
nutritionals for the WIC-approved food list based on accessibility,
availability, retail value of product, USDA recommendations, increased number
of WIC participants, changes in appropriation of funds and administrative
efficiency.
s. The approved food
list provides more specifics on what is allowed or not allowed for each of the
WIC-approved foods.
t. In addition
to the criteria specified above, the department reserves the right to further
restrict the number and types of brands of any products in order to contain the
cost of the food package through competitive procurement of rebate contracts or
other similar means.
u. The
department reserves the right to discontinue specific brand names and products
if the cost is 115 percent or more higher than the state average for that
particular product.
v. If a group
of food products within a food category from one manufacturer have similar
names and package designs and some of the food products do not qualify, the
department reserves the right to not approve those types that would otherwise
qualify, to reduce the potential for confusion by retail vendors and
participants.
w. The department
reserves the right to make changes to the criteria for approving products for
inclusion in the WIC food package.
x. The department reserves the right to add
or delete products pursuant to federal regulations.