Appendix B: Child Nutrition Act of 1966

Appendix B
Child Nutrition Act of 1966

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Sec. 17

CHILD NUTRITION ACT OF 1966

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been compliance with this Act and the regulations hereunder. Such
accounts and records shall be available at any reasonable time for
inspection and audit by representatives of the Secretary and shall
be preserved for such period of time, not in excess of three years,
as the Secretary determines is necessary.
(b) With regard to any claim arising under this Act or under
the Richard B. Russell National School Lunch Act ø(42 U.S.C. 1751
et seq.)¿, the Secretary shall have the authority to determine the
amount of, to settle and to adjust any such claim, and to compromise or deny such claim or any part thereof. The Secretary shall
also have the authority to waive such claims if the Secretary determines that to do so would serve the purposes of either such Act.
Nothing contained in this subsection shall be construed to diminish
the authority of the Attorney General of the United States under
section 516 of title 28, United States Code, to conduct litigation on
behalf of the United States.
SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS,
AND CHILDREN

SEC. 17. ø42 U.S.C. 1786¿ (a) Congress finds that substantial
numbers of pregnant, postpartum, and breastfeeding women, infants, and young children from families with inadequate income
are at special risk with respect to their physical and mental health
by reason of inadequate nutrition or health care, or both. It is,
therefore, the purpose of the program authorized by this section to
provide, up to the authorization levels set forth in subsection (g) of
this section, supplemental foods and nutrition education, including
breastfeeding promotion and support, through any eligible local
agency that applies for participation in the program. The program
shall serve as an adjunct to good health care, during critical times
of growth and development, to prevent the occurrence of health
problems, including drug abuse, and improve the health status of
these persons.
(b) As used in this section—
(1) ‘‘Breastfeeding women’’ means women up to one year
postpartum who are breastfeeding their infants.
(2) ‘‘Children’’ means persons who have had their first
birthday but have not yet attained their fifth birthday.
(3) ‘‘Competent professional authority’’ means physicians,
nutritionists, registered nurses, dietitians, or State or local
medically trained health officials, or persons designated by
physicians or State or local medically trained health officials,
in accordance with standards prescribed by the Secretary, as
being competent professionally to evaluate nutritional risk.
(4) ‘‘Costs of nutrition services and administration’’ or ‘‘nutrition services and administration’’ means costs that shall include, but not be limited to, costs for certification of eligibility
of persons for participation in the program (including centrifuges, measuring boards, spectrophotometers, and scales
used for the certification), food delivery, monitoring, nutrition
education, breastfeeding support and promotion, outreach,
startup costs, and general administration applicable to implementation of the program under this section, such as the cost
of staff, transportation, insurance, developing and printing food
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instruments, and administration of State and local agency offices.
(5) ‘‘Infants’’ means persons under one year of age.
(6) ‘‘Local agency’’ means a public health or welfare agency
or a private nonprofit health or welfare agency, which, directly
or through an agency or physician with which it has contracted, provides health services. The term shall include an Indian tribe, band, or group recognized by the Department of the
Interior, the Indian Health Service of the Department of
Health and Human Services, or an intertribal council or group
that is an authorized representative of Indian tribes, bands, or
groups recognized by the Department of the Interior.
(7) NUTRITION EDUCATION.—The term ‘‘nutrition education’’ means individual and group sessions and the provision
of material that are designed to improve health status and
achieve positive change in dietary and physical activity habits,
and that emphasize the relationship between nutrition, physical activity, and health, all in keeping with the personal and
cultural preferences of the individual.
(8) ‘‘Nutritional risk’’ means (A) detrimental or abnormal
nutritional conditions detectable by biochemical or anthropometric measurements, (B) other documented nutritionally related medical conditions, (C) dietary deficiencies that impair or
endanger health, (D) conditions that directly affect the nutritional health of a person, such as alcoholism or drug abuse, or
(E) conditions that predispose persons to inadequate nutritional patterns or nutritionally related medical conditions, including, but not limited to, homelessness and migrancy.
(9) ‘‘Plan of operation and administration’’ means a document that describes the manner in which the State agency intends to implement and operate the program.
(10) ‘‘Postpartum women’’ means women up to six months
after termination of pregnancy.
(11) ‘‘Pregnant women’’ means women determined to have
one or more fetuses in utero.
(12) ‘‘Secretary’’ means the Secretary of Agriculture.
(13) ‘‘State agency’’ means the health department or comparable agency of each State; an Indian tribe, band, or group
recognized by the Department of the Interior; an intertribal
council or group that is the authorized representative of Indian
tribes, bands, or groups recognized by the Department of the
Interior; or the Indian Health Service of the Department of
Health and Human Services.
(14) ‘‘Supplemental foods’’ means those foods containing
nutrients determined by nutritional research to be lacking in
the diets of pregnant, breastfeeding, and postpartum women,
infants, and children and foods that promote the health of the
population served by the program authorized by this section,
as indicated by relevant nutrition science, public health concerns, and cultural eating patterns, as prescribed by the Secretary. State agencies may, with the approval of the Secretary,
substitute different foods providing the nutritional equivalent
of foods prescribed by the Secretary, to allow for different cultural eating patterns.
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(15) ‘‘Homeless individual’’ means—
(A) an individual who lacks a fixed and regular nighttime residence; or
(B) an individual whose primary nighttime residence
is—
(i) a supervised publicly or privately operated
shelter (including a welfare hotel or congregate shelter) designed to provide temporary living accommodations;
(ii) an institution that provides a temporary residence for individuals intended to be institutionalized;
(iii) a temporary accommodation of not more than
365 days in the residence of another individual; or
(iv) a public or private place not designed for, or
ordinarily used as, a regular sleeping accommodation
for human beings.
(16) ‘‘Drug abuse education’’ means—
(A) the provision of information concerning the dangers of drug abuse; and
(B) the referral of participants who are suspected drug
abusers to drug abuse clinics, treatment programs, counselors, or other drug abuse professionals.
(17) ‘‘Competitive bidding’’ means a procurement process
under which the Secretary or a State agency selects a single
source (a single infant formula manufacturer) offering the lowest price, as determined by the submission of sealed bids, for
a product for which bids are sought for use in the program authorized by this section.
(18) ‘‘Rebate’’ means the amount of money refunded under
cost containment procedures to any State agency from the
manufacturer or other supplier of the particular food product
as the result of the purchase of the supplemental food with a
voucher or other purchase instrument by a participant in each
such agency’s program established under this section.
(19) ‘‘Discount’’ means, with respect to a State agency that
provides program foods to participants without the use of retail
grocery stores (such as a State that provides for the home delivery or direct distribution of supplemental food), the amount
of the price reduction or other price concession provided to any
State agency by the manufacturer or other supplier of the particular food product as the result of the purchase of program
food by each such State agency, or its representative, from the
supplier.
(20) ‘‘Net price’’ means the difference between the manufacturer’s wholesale price for infant formula and the rebate
level or the discount offered or provided by the manufacturer
under a cost containment contract entered into with the pertinent State agency.
(21) REMOTE INDIAN OR NATIVE VILLAGE.—The term ‘‘remote Indian or Native village’’ means an Indian or Native village that—
(A) is located in a rural area;
(B) has a population of less than 5,000 inhabitants;
and
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(C) is not accessible year-around by means of a public
road (as defined in section 101 of title 23, United States
Code).’’.
(22) PRIMARY CONTRACT INFANT FORMULA.—The term ‘‘primary contract infant formula’’ means the specific infant formula for which manufacturers submit a bid to a State agency
in response to a rebate solicitation under this section and for
which a contract is awarded by the State agency as a result
of that bid.
(23) STATE ALLIANCE.—The term ‘‘State alliance’’ means 2
or more State agencies that join together for the purpose of
procuring infant formula under the program by soliciting competitive bids for infant formula.
(c)(1) The Secretary may carry out a special supplemental nutrition program 4 to assist State agencies through grants-in-aid and
other means to provide, through local agencies, at no cost, supplemental foods, nutrition education, and breastfeeding support and
promotion to low-income pregnant, postpartum, and breastfeeding
women, infants, and children who satisfy the eligibility requirements specified in subsection (d) of this section. The program shall
be supplementary to—
(A) the supplemental nutrition assistance program;
(B) any program under which foods are distributed to
needy families in lieu of supplemental nutrition assistance program benefits; and
(C) receipt of food or meals from soup kitchens, or shelters,
or other forms of emergency food assistance.
(2) Subject to amounts appropriated to carry out this section
under subsection (g)—
(A) the Secretary shall make cash grants to State agencies
for the purpose of administering the program, and
(B) any State agency approved eligible local agency that
applies to participate in or expand the program under this section shall immediately be provided with the necessary funds to
carry out the program.
(3) Nothing in this subsection shall be construed to permit the
Secretary to reduce ratably the amount of foods that an eligible
local agency shall distribute under the program to participants.
The Secretary shall take affirmative action to ensure that the program is instituted in areas most in need of supplemental foods. The
existence of a commodity supplemental food program under section
4 of the Agriculture and Consumer Protection Act of 1973 ø(7
U.S.C. 612c note)¿ shall not preclude the approval of an application
from an eligible local agency to participate in the program under
this section nor the operation of such program within the same geographic area as that of the commodity supplemental food program,
but the Secretary shall issue such regulations as are necessary to
prevent dual receipt of benefits under the commodity supplemental
food program and the program under this section.
4 Section 204(w)(3) of P.L. 103–448, 108 Stat. 4746, Nov. 2, 1994, provides that any reference
to the special supplemental food program established under this section in any provision of law,
regulation, document, record, or other paper of the United States shall be considered to be a
reference to the special supplemental nutrition program established under this section.

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(4) A State shall be ineligible to participate in programs authorized under this section if the Secretary determines that State
or local sales taxes are collected within the State on purchases of
food made to carry out this section.
(d)(1) Participation in the program under this section shall be
limited to pregnant, postpartum, and breastfeeding women, infants,
and children from low-income families who are determined by a
competent professional authority to be at nutritional risk.
(2)(A) The Secretary shall establish income eligibility standards to be used in conjunction with the nutritional risk criteria in
determining eligibility of individuals for participation in the program. Any individual at nutritional risk shall be eligible for the
program under this section only if such individual—
(i) is a member of a family with an income that is less
than the maximum income limit prescribed under section 9(b)
of the Richard B. Russell National School Lunch Act for free
and reduced price meals;
(ii)(I) receives supplemental nutrition assistance program
benefits under the Food and Nutrition Act of 2008; or
(II) is a member of a family that receives assistance under
the State program funded established under part A of title IV
of the Social Security Act that the Secretary determines complies with standards established by the Secretary that ensure
that the standards under the State program are comparable to
or more restrictive than those in effect on June 1, 1995; or
(iii)(I) receives medical assistance under title XIX of the
Social Security Act; or
(II) is a member of a family in which a pregnant woman
or an infant receives such assistance.
(B) For the purpose of determining income eligibility under
this section, any State agency may choose to exclude from income—
(i) any basic allowance—
(I) for housing received by military service personnel
residing off military installations; or
(II) provided under section 403 of title 37, United
States Code, for housing that is acquired or constructed
under subchapter IV of chapter 169 of title 10, United
States Code, or any related provision of law; and
(ii) any cost-of-living allowance provided under section 405
of title 37, United States Code, to a member of a uniformed
service who is on duty outside the contiguous States of the
United States.
(C) COMBAT PAY.—For the purpose of determining income eligibility under this section, a State agency shall exclude from income any additional payment under chapter
5 of title 37, United States Code, or otherwise designated
by the Secretary to be appropriate for exclusion under this
subparagraph, that is received by or from a member of the
United States Armed Forces deployed to a designated combat zone, if the additional pay—
(i) is the result of deployment to or service in a
combat zone; and
(ii) was not received immediately prior to serving
in a combat zone.
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(D) In the case of a pregnant woman who is otherwise ineligible for participation in the program because the family of the
woman is of insufficient size to meet the income eligibility standards of the program, the pregnant woman shall be considered to
have satisfied the income eligibility standards if, by increasing the
number of individuals in the family of the woman by 1 individual,
the income eligibility standards would be met.
(3) CERTIFICATION.—
(A) PROCEDURES.—
(i) IN GENERAL.—Subject to clause (ii), a person
shall be certified for participation in accordance with
general procedures prescribed by the Secretary.
(ii) BREASTFEEDING WOMEN.—A State may elect to
certify a breastfeeding woman for a period of 1 year
postpartum
or
until
a
woman
discontinues
breastfeeding, whichever is earlier.
(iii) CHILDREN.—A State may elect to certify participant children for a period of up to 1 year, if the
State electing the option provided under this clause
ensures that participant children receive required
health and nutrition assessments.
(B) A State may consider pregnant women who meet the income eligibility standards to be presumptively eligible to participate in the program and may certify the women for participation
immediately, without delaying certification until an evaluation is
made concerning nutritional risk. A nutritional risk evaluation of
such a woman shall be completed not later than 60 days after the
woman is certified for participation. If it is subsequently determined that the woman does not meet nutritional risk criteria, the
certification of the woman shall terminate on the date of the determination.
(C) PHYSICAL PRESENCE.—
(i) IN GENERAL.—Except as provided in clause (ii)
and subject to the requirements of the Americans with
Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) and
section 504 of the Rehabilitation Act of 1973 (29
U.S.C. 794), each individual seeking certification or recertification for participation in the program shall be
physically present at each certification or recertification determination in order to determine eligibility
under the program.
(ii) WAIVERS.—If the agency determines that the
requirement of clause (i) would present an unreasonable barrier to participation, a local agency may waive
the requirement of clause (i) with respect to—
(I) an infant or child who—
(aa) was present at the initial certification visit; and
(bb) is receiving ongoing health care;
(II) an infant or child who—
(aa) was present at the initial certification visit;
(bb) was present at a certification or recertification determination within the 1-year
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period ending on the date of the certification
or recertification determination described in
clause (i); and
(cc) has one or more parents who work;
and
(III) an infant under 8 weeks of age—
(aa) who cannot be present at certification
for a reason determined appropriate by the
local agency; and
(bb) for whom all necessary certification
information is provided.
(D) INCOME DOCUMENTATION.—
(i) IN GENERAL.—Except as provided in clause (ii),
in order to participate in the program pursuant to
clause (i) of paragraph (2)(A), an individual seeking
certification or recertification for participation in the
program shall provide documentation of family income.
(ii) WAIVERS.—A State agency may waive the documentation requirement of clause (i), in accordance
with criteria established by the Secretary, with respect
to—
(I) an individual for whom the necessary documentation is not available; or
(II) an individual, such as a homeless woman
or child, for whom the agency determines the requirement of clause (i) would present an unreasonable barrier to participation.
(E) ADJUNCT DOCUMENTATION.—In order to participate
in the program pursuant to clause (ii) or (iii) of paragraph
(2)(A), an individual seeking certification or recertification
for participation in the program shall provide documentation of receipt of assistance described in that clause.
(F) PROOF OF RESIDENCY.—An individual residing in a
remote Indian or Native village or an individual served by
an Indian tribal organization and residing on a reservation
or pueblo may, under standards established by the Secretary, establish proof of residency under this section by
providing to the State agency the mailing address of the
individual and the name of the remote Indian or Native
village.
(e)(1) The State agency shall ensure that nutrition education
and drug abuse education is provided to all pregnant, postpartum,
and breastfeeding participants in the program and to parents or
caretakers of infant and child participants in the program. The
State agency may also provide nutrition education and drug abuse
education to pregnant, postpartum, and breastfeeding women and
to parents or caretakers of infants and children enrolled at local
agencies operating the program under this section who do not participate in the program. A local agency participating in the program shall provide education or educational materials relating to
the effects of drug and alcohol use by a pregnant, postpartum, or
breastfeeding woman on the developing child of the woman.
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(2) The Secretary shall prescribe standards to ensure that adequate nutrition education services and breastfeeding promotion and
support are provided. The State agency shall provide training to
persons providing nutrition education, including breastfeeding support and education, under this section.
(3) NUTRITION EDUCATION MATERIALS.—
(A) IN GENERAL.—The Secretary shall, after submitting proposed nutrition education materials to the Secretary of Health and Human Services for comment, issue
such materials for use in the program under this section.
(B) 5 SHARING OF MATERIALS WITH OTHER PROGRAMS.—
(i) COMMODITY SUPPLEMENTAL FOOD PROGRAM.—
The Secretary may provide, in bulk quantity, nutrition
education materials (including materials promoting
breastfeeding) developed with funds made available
for the program authorized under this section to State
agencies administering the commodity supplemental
food program established under section 5 of the Agriculture and Consumer Protection Act of 1973 (7 U.S.C.
612c note; Public Law 93–86) at no cost to that program.
(ii) CHILD AND ADULT CARE FOOD PROGRAM.—A
State agency may allow the local agencies or clinics
under the State agency to share nutrition educational
materials with institutions participating in the child
and adult care food program established under section
17 of the Richard B. Russell National School Lunch
Act (42 U.S.C. 1766) at no cost to that program, if a
written materials sharing agreement exists between
the relevant agencies.
(4) The State agency—
(A) shall provide each local agency with materials showing
the maximum income limits, according to family size, applicable to pregnant women, infants, and children up to age 5 under
the medical assistance program established under title XIX of
the Social Security Act (in this section referred to as the ‘‘medicaid program’’);
(B) shall provide to individuals applying for the program
under this section, or reapplying at the end of their certification period, written information about the medicaid program
and referral to such program or to agencies authorized to determine presumptive eligibility for such program, if such individuals are not participating in such program and appear to
have family income below the applicable maximum income limits for such program; and
(C) may provide a local agency with materials describing
other programs for which a participant in the program may be
eligible.
(5) Each local agency shall maintain and make available for
distribution a list of local resources for substance abuse counseling
and treatment.
5 Sec. 351 of P.L. 111–296, 124 Stat. 3254, Dec. 13, 2010, amended sec. 17(e)(3) of the ‘‘Child
Nutrition Act’’ to add subpara. (B). Amendment was made to this Act to effectuate the probable
intent of Congress.

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(f)(1)(A) Each State agency shall submit to the Secretary, by a
date specified by the Secretary, an initial date specified by the Secretary, a plan of operation and administration for a fiscal year.
After submitting the initial plan, a State shall be required to submit to the Secretary for approval only a substantive change in the
plan.
(B) To be eligible to receive funds under this section for a fiscal
year, a State agency must receive the approval of the Secretary for
the plan submitted for the fiscal year.
(C) The plan shall include—
(i) a description of the food delivery system of the State
agency and the method of enabling participants to receive supplemental foods under the program at any of the authorized retail stores under the program, to be administered in accordance with standards developed by the Secretary, including a
description of the State agency’s vendor peer group system,
competitive price criteria, and allowable reimbursement levels
that demonstrate that the State is in compliance with the costcontainment provisions in subsection (h)(11);
(ii) procedures for accepting and processing vendor applications outside of the established timeframes if the State agency
determines there will be inadequate access to the program, including in a case in which a previously authorized vendor sells
a store under circumstances that do not permit timely notification to the State agency of the change in ownership;
(iii) a description of the financial management system of
the State agency;
(iv) a plan to coordinate operations under the program
with other services or programs that may benefit participants
in, and applicants for, the program;
(v) a plan to provide program benefits under this section
to, and to meet the special nutrition education needs of, eligible migrants, homeless individuals, and Indians;
(vi) a plan to expend funds to carry out the program during the relevant fiscal year;
(vii) a plan to provide program benefits under this section
to unserved and underserved areas in the State (including a
plan to improve access to the program for participants and prospective applicants who are employed, or who reside in rural
areas), if sufficient funds are available to carry out this clause;
(viii) a plan for reaching and enrolling eligible women in
the early months of pregnancy, including provisions to reach
and enroll eligible migrants;
(ix) a plan to provide program benefits under this section
to unserved infants and children under the care of foster parents, protective services, or child welfare authorities, including
infants exposed to drugs perinatally;
(x) a plan to provide nutrition education and promote
breastfeeding; and
(xi) such other information as the Secretary may reasonably require.
(D) The Secretary may not approve any plan that permits a
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gram authorized under sections 4 and 5 of the Agriculture and
Consumer Protection Act of 1973 (7 U.S.C. 612c note).
(2) A State agency shall establish a procedure under which
members of the general public are provided an opportunity to comment on the development of the State agency plan.
(3) The Secretary shall establish procedures under which eligible migrants may, to the maximum extent feasible, continue to participate in the program under this section when they are present
in States other than the State in which they were originally certified for participation in the program and shall ensure that local
programs provide priority consideration to serving migrant participants who are residing in the State for a limited period of time.
Each State agency shall be responsible for administering the program for migrant populations within its jurisdiction.
(4) State agencies shall submit monthly financial reports and
participation data to the Secretary.
(5) State and local agencies operating under the program shall
keep such accounts and records, including medical records, as may
be necessary to enable the Secretary to determine whether there
has been compliance with this section and to determine and evaluate the benefits of the nutritional assistance provided under this
section. Such accounts and records shall be available at any reasonable time for inspection and audit by representatives of the Secretary and shall be preserved for such period of time, not in excess
of five years, as the Secretary determines necessary.
(6)(A) Local agencies participating in the program under this
section shall notify persons of their eligibility or ineligibility for the
program within twenty days of the date that the household, during
office hours of a local agency, personally makes an oral or written
request to participate in the program. The Secretary shall establish
a shorter notification period for categories of persons who, due to
special nutritional risk conditions, must receive benefits more expeditiously.
(B) State agencies may provide for the delivery of vouchers to
any participant who is not scheduled for nutrition education and
breastfeeding counseling or a recertification interview through
means, such as mailing, that do not require the participant to travel to the local agency to obtain vouchers. The State agency shall
describe any plans for issuance of vouchers by mail in its plan submitted under paragraph (1). The Secretary may disapprove a State
plan with respect to the issuance of vouchers by mail in any specified jurisdiction or part of a jurisdiction within a State only if the
Secretary finds that such issuance would pose a significant threat
to the integrity of the program under this section in such jurisdiction or part of a jurisdiction.
(7)(A) The State agency shall, in cooperation with participating
local agencies, publicly announce and distribute information on the
availability of program benefits (including the eligibility criteria for
participation and the location of local agencies operating the program) to offices and organizations that deal with significant numbers of potentially eligible individuals (including health and medical organizations, hospitals and clinics, welfare and unemployment
offices, social service agencies, farmworker organizations, Indian
tribal organizations, organizations and agencies serving homeless
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individuals and shelters for victims of domestic violence, and religious and community organizations in low income areas).
(B) The information shall be publicly announced by the State
agency and by local agencies at least annually.
(C) The State agency and local agencies shall distribute the information in a manner designed to provide the information to potentially eligible individuals who are most in need of the benefits,
including pregnant women in the early months of pregnancy.
(D) Each local agency operating the program within a hospital
and each local agency operating the program that has a cooperative
arrangement with a hospital shall—
(i) advise potentially eligible individuals that receive inpatient or outpatient prenatal, maternity, or postpartum services,
or accompany a child under the age of 5 who receives wellchild services, of the availability of program benefits; and
(ii) to the extent feasible, provide an opportunity for individuals who may be eligible to be certified within the hospital
for participation in such program.
(8)(A) The State agency shall grant a fair hearing, and a
prompt determination thereafter, in accordance with regulations
issued by the Secretary, to any applicant, participant, or local agency aggrieved by the action of a State or local agency as it affects
participation.
(B) Any State agency that must suspend or terminate benefits
to any participant during the participant’s certification period due
to a shortage of funds for the program shall first issue a notice to
such participant.
(9) If an individual certified as eligible for participation in the
program under this section in one area moves to another area in
which the program is operating, that individual’s certification of
eligibility shall remain valid for the period for which the individual
was originally certified.
(10) The Secretary shall establish standards for the proper, efficient, and effective administration of the program. If the Secretary determines that a State agency has failed without good
cause to administer the program in a manner consistent with this
section or to implement the approved plan of operation and administration under this subsection, the Secretary may withhold such
amounts of the State agency’s funds for nutrition services and administration as the Secretary deems appropriate. Upon correction
of such failure during a fiscal year by a State agency, any funds
so withheld for such fiscal year shall be provided the State agency.
(11) SUPPLEMENTAL FOODS.—
(A) IN GENERAL.—The Secretary shall prescribe by regulation the supplemental foods to be made available in the
program under this section.
(B) APPROPRIATE CONTENT.—To the degree possible,
the Secretary shall assure that the fat, sugar, and salt content of the prescribed foods is appropriate.
(C) REVIEW OF AVAILABLE SUPPLEMENTAL FOODS.—As
frequently as determined by the Secretary to be necessary
to reflect the most recent scientific knowledge, but not less
than every 10 years, the Secretary shall—
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(i) conduct a scientific review of the supplemental
foods available under the program; and
(ii) amend the supplemental foods available, as
necessary, to reflect nutrition science, public health
concerns, and cultural eating patterns.
(12) A competent professional authority shall be responsible for
prescribing the appropriate supplemental foods, taking into account
medical and nutritional conditions and cultural eating patterns,
and, in the case of homeless individuals, the special needs and
problems of such individuals.
(13) The State agency may (A) provide nutrition education,
breastfeeding promotion, and drug abuse education materials and
instruction in languages other than English and (B) use appropriate foreign language materials in the administration of the program, in areas in which a substantial number of low-income households speak a language other than English.
(14) If a State agency determines that a member of a family
has received an overissuance of food benefits under the program
authorized by this section as the result of such member intentionally making a false or misleading statement or intentionally
misrepresenting, concealing, or withholding facts, the State agency
shall recover, in cash, from such member an amount that the State
agency determines is equal to the value of the overissued food benefits, unless the State agency determines that the recovery of the
benefits would not be cost effective.
(15) To be eligible to participate in the program authorized by
this section, a manufacturer of infant formula that supplies formula for the program shall—
(A) register with the Secretary of Health and Human Services under the Federal Food, Drug, and Cosmetic Act (21
U.S.C. 321 et seq.); and
(B) before bidding for a State contract to supply infant formula for the program, certify with the State health department
that the formula complies with such Act and regulations issued
pursuant to such Act.
(16) The State agency may adopt methods of delivering benefits to accommodate the special needs and problems of homeless individuals.
(17) Notwithstanding subsection (d)(2)(A)(i), not later than July
1 of each year, a State agency may implement income eligibility
guidelines under this section concurrently with the implementation
of income eligibility guidelines under the medicaid program established under title XIX of the Social Security Act (42 U.S.C. 1396
et seq.).
(18) Each local agency participating in the program under this
section may provide information about other potential sources of
food assistance in the local area to individuals who apply in person
to participate in the program under this section, but who cannot
be served because the program is operating at capacity in the local
area.
(19) The State agency shall adopt policies that—
(A) require each local agency to attempt to contact each
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schedule the appointment, unless the phone number and the
address of the woman are unavailable to such local agency;
and
(B) in the case of local agencies that do not routinely
schedule appointments for individuals seeking to apply or be
recertified for participation in the program under this section,
require each such local agency to schedule appointments for
each employed individual seeking to apply or be recertified for
participation in such program so as to minimize the time each
such individual is absent from the workplace due to such application or request for recertification.
(20) Each State agency shall conduct monitoring reviews of
each local agency at least biennially.
(21) USE OF CLAIMS FROM LOCAL AGENCIES, VENDORS, AND
PARTICIPANTS.—A State agency may use funds recovered from
local agencies, vendors, and participants, as a result of a claim
arising under the program, to carry out the program during—
(A) the fiscal year in which the claim arises;
(B) the fiscal year in which the funds are collected;
and
(C) the fiscal year following the fiscal year in which
the funds are collected.
(22) The Secretary and the Secretary of Health and Human
Services shall carry out an initiative to assure that, in a case in
which a State medicaid program uses coordinated care providers
under a contract entered into under section 1903(m), or a waiver
granted under section 1915(b), of the Social Security Act (42 U.S.C.
1396b(m) or 1396n(b)), coordination between the program authorized by this section and the medicaid program is continued, including—
(A) the referral of potentially eligible women, infants, and
children between the 2 programs; and
(B) the timely provision of medical information related to
the program authorized by this section to agencies carrying out
the program.
(23) INDIVIDUALS PARTICIPATING AT MORE THAN ONE SITE.—
Each State agency shall implement a system designed by the
State agency to identify individuals who are participating at
more than one site under the program.
(24) HIGH RISK VENDORS.—Each State agency shall—
(A) identify vendors that have a high probability of
program abuse; and
(B) conduct compliance investigations of the vendors.
(25) INFANT FORMULA BENEFITS.—A State agency may
round up to the next whole can of infant formula to allow all
participants under the program to receive the full-authorized
nutritional benefit specified by regulation.
(26) NOTIFICATION OF VIOLATIONS.—If a State agency finds
that a vendor has committed a violation that requires a pattern of occurrences in order to impose a penalty or sanction,
the State agency shall notify the vendor of the initial violation
in writing prior to documentation of another violation, unless
the State agency determines that notifying the vendor would
compromise an investigation.
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(g) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—
(A) AUTHORIZATION.—There are authorized to be appropriated to carry out this section such sums as are necessary for each of fiscal years 2010 through 2015.
(B) ADVANCE APPROPRIATIONS; AVAILABILITY.—As authorized by section 3 of the Richard B. Russell National
School Lunch Act, appropriations to carry out the provisions of this section may be made not more than 1 year in
advance of the beginning of the fiscal year in which the
funds will become available for disbursement to the States,
and shall remain available for the purposes for which appropriated until expended.
(2)(A) Notwithstanding any other provision of law, unless enacted in express limitation of this subparagraph, the Secretary—
(i) in the case of legislation providing funds through the
end of a fiscal year, shall issue—
(I) an initial allocation of funds provided by the enactment of such legislation not later than the expiration of
the 15-day period beginning on the date of the enactment
of such legislation; and
(II) subsequent allocations of funds provided by the
enactment of such legislation not later than the beginning
of each of the second, third, and fourth quarters of the fiscal year; and
(ii) in the case of legislation providing funds for a period
that ends prior to the end of a fiscal year, shall issue an initial
allocation of funds provided by the enactment of such legislation not later than the expiration of the 10-day period beginning on the date of the enactment of such legislation.
(B) In any fiscal year—
(i) unused amounts from a prior fiscal year that are identified by the end of the first quarter of the fiscal year shall be
recovered and reallocated not later than the beginning of the
second quarter of the fiscal year; and
(ii) unused amounts from a prior fiscal year that are identified after the end of the first quarter of the fiscal year shall
be recovered and reallocated on a timely basis.
(3) Notwithstanding any other provision of law, unless enacted
in express limitation of this paragraph—
(A) the allocation of funds required by paragraph
(2)(A)(i)(I) shall include not less than 1⁄3 of the amounts appropriated by the legislation described in such paragraph;
(B) the allocations of funds required by paragraph
(2)(A)(i)(II) to be made not later than the beginning of the second and third quarters of the fiscal year shall each include not
less than 1⁄4 of the amounts appropriated by the legislation described in such paragraph; and
(C) in the case of the enactment of legislation providing
appropriations for a period of not more than 4 months, the allocation of funds required by paragraph (2)(A)(ii) shall include
all amounts appropriated by such legislation except amounts
reserved by the Secretary for purposes of carrying out paragraph (5).
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(4) Of the sums appropriated for any fiscal year for programs
authorized under this section, not less than nine-tenths of 1 percent shall be available first for services to eligible members of migrant populations. The migrant services shall be provided in a
manner consistent with the priority system of a State for program
participation.
(5) Of the sums appropriated for any fiscal year for the program under this section, one-half of 1 percent, not to exceed
$15,000,000, shall be available to the Secretary for the purpose of
evaluating program performance, evaluating health benefits, preparing reports on program participant characteristics, providing
technical assistance to improve State agency administrative systems, administration of pilot projects, including projects designed to
meet the special needs of migrants, Indians, and rural populations,
and carrying out technical assistance and research evaluation
projects of the programs under this section.
(h)(1)(A) Each fiscal year, the Secretary shall make available,
from amounts appropriated for such fiscal year under subsection
(g)(1) and amounts remaining from amounts appropriated under
such subsection for the preceding fiscal year, an amount sufficient
to guarantee a national average per participant grant to be allocated among State agencies for costs of nutrition services and administration incurred by State and local agencies for such year.
(B)(i) The amount of the national average per participant grant
for nutrition services and administration for any fiscal year shall
be an amount equal to the amount of the national average per participant grant for nutrition services and administration issued the
preceding fiscal year, as adjusted.
(ii) Such adjustment, for any fiscal year, shall be made by revising the national average per participant grant for nutrition services and administration for the preceding fiscal year to reflect the
percentage change between—
(I) the value of the index for State and local government
purchases, as published by the Bureau of Economic Analysis of
the Department of Commerce, for the 12-month period ending
June 30 of the second preceding fiscal year; and
(II) the best estimate that is available as of the start of the
fiscal year of the value of such index for the 12-month period
ending June 30 of the previous fiscal year.
(C) REMAINING AMOUNTS.—
(i) IN GENERAL.—Except as provided in clause (ii),
in any fiscal year, amounts remaining from amounts
appropriated for such fiscal year under subsection
(g)(1) and from amounts appropriated under such section for the preceding fiscal year, after carrying out
subparagraph (A), shall be made available for food
benefits under this section, except to the extent that
such amounts are needed to carry out the purposes of
subsections (g)(4) and (g)(5).
(ii) BREAST PUMPS.—A State agency may use
amounts made available under clause (i) for the purchase of breast pumps.
(2)(A) The Secretary shall allocate to each State agency from
the amount described in paragraph (1)(A) an amount for costs of
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nutrition services and administration on the basis of a formula prescribed by the Secretary. Such formula—
(i) shall be designed to take into account—
(I) the varying needs of each State;
(II) the number of individuals participating in each
State; and
(III) other factors which serve to promote the proper,
efficient, and effective administration of the program
under this section;
(ii) shall provide for each State agency—
(I) an estimate of the number of participants for the
fiscal year involved; and
(II) a per participant grant for nutrition services and
administration for such year;
(iii) shall provide for a minimum grant amount for State
agencies; and
(iv) may provide funds to help defray reasonable anticipated expenses associated with innovations in cost containment or associated with procedures that tend to enhance competition.
(B)(i) Except as provided in clause (ii) and subparagraph (C),
in any fiscal year, the total amount allocated to a State agency for
costs of nutrition services and administration under the formula
prescribed by the Secretary under subparagraph (A) shall constitute the State agency’s operational level for such costs for such
year even if the number of participants in the program at such
agency is lower than the estimate provided under subparagraph
(A)(ii)(I).
(ii) If a State agency’s per participant expenditure for nutrition
services and administration is more than 10 percent (except that
the Secretary may establish a higher percentage for State agencies
that are small) higher than its per participant grant for nutrition
services and administration without good cause, the Secretary may
reduce such State agency’s operational level for costs of nutrition
services and administration.
(C) In any fiscal year, the Secretary may reallocate amounts
provided to State agencies under subparagraph (A) for such fiscal
year. When reallocating amounts under the preceding sentence, the
Secretary may provide additional amounts to, or recover amounts
from, any State agency.
(3)(A) Except as provided in subparagraphs (B) and (C), in
each fiscal year, each State agency shall expend—
(i) for nutrition education activities and breastfeeding promotion and support activities, an aggregate amount that is not
less than the sum of—
(I) 1⁄6 of the amounts expended by the State for costs
of nutrition services and administration; and
(II) except as otherwise provided in subparagraphs (F)
and (G), an amount equal to a proportionate share of the
national minimum breastfeeding promotion expenditure,
as described in subparagraph (E), with each State’s share
determined on the basis of the number of pregnant women
and breastfeeding women in the program in the State as
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a percentage of the number of pregnant women and
breastfeeding women in the program in all States; and
(ii) for breastfeeding promotion and support activities an
amount that is not less than the amount determined for such
State under clause (i)(II).
(B) The Secretary may authorize a State agency to expend an
amount less than the amount described in subparagraph (A)(ii) for
purposes of breastfeeding promotion and support activities if—
(i) the State agency so requests; and
(ii) the request is accompanied by documentation that
other funds will be used to conduct nutrition education activities at a level commensurate with the level at which such activities would be conducted if the amount described in subparagraph (A)(ii) were expended for such activities.
(C) The Secretary may authorize a State agency to expend for
purposes of nutrition education an amount that is less than the difference between the aggregate amount described in subparagraph
(A) and the amount expended by the State for breastfeeding promotion and support programs if—
(i) the State agency so requests; and
(ii) the request is accompanied by documentation that
other funds will be used to conduct such activities.
(D) The Secretary shall limit to a minimal level any documentation required under this paragraph.
(E) For each fiscal year, the national minimum breastfeeding
promotion expenditure means an amount that is—
(i) equal to $21 multiplied by the number of pregnant
women and breastfeeding women participating in the program
nationwide, based on the average number of pregnant women
and breastfeeding women so participating during the last 3
months for which the Secretary has final data; and
(ii) adjusted for inflation on October 1, 1996, and each October 1 thereafter, in accordance with paragraph (1)(B)(ii).
(4) REQUIREMENTS.—
(A) IN GENERAL.—The Secretary shall—
(i) in consultation with the Secretary of Health
and Human Services, develop a definition of
breastfeeding for the purposes of the program under
this section;
(ii) authorize the purchase of breastfeeding aids
by State and local agencies as an allowable expense
under nutrition services and administration;
(iii) require each State agency to designate an
agency staff member to coordinate breastfeeding promotion efforts identified in the State plan of operation
and administration;
(iv) require the State agency to provide training
on the promotion and management of breastfeeding to
staff members of local agencies who are responsible for
counseling participants in the program under this section concerning breastfeeding;
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dence and duration of breastfeeding among participants in the program;
(vi) partner with communities, State and local
agencies, employers, health care professionals, and
other entities in the private sector to build a supportive breastfeeding environment for women participating in the program under this section to support
the breastfeeding goals of the Healthy People initiative; and 6
(vii) annually compile and publish breastfeeding
performance measurements based on program participant data on the number of partially and fully breastfed infants, including breastfeeding performance measurements for—
(I) each State agency; and
(II) each local agency;
(viii) in accordance with subparagraph (B), implement a program to recognize exemplary breastfeeding
support practices at local agencies or clinics participating in the special supplemental nutrition program
established under this section; and
(ix) in accordance with subparagraph (C), implement a program to provide performance bonuses to
State agencies.
(B) EXEMPLARY BREASTFEEDING SUPPORT PRACTICES.—
(i) IN GENERAL.—In evaluating exemplary practices under subparagraph (A)(viii), the Secretary shall
consider—
(I)
performance
measurements
of
breastfeeding;
(II) the effectiveness of a peer counselor program;
(III) the extent to which the agency or clinic
has partnered with other entities to build a supportive breastfeeding environment for women participating in the program; and
(IV) such other criteria as the Secretary considers appropriate after consultation with State
and local program agencies.
(ii) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out the activities described in clause (viii) of subparagraph (A) such
sums as are necessary.
(C) PERFORMANCE BONUSES.—
(i) IN GENERAL.—Following the publication of
breastfeeding performance measurements under subparagraph (A)(vii), the Secretary shall provide performance bonus payments to not more than 15 State
agencies that demonstrate, as compared to other State
agencies participating in the program—
(I) the highest proportion of breast-fed infants; or
6 So

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(II) the greatest improvement in proportion of
breast-fed infants.
(ii) CONSIDERATION.—In providing performance
bonus payments to State agencies under this subparagraph, the Secretary shall consider the proportion of
fully breast-fed infants in the States.
(iii) USE OF FUNDS.—A State agency that receives
a performance bonus under clause (i)—
(I) shall treat the funds as program income;
and
(II) may transfer the funds to local agencies
for use in carrying out the program.
(iv) IMPLEMENTATION.—The Secretary shall provide the first performance bonuses not later than 1
year after the date of enactment of this clause and
may subsequently revise the criteria for awarding performance bonuses; and 7
(5)(A) Subject to subparagraph (B), in any fiscal year that a
State agency submits a plan to reduce average food costs per participant and to increase participation above the level estimated for
the State agency, the State agency may, with the approval of the
Secretary, convert amounts allocated for food benefits for such fiscal year for costs of nutrition services and administration to the extent that such conversion is necessary—
(i) to cover allowable expenditures in such fiscal year; and
(ii) to ensure that the State agency maintains the level established for the per participant grant for nutrition services
and administration for such fiscal year.
(B) If a State agency increases its participation level through
measures that are not in the nutritional interests of participants
or not otherwise allowable (such as reducing the quantities of foods
provided for reasons not related to nutritional need), the Secretary
may refuse to allow the State agency to convert amounts allocated
for food benefits to defray costs of nutrition services and administration.
(C) For the purposes of this paragraph, the term ‘‘acceptable
measures’’ includes use of cost containment measures, curtailment
of vendor abuse, and breastfeeding promotion activities.
(D) REMOTE INDIAN OR NATIVE VILLAGES.—For noncontiguous States containing a significant number of remote Indian or Native villages, a State agency may convert amounts allocated for food benefits for a fiscal year to
the costs of nutrition services and administration to the
extent that the conversion is necessary to cover expenditures incurred in providing services (including the full cost
of air transportation and other transportation) to remote
Indian or Native villages and to provide breastfeeding support in remote Indian or Native villages.
(6) In each fiscal year, each State agency shall provide, from
the amounts allocated to such agency for such year for costs of nutrition services and administration, an amount to each local agency
for its costs of nutrition services and administration. The amount
7 So

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to be provided to each local agency under the preceding sentence
shall be determined under allocation standards developed by the
State agency in cooperation with the several local agencies, taking
into account factors deemed appropriate to further proper, efficient,
and effective administration of the program, such as—
(A) local agency staffing needs;
(B) density of population;
(C) number of individuals served; and
(D) availability of administrative support from other
sources.
(7) The State agency may provide in advance to any local agency any amounts for nutrition services and administration deemed
necessary for successful commencement or significant expansion of
program operations during a reasonable period following approval
of—
(A) a new local agency;
(B) a new cost containment measure; or
(C) a significant change in an existing cost containment
measure.
(8)(A)(i) Except as provided in subparagraphs (B) and (C)(iii),
any State that provides for the purchase of foods under the program at retail grocery stores shall, with respect to the procurement
of infant formula, use—
(I) a competitive bidding system; or
(II) any other cost containment measure that yields savings equal to or greater than savings generated by a competitive bidding system when such savings are determined by comparing the amounts of savings that would be provided over the
full term of contracts offered in response to a single invitation
to submit both competitive bids and bids for other cost containment systems for the sale of infant formula.
(ii) In determining whether a cost containment measure other
than competitive bidding yields equal or greater savings, the State,
in accordance with regulations issued by the Secretary, may take
into account other cost factors (in addition to rebate levels and procedures for adjusting rebate levels when wholesale price levels
change), such as—
(I) the number of infants who would not be expected to receive the primary contract infant formula under a competitive
bidding system;
(II) the number of cans of infant formula for which no rebate would be provided under another rebate system; and
(III) differences in administrative costs relating to the implementation of the various cost containment systems (such as
costs of converting a computer system for the purpose of operating a cost containment system and costs of preparing participants for conversion to a new or alternate cost containment
system).
(iii) COMPETITIVE BIDDING SYSTEM.—A State agency using a competitive bidding system for infant formula shall award contracts to bidders offering the lowest net price for a specific infant formula for which
manufacturers submit a bid unless the State agency
demonstrates to the satisfaction of the Secretary that
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the weighted average retail price for different brands
of infant formula in the State does not vary by more
than 5 percent.
(iv) SIZE OF STATE ALLIANCES.—
(I) IN GENERAL.—Except as provided in subclauses (II) through (IV), no State alliance may
exist among States if the total number of infants
served by States participating in the alliance as of
October 1, 2003, or such subsequent date determined by the Secretary for which data is available, would exceed 100,000.
(II) ADDITION OF INFANT PARTICIPANTS.—In
the case of a State alliance that exists on the date
of enactment of this clause, the alliance may continue and may expand to serve more than 100,000
infants but, except as provided in subclause (III),
may not expand to include any additional State
agency.
(III) ADDITION OF SMALL STATE AGENCIES AND
INDIAN STATE AGENCIES.—Except as provided in
paragraph (9)(B)(i)(II), any State alliance may expand to include any State agency that served less
than 5,000 infant participants as of October 1,
2003, or such subsequent date determined by the
Secretary for which data is available, or any Indian State agency, if the State agency or Indian
State agency requests to join the State alliance.
(IV) SECRETARIAL WAIVER.—The Secretary
may waive the requirements of this clause not
earlier than 30 days after submitting to the Committee on Education and the Workforce of the
House of Representatives and the Committee on
Agriculture, Nutrition, and Forestry of the Senate
a written report that describes the cost-containment and competitive benefits of the proposed
waiver.
(v) FIRST CHOICE OF ISSUANCE.—The State agency
shall use the primary contract infant formula as the
first choice of issuance (by formula type), with all
other infant formulas issued as an alternative to the
primary contract infant formula.
(vi) REBATE INVOICES.—Effective beginning October 1, 2004, each State agency shall have a system to
ensure that infant formula rebate invoices, under competitive bidding, provide a reasonable estimate or an
actual count of the number of units sold to participants in the program under this section.
(vii) SEPARATE SOLICITATIONS.—In soliciting bids
for infant formula under a competitive bidding system,
any State agency, or State alliance, that served under
the program a monthly average of more than 100,000
infants during the preceding 12-month period shall solicit bids from infant formula manufacturers under
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counts are solicited for milk-based and soy-based infant formula separately.
(viii) CENT-FOR-CENT ADJUSTMENTS.—A bid solicitation for infant formula under the program shall require the manufacturer to adjust for price changes
subsequent to the opening of the bidding process in a
manner that requires—
(I) a cent-for-cent increase in the rebate
amounts if there is an increase in the lowest national wholesale price for a full truckload of the
particular infant formula; and
(II) a cent-for-cent decrease in the rebate
amounts if there is a decrease in the lowest national wholesale price for a full truckload of the
particular infant formula.
(ix) LIST OF INFANT FORMULA WHOLESALERS, DISTRIBUTORS, RETAILERS, AND MANUFACTURERS.—The
State agency shall maintain a list of—
(I) infant formula wholesalers, distributors,
and retailers licensed in the State in accordance
with State law (including regulations); and
(II) infant formula manufacturers registered
with the Food and Drug Administration that provide infant formula.
(x) PURCHASE REQUIREMENT.—A vendor authorized to participate in the program under this section
shall only purchase infant formula from the list described in clause (ix).
(B)(i) The Secretary shall waive the requirement of subparagraph (A) in the case of any State that demonstrates to the Secretary that—
(I) compliance with subparagraph (A) would be inconsistent with efficient or effective operation of the program operated by such State under this section; or
(II) the amount by which the savings yielded by an alternative cost containment system would be less than the savings
yielded by a competitive bidding system is sufficiently minimal
that the difference is not significant.
(ii) The Secretary shall prescribe criteria under which a waiver
may be granted pursuant to clause (i).
(iii) The Secretary shall provide information on a timely basis
to the Committee on Education and Labor of the House of Representatives and the Committee on Agriculture, Nutrition, and Forestry of the Senate on waivers that have been granted under clause
(i).
(C)(i) The Secretary shall provide technical assistance to small
Indian State agencies carrying out this paragraph in order to assist
such agencies to achieve the maximum cost containment savings
feasible.
(ii) The Secretary shall also provide technical assistance, on request, to State agencies that desire to consider a cost containment
system that covers more than 1 State agency.
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(iii) The Secretary may waive the requirement of subparagraph
(A) in the case of any Indian State agency that has not more than
1,000 participants.
(D) No State may enter into a cost containment contract (in
this subparagraph referred to as the original contract’’) that prescribes conditions that would void, reduce the savings under, or
otherwise limit the original contract if the State solicited or secured
bids for, or entered into, a subsequent cost containment contract to
take effect after the expiration of the original contract.
(E) The Secretary shall offer to solicit bids on behalf of State
agencies regarding cost-containment contracts to be entered into by
infant formula manufacturers and State agencies. The Secretary
shall make the offer to State agencies once every 12 months. Each
such bid solicitation shall only take place if two or more State
agencies request the Secretary to perform the solicitation. For such
State agencies, the Secretary shall solicit bids and select the winning bidder for a cost containment contract to be entered into by
State agencies and infant formula manufacturers or suppliers.
(F) In soliciting bids for contracts for infant formula for the
program authorized by this section, the Secretary shall solicit bids
from infant formula manufacturers under procedures in which bids
for rebates or discounts are solicited for milk-based and soy-based
infant formula, separately, except where the Secretary determines
that such solicitation procedures are not in the best interest of the
program.
(G) To reduce the costs of any supplemental foods, the Secretary may make available additional funds to State agencies out
of the funds otherwise available under paragraph (1)(A) for nutrition services and administration in an amount not exceeding one
half of 1 percent of the amounts to help defray reasonable anticipated expenses associated with innovations in cost containment or
associated with procedures that tend to enhance competition.
(H)(i) Any person, company, corporation, or other legal entity
that submits a bid to supply infant formula to carry out the program authorized by this section and announces or otherwise discloses the amount of the bid, or the rebate or discount practices of
such entities, in advance of the time the bids are opened by the
Secretary or the State agency, or any person, company, corporation,
or other legal entity that makes a statement (prior to the opening
of bids) relating to levels of rebates or discounts, for the purpose
of influencing a bid submitted by any other person, shall be ineligible to submit bids to supply infant formula to the program for the
bidding in progress for up to 2 years from the date the bids are
opened and shall be subject to a civil penalty of up to $100,000,000,
as determined by the Secretary to provide restitution to the program for harm done to the program. The Secretary shall issue regulations providing such person, company, corporation, or other
legal entity appropriate notice, and an opportunity to be heard and
to respond to charges.
(ii) The Secretary shall determine the length of the disqualification, and the amount of the civil penalty referred to in clause
(i) based on such factors as the Secretary by regulation determines
appropriate.
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(iii) Any person, company, corporation, or other legal entity disqualified under clause (i) shall remain obligated to perform any requirements under any contract to supply infant formula existing at
the time of the disqualification and until each such contract expires
by its terms.
(I) Not later than the expiration of the 180-day period beginning on the date of enactment of this subparagraph, the Secretary
shall prescribe regulations to carry out this paragraph.
(J) A State shall not incur any interest liability to the Federal
Government on rebate funds for infant formula and other foods if
all interest earned by the State on the funds is used for program
purposes.
(K) REPORTING.—Effective beginning October 1, 2011,
each State agency shall report rebate payments received
from manufacturers in the month in which the payments
are received, rather than in the month in which the payments were earned.
(9) COST CONTAINMENT MEASURE.—
(A) DEFINITION OF COST CONTAINMENT MEASURE.—In
this subsection, the term ‘‘cost containment measure’’
means a competitive bidding, rebate, direct distribution, or
home delivery system implemented by a State agency as
described in the approved State plan of operation and administration of the State agency.
(B) SOLICITATION AND REBATE BILLING REQUIREMENTS.—Any State agency instituting a cost containment
measure for any authorized food, including infant formula,
shall—
(i) in the bid solicitation—
(I) identify the composition of State alliances
for the purposes of a cost containment measure;
and
(II) verify that no additional States shall be
added to the State alliance between the date of
the bid solicitation and the end of the contract;
(ii) have a system to ensure that rebate invoices
under competitive bidding provide a reasonable estimate or an actual count of the number of units sold
to participants in the program under this section;
(iii) open and read aloud all bids at a public proceeding on the day on which the bids are due; and
(iv) unless otherwise exempted by the Secretary,
provide a minimum of 30 days between the publication
of the solicitation and the date on which the bids are
due.
(C) STATE ALLIANCES FOR AUTHORIZED FOODS OTHER
THAN INFANT FORMULA.—Program requirements relating to
the size of State alliances under paragraph (8)(A)(iv) shall
apply to cost containment measures established for any
authorized food under this section.
(10) FUNDS FOR INFRASTRUCTURE, MANAGEMENT INFORMATION SYSTEMS, AND SPECIAL NUTRITION EDUCATION.—
(A) IN GENERAL.—For each of fiscal years 2010
through 2015, the Secretary shall use for the purposes
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specified in subparagraph (B) $139,000,000 (as adjusted
annually for inflation by the same factor used to determine
the national average per participant grant for nutrition
services and administration for the fiscal year under paragraph (1)(B)).
(B) PURPOSES.—Subject to subparagraph (C), of the
amount made available under subparagraph (A) for a fiscal
year—
(i) $14,000,000 shall be used for—
(I) infrastructure for the program under this
section;
(II) special projects to promote breastfeeding,
including projects to assess the effectiveness of
particular breastfeeding promotion strategies; and
(III) special State projects of regional or national significance to improve the services of the
program;
(ii) $35,000,000 shall be used to establish, improve, or administer management information systems
for the program, including changes necessary to meet
new legislative or regulatory requirements of the program, of which up to $5,000,000 may be used for Federal administrative costs; and
(iii) $90,000,000 shall be used for special nutrition
education (such as breastfeeding peer counselors and
other related activities), of which not more than
$10,000,000 of any funding provided in excess of
$50,000,000 shall be used to make performance bonus
payments under paragraph (4)(C).
(C) ADJUSTMENT.—Each of the amounts referred to in
clauses (i), (ii), and (iii) of subparagraph (B) shall be adjusted annually for inflation by the same factor used to determine the national average per participant grant for nutrition services and administration for the fiscal year
under paragraph (1)(B).
(D) PROPORTIONAL DISTRIBUTION.—The Secretary shall
distribute funds made available under subparagraph (A) in
accordance with the proportional distribution described in
subparagraphs (B) and (C).
(11) VENDOR COST CONTAINMENT.—
(A) PEER GROUPS.—
(i) IN GENERAL.—The State agency shall—
(I) establish a vendor peer group system;
(II) in accordance with subparagraphs (B) and
(C), establish competitive price criteria and allowable reimbursement levels for each vendor peer
group; and
(III) if the State agency elects to authorize
any types of vendors described in subparagraph
(D)(ii)(I)—
(aa) distinguish between vendors described in subparagraph (D)(ii)(I) and other
vendors by establishing—
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(AA) separate peer groups for vendors
described in subparagraph (D)(ii)(I);or
(BB) distinct competitive price criteria and allowable reimbursement levels
for vendors described in subparagraph
(D)(ii)(I) within a peer group that contains both vendors described in subparagraph (D)(ii)(I) and other vendors; and
(bb) establish competitive price criteria
and allowable reimbursement levels that comply with subparagraphs (B) and (C), respectively, and that do not result in higher food
costs if program participants redeem supplemental food vouchers at vendors described in
subparagraph (D)(ii)(I) rather than at vendors
other than vendors described in subparagraph
(D)(ii)(I).
Nothing in this paragraph shall be construed to compel a State
agency to achieve lower food costs if program participants redeem supplemental food vouchers at vendors described in subparagraph (D)(ii)(I) rather than at vendors other than vendors
described in subparagraph (D)(ii)(I).
(ii) EXEMPTIONS.—The Secretary may exempt from
the requirements of clause (i)—
(I) a State agency that elects not to authorize
any types of vendors described in subparagraph
(D)(ii)(I) and that demonstrates to the Secretary
that—
(aa) compliance with clause (i) would be
inconsistent with efficient and effective operation of the program administered by the
State under this section; or
(bb) an alternative cost-containment system would be as effective as a vendor peer
group system; or
(II) a State agency—
(aa) in which the sale of supplemental
foods that are obtained with food instruments
from vendors described in subparagraph
(D)(ii)(I) constituted less than 5 percent of
total sales of supplemental foods that were
obtained with food instruments in the State
in the year preceding a year in which the exemption is effective; and
(bb) that demonstrates to the Secretary
that an alternative cost-containment system
would be as effective as the vendor peer group
system and would not result in higher food
costs if program participants redeem supplemental food vouchers at vendors described in
subparagraph (D)(ii)(I) rather than at vendors
other than vendors described in subparagraph
(D)(ii)(I).
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(B) COMPETITIVE PRICING.—
(i) IN GENERAL.—The State agency shall establish
competitive price criteria for each peer group for the
selection of vendors for participation in the program
that—
(I) ensure that the retail prices charged by
vendor applicants for the program are competitive
with the prices charged by other vendors; and
(II) consider—
(aa) the shelf prices of the vendor for all
buyers; or
(bb) the prices that the vendor bid for
supplemental foods, which shall not exceed
the shelf prices of the vendor for all buyers.
(ii) PARTICIPANT ACCESS.—In establishing competitive price criteria, the State agency shall consider participant access by geographic area.
(iii) SUBSEQUENT PRICE INCREASES.—The State
agency shall establish procedures to ensure that a retail store selected for participation in the program
does not, subsequent to selection, increase prices to
levels that would make the store ineligible for selection to participate in the program.
(C) ALLOWABLE REIMBURSEMENT LEVELS.—
(i) IN GENERAL.—The State agency shall establish
allowable reimbursement levels for supplemental foods
for each vendor peer group that ensure—
(I) that payments to vendors in the vendor
peer group reflect competitive retail prices; and
(II) that the State agency does not reimburse
a vendor for supplemental foods at a level that
would make the vendor ineligible for authorization
under the criteria established under subparagraph
(B).
(ii) PRICE FLUCTUATIONS.—The allowable reimbursement levels may include a factor to reflect fluctuations in wholesale prices.
(iii) PARTICIPANT ACCESS.—In establishing allowable reimbursement levels, the State agency shall consider participant access in a geographic area.
(D) EXEMPTIONS.—The State agency may exempt from
competitive price criteria and allowable reimbursement
levels established under this paragraph—
(i) pharmacy vendors that supply only exempt infant formula or medical foods that are eligible under
the program; and
(ii) vendors—
(I)(aa) for which more than 50 percent of the
annual revenue of the vendor from the sale of food
items consists of revenue from the sale of supplemental foods that are obtained with food instruments; or
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(bb) who are new applicants likely to meet the
criteria of item (aa) under criteria approved by the
Secretary; and
(II) that are nonprofit.
(E) COST CONTAINMENT.—If a State agency elects to
authorize any types of vendors described in subparagraph
(D)(ii)(I), the State agency shall demonstrate to the Secretary, and the Secretary shall certify, that the competitive
price criteria and allowable reimbursement levels established under this paragraph for vendors described in subparagraph (D)(ii)(I) do not result in average payments per
voucher to vendors described in subparagraph (D)(ii)(I)
that are higher than average payments per voucher to
comparable vendors other than vendors described in subparagraph (D)(ii)(I).
(F) LIMITATION ON PRIVATE RIGHTS OF ACTION.—Nothing in this paragraph may be construed as creating a private right of action.
(G) IMPLEMENTATION.—A State agency shall comply
with this paragraph not later than 18 months after the
date of enactment of this paragraph.
(12) ELECTRONIC BENEFIT TRANSFER.—
(A) DEFINITIONS.—In this paragraph:
(i) ELECTRONIC BENEFIT TRANSFER.—The term
‘‘electronic benefit transfer’’ means a food delivery system that provides benefits using a card or other access
device approved by the Secretary that permits electronic access to program benefits.
(ii) PROGRAM.—The term ‘‘program’’ means the
special supplemental nutrition program established by
this section.
(B) REQUIREMENTS.—
(i) IN GENERAL.—Not later than October 1, 2020,
each State agency shall be required to implement electronic benefit transfer systems throughout the State,
unless the Secretary grants an exemption under subparagraph (C) for a State agency that is facing unusual barriers to implement an electronic benefit
transfer system.
(ii) RESPONSIBILITY.—The State agency shall be
responsible for the coordination and management of
the electronic benefit transfer system of the agency.
(C) EXEMPTIONS.—
(i) IN GENERAL.—To be eligible for an exemption
from the statewide implementation requirements of
subparagraph (B)(i), a State agency shall demonstrate
to the satisfaction of the Secretary 1 or more of the following:
(I) There are unusual technological barriers to
implementation.
(II) Operational costs are not affordable within the nutrition services and administration grant
of the State agency.
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(III) It is in the best interest of the program
to grant the exemption.
(ii) SPECIFIC DATE.—A State agency requesting an
exemption under clause (i) shall specify a date by
which the State agency anticipates statewide implementation described in subparagraph (B)(i).
(D) REPORTING.—
(i) IN GENERAL.—Each State agency shall submit
to the Secretary electronic benefit transfer project status reports to demonstrate the progress of the State
toward statewide implementation.
(ii) CONSULTATION.—If a State agency plans to incorporate additional programs in the electronic benefit
transfer system of the State, the State agency shall
consult with the State agency officials responsible for
administering the programs prior to submitting the
planning documents to the Secretary for approval.
(iii) REQUIREMENTS.—At a minimum, a status report submitted under clause (i) shall contain—
(I) an annual outline of the electronic benefit
transfer implementation goals and objectives of
the State;
(II) appropriate updates in accordance with
approval requirements for active electronic benefit
transfer State agencies; and
(III) such other information as the Secretary
may require.
(E) IMPOSITION OF COSTS ON VENDORS.—
(i) COST PROHIBITION.—Except as otherwise provided in this paragraph, the Secretary may not impose, or allow a State agency to impose, the costs of
any equipment or system required for electronic benefit transfers on any authorized vendor in order to
transact electronic benefit transfers if the vendor
equipment or system is used solely to support the program.
(ii) COST-SHARING.—The Secretary shall establish
criteria for cost-sharing by State agencies and vendors
of costs associated with any equipment or system that
is not solely dedicated to transacting electronic benefit
transfers for the program.
(iii) FEES.—
(I) IN GENERAL.—A vendor that elects to accept electronic benefit transfers using multifunction equipment shall pay commercial transaction processing costs and fees imposed by a
third-party processor that the vendor elects to use
to connect to the electronic benefit transfer system
of the State.
(II) INTERCHANGE FEES.—No interchange fees
shall apply to electronic benefit transfer transactions under this paragraph.
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(iv) STATEWIDE OPERATIONS.—After completion of
statewide expansion of a system for transaction of
electronic benefit transfers—
(I) a State agency may not be required to
incur ongoing maintenance costs for vendors using
multifunction systems and equipment to support
electronic benefit transfers; and
(II) any retail store in the State that applies
for authorization to become a program vendor
shall be required to demonstrate the capability to
accept program benefits electronically prior to authorization, unless the State agency determines
that the vendor is necessary for participant access.
(F) MINIMUM LANE COVERAGE.—
(i) IN GENERAL.—The Secretary shall establish
minimum lane coverage guidelines for vendor equipment and systems used to support electronic benefit
transfers.
(ii) PROVISION OF EQUIPMENT.—If a vendor does
not elect to accept electronic benefit transfers using its
own multifunction equipment, the State agency shall
provide such equipment as is necessary to solely support the program to meet the established minimum
lane coverage guidelines.
(G) TECHNICAL STANDARDS.—The Secretary shall—
(i) establish technical standards and operating
rules for electronic benefit transfer systems; and
(ii) require each State agency, contractor, and authorized vendor participating in the program to demonstrate compliance with the technical standards and
operating rules.
(13) UNIVERSAL PRODUCT CODES DATABASE.—
(A) IN GENERAL.—Not later than 2 years after the date
of enactment of the Healthy, Hunger-Free Kids Act of
2010, the Secretary shall establish a national universal
product code database to be used by all State agencies in
carrying out the requirements of paragraph (12).
(B) FUNDING.—
(i) IN GENERAL.—On October 1, 2010, and on each
October 1 thereafter, out of any funds in the Treasury
not otherwise appropriated, the Secretary of the
Treasury shall transfer to the Secretary to carry out
this paragraph $1,000,000, to remain available until
expended.
(ii) RECEIPT AND ACCEPTANCE.—The Secretary
shall be entitled to receive, shall accept, and shall use
to carry out this paragraph the funds transferred
under clause (i), without further appropriation.
(iii) USE OF FUNDS.—The Secretary shall use the
funds provided under clause (i) for development,
hosting, hardware and software configuration, and
support of the database required under subparagraph
(A).
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(14) INCENTIVE ITEMS.—A State agency shall not authorize
or make payments to a vendor described in paragraph
(11)(D)(ii)(I) that provides incentive items or other free merchandise, except food or merchandise of nominal value (as determined by the Secretary), to program participants unless the
vendor provides to the State agency proof that the vendor obtained the incentive items or merchandise at no cost.
(i)(1) By the beginning of each fiscal year, the Secretary shall
divide, among the State agencies, the amounts made available for
food benefits under subsection (h)(1)(C) on the basis of a formula
determined by the Secretary.
(2) Each State agency’s allocation, as so determined, shall constitute the State agency’s authorized operational level for that year,
except that the Secretary shall reallocate funds periodically if the
Secretary determines that a State agency is unable to spend its allocation.
(3)(A) Notwithstanding paragraph (2) and subject to subparagraph (B)—
(i)(I) not more than 1 percent (except as provided in subparagraph (C)) of the amount of funds allocated to a State
agency under this section for supplemental foods for a fiscal
year may be expended by the State agency for allowable expenses incurred under this section for supplemental foods during the preceding fiscal year; and
(II) not more than 1 percent of the amount of funds allocated to a State agency under this section for nutrition services
and administration for a fiscal year may be expended by the
State agency for allowable expenses incurred under this section
for supplemental foods and nutrition services and administration during the preceding fiscal year; and
(ii)(I) for each fiscal year, of the amounts allocated to a
State agency for nutrition services and administration, an
amount equal to not more than 3 percent of the amount allocated to the State agency under this section for the fiscal year
may be expended by the State agency for allowable expenses
incurred under this section for nutrition services and administration during the subsequent fiscal year; and
(II) for each fiscal year, of the amounts allocated to a State
agency for nutrition services and administration, an amount
equal to not more than 1⁄2 of 1 percent of the amount allocated
to the State agency under this section for the fiscal year may
be expended by the State agency, with the prior approval of
the Secretary, for the development of a management information system, including an electronic benefit transfer system,
during the subsequent fiscal year.
(B) Any funds made available to a State agency in accordance
with subparagraph (A)(ii) for a fiscal year shall not affect the
amount of funds allocated to the State agency for such year.
(C) The Secretary may authorize a State agency to expend not
more than 3 percent of the amount of funds allocated to a State
under this section for supplemental foods for a fiscal year for expenses incurred under this section for supplemental foods during
the preceding fiscal year, if the Secretary determines that there
has been a significant reduction in infant formula cost containment
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savings provided to the State agency that would affect the ability
of the State agency to at least maintain the level of participation
by eligible participants served by the State agency.
(4) For purposes of the formula, if Indians are served by the
health department of a State, the formula shall be based on the
State population inclusive of the Indians within the State boundaries.
(5) If Indians residing in the State are served by a State agency other than the health department of the State, the population
of the tribes within the jurisdiction of the State being so served
shall not be included in the formula for such State, and shall instead be included in the formula for the State agency serving the
Indians.
(6) Notwithstanding any other provision of this section, the
Secretary may use a portion of a State agency’s allocation to purchase supplemental foods for donation to the State agency under
this section.
(7) In addition to any amounts expended under paragraph
(3)(A)(i), any State agency using cost containment measures as defined in subsection (h)(9) may temporarily use amounts made available to such agency for the first quarter of a fiscal year to defray
expenses for costs incurred during the final quarter of the preceding fiscal year. In any fiscal year, any State agency that uses
amounts made available for a succeeding fiscal year under the authority of the preceding sentence shall restore or reimburse such
amounts when such agency receives payment as a result of its cost
containment measures for such expenses.
(8) TEMPORARY SPENDING AUTHORITY.—During each of fiscal years 2012 and 2013, the Secretary may authorize a State
agency to expend more than the amount otherwise authorized
under paragraph (3)(C) for expenses incurred under this section for supplemental foods during the preceding fiscal year, if
the Secretary determines that—
(A) there has been a significant reduction in reported
infant formula cost containment savings for the preceding
fiscal year due to the implementation of subsection
(h)(8)(K); and
(B) the reduction would affect the ability of the State
agency to serve all eligible participants.
(j)(1) The Secretary and the Secretary of Health and Human
Services (referred to in this subsection as the ‘‘Secretaries’’) shall
jointly establish and carry out an initiative for the purpose of providing both supplemental foods, nutrition education, and
breastfeeding support and promotion under the special supplemental nutrition program and health care services to low-income
pregnant, postpartum, and breastfeeding women, infants, and children at substantially more community health centers and migrant
health centers.
(2) The initiative shall also include—
(A) activities to improve the coordination of the provision
of supplemental foods, nutrition education, and breastfeeding
support and promotion under the special supplemental nutrition program and health care services at facilities funded by
the Indian Health Service; and
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(B) the development and implementation of strategies to
ensure that, to the maximum extent feasible, new community
health centers, migrant health centers, and other federally
supported health care facilities established in medically underserved areas provide supplemental foods, nutrition education,
and breastfeeding support and promotion under the special
supplemental nutrition program.
(3) The initiative may include—
(A) outreach and technical assistance for State and local
agencies and the facilities described in paragraph (2)(A) and
the health centers and facilities described in paragraph (2)(B);
(B) demonstration projects in selected State or local areas;
and
(C) such other activities as the Secretaries find are appropriate.
(4) As used in this subsection:
(A) The term ‘‘community health center’’ has the meaning
given the term in section 330(a) of the Public Health Service
Act (42 U.S.C. 254c(a)).
(B) The term ‘‘migrant health center’’ has the meaning
given the term in section 329(a)(1) of such Act (42 U.S.C.
254b(a)(1)).
(k)(1) There is hereby established a National Advisory Council
on Maternal, Infant, and Fetal Nutrition (referred to in this subsection as the ‘‘Council’’) composed of 24 members appointed by the
Secretary. One member shall be a State director of a program
under this section; one member shall be a State official responsible
for a commodity supplemental food program under section 1304 of
the Food and Agriculture Act of 1977 ø(7 U.S.C. 612c note)¿; one
member shall be a State fiscal officer of a program under this section (or the equivalent thereof); one member shall be a State health
officer (or the equivalent thereof); one member shall be a local
agency director of a program under this section in an urban area;
one member shall be a local agency director of a program under
this section in a rural area; one member shall be a project director
of a commodity supplemental food program; one member shall be
a State public health nutrition director (or the equivalent thereof);
one member shall be a representative of an organization serving
migrants; one member shall be an official from a State agency predominantly serving Indians; three members shall be parent participants of a program under this section or of a commodity supplemental food program; one member shall be a pediatrician; one
member shall be an obstetrician; one member shall be a representative of a nonprofit public interest organization that has experience
with and knowledge of the special supplemental nutrition program;
one member shall be a person involved at the retail sales level of
food in the special supplemental nutrition program; two members
shall be officials of the Department of Health and Human Services
appointed by the Secretary of Health and Human Services; two
members shall be officials of the Department of Agriculture appointed by the Secretary; 1 member shall be an expert in the promotion of breast feeding; one member shall be an expert in drug
abuse education and prevention; and one member shall be an expert in alcohol abuse education and prevention.
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(2) Members of the Council appointed from outside the Department of Agriculture and the Department of Health and Human
Services shall be appointed for terms not exceeding three years.
State and local officials shall serve only during their official tenure,
and the tenure of parent participants shall not exceed two years.
Persons appointed to complete an unexpired term shall serve only
for the remainder of such term.
(3) The Council shall elect a Chairman and a Vice Chairman.
The Council shall meet at the call of the Chairman, but shall meet
at least once a year. Eleven members shall constitute a quorum.
(4) The Secretary shall provide the Council with such technical
and other assistance, including secretarial and clerical assistance,
as may be required to carry out its functions.
(5) Members of the Council shall serve without compensation
but shall be reimbursed for necessary travel and subsistence expenses incurred by them in the performance of the duties of the
Council. Parent participant members of the Council, in addition to
reimbursement for necessary travel and subsistence, shall, at the
discretion of the Secretary, be compensated in advance for other
personal expenses related to participation on the Council, such as
child care expenses and lost wages during scheduled Council meetings.
(l) Foods available under section 416 of the Agriculture Act of
1949 ø(7 U.S.C. 1431)¿, including, but not limited to, dry milk, or
purchased under section 32 of the Act of August 24, 1935 ø(7
U.S.C. 612c)¿ may be donated by the Secretary, at the request of
a State agency, for distribution to programs conducted under this
section. The Secretary may purchase and distribute, at the request
of a State agency, supplemental foods for donation to programs conducted under this section, with appropriated funds, including funds
appropriated under this section.
(m)(1) Subject to the availability of funds appropriated for the
purposes of this subsection, and as specified in this subsection, the
Secretary shall award grants to States that submit State plans
that are approved for the establishment or maintenance of programs designed to provide recipients of assistance under subsection
(c), or those who are on the waiting list to receive the assistance,
with coupons that may be exchanged for fresh, nutritious, unprepared foods at farmers’ markets and (at the option of a State) roadside stands, as defined in the State plans submitted under this
subsection.
(2) A grant provided to any State under this subsection shall
be provided to the chief executive officer of the State, who shall—
(A) designate the appropriate State agency or agencies to
administer the program in conjunction with the appropriate
nonprofit organizations; and
(B) ensure coordination of the program among the appropriate agencies and organizations.
(3) The Secretary shall not make a grant to any State under
this subsection unless the State agrees to provide State, local, or
private funds for the program in an amount that is equal to not
less than 30 percent of the administrative cost of the program,
which may be satisfied from program income or State contributions
that are made for similar programs. The Secretary may negotiate
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with an Indian State agency a lower percentage of matching funds
than is required under the preceding sentence, but not lower than
10 percent of the administrative cost of the program, if the Indian
State agency demonstrates to the Secretary financial hardship for
the affected Indian tribe, band, group, or council.
(4) Subject to paragraph (6), the Secretary shall establish a formula for determining the amount of the grant to be awarded under
this subsection to each State for which a State plan is approved
under paragraph (6), according to the number of recipients proposed to participate as specified in the State plan. In determining
the amount to be awarded to new States, the Secretary shall rank
order the State plans according to the criteria of operation set forth
in this subsection, and award grants accordingly. The Secretary
shall take into consideration the minimum amount needed to fund
each approved State plan, and need not award grants to each State
that submits a State plan.
(5) Each State that receives a grant under this subsection shall
ensure that the program for which the grant is received complies
with the following requirements:
(A) Individuals who are eligible to receive Federal benefits
under the program shall only be individuals who are receiving
assistance under subsection (c), or who are on the waiting list
to receive the assistance.
(B) Construction or operation of a farmers’ market may not
be carried out using funds—
(i) provided under the grant; or
(ii) required to be provided by the State under paragraph (3).
(C) The value of the Federal share of the benefits received
by any recipient under the program may not be—
(i) less than $10 per year; or
(ii) more than $30 per year.
(D) The coupon issuance process under the program shall
be designed to ensure that coupons are targeted to areas
with—
(i) the highest concentration of eligible individuals;
(ii) the greatest access to farmers’ markets; and
(iii) certain characteristics, in addition to those described in clauses (i) and (ii), that are determined to be relevant by the Secretary and that maximize the availability
of benefits to eligible individuals.
(E) The coupon redemption process under the program
shall be designed to ensure that the coupons may be—
(i) redeemed only by producers authorized by the State
to participate in the program; and
(ii) redeemed only to purchase fresh nutritious unprepared food for human consumption.
(F)(i) Except as provided in clauses (ii) and (iii), the State
may use for administration of the program in any fiscal year
not more than 17 percent of the total amount of program
funds.
(ii) During any fiscal year for which a State receives assistance under this subsection, the Secretary shall permit the
State to use not more than 2 percent of total program funds
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for market development or technical assistance to farmers’
markets if the Secretary determines that the State intends to
promote the development of farmers’ markets in socially or economically disadvantaged areas, or remote rural areas, where
individuals eligible for participation in the program have limited access to locally grown fruits and vegetables.
(iii) The provisions of clauses (i) and (ii) with respect to the
use of program funds shall not apply to any funds that a State
may contribute in excess of the funds used by the State to
meet the requirements of paragraph (3).
(G) The State shall ensure that no State or local taxes are
collected within the State on purchases of food with coupons
distributed under the program.
(6)(A) The Secretary shall give the same preference for funding
under this subsection to eligible States that participated in the program under this subsection in a prior fiscal year as to States that
participated in the program in the most recent fiscal year. The Secretary shall inform each State of the award of funds as prescribed
by subparagraph (G) by February 15 of each year.
(B)(i) Subject to the availability of appropriations, if a State
provides the amount of matching funds required under paragraph
(3), the State shall receive assistance under this subsection in an
amount that is not less than the amount of such assistance that
the State received in the most recent fiscal year in which it received such assistance.
(ii) If amounts appropriated for any fiscal year pursuant to the
authorization contained in paragraph (10) for grants under this
subsection are not sufficient to pay to each State for which a State
plan is approved under paragraph (6) the amount that the Secretary determines each such State is entitled to under this subsection, each State’s grant shall be ratably reduced, except that (if
sufficient funds are available) each State shall receive at least
$75,000 or the amount that the State received for the prior fiscal
year if that amount is less than $75,000.
(C) In providing funds to a State that received assistance
under this subsection in the previous fiscal year, the Secretary
shall consider—
(i) the availability of any such assistance not spent by the
State during the program year for which the assistance was received;
(ii) documentation that demonstrates that—
(I) there is a need for an increase in funds; and
(II) the use of the increased funding will be consistent
with serving nutritionally at-risk persons and expanding
the awareness and use of farmers’ markets;
(iii) demonstrated ability to satisfactorily operate the existing program; and
(iv) whether, in the case of a State that intends to use any
funding provided under subparagraph (G)(i) 8 to increase the
value of the Federal share of the benefits received by a recipi8 So

in original. Probably should refer to ‘‘subparagraph (F)(i)’’ in both places.

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CHILD NUTRITION ACT OF 1966

54

ent, the funding provided under subparagraph (G)(i) 8 will increase the rate of coupon redemption.
(D)(i) A State that desires to receive a grant under this subsection shall submit, for each fiscal year, a State plan to the Secretary by November 15 of each year.
(ii) Each State plan submitted under this paragraph shall contain—
(I) the estimated cost of the program and the estimated
number of individuals to be served by the program;
(II) a description of the State plan for complying with the
requirements established in paragraph (5); and
(III) criteria developed by the State with respect to authorization of producers to participate in the program.
(iii) The criteria developed by the State as required by clause
(ii)(III) shall require any authorized producer to sell fresh nutritious unprepared foods (such as fruits and vegetables) to recipients,
in exchange for coupons distributed under the program.
(E) The Secretary shall establish objective criteria for the approval and ranking of State plans submitted under this paragraph.
(F)(i) An amount equal to 75 percent of the funds available
after satisfying the requirements of subparagraph (B) shall be
made available to States participating in the program whose State
plan is approved by the Secretary. If this amount is greater than
that necessary to satisfy the approved State plans, the unallocated
amount shall be applied toward satisfying any unmet need of
States that have not participated in the program in the prior fiscal
year, and whose State plans have been approved.
(ii) An amount equal to 25 percent of the funds available after
satisfying the requirements of subparagraph (B) shall be made
available to States that have not participated in the program in the
prior fiscal year, and whose State plans have been approved by the
Secretary. If this amount is greater than that necessary to satisfy
the approved State plans for new States, the unallocated amount
shall be applied toward satisfying any unmet need of States whose
State plans have been approved.
(iii) In any fiscal year, any funds that remain unallocated after
satisfying the requirements of clauses (i) and (ii) shall be reallocated in the following fiscal year according to procedures established pursuant to paragraph (10)(B)(ii).
(7)(A) The value of the benefit received by any recipient under
any program for which a grant is received under this subsection
may not affect the eligibility or benefit levels for assistance under
other Federal or State programs.
(B) Any programs for which a grant is received under this subsection shall be supplementary to the supplemental nutrition assistance program carried out under the Food and Nutrition Act of
2008 (7 U.S.C. 2011 et seq.) and to any other Federal or State program under which foods are distributed to needy families in lieu
of supplemental nutrition assistance program benefits.
(8) For each fiscal year, the Secretary shall collect from each
State that receives a grant under this subsection information relating to—
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(A) the number and type of recipients served by both Federal and non-Federal benefits under the program for which the
grant is received;
(B) the rate of redemption of coupons distributed under the
program;
(C) the average amount distributed in coupons to each recipient;
(D) the change in consumption of fresh fruits and vegetables by recipients, if the information is available;
(E) the effects of the program on farmers’ markets, if the
information is available; and
(F) any other information determined to be necessary by
the Secretary.
(9) FUNDING.—
(A) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this subsection
such sums as are necessary for each of fiscal years 2010
through 2015.
(B)(i)(I) Each State shall return to the Secretary any funds
made available to the State that are unobligated at the end of the
fiscal year for which the funds were originally allocated. The unexpended funds shall be returned to the Secretary by February 1st
of the following fiscal year.
(II) Notwithstanding any other provision of this subsection, a
total of not more than 5 percent of funds made available to a State
for any fiscal year may be expended by the State to reimburse expenses incurred for a program assisted under this subsection during the preceding fiscal year.
(ii) The Secretary shall establish procedures to reallocate funds
that are returned under clause (i).
(10) For purposes of this subsection:
(A) The term ‘‘coupon’’ means a coupon, voucher, or other
negotiable financial instrument by which benefits under this
section are transferred.
(B) The term ‘‘program’’ means—
(i) the State farmers’ market coupon nutrition program authorized by this subsection (as it existed on September 30, 1991); or
(ii) the farmers’ market nutrition program authorized
by this subsection.
(C) The term ‘‘recipient’’ means a person or household, as
determined by the State, who is chosen by a State to receive
benefits under this subsection, or who is on a waiting list to
receive such benefits.
(D) The term ‘‘State agency’’ has the meaning provided in
subsection (b)(13), except that the term also includes the agriculture department of each State and any other agency approved by the chief executive officer of the State.
(n) DISQUALIFICATION OF VENDORS WHO ARE DISQUALIFIED
UNDER THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM.—
(1) IN GENERAL.—The Secretary shall issue regulations
providing criteria for the disqualification under this section of
an approved vendor that is disqualified from accepting benefits
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OR

CHILD NUTRITION ACT OF 1966

lished under the Food and Nutrition Act of 2008 (7 U.S.C. 2011
et seq.).
(2) TERMS.—A disqualification under paragraph (1)—
(A) shall be for the same period as the disqualification
from the program referred to in paragraph (1);
(B) may begin at a later date than the disqualification
from the program referred to in paragraph (1); and
(C) shall not be subject to judicial or administrative
review.
(o) DISQUALIFICATION OF VENDORS CONVICTED OF TRAFFICKING
ILLEGAL SALES.—
(1) IN GENERAL.—Except as provided in paragraph (4), a
State agency shall permanently disqualify from participation in
the program authorized under this section a vendor convicted
of—
(A) trafficking in food instruments (including any
voucher, draft, check, or access device (including an electronic benefit transfer card or personal identification number) issued in lieu of a food instrument under this section);
or
(B) selling firearms, ammunition, explosives, or controlled substances (as defined in section 102 of the Controlled Substances Act (21 U.S.C. 802)) in exchange for
food instruments (including any item described in subparagraph (A) issued in lieu of a food instrument under this
section).
(2) NOTICE OF DISQUALIFICATION.—The State agency
shall—
(A) provide the vendor with notification of the disqualification; and
(B) make the disqualification effective on the date of
receipt of the notice of disqualification.
(3) PROHIBITION OF RECEIPT OF LOST REVENUES.—A vendor
shall not be entitled to receive any compensation for revenues
lost as a result of disqualification under this subsection.
(4) EXCEPTIONS IN LIEU OF DISQUALIFICATION.—
(A) IN GENERAL.—A State agency may permit a vendor
that, but for this paragraph, would be disqualified under
paragraph (1), to continue to participate in the program if
the State agency determines, in its sole discretion according to criteria established by the Secretary, that—
(i) disqualification of the vendor would cause
hardship to participants in the program authorized
under this section; or
(ii)(I) the vendor had, at the time of the violation
under paragraph (1), an effective policy and program
in effect to prevent violations described in paragraph
(1); and
(II) the ownership of the vendor was not aware of,
did not approve of, and was not involved in the conduct of the violation.
(B) CIVIL PENALTY.—If a State agency under subparagraph (A) permits a vendor to continue to participate in
the program in lieu of disqualification, the State agency

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shall assess the vendor a civil penalty in an amount determined by the State agency, in accordance with criteria established by the Secretary, except that—
(i) the amount of the civil penalty shall not exceed
$10,000 for each violation; and
(ii) the amount of civil penalties imposed for violations investigated as part of a single investigation may
not exceed $40,000.
(p) CRIMINAL FORFEITURE.—
(1) IN GENERAL.—Notwithstanding any provision of State
law and in addition to any other penalty authorized by law, a
court may order a person that is convicted of a violation of a
provision of law described in paragraph (2), with respect to
food instruments (including any item described in subsection
(o)(1)(A) issued in lieu of a food instrument under this section),
funds, assets, or property that have a value of $100 or more
and that are the subject of a grant or other form of assistance
under this section, to forfeit to the United States all property
described in paragraph (3).
(2) APPLICABLE LAWS.—A provision of law described in this
paragraph is—
(A) section 12(g) of the Richard B. Russell National
School Lunch Act (42 U.S.C. 1760(g)); and
(B) any other Federal law imposing a penalty for embezzlement, willful misapplication, stealing, obtaining by
fraud, or trafficking in food instruments (including any
item described in subsection (o)(1)(A) issued in lieu of a
food instrument under this section), funds, assets, or property.
(3) PROPERTY SUBJECT TO FORFEITURE.—The following
property shall be subject to forfeiture under paragraph (1):
(A) All property, real and personal, used in a transaction or attempted transaction, to commit, or to facilitate
the commission of, a violation described in paragraph (1).
(B) All property, real and personal, constituting, derived from, or traceable to any proceeds a person obtained
directly or indirectly as a result of a violation described in
paragraph (1).
(4) PROCEDURES; INTEREST OF OWNER.—Except as provided
in paragraph (5), all property subject to forfeiture under this
subsection, any seizure or disposition of the property, and any
proceeding relating to the forfeiture, seizure, or disposition
shall be subject to section 413 of the Comprehensive Drug
Abuse Prevention and Control Act of 1970 (21 U.S.C. 853),
other than subsection (d) of that section.
(5) PROCEEDS.—The proceeds from any sale of forfeited
property and any amounts forfeited under this subsection shall
be used—
(A) first, to reimburse the Department of Justice, the
Department of the Treasury, and the United States Postal
Service for the costs incurred by the Departments or Service to initiate and complete the forfeiture proceeding;
(B) second, to reimburse the Office of Inspector General of the Department of Agriculture for any costs inAugust 3, 2018

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curred by the Office in the law enforcement effort resulting
in the forfeiture;
(C) third, to reimburse any Federal, State, or local law
enforcement agency for any costs incurred in the law enforcement effort resulting in the forfeiture; and
(D) fourth, by the State agency to carry out approval,
reauthorization, and compliance investigations of vendors.
(q) The Secretary of Agriculture shall provide technical assistance to the Secretary of Defense, if so requested by the Secretary
of Defense, for the purpose of carrying out the overseas special supplemental food program established under section 1060a(a) of title
10, United States Code.
ø CASH GRANTS FOR NUTRITION EDUCATION ¿
øSEC. 18. 9 ø42 U.S.C. 1787¿¿
SEC. 19. ø42 U.S.C. 1788¿ TEAM NUTRITION NETWORK.
(a) PURPOSES.—The purposes of the team nutrition

network

are—
(1) to establish State systems to promote the nutritional
health of school children of the United States through nutrition
education and the use of team nutrition messages and material
developed by the Secretary, and to encourage regular physical
activity and other activities that support healthy lifestyles for
children, including those based on the most recent Dietary
Guidelines for Americans published under section 301 of the
National Nutrition Monitoring and Related Research Act of
1990 (7 U.S.C. 5341);
(2) to provide assistance to States for the development of
comprehensive and integrated nutrition education and active
living programs in schools and facilities that participate in
child nutrition programs;
(3) to provide training and technical assistance and disseminate team nutrition messages to States, school and community nutrition programs, and child nutrition food service
professionals;
(4) to coordinate and collaborate with other nutrition education and active living programs that share similar goals and
purposes; and
(5) to identify and share innovative programs with demonstrated effectiveness in helping children to maintain a
healthy weight by enhancing student understanding of healthful eating patterns and the importance of regular physical activity.
(b) DEFINITION OF TEAM NUTRITION NETWORK.—In this section,
the term ‘‘team nutrition network’’ means a statewide multidisciplinary program for children to promote healthy eating and physical activity based on scientifically valid information and sound
educational, social, and marketing principles.
(c) GRANTS.—
(1) IN GENERAL.—Subject to the availability of funds for
use in carrying out this section, in addition to any other funds
9 Section

730 of P.L. 104–193, 110 Stat. 2305, Aug. 22, 1996, repealed section 18.

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