The food retail environment has been directly linked to disparities in dietary behaviors and may in part explain racial and ethnic disparities in pregnancy-related deaths. The Special Supplemental Nutrition Program for Women, Infants and Children (WIC), administered by the United States Department of Agriculture, is associated with improved healthy food and beverage access due to its requirement for minimum stock of healthy foods and beverages in WIC-eligible stores. The selection and authorization criteria used to authorize WIC vendors varies widely from state to state with little known about the specific variations. This paper reviews and summarizes the differences across 16 of these criteria enacted by 89 WIC administrative agencies: the 50 states, the District of Columbia, five US Territories, and 33 Indian Tribal Organizations. Vendor selection and authorization criteria varied across WIC agencies without any consistent pattern. The wide variations in criteria and policies raise questions about the rational for inconsistency. Some of these variations, in combination, may result in reduced access to WIC-approved foods and beverages by WIC participants. Results highlight an opportunity to convene WIC stakeholders to review variations, their rationale, and implications thereof especially as this process could result in improved policies to ensure and improve healthy food and beverage access by WIC participants.
Published: March 2021
Journal: IJERPH
Authors: Landry MJ, Phan K, McGuirt JT, et al.
States: American Samoa, Guam, National, Northern Mariana Islands, Puerto Rico, Tribal Nation, Virgin Islands
Resource Type: Journal Article
Focus Area: Nutrition Policy & Programs
Keyword: Women, Infants, and Children (WIC)
Related Research
October 2026
Cross-Sectional Evaluation of WIC Participation Status and Massachusetts Children’s Nutrition after the Cash-Value Benefit Increase
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) increased the Cash-Value Benefit (CVB) for fruits and vegetables in 2021. Although WIC participants reported increased purchasing, consumption, and variety of fruits and vegetables after the CVB increase, it is unknown whether this resulted in higher fruit and vegetable intake relative to nonparticipants. The MoreOctober 2026
An Electronic Health Record-Based Intervention to Facilitate Primary Care Referrals to the Special Supplemental Nutrition Program for Women, Infants, and Children: Retrospective Cohort Study
This study evaluated responses to an electronic health record (EHR)-embedded federal nutrition program (FNP) participation screening and WIC referral tool implemented within 8 clinics during well-child visits for children younger than 5 years of age. Structured EHR data from July 2020 to October 2023 were extracted to summarize screening, referral acceptance, WIC enrollment outcomes, and MoreSeptember 2026