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<section article="ghg" article_name="Health - General" number="18-108" title_number="18" title_name="Disease Prevention" subtitle_number="1" subtitle_name="General Responsibilities of Secretary">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Food instrument” means a voucher, check, coupon, or other document that is used by a participant to obtain supplemental foods.</text>
    </level>
    <level label="3">
      <text>“Local agency” means a public or private, nonprofit health or human service agency that:</text>
      <level label="i">
        <text>Provides health services either directly or through contract; and</text>
      </level>
      <level label="ii">
        <text>By written agreement with the State agency, provides Program services in a designated area.</text>
      </level>
    </level>
    <level label="4">
      <text>“Participant” means an individual who is receiving supplemental foods or food instruments under the Program and includes:</text>
      <level label="i">
        <text>Pregnant women;</text>
      </level>
      <level label="ii">
        <text>Breast–feeding women up to 1 year postpartum who are breast–feeding their infants;</text>
      </level>
      <level label="iii">
        <text>Postpartum women up to 6 months after termination of pregnancy;</text>
      </level>
      <level label="iv">
        <text>Infants under 1 year of age; and</text>
      </level>
      <level label="v">
        <text>Children who are at least 1 year old but under the age of 5 years.</text>
      </level>
    </level>
    <level label="5">
      <text>“Program” means the Special Supplemental Food Program for Women, Infants, and Children authorized by § 17 of the Child Nutrition Act of 1966, as amended.</text>
    </level>
    <level label="6">
      <text>“Supplemental foods” means those foods containing nutrients determined to be beneficial for pregnant, breast–feeding, and postpartum women, infants, and children, as prescribed by the Secretary of the U.S. Department of Agriculture.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>Except as otherwise provided in this subsection, a local agency shall include in its proposed written agreement the option to require a participant in the Program to report monthly, bimonthly, or trimonthly to a designated site at designated times to receive food instruments prepared for that participant and to acknowledge receipt of the instruments.</text>
    </level>
    <level label="2">
      <text>Food instruments may be mailed or otherwise delivered to participants by a local agency only if approved by the Department on the basis of hardships which may be encountered by the target population of the local agency, such as seasonally inclement weather.</text>
    </level>
    <level label="3">
      <level label="i">
        <text>On presentation by the participant of a written request, including justification, a local agency may mail or otherwise deliver food instruments to an individual on the basis of the difficulty of the participant and the participant’s proxies in obtaining the food instruments.</text>
      </level>
      <level label="ii">
        <text>The justification may include:</text>
        <level label="1">
          <text>Illness;</text>
        </level>
        <level label="2">
          <text>Imminent childbirth;</text>
        </level>
        <level label="3">
          <text>Difficulty of access to the local agency; or</text>
        </level>
        <level label="4">
          <text>Handicapping condition.</text>
        </level>
      </level>
    </level>
    <level label="4">
      <level label="i">
        <text>The Secretary shall institute at least one pilot program in a local subdivision or part of a subdivision utilizing a credit card system along with or in place of a food instrument system.</text>
      </level>
      <level label="ii">
        <text>Implementation must take place within a reasonable period of time from the date of enactment of this section, unless such a pilot program is found to be inconsistent with subsection (d) of this section and a waiver is not granted.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>The Department shall maximize distribution of administrative funds to local agencies in a manner that assures equity among the local agencies.</text>
  </level>
  <level label="d">
    <text>The provisions of this section are effective only to the extent that they are not inconsistent with applicable federal law or regulations.</text>
  </level>
</section>
