,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cceg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #bg1 #bjbj,mr4
 ,br[n introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,agriculture1 ,nutrition1 & ,=e/ry  ,a  
,,bill  ,to am5d ! ,*ild ,nutrition ,act
 ( #aiff to enhance ,/ate ef=ts to      
cross-enroll p>ticipants to improve     
nutritional outcomes = pregnant wom51   
po/p>tum wom51 & "y *ildr51 & = o!r     
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,wic ,enrollm5t           
,collaboration ,act ( #bjbj4  #b4 ,/ate 
ef=ts to enhance cross-enrollm5t to     
improve nutritional outcomes = pregnant 
& po/p>tum wom5 & "y *ildr5  7a7 ,9     
g5]al ,section #ag ( ! ,*ild ,nutrition 
,act ( #aiff 7#db ,u4,s4,c4 #aghf7 is   
am5d$ by add+ at ! end ! foll[+3  7r7   
,/ate ef=ts ,to enhance cross-,enrollm5t
 ,to improve nutritional outcomes =     
pregnant & po/p>tum wom5 & "y *ildr5    
7#a7 ,def9itions ,9 ?is subsection3 7,a7
 ,eligible woman & *ild ,! t]m eligible 

woman & *ild means an individual t is   
any ( ! foll[+3 7i7 ,a pregnant woman4  
7ii7 ,a woman n m ?an #a ye> po/p>tum4  
7iii7 ,an infant4  7iv7 ,a *ild4  7,b7  
,m$icaid b5efits ,! t]m ,m$icaid b5efits
 means items & s]vices provid$ "u !     
,m$icaid program4  7,c7 ,m$icaid program
 ,! t]m ,m$icaid program means ! program
 ( m$ical assi/ance "u a ,/ate plan     
e/abli%$ "u title ,,xix ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq474  7,d7 ,special supplem5tal       
nutrition program ,! t]m special        
supplem5tal nutrition program means !   
special supplem5tal nutrition program = 
wom51 infants1 & *ildr5 e/abli%$ by ?is 
section4  7,e7 ,supplem5tal nutrition   
assi/ance program ,! t]m supplem5tal    
nutrition assi/ance program means !     
supplem5tal nutrition assi/ance program 
"u ! ,food & ,nutrition ,act ( #bjjh 7#g
 ,u4,s4,c4 #bjaa et seq474  7#b7 ,report
 on cross-enrollm5t  7,a7 ,9 g5]al ,n   
lat] ?an ,april #cj1 #bjbb1 & ,april #cj
 ( ea* ye> !reaft]1 ! ,secret>y %all    

ga!r ! data & conduct ! analyses        
necess>y to submit to ! ,committees on  
,agriculture1 ,nutrition1 & ,=e/ry &    
,f9ance ( ! ,s5ate & ! ,committees on   
,agriculture1 ,education & ,labor1 &    
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives a report t measures &   
describes ! ext5t to :i* eligible wom5 &
 *ildr5 receiv+ b5efits "u ! supplem5tal
 nutrition assi/ance program or ,m$icaid
 b5efits are c]tifi$ to p>ticipate 9 !  
special supplem5tal nutrition program4  
7,b7 ,specific measures ,ea* report "u  
subp>agraph 7,a7 %all include1 = ea*    
,/ate & ea* category ( individual       
describ$ 9 clauses 7i7 ?r\gh 7iv7 (     
p>agraph 7#a77;,a7-- 7i7 ! av]age mon?ly
 numb] ( eligible wom5 & *ildr5 t       
receiv$ b5efits "u ! supplem5tal        
nutrition assi/ance program 9 ! prec$+  
ye>2  7ii7 ! av]age mon?ly numb] (      
eligible wom5 & *ildr5 t receiv$        
,m$icaid b5efits 9 ! prec$+ ye> & !     
income ( :i* 0 less ?an ! limit describ$
 9 subsection 7d77#b77;,a77i72 &  7iii7 

! p]c5tage ( ! eligible wom5 & *ildr5-- 
7,i7 describ$ 9 clause 7i7 t 7 c]tifi$  
to receive b5efits "u ! special         
supplem5tal nutrition program 9 ! prec$+
 ye>2 &  7,,ii7 describ$ 9 clause 7ii7 t
 7 c]tifi$ to receive b5efits "u !      
special supplem5tal nutrition program 9 
! prec$+ ye>4  7,c7 ,cross-enrollm5t    
ga9s ,beg9n+ ) ! second report submitt$ 
"u subp>agraph 7,a71 ea* report submitt$
 "u t subp>agraph %all id5tify ea* ,/ate
 9 :i* a p]c5tage describ$ 9 subclause  
7,i7 or 7,,ii7 ( subp>agraph 7,b77iii7  
increas$ by #e p]c5tage po9ts f !       
previ\s ye>4  7,d7 ,be/ practices ,ea*  
report "u subp>agraph 7,a7 %all include 
a description ( be/ practices to        
facilitate c]tification "u ! special    
supplem5tal nutrition program ( eligible
 wom5 & *ildr5 t receive b5efits "u !   
supplem5tal nutrition assi/ance program 
or ,m$icaid b5efits4  7,e7 ,fund+ ,( !  
funds au?oriz$ to be appropriat$ "u     
subsection 7g77#a77;,a71 ! ,secret>y    
%all use #b1jjj1jjj to c>ry out ?is     

p>agraph1 to rema9 available until      
exp5d$1 ( :i* n less ?an #ejj1jjj %all  
be us$ to support ,/ate provision ( data
 "u p>agraph 7#g77;,a71 to rema9        
available until exp5d$4  7#c7           
,cross-enrollm5t plans2 grants  7,a7    
,cross-enrollm5t plans ,n lat] ?an      
,april #bj1 #bjbc1 & ,april #cj ( ea*   
ye> !reaft]1 ea* ,/ate %all submit to ! 
,secret>y1 & implem5t on approval ( !   
,secret>y1 an annual cross-enrollm5t    
plan t includes-- 7i7 goals = increas+  
ea* p]c5tage describ$ 9 p>agraph        
7#b77;,b77iii72  7ii7 measures to be    
c>ri$ out by ! ,/ate to a*ieve ^? goals1
 includ+ by mak+ improvem5ts or         
modifications to in=mation sy/ems1 data 
mat*+1 or enhanc+ ref]rals2 &  7iii7 a  
timel9e = ! ,/ate to implem5t ! measures
 describ$ 9 clause 7ii74  7,b7          
,cross-enrollm5t grants  7i7 ,9 g5]al ,!
 ,secret>y %all aw>d competitive grants 
to ,/ates 7includ+ ,/ate ag5cies t      
adm9i/] ! supplem5tal nutrition         
assi/ance program1 ! ,m$icaid program1  

or ! special supplem5tal nutrition      
program 9 ! ,/ate7 to implem5t !        
cross-enrollm5t plan describ$ 9         
subp>agraph 7,a7 ( ! ,/ate or to        
increase any p]c5tage describ$ 9        
p>agraph 7#b77;,b77iii74  7ii7 ,use (   
funds ,a ,/ate %all use grant funds     
aw>d$ "u clause 7i7 to pay co/s relat+  
to implem5t+ ! cross-enrollm5t plan ( ! 
,/ate or increas+ any p]c5tage describ$ 
9 p>agraph 7#b77;,b77iii71 includ+ ! co/
 (-- 7,i7 mak+ te*nology improvem5ts2   
7,,ii7 analyz+ data relat+ to           
cross-enrollm5t 9 ! supplem5tal         
nutrition assi/ance program1 ! ,m$icaid 
program1 & ! special supplem5tal        
nutrition program2  7,,iii7 provid+     
tra9+ or te*nical assi/ance to local    
ag5cies2  7,,iv7 %>+ in=mation among    
,/ate adm9i/rators ( ! supplem5tal      
nutrition assi/ance program1 ! ,m$icaid 
program1 & ! special supplem5tal        
nutrition program2  7,v7 e/abli%+ m     
robu/ ref]rals2 &  7,,vi7 conduct+      
t>get$ outrea* to pot5tial recipi5ts (  

b5efits "u ! special supplem5tal        
nutrition program4  7iii7 ,report ,n    
lat] ?an ,decemb] #ca1 #bjbd1 !         
,secret>y %all submit to ! ,committees  
on ,agriculture1 ,nutrition1 & ,=e/ry & 
,f9ance ( ! ,s5ate & ! ,committees on   
,agriculture1 ,education & ,labor1 &    
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives a report t describes !  
results ( ! use ( grant funds "u ?is    
subp>agraph4  7iv7 ,fund+ ,( ! funds    
au?oriz$ to be appropriat$ "u subsection
 7g77#a77;,a7 = fiscal ye> #bjba1 !     
,secret>y %all use #ae1jjj1jjj to c>ry  
out ?is subp>agraph1 to rema9 available 
until exp5d$1 ( :i* n m ?an #aj p]c5t   
%all be us$ = adm9i/rative co/s4  7v7   
,te*nical assi/ance ,! ,secret>y %all   
provide1 on reque/1 te*nical assi/ance  
to a ,/ate or ,/ate ag5cy t seeks to    
apply = a grant describ$ 9 clause 7i74  
7#d7 ,te*nical & o!r assi/ance  7,a7 ,9 
g5]al ,! ,secret>y %all provide te*nical
 or tra9+ assi/ance to a ,/ate or ,/ate 
ag5cy1 z applicable1 receiv+ a grant "u 

p>agraph 7#c77;,b71 & o!r ,/ates1 z     
appropriate1 to increase any p]c5tage   
describ$ 9 p>agraph 7#b77;,b77iii74     
7,b7 ,o!r assi/ance ,! ,secret>y may--  
7i7 dissem9ate to ,/ates & relevant     
,/ate ag5cies ! be/ practices describ$ 9
 p>agraph 7#b77;,d72  7ii7 assess !     
effectiv5ess ( ! ef=ts ( ! ,/ate or     
,/ate ag5cy to increase ! p]c5tage      
describ$ 9 subp>agraph 7,a72  7iii7     
assi/ ,/ate ag5cies 9 develop+ a        
cross-enrollm5t plan describ$ 9 p>agraph
 7#c77;,a72 &  7iv7 conduct any o!r     
activity to facilitate c]tification "u !
 special supplem5tal nutrition program (
 eligible wom5 & *ildr5 t receive       
b5efits "u ! supplem5tal nutrition      
assi/ance program or ,m$icaid b5efits1 z
 det]m9$ by ! ,secret>y4  7,c7 ,fund+ ,(
 ! funds au?oriz$ to be appropriat$ "u  
subsection 7g77#a77;,a71 ! ,secret>y    
%all use #b1jjj1jjj to c>ry out ?is     
p>agraph1 to rema9 available until      
exp5d$4  7#e7 ,ref]rals ( eligible wom5 
& *ildr5  7,a7 ,9 g5]al ,ea* ,/ate t    

adm9i/]s ! supplem5tal nutrition        
assi/ance program or ,m$icaid program   
%all-- 7i7 id5tify individuals :o-- 7,i7
 7aa7 apply or reapply = b5efits "u !   
supplem5tal nutrition assi/ance program 
or ,m$icaid b5efits1 z applicable2 &    
7bb7 are c]tifi$ to receive b5efits "u !
 special supplem5tal nutrition program  
at ! "t ( application or reapplication2 
&  7,,ii7 7aa7 apply or reapply =       
b5efits "u ! supplem5tal nutrition      
assi/ance program or ,m$icaid b5efits1 z
 applicable2 &  7bb7 are n c]tifi$ to   
receive b5efits "u ! special supplem5tal
 nutrition program at ! "t ( application
 or reapplication "u subp>agraph 7,a72 &
  7ii7 develop a policy to ref] to !    
special supplem5tal nutrition program   
all eligible wom5 & *ildr5 id5tifi$ "u  
clause 7i77,,ii74  7,b7 ,report ,n lat] 
?an ,decemb] #ca1 #bjba1 & ea* ye>      
!reaft]1 ea* ,/ate describ$ 9           
subp>agraph 7,a7 %all report to !       
,secret>y-- 7i7 ! numb] ( individuals   
id5tifi$ "u subclauses 7,i7 & 7,,ii7 (  

subp>agraph 7,a77i72 &  7ii7 ! numb] &  
type ( ref]rals made to ! special       
supplem5tal nutrition program "u a      
policy develop$ "u subp>agraph 7,a77ii74
  7#f7 ,/udy on ! importance ( meet+ !  
nutritional ne$s ( pregnant wom5 & "y   
*ildr5  7,a7 ,9 g5]al ,n lat] ?an       
,decemb] #ca1 #bjba1 ! ,secret>y %all   
submit to ! ,committee on ,agriculture1 
,nutrition1 & ,=e/ry ( ! ,s5ate & !     
,committees on ,agriculture & ,education
 & ,labor ( ! ,h\se ( ,repres5tatives a 
report t describes-- 7i7 ! importance ( 
adequate & s\nd nutrition dur+          
pregnancy1 ! po/p>tum p]iod1 & e>ly     
*ildhood to bir? outcomes1 *ild         
developm5t1 ongo+ heal?1 & economic     
/ability2  7ii7 ! mann] 9 :i* ! special 
supplem5tal nutrition program works 9   
comb9ation ) ! supplem5tal nutrition    
assi/ance program & ! ,m$icaid program  
to support adequate & s\nd nutrition =  
eligible wom5 & *ildr5 t receive b5efits
 "u ^? programs2  7iii7 rese>* f9d+s on 
! %ort- & long-t]m outcomes associat$ ) 

receiv+ b5efits "u ! programs describ$ 9
 clause 7ii7 dur+ pregnancy & e>ly      
*ildhood ye>s2 &  7iv7 recomm5dations on
 h[ ! supplem5tal nutrition assi/ance   
program1 ! ,m$icaid program1 & ! special
 supplem5tal nutrition program c m      
effectively ensure t recipi5ts ( b5efits
 "u ! supplem5tal nutrition assi/ance   
program or ,m$icaid b5efits t are also  
eligible = b5efits "u ! special         
supplem5tal nutrition program c be      
c]tifi$ m exp$iti\sly dur+ ! critical   
developm5tal p]iods ( pregnancy & e>ly  
*ildhood4  7,b7 ,fund+ ,( ! funds       
au?oriz$ to be appropriat$ "u subsection
 7g77#a77;,a7 = fiscal ye> #bjba1 !     
,secret>y %all use #b1jjj1jjj to c>ry   
out ?is p>agraph1 to rema9 available    
until exp5d$4  7#g7 ,data f ,/ates  7,a7
 ,9 g5]al ,ea* ,/ate %all provide to !  
,secret>y any data necess>y to conduct !
 analyses = ea* report & /udy requir$ "u
 ?is subsection4  7,b7 ,confid5tiality  
,all data provid$ to ! ,secret>y "u     
subp>agraph 7,a7 %all be-- 7i7 us$ only 

to enroll individuals 9 ! special       
supplem5tal nutrition program2 &  7ii7  
subject to ! confid5tiality provisions  
describ$ 9 section #bdf4bf7;d7 ( title  
#g1 ,code ( ,f$]al ,regulations 7or     
successor regulations74  7,c7 ,te*nical 
assi/ance ,! ,secret>y %all provide1 on 
reque/1 te*nical or tra9+ assi/ance to a
 ,/ate relat+ to data gov]nance (       
in=mation requir$ to be provid$ to !    
,secret>y "u subp>agraph 7,a74  4  7b7  
,food & nutrition act ,section #aa ( !  
,food & ,nutrition ,act ( #bjjh 7#g     
,u4,s4,c4 #bjbj7 is am5d$ by add+ at !  
end ! foll[+3  7y7 ,/ate ef=ts ,to      
enhance cross-,enrollm5t ,to improve !  
nutritional /atus ( pregnant & po/p>tum 
wom5 & "y *ildr5 ,a ,/ate ag5cy %all--  
7#a7 7,a7 id5tify wom5 & *ildr5 apply+  
or reapply+ = b5efits "u ! supplem5tal  
nutrition assi/ance program "u ?is ,act 
:o are c]tifi$ to receive b5efits "u !  
special supplem5tal nutrition program = 
wom51 infants1 & *ildr5 e/abli%$ by     
section #ag ( ! ,*ild ,nutrition ,act ( 

#aiff 7#db ,u4,s4,c4 #aghf72  7,b7      
develop a policy to ref] to ! special   
supplem5tal nutrition program describ$ 9
 subp>agraph 7,a7 wom5 & *ildr5 apply+  
or reapply+ = b5efits "u ! supplem5tal  
nutrition assi/ance program "u ?is ,act 
:o are eligible b n c]tifi$ to receive  
b5efits "u t special supplem5tal        
nutrition program2 &  7,c7 n lat] ?an   
,decemb] #ca1 #bjba1 & ea* ye> !reaft]1 
report to ! ,secret>y ! numb] & type (  
ref]rals made "u ! policy develop$ "u   
subp>agraph 7,b72  7#b7 coord9ate ) a   
,/ate ag5cy t adm9i/]s ! special        
supplem5tal nutrition program = wom51   
infants1 & *ildr5 e/abli%$ by section   
#ag ( ! ,*ild ,nutrition ,act ( #aiff   
7#db ,u4,s4,c4 #aghf7 to obta9          
cross-enrollm5t grants "u subsection    
7r77#c77;,b7 ( t section2 &  7#c7       
provide to ! ,secret>y ! data necess>y  
to conduct ! analyses = ea* report &    
/udy requir$ "u subsection 7r7 ( section
 #ag ( ! ,*ild ,nutrition ,act ( #aiff  
7#db ,u4,s4,c4 #aghf74  4  7c7 ,social  

,security ,act ,section                 
#aijb7;a77#aa77;,c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aa77;,c77 is am5d$-- 7#a7 by
 /rik+ title & all t foll[s ?r\gh ) &   
ins]t+ title )2 &  7#b7 by ins]t+ aft]  
#aiff ! foll[+3 81 includ+--  7i7       
provid+ in=mation & education on        
p$iatric vacc9ations & ! deliv]y (      
immunization s]vices2  7ii7 7,i7        
id5tify+ wom5 & *ildr5 apply+ or        
reapply+ = b5efits "u ?is title :o are  
c]tifi$ to receive b5efits "u ! special 
supplem5tal nutrition program = wom51   
infants1 & *ildr5 e/abli%$ by section   
#ag ( ! ,*ild ,nutrition ,act ( #aiff   
7#db ,u4,s4,c4 #aghf72  7,,ii7 develop+ 
a policy to ref] to ! special           
supplem5tal nutrition program describ$ 9
 subclause 7,i7 wom5 & *ildr5 apply+ or 
reapply+ = b5efits "u ?is title :o are  
eligible b n c]tifi$ to receive b5efits 
"u t special supplem5tal nutrition      
program2 &  7,,iii7 n lat] ?an ,decemb] 
#ca1 #bjba1 & ea* ye> !reaft]1 report+  

to ! ,secret>y ! numb] & type ( ref]rals
 made "u ! policy develop$ "u subclause 
7,,ii72  7iii7 obta9+ cross-enrollm5t   
grants "u subsection 7r77#c77;,b7 (     
section #ag ( t ,act2 &  7iv7 provid+ to
 ! ,secret>y ( ,agriculture ! data      
necess>y to conduct ! analyses = ea*    
report & /udy requir$ "u subsection 7r7 
( t section  4