Skip Ribbon Commands
Skip to main content
Navigate Up
Sign In

REGS : 10.54.02 Local Agency (WIC)

 

 Content Editor

 
PROPOSAL
Maryland Register
Issue Date:  August 22,  2014
Volume 41 • Issue 17 • Page 977
 
Title 10
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Subtitle 54 SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC)
10.54.02 Local Agency
Authority: Health-General Article, §§18-107(a) and 18-108, Annotated Code of Maryland
Notice of Proposed Action
[14-241-P]
The Secretary of Health and Mental Hygiene proposes to amend Regulation .18 under COMAR 10.54.02 Local Agency.
Statement of Purpose
The purpose of this action is to reflect changes in funding that will affect the amounts local agencies will be paid for providing WIC Program services. There is a net increase in the total amount of base funding; the funding amount awarded for each participant enrolled; and the amount local agencies will be paid to support breastfeeding through the use of breastfeeding peer counselors per pregnant or breastfeeding participant enrolled.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
I. Summary of Economic Impact. The State WIC Office has increased the rates local agencies will be paid for base funding as well as the rate per participant enrolled. The State WIC Office has also increased the rate local agencies will be paid to support breastfeeding through the use of breastfeeding peer counselors per pregnant or breastfeeding participant enrolled.
 
 
Revenue (R+/R-)
 
II. Types of Economic Impact.
Expenditure (E+/E-)
Magnitude
 

 
 
 
 
A. On issuing agency:
(E+)
$1,115,563
B. On other State agencies:
NONE
 
C. On local governments:
(E+)
$737,351
 
 
Benefit (+)
Cost (-)
Magnitude
 

 
 
 
 
D. On regulated industries or trade groups:
(1) Johns Hopkins Univ. Bloomberg School Pub. Health
(+)
$92,514
(2) Community Clinic, Inc.
(+)
$227,060
(3) Greater Baden Medical Services, Inc.
(+)
$58,638
E. On other industries or trade groups:
NONE
 
F. Direct and indirect effects on public:
(+)
Indeterminable
III. Assumptions. (Identified by Impact Letter and Number from Section II.)
A. The State WIC Office will distribute an estimated $25,370,936 in the FY 2015 budget. This represents a net increase of $1,115,563 over FY 2014. Because the federal award amount for FY 2015 increased from FY 2014, and fewer participants are anticipated in the Maryland WIC program, the per participant award is being increased.  Funds will be distributed as follows: 144,685 participants will be served at $102 per participant for a total of $14,757,870; total base funding to local agencies will be $9,545,000; and $1,068,066 in funds will be provided for breastfeeding promotion and support to 19,871 participants at $53.75 per participant. The information above is represented in the table below, along with comparisons to FY 2014 award amounts.
 
 
FY 2014
FY 2015
Annual funding at per participant rate
$14,359,450
(146,525 participants)
$14,757,870
(144,685 participants)
Base funding to local agencies
$9,125,000
$9,545,000
Annual funding at per participant rate in Breastfeeding Peer Counselor program
$770,923
(20,547 participants)
$1,068,066
(19,871 participants)
Annual budget
$24,255,373
$25,370,936
 
The following chart represents the proposed regulatory changes effective July 1, 2014. The purpose of these changes is to reflect funding for FY 2015.
 
 
FY 2014
FY 2015
Base funding for case load up to 3,999 participants
$430,000
$455,000
 
Base funding for case load from 4,000-7,999 participants
$465,000
$490,000
Base funding for case load of 8,000 or more participants
$620,000
$640,000
Per participant annually, based on case load assignment
$98
$102
Per quarter for each additional participant
$24.50
$25.50
Per participant in Breastfeeding Peer Counselor Funding Grant annually, based on case load assignment
$37.52
$53.75
Per quarter for each additional pregnant or breastfeeding participant in Breastfeeding Peer Counselor Funding Grant
$9.38
$13.44
 
Based on the information above, $25,370,936 has been requested in the FY 2015 budget.
C. Fifteen Local Health Departments (LHDs) serve as Local Agencies and receive operating funds through the DHMH Unified Grant Award process.
D(1). The Johns Hopkins University Bloomberg School of Public Health serves WIC participants in several designated geographic areas of Baltimore City. This organization receives operating funds under the provisions of contracts awarded in accordance with contractual agreements with DHMH.
D(2). Community Clinic, Inc. serves WIC participants in Montgomery County. This organization receives operating funds under the provisions of contracts awarded in accordance with contractual agreements with DHMH.
D(3). Greater Baden Medical Services, Inc. serves WIC participants in designated geographic areas of Prince George’s County. This organization receives operating funds under the provisions of contracts awarded in accordance with contractual agreements with DHMH.
F. Combined, Local Agencies will serve an average of 144,685 participants monthly, providing supplemental food and nutrition education to improve dietary habits of qualifying women, infants, and children under age 5.
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through September 22, 2014. A public hearing has not been scheduled.
.18 Payment to a Local Agency.
A. (text unchanged)
B. Effective July 1, [2013] 2014, the Department shall award to the local agency a base funding of:
(1) [$430,000] $455,000 for a case load up to 3,999 participants;
(2) [$465,000] $490,000 for a case load from 4,000 to 7,999 participants; and
(3) [$620,000] $640,000 for a case load of 8,000 or more participants.
C. Effective July 1, [2013] 2014, the Department shall award to the local agency:
(1) [$98] $102 per participant annually, based on case load assignment; and
(2) [$24.50] $25.50 per quarter for each additional participant added by the Department to the initial case load assignment.
D. (text unchanged)
E. Effective July 1, [2013] 2014 the Department shall award to the local agency the following additional funds to promote and support breastfeeding by breastfeeding peer counselors:
(1) [$37.52] $53.75 per pregnant or breastfeeding participant annually, based on caseload assignment; and
(2) [$9.38] $13.44 per quarter for each additional pregnant or breastfeeding participant added by the Department to the initial caseload assignment.
JOSHUA M. SHARFSTEIN, M.D.
Secretary of Health and Mental Hygiene