SUBJECT 1: 2019 Income Eligibility Guidelines
SUBJECT 2: Newsletter
SUBJECT 3: CDC Marijuana Use and Pregnancy Handout
SUBJECT 4: Guidelines and Health Conditions Related to Timing of Early Infant Feeding: A Review

SUBJECT 1: 2019 Income Eligibility Guidelines. The 2019 Income Eligibility Guidelines (IEGs) have not yet been released by the USDA Food and Nutrition Service (FNS) regional office and the state agency does not have an anticipated release date. As soon as the 2019 IEGs are released by the regional office, the state agency will act quickly to prepare the new guideline chart for FNS approval and distribution to local agencies.

Federal regulation states, “Annual adjustments in the income guidelines. On or before June 1 each year, FNS will announce adjustments in the income guidelines for reduced-price meals under section 9 of the National School Lunch Act, based on annual adjustments in the revised poverty income guidelines issued by the Department of Health and Human Services.”

Due to a later release date last year than in past years, the Missouri WIC IEG chart was updated to include only an effective date, with no end date to allow for a potential delay in the release of the new guidelines. The IEGs that were effective on May 1, 2018 should continue to be used until FNS makes the new IEGs available.

SUBJECT 2: Newsletter. Please see the attached February 2019 newsletter and the wichealth 2018 Year In Review Newsletter.

Highlights include:

  • Health eKitchen Updates- recipes continue to be reviewed and tested so that delectable recipes using WIC ingredients are available.
  • Celebrating Our Opportunities for Learning- More staff continue to receive algorithm writing training. Veggies and Fruits, Dairy, and Grains are the lessons their writers are reworking.
  • Help Desk Statistics- During the month of February, help desk had a 100% satisfaction rating.
  • Spanish Review- is looking for Spanish speaking partners to review lessons to ensure content is compliant with WIC guidelines. If interested, please email

For more information on, please see the attached 2018 Year in Review. If you have any questions, please contact Rose Sipakati at

SUBJECT 3: CDC Marijuana Use and Pregnancy Handout. The Centers for Disease Control and Prevention (CDC) has published a fact sheet with guidance about avoiding marijuana while pregnant or breastfeeding. This handout reinforces our messages that moms should avoid the risk of using marijuana and consult with their physician if they are currently using it. The handout may be printed and provided to clients or provided electronically. The fact sheet is available here. Please contact Lisa Schlientz at or 573-751-6468 with any questions.

SUBJECT 4: Guidelines and Health Conditions Related to Timing of Early Infant Feeding: A Review. The Association of State Public Health Nutritionist (ASPHN) has released a brief titled Guidelines and Health Conditions Related to Timing of Early Infant Feeding: A Review. According to The First 1,000 Days: Nourishing America’s Future, nutrition during pregnancy and in the first years of a child’s life provides the essential building blocks for brain development, healthy growth, and a strong immune system. This brief offers relevant findings and proposed supportive measures to address infant feeding practices. These include the timing of complementary foods and the link to health conditions such as obesity, food sensitivity, allergies, and anemia. Jamie Stang, PhD, MPH, RDN, Associate Professor, University of Minnesota explains, "These guidelines provide public health nutritionists with up-to-date information on a complex topic that is based on a rapidly changing evidence base." By identifying recurring themes in recent major research, the review provides a foundation from which professionals can formulate educational messages and recommendations to improve nutrition and decrease disease. If you are interested in learning about ASPHN’s resources or becoming a member, please visit the ASPHN website.