United States Department of Agriculture Nutrition Assistance Program Report Series Food and Nutrition Service, Office of Policy Support Special Nutrition Programs Report No. WIC-15B-ELIG Volume I National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2013 Final Report December 2015 USDA is an equal opportunity provider and employer. United States Department of Agriculture December 2015 Special Nutrition Programs Report No. WIC-15B-ELIG Volume I National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2013 Final Report Authors: Paul Johnson Erika Huber Linda Giannarelli David Betson Submitted by: The Urban Institute 2100 M Street, NW Washington, DC 20037 Submitted to: Office of Policy Support Food and Nutrition Service 3101 Park Center Drive Alexandria, VA 22302-1500 Project Director: Linda Giannarelli Project Officer: Grant Lovellette The opinions expressed reflect those of the authors and not necessarily those of the Urban Institute. This study was conducted under Contract number AG-3198-B-10-0016 with the Food and Nutrition Service. This report is available on the Food and Nutrition Service web site: http://www.fns.usda.gov/research-and-analysis. Suggested Citation: U.S. Department of Agriculture, Food and Nutrition Service, Office of Policy Support. National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2013, by Paul Johnson, Erika Huber, Linda Giannarelli, and David Betson. Project Officer: Grant Lovellette. Alexandria, VA: December 2015. This page was left intentionally blank. Acknowledgements The authors gratefully acknowledge the guidance provided by FNS staff and other Urban Institute staff. Grant Lovellette, the FNS project officer, provided guidance throughout the project. Staff of the WIC Division of FNS have provided insights and review over the course of the project. Sheila Zedlewski directed the first two years of the project and guided the initial phases of work on the 2011 estimates. Michael Martinez-Schiferl was the lead analyst on this work for the first two years of the project and developed the technical framework used for these estimates. This page was left intentionally blank. Contents VOLUME I Executive Summary i Methods i Results ii How Many People Were Eligible for WIC in the Average Month of 2013, and What Portion Received Benefits? ii Did WIC Eligibility Change from 2012 to 2013? iii Since 2000, How Has Eligibility Changed On Average? iv How does the Coverage Rate Vary over Time? v Has the Coverage Rate Changed Since 2012? vii How does the Coverage Rate Vary across Regions of the Country? vii Summary viii Introduction Overview of Methods for Estimates for 2013 National Estimates Infants and Children, Initial and Adjusted Counts Infants and Children, Eligibility Estimates and Further Adjustments Pregnant and Postpartum Women Territories States 1 2 2 2 5 8 10 11 National Eligibility Estimates: 2013 Characteristics of WIC Eligibles in the U.S. 13 17 Territories 19 Comparing 2013 to 2012 23 Regional and State Estimates of WIC Eligibility: 2013 Distribution of WIC Eligibles WIC Eligibility Rates across States and Regions 27 27 29 WIC Coverage Rate WIC Coverage Rates in 2013 WIC Coverage Rate Changes from 2012 to 2013 WIC Coverage Rates Since 2000 30 30 37 38 Measures of Precision of the Estimates of Eligibility 51 Validating the Results 56 Summary 56 References 58 VOLUME II Appendix A: Detailed National and Territorial Tables 2013 Appendix B: State Estimates: 2013 Appendix C: Coverage Rate Maps Appendix D: Eligibles and Coverage Rate Time Series by FNS Region: 2000-2013 Appendix E: Method for Calculating the Annual-to-Monthly Adjustment Factors Applied to Children in the 2013 WIC Eligibility Estimates Figures and Tables Exhibit ES.1: WIC National-Level Eligibles and Coverage Rates by Participant Group in an Average Month: CY 2013 ............................................................................................................................................................. iii Exhibit ES.2: Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group: A Comparison of the Change from Calendar Year 2012 to 2013 ........................... iv Exhibit ES.3: Growth in WIC Eligible Population, 2000-2013 ........................................................................ v Exhibit ES.4: Coverage Rate: Percent of Eligible Population Receiving WIC Benefits, CY 2000 to CY 2013 ............................................................................................................................................................................. vi Exhibit ES.5: WIC Eligibles and Coverage Rates by FNS Region, CY 2013 ............................................. viii Table 1: Steps and Sources for 2013 Estimates of WIC Eligibility of Infants and Young Children (Ages 1-4), Using Data from the 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, and Census Bureau International Data Base ................................................................................................................................................ 4 Table 2: Population Adjustment Factors ................................................................................................................ 5 Table 3: Steps and Sources for 2013 Estimates of WIC Eligibility of Pregnant and Postpartum Women, Using Data from the 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, and Census Bureau International Data Base ................................................................................................................................................ 9 Table 4: Estimates of the Total Average Monthly Number of Individuals Eligible for WIC by Participant Group, CY 2013 ..................................................................................................................................... 14 Table 5: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC by Participant Group, CY 2013 ............................................................................................................................... 16 Table 6: Estimates of the Average Monthly Percent of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics, CY 2013 ........................................................................................................................................................................... 18 Table 7: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC in Puerto Rico and the Other Island Territories by Participant Group, CY 2013 .................................. 21 Table 8: Estimates of the Total Average Monthly Number of Individuals Eligible for WIC by Participant Group: A Comparison of CY 2012 and 2013 ............................................................................... 25 Figure 1: Breastfeeding Rates over Time............................................................................................................. 26 Table 9: Distribution of WIC Eligibles by FNS Region for each Participant Group, CY 2013 ........... 27 Table 10: Distribution of WIC Eligibility by State and FNS Region, CY 2013 ......................................... 28 Table 11: WIC Eligibles by FNS Region and Participant Group, CY 2012 and CY 2013 ..................... 29 Table 12: WIC Eligibles and Coverage Rates by FNS Region and Participant Group, CY 2013 ....... 31 Figure 2: WIC Coverage Rate for All Participants by FNS Region, CY 2013........................................... 32 Figure 3: WIC Coverage Rate for Infants by FNS Region, CY 2013 ........................................................... 33 Figure 4: WIC Coverage Rate for Children (Ages 1-4) by FNS Region, CY 2013................................... 34 Figure 5: WIC Coverage Rate for Pregnant Women by FNS Region, CY 2013 ...................................... 35 Figure 6: WIC Coverage Rate for All Postpartum Women by FNS Region, CY 2013 .......................... 36 Table 13: WIC Eligibles and Coverage Rates by State and FNS Region, CY 2013 ................................ 39 Table 13a: WIC Eligibles and Coverage Rates by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles and Participants: Children (age 1 to 4)........................................................................ 40 Table 13b: WIC Eligibles and Coverage Rates by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles and Participants: Women and Infants ......................................................................... 41 Figure 7: WIC Coverage Rates for All Participants, by State, CY 2013 .................................................... 42 Figure 7a: WIC Coverage Rates for Children (age 1 to 4), by State ............................................................ 43 Figure 7b: WIC Coverage Rates for Women and Infants, by State............................................................. 44 Table 14: WIC Coverage Rates by FNS Region and Participant Group, CY 2013 and CY 2012 ...... 45 Figure 8: All Participants Coverage Rate by FNS Region, 2000–2013 ..................................................... 46 Figure 9: Infants Coverage Rate by FNS Region, 2000–2013 ...................................................................... 47 Figure 10: Children (Ages 1-4) Coverage Rate by FNS Region, 2000–2013........................................... 48 Figure 11: Pregnant Women Coverage Rate by FNS Region, 2000–2013 .............................................. 49 Figure 12: Postpartum Women Coverage Rate by FNS Region, 2000–2013......................................... 50 Table 15: WIC Eligibles and Standard Errors by FNS Region and Participant Group, CY 2013 ....... 52 Table 16: WIC Eligibles Standard Errors by State and FNS Region, CY 2013 ........................................ 53 Table 16a: WIC Eligibles Standard Errors by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles: Children (age 1 to 4) ......................................................................................................... 54 Table 16b: WIC Eligibles Standard Errors by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles: Women and Infants .......................................................................................................... 55 Executive Summary The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides supplemental nutritious foods, nutrition education (including breastfeeding promotion and support), and referrals to health care and other social services at no charge. WIC serves low-income pregnant, postpartum, and breastfeeding women, infants, and children up to age 5 who are at nutritional risk. WIC is a federally-funded program, but the funding is not open-ended. Instead, Congress authorizes a certain amount of funds each year. The Food and Nutrition Service (FNS), which administers WIC, needs accurate estimates of how many people are eligible for WIC in each year to help gauge future needs. FNS also has a strong interest in looking at the percentage of eligible people who are participating (termed “coverage rates”)—in total, across states and regions, and for different subgroups—to understand how the program is working and how it can improve. This report provides estimates of the population that met WIC eligibility criteria in 2013. National eligibility is shown for each participant subgroup: infants, children age 1 through 4 by single year of age, pregnant women, postpartum women who are breastfeeding, and postpartum women who are not breastfeeding. The eligibility figures are used to estimate the coverage rate for the program overall and for all these subgroups. The report also shows trends in WIC eligibility and coverage rates from 2000 through 2013. Estimates of WIC eligibility and coverage rates in 2013 are provided for the seven FNS regions overall and for subgroups. Eligibility and coverage rate estimates are also provided for each State for 2013. For the first time in this series of reports, the State estimates are shown separately for two subgroups: children ages 1 through 4, and all infants and women. Methods The estimation procedures used in this report build on the methodology recommended by the Committee on National Statistics of the National Research Council (CNSTAT) in 2003.1 National eligibility estimation requires nationally representative data and numerous assumptions that take into account program certification periods, individuals’ enrollment in other programs, and mothers’ breastfeeding choices. The 2013 national estimates use the 2014 Current Population Survey, Annual Social and Economic Supplement (the CPS-ASEC, formerly referred to as the March supplement), as originally recommended by CNSTAT. The State estimates use the 2013 American Community Survey (ACS) and are converted to shares of the national estimates to produce State-specific eligibility estimates consistent with national totals. The number eligible in the territories is based on data from the 2013 Puerto Rico Community Survey (PRCS) and estimates of the population in other territories. Standard errors of the estimates are calculated for national, regional, State, and Puerto Rico estimates. The estimation requires numerous assumptions. Demographically eligible individuals are first identified in the surveys. These weighted counts are adjusted based on recent Census population estimates. Demographically eligible individuals are income eligible if their families’ annual cash incomes are less than 185 percent of the federal poverty guideline, or they are adjunctively income 1 See Ver Ploeg and Betson (2003) for the CNSTAT report. NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH i eligible if they participate in another safety net program.2 Specifically, individuals in families that participate in the Supplemental Nutrition Assistance Program (SNAP), the Temporary Assistance for Needy Families (TANF) program, or the Medicaid program (either directly or as a member of a family in which a pregnant woman or an infant is certified as eligible to receive Medicaid benefits) are adjunctively eligible for WIC. Partial-year eligibility is estimated based on longitudinal data from the 2004 and 2008 Survey of Income and Program Participation panels, which capture relationships between monthly and annual income and program participation; the methods for this adjustment were modified for the 2013 estimates to capture the fact that some States have adopted12-month certification periods for children. An adjustment for nutritional risk takes into account that a small share of otherwise-eligible individuals might not be found to be at nutritional risk. For postpartum mothers, eligibility estimation requires data on the portion of mothers who begin breastfeeding, as well as when they stop. Results How Many People Were Eligible for WIC in the Average Month of 2013, and What Portion Received Benefits? In calendar year (CY) 2013, the methods described above suggest that 14.2 million individuals were eligible for WIC benefits in an average month (Exhibit ES.1). This is an estimate and could differ from the true number of WIC eligibles because of methodological limitations (for example, the adjustment for partial-year eligibility is an approximation) and because the estimate is based on a sample of the population (different samples could lead to different estimates). Considering potential errors due to the sample (sample variability), there is a 90 percent likelihood that the true number of WIC eligibles falls in the range from 13.6 million to 14.7 million. Infants accounted for 16.8 percent of the total WIC-eligible individuals; children ages 1 through 4 comprised 63.8 percent of all eligible individuals (with approximately equal shares across the single years of age); pregnant women accounted for 8.7 percent; and the remaining 10.7 percent were postpartum women. Estimating the number of people who are eligible for WIC allows an estimation of WIC coverage rates—the percent of WIC-eligible people who receive benefits from the program. During CY 2013, 8.5 million individuals participated in the program in an average month, producing a total coverage rate (participants divided by eligibles) of 60.2 percent.3 Coverage rates vary across the subgroups. The coverage rate for children was estimated at 49.8 percent, lower than the rates for other eligible groups. Infants and postpartum non-breastfeeding women had the highest coverage rates at 84.4 and 84.9 percent, respectively. 2 Participation in one of these programs is taken as proof that a person is income eligible for WIC. State and local agencies may also accept an applicant’s documented participation in certain other means-tested programs as evidence of being income-eligible for WIC, if the other program routinely requires income documentation and has income guidelines at or below those of WIC. 3 Participants include all people who receive a food package plus fully breastfeeding infants whose mothers receive a food package. NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH ii Exhibit ES.1: WIC National-Level Eligibles and Coverage Rates by Participant Group in an Average Month: CY 2013 NOTE: This table includes estimates for the territories Number Eligible Percent of Total Eligible Number Participating Coverage Rate 2,387,223 16.8% 2,015,732 84.4% 9,053,165 63.8% 4,508,236 49.8% Children Age 1 2,285,482 16.1% 1,571,481 68.8% Children Age 2a 2,280,827 16.1% 1,141,082 50.0% Children Age 3a 2,224,943 15.7% 1,051,357 47.3% Children Age 4 2,261,914 15.9% 744,315 32.9% Pregnant Women 1,228,252 8.7% 839,820 68.4% Postpartum Women Breastfeeding Women Non-Breastfeeding Women 1,520,267 826,003 694,264 10.7% 5.8% 4.9% 1,183,228 593,611 589,617 77.8% 71.9% 84.9% 14,188,907 100.0% 8,547,016 60.2% Participant Group Infants Total Children Ages 1-4 a a All Participant Groups Source: 2014 CPS-ASEC for U.S. estimate, PRCS and Census for territories, WIC Administrative Data Notes: a WIC participant figures for children by single year of age are not available. The figures in this table are derived from the total number of children participating using the ratio of child enrollees by single year of age to the total number of children enrolled as reported in Johnson et al. (2013), Figure E.1. Did WIC Eligibility Change from 2012 to 2013? Our best estimate of total WIC eligibility in 2013 is 1.0 percent higher than our best estimate for 2012 (Exhibit ES.2). However, when specific participant groups are considered, the changes from 2012 vary from the overall change in both magnitude and direction. The largest change for any subgroup is a 2.6 percent increase in the WIC eligibility estimate for children. Between 2012 and 2013 the estimated population of young children remained essentially unchanged, but the portion estimated to meet eligibility requirements increased from 54.5 percent to 55.9 percent. Most of this increase is due to the increasing number of States using 12-month certification periods for children, as allowed by the Healthy, Hunger-Free Kids Act of 2010, PL 111296. If none of the States had adopted this option, the eligible population would have increased by only 0.6 percent from 2012 to 2013. In contrast to the change for children, the 2013 eligibility estimates for the other subgroups are all slightly lower than the 2012 estimates. The estimated number of WIC-eligible infants decreases by 1.4 percent. The decline is due primarily to a decrease in the estimated population of infants, which was NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH iii 1.1 percent lower than the infant population figure used for the 2012 estimates. The portion of infants meeting eligibility requirements remained almost constant at about 61 percent. Exhibit ES.2: Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group: A Comparison of the Change from Calendar Year 2012 to 2013 NOTE: This table includes estimates for the territories. Total Eligibles Percent Change 2013 2012 Infants 2,387,223 2,420,597 -1.4% Total Children Ages 1-4 9,052,810 8,823,888 2.6% Pregnant Women 1,228,252 1,245,423 -1.4% Postpartum Breastfeeding Women 826,003 839,736 -1.6% Postpartum Non-Breastfeeding Women 694,264 723,718 -4.1% 14,188,552 14,053,362 1.0% Participant Group Total WIC Eligibles Source: 2013 and 2014 CPS-ASEC; 2004 and 2008 SIPP panels; 2001-2002, 2003-2004, 2005-2006 NHANES Note: Changes in the number of eligibles between 2012 and 2013 are not statistically significant at the 90 percent confidence level; all changes could be due solely to sampling variability in the survey. Among women, the change in eligibility of pregnant women follows the change for infants (i.e., a 1.4 percent decrease), while postpartum women show somewhat larger declines – the number of breastfeeding women eligible for WIC decreases by 1.6 percent and the number of non-breastfeeding women eligible for WIC decreases by 4.1 percent. The changes for postpartum women differ from those for infants and pregnant women due to changes in the two breastfeeding rates used for this analysis. According to the Infant Feeding Survey, conducted annually by Abbott Laboratories, the inhospital breastfeeding rate for WIC mothers increased from 61 percent to almost 64 percent, while the 6-month rate decreased from 31 percent to 29 percent. Thus, compared to 2012, there are fewer non-breastfeeding women in the first 6 months postpartum (when even non-breastfeeding women are eligible for WIC); and in the second 6 months post-partum, there are somewhat fewer breastfeeding women due to the decrease in the 6-month breastfeeding rate. As with any estimates derived in part from survey data, there is a degree of uncertainty. In fact, from a statistical standpoint, we cannot rule out the possibility that all of the changes in the WIC eligibility estimates are due solely to sampling variability in the CPS-ASEC survey data. When tested at a 90 percent level of confidence, none of the changes described above are statistically significant. In other words, we cannot be 90 percent certain that these changes in eligibility are true changes, rather than being due to sampling variability in the surveys. Since 2000, How Has Eligibility Changed On Average? Since 2000 (the first year in the current series of estimates), growth in WIC eligibility has averaged 1.2 percent per year, resulting in a total 2013 eligibility estimate 13.7 percent higher than the 2000 estimate (Exhibit ES.3). Most of the increase in total WIC eligibility since 2000 is due to a 22.3 percent increase in the estimated number of children eligible for the program. The number of eligible infants NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH iv and eligible pregnant women has declined in recent years, and is estimated to be 1.2 percent lower in 2013 than in 2000, while the number of eligible postpartum women is estimated to have increased by 7.1 percent. During the same period, the number of annual births in the United States mainland and territories declined by about 4 percent;4 the fact that estimated eligibility increased for children and declined by only about 1 percent for infants suggests that the share of all infants and young children who are eligible for WIC has increased over the decade. The number of postpartum women eligible for WIC in the average month of the year has increased by an estimated 7.1 percent since 2000, due to increases in breastfeeding that result in more postpartum women being eligible for a full year instead of the six months of eligibility for a non-breastfeeding mother. Exhibit ES.3: Growth in WIC Eligible Population, 2000-2013 NOTE: This table includes estimates for the territories Cumulative Growth Average Annual Growth Infants -1.2% -0.1% Total Children Ages 1-4 22.3% 1.8% Pregnant Women -1.2% -0.1% All Postpartum Women 7.1% 0.6% All Participant Groups 13.7% 1.2% Participant Group Source: 2014 CPS-ASEC, ACS, PRCS, Census International Data Base, WIC Administrative Data How does the Coverage Rate Vary over Time? Estimated coverage rates by subgroup fluctuate over the 2000 to 2013 time frame (Exhibit ES.4). The current estimated coverage rate of about 84 percent for infants is higher than the estimated rate for 2000 (just under 80 percent) but lower than the highest rate estimated for the period (88 percent in 2002). It is similar to the rates since 2007, which have ranged from about 82 percent to 85 percent. Among pregnant women, the estimated coverage rate in 2013 is approximately the same as it was in 2000, at 68 percent in both years. The coverage rate for non-breastfeeding postpartum women has increased over the period, from 72 percent in 2000 to 85 percent in 2013. The estimated coverage rate for breastfeeding postpartum women has also increased, from 57 percent in 2000 to 72 percent in 2013; the particularly high coverage rates for breastfeeding postpartum women from 2007 to 2010 were due to a combination of higher enrollment and lower estimated eligibility for this subgroup. Except for the period 2006 to 2010, the coverage rate for non-breastfeeding postpartum women exceeds the coverage rate for breastfeeding postpartum women.5 4 Data published by the Center for Disease Control, National Vital Statistics Reports, Volume 50, Number 5,Table 10, February 12, 2002 and Volume 64 Number 10, Table 10, January 15, 2015. 5 The survey that provides the breastfeeding estimates for this analysis showed a drop in breastfeeding rates in the period 2006 to 2010 that contributed to the very high measured coverage rates for breastfeeding postpartum women in this period. That temporary decline in breastfeeding does not appear in another breastfeeding survey. NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH v Exhibit ES.4: Coverage Rate: Percent of Eligible Population Receiving WIC Benefits, CY 2000 to CY 2013 NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH vi The estimated coverage rate for children has been considerably lower than for other groups across the period. The estimated children’s coverage rate increased over the period from 48 percent in 2000 to 53 percent in 2012, but declined to 50 percent this year due in part to the increase in the children’s eligibility estimate. Note, however, that the WIC eligibility estimates that underlie the coverage rate estimates are not precisely comparable across the period. There have been slight adjustments to the methods, such as a modification to the procedures for applying population adjustments in the estimates for 2011 and later years, and the incorporation of State variation in children’s certification periods in this year’s estimates. Also, whenever new decennial census information is available, that information is incorporated into the CPS-ASEC weighting and into the weight adjustment procedures used for the WIC eligibility estimates, which can cause discontinuities in the series. For example, the 2010 decennial census showed a substantial decrease in the number of infants relative to the figures that had been estimated prior to the availability of the new census, a change that affects the WIC eligibility and coverage estimates for years 2010 and later;6 the increase in the estimated coverage rates for infants and women in 2002 is also related to weighting changes. Has the Coverage Rate Changed Since 2012? The analysis suggests that the WIC coverage rate may have declined somewhat between 2012 and 2013. The administrative data show that the caseload fell by 3.6 percent, while there was no statistically significant change in eligibility. Considering the subgroups, the estimated coverage rate declined the most for children, but it also declined for infants and for pregnant women. How does the Coverage Rate Vary across Regions of the Country? WIC coverage rates for all participants vary somewhat across the regions (Exhibit ES.5). The highest coverage rate is 70.4 percent in the Western region, and the lowest is 51.1 percent in the Mountain Plains. These regions also had the highest and lowest estimated coverage rates, respectively, in our analyses of WIC eligibility and program reach for the years 2009 to 2012.7 As mentioned above in the context of the national estimates, all the WIC eligibility estimates are affected by sampling variability. For example, while our best estimate of eligibility in the Northeast is 1.269 million people, we can say with 90 percent confidence that the actual number of eligible people is in the range from 1.198 to 1.342 million. Thus, the actual coverage rates could be somewhat higher or lower than shown. 6 For details see Martinez-Schiferl et al. (2012) and Johnson et al. (2014). For 2009 regional coverage rates see Betson et al. (2011). For 2010 regional coverage rates see Martinez-Schiferl et al. (2012). For 2011 and 2012 regional coverage rates see Johnson et al. (2014, 2015). 7 NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH vii Exhibit ES.5: WIC Eligibles and Coverage Rates by FNS Region, CY 2013 NOTE: This table includes estimates for the territories Confidence Interval for Eligibility Estimate a FNS Region Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total Eligibles Participants Coverage Rate 1,269,800 1,612,309 2,998,599 2,080,883 2,226,042 1,051,038 2,949,881 14,188,552 758,576 989,709 1,656,761 1,183,628 1,344,443 537,510 2,076,389 8,547,016 59.7% 61.4% 55.3% 56.9% 60.4% 51.1% 70.4% 60.2% Lower bound Upper bound 1,197,977 1,515,248 2,858,913 1,976,767 2,116,255 988,233 2,812,972 13,634,932 1,341,622 1,709,371 3,138,285 2,184,998 2,335,829 1,113,844 3,086,790 14,742,172 Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data a We are 90 percent confident that the true number of eligibles falls within this range. Summary In the average month of 2013, an estimated 14.2 million people were eligible for WIC benefits. The eligibility estimate is 1.0 percent higher than it was for 2012, due to an estimated increase in the number of eligible children (in part because of longer certification periods in some States) combined with estimated reductions in eligibility for women and infants. The program provided benefits to 60.2 percent of the WIC-eligible individuals—approximately 8.5 million people. Infants and nonbreastfeeding postpartum women had the highest coverage rates at 84.4 and 84.9 percent, respectively. The coverage rate for children ages 1 through 4 was 49.8 percent. Coverage rates also varied by region. The estimated regional coverage rates ranged from a high of 70.4 percent in the Western region to a low of 51.1 percent for the Mountain Plains. NATIONAL- AND STATE-LEVEL ESTIMATES OF WIC ELIGIBLES A ND PROGRAM REACH viii Introduction This report provides estimates of WIC eligibility for calendar year (CY) 2013. The estimates are intended to capture eligibility in the average month of the year and can be compared with monthly participation data to derive coverage rate estimates. Eligibility estimates allow FNS to better predict future funding needs for the WIC program, and comparing these estimates to the actual number of participants helps gauge the program’s effectiveness in supporting the nutrition of eligible women, infants, and children. WIC eligibility estimates are presented for the nation, the fifty States, the District of Columbia, and five U.S. territories (American Samoa, the Commonwealth of the Northern Mariana Islands, Puerto Rico, Guam, and the Virgin Islands). State estimates are aggregated to produce estimates for the seven FNS regions. The national and territory estimates are shown for each different WIC participant subgroup—infants, children ages 1 through 4 (by single year of age), pregnant women, and breastfeeding and non-breastfeeding postpartum women, while the State and regional estimates are presented at more aggregate levels. The estimates use multiple data sources. The national estimates use the Current Population Survey, Annual Social and Economic Supplement (CPS-ASEC) data and generally follow methods originally developed by the Committee on National Statistics of the National Research Council (CNSTAT).8 The territorial estimates use the Puerto Rico Community Survey (PRCS) to directly estimate the number of eligibles in Puerto Rico and the Census Bureau International Data Base to estimate WIC eligibility in other island territories. The State-level estimates are based on the American Community Survey (ACS). WIC eligibility is estimated in each State, and that information is then used to determine each State’s share of WIC-eligible individuals. These shares are applied to the CPS-ASEC national estimates to produce a consistent set of national and State estimates. The project uses the most recent updates and extensions to the CNSTAT methods.9 The updated methods revised the original approach for producing estimates for the U.S. territories and developed new methods to produce estimates at the State level and standard errors for all estimates. Additional modifications were made to the methodology for adjusting population weights for the 2011 report, and have been continued in this report.10 The 2013 procedures institute another change, to capture whether States have adopted 12-month certification periods for children, and when they made that change. This report begins by reviewing the specific methods and assumptions used to develop the estimates (including the new procedures related to State variation in children’s certification period). Then estimates of the total WIC-eligible population in 2013 are presented. The results of each step in the national estimation process are discussed, and the characteristics of the WIC-eligible population are summarized. The presentation of the national estimation process is followed by a discussion of the steps used to produce the territorial estimates. The 2013 WIC eligible population then is compared with the 2012 results. The next section presents State and regional level eligibility results, and the section following presents the coverage rates implied by comparing the estimated eligibility counts 8 See Ver Ploeg and Betson (2003) for the CNSTAT report. These methods are described in Betson et al. (2011). 10 See Johnson et al. (2014). 9 NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 1 with actual WIC caseload data. The last two sections discuss measures of precision and validation methods. Additional details are provided in appendices in Volume II of this report. Appendix A presents all of the national tables for 2013, including more details on interim steps than are presented in the main report. Similarly, Appendix B provides more detailed results for the State estimates. Appendix C contains maps of 2013 WIC coverage rates—defined as the number of WIC participants divided by the estimated number of individuals eligible for the program. Appendix D provides estimates of WIC eligibility and coverage rates from 2000 through 2013.11 Appendix E provides details regarding the new procedures related to State variation in children’s certification period. Overview of Methods for Estimates for 2013 The national, territorial, and State estimates of WIC eligibility are developed through separate but interrelated procedures, discussed below. National Estimates The national WIC eligibility estimates are based primarily on the recommendations of the CNSTAT Panel members. They recommended using the annual CPS-ASEC data for an initial count of eligible infants and children in the fifty States and the District of Columbia. Those figures are refined through a series of adjustment factors designed to more closely mimic WIC program procedures. The estimates of eligible infants are used to estimate WIC-eligible pregnant and postpartum women. For postpartum women, separate estimates are produced for breastfeeding and non-breastfeeding mothers since certification periods and benefits vary for these two groups. Various data sets must be used to impute breastfeeding prevalence, as described later in this section. Infants and Children, Initial and Adjusted Counts The CPS-ASEC survey conducted each spring is used to count the number of infants (younger than 1 year old) and young children (age 1 through 4 years old).12 The CPS-ASEC, which asks respondents to report their income and program participation in the prior calendar year, is the same survey used for official poverty estimates.13 We use the CPS-ASEC data collected in spring 2014 to estimate WIC eligibility during calendar year 2013. The CPS-ASEC data we used for this year’s estimates includes information on fewer households than the files for recent years. The reason is that the Census Bureau divided the usual CPS-ASEC sample into two portions in order to test new income questions, with five-eighths being asked the standard questions while three-eighths received the new questions. Although the Census Bureau has released information from both portions, only the five-eighths portion was used for the Census Bureau’s computation of the official poverty estimates for 2013; for consistency with that decision, 11 See USDA (2006) for national-level estimates of WIC eligibility for 1994 through 2003 that are also based on the CNSTAT methodology. 12 The survey was formerly known as the March CPS supplement. Interviews are conducted from February through April. 13 Technical documentation of the CPS-ASEC is available from the Census Bureau, http://www.census.gov/cps/methodology/techdocs.html. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 2 and to avoid potential complications due to using income data based on two different sets of questions, we use only the five-eighths file for the 2013 WIC eligibility estimates. The smaller sample size means that the 2013 estimates have somewhat less statistical precision than would be the case with the full sample. Specifically, the smaller sample means that the standard errors of the estimates are 26 percent larger than if the same estimate had been produced by the full sample.14 As indicated in Table 1, the preliminary counts of infants and children are adjusted to compensate for differences between weighted counts of infants and children in the CPS-ASEC data and the Census Bureau population estimates. The two sets of figures may differ because the Census Bureau’s weighting procedures are not designed to meet population targets by exact year of age, and also because the population estimates may change after the point that CPS-ASEC data are weighted. Thus, the CPS-ASEC counts for a particular subgroup of infants or children may be inflated or deflated to better reflect the Census Bureau estimate for that subgroup. The population adjustment factors are recomputed each time the eligibility estimates are updated. The factors vary by three characteristics: age (separate factors are computed for each exact age, 0 through 4), race (three groups: white, black, and other), and gender (two groups: female and male). The adjustment factors are computed by comparing four years of Census Bureau population estimates and four years of CPS-ASEC weighted counts for each subgroup. A four-year period is used in order to minimize large year-to-year swings in the factors. Specifically, for the CY 2013 WIC eligibility estimates, the population adjustment factors are computed using Census Bureau population data for 2011, 2012, 2013, and 2014, and CPS-ASEC data collected in those same four years.15 The Census population estimates used in the adjustment factors are vintage 2013 postcensal estimates for all four years. Table 2 shows the resulting adjustment factors. No adjustment was performed for white infants and children (i.e. the factor was computed to be “1”). However, among black and “other” infants and children, some subgroups were adjusted upwards (the computed factor was greater than “1”) and some downwards (the factor was less than “1”). The adjustments range from a 12.3 percent reduction in weights (for black males age 1) to a 10.7 percent increase (for black male infants).16 Note that for purposes of defining racial subgroups for the population adjustment factors, the “white” and “black” groups include only infants and children for whom a single race was reported. Infants and children for whom more than one race was reported and those who are reported to be a race other than white or black are combined into the single group “other.” This follows current federal guidelines by not tabulating individuals who report more than one race as being of only a single specific race.17 14 Note that the use of these new income questions in subsequent CPS files may present some challenges when comparing future estimates of eligibility to our current estimates. For more information about the redesigned income questions, see http://www.census.gov/hhes/www/poverty/data/incpovhlth/2013/Split-sample-note.doc. 15 See Johnson et al. (2014) for more details on the weight adjustment procedures, including a refinement that was added as part of the 2011 update and retained for the 2012 and 2013 update. 16 See Ver Ploeg and Betson (2003) for a discussion of the CPS undercount of infants. 17 See OMB (1997). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 3 Table 1: Steps and Sources for 2013 Estimates of WIC Eligibility of Infants and Young Children (Ages 1-4), Using Data from the 2014 CPSASEC, 2013 ACS, 2013 PRCS, and Census Bureau International Data Base Step Demographic eligibility Description Identify infants and children (ages 1-4) in the survey. Weight adjustment Adjust sampling weights to account for under-count or over-count in the CPS relative to Census estimates, by exact age, gender, and race. Income eligibility Count as eligible if prior year’s annual family income is <= 185 percent of the applicable poverty guideline--"family" for income purposes is defined as the broadly defined family, with related subfamilies included in the primary. 2014 2013 2013 2010 Poverty guidelines are the blended poverty guidelines for the calendar year for which estimates are produced. Add in as eligible those infants/children whose household reports SNAP, family reports TANF, or who are themselves reported as being enrolled in Medicaid at any point during the prior calendar year. Blended FY 2012 and FY 2013 poverty guidelines Adjunctive eligibility Sources for 2013 Updates to Estimates and Adjustment Factors 2014 CPS-ASEC - National Estimates 2013 ACS - State Estimates 2013 PRCS - Puerto Rico Estimates Census Bureau International Data Base - Other Island Territories National Estimates: Postcensal population estimates from the Census Bureau and the March CPS-ASEC for 2011, 2012, 2013, and 2014 State and Puerto Rico Estimates: Postcensal population estimates from the Census Bureau for 2013 CPS-ASEC - National Estimates ACS - State Estimates PRCS - Puerto Rico Estimates Census - Other Island Territories Estimates 2014 CPS-ASEC 2013 ACS 2013 PRCS For TANF receipt, "family" on the CPS is defined as the narrowly defined family and also includes any related children whose parents are not present in the household. On the ACS and PRCS the definition is the narrowly defined family with subfamilies separate. Adjust for fluctuations in monthly income and certification periods Adjust for nutritional risk Territories Multiply the estimates by a factor of 1.16 for infants and 1.02 for children to account for the impact of monthly fluctuations in income and program participation, and for the impact of 6 and 12 month certification periods. The factor for children takes into account that some states have a 6 month certification period while others have adopted the optional 12 month period. Multiply the infant estimates by 0.97 and the child estimates by 0.99 to account for the fact that some otherwise-eligible infants and children might not be found to be at nutritional risk. Average of factors for 2005, 2006, and 2010, as computed from the SIPP panels from 2004 and 2008. Eligibility in Puerto Rico is based on the PRCS and is estimated with the same methods as those used for the State estimates. Eligibility in the Other Island Territories is based on a proportion of the estimated population of infants and children. PRCS 2013 - Puerto Rico No update. Census Bureau International Data Base - Other Island Territories NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 4 Table 2: Population Adjustment Factors White Weight Adjustment Factors: Females Males Black Other White Black Other Infants 1.000 1.071 1.106 1.000 1.107 1.014 Children (age 1) 1.000 0.940 0.939 1.000 0.877 0.987 Children (age 2) 1.000 1.019 1.026 1.000 1.012 1.072 Children (age 3) 1.000 1.000 1.000 1.000 1.000 1.000 Children (age 4) 1.000 0.988 1.000 1.000 0.953 0.985 Notes: Factors are set to 1 unless both four-year accumulations and 2013 population figures show the same direction of difference between Census and CPS-ASEC data. Infants and Children, Eligibility Estimates and Further Adjustments After the adjustments to the CPS-ASEC weights, the next step is to tabulate the number of infants and young children living in families with cash income in the prior calendar year (2013) that is less than 185 percent of the applicable federal poverty guideline (the threshold for income eligibility). As recommended by the CNSTAT Panel, we define the family as all persons living in the household who are related by birth, marriage, or adoption. (The WIC program specifies that the people living as one economic unit are treated as the family for eligibility determination, but the program does not explicitly operationalize the concept of the economic unit.) The poverty guidelines used in this step are an average of the guidelines released in 2012 (which would have been used by WIC programs for the first half of calendar year 2013), and the guidelines released in 2013 (which would have been used by WIC programs in the second half of calendar year 2013). Individuals also are considered eligible for WIC through adjunctive eligibility. An individual is adjunctively income eligible for WIC if the person receives benefits from the Supplemental Nutrition Assistance Program (SNAP), the Temporary Assistance to Needy Families (TANF) program, or Medicaid, if the person’s family receives benefits from TANF, or if the person’s family includes a pregnant woman or infant who is enrolled in Medicaid.18,19,20 Thus, the next step is to count the infants 18 Participation in one of these programs is taken as proof that a person is income eligible for WIC. Under an additional policy known as “automatic income eligibility”, State and local agencies may accept an applicant’s documented participation in certain other means-tested programs as evidence of being income-eligible for WIC, if the other program routinely requires income documentation and has income guidelines at or below those of WIC. We assume that any individuals found eligible through automatic income eligibility in their State/locality would be identified as incomeeligible by the methods used for these estimates. 19 Enrollment in a State’s Medicaid-expansion program funded through the Children’s Health Insurance Program (CHIP) also confers adjunctive eligibility, but enrollment in a separate State health program funded by CHIP does not. However, if eligibility in a separate State health program is limited to individuals with incomes at or below the WIC income threshold, and the program collects income information in the enrollment process, then participation in such a program can serve as evidence of income eligibility for WIC. Because the CPS-ASEC data do not separately identify the two types NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 5 and children who appear adjunctively eligible according to the CPS-ASEC data, which asks about enrollment in each of these programs during the prior year. On an annual basis, adjunctive eligibility is likely underestimated due to the underreporting of benefit receipt in survey data.21 Two proportional adjustments are made to these initial eligibility estimates as summarized in Table 1. The first adjustment—the “annual-to-monthly” adjustment—accounts for three reasons why annual data on income and program participation can misestimate average monthly eligibility. First, family incomes may fluctuate during the year. Even if annual income appears above the income limit (so a child is not counted as eligible based on the CPS-ASEC data), the child could be eligible if the family applied in certain months of low income. Conversely, if family income falls substantially during the year, annual income might suggest a child is eligible when in fact the child would not have been eligible at the start of the year. A second reason that annual data misestimates average monthly eligibility is that participation in Medicaid, SNAP, and TANF may vary during a year. The initial counts consider an infant or child adjunctively eligible if program benefits are received at any point during the year; however, if the family only started receiving benefits at some point during the year, the infant or child would not have been adjunctively eligible at the start of the year. Third, annual income misestimates average monthly eligibility due to the WIC program’s certification periods. Eligible infants are certified for a year, while eligible children are certified for either 6 or 12 months as decided by each State.22 An infant or child who appears ineligible based on annual income may in fact have been eligible at the start of the year due to having been certified in the prior year; conversely, a child who appears eligible based on annual income may have only been eligible for 6 months, if the family income had risen by the point they returned for recertification. The annual-to-monthly adjustment factor is computed using data from the Survey of Income and Program Participation (SIPP);23 the SIPP, unlike the CPS-ASEC, allows month-by-month observation of family circumstances. Since in some States children have shorter certification periods than infants, the factor differs for infants and children. For infants, the 2013 estimates use the same factor as was used for the 2011 and 2012 estimates. For children, the procedures were modified for this year’s estimates to reflect the degree to which 12-month certification periods have been adopted at the State level. For infants, the factor was previously computed by comparing two types of SIPP-based eligibility estimates for infants: one using the monthly data and including a 12 month certification period, and another that mimics the type of estimate that can be computed with the CPS-ASEC data.24 In earlier work, eligibility estimates were computed following both approaches and using SIPP data for of CHIP programs, enrollment in CHIP is not counted as conferring adjunctive eligibility; this may lead to a slight underestimate of the count of adjunctively eligible infants and children. 20 Note that implementation of the adjunctive eligibility rules in the eligibility estimation is restricted by the available data in the CPS-ASEC. These data do not indicate whether each person receives SNAP, only if the household receives SNAP and the total number of SNAP recipients. However, in the absence of more information, we treat all infants and children in SNAP-recipient households as if they are themselves in the SNAP assistance unit. See Table 1 for additional information on how adjunctive eligibility is operationalized using the CPS-ASEC. 21 All surveys underestimate enrollment because some individuals fail to report participation (Wheaton 2007). The CNSTAT-recommended methods do not attempt to correct for the impacts of program underreporting. 22 The option to extend the certification period to 12 months for children was enacted as part of the Healthy, HungerFree Kids Act of 2010, PL 111-296, passed in December 2010. Previously, children could be certified for only 6 months, 23 More information on the SIPP can be found at the Census Bureau website: http://www.census.gov/sipp/ 24 The details of these procedures are summarized in Betson et al. (2011). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 6 2005, 2006, and 2010. For each year, the ratio of the second estimate was compared to the first; across the three years, the average, factor is 1.16. In other words, the SIPP analysis suggests that the average monthly number of WIC-eligible infants is 16 percent higher than it would appear based only on annual income and program participation. For children, the comparison of the pairs of SIPP-based estimates has previously suggested an annual-to-monthly adjustment factor of 1.0 if all States are assumed to use 6-month certification periods (i.e. the SIPP analysis suggests that average monthly eligibility of children when 6-month certification is in effect in all States is the same as it would appear based on annual income and program participation). This 1.0 factor was used for the WIC eligibility estimates for 2011 and 2012. Previous analysis (reported in Appendix E of the 2011 report) also showed that if all States were assumed to use 12-month certification (and to have adopted it at an early enough date that it affects eligibility in all 12 months of 2013), the adjustment factor would be 1.04 (i.e. the SIPP analysis suggests that the average monthly number of WIC-eligible children when 12-month certification is fully in effect in all States is 4 percent higher than it would appear based only on annual income and program participation). The factor used for the national eligibility estimation now takes into account the fact that many States have adopted 12-month certification periods.25 For this year’s WIC eligibility estimates for children, the annual-to-monthly factor is a type of weighted average across the 1.0 and 1.04 estimates. Each State is assigned a State-specific factor based on whether and when 12-month certification has been adopted. The 27 States (and the District of Columbia) that have not adopted the policy (or that adopted it too late for it to affect 2013 eligibility) are assigned a factor of 1.0, the 9 States that adopted the policy early enough for it to fully affect the entire year are assigned 1.04, and the remaining 14 States are assigned an intermediate factor depending upon how many months in 2013 were affected by the longer certification period. To generate a national-level factor, the factors of all States were averaged, with each factor being weighted by the State’s share of eligible children (e.g., the factor of a State that had twice as many eligible children as another State would be weighted twice as much). The final result was a national-level factor of 1.02. Appendix E contains more details regarding the computation of this factor. The second of the two proportional adjustments—and the final step in estimating WIC eligibility for infants and children in the fifty States and the District of Columbia—is to adjust for nutritional risk. (WIC eligibility estimates for infants and children in the territories are discussed below.) Women, infants, and children who are not determined to be at nutritional risk are not eligible for WIC, regardless of their income. A constant nutritional risk adjustment factor, calculated in the original CNSTAT panel report, has been used in all recent WIC eligibles estimates. Using data from the 19941998 Continuing Survey of Food Intake by Individuals (CSFII), the CNSTAT Panel found that at least 97 percent of income-eligible pregnant women were at nutritional risk. Since an infant whose mother would have qualified for WIC during pregnancy is automatically considered at-risk, the nutritional risk adjustment factor for infants has been 0.97. The CSFII data also suggested that more than 99 percent 25 Although States have had the option to adopt 12-month certification since 2011, relatively few States adopted the policy at a point that affected eligibility prior to 2013. Our analysis indicates that if States’ decisions to adopt 12-month certification had been incorporated into the calculation of the annual-to-monthly adjustment factor for children used for 2012, it would have changed from 1.0 to 1.006. In other words, if the procedures described here had been followed for the 2012 estimates, our estimate of children’s eligibility in 2012 would have been higher by 0.6 percent. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 7 of young children failed to meet dietary guidelines, leading to a 0.99 nutritional risk adjustment for children. Pregnant and Postpartum Women Estimates of the number of WIC-eligible women (pregnant, postpartum breastfeeding, and postpartum non-breastfeeding) are based upon adjusted counts of WIC-eligible infants rather than separate counts from the CPS-ASEC data. (The CPS-ASEC does not identify pregnancy or breastfeeding status.) The proportional adjustments made to the infant estimates to arrive at the final estimates for women are summarized in Table 3. The first adjustment to the count of WIC-eligible infants reflects the fact that the number of pregnant and postpartum women can differ from the number of infants, for two reasons. The number of pregnant and postpartum women can be lower than the number of infants seen in the CPS-ASEC survey data due to multiple births. However, the number of pregnant and postpartum women can be greater than the number of infants in the CPS-ASEC due to fetal and infant deaths (the infants are absent in the CPS-ASEC). The adjustment that accounts for both of these factors is small and was very similar when estimated at two different points. A factor of 0.9966 was used from 2000 through 2003 and 0.9961 has been used from 2004 through 2013. The eligibility estimates for pregnant women must also take into account that some mothers of WIC-eligible infants were not themselves eligible during pregnancy. (It is also possible, but less likely, that a woman could be WIC-eligible during pregnancy but not WIC-eligible after the birth.) Analysis of the 1990 through 1996 panels of SIPP found that women whose infants were eligible for WIC were themselves eligible in an average of 6.4 months of pregnancy, or 71 percent of the maximum nine months of pregnancy eligibility (75 percent of the year).26 Thus, the gestation adjustment factor used consistently starting with WIC eligibility estimates for 1994 has been 0.5330 (0.71 x 0.75). After this adjustment for gestation, the number of pregnant women is reduced by an additional 3 percent (the adjustment factor is equal to 0.97) to reflect that an otherwise-eligible pregnant woman may not be at nutritional risk. (The estimates assume that all postpartum women are at nutritional risk.) For a postpartum woman, the duration of WIC eligibility depends on the extent to which she breastfeeds her infant as well as the other factors. A new mother can be certified to receive benefits for 12 months if she is breastfeeding and her infant is not receiving the food package for infants who are fully fed with formula. If the mother is not breastfeeding or her infant receives the fully formula fed food package, then she can be eligible for benefits as a postpartum woman until her infant turns six months old. Thus, adjustments are applied to the count of mothers whose infants are WIC-eligible to separately estimate eligibility for postpartum women certified as breastfeeding vs. non-breastfeeding. 26 See Yelowitz (2002). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 8 Table 3: Steps and Sources for 2013 Estimates of WIC Eligibility of Pregnant and Postpartum Women, Using Data from the 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, and Census Bureau International Data Base Step Starting point Description Use as a starting point the final average monthly eligibility estimate for infants. Adjust for multiple births and infant Multiply by a factor of 0.9961 to account for the impact of multiple deaths births and infant deaths (so the number of pregnant women/mothers is not exactly equal to the number of infants). Sources for 2013 Updates to Estimates and Adjustment Factors Infants as estimated using methods outlined in Table 1. For pregnant women : Multiply by 0.533 to account for 9 months of pregnancy (0.75 factor) Adjust for length of pregnancy and and to account for lower likelihood of financial eligibility during difference in income during pregnancy vs. after birth (additional 0.71). pregnancy vs. after birth No update. For postpartum mothers : Multiply by one year-specific factor to estimate the average monthly Separately estimate the average women eligible for WIC as breastfeeding mothers (0<12 months monthly number who are eligible postpartum). Multiply the estimate by another factor to estimate the as breastfeeding mothers and the average monthly women eligible for WIC as non-breastfeeding women number eligible as postpartum non- <6 months postpartum. breastfeeding mothers 2013 Abbott Laboratories Infant Feeding Survey (formerly the Mother Survey); 2001-2002, 2003-2004, and 2005-2006 waves of National Health and Nutrition Examination Survey (NHANES); 1996, 2001, and 2004 SIPP panels. Adjust for nutritional risk No update. Multiply the estimate for pregnant women by 0.97 to account for the fact that some otherwise-eligible pregnant women might not be found to be at nutritional risk. Assume all postpartum women are at nutritional risk (factor of 1.0). Multiple birth, infant and fetal death data from 2004 vital statistics data. March 2004 Census estimates for count of infants. Territorial estimates assume the national breastfeeding rates. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 9 The adjustments that identify women eligible for WIC as breastfeeding vs. non-breastfeeding combine data from three sources: the Abbott Laboratories’ Infant Feeding Survey (IFS, formerly the Ross Lab’s Mothers Survey), the National Health and Nutrition Examination Survey (NHANES),27 and the SIPP. Abbott Laboratories annually releases their estimates of the percentage of WIC mothers who breastfeed their infant in the hospital and the percentage who are breastfeeding at six months.28 For 2013, for example, the IFS data showed 63.5 percent of WIC mothers breastfeeding in the hospital, and 29.1 percent breastfeeding at six months. Since estimates show that mothers who are eligible but not participating in WIC have higher rates of breastfeeding than WIC participants, the rates reported in the IFS for WIC participants will underestimate rates for all WIC-eligible mothers. The 2005-2006 NHANES data are used to adjust for this difference. The NHANES ratios of breastfeeding rates for WIC-eligible to WIC-participating mothers in the hospital and at six months are applied to the IFS annual estimates to approximate the current breastfeeding rates in the WIC-eligible population. Analysis of the NHANES data showed that the breastfeeding rate of WIC-eligible mothers in the hospital was 5.6 percent higher than for WIC participants. At six months, WIC-eligible mothers were 15 percent more likely to breastfeed than WIC participants. The estimation of postpartum WIC eligibility is complicated by the decline in breastfeeding throughout the first year. (A woman who is breastfeeding in the hospital may stop breastfeeding at any point.) Although the CNSTAT Panel did not discuss an adjustment factor to address this issue, subsequent estimates have used a factor computed from SIPP-based simulations to adjust for breastfeeding cessation. The simulations assume that mothers inform WIC staff members as soon as they stop breastfeeding so that they can qualify for infant formula. The simulations assign a breastfeeding status and duration to each postpartum mother of a WIC-eligible infant, using breastfeeding rates for WIC-eligible mothers from NHANES. Eligibility is then simulated month-bymonth, using each woman’s monthly income, program participation, breastfeeding status, and appropriate certification periods. One simulation uses the in-hospital breastfeeding status for the first six months and the status at six months for the remainder of the year, while a second simulation uses the monthly status. In the second simulation, fewer eligible women are counted as breastfeeding, and the total number of WIC-eligible postpartum women is lower also. The ratio of the second set of estimates to the first provides an additional adjustment factor. The current values of these adjustment factors are 0.620 (for in-hospital breastfeeding) and 0.832 (for breastfeeding at 6 months). Territories Estimates of infants and children eligible for WIC in Puerto Rico are calculated directly using the Puerto Rico Community Survey (PRCS) data collected during 2013 and applying the same methods used for the U.S. population.29 Since Puerto Rico accounts for 88 percent of WIC-eligible persons in the territories, the use of recent demographic and income data for Puerto Rico (from the PRCS) provides a more accurate WIC eligibility estimate than the original CNSTAT territorial adjustment that simply 27 More information on the NHANES can be found at the Center for Disease Control and Prevention website: http://www.cdc.gov/nchs/nhanes/about_nhanes.htm. 28 Appendix Table A.4 provides the time series for the IFS and the NHANES data as well as the adjustment factors calculated from these data. 29 Information about the PRCS is available on the Census Bureau website, at http://www.census.gov/acs/www/about_the_survey/puerto_rico_community_survey/. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 10 increased the national estimates to account for WIC eligibles in all the territories based on decennial Census data. However, it should be noted that the 2013 PRCS captures a combination of 2012 and 2013 income; households are surveyed in each month of the year, and each household is asked to report income for the 12 months prior to the survey. Estimates of infants and children eligible for WIC in the other territories (American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, and the Virgin Islands), are based on two adjustments to Census’s population estimates for those territories. The first adjustment uses a special tabulation of the 2010 decennial Census to estimate the portion of the population that is income eligible. The second adjustment uses the relationship between adjunctive eligibility and income eligibility in Puerto Rico and the mainland in 2013 to estimate the number of additional infants and children in the other island territories made eligible through adjunctive eligibility. Estimates for pregnant and postpartum women in Puerto Rico and the other island territories are determined using a method that parallels the method used to estimate the number of WIC-eligible women in the fifty States and the District of Columbia. The estimates begin with the number of fully eligible infants in the territories. The estimates for pregnant women are adjusted for length of pregnancy, differences in income during pregnancy vs. after the birth, fetal and infant deaths, multiple births, and nutritional risk. All adjustments are the same as those applied at the national level. The estimates for postpartum women are adjusted for fetal and infant deaths, multiple births, breastfeeding, and nutritional risk. Since the Infant Feeding Survey (IFS) does not provide breastfeeding rates for Puerto Rico or the other island territories, the national breastfeeding rates were assumed. States The State estimates begin with the ACS data collected during 2013.30 Like the 2013 PRCS, the 2013 ACS captures a combination of 2012 and 2013 income. This is not ideal for estimation of 2013 WIC eligibility; but the ACS is nevertheless the best data source for determining State shares of WIC eligibility due to its very large sample sizes in all States. As explained earlier, the CNSTAT Panel recommended that all members of a household related by blood, marriage, or adoption be considered as one family unit for the purposes of determining WIC eligibility. However, the only information the ACS provides on family relationships is each individual’s relationship to the reference person (householder); for people not related to the householder, their relationships to each other are unknown. In complex households, WIC eligibility requires understanding relationships across all members of the household. For example, an unmarried partner of the householder with a child from a prior relationship is considered a separate family according to the CNSTAT procedures. Since the Minnesota Population Center’s Integrated Public Use Microdata Series (IPUMS-USA) provides researchers with educated conjectures about the relationships between persons not related to the householder, we use the ACS with these imputations.31 For each State, the 30 ACS documentation is available on the Census Bureau website, http://www.census.gov/acs/www/about_the_survey/american_community_survey/. 31 See Ruggles et al. (2010). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 11 numbers of infants and children who are income-eligible or adjunctively-eligible for WIC (enrolled in SNAP, TANF, or public health insurance32) are estimated using the ACS data. Like the process for estimating national-level WIC eligibility from the CPS-ASEC data, the process for estimating State-level eligibility from the ACS data involves the use of adjustment factors. Three of the adjustments—the population adjustments, the annual-to-monthly adjustment for children, and the breastfeeding adjustments—use State-specific data. However, the same annual-to-monthly adjustment for infants and the same nutritional risk adjustment are used for all the States. The ACS population weights are adjusted by State and by exact age, 0 through 4. Specifically, the ACS person weights for infants and children are proportionally adjusted so that the sums of the persons by age are equal to the Census Bureau population estimates for each State. This method differs somewhat from the method used for the CPS-ASEC in that the ACS method only considers the Census and ACS population estimates for the current year, not for the prior three years as well. Also, the ACS weight adjustments do not vary by racial group, since the Census Bureau does not release population estimates for racial subgroups by single year of age at the State level. The annual-to-monthly adjustment for children’s eligibility varies across the States as described earlier in the discussion of the annual-to-monthly adjustment at the national level. In brief, the factor is 1.0 in States that have not adopted 12-month certification (or that adopted it too late for it to affect 2013 eligibility), 1.04 in States that adopted the change early enough to be fully in affect in all months of 2013, and between 1.0 and 1.04 in other States, depending on the exact point of implementation. Estimates for pregnant and postpartum women are derived from the infant estimates as with the national estimates, with the exception that the breastfeeding adjustments incorporate State variation in breastfeeding rates. As explained above, the breastfeeding adjustment includes three components— the in-hospital and six-month breastfeeding rates for women participating in WIC, the adjustment for differences between WIC participants and WIC-eligible women, and the adjustment for the fact that breastfeeding declines from each month to the next. For the State-level WIC eligibility estimates, the second and third components of the adjustment remain as in the national estimates, but the first component—breastfeeding rates in the hospital and at six months—is modified to capture State-level variation in breastfeeding rates. Using information gathered through its Infant Feeding Survey, Abbott Laboratories publishes both in-hospital and at-six-month breastfeeding rates for women participating in WIC by State. For example, in 2013 the in-hospital breastfeeding rate for all infants (not just infants enrolled in WIC) ranged from 49 percent in Mississippi to 91 percent in Alaska according to the IFS (see Table B7 in Appendix B). These procedures produce ACS-based WIC eligibility estimates for each State and the District of Columbia; however, the sum of these estimates is not the same as the national estimate produced from the CPS-ASEC data. The CPS-ASEC has been judged as the better source for a national WIC eligibility estimate, due to the fact that the CPS-ASEC has more complete income and program participation data. Also, the CPS asks respondents for their income during the calendar year, while the ACS surveys 32 The ACS asks whether individuals are enrolled in “Medicaid, Medical Assistance, or any kind of government assistance plan for those with low income or a disability”. There is no separate identification of enrollment in Medicaid vs. CHIP. Thus, infants and children reported to be enrolled in government-assisted insurance according to this variable are counted as adjunctively eligible for WIC. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 12 households throughout the year and asks about income in the twelve months prior to the interview.33 Consequently, the ACS is less likely to detect increases in eligibility as the economy falters or decreases in eligibility when the economy improves. To create a consistent set of national and State WIC eligibility estimates, a top-down approach is used. Specifically, we compute each State’s share of the total ACS-based eligibility estimate, and then allocate the national estimates computed from the CPS-ASEC according to those State shares. With this approach, the accepted methodology for producing national estimates and a consistent time series of estimates can be maintained. We calculate State shares for each subgroup, which are applied to the CPS-ASEC national estimates for each subgroup. This produces estimates by subgroup at the FNS regional level (by summing the States within each FNS Region) and total WIC eligibility estimates at the State level. While estimates for subgroups help to build total WIC eligibility variation across the States, they are not sufficiently reliable to publish individually, as eligibility subgroups are relatively small in many States. However, starting with this report, State-level estimates are shown for the two aggregate subgroups “Children” and “Infants and Women”.34 National Eligibility Estimates: 2013 This section presents the 2013 national estimates, first describing the total estimates, including the estimates for the territories. Then it addresses the results specific to the U.S. mainland, including the results of the individual steps used to produce the estimates and the characteristics of the WIC-eligible population. Subsequently, we present the results of the individual steps used to produce the estimates for the territories. Total WIC eligibility results for 2013 are compared with 2012 eligibility estimates. Table 4 shows that 14.189 million individuals are estimated to have been eligible for WIC in the average month of CY 2013 across the fifty States, the District of Columbia, Puerto Rico, and the four other island territories.35 Of course, this is an estimate and could differ from the true number of eligibles due to differences between the survey and the full population and due to various methodological choices. However, we can be 90 percent confident that the true number of eligibles falls in the range from 13.6 million to 14.7 million.36 33 Respondents provide their income over the 12 months preceding the month they are surveyed; households surveyed in January 2013 thus provided their 2012 income, households surveyed in July 2013 provided their income from July 2012 through June 2013, and so on. 34 By aggregating subgroups and using 3-year averages, the reliability of the estimates was improved enough for publication. 35 Table 4 provides unrounded eligibility estimates for consistency with Table 5, which shows the precise impact of each adjustment. 36 See Table 16 for the statistical information that underlies the computation of this confidence interval. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 13 Table 4: Estimates of the Total Average Monthly Number of Individuals Eligible for WIC by Participant Group, CY 2013 NOTE: This table includes estimates for the territories 2013 NonEligibles 2,387,223 Eligiblesa Totalb 1,509,466 3,896,689 Total Children Ages 1-4 Children Age 1 Children Age 2 Children Age 3 Children Age 4 9,052,810 2,285,392 2,280,738 2,224,854 2,261,826 7,133,308 1,780,681 1,720,260 1,845,285 1,787,082 16,186,118 4,066,073 4,000,997 4,070,139 4,048,908 Pregnant Women 1,228,252 Participant Group Infants Postpartum Breastfeeding Women 826,003 Postpartum Non-Breastfeeding Women 694,264 All Postpartum Women Total WIC Eligibles 1,520,267 14,188,552 Source: 2014 CPS-ASEC for U.S. estimate, 2013 PRCS and Census International Data Base for territories Notes: a The non-eligible infants and children represent the difference between the total estimates of infants and children age 1 to 4 in the total United States and the WIC-eligible infants and children. b The total numbers of infants and children represent the sum of the March 2014 total number of infants and children adjusted for the under and over count of infants and children in the CPS relative to Census estimates plus the number of infants and children in Puerto Rico and the other island territories based on the 2013 PRCS and annual Census Bureau population estimates. The overall estimate includes 2.387 million infants (61 percent of all infants in the United States and territories) and 9.053 million children age 1 through 4 (56 percent of all young children). The number of children eligible for WIC varies somewhat across each year of age, as does the total number of children. The estimated average monthly number of pregnant women eligible for WIC, 1.228 million, is derived directly from the number of eligible infants (adjusted for multiple births and differences in income and adjunctive eligibility between infants and mothers, and adjusted for a maximum of nine months of benefits). The average monthly number of WIC-eligible postpartum women is also derived from the number of eligible infants and the estimates of breastfeeding rates calculated as summarized in Table 3 above. There were an estimated 0.826 million women eligible as breastfeeding mothers in NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 14 the average month of CY 2013, and an estimated 0.694 million eligible non-breastfeeding postpartum women. As described above, the national totals are derived from numerous factors. The results of each step in the estimation process are presented in Table 5. The estimation process begins by adjusting the counts of the number of infants and children from the 2014 CPS-ASEC (reflecting income in CY 2013) to compensate for the difference between CPS-ASEC weighted population counts and Census Bureau population counts. The total number of infants is adjusted upward from 3.784 to 3.852 million (1.8 percent) while the total number of children is adjusted downward from 16.081 million to 16.001 million (0.5 percent).37 Overall, the population of infants and children through age 4, as measured in the CPS-ASEC data, is almost unchanged, decreasing by only 0.1 percent. After the application of the population adjustment factors, the next step is to count the incomeeligible infants and children, by comparing their annual family incomes to 185 percent of a two-year average of the federal poverty guidelines. For CY 2013, the CPS-ASEC data (with adjusted weights) include 1.620 million infants and 6.826 million children with annual family income under that level. Adjunctive eligibility due to enrollment in SNAP, TANF, or Medicaid increases both the infant and young children eligibility estimate by 29 percent (2.083 million compared with 1.620 million, and 8.813 million compared with 6.826 million, respectively). Medicaid accounted for most of those adjunctively eligible for WIC in 2013 (0.330 million infants and 1.548 million children age 1 to 4). The roles of Medicaid, SNAP, and TANF in adjunctive eligibility reflect program eligibility policies and caseload sizes. More children are enrolled in Medicaid than the other two programs,38 as many States have expanded eligibility for Medicaid to income levels above 185 percent of poverty, with some Medicaid income limits for infants and young children at 300 percent of poverty.39 The gross income limit for SNAP is generally 130 percent of poverty, but it may be higher in States offering broad-based categorical eligibility40 . Income limits for TANF are much lower, but a few States have earned income disregard policies that temporarily allow higher incomes.41 37 Note that because the weight adjustments use four years of data, the adjusted weighted figures do not exactly match Census Bureau population estimates for 2013. 38 In 2013, 28.0 million non-disabled children (age 18 and under) were enrolled in Medicaid in June, 20.9 million children (under age 18) were enrolled in SNAP sometime during the fiscal year, and 3.0 million children (generally age 18 and under) received TANF benefits in the average month. Medicaid caseload data are from Kaiser (2014), SNAP caseload data are from Gray (2014), and TANF caseload data are from Administration for Children and Families (2013). 39 In 2013, for example, 25 States offered either regular Medicaid or CHIP-expansion coverage to infants in families with incomes above 185 percent of poverty; 15 of these States offered this coverage to children through age 5. There were eight States with a Medicaid income limit for infants at or above 250 percent of poverty, and six States with a limit at or above 250 percent of poverty for young children. (See Table 1 in Heberlein, Brooks, Artiga, and Stephens, 2013). 40 See U.S. Department of Agriculture (2012). 41 See Table IV.A.6 in Huber, Kassabian, and Cohen (2014). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 15 Table 5: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC by Participant Group, CY 2013 NOTE: Estimates for the territories are added at the bottom of this table. The top portion of this table does not include estimates from the territories. Children Age 2 Children Age 3 Children Age 4 Total Children Age 1 to 4 Infants Total number of infants/children in the 2014 CPS-ASEC 3,783,867 4,111,128 3,922,860 4,022,959 4,024,346 16,081,293 19,865,160 Number (non-U.S. Territory) after adjustment for CPS under/over count 3,852,294 4,021,009 3,955,813 4,022,959 4,001,332 16,001,114 19,853,408 Number with annual income <185% FPG 1,619,876 1,737,479 1,734,875 1,676,574 1,676,922 6,825,850 8,445,726 463,270 133,034 486 329,750 487,517 83,224 498 403,794 486,151 83,858 8,022 394,270 488,916 75,880 8,128 404,908 524,936 172,633 7,151 345,152 1,987,520 415,596 23,800 1,548,124 2,450,790 548,630 24,286 1,877,874 Total number income and adjunctively eligible 2,083,146 2,224,996 2,221,026 2,165,490 2,201,858 8,813,370 10,896,516 Number after monthly income adjustment 2,416,450 2,269,496 2,265,446 2,208,800 2,245,895 8,989,637 11,406,087 Total Eligibles - Number after adjustment for nutritional risk (infants and children) 2,343,956 2,246,801 2,242,792 2,186,712 2,223,436 8,899,741 11,243,697 Number of additional people adjunctively eligible above 185% FPGa Through SNAP Through TANF Through Medicaid Pregnant Women Postpartum Postpartum NonBreastfeeding Breastfeeding Women Women Children Age 1 Total Starting point for estimates of women is fully eligible infants 2,343,956 2,343,956 2,343,956 7,031,868 Number after adjustment for length of pregnancy and income of woman during pregnancy Number after adjustment for multiple births and infant deaths 1,248,157 1,243,289 2,334,815 2,334,815 1,248,157 5,912,918 811,032 681,681 1,492,713 Number after adjustment for breastfeeding Total Eligibles - Number after adjustment for nutritional risk (pregnant and postpartum women) CY 2013 - Eligibles in the U.S. Territories Total Eligibles in the U.S. Territories 1,205,990 811,032 681,681 Postpartum Postpartum NonBreastfeeding Breastfeeding Women Women 2,698,703 Infants Children Age 1 Children Age 2 Children Age 3 Children Age 4 Total Children Ages 1-4 43,267 38,591 37,946 38,142 38,390 153,069 22,262 14,971 12,583 Total 246,152 2,387,223 2,285,392 2,280,738 2,224,854 2,261,826 9,052,810 1,228,252 826,003 694,264 14,188,552 Pregnant Women Source: 2013 PRCS and Census International Data Base Total Eligibles - States and Territories U.S. Total See Tables 1 and 3 for adjustment factors applied. a Adjunctive eligibility is counted by the first program that qualifies the person for WIC, in this order: SNAP, TANF, and Medicaid. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 16 The next adjustment accounts for intra-year fluctuation in income, intra-year fluctuations in enrollment in the programs that confer adjunctive eligibility, and the fact that individuals are certified eligible for six or 12 months. The number of infants who appear eligible based on annual income and program participation is increased by 16 percent while the number of children increases by 2 percent. The final adjustment to the number of infants and children reduces the estimates slightly to reflect the fact that some may meet all other criteria but not be considered at nutritional risk. The estimate is reduced by three percent for infants and one percent for children as shown in Table 1. Total WIC eligibility in the U.S. (not including territories) in 2013 is estimated at 2.344 million for infants and 8.900 million for children; with the territories included, 2.387 million infants and 9.053 million children are estimated to be eligible for WIC. The estimates for pregnant women begin from the final estimate of 2.344 million WIC-eligible infants in the U.S. in the average month of CY 2013. As explained above, this figure is adjusted for the length of pregnancy and the fact that a woman may have higher income during pregnancy than after birth (the factor is 0.533 as shown in Table 3). The next adjustment (0.9961) compensates for the fact that the count of infants very slightly overstates the count of pregnant women, and the final adjustment (0.97) reflects the assumption that 3 percent of otherwise-eligible pregnant women are not at nutritional risk. The final estimate is 1.206 million women eligible for WIC during pregnancy in the U.S. (excluding the territories) during the average month of CY 2013. The estimates for postpartum women—breastfeeding and non-breastfeeding—also begin from the estimate of 2.344 million WIC-eligible infants in the U.S. As in the estimation process for pregnant women, this figure is adjusted by 0.9961 to adjust for fetal and infant deaths and multiple births. The next three adjustments take into account that mothers who receive WIC may not receive it for as many months as their infants, and that breastfeeding status affects eligibility. The average monthly estimate of postpartum breastfeeding women eligible for WIC in the U.S. in 2013 is 0.811 million, and the estimate of postpartum non-breastfeeding women is 0.682 million. (These figures exclude the territories.) Characteristics of WIC Eligibles in the U.S. The CPS-ASEC data allow an examination of the characteristics of the infants and children identified as eligible for WIC based on annual characteristics in 2013 (Table 6). Focusing first on basic demographics, the WIC-eligible infants and children are evenly divided between boys and girls, and are predominantly white (65 percent of infants and 66 percent of children), with most of the remainder being black (20 percent of infants and 22 percent of children); other WIC-eligible children report another race or multiple races. Small sample size prevents the “other” category from being subdivided. Thirty-five percent of the WIC-eligible infants and children are Hispanic (36 percent of infants and 35 percent of children). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 17 Table 6: Estimates of the Average Monthly Percent of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics, CY 2013 Table 6: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics, CY 2013 Fully adjusted weightsa WIC-Eligible Infants Family income Adjunct<185% ively WIC-Eligible Children Age 1 to 4 Family income Adjunct<185% ively WIC-Eligible Children Age 0 to 4 Family income Adjunct<185% ively FPGb eligible c Total FPGb eligible c Total FPGb 1,822,685 521,272 2,343,957 6,892,743 2,006,998 8,899,741 8,715,427 Gender (% distribution) Male Female 51.0 49.0 38.0 62.0 48.1 51.9 50.6 49.4 52.9 47.1 51.1 48.9 50.7 49.3 49.8 50.2 50.5 49.5 Race (% distribution) White Black Other 63.4 22.1 14.5 70.6 12.3 17.1 65.0 19.9 15.1 65.2 22.8 11.9 69.1 17.0 13.9 66.1 21.5 12.4 64.8 22.7 12.5 69.4 16.0 14.6 65.9 21.2 12.9 Ethnicity (% distribution) Hispanic Non-Hispanic 37.4 62.6 31.3 68.7 36.0 64.0 36.7 63.3 30.6 69.4 35.3 64.7 36.8 63.2 30.7 69.3 35.4 64.6 Living arrangement (% distribution) Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 60.8 34.0 5.1 2.3 2.8 73.9 23.6 2.4 2.4 0.0 63.7 31.7 4.5 2.3 2.2 55.1 39.8 5.0 3.2 1.8 67.1 26.2 6.7 6.7 0.0 57.8 36.7 5.4 4.0 1.4 56.3 38.6 5.1 3.0 2.1 68.5 25.7 5.8 5.8 0.0 59.1 35.7 5.2 3.6 1.6 Number of people in household (% distribution) 2 3 4 5 6 or more 5.3 24.1 24.4 21.1 25.1 1.6 26.5 26.9 21.6 23.4 4.5 24.6 24.9 21.2 24.7 5.7 18.4 29.8 23.0 23.2 4.0 25.5 29.2 20.5 20.8 5.3 20.0 29.6 22.4 22.6 5.6 19.6 28.6 22.6 23.6 3.5 25.7 28.7 20.7 21.3 5.1 21.0 28.7 22.2 23.1 Number with working parent(s) (% distribution) 53.4 85.9 60.6 66.0 86.9 70.7 63.4 86.7 68.6 Annual family income relative to povertyb (% distribution) Less than 50% FPL 30.8 50% to <100% FPL 27.3 100% to <130% FPL 17.2 130% to <185% FPL 23.9 185% to <200% FPL 0.8 200% to <250% FPL 0.0 250% FPL and above 0.0 0.0 0.0 0.0 1.4 14.7 21.6 62.3 23.9 21.3 13.3 18.9 3.9 4.8 13.9 26.9 26.7 17.2 28.5 0.5 0.1 0.0 0.0 0.0 0.0 2.2 9.0 27.8 61.0 20.8 20.7 13.3 22.6 2.4 6.4 13.7 27.7 26.9 17.2 27.6 0.6 0.1 0.0 0.0 0.0 0.0 2.1 10.2 26.5 61.2 21.5 20.8 13.3 21.8 2.7 6.0 13.8 Benefit receipt (% distribution) No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only 0.0 2.1 0.0 20.1 0.1 6.5 0.0 71.2 15.1 6.4 0.0 36.1 0.3 6.0 0.0 36.1 23.4 6.8 0.0 38.2 0.4 4.6 0.0 26.5 0.0 1.4 0.0 15.8 1.2 3.8 0.0 77.9 18.1 5.6 0.0 33.1 0.6 4.4 0.0 38.1 22.6 7.0 0.0 38.7 0.4 4.9 0.0 26.4 0.0 1.5 0.0 16.7 1.0 4.3 0.0 76.5 17.5 5.8 0.0 33.8 0.5 4.8 0.0 37.7 Demographic Characteristics Total 19.4 7.6 0.0 40.6 0.4 5.9 0.0 26.1 eligible c Total 2,528,270 11,243,698 Source: 2014 CPS-ASEC Notes: FPG - Federal Poverty Guidelines FPL - Federal Poverty Level a These estimates are tabulated from the fully adjusted person weights on the 2014 CPS-ASEC. They are adjusted to account for the under or over count of infants and children in the CPS relative to Census estimates, monthly income, and nutritional risk. See Appendix TablesA.3a/b and A.6 for the adjustment factors. b This table uses both the Federal Poverty Guidelines (FPG) and the Federal Poverty Thresholds or "Levels" (FPL). The thresholds are used to calculate the ratio of annual family income to the poverty threshold for their family size. The guidelines are used in determining WIC eligibility. c Infants and children adjunctively eligible are those whose family income was not below 185% FPG but who reported receipt of SNAP, Medicaid, or TANF. Therefore, the two categories are mutually exclusive. d This table does not include territories. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 18 Turning to the family characteristics of the eligible infants and children, most live in two-parent families (64 percent of infants and 58 percent of children). Most of the remainder live in single-parent families (32 percent of infants and 37 percent of children), and a small portion live with a non-parent caretaker (5 percent overall). Large households are relatively common, with nearly one quarter of WIC-eligible infants and children living in households with six or more persons. Most WIC-eligible infants and children live with working parents (61 percent of infants and 71 percent of children). Among infants and children who are estimated to be eligible based on annual income, 55 percent live in families with annual incomes below the poverty threshold.42 The table also provides some insight into the characteristics of infants and children who become eligible through adjunctive eligibility compared with those who are eligible based on income. The infants and children who are eligible due only to adjunctive eligibility are more likely to have two parents (69 percent of adjunctively-eligible infants and children compared with 56 percent of those who are income-eligible) and more likely to have working parents (87 percent vs. 63 percent). Among the infants and children who are only eligible through adjunctive eligibility rules, 12 percent are in families with income under 200 percent of the poverty threshold, 27 percent have income from 200 to under 250 percent of the poverty threshold, and 61 percent live in families that have annual income of 250 percent of the poverty threshold and higher. 43 There are various reasons for the relatively-high annual income levels among adjunctively-eligible infants and children. One reason is that the Medicaid income limit for infants and children is as high as 300 percent of poverty in some States.44 Another reason is that many lower-income families experience changes in income during a year, so a family could have enrolled in TANF, SNAP, or Medicaid at a point of lower income, even if annual income is somewhat higher. Further, the programs that confer adjunctive eligibility all use various types of income disregards, and they do not necessarily count the income of all members of the family as defined by the WIC program. For example, when a child’s caretaker is his or her grandparent, the grandparent’s income is typically not a factor in the child’s eligibility for Medicaid. Territories We computed the number of infants and children (age 1 to 4) residing in Puerto Rico from the 2013 PRCS and adjusted the number for the 2013 Census under/over count (Table 7). Using the adjusted population counts, 83 percent of infants (31,935) as well as 82 percent of children (131,369) were eligible for WIC based on having annual income under 185 percent of the poverty guideline—higher than the percentages of infants and children in the fifty States and the District of Columbia who appear eligible based on annual income. Factoring in adjunctive eligibility increased these eligibility estimates by six percent for infants (1,853) and by four percent for children (5,304). Given the high proportions of 42 The table shows family income relative to the poverty threshold, the measure used for the Census Bureau’s tabulations of poverty status for research purposes (as opposed to the poverty guidelines, used for program administrative purposes). 43 Note that while 22.5 percent of all WIC-eligible infants and children have incomes above 185 percent of the poverty threshold, among actual WIC participants this percentage is much lower (1.3 percent in 2012 according to USDA, 2012, p 43). 44 See Heberlein et al. (2013). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 19 infants and children who are income-eligible, it is reasonable that adjunctive eligibility due to program enrollment matters less in Puerto Rico than in the fifty States and the District of Columbia. As with the national estimates, the annual-to-monthly adjustment factors are applied to the direct estimates from the 2013 PRCS to take into account the impact of certification periods and changes during a year in income and program participation. Since a high proportion of infants and children are income-eligible in Puerto Rico, it is possible that the true factors should be lower. However, in the absence of other data, the SIPP-based annual-to-monthly factors are applied to derive the Puerto Rico eligibility estimates. The nutritional risk adjustment factors of 0.97 for infants and 0.99 for children also are applied. The final average monthly eligibility estimates for Puerto Rico are 37,997 infants (99 percent of the total adjusted infant population) and 135,306 children age 1 to 4 (84 percent of the total adjusted population). Note that these eligibility rates are considerably higher than those of the mainland U.S. (61 percent for infants and 56 percent for children). For infants and children residing in other island territories (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands), the only data available are annual population estimates for single year of age (from the Census Bureau’s International Database) and the percent of infants and children who are income eligible (from the 2010 decennial Census data). Our methods therefore use the 2013 population estimates, but assume that the percentage of the population that is income eligible for WIC is the same as in the 2010 decennial Census (67.4 percent). While this percentage represents the most recently available evidence on income eligibility in the other island territories, it does not account for adjunctive eligibility. To estimate the additional number of infants and children who would gain eligibility through participation in other safety net programs, we examined the relationship between adjunctive eligibility and income eligibility in Puerto Rico and the mainland in 2013. That information implies roughly an increase of 14 percent in the number of WIC-eligible infants, and an increase of 11 percent in the number of WICeligible children, due to adjunctive eligibility. These procedures result in an estimate of 86 percent of infants and 74 percent of children eligible for WIC in the other island territories due to annual income or program participation. As with the estimates for Puerto Rico, the final steps in the estimation of WIC-eligible infants and children in the other island territories are to apply the annual-to-monthly adjustment factors and the nutritional risk adjustment factors. The final eligibility estimates suggest that in the other island territories combined, the average monthly number of eligible infants is 5,270 (86 percent of total infants), and the average monthly number of eligible children is 17,763 (74 percent of total children). As described earlier, estimates for pregnant and postpartum women in Puerto Rico and the other island territories are determined using a method that parallels that used for the estimates for the fifty States and the District of Columbia. The estimates begin with the number of fully eligible infants in the territories (43,267, including Puerto Rico and the other island territories). After adjustments for length of pregnancy, income during pregnancy, and multiple births, we estimate that in 2013 across the territories there were 22,262 WIC-eligible pregnant women, 14,971 WIC-eligible postpartum breastfeeding women, and 12,583 WIC-eligible non-breastfeeding women (Table 7). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 20 Table 7: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC in Puerto Rico and the Other Island Territories by Participant Group, CY 2013 Children Age 1 Children Age 2 Children Age 3 Children Age 4 Total Children Ages 1-4 36,071 38,028 43,303 46,369 163,771 199,351 Pregnant Women Postpartum Breastfeeding Women Postpartum NonBreastfeeding Women Total Puerto Rico Total number of infants/children in the 2013 PRCS Infants 35,580 Number after adjustment for PRCS under/over count 38,288 38,994 39,180 41,225 41,658 161,057 199,345 Number with annual income <185% FPG 31,935 33,301 32,696 32,361 33,011 131,369 163,304 Number of additional people adjunctively eligible above 185% FPGa Through SNAP Through TANF Through Medicaid 1,835 1,208 0 626 1,132 130 0 1,002 1,134 449 36 649 1,705 620 0 1,085 1,332 520 0 812 5,304 1,719 36 3,549 7,138 2,927 36 4,175 Total number income and adjunctively eligible 33,769 34,433 33,831 34,066 34,343 136,673 170,442 Number after monthly income adjustment 39,173 34,433 33,831 34,066 34,343 136,673 175,845 33,758 33,167 33,398 33,670 133,993 34,089 33,492 33,725 34,000 135,306 Total Eligibles - Number after adjustment for nutritional risk (infants and children) 37,997 173,304 Starting point for estimates of women is fully eligible infants 37,997 Number after adjustment for length of pregnancy and income of woman during pregnancy 20,234 Number after adjustment for multiple births and infant deaths 20,155 Number after adjustment for breastfeeding Total Eligibles - Number after adjustment for nutritional risk (pregnant and postpartum women) 19,550 37,997 37,997 113,992 20,234 37,849 37,849 95,853 13,147 11,051 24,198 13,147 11,051 43,748 Continued on next page NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 21 Table 7: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC in Puerto Rico and the Other Island Territories by Participant Group, CY 2013 (continued) Other Island Territories Total number of infants/children in the Other Island Territories Age 0-4 Infants Children Age 1 Children Age 2 Children Age 3 Children Age 4 Total Children Ages 1-4 Pregnant Women Postpartum Breastfeeding Women Postpartum NonBreastfeeding Women Total 6,107 6,070 6,004 5,955 5,918 23,947 30,054 Number after the other islands full-eligibility factor 4,684 4,548 4,499 4,462 4,434 17,942 22,626 Number after monthly income adjustment 5,433 4,548 4,499 4,462 4,434 17,942 23,376 Total Eligibles - Number after adjustment for nutritional risk (infants and children) 5,270 4,503 4,454 4,417 4,390 17,763 23,033 Starting point for estimates of women is fully eligible infants 5,270 Number after adjustment for length of pregnancy and income of woman during pregnancy 2,806 Number after adjustment for multiple births and infant deaths 2,795 Total Eligibles - U.S. Territories Total 43,267 38,591 37,946 38,142 38,390 153,069 5,270 15,810 2,806 5,250 5,250 13,294 1,824 1,533 3,356 2,712 1,824 1,533 6,068 22,262 14,971 12,583 246,152 Number after adjustment for breastfeeding Total Eligibles - Number after adjustment for nutritional risk (pregnant and postpartum women) 5,270 See Tables 1 and 3 for adjustment factors applied. a Adjunctive eligibility is counted by the first program that qualifies the person for WIC, in this order: SNAP, TANF, and Medicaid. Notes: FPG = Federal poverty guidelines NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 22 Comparing 2013 to 2012 Overall, the number of people estimated as eligible for WIC in 2013 is 1.0 percent higher than the number estimated as eligible in 2012 (Table 8). Estimated eligibility increased for children and decreased for the other subgroups. However, from a statistical standpoint, we cannot rule out the possibility that these changes are all due solely to sampling variability in the CPS-ASEC survey data.45 Changes in the size of the eligible population occur as the net result of two other changes – changes in total population size and change in the eligibility rate (i.e. the percentage of the total population estimated to be eligible). Table 8 displays the percentage changes in population size, estimated eligibility, and the eligibility rate (rather than percentage point changes) to aid in decomposing the changes in the eligibility estimates. For each subgroup, the percentage change in total eligibles is equal to the starting-point number of eligibles (in 2012), increased (or decreased) by the percentage change in total population, and increased (or decreased) again by the percentage change in the eligibility rate. Thus, for each change in eligibility, the relative contributions of the population change and the eligibility rate change can be easily observed. In the case of infants, from 2012 to 2013, the total population of infants as defined by these procedures decreased by 1.1 percent and the eligibility rate declined by 0.2 percent, leading to a 1.4 percent drop in the estimate of WIC-eligible infants.46 The stability in the eligibility rate may be due to a combination of factors working in different directions. In particular, the unemployment rate fell slightly from 8.1 percent in 2012 to 7.4 percent in 2013,47 which would tend to decrease eligibility; but there was increased enrollment in programs that led to somewhat more infants being adjunctively eligible.48 For children, the results worked out differently. The total population was almost unchanged, but the estimated eligibility rate increased by 2.6 percent, leading to a 2.6 percent increase in the eligibility estimate. Most of the increase in the children’s eligibility rate came from a policy change: the fact that many States have moved from 6-month to 12-month certification. As discussed earlier, we are capturing the increased implementation of 12-month certification through an increase in the annualto-monthly adjustment factor for children (from 1.0 in the 2012 estimates to a national level of 1.02 for the 2013 estimates). In the absence of that change, we would have estimated an increase of 0.6 percent in children’s eligibility from 2012 to 2013. 45 When tested at a 90 percent level of confidence, the changes are not statistically significant. In other words, we cannot be 90 percent certain that the changes in eligibility for infants, children, and women are true changes, rather than being due to sampling variability in the surveys. 46 The Census Bureau’s most recent postcensal population estimates for March 2014 vs. March 2013 show somewhat different changes in the infant and child populations than shown in Table 8— a 0.01 percent increase in the infant population and a 0.26 percent decline in the population of young children. These percentages differ from those used in this analysis since the population estimates used for this analysis are not tied solely to the annual Census population estimates. 47 See the Bureau of Labor Statistics website, http://data.bls.gov, series ID LNU04000000. 48 For example, the average SNAP caseload increased from 46.6 million in 2012 to 47.6 million in 2013. See the Food and Nutrition Service website, http://www.fns.usda.gov/pd/supplemental-nutrition-assistance-program-snap, “Participation and Costs, 1969-2013. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 23 Among women, the estimated changes varied across pregnant women, breastfeeding mothers, and non-breastfeeding postpartum women. The 1.4 percent decrease in the eligibility estimate for pregnant women follows the decrease among infants since this estimate begins with the number of eligible infants and does not use any year-specific adjustments. For postpartum women, the eligibility estimate also begins with the infant eligibility estimate, but changes in these estimates are closely related to changes in the assumptions about breastfeeding—how many WIC-eligible mothers begin to breastfeed and how long they continue. According to the IFS survey (Figure 1), the in-hospital breastfeeding rate for WIC mothers increased from 61 percent in 2012 to 64 percent in 2013, but the percentage of WIC mothers breastfeeding at six months decreased from 31 percent in 2012 to 29 percent in 2013. Since more women are breastfeeding in the first six months (when they would be potentially eligible for WIC regardless of breastfeeding), fewer are counted as non-breastfeeding mothers, and the estimated eligibility for that group falls by 4.1 percent. The combined effects of more women starting to breastfeed, but stopping sooner, leads to an estimated 1.6 percent reduction in WIC eligibility for breastfeeding postpartum women. Considering both the breastfeeding and nonbreastfeeding women in combination, estimated eligibility for all postpartum women is estimated to be 2.8 percent lower than in 2012. It is worth noting in Figure 1 that the WIC administrative data show more modest changes in breastfeeding than shown in the IFS data. According to the administrative data, while the portion of WIC-recipient mothers who receive a breastfeeding package has trended upwards (from 43 percent in 2000 to 50 percent in 2013), the year-to-year changes have been gradual and generally in the same direction. On the other hand, the IFS data show more year-to-year variation in both the magnitude and direction of the changes. 49 Given the importance of the breastfeeding rates to the eligibility estimates for postpartum mothers, more analysis of these data is warranted. 49 The National Immunization Survey (NIS), conducted by the Centers for Disease Control, shows somewhat different breastfeeding information. For example, the IFS statistic that 42.8 percent of all mothers breastfed at six months in 2013 is lower than the six-month breastfeeding rate of 49.4 percent for 2011 from the NIS, (See the National Immunization Survey webpage, “Rates of Any and Exclusive Breastfeeding by Socio-demographics Among Children Born in 2011,” http://www.cdc.gov/breastfeeding/data/nis_data/rates-any-exclusive-bf-socio-dem-2011.htm.) Also, the NIS shows a different trend; for example, for all mothers, there are no year-to-year declines in the six-month rate over the period from 2000 to their (provisional) 2010 data. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 24 Table 8: Estimates of the Total Average Monthly Number of Individuals Eligible for WIC by Participant Group: A Comparison of CY 2012 and 2013 NOTE: This table includes estimates for the territories. Total Total Eligibles Eligibility Rate 2013 2012 Percent Change 2013 2012 Percent Change Infants 3,896,689 3,941,665 -1.1% 2,387,223 2,420,597 -1.4% 61.3 61.4 Total Children Ages 1-4 Children Age 1 Children Age 2 Children Age 3 Children Age 4 16,186,118 16,183,647 4,066,073 4,009,860 4,000,997 4,045,462 4,070,139 4,046,536 4,048,908 4,081,789 0.0% 1.4% -1.1% 0.6% -0.8% 9,053,165 2,285,482 2,280,827 2,224,943 2,261,914 8,823,888 2,185,171 2,196,651 2,232,286 2,209,780 2.6% 4.6% 3.8% -0.3% 2.4% 55.9 56.2 57.0 54.7 55.9 54.5 54.5 54.3 55.2 54.1 Pregnant Women 1,228,252 1,245,423 All Postpartum Women Breastfeeding Women Non-Breastfeeding Women 1,520,267 826,003 694,264 Total WIC Eligibles 14,188,907 Participant Group 2012 Percent Change -0.2% 84.4 85.1 -0.8% 2.6% 3.1% 5.0% -0.9% 3.2% 49.8 68.8 50.0 47.3 32.9 53.4 75.2 54.3 49.3 35.2 -6.8% -8.6% -7.9% -4.1% -6.6% -1.4% 68.4 70.9 -3.6% 1,563,454 839,736 723,718 -2.8% -1.6% -4.1% 77.8 71.9 84.9 77.0 70.4 84.6 1.1% 2.0% 0.4% 14,053,362 1.0% 60.2 63.1 -4.5% 2012 Percent Change Coverage Rate 2013 2013 Sources: Eligibility estimates use information from the March 2013 and March 2014 CPS; 2004 and 2008 SIPP panels; 2001-2002, 2003-2004, and 2005-2006 NHANES; and 2012 and 2013 IFS. Coverage rates use data on WIC participants from WIC administrative data; participant data by exact year of age for young children is estimated using enrollment data from Johnson et al. (2013), Figure E.1. Note: Changes in the number of eligibles between 2012 and 2013 are not statistically significant at the 90 percent confidence level; all changes could be due solely to sampling variability in the survey. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 25 Figure 1: Breastfeeding Rates over Time Breastfeeding Rates Over Time 80 Pct of postpartum women receiving WIC who receive a breastfeeding package 70 60 Pct of postpartum women simulated as eligible for WIC who are breastfeeding 50 WIC BF rate, in-hosp (IFS) 40 WIC BF rate, 6-mo (IFS) 30 All BF rate, in-hosp (IFS) 20 All BF rate, 6-mo (IFS) 10 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 26 Regional and State Estimates of WIC Eligibility: 2013 As explained above, the large sample size of the ACS allows WIC eligibility to be estimated for each State and the District of Columbia. Eligibility varies across the country due to variations in total population, demographic characteristics, income levels, and State policy choices. This section first examines the distribution of WIC eligibility across regions and States and then presents the regionallevel eligibility rates—the percentages of women, infants and children who are estimated to meet program eligibility requirements. As mentioned above in the context of the national estimates, all the WIC eligibility estimates are affected by sampling variability; measures of precision of the State and regional eligibility estimates are provided in the section following this one. Distribution of WIC Eligibles The estimated distribution of WIC eligibility by FNS region (Table 9) shows the greatest portions of WIC eligibles in the Southeast and Western regions (with 21 percent of all WIC eligibles, each), while the Northeast and Mountain Plains regions have the fewest WIC-eligible individuals (about nine percent and seven percent, respectively). The distribution of estimated eligibility across regions is approximately the same for each subgroup of WIC-eligible individuals. By State (Table 10), California has the largest share of WIC eligibles, with an estimated 13 percent of all WIC-eligible individuals. Other States with large shares of total WIC eligibility are Texas (11 percent), Florida (6 percent), and New York (6 percent). Table 9: Distribution of WIC Eligibles by FNS Region for each Participant Group, CY 2013 Infants Distribution of Eligibles Northeast 8.8% Mid-Atlantic 11.6% Southeast 21.1% Midwest 14.7% Southwest 15.8% Mountain Plains 7.5% Western 20.5% Total 100.0% Children (age 1 to 4) Pregnant Women All Postpartum Women Total 8.9% 11.3% 21.3% 14.7% 15.7% 7.4% 20.7% 100.0% 8.8% 11.6% 21.1% 14.7% 15.8% 7.5% 20.5% 100.0% 9.3% 11.4% 20.5% 14.2% 15.1% 7.4% 22.2% 100.0% 8.9% 11.4% 21.1% 14.7% 15.7% 7.4% 20.8% 100.0% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 27 Table 10: Distribution of WIC Eligibility by State and FNS Region, CY 2013 Percent Share of National WIC Eligibles State a Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico 1.6% 0.2% 2.2% 1.1% 13.0% 1.4% 0.8% 0.3% 0.2% 6.2% 3.7% 0.4% 0.6% 3.7% 2.1% 0.9% 0.9% 1.4% 1.7% 0.3% 1.5% 1.4% 2.9% 1.2% 1.2% 1.8% 0.3% 0.6% 0.8% 0.3% 2.1% 0.9% Percent Share of National WIC Eligibles New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 5.7% 3.3% 0.2% 3.3% 1.5% 1.2% 3.2% 1.5% 0.3% 1.6% 0.3% 2.2% 10.5% 1.0% 0.2% 2.0% 2.1% 0.6% 1.4% 0.2% FNS Regionb Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 8.9% 11.4% 21.1% 14.7% 15.7% 7.4% 20.8% Total 100.0% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base Notes: a State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 28 WIC Eligibility Rates across States and Regions A State’s or region’s share of total WIC eligibles is due in large part to that State’s or region’s share of total population. (California has the largest population and, not surprisingly, has the most WIC eligibles.) However, States and regions do show some variation in their WIC eligibility rates—the portions of the population of women, infants, and children who appear to meet other eligibility requirements – that is unrelated to the State or region’s share of total population. As shown earlier, the national-level analysis suggests that 61.3 percent of infants and 55.9 percent of young children were eligible for WIC in the average month of 2013. However, at the regional level, the percentage of infants who appear eligible for WIC varies from 54.6 percent in the Mountain-Plains to 68.9 percent in the Southwest; and the percentage of children who appear eligible for WIC varies from 48.6 percent in the Mountain Plans to 62.5 percent in the Southeast (Table 11). Table 11: WIC Eligibles by FNS Region and Participant Group, CY 2012 and CY 2013 Infants Children (age 1 to 4) Pregnant Women All Postpartum Women Total Eligibility Rate, 2013 Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 55.0% 55.9% 68.1% 57.5% 68.9% 54.6% 61.5% 61.3% 52.0% 50.1% 62.5% 52.0% 62.0% 48.6% 57.1% 55.9% 37.9% 38.5% 46.9% 39.6% 47.5% 37.6% 42.4% 42.2% 37.0% 35.2% 42.3% 35.5% 41.9% 34.4% 42.7% 39.2% 48.7% 47.5% 58.7% 49.1% 58.6% 46.3% 54.1% 52.8% Eligibility Rate, 2012 Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 53.8% 55.8% 69.5% 58.8% 67.7% 54.4% 61.4% 61.4% 50.1% 49.2% 60.3% 51.0% 60.9% 48.8% 55.2% 54.5% 37.0% 38.5% 47.8% 40.5% 46.7% 37.5% 42.3% 42.3% 34.6% 35.3% 42.9% 38.6% 42.9% 35.1% 43.0% 39.8% 46.9% 47.0% 57.7% 49.2% 57.7% 46.4% 52.9% 52.1% 2.4% 0.1% -1.9% -2.2% 1.7% 0.5% 0.2% -0.2% 7.2% -0.2% -1.4% -8.2% -2.4% -1.8% -0.6% -1.6% 3.8% 1.1% 1.7% -0.2% 1.5% -0.3% 2.2% 1.4% Percent Change in Eligibility Rate, 2013 vs 2012 Northeast 2.4% 3.7% Mid-Atlantic 0.1% 1.8% Southeast -1.9% 3.6% Midwest -2.2% 2.1% Southwest 1.7% 1.9% Mountain Plains 0.5% -0.4% Western 0.2% 3.4% Total -0.2% 2.6% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 29 WIC eligibility rates for infants and pregnant women appeared to increase between 2012 and 2013 in most of the regions, but decreased slightly overall. The degree of change varied across the regions. For infants, while the national WIC eligibility rate decreased by 0.2 percent between 2012 and 2013, the regional changes ranged from a 2.4 percent increase in the Northeast to a reduction of 2.2 percent in the Midwest. The regional pattern of change in the eligibility rates for pregnant women follows that for infants, although the eligibility rates themselves are smaller for pregnant women than for infants. For postpartum women, the eligibility rate decreased overall by 1.6 percent. At the regional level, the eligibility rate decreased 8.0 percent in the Midwest, while rising 7.0 percent in the Northeast. The eligibility rate for children rose by 2.6 percent, increasing in all but one of the regions – the rate decreased by 0.4 percent in the Mountain Plains. Among the other regions, the increase in the children’s eligibility rate ranged from 1.9 percent in the Southwest to 3.7 percent in the Northeast. Changes in the children’s eligibility rate between the two years were likely due in part to the extent to which States in each region have adopted 12-month certification. WIC Coverage Rates The WIC eligibility estimates at the national, regional, and State levels can be compared with program administrative data to estimate program coverage rates—defined as the number of individuals participating50 in the WIC program divided by the number eligible (these are alternately referred to as participation rates). For the first time in this series, State eligibility estimates are provided separately for children and for the combined group of infants and women. WIC Coverage Rates in 2013 At the national level, the WIC coverage rate for 2013 is estimated at 60.2 percent overall (Table 12), with the highest rate for infants (84.4 percent of eligible infants appear to be enrolled in the program), and the lowest for children (49.8 percent). Among eligible women, postpartum women appear to have a higher coverage rate than pregnant women, with 77.8 percent of eligible postpartum women enrolled compared with 68.4 percent of eligible pregnant women. The 2013 WIC coverage rate appears to vary somewhat by region (Table 12 and Figure 2). Considering all WIC-eligible individuals combined, the overall WIC coverage rate is lowest in the Mountain Plains region, at 51.1 percent and highest in the Western region, at 70.4 percent. Some regions, while having an overall coverage rate similar to the national rate, have rates in some subgroups that are noticeably higher or lower than the national rate (Figures 3 through 6 map the coverage rates by region for infants, children, pregnant women, and postpartum women, 50 Although the terms “enrolled in WIC” and “participating in WIC” are often used interchangeably, there is a difference in what is measured. WIC participants are people on WIC who are receiving a food package (or are fully breastfeeding infants) in a given time period. This is usually the way that administrative data on WIC participation is presented, and this is the number used in this report to estimate coverage rates. On the other hand, WIC enrollees includes all WIC participants (i.e. those actively participating in WIC), as well as others who are enrolled in WIC but who are not currently participating (e.g. persons who did not pick up their vouchers for this month). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 30 respectively). For example, the Northeast and Southwest have overall coverage rates similar to the national rate, but in the Southwest the rate for postpartum women is about 12 percentage points higher than the national rate, while in the Northeast the rate for pregnant women is about 4 percentage points lower than the national rate. However, as mentioned above, all the WIC eligibility estimates are affected by sampling variability. Thus, the actual coverage rates could be somewhat higher or lower than shown. Table 12: WIC Eligibles and Coverage Rates by FNS Region and Participant Group, CY 2013 Infants Children (age 1 to 4) Pregnant Women All Post-Partum Women Total Eligibles Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 210,923 276,013 503,271 351,021 378,331 179,453 488,212 2,387,223 808,968 1,021,273 1,925,207 1,333,563 1,424,024 666,546 1,873,229 9,052,810 108,522 142,011 258,938 180,604 194,655 92,330 251,190 1,228,252 141,387 173,013 311,182 215,695 229,032 112,709 337,249 1,520,267 1,269,800 1,612,309 2,998,599 2,080,883 2,226,042 1,051,038 2,949,881 14,188,552 Participants Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 173,775 232,644 416,379 298,936 330,185 132,199 431,612 2,015,732 409,956 532,768 837,528 608,755 667,504 275,326 1,176,399 4,508,236 69,790 93,724 170,842 122,818 139,820 52,530 190,296 839,820 105,054 130,573 232,012 153,120 206,933 77,455 278,082 1,183,228 758,576 989,709 1,656,761 1,183,628 1,344,443 537,510 2,076,389 8,547,016 Coverage Rates Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 82.4% 84.3% 82.7% 85.2% 87.3% 73.7% 88.4% 84.4% 50.7% 52.2% 43.5% 45.6% 46.9% 41.3% 62.8% 49.8% 64.3% 66.0% 66.0% 68.0% 71.8% 56.9% 75.8% 68.4% 74.3% 75.5% 74.6% 71.0% 90.4% 68.7% 82.5% 77.8% 59.7% 61.4% 55.3% 56.9% 60.4% 51.1% 70.4% 60.2% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 31 Figure 2: WIC Coverage Rate for All Participants by FNS Region, CY 2013 National Coverage Rate: 60.2% Northeast 59.7% Mountain Plains 51.1% Western 70.4% Midwest 56.9% Southwest 60.4% Mid-Atlantic 61.4% Southeast 55.3% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 32 Figure 3: WIC Coverage Rate for Infants by FNS Region, CY 2013 National Coverage Rate: 84.4% Northeast 82.4% Mountain Plains 73.7% Western 88.4% Midwest 85.2% Southwest 87.3% Mid-Atlantic 84.3% Southeast 82.7% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 33 Figure 4: WIC Coverage Rate for Children (Ages 1-4) by FNS Region, CY 2013 National Coverage Rate: 49.8% Northeast 50.7% Mountain Plains 41.3% Western 62.8% Midwest 45.6% Southwest 46.9% Mid-Atlantic 52.2% Southeast 43.5% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 34 Figure 5: WIC Coverage Rate for Pregnant Women by FNS Region, CY 2013 National Coverage Rate: 68.4% Northeast 64.3% Mountain Plains 56.9% Western 75.8% Midwest 68.0% Southwest 71.8% Mid-Atlantic 66.0% Southeast 66.0% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 35 Figure 6: WIC Coverage Rate for All Postpartum Women by FNS Region, CY 2013 National Coverage Rate: 77.8% Northeast 74.3% Mountain Plains 68.7% Western 82.5% Midwest 71.0% Southwest 90.4% Mid-Atlantic 75.5% Southeast 74.6% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 36 Coverage rates can also be calculated by State. The precision of the State estimates is considerably lower than for the national estimates, so that must be kept in mind in interpreting the estimates, particularly for smaller States. (Later in this report we show the level of imprecision in the State eligibility estimates due to sampling variability.) With that caveat in mind, coverage rate estimates for 2013 show substantial variation between States (Table 13 and Figure 7).51 In 2013, the State coverage rates range from 42 percent in New Hampshire and Montana to 76 percent in California (and 85 percent in Puerto Rico). Among very-large States other than California, the estimated overall WIC coverage rate is 54 percent in Florida (below the national average) and 63 percent in both New York and Texas (slightly above the national average). It is also useful to consider the State-level coverage rate for two subgroups—all young children and the combined group of infants and women. To increase the reliability of State-level coverage rates for these two subgroups, rather than using just a single year’s (2013) estimates of the numbers of participants and eligibles, we compute the coverage rates using the average numbers of participants and eligibles across three years—2011, 2012, and 2013—so the results are not precisely comparable to those based on only 2013 data.52 Focusing first on children (Table 13a and Figure 7a), the estimated coverage rates vary from a low of 36 percent in New Hampshire and 38 percent in Montana and Utah to 74 percent in California and 81 percent in Puerto Rico. (The national rate when using three-yearaverages is 52.2 percent, slightly above the national rate of 49.8 percent for young children when using only 2013 data for both participation and eligibility.) For infants and women (Table 13b and Figure 7b), the coverage rates vary from 54 percent in Montana to 92 percent in Vermont. (The national rate when using three-year-averages is 78.6 percent.) The results show that some States have higher-than-average coverage rates for both subgroups. For example, California’s coverage rates are 74 percent for children and 91 percent for the combined group of infants and women, both above the national averages. Conversely, some States have belowaverage rates for both groups. For example, Illinois’s coverage rates using three-year-averages are 41 percent for children and 72 percent for the combined group of infants and women. Others show mixed results. For example, Texas has a coverage rate of 52 percent for children (very close to the national average), but covers an above-average 84 percent of infants and women. WIC Coverage Rate Changes from 2012 to 2013 The overall national coverage rate of 60.2 percent is 4.5 percent lower than the 63.1 percent rate estimated for 2012 (Table 14). The change is due to the combined impact of the 1 percent estimated increase in eligibility (Table 8) and a 3.6 percent decline in WIC participation—from 8.862 million in 2012 (not shown in a table) to 8.547 million average monthly participants in 2013. WIC participation has been declining somewhat since 2010 (with annual drops of one or two percent); however, our eligibility estimates declined by slightly larger percentages, so the overall estimated coverage rates 51 Table B.2 in the Appendix shows the same information as Table 13, but the States are categorized by region rather than alphabetically. 52 Specifically, the coverage rates for the subgroups within States are computed as (the average of average monthly participation over the three years 2011, 2012, and 2013) divided by (the average of the average monthly eligibility estimates over the three years 2011, 2012, and 2013). NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 37 increased in each year since 2010. However, this year, the participation change is larger, and estimated eligibility increased slightly. The largest change in the estimated coverage rate was for children. The number of children participating in WIC fell by 4.4 percent while our estimated eligibility figure increased by 2.6 percent. The estimated coverage rate also fell for pregnant women (by 3.6 percent) and for infants (by 0.8 percent). The estimated coverage rate increased slightly for postpartum women, due to the combination of a 1.7 percent drop in participation and a 2.8 percent drop in eligibility. At the regional level, coverage rates show somewhat larger changes from 2012 (Table 14 and Figure 8), ranging from an 8.7 percent increase in the Midwest for postpartum women to a 9.4 percent decrease in the Northeast among pregnant women. WIC Coverage Rates Since 2000 Considering all WIC subgroups together, the coverage rates in the Western region have been consistently higher than in any other region across the entire period from 2000 to 2013, while the coverage rates in the Mountain Plains have generally been lower than in other regions (Figure 8).53 This year, all regions showed a decrease in coverage rates – the only time this has happened in the 2000-2013 time period. The regional-level coverage rates for infants across the decade (Figure 9) show a spike in the rate in 2002; this is due to a drop in the national-level infant eligibility estimate for that year (2.2 million for 2002, relative to 2.5 million in both 2001 and 2003). Coverage rates across time by region are shown for children in Figure 10, for pregnant women in Figure 11, and for postpartum women in Figure 12. Note that while this analysis can point to cross-State and cross-region variations in coverage rates, it does not allow us to understand the reasons that the WIC coverage rates appear to vary. That would require more in-depth analysis of variations in the characteristics of the eligible individuals across States and regions, as well as variations in procedures for administering the WIC program. 53 The high rates in the Western region have been primarily due to the high rates in California. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 38 Table 13: WIC Eligibles and Coverage Rates by State and FNS Region, CY 2013 Eligibles Participants Coverage Rate Eligibles Participants State a Alabama 223,006 136,258 61.1% New York 809,158 508,738 Alaska 34,279 22,436 65.5% North Carolina 470,233 262,223 Arizona 313,535 178,482 56.9% North Dakota 25,236 13,102 Arkansas 153,459 87,186 56.8% Ohio 471,700 259,801 California 1,850,260 1,408,714 76.1% Oklahoma 215,759 116,195 Colorado 197,064 94,547 48.0% Oregon 166,921 106,472 Connecticut 110,542 53,852 48.7% Pennsylvania 451,537 253,365 Delaware 36,076 20,466 56.7% Puerto Rico 217,052 184,394 D.C. 28,909 15,504 53.6% Rhode Island 37,346 23,054 Florida 883,991 477,741 54.0% South Carolina 229,625 120,969 Georgia 518,001 283,714 54.8% South Dakota 38,261 19,892 Hawaii 59,912 35,952 60.0% Tennessee 311,972 157,384 Idaho 85,320 42,531 49.8% Texas 1,492,923 943,249 Illinois 526,875 276,710 52.5% Utah 143,703 64,945 Indiana 293,780 158,071 53.8% Vermont 23,835 14,647 Iowa 121,136 65,236 53.9% Virginia 278,515 154,538 Kansas 125,843 68,507 54.4% Washington 296,351 189,047 Kentucky 193,506 128,477 66.4% West Virginia 80,142 45,968 Louisiana 239,958 137,498 57.3% Wisconsin 199,196 112,237 Maine 47,981 24,097 50.2% Wyoming 21,856 11,951 Maryland 216,808 143,765 66.3% Massachusetts 203,874 118,802 58.3% FNS Regionb Michigan 413,548 253,027 61.2% Northeast 1,269,800 758,576 Minnesota 175,784 123,783 70.4% Mid-Atlantic 1,612,309 989,709 Mississippi 168,263 89,996 53.5% Southeast 2,998,599 1,656,761 Missouri 252,217 139,940 55.5% Midwest 2,080,883 1,183,628 Montana 46,161 19,518 42.3% Southwest 2,226,042 1,344,443 Nebraska 79,560 39,873 50.1% Mountain Plains 1,051,038 537,510 Nevada 119,860 74,670 62.3% Western 2,949,881 2,076,389 New Hampshire 37,063 15,386 41.5% New Jersey 297,612 166,866 56.1% Total 14,188,552 8,547,016 New Mexico 123,943 60,314 48.7% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data Coverage Rate 62.9% 55.8% 51.9% 55.1% 53.9% 63.8% 56.1% 85.0% 61.7% 52.7% 52.0% 50.4% 63.2% 45.2% 61.5% 55.5% 63.8% 57.4% 56.3% 54.7% 59.7% 61.4% 55.3% 56.9% 60.4% 51.1% 70.4% 60.2% Notes: a State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 39 Table 13a: WIC Eligibles and Coverage Rates by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles and Participants: Children (age 1 to 4) State a Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Participants Coverage Rate 148,148 23,473 202,871 98,889 1,138,193 128,847 68,511 23,195 16,238 533,990 330,567 34,876 52,678 347,388 187,085 75,389 84,744 125,495 156,026 29,907 131,168 123,044 260,085 111,524 110,648 159,990 28,279 50,970 81,559 22,906 185,172 79,028 72,978 12,664 98,169 44,331 837,885 53,281 29,730 11,724 7,277 251,473 155,515 19,402 23,079 143,161 82,806 35,574 38,281 66,405 69,776 14,256 75,402 65,238 132,603 69,798 47,652 70,315 10,766 22,679 40,293 8,322 92,288 32,881 49.3% 54.0% 48.4% 44.8% 73.6% 41.4% 43.4% 50.5% 44.8% 47.1% 47.0% 55.6% 43.8% 41.2% 44.3% 47.2% 45.2% 52.9% 44.7% 47.7% 57.5% 53.0% 51.0% 62.6% 43.1% 43.9% 38.1% 44.5% 49.4% 36.3% 49.8% 41.6% Eligibles Participants Coverage Rate 496,139 298,366 13,856 296,373 130,868 105,245 285,247 141,259 21,489 147,290 22,263 192,768 939,116 95,142 14,779 171,192 186,306 46,060 135,261 14,245 273,671 140,754 7,080 139,779 62,462 60,788 134,023 114,911 13,175 59,912 11,712 75,150 488,546 36,237 9,212 78,588 110,396 24,668 63,037 6,430 55.2% 47.2% 51.1% 47.2% 47.7% 57.8% 47.0% 81.3% 61.3% 40.7% 52.6% 39.0% 52.0% 38.1% 62.3% 45.9% 59.3% 53.6% 46.6% 45.1% FNS Regionb Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 776,774 1,003,092 1,887,271 1,337,715 1,403,927 673,725 1,839,066 413,604 541,732 869,839 631,184 697,995 292,356 1,213,629 53.2% 54.0% 46.1% 47.2% 49.7% 43.4% 66.0% Total 8,921,568 4,660,339 52.2% New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 40 Table 13b: WIC Eligibles and Coverage Rates by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles and Participants: Women and Infants State a Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Participants Coverage Rate 83,610 15,081 120,645 56,563 674,404 76,397 39,948 13,336 10,258 320,810 189,267 22,133 33,310 197,017 112,294 42,233 46,127 74,107 91,790 17,440 78,897 71,322 153,442 67,655 63,019 94,910 17,254 27,488 48,469 12,071 104,321 44,345 67,335 11,714 91,101 47,203 610,596 47,103 25,615 9,910 8,802 236,575 141,329 17,225 20,331 142,473 79,907 32,381 34,378 67,361 73,385 10,964 70,221 55,272 121,460 57,331 45,838 73,311 9,303 19,048 35,177 7,807 76,835 29,731 80.5% 77.7% 75.5% 83.5% 90.5% 61.7% 64.1% 74.3% 85.8% 73.7% 74.7% 77.8% 61.0% 72.3% 71.2% 76.7% 74.5% 90.9% 79.9% 62.9% 89.0% 77.5% 79.2% 84.7% 72.7% 77.2% 53.9% 69.3% 72.6% 64.7% 73.7% 67.0% Eligibles Participants Coverage Rate 298,845 171,929 9,458 179,664 73,619 65,175 168,620 83,015 15,138 84,301 13,647 108,787 565,230 53,583 6,549 101,305 109,909 26,628 75,924 9,242 241,675 125,255 6,478 131,026 58,947 48,984 119,993 75,670 10,686 67,120 9,721 85,326 477,333 32,511 6,045 77,968 82,157 22,757 53,805 5,988 80.9% 72.9% 68.5% 72.9% 80.1% 75.2% 71.2% 91.2% 70.6% 79.6% 71.2% 78.4% 84.4% 60.7% 92.3% 77.0% 74.8% 85.5% 70.9% 64.8% FNS Regionb Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 461,313 588,425 1,095,831 785,996 831,546 390,338 1,098,105 358,066 464,415 836,138 586,001 686,599 270,221 924,742 77.6% 78.9% 76.3% 74.6% 82.6% 69.2% 84.2% Total 5,251,555 4,126,183 78.6% New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 41 Figure 7: WIC Coverage Rates for All Participants, by State, CY 2013 National Coverage Rate: 60.2% 63.8% 65.6% 42.3% 50.2% 51.9% 70.5% 63.9% 49.9% 56.3% 52.0% 54.7% 62.2% 50.1% 53.8% 56.1% 52.5% 45.2% 54.4% 57.3% 55.5% 60.1% 56.9% 53.8% 48.7% 66.4% DE: 56.8% 55.5% 55.7% 50.4% MA: 58.3% MD: 66.3% NH: 41.5% NJ: 56.1% 56.8% 52.6% 53.4% 61.0% 40 – 49.9 percent CT: 48.8% 53.8% 55.0% 48.0% 76.2% Coverage Rate, All: 62.9% 61.2% 54.7% RI: 61.8% VT: 61.5% DC: 53.7% 63.2% 57.2% 50 – 59.9 percent 54.1% 60 – 69.9 percent 85.0% 70 – 79.9 percent 80 percent or greater Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 42 Figure 7a: WIC Coverage Rates for Children (age 1 to 4), by State (Due to small sample size, the rates shown in this map were computed using the average of the eligibility and participation estimates for 2011-2013. Therefore, they do not match similar rates shown elsewhere in this report.) National Coverage Rate: 52.2% 59.3% 54.0% 38.1% 47.7% 51.1% 62.6% 57.8% 43.8% 46.6% 52.6% 49.4% 55.2% 51.0% 45.1% 44.5% 47.2% 38.1% 47.0% 41.2% 44.3% 47.2% DE: 50.5% 41.4% 73.6% 45.2% 53.6% 43.9% 52.9% 55.6% 48.4% 47.7 % 41.6% Coverage Rate, Children (age 1 to 4): MA: 53.0% 45.9% 47.2% 39.0% 44.8% 40.7% 43.1% 49.3% CT: 43.4% MD: 57.5% NH: 36.3% NJ: 49.8% RI: 61.3% VT: 62.3% DC: 44.8% 47.0% 52.0% Less than 40 percent 44.7% 40 – 49.9 percent 50 – 59.9 percent 47.1% 81.3% 60 – 69.9 percent 70 – 79.9 percent 80 percent or greater Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 43 Figure 7b: WIC Coverage Rates for Women and Infants, by State (Due to small sample size, the rates shown in this map were computed using the average of the eligibility and participation estimates for 2011-2013. Therefore, they do not match similar rates shown elsewhere in this report.) National Coverage Rate: 78.6% 74.8% 77.8% 53.9% 62.9% 68.5% 84.8% 75.3% 61.1% 70.9% 71.3% 72.5% 69.3% 60.7% 76.7% 71.1% 72.3% 61.7% 90.6% 74.5% 71.1% Coverage Rate, Women and Infants: 50 – 59.9 percent 80.0 % 67.0% 72.9% CT: 64.2% 85.4% 77.2% 90.9% 78.0% 75.5% 80.9% 79.1% 64.9% 76.9% NH: 64.7% NJ: 73.7% 79.6% 72.7% 80.5% MA: 77.5% MD: 88.9% 72.8% 78.4% 83.4% DE: 74.3% RI: 70.6% VT: 92.4% 74.6% DC: 85.9% 84.4% 79.9% 60 – 69.9 percent 73.8% 91.2% 70 – 79.9 percent 80 percent or greater Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 44 Table 14: WIC Coverage Rates by FNS Region and Participant Group, CY 2013 and CY 2012 Infants Children (age 1 to 4) Pregnant Women All Postpartum Women Total Coverage Rate, 2013 Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 82.4% 84.3% 82.7% 85.2% 87.3% 73.7% 88.4% 84.4% 50.7% 52.2% 43.5% 45.6% 46.9% 41.3% 62.8% 49.8% 64.3% 66.0% 66.0% 68.0% 71.8% 56.9% 75.8% 68.4% 74.3% 75.5% 74.6% 71.0% 90.4% 68.7% 82.5% 77.8% 59.7% 61.4% 55.3% 56.9% 60.4% 51.1% 70.4% 60.2% Coverage Rate, 2012 Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 86.7% 86.0% 82.2% 83.7% 88.3% 75.7% 88.8% 85.1% 54.5% 54.4% 47.4% 48.3% 50.5% 44.4% 68.0% 53.4% 71.0% 67.3% 66.9% 69.4% 75.2% 60.4% 78.6% 70.9% 81.4% 78.1% 73.1% 65.3% 86.7% 68.6% 82.3% 77.0% 64.3% 63.6% 58.0% 58.2% 63.1% 53.8% 74.2% 63.1% -9.4% -2.0% -1.4% -2.1% -4.4% -5.7% -3.6% -3.6% -8.7% -3.4% 2.0% 8.7% 4.2% 0.1% 0.2% 1.1% -7.0% -3.5% -4.8% -2.3% -4.3% -4.9% -5.1% -4.5% Percent Change in Coverage Rate, 2013 vs 2012 Northeast -5.0% -7.0% Mid-Atlantic -2.0% -4.0% Southeast 0.7% -8.3% Midwest 1.7% -5.5% Southwest -1.2% -7.2% Mountain Plains -2.7% -7.0% Western -0.5% -7.6% Total -0.8% -6.8% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 45 Figure 8: All Participants Coverage Rate by FNS Region, 2000–2013a All Participants Coverage Rate by FNS Region, 2000-2013 100% 90% 80% Northeast Coverage Rate Mid-Atlantic 70% Southeast Midwest Southwest 60% Mountain Plains Western 50% U.S. 40% 30% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Notes: a The upward trend in coverage rates between 2009 and 2010 reflects, in part, the decline in the number of eligibles in 2010 due to new Census population weights. See Appendix Table D.2 for source information. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REA CH 46 Figure 9: Infants Coverage Rate by FNS Region, 2000–2013a Infant Coverage Rate by FNS Region, 2000-2013 100% 90% 80% Northeast Coverage Rate Mid-Atlantic 70% Southeast Midwest Southwest 60% Mountain Plains Western 50% U.S. 40% 30% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Notes: a The upward trend in coverage rates between 2009 and 2010 reflects, in part, the decline in the number of eligibles in 2010 due to new Census population weights. See Appendix Table D.2 for source information. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REA CH 47 Figure 10: Children (Ages 1-4) Coverage Rate by FNS Region, 2000–2013a Children (Ages 1-4) Coverage Rate by FNS Region, 2000-2013 100% 90% 80% Northeast Coverage Rate Mid-Atlantic 70% Southeast Midwest Southwest 60% Mountain Plains Western 50% U.S. 40% 30% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Notes: a The upward trend in coverage rates between 2009 and 2010 reflects, in part, the decline in the number of eligibles in 2010 due to new Census population weights. See Appendix Table D.2 for source information. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REA CH 48 Figure 11: Pregnant Women Coverage Rate by FNS Region, 2000–2013a Pregnant Women Coverage Rate by FNS Region, 2000-2013 100% 90% 80% Northeast Coverage Rate Mid-Atlantic 70% Southeast Midwest Southwest 60% Mountain Plains Western 50% U.S. 40% 30% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Notes: a The upward trend in coverage rates between 2009 and 2010 reflects, in part, the decline in the number of eligibles in 2010 due to new Census population weights. See Appendix Table D.2 for source information. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REA CH 49 Figure 12: Postpartum Women Coverage Rate by FNS Region, 2000–2013a Post-Partum Women Coverage Rate by FNS Region, 2000-2013 100% 90% 80% Northeast Coverage Rate Mid-Atlantic 70% Southeast Midwest Southwest 60% Mountain Plains Western 50% U.S. 40% 30% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Notes: a The upward trend in coverage rates between 2009 and 2010 reflects, in part, the decline in the number of eligibles in 2010 due to new Census population weights. See Appendix Table D.2 for source information NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REA CH 50 Measures of Precision of the Estimates of Eligibility Standard errors of estimates were produced for the 2013 national, State, and regional estimates.54 The national-level estimates are all derived from the CPS-ASEC using the generalized variance estimates described in the technical documentation for the March 2014 CPS-ASEC.55 The standard errors for the State-level estimates were derived using a generalized variance model described in the annual ACS report based on one year accuracy of the data.56 Tables 15 and 16 show these standard errors and also the coefficient of variation, which is the ratio of the standard deviation to the eligibility estimate. Since the coefficient of variation is expressed in percentage terms, it allows easier comparisons of the relative precision of various estimates. Tables 16a and 16b show this same information for the three-year-average estimates for all young children and for the combined group of infants and women. The coefficients of variation for the 2013 national eligibility estimates for infants and pregnant women are the highest among all participant groups at 6.0 percent (Table 15). While the coefficient of variation for postpartum women is slightly lower at 4.2 percent, the relative error for the estimate for all children drops to 3.0 percent, reflecting the larger sample size for this estimation group. The greatest precision of eligibility estimates is for the total of all WIC eligibles (2.4 percent). At the State level, the precision of the estimates is considerably lower than at the national level (Tables 16, 16a, and 16b). Given the large range of coefficient of variation (considering the overall State estimates, the coefficient of variation ranges from 2.8 percent for California to 16.7 percent for Wyoming), caution should be exercised when using the State estimates, especially for smaller States. At the regional level, however, the relative precision of the estimates is quite high. The statistics can be used to estimate a confidence interval around the estimates of WIC eligibility. For example, we can be 90 percent sure that the actual number of WIC eligible people (overall, by subgroup, by region, or by State) is at minimum equal to our best guess minus 1.65 times the standard error, and is at most equal to our best guess plus 1.65 times the standard error. As an illustration of the computation, consider the overall WIC eligibility estimate for the Northeast. Our best estimate is that there are 1,269,800 people eligible for WIC in the Northeast in the average month of 2013. The standard error of that estimate is 43,529. We can be 90 percent sure that the true number falls within the range from (1,269,800 minus (1.65 * 43,529)) to (1,269,800 plus (1.65 * 43,529)), or from 1,197,977 to 1,341,622. For a 95 percent level of confidence, the process is the same, but a factor of 1.96 is applied to the standard error. 54 Estimates of WIC eligibility in the other island territories are not based upon samples but on Census Bureau estimates of the population by age and are not subject to sampling variability. While non-sampling error can still be present in the other island estimates, standard errors for the other island territories cannot be computed because of the non-sample based methodology used in the estimation. 55 These reports can be found at http://www.census.gov/cps/methodology/techdocs.html. See Appendix G for the generalized variance standard error formulas. Applying these methods requires choosing a specific pair of “a” and “b” parameters for use in the formulas. We use the parameters for “income characteristics” for all people when computing standard errors for total population estimates, and we use the “below poverty” parameters for standard errors of the WIC eligibility estimates. 56 These reports can be found at http://www.census.gov/acs/www/data_documentation/pums_documentation/. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 51 Table 15: WIC Eligibles and Standard Errors by FNS Region and Participant Group, CY 2013 Infants Children (age 1-4) Pregnant Women All Post-Partum Women Total Eligibles Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 210,923 237,044 503,271 351,021 378,331 179,453 483,913 2,343,956 808,968 882,399 1,925,207 1,333,563 1,424,024 666,546 1,859,034 8,899,741 108,522 121,961 258,938 180,604 194,655 92,330 248,979 1,205,990 141,387 148,196 311,182 215,695 229,032 112,709 334,512 1,492,713 1,269,800 1,389,600 2,998,599 2,080,883 2,226,042 1,051,038 2,926,438 13,942,399 Standard Errora Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 18,014 19,610 35,309 26,418 28,025 16,061 34,186 140,216 34,813 37,090 68,316 50,777 53,479 30,328 66,368 270,320 9,268 10,090 18,167 13,593 14,419 8,263 17,589 72,142 8,783 9,198 15,902 11,526 12,289 7,263 16,769 63,377 43,529 46,475 84,658 63,100 66,538 38,064 82,975 335,527 a Coefficient of Variation b Northeast 8.5% 4.3% 8.5% Mid-Atlantic 8.3% 4.2% 8.3% Southeast 7.0% 3.5% 7.0% Midwest 7.5% 3.8% 7.5% Southwest 7.4% 3.8% 7.4% Mountain Plains 8.9% 4.6% 8.9% Western 7.1% 3.6% 7.1% Total 6.0% 3.0% 6.0% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, 6.2% 3.4% 6.2% 3.3% 5.1% 2.8% 5.3% 3.0% 5.4% 3.0% 6.4% 3.6% 5.0% 2.8% 4.2% 2.4% WIC Administrative Data Notes: a b Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 52 Table 16: WIC Eligibles Standard Errors by State and FNS Region, CY 2013 Eligibles Standard Error Coefficient of Variationa Eligibles Standard Error Coefficient of Variationa State b Alabama 223,006 12,583 5.6% New York 809,158 28,215 Alaska 34,279 4,578 13.4% North Carolina 470,233 19,705 Arizona 313,535 15,244 4.9% North Dakota 25,236 3,904 Arkansas 153,459 10,094 6.6% Ohio 471,700 19,668 California 1,850,260 52,367 2.8% Oklahoma 215,759 12,312 Colorado 197,064 11,637 5.9% Oregon 166,921 10,592 Connecticut 110,542 8,441 7.6% Pennsylvania 451,537 19,111 Delaware 36,076 4,694 13.0% Puerto Rico 217,052 12,350 D.C. 28,909 4,171 14.4% Rhode Island 37,346 4,731 Florida 883,991 29,967 3.4% South Carolina 229,625 12,760 Georgia 518,001 20,911 4.0% South Dakota 38,261 4,813 Hawaii 59,912 6,070 10.1% Tennessee 311,972 15,183 Idaho 85,320 7,349 8.6% Texas 1,492,923 44,291 Illinois 526,875 21,200 4.0% Utah 143,703 9,779 Indiana 293,780 14,701 5.0% Vermont 23,835 3,806 Iowa 121,136 8,851 7.3% Virginia 278,515 14,238 Kansas 125,843 9,103 7.2% Washington 296,351 14,800 Kentucky 193,506 11,520 6.0% West Virginia 80,142 7,099 Louisiana 239,958 13,068 5.4% Wisconsin 199,196 11,753 Maine 47,981 5,406 11.3% Wyoming 21,856 3,643 Maryland 216,808 12,308 5.7% Massachusetts 203,874 11,842 5.8% FNS Regionc Michigan 413,548 18,068 4.4% Northeast 1,269,800 43,529 Minnesota 175,784 10,912 6.2% Mid-Atlantic 1,389,600 46,475 Mississippi 168,263 10,706 6.4% Southeast 2,998,599 84,658 Missouri 252,217 13,381 5.3% Midwest 2,080,883 63,100 Montana 46,161 5,311 11.5% Southwest 2,226,042 66,538 Nebraska 79,560 7,116 8.9% Mountain Plains 1,051,038 38,064 Nevada 119,860 8,882 7.4% Western 2,926,438 82,975 New Hampshire 37,063 4,772 12.9% New Jersey 297,612 14,781 5.0% Total 13,942,399 335,527 New Mexico 123,943 9,005 7.3% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data 3.5% 4.2% 15.5% 4.2% 5.7% 6.3% 4.2% 5.7% 12.7% 5.6% 12.6% 4.9% 3.0% 6.8% 16.0% 5.1% 5.0% 8.9% 5.9% 16.7% 3.4% 3.3% 2.8% 3.0% 3.0% 3.6% 2.8% 2.4% Notes: a The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. b State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. c Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 53 Table 16a: WIC Eligibles Standard Errors by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles: Children (age 1 to 4) State b Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Standard Error Coefficient of Variationa 148,148 23,473 202,871 98,889 1,138,193 128,847 68,511 23,195 16,238 533,990 330,567 34,876 52,678 347,388 187,085 75,389 84,744 125,495 156,026 29,907 131,168 123,044 260,085 111,524 110,648 159,990 28,279 50,970 81,559 22,906 185,172 79,028 6,203 2,345 7,410 4,967 23,092 5,738 4,081 2,327 1,941 13,512 9,918 2,867 3,556 10,228 7,078 4,297 4,570 5,657 6,383 2,651 5,801 5,599 8,577 5,305 5,280 6,473 2,576 3,496 4,476 2,311 7,039 4,404 4.2% 10.0% 3.7% 5.0% 2.0% 4.5% 6.0% 10.0% 12.0% 2.5% 3.0% 8.2% 6.8% 2.9% 3.8% 5.7% 5.4% 4.5% 4.1% 8.9% 4.4% 4.6% 3.3% 4.8% 4.8% 4.0% 9.1% 6.9% 5.5% 10.1% 3.8% 5.6% Eligibles Standard Error Coefficient of Variationa 496,139 298,366 13,856 296,373 130,868 105,245 285,247 141,259 21,489 147,290 22,263 192,768 939,116 95,142 14,779 171,192 186,306 46,060 135,261 14,245 12,867 9,326 1,794 9,280 5,796 5,136 9,066 5,716 2,241 6,185 2,279 7,202 19,977 4,863 1,852 6,732 7,065 3,319 5,897 1,819 2.6% 3.1% 12.9% 3.1% 4.4% 4.9% 3.2% 4.0% 10.4% 4.2% 10.2% 3.7% 2.1% 5.1% 12.5% 3.9% 3.8% 7.2% 4.4% 12.8% FNS Regionc Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 776,774 858,273 1,887,271 1,337,715 1,403,927 673,725 1,825,201 18,265 19,549 35,164 26,886 27,930 16,525 34,238 2.4% 2.3% 1.9% 2.0% 2.0% 2.5% 1.9% Total 8,762,884 178,558 2.0% New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. c Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. b NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 54 Table 16b: WIC Eligibles Standard Errors by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles: Women and Infants State b Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Standard Error Coefficient of Variationa 83,610 15,081 120,645 56,563 674,404 76,397 39,948 13,336 10,258 320,810 189,267 22,133 33,310 197,017 112,294 42,233 46,127 74,107 91,790 17,440 78,897 71,322 153,442 67,655 63,019 94,910 17,254 27,488 48,469 12,071 104,321 44,345 6,711 2,810 8,457 5,458 26,389 6,500 4,635 2,605 2,246 15,508 10,899 3,455 4,206 11,247 8,035 4,678 4,964 6,321 7,106 2,972 6,565 6,279 9,669 6,095 5,792 7,282 2,957 3,750 5,058 2,456 7,767 4,871 8.0% 18.6% 7.0% 9.6% 3.9% 8.5% 11.6% 19.5% 21.9% 4.8% 5.8% 15.6% 12.6% 5.7% 7.2% 11.1% 10.8% 8.5% 7.7% 17.0% 8.3% 8.8% 6.3% 9.0% 9.2% 7.7% 17.1% 13.6% 10.4% 20.3% 7.4% 11.0% Eligibles Standard Error Coefficient of Variationa 298,845 171,929 9,458 179,664 73,619 65,175 168,620 83,015 15,138 84,301 13,647 108,787 565,230 53,583 6,549 101,305 109,909 26,628 75,924 9,242 14,755 10,334 2,227 10,591 6,289 6,051 10,223 8,641 2,782 6,792 2,653 7,853 22,852 5,382 1,786 7,571 8,052 3,647 6,474 2,192 4.9% 6.0% 23.5% 5.9% 8.5% 9.3% 6.1% 10.4% 18.4% 8.1% 19.4% 7.2% 4.0% 10.0% 27.3% 7.5% 7.3% 13.7% 8.5% 23.7% FNS Regionc Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 461,313 503,364 1,095,831 785,996 831,546 390,338 1,089,126 19,570 20,891 36,716 28,295 29,676 17,419 36,298 4.2% 4.2% 3.4% 3.6% 3.6% 4.5% 3.3% Total 5,157,516 188,865 3.7% New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. c Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. b NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 55 Validating the Results While one would like to assess the accuracy of the eligibility estimates, this cannot be known with certainty since it is impossible to observe eligibility. However, it is important that the estimates are reasonable. One comparison that can produce confidence in the eligibility estimates is to examine whether the FNS participation figures ever exceed the eligibility estimates by State or region. While it is quite possible that some ineligible individuals do participate, there also are eligible individuals who fail to enroll in the program or who have been inappropriately denied benefits. Thus, any occurrences where the number of participants exceeds the estimated count of eligibles would lead to concerns about the estimation methods. At the level of detail shown in this report, there are no cases where estimated eligibility falls short of FNS participation figures. Summary This report estimates that 14.2 million individuals were eligible for WIC during an average month of 2013 across the fifty States, the District of Columbia, Puerto Rico, and four other island territories. The estimate includes 2.4 million infants (approximately 61 percent of all infants in the United States and territories), 9.1 million children age one through four (56 percent of all young children), 1.2 million pregnant women, and 1.5 million postpartum women. Compared to estimates of WIC eligibility in 2012, the estimates for 2013 show a decline in WIC eligibility for all groups except children. The number of infants who were WIC eligible declined by 1.4 percent, while the number of WIC eligible children increased by 2.6 percent. For infants, this overall decline was caused by a decrease in the total size of the infant population as defined for this analysis (1.1 percent) as well as by a very slight decrease in the percentage of infants estimated eligible for WIC (from 61.4 percent in 2012 to 61.3 percent in 2013). Among children however, there was virtually no change in the total size of the population, and a noticeable increase in percentage estimated eligible for WIC (from 54.5 percent in 2012 to 55.9 percent in 2013), due to 12-month certification for children in many States. The number of eligible pregnant women followed the trend among infants and decreased by 1.4 percent, while the number of eligible postpartum women decreased by 2.8 percent. Estimates of eligibles across the regions vary, with the Southeast and Western regions having the largest eligible populations (almost 3 million each), and the Mountain Plains and Northeast regions having the lowest eligible populations (somewhat over 1 million each). The geographic distribution of individuals who are WIC-eligible reflect population and income differences, as well as differences in adjunctive eligibility (due to participation in Medicaid, SNAP, and TANF). Two States, California (13.0 percent) and Texas (10.5 percent), together account for almost one quarter of all WIC eligible individuals. The WIC coverage rate (the ratio of the number of participants relative to the number of eligibles) was 60.2 percent in 2013. Nationwide, infants have the highest coverage rate at 84.4 NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 56 percent and children age one through four have the lowest rate at 49.8 percent. Coverage rates also vary by FNS region, ranging from 51.1 percent in the Mountain Plains to 70.4 percent in the Western region. Since 2000, coverage rates had generally been increasing, but in 2013, the overall coverage rate showed a decrease of 4.5 percent compared to 2012. There are five appendices to this report. The first provides more detailed tables for the national and territorial estimates, and the second provides more detailed tables for the State and regional eligibility estimates. The third appendix provides coverage rate maps for all regions. The fourth appendix shows the WIC eligibility and coverage results for 2000 through 2013. The fifth appendix provides details regarding the new procedure used for computing the annual-to-monthly adjustment factors for children. Interested readers should consult Betson et al. (2011), MartinezSchiferl et al. (2012), and Johnson et al. (2014 and 2015) for more details on all methods used to produce these estimates. NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 57 References Administration for Children and Families. 2014. “Caseload Data 2013.” Data are preliminary. http://www.acf.hhs.gov/programs/ofa/resource/caseload-data-2013. Betson, David, Linda Giannarelli, Michael Martinez-Schiferl, and Sheila Zedlewski. 2011. National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2000-2009. Project Officer: Grant Lovellette. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis. Center for Disease Control. 2011. National Vital Statistics Reports, Volume 60 Number 2 and Volume 60 number 2 in 2002. Gray, Kelsey Farson. 2014. Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2013. Alexandria, VA: USDA Food and Nutrition Service. Huber, Erika, David Kassabian, and Elissa Cohen. 2014. “Welfare Rules Databook: State TANF Policies as of July 2013. Final Report.” OPRE Report 2014-52. September 2014. Johnson, B., Thorn, B., McGill, B., Suchman, A., Mendelson, M., Patlan, K.L., Freeman, B., Gotlieb, R., & Connor, P. (2013). WIC Participant and Program Characteristics 2012. Prepared by Insight Policy Research under Contract No. AG-3198-C-11-0010. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service. http://www.fns.usda.gov/sites/default/files/WICPC2012.pdf. Johnson, Paul, Linda Giannarelli, Erika Huber, and David Betson. 2015. National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2012. Project Officer: Grant Lovellette. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis. Johnson, Paul, Linda Giannarelli, Erika Huber, and David Betson. 2014. National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2011. Project Officer: Grant Lovellette. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis. Kaiser Commission on Medicaid and the Uninsured. 2014. “Medicaid Enrollment: June 2013 Data Snapshot.” Table A-4. http://kff.org/report-section/medicaid-enrollment-june-2013-datasnapshot-appendix-a-table-a-1-total-medicaid-enrollment-by-state/, accessed May 5, 2015. Heberlein, Martha, Tricia Brooks, Samantha Artiga, and Jessica Stephens. 2013. “Getting into Gear for 2014: Shifting New Medicaid Eligibility and Enrollment Policies into Drive.” Kaiser Commission on Medicaid and the Uninsured. November 2013. Michael Martinez-Schiferl, Sheila Zedlewski, and Linda Giannarelli. 2012. National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 58 and Program Reach, 2010. Project Officer: Grant Lovellette. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis. Office of Management and Budget. 1997. “Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity”. http://www.whitehouse.gov/omb/fedreg_1997standards/. Ruggles, Steven, J. Trent Alexander, Katie Genadek, Ronald Goeken, Matthew B. Schroeder, and Matthew Sobek. 2010. Integrated Public Use Microdata Series: Version 5.0 [Machine-readable database]. Minneapolis: University of Minnesota. U.S. Department of Agriculture. 2012. “Supplemental Nutrition Assistance Program State Options Report. Tenth Edition.” August 2012. U.S. Department of Agriculture. 2006. “WIC Program Coverage: How Many Eligible Individuals Participated in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): 1994-2003?”. http://www.fns.usda.gov/Ora/menu/Published/WIC/FILES/WICEligibles.pdf. Ver Ploeg, Michele and David M. Betson (Eds.). 2003. Estimating Eligibility and Participation for the WIC Program: Final Report. Washington, D.C.: The National Academies Press. Wheaton, Laura. 2007. “Underreporting of Means-Tested Transfer Programs in the CPS and SIPP” 2007 Proceedings of the American Statistical Association, Social Statistics Section [CD-ROM]. Alexandria, VA: American Statistical Association: 3622-3629. Yelowitz, Aaron. 2002. “Income Variability and WIC Eligibility: Evidence from the SIPP.” http://gatton.uky.edu/faculty/yelowitz/Yelowitz-WIC.pdf, accessed August 1, 2011 NATIONAL- AND STATE-LEVEL ESTIMATES OF W IC ELIGIBLES AND PROGRAM REACH 59 United States Department of Agriculture Nutrition Assistance Program Report Series Food and Nutrition Service, Office of Policy Support Special Nutrition Programs Report No. WIC-15B-ELIG Volume II Appendices National- and State-Level Estimates of WIC Eligibles and Program Reach, 2013 Final Report December 2015 USDA is an equal opportunity provider and employer. United States Department of Agriculture December 2015 Special Nutrition Programs Report No. WIC-15B-ELIG Volume II Appendices National- and State-Level Estimates of WIC Eligibles and Program Reach, 2013 Final Report Authors: Paul Johnson Erika Huber Linda Giannarelli David Betson Submitted by: The Urban Institute 2100 M Street, NW Washington, DC 20037 Submitted to: Office of Policy Support Food and Nutrition Service 3101 Park Center Drive Alexandria, VA 22302-1500 Project Director: Linda Giannarelli Project Officer: Grant Lovellette The opinions expressed reflect those of the authors and not the Urban Institute. This study was conducted under Contract number AG-3198-B-10-0016 with the Food and Nutrition Service. This report is available on the Food and Nutrition Service website: http://www.fns.usda.gov/research-and-analysis. Suggested Citation: U.S. Department of Agriculture, Food and Nutrition Service, Office of Policy Support. National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2013, by Paul Johnson, Erika Huber, Linda Giannarelli, and David Betson. Project Officer: Grant Lovellette. Alexandria, VA: December 2015. This page was left intentionally blank. Acknowledgements The authors gratefully acknowledge the guidance provided by FNS staff and other Urban Institute staff and consultants. Grant Lovellette, the FNS project officer, provided guidance throughout the project. Staff of the WIC Division of FNS have provided insights and review over the course of the project. Sheila Zedlewski directed the first two years of the project and guided the initial phases of work on the 2011 estimates. Michael Martinez-Schiferl was the lead analyst on this work for the first two years of the project, and developed the technical framework used for these estimates. This page was left intentionally blank. Contents Appendix A. National Estimates: 2013 A-1 Appendix B. State Estimates: 2013 B-1 Appendix C. Coverage Rate Maps C-1 Appendix D. Eligibles and Coverage Rate Time Series by FNS Region: 2000-2013 D-1 Appendix E. Method for Calculating the Annual-to-Monthly Adjustment Factors Applied to Children in the 2013 WIC Eligibility Estimates E-1 This page was left intentionally blank. Appendix A National Estimates: 2013 The appendix tables show the detailed estimates of WIC-eligible individuals by participant group. A brief description of each of these tables is given below. These tables document the assumptions and calculations used to produce the estimates. CY 2013 National Estimates Appendix Tables Tables A.1a and A.1b: Steps and Sources for Update to Estimates of WIC Eligibility for Infants, Young Children, Pregnant Women, and Postpartum Women These tables document the data sources used and summarize the steps performed in producing national and State eligibility estimates. Table A.2: Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group This table shows the estimated average monthly number of WIC eligibles in the calendar year along with the total number of infants and children. Note that the number of noneligible infants and children is calculated as the difference between the total population and the number of eligible infants and children. These figures include infants and children in the U.S. territories. The reader is referred to table A.6 for the steps used in calculating the estimated number of eligible individuals. Table A.3a: Four-Year Accumulations of Census Estimates and CPS Estimates by Single-Year Age Groups, Race, and Gender This table shows the four-year accumulations of census estimates next to the four-year accumulations of March CPS total weighted populations used to calculate the population factors used to adjust the CPS weights. Table A.3b: Current Year Census Estimates and CPS Estimates by Single-Year Age Groups, Race and Gender This table shows the current year Census estimates and CPS estimates by single-year age groups, race, and gender, and the ratio of Census estimates to CPS estimates. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-1 Table A.3c: Effect of Applying Population Adjustment Factors on Population Counts in the CPS ASEC by Race and Gender This table shows the results of applying the population adjustment factors shown in Table A.3a to the weights on the March CPS. Table A.4: Breastfeeding Adjustment Factor Calculations for WIC-Eligible Postpartum Women This table shows the calculated national breastfeeding adjustment factors assuming the use of the current NHANES and SIPP adjustments. Table A.5: A Comparison of Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group According to the Year of Breastfeeding Rates Used This table shows the effect of the change in breastfeeding rate from the prior calendar year by applying the breastfeeding rate from the prior calendar year to the current year. The result is the estimated change in the number of eligible postpartum breastfeeding women and postpartum non-breastfeeding women that can be attributable to the yearto-year change in the breastfeeding rate. This table includes infants and children in the U.S. territories. Table A.6: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC by Participant Group This table shows the step-by-step adjustments made in calculating the total number of infants, children, and pregnant and postpartum women that are eligible for WIC. Tables A.7a and A.7b: Estimates of the Average Monthly Number of Infants and Children Eligible for WIC by Income and Adjunctive Eligibility in the March 2014 CPS by Demographic Characteristics These two tables show the estimates of WIC-eligible infants and children (in total and by single year of age) by demographic and income characteristics in the March CPS. Note that these tables do not include infants and children from the territories. Table A.7a shows characteristics of WIC-eligible infants and children in the March CPS using unadjusted person weights, and Table A.7b shows these characteristics using weights that have been fully adjusted, including adjustments for the under/over count in the CPS (population adjustment), monthly income and certification periods (annual-to-monthly adjustment), and nutritional risk. The numbers are shown as both total counts and column percentages of eligible individuals by their demographic and income characteristics. A comparison of Table A.7a to Table A.7b shows the impact of the CPS weight adjustments on the national estimates of WIC-eligible infants and children. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-2 Table A.8: Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group: A Comparison of the Change from Calendar Year 2012 to 2013 This table shows change between the 2012 and 2013 in the total number of infants and children, the numbers of WIC-eligible individuals, and the eligibility rate (including infants and children in the U.S. territories). The percent change for each participant group is calculated. Table A.9: Stepwise Comparison of the Change in Average Monthly Number of Infants and Children Eligible for WIC, as estimated by the March CPS This table shows a step-by-step comparison of the difference in estimates from year to year. The percentage change from year to year is calculated after each adjustment. Table A.10: Standard Error and Coefficient of Variation for National Estimates from the CPSASEC by Participant Group This table presents the standard error of the estimate and coefficient of variance for the national estimates for the total population and the number eligible for WIC by participant group. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-3 Table A.1a-2013 Steps and Sources for 2013 Update to Estimates of WIC Eligibility for Infants and Young Children (Ages 1-4), Using Data from the 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, and Census Bureau International Data Base Step Demographic eligibility Description Identify infants and children (ages 1-4) in the survey. Weight adjustment Adjust sampling weights to account for under-count or over-count in the CPS relative to Census estimates, by exact age, gender, and race. Income eligibility Count as eligible if prior year’s annual family income is <= 185 percent of the applicable poverty guideline--"family" for income purposes is defined as the broadly defined family, with related subfamilies included in the primary. 2014 2013 2013 2010 Poverty guidelines are the blended poverty guidelines for the calendar year for which estimates are produced. Add in as eligible those infants/children whose household reports SNAP, family reports TANF, or who are themselves reported as being enrolled in Medicaid at any point during the prior calendar year. Blended FY 2012 and FY 2013 poverty guidelines Adjunctive eligibility Sources for 2013 Updates to Estimates and Adjustment Factors 2014 CPS-ASEC - National Estimates 2013 ACS - State Estimates 2013 PRCS - Puerto Rico Estimates Census Bureau International Data Base - Other Island Territories National Estimates: Postcensal population estimates from the Census Bureau and the March CPS-ASEC for 2010, 2011, 2013, and 2014 State and Puerto Rico Estimates: Postcensal population estimates from the Census Bureau for 2013 CPS-ASEC - National Estimates ACS - State Estimates PRCS - Puerto Rico Estimates Census - Other Island Territories Estimates 2014 CPS-ASEC 2013 ACS 2013 PRCS For TANF receipt, "family" on the CPS is defined as the narrowly defined family and also includes any related children whose parents are not present in the household. On the ACS and PRCS the definition is just the narrowly defined family with subfamilies separate. Adjust for fluctuations in monthly income and certification periods Adjust for nutritional risk Territories Multiply the estimates by a factor of 1.16 for infants and 1.02 for children to account for the impact of monthly fluctuations in income and program participation, and for the impact of 6 and 12 month certification periods. The factor for children takes into account that some states have a 6 month certification period while others have adopted the optional 12 month period. Multiply the infant estimates by 0.97 and the child estimates by 0.99 to account for the fact that some otherwise-eligible infants and children might not be found to be at nutritional risk. Eligibility in Puerto Rico is based on the PRCS and is estimated with the same methods as those used for the State estimates. Eligibility in the Other Island Territories is based on a proportion of the estimated population of infants and children. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Average of factors for 2005, 2006, and 2010, as computed from the SIPP panels from 2004 and 2008. No update. PRCS 2013 - Puerto Rico Census Bureau International Data Base - Other Island Territories Page A-4 Table A.1b-2013 Steps and Sources for 2013 Update to Estimates of WIC Eligibility for Pregnant and Postpartum Women, Using Data from the 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, and Census Bureau International Data Base Step Starting point Description Use as a starting point the final average monthly eligibility estimate for infants. Adjust for multiple births and infant Multiply by a factor of 0.9961 to account for the impact of multiple deaths births and infant deaths (so the number of pregnant women/mothers is not exactly equal to the number of infants). For pregnant women: Multiply by 0.533 to account for 9 months of pregnancy (0.75 factor) Adjust for length of pregnancy and and to account for lower likelihood of financial eligibility during difference in income during pregnancy vs. after birth (additional 0.71). pregnancy vs. after birth For postpartum mothers: Multiply by one year-specific factor to estimate the average monthly Separately estimate the average women eligible for WIC as breastfeeding mothers (0<12 months monthly number who are eligible postpartum). Multiply the estimate by another factor to estimate the as breastfeeding mothers and the average monthly women eligible for WIC as non-breastfeeding women number eligible as postpartum non- <6 months postpartum. breastfeeding mothers Adjust for nutritional risk Multiply the estimate for pregnant women by 0.97 to account for the fact that some otherwise-eligible pregnant women might not be found to be at nutritional risk. Assume all postpartum women are at nutritional risk (factor of 1.0). National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Sources for 2013 Updates to Estimates and Adjustment Factors Infants as estimated using methods outlined in Table A.1a. Multiple birth, infant and fetal death data from 2004 vital statistics data. March 2004 Census estimates for count of infants. No update. 2013 Abbott Laboratories Infant Feeding Survey (formerly the Mother Survey); 2001-2002, 2003-2004, and 2005-2006 waves of National Health and Nutrition Examination Survey (NHANES); 1996, 2001, and 2004 SIPP panels. Territorial estimates assume the national breastfeeding rates. No update. Page A-5 Table A.2-2013: Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group in the March 2014 CPS NOTE: This table includes estimates for the territories 2013 NonParticipant Group a Eligibles Eligibles Infants 2,387,223 1,509,466 Total Children Ages 1-4 Children Age 1 Children Age 2 Children Age 3 Children Age 4 9,053,165 2,285,482 2,280,827 2,224,943 2,261,914 Pregnant Women 1,228,252 Postpartum Breastfeeding Women 826,003 Postpartum Non-Breastfeeding Women 694,264 All Postpartum Women Totalb 3,896,689 7,132,953 16,186,118 1,780,591 4,066,073 1,720,171 4,000,997 1,845,197 4,070,139 1,786,994 4,048,908 1,520,267 Total WIC Eligibles 14,188,907 Source: 2014 CPS-ASEC for U.S. estimate, 2013 PRCS and Census International Data Base for territories Notes: a The non-eligible infants and children represent the difference between the Total estimates of infants and children age 1 to 4 in the total United States and the WIC-eligible infants and children. b The total numbers of infants and children represent the sum of the March 2014 total number of infants and children adjusted for the under and over count of infants and children in the CPS relative to Census estimates plus the number of infants and children in Puerto Rico and the other island territories based on the 2013 PRCS and annual Census Bureau population estimates. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-6 Table A.3a-2013: Four-Year Accumulations of Census Estimates and CPS Estimates by Single-Year Age Groups, Race and Gender, March 2011-2014 NOTE: This table does not include estimates for the territories. Females Males Total White Black Other Total White Black Other Total White Black Other Infants Census estimates 5,549,734 1,183,089 986,688 7,719,511 5,824,122 1,226,610 1,035,531 8,086,263 11,373,856 2,409,699 2,022,219 CPS estimate 5,663,301 1,090,735 892,406 7,646,442 5,932,011 1,107,964 978,516 8,018,490 11,595,312 2,198,699 1,870,922 Ratio of Census estimate to CPS estimate 0.980 1.085 1.106 1.010 0.982 1.107 1.058 1.008 0.981 1.096 1.081 Children Age 1 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Children Age 2 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Children Age 3 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Children Age 4 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Total Children Ages1 to 4 Census estimates CPS estimate Ratio of Census estimate to CPS estimate 5,573,502 5,681,961 1,185,802 992,471 1,313,552 1,057,254 7,751,775 8,052,767 0.981 0.903 0.939 0.963 5,612,971 5,731,766 1,193,594 1,145,988 996,194 971,412 7,802,759 7,849,166 0.979 1.042 1.026 0.994 5,684,323 5,808,168 1,206,878 1,291,779 998,256 994,582 7,889,457 8,094,531 0.979 0.934 1.004 0.975 5,744,562 5,855,204 1,214,605 1,229,827 994,735 956,893 7,953,902 8,041,922 0.981 0.988 1.040 0.989 4,800,879 3,981,656 4,981,146 3,980,141 31,397,893 32,038,386 22,615,358 23,077,099 0.980 Total Infants and Children (Age 1-4) Census estimates 28,165,092 CPS estimate 28,740,400 Ratio of Census estimate to CPS estimate 0.980 0.964 1.000 0.980 5,983,968 4,968,344 6,071,881 4,872,547 39,117,404 39,684,828 0.986 1.020 0.986 5,847,718 1,223,665 1,034,675 5,958,509 1,395,571 1,054,257 8,106,058 8,408,338 11,421,220 11,640,470 0.981 0.964 0.981 5,885,346 1,229,492 1,033,392 6,012,527 1,214,965 964,239 8,148,230 8,191,730 11,498,317 11,744,293 1.072 0.995 0.979 5,957,798 1,240,951 1,032,855 6,088,129 1,251,299 1,020,848 8,231,604 8,360,276 11,642,121 11,896,297 1.012 0.985 0.979 6,020,586 1,249,267 1,027,516 6,139,025 1,311,385 1,042,667 8,297,369 8,493,078 11,765,148 11,994,229 0.985 0.977 0.981 23,711,448 4,943,375 4,128,438 24,198,190 5,173,220 4,082,011 32,783,261 33,453,421 0.981 0.979 0.979 0.981 0.980 0.877 1.012 0.992 0.953 1.011 0.980 29,535,570 6,169,985 5,163,969 30,130,201 6,281,184 5,060,527 40,869,524 41,471,912 0.980 0.956 0.982 1.020 2,409,467 2,027,146 2,709,123 2,111,511 0.889 Total 15,805,774 15,664,932 1.009 15,857,833 16,461,105 0.960 0.963 2,423,086 2,029,586 2,360,953 1,935,651 15,950,989 16,040,896 1.026 1.049 0.994 2,447,829 2,031,111 2,543,078 2,015,430 16,121,061 16,454,807 0.963 1.008 0.980 2,463,872 2,022,251 2,541,212 1,999,560 16,251,271 16,535,000 1.011 0.983 46,326,806 9,744,254 8,110,094 47,275,289 10,154,366 8,062,152 64,181,154 65,491,807 0.980 0.970 1.006 0.980 57,700,662 12,153,953 10,132,313 58,870,601 12,353,065 9,933,074 79,986,928 81,156,740 0.985 0.980 0.960 0.984 1.020 0.986 Source: March 2011 CPS, March 2012 CPS, March 2013 CPS, and March 2014 CPS; postcensal Census estimates for March 2011-2014. Census estimates represent estimates for March 2011-2014 based on the 2010 Census. CPS estimates use weights based on the 2000 Census (March 2011) and 2010 Census (March 2012-March 2014), and with updated Census controls used in the weight calculations. The weights were calculated using more age detail for children to provide better estimates of children by single year of age. Note: To calculate WIC eligibles in the CPS, the age/race/gender specific ratios are applied to the CPS weights by age/race/gender to adjust for the under/over count of children in the CPS relative to the Census estimates. The ratios shown in the total columns (by age/race/gender) are for informational purposes only. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-7 Table A.3b-2013: Current Year Census Estimates and CPS Estimates by Single-Year Age Groups, Race and Gender, March 2014 NOTE: This table does not include estimates for the territories. Females White Black Other Infants Census estimates 1,378,415 293,998 252,740 CPS estimate 1,377,835 274,510 221,949 Ratio of Census estimate to CPS estimate 1.000 1.071 1.139 Children Age 1 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Children Age 2 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Children Age 3 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Children Age 4 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Total Children Ages1 to 4 Census estimates CPS estimate Ratio of Census estimate to CPS estimate Males Total Total White Black Other Total White Black Other Total 1,925,153 1,874,294 1,444,713 1,444,205 307,942 204,755 264,180 260,613 2,016,835 1,909,573 2,823,128 2,822,040 601,940 479,265 516,920 482,562 3,941,988 3,783,867 1.027 1.000 1.504 1.014 1.056 1.000 1.256 1.071 1.042 1,385,595 1,385,327 296,447 315,510 250,678 281,311 1,932,720 1,982,148 1,454,811 1,454,536 306,568 409,284 261,754 265,160 2,023,133 2,128,980 2,840,406 2,839,863 603,015 724,794 512,432 546,471 3,955,853 4,111,128 1.000 0.940 0.891 0.975 1.000 0.749 0.987 0.950 1.000 0.832 0.938 0.962 1,389,221 1,388,975 296,481 290,854 253,672 245,153 1,939,374 1,924,982 1,458,914 1,458,680 306,218 294,328 264,183 244,870 2,029,315 1,997,877 2,848,135 2,847,655 602,699 585,182 517,855 490,023 3,968,689 3,922,859 1.000 1.019 1.035 1.007 1.000 1.040 1.079 1.016 1.000 1.030 1.057 1.012 1,412,170 1,411,880 299,840 292,641 252,917 256,756 1,964,927 1,961,277 1,481,391 1,481,136 309,420 303,141 263,382 277,405 2,054,193 2,061,682 2,893,561 2,893,016 609,260 595,782 516,299 534,161 4,019,120 4,022,959 1.000 1.025 0.985 1.002 1.000 1.021 0.949 0.996 1.000 1.023 0.967 0.999 1,401,267 1,401,031 297,408 309,833 252,890 257,377 1,951,565 1,968,241 1,467,595 1,467,338 305,519 323,244 260,406 265,522 2,033,520 2,056,104 2,868,862 2,868,369 602,927 633,077 513,296 522,899 3,985,085 4,024,345 1.000 0.960 0.983 0.992 1.000 0.945 0.981 0.989 1.000 0.952 0.982 0.990 1,190,176 1,010,157 1,208,838 1,040,597 7,788,586 7,836,648 5,862,711 1,227,725 1,049,725 5,861,690 1,329,997 1,052,957 8,140,161 8,244,644 11,450,964 11,448,903 2,417,901 2,059,882 2,538,835 2,093,554 15,928,747 16,081,292 0.997 0.987 1.000 7,307,424 1,535,667 1,313,905 7,305,895 1,534,752 1,313,570 10,156,996 10,154,217 14,274,092 14,270,943 1.000 1.000 5,588,253 5,587,213 1.000 Total Infants and Children (Age 1-4) Census estimates 6,966,668 CPS estimate 6,965,048 Ratio of Census estimate to CPS estimate 1.000 0.985 0.971 0.994 1,484,174 1,262,897 1,483,348 1,262,546 9,713,739 9,710,942 1.001 1.000 1.000 1.000 1.000 0.923 1.001 1.000 0.952 0.984 0.991 3,019,841 2,576,802 3,018,100 2,576,116 19,870,735 19,865,159 1.001 1.000 1.000 Source: March 2014 CPS; postcensal Census estimates for March 2014. Census estimates represent estimates for March 2014 based on the 2010 Census. CPS estimates use weights based on the 2010 Census, and with updated Census controls used in the weight calculations. The weights were calculated using more age detail for children to provide better estimates of children by single year of age. Note: To calculate WIC eligibles in the CPS, the age/race/gender specific ratios are applied to the CPS weights by age/race/gender to adjust for the under/over count of children in the CPS relative to the Census estimates. The ratios shown in the total columns (by age/race/gender) are for informational purposes only. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-8 Table A.3c-2013: Effect of Applying Population Adjustment Factors on Population Counts in the 2014 CPS ASEC by Race and Gender NOTE: This table does not include estimates for the territories. Females White Black Other Infants Total White Black Males Other Total Total White Black Other Total Population adjustment factor Revised 2012 CPS estimate Original 2012 CPS estimate % relative change 1.000 1,377,835 1,377,835 0.0% 1.071 294,000 274,510 7.1% 1.106 245,387 221,949 10.6% na 1,917,222 1,874,294 2.3% 1.000 1,444,205 1,444,205 0.0% 1.107 226,685 204,755 10.7% 1.014 264,183 260,613 1.4% na 1,935,072 1,909,573 1.3% na 2,822,040 2,822,040 0.0% na 520,685 479,265 8.6% na 509,570 482,561 5.6% na 3,852,294 3,783,867 1.8% Children Age 1 Population adjustment factor Revised 2012 CPS estimate Original 2012 CPS estimate % relative change 1.000 1,385,327 1,385,327 0.0% 0.940 296,453 315,510 -6.0% 0.939 264,067 281,311 -6.1% na 1,945,847 1,982,148 -1.8% 1.000 1,454,536 1,454,536 0.0% 0.877 358,860 409,284 -12.3% 0.987 261,766 265,160 -1.3% na 2,075,162 2,128,980 -2.5% na 2,839,863 2,839,863 0.0% na 655,313 724,794 -9.6% na 525,833 546,472 -3.8% na 4,021,009 4,111,128 -2.2% Children Age 2 Population adjustment factor Revised 2012 CPS estimate Original 2012 CPS estimate % relative change 1.000 1,388,975 1,388,975 0.0% 1.019 296,467 290,854 1.9% 1.026 251,405 245,153 2.6% na 1,936,847 1,924,982 0.6% 1.000 1,458,680 1,458,680 0.0% 1.012 297,859 294,328 1.2% 1.072 262,427 244,870 7.2% na 2,018,967 1,997,877 1.1% na 2,847,655 2,847,655 0.0% na 594,327 585,181 1.6% na 513,832 490,023 4.9% na 3,955,813 3,922,860 0.8% Children Age 3 Population adjustment factor Revised 2012 CPS estimate Original 2012 CPS estimate % relative change 1.000 1,411,880 1,411,880 0.0% 1.000 292,641 292,641 0.0% 1.000 256,756 256,756 0.0% na 1,961,277 1,961,277 0.0% 1.000 1,481,136 1,481,136 0.0% 1.000 303,141 303,141 0.0% 1.000 277,405 277,405 0.0% na 2,061,682 2,061,682 0.0% na 2,893,016 2,893,016 0.0% na 595,782 595,782 0.0% na 534,161 534,161 0.0% na 4,022,959 4,022,959 0.0% Children Age 4 Population adjustment factor Revised 2012 CPS estimate Original 2012 CPS estimate % relative change 1.000 1,401,031 1,401,031 0.0% 0.988 305,991 309,833 -1.2% 1.000 257,377 257,377 0.0% na 1,964,399 1,968,241 -0.2% 1.000 1,467,338 1,467,338 0.0% 0.953 307,923 323,244 -4.7% 0.985 261,672 265,522 -1.5% na 2,036,933 2,056,104 -0.9% na 2,868,369 2,868,369 0.0% na 613,914 633,077 -3.0% na 519,049 522,899 -0.7% na 4,001,332 4,024,346 -0.6% Total Children Ages1 to 4 Population adjustment factor Revised 2012 CPS estimate Original 2012 CPS estimate % relative change na na 5,587,213 1,191,553 5,587,213 1,208,838 0.0% -1.4% na 1,029,604 1,040,597 -1.1% na 7,808,370 7,836,648 -0.4% na na 5,861,690 1,267,783 5,861,690 1,329,997 0.0% -4.7% na 1,063,270 1,052,957 1.0% na 8,192,744 8,244,644 -0.6% na na na na 11,448,903 2,459,336 2,092,875 16,001,114 11,448,903 2,538,835 2,093,555 16,081,293 0.0% -3.1% 0.0% -0.5% Total Infants and Children (Age 1-4) Population adjustment factor na na Revised 2012 CPS estimate 6,965,048 1,485,553 Original 2012 CPS estimate 6,965,048 1,483,348 % relative change 0.0% 0.1% na 1,274,991 1,262,546 1.0% na 9,725,592 9,710,943 0.2% na na 7,305,895 1,494,468 7,305,895 1,534,752 0.0% -2.6% na na 1,327,453 10,127,816 1,313,570 10,154,217 1.1% -0.3% na na na na 14,270,944 2,980,021 2,602,444 19,853,408 14,270,944 3,018,100 2,576,116 19,865,160 0.0% -1.3% 1.0% -0.1% Source: March 2011 CPS, March 2012 CPS, March 2013 CPS, and March 2014 CPS; postcensal Census estimates for March 2011-2014. Census estimates represent estimates for March 2010-2013 based on the 2010 Census. CPS estimates use weights based on the 2000 Census (March 2011) and 2010 Census (March 2012-March 2014), and with updated Census controls used in the weight calculations. The weights were calculated using more age detail for children to provide better estimates of children by single year of age. Note: To calculate WIC eligibles in the CPS, the age/race/gender specific ratios are applied to the CPS weights by age/race/gender to adjust for the under/over count of children in the CPS relative to the Census estimates. The ratios shown in the total columns (by age/race/gender) are for informational purposes only. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-9 Table A.4-2013: Breastfeeding Adjustment Factor Calculations for WIC Eligible Postpartum Women (1993-2013) 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Breastfeeding rates among WIC-participants (IFS) In-hospital 0.416 0.443 0.466 0.466 0.504 0.568 0.561 0.568 0.582 0.588 0.543 0.536 0.562 0.531 0.499 0.495 0.507 0.533 0.592 0.610 0.635 At 6 months 0.108 0.116 0.127 0.129 0.165 0.189 0.199 0.201 0.208 0.221 0.210 0.214 0.214 0.191 0.160 0.170 0.176 0.185 0.271 0.310 0.291 Breastfeeding rates among WIC-eligibles after NHANES adjustment In-hospital 0.430 0.458 0.482 0.482 0.521 0.587 0.580 0.587 0.602 0.608 0.561 0.554 0.581 0.549 0.527 0.523 0.535 0.563 0.625 0.644 0.671 At 6 months 0.117 0.126 0.138 0.140 0.179 0.205 0.216 0.218 0.226 0.240 0.228 0.232 0.232 0.207 0.184 0.196 0.202 0.213 0.312 0.357 0.335 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.034 1.056 1.056 1.056 1.056 1.056 1.056 1.056 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.085 1.150 1.150 1.150 1.150 1.150 1.150 1.150 In-hospital 0.274 0.292 0.307 0.307 0.332 0.375 0.370 0.375 0.384 0.388 0.358 0.353 0.371 0.350 0.327 0.324 0.332 0.349 0.388 0.400 0.416 At 6 months 0.096 0.103 0.113 0.115 0.147 0.168 0.177 0.179 0.185 0.197 0.187 0.191 0.191 0.170 0.153 0.163 0.169 0.177 0.260 0.297 0.279 0.185 0.198 0.210 0.211 0.240 0.271 0.274 0.277 0.284 0.292 0.272 0.272 0.281 0.260 0.240 0.244 0.250 0.263 0.324 0.348 <6 months postpartum 0.137 0.146 0.154 0.154 0.166 0.187 0.185 0.187 0.192 0.194 0.179 0.177 0.185 0.175 0.164 0.162 0.166 0.175 0.194 0.200 >=6 months postpartum 0.048 0.052 0.057 0.057 0.073 0.084 0.089 0.089 0.093 0.098 0.093 0.095 0.095 0.085 0.077 0.081 0.084 0.089 0.130 0.148 Not breastfeeding <6 months postpartum 0.363 0.354 0.346 0.346 0.334 0.313 0.315 0.313 0.308 0.306 0.321 0.323 0.315 0.325 0.337 0.338 0.334 0.325 0.306 0.300 Sources: Breastfeeding rates among WIC participants for 2013 are from the Infant Feeding Survey, Abbott Nutrition, Abbott Laboratories, as published in "2014 Breastfeeding Trends" . This survey was formerly known as the "Ross Mothers Survey". Adjustment for WIC eligible versus WIC participants from analysis of the combined 2001-2002, 2003-2004 and 2005-2006 NHANES. Adjustment for using month 0 and month 6 breastfeeding rates (rather than monthly rates) and for certification periods from analysis of the 1996, 2001, and 2004 SIPP panels with breastfeeding prevalence rates derived from the combined 2001-2002, 2003-2004 and 2005-2006 NHANES. Note: The columns corresponding to 1993 to 2006 use SIPP adjustment factors based on 1996 and 2001 SIPP panels. The 2007 through 2012 columns include the 2004 SIPP panel as well. 0.347 0.208 0.139 NHANES 'In-hospital' adjustment factor NHANES 'At 6 months' adjustment factor Breastfeeding rates among WIC-eligibles after adjustment for overestimate of monthly eligibility Breastfeeding adjustment factors Breastfeeding National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-10 0.292 Table A.5-2013: A Comparison of Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group in the March 2014 CPS. According to Whether the 2013 or 2012 Breastfeeding Rates are Used NOTE: This table includes estimates for the territories. 2013 (Using 2013 Breastfeeding Rates) NonParticipant Group Infants Eligibles a Eligibles Total b 2013 (Using 2012 Breastfeeding Rates) NonEligibles a Eligibles Total b Percent Change Eligibles NonEligibles Total 2,387,223 1,509,466 3,896,689 2,387,223 1,509,466 3,896,689 0.00% 0.00% 0.00% Total Children Ages 1-4 Children Age 1 Children Age 2 Children Age 3 Children Age 4 9,053,165 2,285,482 2,280,827 2,224,943 2,261,914 7,132,953 1,780,591 1,720,171 1,845,197 1,786,994 16,186,118 4,066,073 4,000,997 4,070,139 4,048,908 9,053,165 2,285,482 2,280,827 2,224,943 2,261,914 7,132,953 1,780,591 1,720,171 1,845,197 1,786,994 16,186,118 4,066,073 4,000,997 4,070,139 4,048,908 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% Pregnant Women 1,228,252 1,228,252 0.00% 826,003 694,264 828,158 713,740 -0.26% -2.73% Postpartum Breastfeeding Women Postpartum Non-Breastfeeding Women Total WIC Eligibles 14,188,907 14,210,539 -0.15% Source: March 2014 CPS; 2004 and 2008 SIPP panels; 2001-2002, 2003-2004, 2005-2006 NHANES Notes: a The non-eligible infants and children represent the difference between the total estimates of infants and children age 1 to 4 in the total United States and the WIC-eligible infants and children. b The total numbers of infants and children represent the sum of the March 2014 total number of infants and children adjusted for the under and over count of infants and children in the CPS relative to Census estimates, plus the numbers of infants and children in Puerto Rico and the other island territories based on the 2013 PRCS and annual Census Bureau population estimates. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-11 Table A.6-2013: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC by Participant Group CY 2013 (March 2014 CPS) NOTE: Estimates for the territories are added at the bottom of this table. The top portion of this table does not include estimates from the territories. Total Children Children Children Children Children Infants Age 1 Age 2 Age 3 Age 4 Age 1 to 4 Pregnant Women Postpartum Breastfeeding Women Postpartum NonBreastfeeding Women Total Total number of infants/children in the 2013 CPS-ASEC 3,783,867 4,111,128 3,922,860 4,022,959 4,024,346 16,081,293 19,865,160 Number (non-U.S. Territory) after adjustment for CPS under/over counta 3,852,294 4,021,009 3,955,813 4,022,959 4,001,332 16,001,114 19,853,408 Number with annual income <185% FPG 1,619,876 1,737,479 1,734,875 1,676,574 1,676,922 6,825,850 8,445,726 463,270 133,034 486 329,750 487,517 83,224 498 403,794 486,151 83,858 8,022 394,270 488,916 75,880 8,128 404,908 524,936 172,633 7,151 345,152 1,987,520 415,596 23,800 1,548,124 2,450,790 548,630 24,286 1,877,874 Total number income and adjunctively eligible 2,083,146 2,224,996 2,221,026 2,165,490 2,201,858 8,813,370 10,896,516 Number after monthly income adjustmentc 2,416,450 2,269,496 2,265,446 2,208,800 2,245,895 8,989,637 11,406,087 2,343,956 2,246,801 2,242,792 2,186,712 2,223,436 8,899,741 Number of additional people adjunctively eligible above 185% FPG Through SNAPb Through TANF Through Medicaid Total Eligibles - Number after adjustment for nutritional risk (infants and children)d Starting point for estimates of women is fully eligible infants Number after adjustment for length of pregnancy and income of woman during pregnancye Number after adjustment for multiple births and infant deaths 11,243,697 2,343,956 2,343,956 2,343,956 1,248,157 f 1,243,289 7,031,868 1,248,157 2,334,815 2,334,815 5,912,918 811,032 681,681 1,492,713 1,205,990 811,032 681,681 2,698,703 Number after adjustment for breastfeeding Total Eligibles - Number after adjustment for nutritional risk (pregnant and postpartum women)d Source: March 2014 CPS CY 2013 - Eligibles in the U.S. Territories Total Eligibles in the U.S. Territories Source: 2013 PRCS and Census International Data Base Total Eligibles - States and Territories U.S. Total Infants Children Age 1 Children Age 2 Children Age 3 Children Age 4 Total Children Ages 1-4 Pregnant Women Postpartum Breastfeeding Women Postpartum NonBreastfeeding Women 43,267 38,681 38,035 38,231 38,477 153,424 22,262 14,971 12,583 Total 246,508 2,387,223 2,285,482 2,280,827 2,224,943 2,261,914 9,053,165 1,228,252 826,003 694,264 14,188,907 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-12 Notes for Table A.6-2013: FPG = Federal poverty guidelines a See Tables A.3a and A3.b for the adjustment factors used to correct for the under/over count of infants and children in the CPS relative to estimates based on the Census. Table A.3a compares 4 years of accumulated CPS and Census estimates for children ages 0 to 4 by single years of age, gender and race (white, black, and other) and calculates adjustment factors based on the ratio of the Census estimate to the CPS estimate. Table A.3b shows the impact of the adjustment factors on the original March 2014 CPS estimates of children ages 0-4 by single years of age, gender, and race. b There is a hierarchy imposed on the number of infants and children adjunctively eligible for WIC. Any mention of SNAP receipt is coded as SNAP; if no mention of SNAP, but report TANF, coded as TANF. If no mention of SNAP or TANF, coded as Medicaid. c The SIPP-based multipliers used to adjust for monthly versus annual income and to account for certification periods are: Infants: 1.16 Children: 1.02 d The adjustment factors for nutritional risk by participant group are: Infants 0.97 Children 0.99 Pregnant women 0.97 Postpartum breastfeeding women 1.00 Postpartum nonbreastfeeding women 1.00 e The multiplier used to adjust for the length of pregnancy and a woman's income during pregnancy is: Pregnancy length and income 0.533 f The multiplier used to adjust for multiple births and infants deaths is: Multiple births and infants death 0.9961 g The multipliers used to adjust for breastfeeding status are: Less than 12 months who breastfeed 0.347 Less than 6 months who do not breastfeed 0.292 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-13 Table A.7a-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Unadjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Infants Family income Adjunct<185% ively WIC-Eligible Children Age 1 Family income Adjunct<185% ively WIC-Eligible Children Age 2 Family income Adjunct<185% ively FPGb 1,579,217 eligible c 452,646 Total 2,031,864 FPGb 1,789,271 eligible c 499,133 Total 2,288,404 FPGb 1,719,612 eligible c 481,322 Total 2,200,935 808,420 770,797 174,234 278,412 982,654 1,049,209 910,436 878,835 248,902 250,231 1,159,338 1,129,066 880,495 839,117 262,027 219,295 1,142,523 1,058,412 1,026,550 329,318 223,349 327,166 52,433 73,047 1,353,716 381,752 296,396 1,117,081 469,869 202,321 335,254 90,996 72,883 1,452,334 560,865 275,204 1,123,482 403,960 192,171 344,511 69,239 67,573 1,467,992 473,199 259,744 Ethnicity Hispanic Non-Hispanic 601,977 977,241 144,318 308,328 746,294 1,285,569 622,755 1,166,516 158,027 341,106 780,782 1,507,622 590,531 1,129,081 169,978 311,345 760,509 1,440,426 Living arrangement Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 966,798 532,112 80,307 36,819 43,487 335,174 106,437 11,035 11,035 0 1,301,972 638,550 91,342 47,855 43,487 1,029,145 667,413 92,713 60,356 32,357 386,540 88,531 24,062 24,062 0 1,415,685 755,944 116,775 84,418 32,357 948,607 694,463 76,542 38,627 37,916 335,799 117,493 28,030 28,030 0 1,284,406 811,955 104,573 66,657 37,916 Household size (number of persons) 2 81,879 3 380,507 4 386,287 5 331,915 6 or more 398,629 Mean 4.6 6,953 119,174 122,176 97,793 106,550 4.6 88,832 499,681 508,463 429,708 505,179 4.6 106,853 375,308 476,494 411,867 418,750 4.6 11,787 146,630 144,202 107,531 88,982 4.4 118,640 521,938 620,696 519,398 507,732 4.5 109,214 324,638 515,863 387,349 382,549 4.6 7,614 135,616 142,835 105,944 89,314 4.5 116,828 460,254 658,698 493,292 471,863 4.6 Number with working parent(s) 850,016 388,440 1,238,456 1,123,973 444,126 1,568,099 1,194,483 416,251 1,610,733 Annual family income relative to povertyb Less than 50% FPL 483,481 50% to <100% FPL 428,219 100% to <130% FPL 272,670 d 130% to <185% FPL 382,125 185% to <200% FPL 12,271 200% to <250% FPL 451 250% FPL and above 0 0 0 0 6,134 65,549 98,059 282,904 483,481 428,219 272,670 388,259 77,821 98,510 282,904 501,465 479,648 297,800 506,046 2,348 1,964 0 0 0 0 20,339 45,732 141,394 291,667 501,465 479,648 297,800 526,386 48,079 143,359 291,667 424,166 479,711 332,855 471,001 10,964 914 0 0 0 0 8,015 38,648 112,389 322,270 424,166 479,711 332,855 479,016 49,613 113,303 322,270 Annual family income Mean Median $21,133 $20,002 $93,482 $66,502 $37,250 $26,000 $22,499 $22,000 $82,553 $68,872 $35,598 $28,600 $23,524 $23,000 $102,361 $73,204 $40,765 $28,700 310,552 118,580 0 637,503 5,679 91,854 0 415,050 0 9,571 0 92,646 486 28,784 0 321,159 310,552 128,151 0 730,150 6,165 120,638 0 736,209 413,357 114,388 0 720,918 14,908 50,950 0 474,750 0 10,665 0 52,052 498 23,680 0 412,237 413,357 125,053 0 772,970 15,406 74,630 0 886,987 423,267 114,773 2,427 594,598 9,107 84,252 0 491,187 0 3,915 0 66,531 7,924 13,046 0 389,907 423,267 118,689 2,427 661,129 17,031 97,298 0 881,094 Demographic Characteristics Total Gender Male Female Race White Black Other Benefit receipt No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-14 Table A.7a-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Unadjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Children Age 3 Family income Adjunct<185% ively WIC-Eligible Children Age 4 Family income Adjunct<185% ively WIC-Eligible Children Age 1 to 4 Family income Adjunct<185% ively FPGb 1,676,574 eligible c 488,917 Total 2,165,490 FPGb 1,690,521 eligible c 528,542 Total 2,219,063 FPGb 6,875,978 eligible c 1,997,913 Total 8,873,891 843,069 833,505 269,391 219,526 1,112,460 1,053,030 854,417 836,104 277,353 251,189 1,131,770 1,087,293 3,488,417 3,387,560 1,057,673 940,240 4,546,090 4,327,801 1,138,920 342,590 195,064 338,096 75,020 75,801 1,477,016 417,610 270,865 1,072,452 393,171 224,898 354,667 113,610 60,265 1,427,119 506,781 285,163 4,451,934 1,609,589 814,454 1,372,527 348,865 276,522 5,824,461 1,958,454 1,090,976 Ethnicity Hispanic Non-Hispanic 677,940 998,634 132,909 356,007 810,849 1,354,642 613,659 1,076,862 148,704 379,837 762,364 1,456,699 2,504,884 4,371,093 609,618 1,388,295 3,114,503 5,759,388 Living arrangement Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 963,684 633,184 79,705 51,855 27,850 291,527 173,694 23,695 23,695 0 1,255,211 806,879 103,400 75,550 27,850 838,475 754,510 97,536 69,581 27,955 325,539 145,269 57,734 57,734 0 1,164,013 899,779 155,270 127,315 27,955 3,779,911 2,749,570 346,497 220,418 126,078 1,339,405 524,987 133,522 133,522 0 5,119,316 3,274,557 480,018 353,940 126,078 Household size (number of persons) 2 3 4 5 6 or more Mean 76,608 293,523 544,142 357,015 405,286 4.7 36,688 104,311 147,715 87,790 112,412 4.5 113,296 397,834 691,857 444,805 517,698 4.6 98,486 273,869 510,555 422,240 385,371 4.6 24,582 123,098 148,839 108,968 123,055 4.7 123,069 396,967 659,394 531,207 508,426 4.6 391,161 1,267,338 2,047,053 1,578,470 1,591,955 4.6 80,670 509,655 583,592 410,233 413,763 4.5 471,832 1,776,993 2,630,645 1,988,702 2,005,719 4.6 1,080,973 423,994 1,504,967 1,133,714 451,838 1,585,552 4,533,143 1,736,209 6,269,352 Annual family income relative to poverty Less than 50% FPL 475,427 50% to <100% FPL 447,336 100% to <130% FPL 253,748 130% to <185% FPLd 487,542 185% to <200% FPL 10,177 200% to <250% FPL 2,345 250% FPL and above 0 0 0 0 1,412 37,990 149,650 299,864 475,427 447,336 253,748 488,954 48,167 151,995 299,864 451,655 433,795 295,938 495,001 10,920 3,210 0 0 0 0 15,931 57,955 151,106 303,550 451,655 433,795 295,938 510,932 68,875 154,316 303,550 1,852,714 1,840,490 1,180,341 1,959,590 34,409 8,433 0 0 0 0 45,697 180,325 554,540 1,217,351 1,852,714 1,840,490 1,180,341 2,005,288 214,734 562,973 1,217,351 Annual family income Mean Median $22,903 $22,480 $92,324 $71,363 $38,576 $28,800 $23,861 $22,000 $90,553 $70,000 $39,746 $30,000 $23,189 $22,700 $91,832 $70,300 $38,643 $29,000 372,374 128,395 0 642,965 1,938 106,753 0 424,148 0 4,518 0 61,345 8,128 10,016 0 404,908 372,374 132,913 0 704,311 10,066 116,769 0 829,056 395,704 113,978 0 671,860 4,627 75,871 0 428,481 0 8,853 0 136,282 7,151 29,307 0 346,950 395,704 122,831 0 808,142 11,779 105,178 0 775,430 1,604,703 471,534 2,427 2,630,342 30,581 317,826 0 1,818,566 0 27,952 0 316,210 23,701 76,049 0 1,554,001 1,604,703 499,486 2,427 2,946,552 54,282 393,875 0 3,372,567 Demographic Characteristics Total Gender Male Female Race White Black Other Number with working parent(s) b Benefit receipt No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-15 Table A.7a-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Unadjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Children Age 1 Family income Adjunct<185% ively WIC-Eligible Infants Family income Adjunct<185% ively WIC-Eligible Children Age 2 Family income Adjunct<185% ively FPGb 1,579,217 eligible c 452,646 Total 2,031,864 FPGb 1,789,271 eligible c 499,133 Total 2,288,404 FPGb 1,719,612 eligible c 481,322 Total 2,200,935 Gender (% distribution) Male Female 51.2 48.8 38.5 61.5 48.4 51.6 50.9 49.1 49.9 50.1 50.7 49.3 51.2 48.8 54.4 45.6 51.9 48.1 Race (% distribution) White Black Other 65.0 20.9 14.1 72.3 11.6 16.1 66.6 18.8 14.6 62.4 26.3 11.3 67.2 18.2 14.6 63.5 24.5 12.0 65.3 23.5 11.2 71.6 14.4 14.0 66.7 21.5 11.8 Ethnicity (% distribution) Hispanic Non-Hispanic 38.1 61.9 31.9 68.1 36.7 63.3 34.8 65.2 31.7 68.3 34.1 65.9 34.3 65.7 35.3 64.7 34.6 65.4 Living arrangement (% distribution) Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 61.2 33.7 5.1 2.3 2.8 74.0 23.5 2.4 2.4 0.0 64.1 31.4 4.5 2.4 2.1 57.5 37.3 5.2 3.4 1.8 77.4 17.7 4.8 4.8 0.0 61.9 33.0 5.1 3.7 1.4 55.2 40.4 4.5 2.2 2.2 69.8 24.4 5.8 5.8 0.0 58.4 36.9 4.8 3.0 1.7 Number of people in household (% distribution) 2 5.2 3 24.1 4 24.5 5 21.0 6 or more 25.2 1.5 26.3 27.0 21.6 23.5 4.4 24.6 25.0 21.1 24.9 6.0 21.0 26.6 23.0 23.4 2.4 29.4 28.9 21.5 17.8 5.2 22.8 27.1 22.7 22.2 6.4 18.9 30.0 22.5 22.2 1.6 28.2 29.7 22.0 18.6 5.3 20.9 29.9 22.4 21.4 % with working parent(s) 85.8 61.0 62.8 89.0 68.5 69.5 86.5 73.2 Annual family income relative to povertyb (% distribution) Less than 50% FPL 30.6 0.0 50% to <100% FPL 27.1 0.0 100% to <130% FPL 17.3 0.0 130% to <185% FPLd 24.2 1.4 185% to <200% FPL 0.8 14.5 200% to <250% FPL 0.0 21.7 250% FPL and above 0.0 62.5 23.8 21.1 13.4 19.1 3.8 4.8 13.9 28.0 26.8 16.6 28.3 0.1 0.1 0.0 0.0 0.0 0.0 4.1 9.2 28.3 58.4 21.9 21.0 13.0 23.0 2.1 6.3 12.7 24.7 27.9 19.4 27.4 0.6 0.1 0.0 0.0 0.0 0.0 1.7 8.0 23.4 67.0 19.3 21.8 15.1 21.8 2.3 5.1 14.6 15.3 6.3 0.0 35.9 0.3 5.9 0.0 36.2 23.1 6.4 0.0 40.3 0.8 2.8 0.0 26.5 0.0 2.1 0.0 10.4 0.1 4.7 0.0 82.6 18.1 5.5 0.0 33.8 0.7 3.3 0.0 38.8 24.6 6.7 0.1 34.6 0.5 4.9 0.0 28.6 0.0 0.8 0.0 13.8 1.6 2.7 0.0 81.0 19.2 5.4 0.1 30.0 0.8 4.4 0.0 40.0 Demographic Characteristics Total Benefit receipt (% distribution) No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. 53.8 19.7 7.5 0.0 40.4 0.4 5.8 0.0 26.3 0.0 2.1 0.0 20.5 0.1 6.4 0.0 71.0 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-16 Table A.7a-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Unadjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Children Age 3 Family income Adjunct<185% ively WIC-Eligible Children Age 4 Family income Adjunct<185% ively WIC-Eligible Children Age 1 to 4 Family income Adjunct<185% ively FPGb 1,676,574 eligible c 488,917 Total 2,165,490 FPGb 1,690,521 eligible c 528,542 Total 2,219,063 FPGb 6,875,978 eligible c 1,997,913 Total 8,873,891 Gender (% distribution) Male Female 50.3 49.7 55.1 44.9 51.4 48.6 50.5 49.5 52.5 47.5 51.0 49.0 50.7 49.3 52.9 47.1 51.2 48.8 Race (% distribution) White Black Other 67.9 20.4 11.6 69.2 15.3 15.5 68.2 19.3 12.5 63.4 23.3 13.3 67.1 21.5 11.4 64.3 22.8 12.9 64.7 23.4 11.8 68.7 17.5 13.8 65.6 22.1 12.3 Ethnicity (% distribution) Hispanic Non-Hispanic 40.4 59.6 27.2 72.8 37.4 62.6 36.3 63.7 28.1 71.9 34.4 65.6 36.4 63.6 30.5 69.5 35.1 64.9 Living arrangement (% distribution) Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 57.5 37.8 4.8 3.1 1.7 59.6 35.5 4.8 4.8 0.0 58.0 37.3 4.8 3.5 1.3 49.6 44.6 5.8 4.1 1.7 61.6 27.5 10.9 10.9 0.0 52.5 40.5 7.0 5.7 1.3 55.0 40.0 5.0 3.2 1.8 67.0 26.3 6.7 6.7 0.0 57.7 36.9 5.4 4.0 1.4 Number of people in household (% distribution) 2 4.6 3 17.5 4 32.5 5 21.3 6 or more 24.2 7.5 21.3 30.2 18.0 23.0 5.2 18.4 31.9 20.5 23.9 5.8 16.2 30.2 25.0 22.8 4.7 23.3 28.2 20.6 23.3 5.5 17.9 29.7 23.9 22.9 5.7 18.4 29.8 23.0 23.2 4.0 25.5 29.2 20.5 20.7 5.3 20.0 29.6 22.4 22.6 % with working parent(s) 86.7 69.5 67.1 85.5 71.5 65.9 86.9 70.6 Annual family income relative to povertyb (% distribution) Less than 50% FPL 28.4 0.0 50% to <100% FPL 26.7 0.0 100% to <130% FPL 15.1 0.0 130% to <185% FPLd 29.1 0.3 185% to <200% FPL 0.6 7.8 200% to <250% FPL 0.1 30.6 250% FPL and above 0.0 61.3 22.0 20.7 11.7 22.6 2.2 7.0 13.8 26.7 25.7 17.5 29.3 0.6 0.2 0.0 0.0 0.0 0.0 3.0 11.0 28.6 57.4 20.4 19.5 13.3 23.0 3.1 7.0 13.7 26.9 26.8 17.2 28.5 0.5 0.1 0.0 0.0 0.0 0.0 2.3 9.0 27.8 60.9 20.9 20.7 13.3 22.6 2.4 6.3 13.7 17.2 6.1 0.0 32.5 0.5 5.4 0.0 38.3 23.4 6.7 0.0 39.7 0.3 4.5 0.0 25.3 0.0 1.7 0.0 25.8 1.4 5.5 0.0 65.6 17.8 5.5 0.0 36.4 0.5 4.7 0.0 34.9 23.3 6.9 0.0 38.3 0.4 4.6 0.0 26.4 0.0 1.4 0.0 15.8 1.2 3.8 0.0 77.8 18.1 5.6 0.0 33.2 0.6 4.4 0.0 38.0 Demographic Characteristics Total Benefit receipt (% distribution) No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. 64.5 22.2 7.7 0.0 38.3 0.1 6.4 0.0 25.3 0.0 0.9 0.0 12.5 1.7 2.0 0.0 82.8 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-17 Notes for Table A.7a-2013: FPG - Federal Poverty Guidelines FPL - Federal Poverty Level a These estimates are tabulated from the unadjusted person weights on the 2014 CPS-ASEC. They are not adjusted to account for the under or over count of infants and children in the CPS relative to Census estimates, monthly income, or nutritional risk. b This table uses both the Federal Poverty Guidelines (FPG) and the Federal Poverty Thresholds or "Levels" (FPL). The thresholds are used to calculate the ratio of annual family income to the poverty threshold for their family size. The guidelines are used in determining WIC eligibility. The Federal Poverty Thresholds are updated by the Census Bureau each year and are used mainly to produce official poverty population estimates. The Federal Poverty Guidelines are issued by the Department of Health and Human Services (HHS) and are a simplification of the poverty thresholds for use in determining financial eligibility for certain federal programs, including WIC. c Infants and children adjunctively eligible are those whose family income was not below 185% FPG but who reported receipt of SNAP, Medicaid, or TANF. Therefore, the two categories are mutually exclusive. d There are infants and children adjunctively eligible for WIC with annual family incomes above 185 percent of the Federal Poverty Guidelines (FPG) who have annual family incomes below 185% of the Federal Poverty Level (FPL). For example, in January 2013 a family of five with three children and an annual family income of $45,125 has an income to FPL ratio of 1.58, but an income to FPG ratio of 1.64 (FPL for a family of 5 = $28,498; FPG for a family of 5 = $27,570). National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-18 This page was left intentionally blank. Table A.7b-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Fully adjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Infants Family income Adjunct<185% ively WIC-Eligible Children Age 1 Family income Adjunct<185% ively WIC-Eligible Children Age 2 Family income Adjunct<185% ively FPGb 1,822,685 eligible c 521,272 Total 2,343,957 FPGb 1,754,506 eligible c 492,294 Total 2,246,800 FPGb 1,751,877 eligible c 490,915 Total 2,242,793 930,115 892,570 198,341 322,932 1,128,456 1,215,501 886,289 868,217 244,373 247,921 1,130,663 1,116,137 898,109 853,768 268,122 222,793 1,166,231 1,076,561 Race White Black Other 1,155,075 403,091 264,519 368,127 63,879 89,266 1,523,202 466,970 353,785 1,128,028 429,639 196,839 338,539 83,009 70,746 1,466,567 512,649 267,584 1,134,492 414,239 203,147 347,887 71,031 71,998 1,482,379 485,269 275,145 Ethnicity Hispanic Non-Hispanic 681,481 1,141,204 163,327 357,946 844,807 1,499,150 625,196 1,129,310 157,253 335,041 782,449 1,464,351 598,472 1,153,405 172,408 318,508 770,879 1,471,913 Living arrangement Two-parent family 1,108,724 Single-parent family 620,169 No-parent family 93,791 Related non-parent caretaker 42,346 Unrelated non-parent caretaker 51,445 385,444 123,227 12,601 12,601.0 0 1,494,169 743,396 106,392 54,947 51,445 1,020,241 642,435 91,830 59,305 32,525 382,123 86,315 23,856 23,856 0 1,402,364 728,749 115,686 83,161 32,525 965,183 708,668 78,027 39,399 38,627 342,863 119,675 28,377 28,377 0 1,308,046 828,343 106,404 67,776 38,627 Household size (number of persons) 2 96,831 3 439,269 4 444,074 5 384,774 6 or more 457,737 Mean 4.6 8,146 137,937 140,294 112,727 122,169 4.6 104,976 577,206 584,368 497,501 579,907 4.6 103,476 366,771 466,748 405,511 412,000 4.6 11,536 144,986 141,587 105,164 89,021 4.4 115,011 511,758 608,335 510,675 501,021 4.5 111,679 331,292 525,460 394,623 388,824 4.6 7,800 138,441 145,703 108,049 90,923 4.5 119,480 469,733 671,162 502,672 479,746 4.6 Number with working parent(s) 973,606 447,796 1,421,402 1,105,028 438,472 1,543,499 1,215,228 424,581 1,639,810 Annual family income relative to povertyb Less than 50% FPL 561,374 50% to <100% FPL 498,354 100% to <130% FPL 312,726 130% to <185% FPLd 435,787 185% to <200% FPL 13,937 200% to <250% FPL 508 250% FPL and above 0 0 0 0 7,238 76,467 112,738 324,829 561,374 498,354 312,726 443,024 90,404 113,246 324,829 489,622 467,001 295,089 498,522 2,305 1,966 0 0 0 0 19,672 44,973 141,423 286,226 489,622 467,001 295,089 518,194 47,278 143,388 286,226 433,701 489,437 337,686 478,867 11,247 940 0 0 0 0 8,094 39,226 113,973 329,622 433,701 489,437 337,686 486,960 50,473 114,913 329,622 Annual family income Mean Median $21,029 $20,000 $93,557 $66,200 $37,159 $25,764 $22,583 $22,326 $82,306 $68,872 $35,669 $28,600 $23,491 $23,000 $102,817 $73,204 $40,854 $28,638 354,359 138,450 0 740,663 6,516 107,523 0 475,173 0 10,769 0 104,914 547 34,007 0 371,035 354,359 149,219 0 845,577 7,063 141,530 0 846,208 407,686 110,271 0 705,144 14,376 50,302 0 466,728 0 9,932 0 51,473 503 22,636 0 407,751 407,686 120,202 0 756,617 14,879 72,937 0 874,478 431,170 117,456 2,498 606,506 9,270 85,730 0 499,248 0 4,011 0 67,307 8,101 13,362 0 398,134 431,170 121,467 2,498 673,813 17,371 99,091 0 897,382 Demographic Characteristics Total Gender Male Female Benefit receipt No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-20 Table A.7b-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Fully adjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Children Age 3 Family income Adjunct<185% ively WIC-Eligible Children Age 4 Family income Adjunct<185% ively WIC-Eligible Children Ages 1-4 Family income Adjunct<185% ively FPGb 1,693,004 eligible c 493,708 Total 2,186,712 FPGb 1,693,356 eligible c 530,081 Total 2,223,436 FPGb 6,892,743 eligible c 2,006,998 Total 8,899,741 851,331 841,673 272,031 221,677 1,123,362 1,063,350 851,479 841,877 277,151 252,929 1,128,630 1,094,806 3,487,208 3,405,535 1,061,677 945,321 4,548,886 4,350,855 Race White Black Other 1,150,081 345,947 196,975 341,409 75,755 76,544 1,491,490 421,702 273,519 1,082,962 385,038 225,356 358,143 111,321 60,617 1,441,105 496,359 285,973 4,495,563 1,574,863 822,317 1,385,978 341,116 279,904 5,881,541 1,915,979 1,102,221 Ethnicity Hispanic Non-Hispanic 684,583 1,008,421 134,212 359,496 818,795 1,367,917 618,282 1,075,074 149,665 380,416 767,946 1,455,490 2,526,532 4,366,210 613,537 1,393,461 3,140,070 5,759,671 Living arrangement Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 973,129 639,389 80,486 52,363 28,123 294,384 175,397 23,927 23,927 0 1,267,512 814,786 104,414 76,290 28,123 842,572 753,045 97,739 69,593 28,145 326,861 145,299 57,920 57,920 0 1,169,433 898,344 155,659 127,513 28,145 3,801,124 2,743,537 348,081 220,660 127,421 1,346,232 526,686 134,081 134,081 0 5,147,356 3,270,223 482,162 354,741 127,421 Household size (number of persons) 2 3 4 5 6 or more Mean 77,359 296,399 549,474 360,514 409,258 4.7 37,047 105,333 149,163 88,650 113,514 4.5 114,406 401,732 698,637 449,164 522,772 4.6 98,334 273,726 510,891 424,193 386,211 4.6 24,594 123,037 149,555 109,181 123,714 4.7 122,928 396,763 660,446 533,374 509,925 4.6 390,848 1,268,189 2,052,573 1,584,840 1,596,293 4.6 80,977 511,797 586,007 411,045 417,172 4.5 471,825 1,779,986 2,638,580 1,995,884 2,013,465 4.6 1,091,567 428,149 1,519,716 1,136,405 453,186 1,589,591 4,548,228 1,744,388 6,292,616 Annual family income relative to povertyb Less than 50% FPL 480,086 50% to <100% FPL 451,719 100% to <130% FPL 256,234 d 130% to <185% FPL 492,320 185% to <200% FPL 10,277 200% to <250% FPL 2,368 250% FPL and above 0 0 0 0 1,426 38,363 151,117 302,803 480,086 451,719 256,234 493,746 48,639 153,484 302,803 451,441 433,889 296,926 496,920 10,948 3,233 0 0 0 0 15,661 58,060 151,402 304,957 451,441 433,889 296,926 512,581 69,008 154,635 304,957 1,854,850 1,842,046 1,185,935 1,966,628 34,777 8,507 0 0 0 0 44,853 180,622 557,915 1,223,609 1,854,850 1,842,046 1,185,935 2,011,481 215,399 566,421 1,223,609 Annual family income Mean Median $22,903 $22,480 $92,324 $71,363 $38,576 $28,800 $23,894 $22,400 $90,629 $70,000 $39,804 $30,000 $23,214 $22,800 $91,986 $70,351 $38,723 $29,000 376,024 129,653 0 649,267 1,957 107,799 0 428,304 0 4,563 0 61,947 8,208 10,115 0 408,877 376,024 134,216 0 711,213 10,165 117,914 0 837,181 397,631 113,908 0 671,409 4,648 76,093 0 429,667 0 8,820 0 136,285 7,221 29,219 0 348,535 397,631 122,729 0 807,694 11,869 105,312 0 778,202 1,612,511 471,288 2,498 2,632,325 30,251 319,924 0 1,823,946 0 27,326 0 317,012 24,033 75,331 0 1,563,297 1,612,511 498,614 2,498 2,949,337 54,285 395,255 0 3,387,243 Demographic Characteristics Total Gender Male Female Number with working parent(s) Benefit receipt No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-21 Table A.7b-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Fully adjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Children Age 1 Family income Adjunct<185% ively WIC-Eligible Infants Family income Adjunct<185% ively WIC-Eligible Children Age 2 Family income Adjunct<185% ively FPGb 1,822,685 eligible c 521,272 Total 2,343,957 FPGb 1,754,506 eligible c 492,294 Total 2,246,800 FPGb 1,751,877 eligible c 490,915 Total 2,242,793 Gender (% distribution) Male Female 51.0 49.0 38.0 62.0 48.1 51.9 50.5 49.5 49.6 50.4 50.3 49.7 51.3 48.7 54.6 45.4 52.0 48.0 Race (% distribution) White Black Other 63.4 22.1 14.5 70.6 12.3 17.1 65.0 19.9 15.1 64.3 24.5 11.2 68.8 16.9 14.4 65.3 22.8 11.9 64.8 23.6 11.6 70.9 14.5 14.7 66.1 21.6 12.3 Ethnicity (% distribution) Hispanic Non-Hispanic 37.4 62.6 31.3 68.7 36.0 64.0 35.6 64.4 31.9 68.1 34.8 65.2 34.2 65.8 35.1 64.9 34.4 65.6 Living arrangement (% distribution) Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 60.8 34.0 5.1 2.3 2.8 73.9 23.6 2.4 2.4 0.0 63.7 31.7 4.5 2.3 2.2 58.1 36.6 5.2 3.4 1.9 77.6 17.5 4.8 4.8 0.0 62.4 32.4 5.1 3.7 1.4 55.1 40.5 4.5 2.2 2.2 69.8 24.4 5.8 5.8 0.0 58.3 36.9 4.7 3.0 1.7 Number of people in household (% distribution) 2 5.3 3 24.1 4 24.4 5 21.1 6 or more 25.1 1.6 26.5 26.9 21.6 23.4 4.5 24.6 24.9 21.2 24.7 5.9 20.9 26.6 23.1 23.5 2.3 29.5 28.8 21.4 18.1 5.1 22.8 27.1 22.7 22.3 6.4 18.9 30.0 22.5 22.2 1.6 28.2 29.7 22.0 18.5 5.3 20.9 29.9 22.4 21.4 % with working parent(s) 85.9 60.6 63.0 89.1 68.7 69.4 86.5 73.1 Annual family income relative to povertyb (% distribution) Less than 50% FPL 30.8 0.0 50% to <100% FPL 27.3 0.0 100% to <130% FPL 17.2 0.0 130% to <185% FPLd 23.9 1.4 185% to <200% FPL 0.8 14.7 200% to <250% FPL 0.0 21.6 250% FPL and above 0.0 62.3 23.9 21.3 13.3 18.9 3.9 4.8 13.9 27.9 26.6 16.8 28.4 0.1 0.1 0.0 0.0 0.0 0.0 4.0 9.1 28.7 58.1 21.8 20.8 13.1 23.1 2.1 6.4 12.7 24.8 27.9 19.3 27.3 0.6 0.1 0.0 0.0 0.0 0.0 1.6 8.0 23.2 67.1 19.3 21.8 15.1 21.7 2.3 5.1 14.7 15.1 6.4 0.0 36.1 0.3 6.0 0.0 36.1 23.2 6.3 0.0 40.2 0.8 2.9 0.0 26.6 0.0 2.0 0.0 10.5 0.1 4.6 0.0 82.8 18.1 5.3 0.0 33.7 0.7 3.2 0.0 38.9 24.6 6.7 0.1 34.6 0.5 4.9 0.0 28.5 0.0 0.8 0.0 13.7 1.7 2.7 0.0 81.1 19.2 5.4 0.1 30.0 0.8 4.4 0.0 40.0 Demographic Characteristics Total Benefit receipt (% distribution) No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. 53.4 19.4 7.6 0.0 40.6 0.4 5.9 0.0 26.1 0.0 2.1 0.0 20.1 0.1 6.5 0.0 71.2 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-22 Table A.7b-2013: Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Fully adjusted weightsa NOTE: This table does not include estimates for the territories. WIC-Eligible Children Age 3 Family income Adjunct<185% ively WIC-Eligible Children Age 4 Family income Adjunct<185% ively WIC-Eligible Children Age 1 to 4 Family income Adjunct<185% ively FPGb 1,693,004 eligible c 493,708 Total 2,186,712 FPGb 1,693,356 eligible c 530,081 Total 2,223,436 FPGb 6,892,743 eligible c 2,006,998 Total 8,899,741 Gender (% distribution) Male Female 50.3 49.7 55.1 44.9 51.4 48.6 50.3 49.7 52.3 47.7 50.8 49.2 50.6 49.4 52.9 47.1 51.1 48.9 Race (% distribution) White Black Other 67.9 20.4 11.6 69.2 15.3 15.5 68.2 19.3 12.5 64.0 22.7 13.3 67.6 21.0 11.4 64.8 22.3 12.9 65.2 22.8 11.9 69.1 17.0 13.9 66.1 21.5 12.4 Ethnicity (% distribution) Hispanic Non-Hispanic 40.4 59.6 27.2 72.8 37.4 62.6 36.5 63.5 28.2 71.8 34.5 65.5 36.7 63.3 30.6 69.4 35.3 64.7 Living arrangement (% distribution) Two-parent family Single-parent family No-parent family Related non-parent caretaker Unrelated non-parent caretaker 57.5 37.8 4.8 3.1 1.7 59.6 35.5 4.8 4.8 0.0 58.0 37.3 4.8 3.5 1.3 49.8 44.5 5.8 4.1 1.7 61.7 27.4 10.9 10.9 0.0 52.6 40.4 7.0 5.7 1.3 55.1 39.8 5.0 3.2 1.8 67.1 26.2 6.7 6.7 0.0 57.8 36.7 5.4 4.0 1.4 Number of people in household (% distribution) 2 4.6 3 17.5 4 32.5 5 21.3 6 or more 24.2 7.5 21.3 30.2 18.0 23.0 5.2 18.4 31.9 20.5 23.9 5.8 16.2 30.2 25.1 22.8 4.6 23.2 28.2 20.6 23.3 5.5 17.8 29.7 24.0 22.9 5.7 18.4 29.8 23.0 23.2 4.0 25.5 29.2 20.5 20.8 5.3 20.0 29.6 22.4 22.6 % with working parent(s) 86.7 69.5 67.1 85.5 71.5 66.0 86.9 70.7 Annual family income relative to povertyb (% distribution) Less than 50% FPL 28.4 0.0 50% to <100% FPL 26.7 0.0 100% to <130% FPL 15.1 0.0 130% to <185% FPLd 29.1 0.3 185% to <200% FPL 0.6 7.8 200% to <250% FPL 0.1 30.6 250% FPL and above 0.0 61.3 22.0 20.7 11.7 22.6 2.2 7.0 13.8 26.7 25.6 17.5 29.3 0.6 0.2 0.0 0.0 0.0 0.0 3.0 11.0 28.6 57.5 20.3 19.5 13.4 23.1 3.1 7.0 13.7 26.9 26.7 17.2 28.5 0.5 0.1 0.0 0.0 0.0 0.0 2.2 9.0 27.8 61.0 20.8 20.7 13.3 22.6 2.4 6.4 13.7 17.2 6.1 0.0 32.5 0.5 5.4 0.0 38.3 23.5 6.7 0.0 39.6 0.3 4.5 0.0 25.4 0.0 1.7 0.0 25.7 1.4 5.5 0.0 65.8 17.9 5.5 0.0 36.3 0.5 4.7 0.0 35.0 23.4 6.8 0.0 38.2 0.4 4.6 0.0 26.5 0.0 1.4 0.0 15.8 1.2 3.8 0.0 77.9 18.1 5.6 0.0 33.1 0.6 4.4 0.0 38.1 Demographic Characteristics Total Benefit receipt (% distribution) No benefit receipt SNAP, TANF, & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC See notes at the end of this table. 64.5 22.2 7.7 0.0 38.3 0.1 6.4 0.0 25.3 0.0 0.9 0.0 12.5 1.7 2.0 0.0 82.8 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-23 Notes for Table A.7b-2013: FPG - Federal Poverty Guidelines FPL - Federal Poverty Level a These estimates are tabulated from the fully adjusted person weights on the 2014 CPS-ASEC. They are adjusted to account for the under or over count of infants and children in the CPS relative to Census estimates, monthly income, and nutritional risk. See Tables A.3a and A.3b for the adjustment factors. b This table uses both the Federal Poverty Guidelines (FPG) and the Federal Poverty Thresholds or "Levels" (FPL). The thresholds are used to calculate the ratio of annual family income to the poverty threshold for their family size. The guidelines are used in determining WIC eligibility. The Federal Poverty Thresholds are updated by the Census Bureau each year and are used mainly to produce official poverty population estimates. The Federal Poverty Guidelines are issued by the Department of Health and Human Services (HHS) and are a simplification of the poverty thresholds for use in determining financial eligibility for certain federal programs, including WIC. c Infants and children adjunctively eligible are those whose family income was not below 185% FPG but who reported receipt of SNAP, Medicaid, or TANF. Therefore, the two categories are mutually exclusive. d There are infants and children adjunctively eligible for WIC with annual family incomes above 185 percent of the Federal Poverty Guidelines (FPG) who have annual family incomes below 185% of the Federal Poverty Level (FPL). For example, in January 2013 a family of five with three children and an annual family income of $45,125 has an income to FPL ratio of 1.58, but an income to FPG ratio of 1.64 (FPL for a family of 5 = $28,498; FPG for a family of 5 = $27,570). National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-24 Table A.8-2013: Estimates of the Average Monthly Number of Individuals Eligible for WIC by Participant Group: A Comparison of the Change from Calendar Year 2012 to 2013 NOTE: This table includes estimates for the territories. Total Participant Group Infants Total Children Ages 1-4 Children Age 1 Children Age 2 Children Age 3 Children Age 4 Pregnant Women Postpartum Breastfeeding Women Postpartum Non-Breastfeeding Women Total WIC Eligibles 2013 2012 3,896,689 3,941,665 16,186,118 4,066,073 4,000,997 4,070,139 4,048,908 16,183,647 4,009,860 4,045,462 4,046,536 4,081,789 Percent Change Total Eligibles Percent Change Eligibility Rate 2012 84.4 85.1 -0.8% 49.8 68.8 50.0 47.3 32.9 53.4 75.2 54.3 49.3 35.2 -6.8% -8.6% -7.9% -4.1% -6.6% -1.4% 68.4 70.9 -3.6% -1.6% -4.1% 71.9 84.9 70.4 84.6 2.0% 0.4% -0.6% 60.2 63.1 -4.5% 2013 2012 -1.1% 2,387,223 2,420,597 -1.4% 61.3 61.4 -0.2% 0.0% 1.4% -1.1% 0.6% -0.8% 9,053,165 2,285,482 2,280,827 2,224,943 2,261,914 8,823,888 2,185,171 2,196,651 2,232,286 2,209,780 2.6% 4.6% 3.8% -0.3% 2.4% 55.9 56.2 57.0 54.7 55.9 54.5 54.5 54.3 55.2 54.1 2.6% 3.1% 5.0% -0.9% 3.2% 1,228,252 1,245,423 826,003 694,264 839,736 723,718 14,188,907 14,277,453 Coverage Rate Percent Change 2013 2012 Percent Change 2013 Sources: Eligibility estimates use information from the March 2013 and March 2014 CPS; 2004 and 2008 SIPP panels; 2001-2002, 2003-2004, and 2005-2006 NHANES; and 2012 and 2013 IFS. Coverage rates use data on WIC participants from WIC administrative data; participant data by exact year of age for young children is estimated using enrollment data from Johnson et al. (2013), Figure E.1. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-25 Table A.9-2013: Stepwise Comparison of the Change in Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC, from Calendar Year 2012 to 2013 as estimated by the March CPS NOTE: This table does not include estimates for the territories. 2013 Percent Change a 2012 Children Age 1 to 4 Total Total number of infants/children in the March CPS Infants 3,783,867 Children Age 1 to 4 Total 19,865,160 Infants 3,873,054 16,044,013 19,917,068 Infants -2.3% 16,081,293 Number (non-U.S. Territory) after adjustment for CPS under/overcount 3,852,294 Number with annual income <185% FPG 16,001,114 19,853,408 3,894,846 15,990,251 19,885,097 1,619,876 6,825,850 8,445,726 1,712,910 6,991,605 463,270 133,034 486 329,750 1,987,520 415,596 23,800 1,548,124 2,450,790 548,630 24,286 1,877,874 399,522 94,557 11,215 293,750 Number before monthly income adjustment Number after monthly income adjustment 2,083,146 2,416,450 8,813,370 8,989,637 10,896,516 11,406,087 Total Eligibles - Number after adjustment for nutritional risk (infants and children) 2,343,956 8,899,741 11,243,697 Number with adjunctive eligibility Through SNAP Through TANF Through Medicaid Children Age 1 to 4 Total 0.2% -0.3% -1.1% 0.1% -0.2% 8,704,515 -5.4% -2.4% -3.0% 1,761,310 383,571 27,583 1,350,157 2,160,833 478,128 38,798 1,643,907 16.0% 40.7% -95.7% 12.3% 12.8% 8.3% -13.7% 14.7% 13.4% 14.7% -37.4% 14.2% 2,112,432 2,450,422 8,752,915 8,752,915 10,865,348 11,203,337 -1.4% -1.4% 0.7% 2.7% 0.3% 1.8% 2,376,909 8,665,386 11,042,295 -1.4% 2.7% 1.8% Source: March 2014 CPS and March 2013 CPS See footnotes on Table A.6 for adjustment factor calculations for 2013. a When interpreting percent changes keep in mind that groups with small populations can show large changes simply as a result of year-to-year sample variation. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-26 Table A.10-2013: Standard Error and Coefficient of Variation for National Estimates from the 2014 CPS-ASEC by Participant Group NOTE: This table does not include estimates for the territories 2013 Estimate Standard Error Coefficient of Participant Group Infants Total Eligibles Total Eligibles Total Eligibles 3,852,294 2,343,956 87,053 140,216 2.3% 6.0% 16,001,114 4,021,009 3,955,813 4,022,959 4,001,332 . 2,877,953 8,899,741 2,246,801 2,242,792 2,186,712 2,223,436 172,980 88,908 88,196 88,929 88,694 270,320 137,300 137,179 135,465 136,590 1.1% 2.2% 2.2% 2.2% 2.2% 3.0% 6.1% 6.1% 6.2% 6.1% 1,205,990 65,035 72,142 2.3% 6.0% Postpartum Breastfeeding Women 2,127,766 811,032 48,082 48,516 2.3% 6.0% Postpartum Non-Breastfeeding Women 1,709,504 681,681 38,631 40,778 2.3% 6.0% 26,568,632 13,942,399 217,800 335,527 0.8% 2.4% Total Children Age 1 to 4 Children Age 1 Children Age 2 Children Age 3 Children Age 4 Pregnant Women Total Source: 2014 CPS-ASEC National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page A-27 This page was left intentionally blank. Appendix B State and Regional Estimates: 2013 The tables in this appendix show the estimates of total WIC-eligible individuals by State and by participant group and region for calendar year 2013 as summarized in Volume I of this report. Note that these estimates refer to the FNS regions as defined on page B-3. The estimates rely on the American Community Survey (ACS) that allows calculation of income and adjunctive eligibility by State. Note that adjunctive eligibility reflects individuals that report receipt of SNAP, TANF, or public health coverage on the ACS but are not already income-eligible for WIC. The ACS does not separately identify Medicaid vs. the State’s Children’s Health Insurance Program (CHIP). State and Regional Estimates Appendix Table Definitions Tables B.1, B.1a and B.1b: WIC Eligibles and Coverage Rates by State and FNS Region Table B.1 shows the estimated total number of WIC-eligible individuals by State (alphabetical) and FNS region. Also shown is the total number of participants and calculated coverage rates by State and FNS region. Totals and coverage rates by FNS region include the territories. Tables B.1a and B.1b show this same information but for two mutually-exclusive subpopulations – children (B.1a) and women and infants (B.1b). Note that, due to small sample size, the eligibility estimates used to compute the coverage rates in these two tables are actually the average of the estimates for the years 20112013. Therefore, the rates in these two tables do not match similar rates shown elsewhere. Table B.2: WIC Eligibles and Coverage Rates by FNS Region and State This table shows the estimated total number of WIC-eligible individuals by FNS region with each State listed under its region. Also shown is the total number of participants and calculated coverage rates by FNS region and State. Totals and coverage rates by FNS region include the territories. Table B.3: WIC Eligibles and Coverage Rates by FNS Region and Participant Group This table shows the estimated number of WIC-eligible individuals by FNS region and participant group. Also shown is the total number of participants and calculated coverage rates by FNS region and participant group. Totals and coverage rates by FNS region and participant group include the territories. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-1 Table B.4: WIC Eligibles Standard Errors by State and FNS Region This table shows the estimated total number of WIC-eligible individuals and the associated standard errors and coefficients of variance by State (listed alphabetically) and FNS region. Table B.5: WIC Eligibles Standard Errors by FNS Region and State This table shows the estimated total number of WIC-eligible individuals and the associated standard errors and coefficients of variance by FNS region with each State listed under its region. Table B.6: WIC Eligibles Standard Errors by FNS Region and Participant Group This table shows the estimated number of WIC-eligible individuals and the associated standard errors and coefficients of variance by FNS region and participant group. Table B.7: State-Specific Breastfeeding Adjustment Factors This table shows the State-specific breastfeeding adjustment factors. These factors were determined using the same methodology used to produce the national breastfeeding adjustments but substitute the State-specific breastfeeding rates as reported by the Abbott Laboratories’ Infant Feeding Survey (IFS). Estimates for the territories assumed the national breastfeeding rates. Table B.8: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC in Puerto Rico and the Other Island Territories by Participant Group Analogous to Table A.6 of the national estimates, this table shows the step-by-step adjustments made from the total number of infants and children to the final numbers of infants, children, and pregnant and postpartum women that are fully eligible for WIC for the territories based on the ACS data and population estimates from the Census Bureau. Table B.9: FNS Region Estimates of the Average Monthly Number of Infants and Children Eligible for WIC in the CPS-ASEC by Demographic Characteristics This tables shows the estimates of total WIC-eligible infants and children by demographic and income characteristics in the CPS-ASEC. Note that these tables do not include infants and children from the territories. This table shows these characteristics using weights that have been fully adjusted, including adjustments for the under/over count in the CPS (population adjustment), monthly income and certification periods (annual-to-monthly adjustment), and nutritional risk. The numbers are shown as a single total count and the column percentages of eligible individuals by their demographic and income characteristics. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-2 FNS Regions Northeast Connecticut Maine Massachusetts New Hampshire New York Rhode Island Vermont Mid-Atlantic Delaware District of Columbia Maryland New Jersey Pennsylvania Puerto Rico Virgin Islands Virginia West Virginia Southeast Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee Midwest Illinois Indiana Michigan Minnesota Ohio Wisconsin Southwest Arkansas Louisiana New Mexico Oklahoma Texas Mountain Plains Colorado Iowa Kansas Missouri Montana Nebraska North Dakota South Dakota Utah Wyoming Western Alaska American Samoa Arizona California Guam Hawaii Idaho Nevada Northern Mariana Islands Oregon Washington National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-3 Table B.1-2013: WIC Eligibles and Coverage Rates by State and FNS Region, CY 2013 Eligibles Participants Coverage Rate Eligibles Participants Coverage Rate State a Alabama 223,227 136,258 61.0% New York 809,042 508,738 Alaska 34,200 22,436 65.6% North Carolina 470,448 262,223 Arizona 313,640 178,482 56.9% North Dakota 25,239 13,102 Arkansas 153,567 87,186 56.8% Ohio 472,082 259,801 California 1,848,576 1,408,714 76.2% Oklahoma 215,894 116,195 Colorado 196,975 94,547 48.0% Oregon 166,649 106,472 Connecticut 110,376 53,852 48.8% Pennsylvania 451,696 253,365 Delaware 36,063 20,466 56.8% Puerto Rico 217,052 184,394 D.C. 28,881 15,504 53.7% Rhode Island 37,330 23,054 Florida 883,468 477,741 54.1% South Carolina 229,833 120,969 Georgia 518,357 283,714 54.7% South Dakota 38,218 19,892 Hawaii 59,797 35,952 60.1% Tennessee 312,190 157,384 Idaho 85,222 42,531 49.9% Texas 1,493,365 943,249 Illinois 526,844 276,710 52.5% Utah 143,661 64,945 Indiana 293,864 158,071 53.8% Vermont 23,820 14,647 Iowa 121,159 65,236 53.8% Virginia 278,594 154,538 Kansas 125,942 68,507 54.4% Washington 296,109 189,047 Kentucky 193,589 128,477 66.4% West Virginia 80,234 45,968 Louisiana 240,223 137,498 57.2% Wisconsin 199,206 112,237 Maine 47,969 24,097 50.2% Wyoming 21,828 11,951 Maryland 216,993 143,765 66.3% Massachusetts 203,795 118,802 58.3% FNS Regionb Michigan 413,703 253,027 61.2% Northeast 1,269,397 758,576 Minnesota 175,703 123,783 70.5% Mid-Atlantic 1,612,680 989,709 Mississippi 168,394 89,996 53.4% Southeast 2,999,505 1,656,761 Missouri 252,279 139,940 55.5% Midwest 2,081,402 1,183,628 Montana 46,176 19,518 42.3% Southwest 2,227,006 1,344,443 Nebraska 79,538 39,873 50.1% Mountain Plains 1,051,016 537,510 Nevada 119,981 74,670 62.2% Western 2,947,900 2,076,389 New Hampshire 37,065 15,386 41.5% New Jersey 297,438 166,866 56.1% Total 14,188,907 8,547,016 New Mexico 123,957 60,314 48.7% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a 62.9% 55.7% 51.9% 55.0% 53.8% 63.9% 56.1% 85.0% 61.8% 52.6% 52.0% 50.4% 63.2% 45.2% 61.5% 55.5% 63.8% 57.3% 56.3% 54.7% 59.8% 61.4% 55.2% 56.9% 60.4% 51.1% 70.4% 60.2% State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-4 Table B.1a-2013: WIC Eligibles and Coverage Rates by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles and Participants: Children (age 1 to 4) Eligibles Participants Coverage Rate Eligibles Participants State a Alabama 148,148 72,978 49.3% New York 496,139 273,671 Alaska 23,473 12,664 54.0% North Carolina 298,366 140,754 Arizona 202,871 98,169 48.4% North Dakota 13,856 7,080 Arkansas 98,889 44,331 44.8% Ohio 296,373 139,779 California 1,138,193 837,885 73.6% Oklahoma 130,868 62,462 Colorado 128,847 53,281 41.4% Oregon 105,245 60,788 Connecticut 68,511 29,730 43.4% Pennsylvania 285,247 134,023 Delaware 23,195 11,724 50.5% Puerto Rico 141,259 114,911 D.C. 16,238 7,277 44.8% Rhode Island 21,489 13,175 Florida 533,990 251,473 47.1% South Carolina 147,290 59,912 Georgia 330,567 155,515 47.0% South Dakota 22,263 11,712 Hawaii 34,876 19,402 55.6% Tennessee 192,768 75,150 Idaho 52,678 23,079 43.8% Texas 939,116 488,546 Illinois 347,388 143,161 41.2% Utah 95,142 36,237 Indiana 187,085 82,806 44.3% Vermont 14,779 9,212 Iowa 75,389 35,574 47.2% Virginia 171,192 78,588 Kansas 84,744 38,281 45.2% Washington 186,306 110,396 Kentucky 125,495 66,405 52.9% West Virginia 46,060 24,668 Louisiana 156,026 69,776 44.7% Wisconsin 135,261 63,037 Maine 29,907 14,256 47.7% Wyoming 14,245 6,430 Maryland 131,168 75,402 57.5% Massachusetts 123,044 65,238 53.0% FNS Regionb Michigan 260,085 132,603 51.0% Northeast 776,774 413,604 Minnesota 111,524 69,798 62.6% Mid-Atlantic 1,003,116 541,732 Mississippi 110,648 47,652 43.1% Southeast 1,887,271 869,839 Missouri 159,990 70,315 43.9% Midwest 1,337,715 631,184 Montana 28,279 10,766 38.1% Southwest 1,403,927 697,995 Nebraska 50,970 22,679 44.5% Mountain Plains 673,725 292,356 Nevada 81,559 40,293 49.4% Western 1,839,160 1,213,629 New Hampshire 22,906 8,322 36.3% New Jersey 185,172 92,288 49.8% Total 8,921,686 4,660,339 New Mexico 79,028 32,881 41.6% Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Coverage Rate 55.2% 47.2% 51.1% 47.2% 47.7% 57.8% 47.0% 81.3% 61.3% 40.7% 52.6% 39.0% 52.0% 38.1% 62.3% 45.9% 59.3% 53.6% 46.6% 45.1% 53.2% 54.0% 46.1% 47.2% 49.7% 43.4% 66.0% 52.2% Notes: a State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-5 Table B.1b-2013: WIC Eligibles and Coverage Rates by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles and Participants: Women and Infants State a Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Participants Coverage Rate 83,684 15,055 120,680 56,599 673,842 76,367 39,893 13,332 10,248 320,636 189,385 22,095 33,277 197,007 112,322 42,240 46,160 74,135 91,878 17,436 78,959 71,295 153,493 67,628 63,063 94,930 17,259 27,480 48,509 12,072 104,263 44,350 67,335 11,714 91,101 47,203 610,596 47,103 25,615 9,910 8,802 236,575 141,329 17,225 20,331 142,473 79,907 32,381 34,378 67,361 73,385 10,964 70,221 55,272 121,460 57,331 45,838 73,311 9,303 19,048 35,177 7,807 76,835 29,731 80.5% 77.8% 75.5% 83.4% 90.6% 61.7% 64.2% 74.3% 85.9% 73.8% 74.6% 78.0% 61.1% 72.3% 71.1% 76.7% 74.5% 90.9% 79.9% 62.9% 88.9% 77.5% 79.1% 84.8% 72.7% 77.2% 53.9% 69.3% 72.5% 64.7% 73.7% 67.0% Eligibles Participants Coverage Rate 298,806 172,001 9,459 179,792 73,664 65,084 168,673 83,015 15,132 84,370 13,633 108,860 565,378 53,569 6,544 101,331 109,829 26,658 75,927 9,233 241,675 125,255 6,478 131,026 58,947 48,984 119,993 75,670 10,686 67,120 9,721 85,326 477,333 32,511 6,045 77,968 82,157 22,757 53,805 5,988 80.9% 72.8% 68.5% 72.9% 80.0% 75.3% 71.1% 91.2% 70.6% 79.6% 71.3% 78.4% 84.4% 60.7% 92.4% 76.9% 74.8% 85.4% 70.9% 64.9% FNS Regionb Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 461,179 588,525 1,096,134 786,169 831,868 390,331 1,097,350 358,066 464,415 836,138 586,001 686,599 270,221 924,742 77.6% 78.9% 76.3% 74.5% 82.5% 69.2% 84.3% Total 5,251,555 4,126,183 78.6% New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-6 Table B.2-2013: WIC Eligibles and Coverage Rates by FNS Region and State, CY 2013 a,b Eligibles Participants Northeast Connecticut Maine Massachusetts New Hampshire New York Rhode Island Vermont 1,269,397 110,376 47,969 203,795 37,065 809,042 37,330 23,820 758,576 53,852 24,097 118,802 15,386 508,738 23,054 14,647 Mid-Atlantic Delaware D.C. Maryland New Jersey Pennsylvania Puerto Rico Virginia West Virginia 1,612,680 36,063 28,881 216,993 297,438 451,696 217,052 278,594 80,234 989,709 20,466 15,504 143,765 166,866 253,365 184,394 154,538 45,968 Southeast Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee 2,999,505 223,227 883,468 518,357 193,589 168,394 470,448 229,833 312,190 1,656,761 136,258 477,741 283,714 128,477 89,996 262,223 120,969 157,384 Coverage Rate 59.8% Southwest 48.8% Arkansas 50.2% Louisiana 58.3% New Mexico 41.5% Oklahoma 62.9% Texas 61.8% 61.5% Mountain Plains Colorado 61.4% Iowa 56.8% Kansas 53.7% Missouri 66.3% Montana 56.1% Nebraska 56.1% North Dakota 85.0% South Dakota 55.5% Utah 57.3% Wyoming 55.2% Western 61.0% Alaska 54.1% Arizona 54.7% California 66.4% Hawaii 53.4% Idaho 55.7% Nevada 52.6% Oregon 50.4% Washington 2,227,006 153,567 240,223 123,957 215,894 1,493,365 1,344,443 87,186 137,498 60,314 116,195 943,249 Coverage Rate 60.4% 56.8% 57.2% 48.7% 53.8% 63.2% 1,051,016 196,975 121,159 125,942 252,279 46,176 79,538 25,239 38,218 143,661 21,828 537,510 94,547 65,236 68,507 139,940 19,518 39,873 13,102 19,892 64,945 11,951 51.1% 48.0% 53.8% 54.4% 55.5% 42.3% 50.1% 51.9% 52.0% 45.2% 54.7% 2,947,900 34,200 313,640 1,848,576 59,797 85,222 119,981 166,649 296,109 2,076,389 22,436 178,482 1,408,714 35,952 42,531 74,670 106,472 189,047 70.4% 65.6% 56.9% 76.2% 60.1% 49.9% 62.2% 63.9% 63.8% Eligibles Participants Midwest 2,081,402 1,183,628 56.9% Total 14,188,907 8,547,016 Illinois 526,844 276,710 52.5% Indiana 293,864 158,071 53.8% Michigan 413,703 253,027 61.2% Minnesota 175,703 123,783 70.5% Ohio 472,082 259,801 55.0% Wisconsin 199,206 112,237 56.3% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data Notes: 60.2% a State and regional eligibility estimates and participant data include those eligible for WIC and/or receiving WIC via Indian Tribal Organizations. b Estimates for the other island territories (territories other than Puerto Rico) are included in regional totals but not shown separately due to small sample constraints. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-7 Table B.3-2013: WIC Eligibles and Coverage Rates by Region and Participant Group, CY 2013 Infants Children (Ages 1-4) Pregnant Women All Post-Partum Women Total Eligibles Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 210,923 276,013 503,271 351,021 378,331 179,453 488,212 2,387,223 808,968 1,021,273 1,925,207 1,333,563 1,424,024 666,546 1,873,229 9,052,810 108,522 142,011 258,938 180,604 194,655 92,330 251,190 1,228,252 141,387 173,013 311,182 215,695 229,032 112,709 337,249 1,520,267 1,269,800 1,612,309 2,998,599 2,080,883 2,226,042 1,051,038 2,949,881 14,188,552 Participants Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 173,775 232,644 416,379 298,936 330,185 132,199 431,612 2,015,732 409,956 532,768 837,528 608,755 667,504 275,326 1,176,399 4,508,236 69,790 93,724 170,842 122,818 139,820 52,530 190,296 839,820 105,054 130,573 232,012 153,120 206,933 77,455 278,082 1,183,228 758,576 989,709 1,656,761 1,183,628 1,344,443 537,510 2,076,389 8,547,016 Coverage Rates Northeast 82.4% Mid-Atlantic 84.3% Southeast 82.7% Midwest 85.2% Southwest 87.3% Mountain Plains 73.7% Western 88.4% Total 84.4% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, 50.7% 64.3% 74.3% 59.7% 52.2% 66.0% 75.5% 61.4% 43.5% 66.0% 74.6% 55.3% 45.6% 68.0% 71.0% 56.9% 46.9% 71.8% 90.4% 60.4% 41.3% 56.9% 68.7% 51.1% 62.8% 75.8% 82.5% 70.4% 49.8% 68.4% 77.8% 60.2% Census International Data Base, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-8 Table B.4-2013: WIC Eligibles Standard Errors by State and FNS Region, CY 2013 Eligibles Standard Error Coefficient of Variationa Eligibles Standard Error Coefficient of Variationa State b Alabama 223,227 12,587 5.6% New York 809,042 28,214 Alaska 34,200 4,573 13.4% North Carolina 470,448 19,708 Arizona 313,640 15,246 4.9% North Dakota 25,239 3,905 Arkansas 153,567 10,097 6.6% Ohio 472,082 19,674 California 1,848,576 52,350 2.8% Oklahoma 215,894 12,314 Colorado 196,975 11,636 5.9% Oregon 166,649 10,585 Connecticut 110,376 8,434 7.6% Pennsylvania 451,696 19,113 Delaware 36,063 4,693 13.0% Puerto Rico 217,052 12,422 D.C. 28,881 4,169 14.4% Rhode Island 37,330 4,731 Florida 883,468 29,959 3.4% South Carolina 229,833 12,764 Georgia 518,357 20,916 4.0% South Dakota 38,218 4,811 Hawaii 59,797 6,065 10.1% Tennessee 312,190 15,187 Idaho 85,222 7,346 8.6% Texas 1,493,365 44,295 Illinois 526,844 21,199 4.0% Utah 143,661 9,779 Indiana 293,864 14,703 5.0% Vermont 23,820 3,805 Iowa 121,159 8,852 7.3% Virginia 278,594 14,240 Kansas 125,942 9,106 7.2% Washington 296,109 14,797 Kentucky 193,589 11,522 6.0% West Virginia 80,234 7,102 Louisiana 240,223 13,073 5.4% Wisconsin 199,206 11,753 Maine 47,969 5,406 11.3% Wyoming 21,828 3,641 Maryland 216,993 12,311 5.7% Massachusetts 203,795 11,841 5.8% FNS Regionc Michigan 413,703 18,071 4.4% Northeast 1,269,397 43,519 Minnesota 175,703 10,910 6.2% Mid-Atlantic 1,389,899 46,483 Mississippi 168,394 10,710 6.4% Southeast 2,999,505 84,679 Missouri 252,279 13,382 5.3% Midwest 2,081,402 63,113 Montana 46,176 5,312 11.5% Southwest 2,227,006 66,560 Nebraska 79,538 7,116 8.9% Mountain Plains 1,051,016 38,064 Nevada 119,981 8,885 7.4% Western 2,924,174 82,922 New Hampshire 37,065 4,772 12.9% New Jersey 297,438 14,777 5.0% Total 13,942,399 335,527 New Mexico 123,957 9,005 7.3% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. c Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. b National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-9 3.5% 4.2% 15.5% 4.2% 5.7% 6.4% 4.2% 5.7% 12.7% 5.6% 12.6% 4.9% 3.0% 6.8% 16.0% 5.1% 5.0% 8.9% 5.9% 16.7% 3.4% 3.3% 2.8% 3.0% 3.0% 3.6% 2.8% 2.4% Table B.4a-2013: WIC Eligibles Standard Errors by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles: Children (age 1 to 4) State b Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Standard Error Coefficient of Variationa 148,148 23,473 202,871 98,889 1,138,193 128,847 68,511 23,195 16,238 533,990 330,567 34,876 52,678 347,388 187,085 75,389 84,744 125,495 156,026 29,907 131,168 123,044 260,085 111,524 110,648 159,990 28,279 50,970 81,559 22,906 185,172 79,028 6,203 2,345 7,410 4,967 23,092 5,738 4,081 2,327 1,941 13,512 9,918 2,867 3,556 10,228 7,078 4,297 4,570 5,657 6,383 2,651 5,801 5,599 8,577 5,305 5,280 6,473 2,576 3,496 4,476 2,311 7,039 4,404 4.2% 10.0% 3.7% 5.0% 2.0% 4.5% 6.0% 10.0% 12.0% 2.5% 3.0% 8.2% 6.8% 2.9% 3.8% 5.7% 5.4% 4.5% 4.1% 8.9% 4.4% 4.6% 3.3% 4.8% 4.8% 4.0% 9.1% 6.9% 5.5% 10.1% 3.8% 5.6% Eligibles Standard Error Coefficient of Variationa New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 496,139 298,366 13,856 296,373 130,868 105,245 285,247 141,259 21,489 147,290 22,263 192,768 939,116 95,142 14,779 171,192 186,306 46,060 135,261 14,245 12,867 9,326 1,794 9,280 5,796 5,136 9,066 5,733 2,241 6,185 2,279 7,202 19,977 4,863 1,852 6,732 7,065 3,319 5,897 1,819 2.6% 3.1% 12.9% 3.1% 4.4% 4.9% 3.2% 4.1% 10.4% 4.2% 10.2% 3.7% 2.1% 5.1% 12.5% 3.9% 3.8% 7.2% 4.4% 12.8% FNS Regionc Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 776,774 858,273 1,887,271 1,337,715 1,403,927 673,725 1,825,201 18,265 19,549 35,164 26,886 27,930 16,525 34,238 2.4% 2.3% 1.9% 2.0% 2.0% 2.5% 1.9% Total 8,762,884 178,558 2.0% Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. c Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. b National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-10 Table B.4b-2013: WIC Eligibles Standard Errors by State and FNS Region, Using 2011-2013 Average Numbers of Eligibles: Women and Infants State b Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico Eligibles Standard Error Coefficient of Variationa 83,684 15,055 120,680 56,599 673,842 76,367 39,893 13,332 10,248 320,636 189,385 22,095 33,277 197,007 112,322 42,240 46,160 74,135 91,878 17,436 78,959 71,295 153,493 67,628 63,063 94,930 17,259 27,480 48,509 12,072 104,263 44,350 6,717 2,805 8,460 5,461 26,363 6,497 4,628 2,604 2,244 15,499 10,906 3,449 4,202 11,246 8,038 4,679 4,968 6,323 7,113 2,972 6,570 6,277 9,673 6,092 5,796 7,283 2,958 3,749 5,062 2,456 7,762 4,871 8.0% 18.6% 7.0% 9.6% 3.9% 8.5% 11.6% 19.5% 21.9% 4.8% 5.8% 15.6% 12.6% 5.7% 7.2% 11.1% 10.8% 8.5% 7.7% 17.0% 8.3% 8.8% 6.3% 9.0% 9.2% 7.7% 17.1% 13.6% 10.4% 20.3% 7.4% 11.0% Eligibles Standard Error Coefficient of Variationa New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 298,806 172,001 9,459 179,792 73,664 65,084 168,673 83,015 15,132 84,370 13,633 108,860 565,378 53,569 6,544 101,331 109,829 26,658 75,927 9,233 14,753 10,338 2,227 10,599 6,293 6,043 10,227 8,641 2,781 6,797 2,650 7,858 22,859 5,381 1,785 7,573 8,046 3,651 6,474 2,190 4.9% 6.0% 23.5% 5.9% 8.5% 9.3% 6.1% 10.4% 18.4% 8.1% 19.4% 7.2% 4.0% 10.0% 27.3% 7.5% 7.3% 13.7% 8.5% 23.7% FNS Regionc Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western 461,179 503,464 1,096,134 786,169 831,868 390,331 1,088,372 19,564 20,895 36,727 28,301 29,688 17,419 36,276 4.2% 4.2% 3.4% 3.6% 3.6% 4.5% 3.3% Total 5,157,516 188,872 3.7% Source: 2012-2014 CPS-ASEC, 2011-2013 ACS, 2011-2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. c Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. b National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-11 Table B.5-2013: WIC Eligibles Standard Errors by FNS Region and State, CY 2013 a,b Eligibles Northeast Connecticut Maine Massachusetts New Hampshire New York Rhode Island Vermont 1,269,397 110,376 47,969 203,795 37,065 809,042 37,330 23,820 Mid-Atlantic Delaware D.C. Maryland New Jersey Pennsylvania Virginia West Virginia 1,389,899 36,063 28,881 216,993 297,438 451,696 278,594 80,234 Southeast Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee 2,999,505 223,227 883,468 518,357 193,589 168,394 470,448 229,833 312,190 Midwest 2,081,402 Illinois 526,844 Indiana 293,864 Michigan 413,703 Minnesota 175,703 Ohio 472,082 Wisconsin 199,206 Source: 2014 CPS-ASEC, 2013 Coefficient Standard Coefficient of Standard Eligibles Error Error Variationc of Variationc 43,519 3.4% Southwest 2,227,006 66,560 3.0% 8,434 7.6% Arkansas 153,567 10,097 6.6% 5,406 11.3% Louisiana 240,223 13,073 5.4% 11,841 5.8% New Mexico 123,957 9,005 7.3% 4,772 12.9% Oklahoma 215,894 12,314 5.7% 28,214 3.5% Texas 1,493,365 44,295 3.0% 4,731 12.7% 3,805 16.0% Mountain Plains 1,051,016 38,064 3.6% Colorado 196,975 11,636 5.9% 46,483 3.3% Iowa 121,159 8,852 7.3% 4,693 13.0% Kansas 125,942 9,106 7.2% 4,169 14.4% Missouri 252,279 13,382 5.3% 12,311 5.7% Montana 46,176 5,312 11.5% 14,777 5.0% Nebraska 79,538 7,116 8.9% 19,113 4.2% North Dakota 25,239 3,905 15.5% 14,240 5.1% South Dakota 38,218 4,811 12.6% 7,102 8.9% Utah 143,661 9,779 6.8% Wyoming 21,828 3,641 16.7% 84,679 2.8% 12,587 5.6% Western 2,924,174 82,922 2.8% 29,959 3.4% Alaska 34,200 4,573 13.4% 20,916 4.0% Arizona 313,640 15,246 4.9% 11,522 6.0% California 1,848,576 52,350 2.8% 10,710 6.4% Hawaii 59,797 6,065 10.1% 19,708 4.2% Idaho 85,222 7,346 8.6% 12,764 5.6% Nevada 119,981 8,885 7.4% 15,187 4.9% Oregon 166,649 10,585 6.4% Washington 296,109 14,797 5.0% 63,113 3.0% 21,199 4.0% Total 13,942,399 335,527 2.4% 14,703 5.0% 18,071 4.4% 10,910 6.2% 19,674 4.2% 11,753 5.9% ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a State and regional eligibility estimates include those eligible for WIC via Indian Tribal Organizations. b Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. c The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-12 Table B.6-2013: WIC Eligibles Standard Errors by FNS Region and Participant Group, CY 2013 Infants Children (Ages 1-4) Pregnant Women All Post-Partum Women Total a Eligibles Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 210,923 237,044 503,271 351,021 378,331 179,453 483,913 2,343,956 808,968 882,399 1,925,207 1,333,563 1,424,024 666,546 1,859,034 8,899,741 108,522 121,961 258,938 180,604 194,655 92,330 248,979 1,205,990 140,984 148,495 312,089 216,215 229,996 112,686 332,248 1,492,713 1,269,397 1,389,899 2,999,505 2,081,402 2,227,006 1,051,016 2,924,174 13,942,399 Standard Errora Northeast Mid-Atlantic Southeast Midwest Southwest Mountain Plains Western Total 18,014 19,610 35,309 26,418 28,025 16,061 34,186 140,216 34,813 37,090 68,316 50,777 53,479 30,328 66,368 270,320 9,268 10,090 18,167 13,593 14,419 8,263 17,589 72,142 8,753 9,220 15,957 11,556 12,349 7,262 16,666 63,377 43,519 46,483 84,679 63,113 66,560 38,064 82,922 335,527 Coefficient of Variation b Northeast 8.5% 4.3% 8.5% 6.2% 3.4% Mid-Atlantic 8.3% 4.2% 8.3% 6.2% 3.3% Southeast 7.0% 3.5% 7.0% 5.1% 2.8% Midwest 7.5% 3.8% 7.5% 5.3% 3.0% Southwest 7.4% 3.8% 7.4% 5.4% 3.0% Mountain Plains 8.9% 4.6% 8.9% 6.4% 3.6% Western 7.1% 3.6% 7.1% 5.0% 2.8% Total 6.0% 3.0% 6.0% 4.2% 2.4% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, Census International Data Base, WIC Administrative Data Notes: a Estimates for the territories, including Puerto Rico, are not included in regional totals or standard errors. b The coefficient of variation is defined as the ratio of the standard deviation to the eligibility estimate. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-13 Table B.7-2013: State-Specific Adjustment Factors for Estimating WIC Eligibility Among Postpartum Women, CY 2013 All Mothers WIC Eligibles Not Breastfeeding Not Breastfeeding Breastfeeding <6 months Breastfeeding <6 months postpartum postpartum State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming U.S. Source: 0.417 0.767 0.545 0.465 0.663 0.692 0.646 0.483 0.706 0.595 0.519 0.764 0.725 0.550 0.549 0.585 0.555 0.497 0.415 0.710 0.531 0.640 0.565 0.644 0.386 0.540 0.670 0.615 0.556 0.643 0.556 0.590 0.542 0.535 0.631 0.510 0.539 0.739 0.546 0.593 0.448 0.657 0.507 0.505 0.678 0.703 0.581 0.734 0.394 0.610 0.661 0.552 0.579 0.229 0.451 0.531 0.333 0.304 0.350 0.513 0.290 0.401 0.477 0.233 0.271 0.446 0.447 0.411 0.441 0.499 0.581 0.286 0.465 0.356 0.431 0.352 0.610 0.456 0.326 0.381 0.440 0.353 0.440 0.406 0.454 0.461 0.366 0.487 0.457 0.257 0.450 0.403 0.548 0.339 0.490 0.492 0.318 0.293 0.415 0.262 0.602 0.386 0.335 0.444 0.215 0.601 0.319 0.265 0.457 0.416 0.475 0.387 0.440 0.406 0.264 0.542 0.485 0.343 0.327 0.322 0.277 0.286 0.217 0.392 0.261 0.389 0.318 0.399 0.226 0.329 0.343 0.383 0.250 0.352 0.390 0.348 0.349 0.296 0.354 0.257 0.279 0.534 0.302 0.394 0.246 0.461 0.265 0.308 0.388 0.434 0.309 0.455 0.227 0.346 0.490 0.346 0.349 0.194 0.277 0.319 0.234 0.227 0.307 0.264 0.267 0.271 0.319 0.215 0.217 0.297 0.268 0.294 0.276 0.320 0.339 0.234 0.300 0.266 0.273 0.261 0.365 0.273 0.236 0.264 0.286 0.258 0.300 0.258 0.299 0.294 0.249 0.315 0.296 0.206 0.304 0.258 0.314 0.250 0.321 0.302 0.253 0.231 0.302 0.223 0.325 0.271 0.239 0.291 For details regarding the calculation of these factors see Appendix F from "National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2000-2009" (http://www.fns.usda.gov/special-supplemental-nutrition-program-women-infants-and-childrenwic-eligibles-and-coverage-2000). National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-14 Table B.8-2013: Adjustments for Calculating the Average Monthly Number of Individuals Eligible for WIC in Puerto Rico and the Other Island Territories by Participant Group, CY 2013 Children Age 1 Children Age 2 Children Age 3 Children Age 4 Total Children Ages 1-4 36,071 38,028 43,303 46,369 163,771 199,351 Pregnant Women Postpartum Breastfeeding Women Postpartum NonBreastfeeding Women Total Puerto Rico Total number of infants/children in the 2012 PRCS Infants 35,580 Number after adjustment for PRCS under/overcount 38,288 38,994 39,180 41,225 41,658 161,057 199,345 Number with annual income <185% FPG 31,935 33,301 32,696 32,361 33,011 131,369 163,304 Number of additional people adjunctively eligible above 185% FPG Through SNAPa Through TANF Through Medicaid 1,835 1,208 0 626 1,132 130 0 1,002 1,134 449 36 649 1,705 620 0 1,085 1,332 520 0 812 5,304 1,719 36 3,549 7,138 2,927 36 4,175 Total number income and adjunctively eligible 33,769 34,433 33,831 34,066 34,343 136,673 170,442 39,173 34,433 33,831 34,066 34,343 136,673 175,845 37,997 34,089 33,492 33,725 34,000 135,306 173,304 Number after monthly income adjustment b Total Eligibles - Number after adjustment for nutritional risk (infants and children)c Starting point for estimates of women is fully eligible infants 37,997 Number after adjustment for length of pregnancy and income of woman during pregnancyd 20,234 Number after adjustment for multiple births and infant deaths e 20,155 f Number after adjustment for breastfeeding 37,997 37,997 113,992 20,234 37,849 37,849 95,853 13,147 11,051 24,198 13,147 Postpartum Breastfeeding Women 11,051 Postpartum NonBreastfeeding Women 43,748 Total Eligibles - Number after adjustment for nutritional risk (pregnant and postpartum women)c 19,550 Infants Children Age 1 Children Age 2 Children Age 3 Children Age 4 Total Children Ages 1-4 Number after the other islands full-eligibility factorg 4,684 4,548 4,499 4,462 4,434 17,942 22,626 Number after monthly income adjustmentb 5,433 4,548 4,499 4,462 4,434 17,942 23,376 5,270 4,503 4,454 4,417 4,390 17,763 23,033 Other Island Territories Pregnant Women Total Total Eligibles - Number after adjustment for nutritional risk (infants and children)c Starting point for estimates of women is fully eligible infants 5,270 Number after adjustment for length of pregnancy and income of woman during pregnancye 2,806 Number after adjustment for multiple births and infant deaths e 2,795 f Number after adjustment for breastfeeding 5,270 5,270 15,810 2,806 5,250 5,250 13,294 1,824 1,533 3,356 1,824 1,533 6,068 Total Eligibles - Number after adjustment for nutritional risk (pregnant and postpartum women)c Source: Census Bureau International Data Base See notes on page 2. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices 2,712 Page B-15 Notes for Table B.8-2013: FPG = Federal poverty guidelines a There is a hierarchy imposed on the number of infants and children adjunctively eligible for WIC. Any mention of SNAP receipt is coded as SNAP; if no mention of SNAP, but report TANF, coded as TANF. If no mention of SNAP or TANF, coded as Medicaid. b The SIPP-based multipliers used to adjust for monthly versus annual income and to account for certification periods are: Infants: 1.16 Children: 1.00 c The adjustment factors for nutritional risk by participant group are: Infants 0.97 Children 0.99 Pregnant women 0.97 Postpartum breastfeeding women 1.00 Postpartum nonbreastfeeding women 1.00 d The multiplier used to adjust for the length of pregnancy and a woman's income during pregnancy is: Pregnancy length and income 0.533 e The multiplier used to adjust for multiple births and infants deaths is: Multiple births and infants death 0.9961 f The multipliers used to adjust for breastfeeding status are: Less than 12 months who breastfeed 0.347 Less than 6 months who do not breastfeed 0.292 g The full-eligibles to population factor for the Other Island Territories in CY2013 is: Infants 0.767 Children 0.749 National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-16 This page was left intentionally blank. Table B.9-2013: Region Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Fully adjusted weightsa NOTE: This table does not include estimates for the territories. Region WIC Eligible Infants Northeast WIC Eligible Children Age 1-4 WIC Eligible Infants and Children WIC Eligible Infants Mid-Atlantic WIC Eligible Children Age 1-4 WIC Eligible Infants and Children WIC Eligible Infants Southeast WIC Eligible Children Age 1-4 WIC Eligible Infants and Children WIC Eligible Infants Midwest WIC Eligible Children Age 1-4 WIC Eligible Infants and Children 246,442 819,055 1,065,497 263,707 904,640 1,168,348 409,260 1,828,130 2,237,390 285,080 1,311,230 1,596,310 Gender Male Female 36.7% 63.3% 49.4% 50.6% 46.5% 53.5% 44.7% 55.3% 53.7% 46.3% 51.6% 48.4% 53.6% 46.4% 48.7% 51.3% 49.6% 50.4% 49.4% 50.6% 52.3% 47.7% 51.8% 48.2% Race White Black Other 63.7% 13.0% 23.3% 62.1% 26.1% 11.7% 62.5% 23.1% 14.4% 54.1% 26.2% 19.7% 58.3% 30.8% 11.0% 57.3% 29.7% 12.9% 43.5% 47.2% 9.4% 57.8% 35.8% 6.5% 55.1% 37.8% 7.0% 65.9% 26.3% 7.8% 67.0% 19.8% 13.2% 66.8% 21.0% 12.2% Ethnicity Hispanic Non-Hispanic 37.8% 62.2% 29.0% 71.0% 31.0% 69.0% 22.9% 77.1% 26.1% 73.9% 25.4% 74.6% 14.5% 85.5% 21.0% 79.0% 19.8% 80.2% 17.6% 82.4% 20.0% 80.0% 19.5% 80.5% Living arrangement 2 parent family Single parent family No parent family Related non-parent caretaker Unrelated non-parent caretaker 78.2% 18.1% 3.6% 1.8% 1.8% 63.5% 31.4% 5.1% 3.2% 1.9% 66.9% 28.4% 4.8% 2.8% 1.9% 66.3% 32.6% 1.1% 1.1% 0.0% 55.2% 39.3% 5.5% 4.0% 1.5% 57.7% 37.8% 4.5% 3.4% 1.1% 56.9% 41.4% 1.6% 0.5% 1.2% 55.0% 39.3% 5.8% 4.7% 1.1% 55.3% 39.7% 5.0% 3.9% 1.1% 57.0% 39.2% 3.9% 0.0% 3.9% 55.1% 40.4% 4.5% 2.9% 1.6% 55.4% 40.2% 4.4% 2.4% 2.0% Household size (number of persons) 2 3 4 5 6 or more 5.1% 32.7% 30.3% 13.1% 18.8% 6.7% 18.2% 29.3% 20.4% 25.3% 6.3% 21.6% 29.5% 18.7% 23.8% 7.6% 16.8% 39.2% 15.3% 21.1% 6.5% 22.2% 30.4% 19.6% 21.3% 6.8% 21.0% 32.4% 18.6% 21.2% 8.9% 27.6% 12.2% 34.6% 16.7% 3.9% 24.7% 31.4% 24.0% 16.0% 4.8% 25.2% 27.9% 25.9% 16.1% 7.7% 21.0% 27.7% 22.7% 20.9% 7.4% 20.2% 31.8% 21.2% 19.5% 7.5% 20.3% 31.1% 21.4% 19.7% 69.1% 73.1% 72.2% 64.0% 67.1% 66.4% 45.4% 65.4% 61.7% 64.7% 74.0% 72.3% 24.7% 19.0% 11.6% 22.5% 4.2% 5.6% 12.3% 18.0% 18.1% 15.8% 23.8% 1.7% 7.6% 15.1% 19.5% 18.3% 14.9% 23.5% 2.3% 7.1% 14.4% 17.8% 25.1% 15.8% 17.5% 4.1% 2.2% 17.6% 15.6% 22.4% 13.8% 20.7% 3.6% 7.1% 16.7% 16.1% 23.0% 14.2% 19.9% 3.7% 6.0% 16.9% 30.6% 25.8% 13.6% 19.4% 2.4% 4.6% 3.5% 24.0% 22.0% 9.7% 23.1% 1.2% 6.8% 13.4% 25.2% 22.7% 10.4% 22.4% 1.4% 6.4% 11.6% 21.7% 21.2% 8.5% 20.5% 3.9% 4.8% 19.3% 21.7% 19.9% 13.3% 19.9% 3.4% 6.8% 14.9% 21.7% 20.2% 12.5% 20.0% 3.5% 6.5% 15.7% 17.2% 11.7% 0.0% 26.7% 2.0% 5.5% 0.0% 36.8% 12.2% 7.5% 0.0% 31.4% 1.2% 5.2% 0.0% 42.5% 13.4% 8.5% 0.0% 30.3% 1.4% 5.2% 0.0% 41.1% 20.3% 7.8% 0.0% 31.9% 0.1% 10.5% 0.0% 29.3% 24.2% 6.0% 0.3% 29.0% 0.5% 4.4% 0.0% 35.6% 23.3% 6.4% 0.2% 29.6% 0.4% 5.8% 0.0% 34.2% 14.7% 2.4% 0.0% 44.9% 0.0% 4.0% 0.0% 34.0% 15.8% 4.2% 0.0% 37.8% 0.0% 4.5% 0.0% 37.7% 15.6% 3.9% 0.0% 39.1% 0.0% 4.4% 0.0% 37.0% 8.0% 6.8% 0.0% 42.0% 0.0% 2.1% 0.0% 41.2% 16.7% 5.1% 0.0% 36.2% 0.5% 5.3% 0.0% 36.2% 15.1% 5.4% 0.0% 37.2% 0.4% 4.8% 0.0% 37.1% Demographic Characteristics Total % with working parent(s) b Annual family income relative to poverty Less than 50% FPL 50% to <100% FPL 100% to <130% FPL 130% to <185% FPLd 185% to <200% FPL 200% to <250% FPL 250% FPL and above Benefit receipt No benefit receipt SNAP & TANF & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC, 2013 ACS National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-18 Table B.9-2013: Region Estimates of the Average Monthly Number of Infants and Children (Ages 1-4) Eligible for WIC by Income and Adjunctive Eligibility in the 2014 CPS-ASEC by Demographic Characteristics - CY 2013 Fully adjusted weightsa NOTE: This table does not include estimates for the territories. Region WIC Eligible Infants Southwest WIC Eligible Children Age 1-4 WIC Eligible Infants and Children WIC Eligible Infants WIC Eligible Infants Western WIC Eligible Children Age 1-4 WIC Eligible Infants and Children WIC Eligible Infants Total WIC Eligible Children Age 1-4 WIC Eligible Infants and Children 418,986 1,437,434 1,856,421 202,189 632,950 835,139 518,292 1,966,301 2,484,593 2,343,957 8,899,741 11,243,698 Gender Male Female 47.1% 52.9% 50.7% 49.3% 49.9% 50.1% 55.5% 44.5% 51.5% 48.5% 52.4% 47.6% 48.4% 51.6% 52.3% 47.7% 51.5% 48.5% 48.1% 51.9% 51.1% 48.9% 50.5% 49.5% Race White Black Other 71.4% 10.8% 17.8% 71.5% 17.8% 10.6% 71.5% 16.2% 12.2% 73.7% 11.9% 14.4% 72.6% 12.1% 15.3% 72.8% 12.0% 15.1% 79.0% 5.6% 15.4% 72.4% 9.0% 18.6% 73.8% 8.3% 17.9% 65.0% 19.9% 15.1% 66.1% 21.5% 12.4% 65.9% 21.2% 12.9% Ethnicity Hispanic Non-Hispanic 55.2% 44.8% 54.8% 45.2% 54.9% 45.1% 28.9% 71.1% 18.6% 81.4% 21.1% 78.9% 56.4% 43.6% 56.8% 43.2% 56.7% 43.3% 36.0% 64.0% 35.3% 64.7% 35.4% 64.6% Living arrangement 2 parent family Single parent family No parent family Related non-parent caretaker Unrelated non-parent caretaker 60.1% 33.9% 6.0% 3.3% 2.7% 55.0% 37.9% 7.1% 5.6% 1.4% 56.2% 37.0% 6.8% 5.1% 1.7% 61.4% 28.4% 10.2% 7.0% 3.2% 59.4% 35.8% 4.8% 2.6% 2.2% 59.9% 34.0% 6.1% 3.7% 2.4% 68.5% 25.5% 6.0% 3.4% 2.6% 62.7% 32.4% 4.8% 3.6% 1.2% 63.9% 31.0% 5.1% 3.6% 1.5% 63.7% 31.7% 4.5% 2.3% 2.2% 57.8% 36.7% 5.4% 4.0% 1.4% 59.1% 35.7% 5.2% 3.6% 1.6% Household size (number of persons) 2 3 4 5 6 or more 2.7% 26.2% 26.2% 13.9% 30.9% 4.2% 18.6% 25.4% 22.8% 29.0% 3.9% 20.3% 25.6% 20.8% 29.5% 1.3% 26.9% 27.3% 19.8% 24.8% 4.5% 22.3% 32.0% 20.0% 21.3% 3.7% 23.4% 30.9% 19.9% 22.1% 0.0% 22.3% 21.7% 23.2% 32.9% 5.1% 15.5% 28.8% 24.5% 26.1% 4.0% 16.9% 27.3% 24.2% 27.5% 4.5% 24.6% 24.9% 21.2% 24.7% 5.3% 20.0% 29.6% 22.4% 22.6% 5.1% 21.0% 28.7% 22.2% 23.1% % with working parent(s) 62.6% 73.3% 70.9% 75.0% 76.5% 76.2% 57.5% 70.3% 67.7% 60.6% 70.7% 68.6% Annual family income relative to povertyb Less than 50% FPL 50% to <100% FPL 100% to <130% FPL 130% to <185% FPLd 185% to <200% FPL 200% to <250% FPL 250% FPL and above 25.8% 22.6% 12.6% 18.4% 3.9% 4.2% 12.5% 21.5% 23.5% 12.6% 21.3% 2.6% 5.3% 13.3% 22.5% 23.3% 12.6% 20.7% 2.9% 5.0% 13.1% 18.8% 20.7% 14.3% 21.5% 3.7% 7.2% 13.7% 23.7% 15.6% 12.6% 28.3% 2.0% 5.5% 12.3% 22.5% 16.8% 13.0% 26.7% 2.4% 5.9% 12.6% 23.2% 15.9% 15.6% 15.9% 4.7% 5.5% 19.0% 19.6% 20.0% 16.3% 23.4% 2.7% 5.9% 12.2% 20.3% 19.1% 16.1% 21.9% 3.1% 5.8% 13.6% 23.9% 21.3% 13.3% 18.9% 3.9% 4.8% 13.9% 20.8% 20.7% 13.3% 22.6% 2.4% 6.4% 13.7% 21.5% 20.8% 13.3% 21.8% 2.7% 6.0% 13.8% 9.9% 3.4% 0.0% 39.1% 0.0% 10.2% 0.0% 37.3% 16.1% 1.8% 0.0% 36.0% 0.3% 4.8% 0.0% 40.9% 14.7% 2.2% 0.0% 36.7% 0.3% 6.0% 0.0% 40.1% 22.9% 2.1% 0.0% 27.8% 0.9% 5.9% 0.0% 40.5% 24.0% 3.4% 0.0% 31.8% 1.2% 4.5% 0.0% 35.0% 23.8% 3.1% 0.0% 30.8% 1.1% 4.8% 0.0% 36.3% 16.9% 10.1% 0.0% 33.2% 0.0% 4.5% 0.0% 35.4% 20.5% 9.7% 0.0% 27.7% 1.1% 3.2% 0.0% 37.8% 19.7% 9.8% 0.0% 28.9% 0.8% 3.5% 0.0% 37.3% 15.1% 6.4% 0.0% 36.1% 0.3% 6.0% 0.0% 36.1% 18.1% 5.6% 0.0% 33.1% 0.6% 4.4% 0.0% 38.1% 17.5% 5.8% 0.0% 33.8% 0.5% 4.8% 0.0% 37.7% Demographic Characteristics Total Benefit receipt No benefit receipt SNAP & TANF & Medicaid SNAP & TANF SNAP & Medicaid TANF & Medicaid SNAP only TANF only Medicaid only Source: 2014 CPS-ASEC, 2013 ACS Mountain Plains WIC Eligible WIC Eligible Children Age Infants and 1-4 Children National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page B-19 Notes for Table B.9: FPG - Federal Poverty Guidelines FPL - Federal Poverty Level a These estimates are tabulated from the fully adjusted person weights on the 2014 CPS-ASEC. They are adjusted to account for the under or over count of infants and children in the CPS relative to Census estimates, monthly income, or nutritional risk. b This table uses both the Federal Poverty Guidelines (FPG) and the Federal Poverty Thresholds or "Levels" (FPL). The thresholds are used to calculate the ratio of annual family income to the poverty "Levels" (FPL). The thresholds are used to calculate the ratio of annual family income to the poverty threshold for their family size. The guidelines are used in determining WIC eligibility. c There are infants and children adjunctively eligible for WIC with annual family incomes above 185 percent of the Federal Poverty Guidelines (FPG) who have annual family incomes below 185% of the Federal Poverty Level (FPL). National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices B-20 Appendix C Coverage Rate Maps The maps in this appendix display WIC coverage rates at the State and regional levels. A coverage rate is defined here as the number of individuals participating in the WIC program divided by the number estimated to be eligible. For 2013, rates are shown at the regional level for all participants and for each of four subgroups—infants, children, pregnant women, and postpartum women. Coverage rates are also shown at the State level for 2013 for all participants combined. The maps are listed individually below. FNS Region Level Coverage Rate C.1 – All Groups C.2 – Infants C.3 – Children C.4 – Pregnant Women C.5 – Postpartum Women State Level Coverage Rate C.6 – All Groups C.6a – Children C.6b - Women and Infants National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-1 Figure C-1. WIC Coverage Rate for All Participants by FNS Region, CY 2013 National Coverage Rate: 60.2% Northeast 59.7% Mountain Plains 51.1% Western 70.4% Midwest 56.9% Southwest 60.4% Mid-Atlantic 61.4% Southeast 55.3% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-2 Figure C-2. WIC Coverage Rate for Infants by FNS Region, CY 2013 National Coverage Rate: 84.4% Northeast 82.4% Mountain Plains 73.7% Western 88.4% Midwest 85.2% Mid-Atlantic 84.3% Southeast 82.7% Southwest 87.3% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-3 Figure C-3. WIC Coverage Rate for Children (Ages 1-4) by FNS Region, CY 2013 National Coverage Rate: 49.8% Northeast 50.7% Mountain Plains 41.3% Western 62.8% Midwest 45.6% Southwest 46.9% Mid-Atlantic 52.2% Southeast 43.5% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-4 Figure C-4. WIC Coverage Rate for Pregnant Women by FNS Region, CY 2013 National Coverage Rate: 68.4% Northeast 64.3% Mountain Plains 56.9% Western 75.8% Midwest 68.0% Southwest 71.8% Mid-Atlantic 66.0% Southeast 66.0% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-5 Figure C-5. WIC Coverage Rate for All Postpartum Women by FNS Region, CY 2013 National Coverage Rate: 77.8% Northeast 74.3% Mountain Plains 68.7% Western 82.5% Midwest 71.0% Mid-Atlantic 75.5% Southeast 74.6% Southwest 90.4% Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-6 Figure C-6. WIC Coverage Rate for All Participants by State, CY 2013 National Coverage Rate: 60.2% 63.8% 65.6% 42.3% 50.2% 51.9% 70.5% 63.9% 49.9% 56.3% 52.0% 62.2% 50.1% 53.8% 45.2% 56.1% 52.5% 54.4% 57.3% 55.5% 60.1% 56.9% 53.8% 48.7% 66.4% 56.8% DE: 56.8% 55.5% 55.7% 50.4% MA: 58.3% MD: 66.3% NH: 41.5% NJ: 56.1% 52.6% 53.4% 61.0% 40 – 49.9 percent CT: 48.8% 53.8% 55.0% 48.0% 76.2% Coverage Rate, All: 62.9% 61.2% 54.7% 54.7% RI: 61.8% VT: 61.5% DC: 53.7% 63.2% 57.2% 50 – 59.9 percent 60 – 69.9 percent 54.1% 85.0% 70 – 79.9 percent 80 percent or greater Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-7 Figure C-6a. WIC Coverage Rates for Children (age 1 to 4), by State, CY 2013 (Due to small sample size, the rates shown in this map were computed using the average of the eligibility estimates for 2011-2013. Therefore, they do not match similar rates shown elsewhere in this report.) National Coverage Rate: 52.2% 59.3% 54.0% 38.1% 47.7% 51.1% 62.6% 57.8% 43.8% 46.6% 52.6% 49.4% 55.2% 51.0% 45.1% 44.5% 47.2% 47.0% 41.2% 38.1% 44.3% 47.2% DE: 50.5% 41.4% 73.6% 45.2% 53.6% 43.9% 52.9% 55.6% 48.4% 47.7 % 41.6% Coverage Rate, Children (age 1 to 4): MA: 53.0% 45.9% 47.2% 39.0% 44.8% 40.7% 43.1% 49.3% CT: 43.4% MD: 57.5% NH: 36.3% NJ: 49.8% RI: 61.3% VT: 62.3% DC: 44.8% 47.0% 52.0% Less than 40 percent 44.7% 40 – 49.9 percent 47.1% 50 – 59.9 percent 81.3% 60 – 69.9 percent 70 – 79.9 percent 80 percent or greater Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-8 Figure C-6b. WIC Coverage Rates for Women and Infants, by State, CY 2013 (Due to small sample size, the rates shown in this map were computed using the average of the eligibility estimates for 2011-2013. Therefore, they do not match similar rates shown elsewhere in this report.) National Coverage Rate: 78.6% 74.8% 77.8% 53.9% 62.9% 68.5% 84.8% 75.3% 61.1% 70.9% 71.3% 72.5% 69.3% 60.7% 76.7% 71.1% 72.3% 61.7% 90.6% 74.5% Coverage Rate, Women and Infants: 80.0 % 67.0% 71.1% 72.9% CT: 64.2% 85.4% 77.2% 90.9% 78.0% 75.5% 80.9% 79.1% 64.9% DE: 74.3% 76.9% MD: 88.9% 72.8% 78.4% NH: 64.7% NJ: 73.7% 83.4% 79.6% 72.7% 80.5% MA: 77.5% RI: 70.6% VT: 92.4% 74.6% DC: 85.9% 84.4% 79.9% 50 – 59.9 percent 60 – 69.9 percent 73.8% 91.2% 70 – 79.9 percent 80 percent or greater Source: 2014 CPS-ASEC, 2013 ACS, 2013 PRCS, WIC Administrative Data National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-9 This page was left intentionally blank. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page C-10 Appendix D Eligibles and Coverage Rate Time Series by FNS Region: 2000-2013 Table D.1: Population Eligible for WIC Benefits: 2000-2013 This table displays a time series of the population eligible for WIC benefits for the total U.S. by year. Table D.2: Coverage Rates by FNS Region and Participant Group: 2000-2013 This table displays a time series of the coverage rate for each WIC participant group by FNS Region and the U.S by year. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page D-1 Table D.1: Population Eligible for WIC Benefits: 2000-2013 Participant Group 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Infants 2,417,133 2,494,306 2,203,108 2,501,169 2,578,635 2,596,448 2,702,049 2,651,367 2,633,819 2,673,683 2,535,074 2,516,309 2,420,597 2,387,223 Children (Ages 1-4) 7,400,765 7,783,758 8,339,280 8,385,979 8,472,345 8,593,698 8,622,879 8,540,981 8,657,117 9,469,217 9,224,455 8,888,005 8,823,888 9,053,165 Pregnant Women 1,244,265 1,283,991 1,134,091 1,287,524 1,326,735 1,335,900 1,390,233 1,364,156 1,355,127 1,375,638 1,304,322 1,294,668 1,245,423 1,228,252 All Postpartum Women 1,420,038 1,473,125 1,313,853 1,479,398 1,529,028 1,539,590 1,574,645 1,522,834 1,525,315 1,556,053 1,486,265 1,578,471 1,563,454 1,520,267 Total 12,482,201 13,035,181 12,990,331 13,654,070 13,906,742 14,065,636 14,289,805 14,079,339 14,171,378 15,074,591 14,550,116 14,277,453 14,053,362 14,188,907 Notes: For years 2000-2007, see Betson et al. (2011), Appendix Table D.4. For years 2008 and 2009, see Betson et al. (2011), Appendix Table C.3. For 2010, see Martinez-Schiferl et al. (2012), Appendix table D.1. For 2011, see Johnson et al. (2014), Appendix table, D.1. For 2012, see Johnson et al. (2015), Appendix table, D.1. The decline in WIC eligibles from 2009 to 2010 is likely the result of revisions to Census population estimates that incorporate information from the 2010 Census. See Martinez-Schiferl et al. (2012), Appendix E for further information. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page D-2 Table D.2: Coverage Rates by Region and Participant Group: 2000-2012 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 57.8% 56.5% 57.8% 56.3% 57.3% 57.1% 56.9% 59.5% 62.2% 60.9% 62.6% 62.7% 63.1% 60.2% Northeast 61.1% 58.6% 59.8% 57.3% 58.2% 60.7% 59.5% 63.0% 64.9% 63.7% 63.0% 63.0% 64.3% 59.7% Mid-Atlantic 58.0% 56.6% 55.8% 57.9% 57.8% 57.8% 60.1% 61.2% 64.8% 62.6% 62.8% 64.7% 63.6% 61.4% Southeast 53.5% 51.7% 53.4% 51.3% 52.2% 51.3% 51.1% 54.3% 58.9% 57.0% 58.6% 58.3% 58.0% 55.3% Midwest 53.4% 53.2% 54.1% 54.6% 56.2% 55.4% 56.0% 57.6% 59.3% 57.3% 57.4% 56.9% 58.2% 56.9% Southwest 58.0% 57.4% 58.9% 55.1% 56.6% 56.2% 53.9% 56.0% 59.0% 61.2% 63.9% 62.4% 63.1% 60.4% Mountain Plains 50.0% 50.7% 52.2% 51.3% 53.9% 51.4% 50.0% 51.3% 54.2% 52.8% 53.6% 53.7% 53.8% 51.1% Western Infants 65.8% 2000 63.5% 2001 66.3% 2002 63.4% 2003 63.8% 2004 64.7% 2005 65.3% 2006 69.5% 2007 70.6% 2008 68.2% 2009 72.5% 2010 73.9% 2011 74.2% 2012 70.4% 2013 U.S. All Participants U.S. 78.6% 77.2% 87.7% 78.3% 78.7% 79.1% 77.5% 82.4% 84.6% 82.9% 84.8% 83.4% 85.1% 84.4% Northeast 79.0% 83.1% 95.0% 83.7% 78.4% 84.4% 82.9% 88.6% 89.1% 86.3% 84.8% 81.9% 86.7% 82.4% Mid-Atlantic 80.7% 77.3% 82.9% 79.6% 81.2% 79.9% 81.9% 85.5% 88.4% 83.1% 85.5% 86.8% 86.0% 84.3% Southeast 80.4% 77.0% 85.6% 76.5% 76.7% 75.0% 73.2% 80.5% 85.0% 81.5% 83.6% 83.2% 82.2% 82.7% Midwest 74.6% 78.0% 87.3% 82.0% 83.7% 81.6% 82.1% 84.7% 83.4% 80.8% 82.8% 79.6% 83.7% 85.2% Southwest 77.7% 78.3% 88.7% 75.3% 76.6% 76.7% 73.7% 77.2% 81.3% 85.2% 87.0% 82.0% 88.3% 87.3% Mountain Plains 66.0% 67.2% 76.6% 72.3% 74.0% 72.4% 68.9% 72.1% 73.0% 74.0% 76.7% 76.1% 75.7% 73.7% Western Children (Ages 1-4) 84.0% 2000 77.1% 2001 93.0% 2002 79.2% 2003 79.0% 2004 82.9% 2005 80.3% 2006 86.7% 2007 88.2% 2008 86.1% 2009 88.6% 2010 89.0% 2011 88.8% 2012 88.4% 2013 U.S. 48.0% 46.9% 45.1% 45.9% 47.1% 46.6% 46.2% 47.8% 51.2% 50.6% 52.4% 53.6% 53.4% 49.8% Northeast 53.6% 48.4% 46.1% 45.9% 48.6% 49.4% 47.8% 49.9% 53.1% 52.5% 52.8% 54.7% 54.5% 50.7% Mid-Atlantic 48.3% 47.8% 44.8% 48.2% 47.9% 48.0% 49.6% 49.5% 53.5% 53.2% 53.3% 55.4% 54.4% 52.2% Southeast 40.4% 39.6% 39.5% 39.4% 40.5% 39.5% 39.6% 41.2% 46.2% 45.8% 47.5% 47.5% 47.4% 43.5% Midwest 44.3% 42.8% 41.1% 42.9% 44.2% 44.0% 43.7% 45.2% 48.5% 47.2% 47.0% 47.6% 48.3% 45.6% Southwest 47.8% 46.8% 45.3% 45.0% 46.5% 46.1% 43.6% 44.8% 47.7% 49.1% 52.2% 52.0% 50.5% 46.9% Mountain Plains 41.9% 42.5% 41.0% 41.3% 44.0% 41.5% 40.5% 41.2% 44.8% 43.5% 43.7% 44.5% 44.4% 41.3% Western Pregnant Women 56.9% 2000 56.8% 2001 54.3% 2002 55.5% 2003 55.9% 2004 55.3% 2005 56.5% 2006 59.3% 2007 60.9% 2008 59.3% 2009 64.4% 2010 67.3% 2011 68.0% 2012 62.8% 2013 U.S. 67.6% 64.0% 72.6% 65.6% 65.5% 65.4% 64.6% 66.7% 68.4% 68.6% 70.8% 69.5% 70.9% 68.4% Northeast 83.2% 79.9% 76.0% 67.9% 63.9% 69.8% 69.5% 72.3% 71.7% 71.1% 70.0% 66.9% 71.0% 64.3% Mid-Atlantic 64.6% 60.4% 66.3% 64.9% 64.8% 63.6% 66.0% 67.4% 70.7% 67.9% 69.2% 69.7% 67.3% 66.0% Southeast 67.7% 61.4% 68.7% 63.1% 62.8% 60.7% 59.5% 62.3% 66.0% 64.7% 68.8% 67.6% 66.9% 66.0% Midwest 57.2% 59.1% 68.5% 65.6% 65.7% 64.8% 66.0% 66.5% 65.9% 67.1% 68.5% 65.6% 69.4% 68.0% Southwest 65.7% 64.9% 74.7% 63.9% 65.0% 64.2% 62.0% 63.1% 67.6% 71.8% 73.2% 69.4% 75.2% 71.8% Mountain Plains 56.0% 57.1% 66.3% 62.3% 62.7% 60.5% 54.5% 55.2% 55.8% 58.4% 58.7% 60.1% 60.4% 56.9% Western All Post-Partum Women 75.9% 2000 67.2% 2001 82.7% 2002 70.0% 2003 70.4% 2004 72.6% 2005 71.7% 2006 75.7% 2007 75.5% 2008 74.2% 2009 78.4% 2010 79.0% 2011 78.6% 2012 75.8% 2013 U.S. 64.7% 65.6% 75.7% 69.6% 70.3% 71.5% 72.8% 78.8% 81.0% 79.4% 80.6% 76.0% 77.0% 77.8% Northeast 49.7% 56.9% 77.6% 71.7% 71.0% 78.0% 78.8% 87.6% 84.6% 88.6% 82.1% 74.1% 81.4% 74.3% Mid-Atlantic 68.2% 68.1% 72.3% 71.7% 70.8% 71.6% 77.2% 83.6% 87.6% 80.6% 78.6% 79.1% 78.1% 75.5% Southeast 63.2% 65.1% 73.1% 67.9% 67.8% 68.8% 66.9% 74.7% 81.1% 77.4% 76.6% 73.8% 73.1% 74.6% Midwest 58.5% 60.8% 68.8% 66.5% 68.4% 65.7% 71.6% 72.2% 70.9% 69.5% 70.2% 65.5% 65.3% 71.0% Southwest 68.1% 68.9% 78.4% 68.1% 70.4% 69.9% 69.0% 74.6% 77.7% 85.0% 87.7% 82.5% 86.7% 90.4% Mountain Plains 58.6% 59.0% 67.0% 63.5% 65.8% 62.5% 64.8% 67.6% 71.9% 65.2% 71.4% 66.9% 68.6% 68.7% Western 74.9% 71.3% 85.0% 74.2% 74.6% 79.7% 80.3% 89.3% 89.0% 85.6% 90.0% 82.9% 82.3% 82.5% Notes: For years 2000-2007, see Betson et al (2011), Appendix Table D.2 For years 2008 and 2009, see Betson et al (2011), Volume I, Tables 18 and 19 For 2010, see Martinez-Schiferl et al. (2012), Appendix Table D.1. For 2011, see Johnson et al. (2014), Appendix Table, D.1. For 2012, see Johnson et al. (2015), Appendix table, D.1. The decline in WIC eligibles from 2009 to 2010 is likely the result of revisions to Census population estimates that incorporate information from the 2010 Census. See Martinez-Schiferl et al. (2012), Appendix E for further information. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page D-3 Appendix E: Method for Calculating the Annual-to-Monthly Adjustment Factors Applied to Children in the 2013 WIC Eligibility Estimates The Healthy, Hunger-Free Kids Act of 2010 gave States the option of adopting a 12-month certification period for WIC-eligible children rather than continuing to use a 6month period. While some States adopted this option as early as 2011, it was not until 2013 that it had a significant impact on WIC eligibility, for two reasons: 1. States have been adopting the option gradually. By the end of 2011, only 6 States had adopted it; an additional 14 had adopted it by the end of 2012. 2. The longer certification period is not applied retroactively, so it does not begin affecting eligibility until 6 months after its adoption. (Of the 14 States that adopted the option in 2012, only 5 adopted it early enough for it to have any impact on eligibility in 2012.) In our WIC eligibility estimates, the impact of certification periods is reflected in the annual-to-monthly adjustment factors applied to the annual infant and child eligibility estimates. (These factors also reflect the impact of monthly fluctuations in income.) Prior to the eligibility estimates for 2013, these factors were calculated under the assumption that all States had the same certification periods – 12 months for infants and 6 months for children. However, in order for this year’s estimates to reflect the fact that some (but not all) States have adopted a 12-month certification period for children, State-specific factors had to be calculated, with each factor reflecting if (and when) the State adopted the 12-month certification period for children. The State-specific factors used for the 2013 estimates are shown in table E.1. In order to understand how these factors were calculated, it is important to understand how the “non-retroactive” nature of the option affects its impact on eligibility in any given year. Not being retroactive means that when a State adopts the longer certification period, it will cause the certification period to go from 6 months to 12 months only for those children who first became eligible after the extension’s adoption. For 2013 this means that 12-month certification will only impact WIC eligibility in 2013 if it was adopted before July 2013. If adopted after that, any child covered by the new 12-month period (i.e. a child first becoming eligible in July 2013 or later) would have been certified eligible for the remainder of the year regardless of whether 6-month or 12-month certification was in place at the time he/she became eligible. The fact that the new policy is not applied retroactively also means that, even if adopted before July 2013, not all months of the year may be fully affected by the longer certification period. Specifically, only if adopted by February of the prior year will eligibility in all months of the year be fully affected. While adoption as late as July of the prior year would cause eligibility to increase somewhat in each month of the following year (compared to what eligibility would be if certification was only for 6 months), the National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page E-1 increase would not be as high as it would be if 12-month certification had been in place in February of the prior year. Table E.1: State-Level Annual-to-Monthly Adjustment Factors Used for the 2013 Estimates of WIC-Eligible Children Alabama Implementation date of 12Month Certification for Children Annual-to-Monthly factor used for 2013 estimates NA 1.000 Alaska December 1, 2013 1.000 Arizona October 1, 2015 1.000 Arkansas NA 1.000 California March 1, 2012 1.038 Colorado August 26, 2013 1.000 Connecticut October 1, 2012 1.021 Delaware January 14, 2013 1.014 D.C. October 1, 2013 1.000 Florida October 1, 2011 1.040 Georgia October 1, 2012 1.021 Hawaii NA 1.000 Idaho July 1, 2014 1.000 Illinois July 1, 2012 1.028 Indiana NA 1.000 July 1, 2012 1.028 Kansas NA 1.000 Kentucky NA 1.000 Louisiana NA 1.000 January 1, 2012 or earlier 1.040 October 1, 2012 1.021 January 1, 2012 or earlier 1.040 April 1, 2013 1.007 Minnesota November 1, 2012 1.019 Mississippi March 1, 2014 1.000 Missouri December 1, 2013 1.000 Montana October 1, 2011 1.040 Nebraska NA 1.000 July 1, 2012 1.028 late 2014 1.000 New Jersey NA 1.000 New Mexico October 1, 2012 1.021 January 1, 2012 or earlier 1.040 North Carolina October 1, 2011 1.040 North Dakota January 1, 2011 1.040 NA 1.000 October 1, 2012 1.021 NA 1.000 Pennsylvania September 1, 2013 1.000 Rhode Island NA 1.000 South Carolina NA 1.000 South Dakota April 1, 2011 1.040 October 1, 2013 1.000 March 1, 2012 1.038 Utah NA 1.000 Vermont NA 1.000 Virginia January 1, 2013 1.014 November 1, 2011 1.040 NA 1.000 Wisconsin October 1, 2013 1.000 Wyoming NA 1.000 Iowa Maine Maryland Massachusetts Michigan Nevada New Hampshire New York Ohio Oklahoma Oregon Tennessee Texas Washington West Virginia NOTE: Implementation dates were provided by FNS. If no date is listed, it means the state does not plan to adopt 12 month certification, or that the date was not available at the time these factors were calculated. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page E-2 For example, assume that in a State with 6-month certification, 1,000 children become newly eligible in each month of 2012, but 250 of each month’s newly-eligible children will not continue to meet eligibility requirements when their 6-month certification period ends. If the State adopts 12-month certification in July of 2012, the population of eligible children in January of 2013 will increase by 250 over what it would have been under 6-month certification due to the addition of those 250 children who initially became eligible in July; the longer certification period means they now remain eligible in January of 2013. However, if the State adopts 12-month certification in February of 2012, the January 2013 eligible population would increase not just by those 250 children initially eligible in July 2012, but also due to children initially eligible in each of the months from January through June of 2012, adding an additional 1500 children (6 * 250) to the January 2013 population of eligible children. With this understanding of how the timing of adoption of 12-month certification affects eligibility, the adjustment factors in table E.1 can be explained as follows: 21 States had not adopted 12-month certification period by the end of 2013. For these States the factor used this year is the same as the national factor used for the last several years’ estimates (1.0) which was estimated under the assumption that all States have a 6-month certification period for children. 6 States (plus D.C.), although adopting 12-month certification in 2013, had not adopted it early enough for it to have an impact on eligibility in 2013 (i.e. it was adopted in July or later). For these States the 1.0 factor was also used. 9 States had adopted 12-month certification early enough that eligibility in all months of 2013 were fully affected (i.e. it was adopted in February of 2012 or earlier). For these States a factor of 1.04 was used. This factor is based on work from a prior task in which an alternative annual-to-monthly adjustment factor was calculated for children. Rather than assuming that 6-month certification was in effect in all States, it was assumed that all States had adopted 12-month certification (and early enough that eligibility was fully affected in all months). Whereas the 6-month assumption had resulted in a factor of 1.0, this alternative produced a factor of 1.04. (For more information, see Appendix E in ”National and State-Level Estimates of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Eligibles and Program Reach, 2011”.) The remaining 14 States adopted 12-month certification early enough to affect eligibility in 2013 but not early enough to fully affect all months (i.e. it was adopted between March 2012 and June 2013). For these States it was assumed that the appropriate factor varies linearly between 1.0 and 1.04, based on the implementation month, as follows: National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page E-3 Annual-to-Monthly Factor for Children for the 2013 Estimates, for States Adopting 12Month Certification between March 2012 and June 2013 Implementation Month: 2012 2013 March 1.038 April 1.035 May 1.033 June 1.031 July 1.028 August 1.026 September 1.024 October 1.021 November 1.019 December 1.016 January 1.014 February 1.012 March 1.009 April 1.007 May 1.005 June 1.002 After calculating appropriate factors for each State, it was also necessary to estimate a national-level factor. As described in Volume I of this report, the State-level eligibility estimates are not calculated directly from the CPS-ASEC data. Instead, the national estimates calculated using CPS-ASEC data are apportioned to States based on State shares calculated using ACS data. While the State-specific factors described above were applied to each State when processing the ACS data, a national-level factor was required when using the CPS-ASEC. In order to do this, a weighted average of the Statespecific factors was developed, where each State’s factor was weighted by its share of eligibles, before applying any annual-to-monthly adjustment factor. This resulted in a national annual-to-monthly adjustment factor for children of 1.02 (see table E.2). We also considered this issue for purposes of estimating children’s WIC eligibility in Puerto Rico and in the other island territories. However, neither Puerto Rico nor any of the other territories implemented 12-month certification any earlier than January 2015; thus, the annual-to-monthly factor for children for the territorial estimates remained at 1.0. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page E-4 Table E.2: Calculation of the National-Level Annual-To-Monthly Adjustment Factor Used for the National 2013 Estimates of WIC-Eligible Children State-specific annual-tomonthly adjustment factors State share of national estimate of WIC-eligible children Annual-to-monthly factors weighted by share Alabama 1.000 0.017 0.017 Alaska 1.000 0.002 0.002 Arizona 1.000 0.023 0.023 Arkansas 1.000 0.011 0.011 California 1.038 0.131 0.135 Colorado 1.000 0.014 0.014 Connecticut 1.021 0.008 0.008 Delaware 1.014 0.003 0.003 D.C. 1.000 0.002 0.002 Florida 1.040 0.062 0.065 Georgia 1.021 0.037 0.038 Hawaii 1.000 0.004 0.004 Idaho 1.000 0.006 0.006 Illinois 1.028 0.039 0.040 Indiana 1.000 0.022 0.022 Iowa 1.028 0.008 0.009 Kansas 1.000 0.009 0.009 Kentucky 1.000 0.014 0.014 Louisiana 1.000 0.018 0.018 Maine 1.040 0.003 0.003 Maryland 1.021 0.016 0.016 Massachusetts 1.040 0.014 0.015 Michigan 1.007 0.030 0.030 Minnesota 1.019 0.013 0.013 Mississippi 1.000 0.013 0.013 Missouri 1.000 0.018 0.018 Montana 1.040 0.003 0.003 Nebraska 1.000 0.006 0.006 Nevada 1.028 0.009 0.009 New Hampshire 1.000 0.003 0.003 New Jersey 1.000 0.022 0.022 New Mexico 1.021 0.009 0.009 New York 1.040 0.057 0.060 North Carolina 1.040 0.034 0.035 North Dakota 1.040 0.002 0.002 Ohio 1.000 0.034 0.034 Oklahoma 1.021 0.016 0.016 Oregon 1.000 0.012 0.012 Pennsylvania 1.000 0.033 0.033 Rhode Island 1.000 0.003 0.003 South Carolina 1.000 0.017 0.017 South Dakota 1.040 0.003 0.003 Tennessee 1.000 0.022 0.022 Texas 1.038 0.105 0.109 Utah 1.000 0.011 0.011 Vermont 1.000 0.002 0.002 Virginia 1.014 0.020 0.020 Washington 1.040 0.021 0.022 West Virginia 1.000 0.006 0.006 Wisconsin 1.000 0.015 0.015 Wyoming 1.000 0.002 0.002 Weighted average factor used for national-level estimates: 1.02 Note: State shares are based on State eligibility estimates before applying the annual-to-monthly adjustment factors. National- and State-Level Estimates of WIC Eligibles and Program Reach: Appendices Page E-5