103 STAT. 896 PUBLIC LAW 101-147—NOV. 10, 1989 Rural areas. Education. Health care facilities. and to meet the special nutrition education needs of, such individuals, which may include— "(I) providing supplemental foods to such individuals that are different from those provided to other participants in the program under this section; "(II) providing such foods to such individuals in a dif- ferent manner than to other participants in the program under this section in order to meet the special needs of such individuals; and "(III) the development of nutrition education materials appropriate for the special needs of such individuals; "(x) a plan to improve access to the program for participants and prospective applicants who are employed, or who reside in rural areas, by addressing their special needs through the adoption or revision of procedures and practices to minimize the time participants and applicants must spend away from work and the distances that participants and applicants must travel, including appointment scheduling, adjustment of clinic hours, clinic locations, or mailing of multiple vouchers; "(xi) a plan to provide nutrition education and promote breastfeeding;"; (B) by adding at the end of paragraph (8) the following new subparagraph: "(D) Each local agency operating the program within a hospital and each local Eigency operating the program that has a cooperative arrangement with a hospital shall— "(i) advise potentially eligible individuals that receive in- patient or outpatient prenatal, maternity, or postpartum serv- ices, or accompany a child under the age of 5 who receives well- child services, of the availability of program benefits; and "(ii) to the extent feasible, provide an opportunity for individ- uals who may be eligible to be certified within the hospital for participation in such program."; (C) in paragraph (9)— (i) by inserting "(A)" after "(9)"; and (ii) by adding at the end the following new sub- paragraph: "(B) Any State agency that must suspend or terminate benefits to any participant during the participant's certification period due to a shortage of funds for the program shall first issue a notice to such participant. Such notice shall include, in addition to other informa- tion required by the Secretary, the categories of participants whose benefits are being suspended or terminated due to such shortage."; (D) in subparagraph (A) of paragraph (14), by inserting ", breastfeeding promotion," after "nutrition education"; (E) in paragraph (17), by inserting before the period the following: "and to accommodate the special needs and prob- lems of individuals who are incarcerated in prisons or juvenile detention facilities"; and (F) by adding at the end the following new paragraphs: "(18XA) Except as provided in subparagraph (B), a State agency may implement income eligibility guidelines under this section at the time the State implements income eligibility guidelines under the medicaid program. "(B) Income eligibility guidelines under this section shall be imple- mented not later than July 1 of each year.
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