3008                                          LAWS OF MARYLAND                                      Ch. 784

(I) PROVIDES HEALTH SERVICES EITHER DIRECTLY OR
THROUGH CONTRACT; AND

(II) BY WRITTEN AGREEMENT WITH THE STATE
AGENCY, PROVIDES PROGRAM SERVICES IN A DESIGNATED AREA.

(4)  "PARTICIPANT" MEANS AN INDIVIDUAL WHO IS
RECEIVING SUPPLEMENTAL FOODS OR FOOD INSTRUMENTS UNDER THE
PROGRAM AND INCLUDES:

(I)  PREGNANT WOMEN;

(II)  BREAST-FEEDING WOMEN UP TO 1 YEAR
POSTPARTUM WHO ARE BREAST-FEEDING THEIR INFANTS AND SUPPLEMENTING
WITH NO MORE THAN 16 OUNCES OF FORMULA;

(III)  POSTPARTUM WOMEN UP TO 6 MONTHS AFTER
TERMINATION OF PREGNANCY;

(IV)  INFANTS UNDER 1 YEAR OF AGE; AND

(V)  CHILDREN WHO ARE AT LEAST 1 YEAR OLD BUT
UNDER THE AGE OF 6 5 YEARS.

(5)  "PROGRAM" MEANS THE SPECIAL SUPPLEMENTAL FOOD
PROGRAM FOR WOMEN, INFANTS, AND CHILDREN AUTHORIZED BY SECTION 17
OF THE CHILD NUTRITION ACT OF 1966, AS AMENDED.

(6)  "SUPPLEMENTAL FOODS" MEANS THOSE FOODS CONTAINING
NUTRIENTS DETERMINED TO BE BENEFICIAL FOR PREGNANT,
BREAST-FEEDING, AND POSTPARTUM WOMEN, INFANTS, AND CHILDREN, AS
PRESCRIBED BY THE SECRETARY OF THE U. S. DEPARTMENT OF
AGRICULTURE.

(B) (1) EXCEPT AS OTHERWISE PROVIDED IN THIS SUBSECTION,
EACH PARTICIPANT IN THE PROGRAM SHALL REPORT EVERY 2 MONTHS A
LOCAL AGENCY SHALL INCLUDE IN ITS PROPOSED WRITTEN AGREEMENT THE
OPTION TO REQUIRE A PARTICIPANT IN THE PROGRAM TO REPORT MONTHLY,
BIMONTHLY, OR TRIMONTHLY TO A DESIGNATED SITE AT DESIGNATED TIMES
TO RECEIVE FOOD INSTRUMENTS PREPARED FOR THAT PARTICIPANT AND TO
ACKNOWLEDGE RECEIPT OF THE INSTRUMENTS.

(2) FOOD INSTRUMENTS MAY BE MAILED OR OTHERWISE
DELIVERED TO PARTICIPANTS BY A LOCAL AGENCY ONLY IF APPROVED BY
THE DEPARTMENT ON THE BASIS OF HARDSHIPS WHICH MAY BE ENCOUNTERED
BY THE TARGET POPULATION OF THE LOCAL AGENCY, SUCH AS SEASONALLY
INCLEMENT WEATHER.

(3)  UPON PRESENTATION BY THE PARTICIPANT OF A WRITTEN
REQUEST, INCLUDING JUSTIFICATION, A LOCAL AGENCY MAY MAIL OR
OTHERWISE DELIVER FOOD INSTRUMENTS TO AN INDIVIDUAL ON THE BASIS
OF THE DIFFICULTY OF THE PARTICIPANT AND THE PARTICIPANT'S
PROXIES IN OBTAINING THE FOOD INSTRUMENTS. THE JUSTIFICATION MAY

INCLUDE: