For many low-income families, getting baby formula has always been a strain

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For many low-income families, getting baby formula has always been a strain
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The ongoing dearth of formula has caused tremendous stress for families nationwide, especially those who rely upon the program known as WIC.

She worked a low-wage job and had mounting student debt, so the then-19-year-old turned to the Special Supplemental Nutrition Program for Women, Infants, and Children, known as WIC, to get infant formula and food. But after she gave birth, her baby had colic and painful reflux and her pediatrician recommended a special formula not available through the program.

People are also reading… For nearly 50 years, WIC has provided food assistance to low-income mothers and children. About half the babies in the U.S. — 1.5 million — received benefits from WIC in 2021. That purchasing power drove significant cost savings on infant formula for the federal and state governments that run the program.

Rebate savings reduced annual program costs by $1.6 billion last year, according to the USDA. In a statement to KHN, it said the rebate system allows states to use their food grants more efficiently and offsets the cost of formula so that more participants can be served without increasing federal funding.

"Parents often have to experiment a little bit and often end up trying three or more formulas to find the formula that keeps their baby comfortable," said Bridget Young, an assistant professor who studies infant nutrition at the University of Rochester Medical Center. The decision for each state to have formula manufacturers compete to serve the WIC program has led to higher prices, Betson said. He found that wholesale formula prices across the board nearly doubled from when WIC implemented its bidding process in 1989 to 2002. Another study found that formula prices increased an additional 30% from 2006 to 2015. Betson said formula companies take a hit on the formula they sell via WIC and make up for it by charging non-WIC customers higher prices.

Because of the federal program's high rates of infants on formula, WIC administrators have tried incentivizing breastfeeding by giving more food to breastfeeding moms, and some states have tried to limit access to formula for mothers who start breastfeeding. Emeline Pratt, a mother of two who lives in Vermont, said her WIC office required her to meet with a lactation consultant to get formula, even though she explained she had already given up breastfeeding.

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