This change to the food package was done again in 2009, which put the food package in compliance with the 2005 Dietary Guideline for Americans. This change introduced an inclusion of cash-value vouchers for fruits, vegetables, whole-wheat bread, corn or whole-wheat tortillas, brown rice, oats, bulgur, and barley. Milk purchase options were also altered to only include lower-fat milk for all women and all children over 2 years of age. The adjustment in the food package had a significant effect on participant nutrition.