1001 G Street, N.W. Suite 500 West Washington, D.C. 20001 tel.202.434.4100 fax 202.434.4646 M E M O RA N D UM V iaE lectronic M ail TO: Clients and Interested Parties DATE: June 2, 2016 RE: FDA Issues Final Rule Revising the Nutrition and Supplement Facts Labels On May 27, 2016, the Food and Drug Administration (FDA) issued its final rule on Food Labeling: Revision of the Nutrition and Supplement Facts Labels.1 The final rule amends existing regulations under 21 CFR 101.9 (“Nutrition labeling of food”) and 101.36 (“Nutrition labeling of dietary supplements”). FDA issued a proposed rule on March 3, 2014 and a supplemental rule on July 27, 2015.2 The final rule largely tracks the proposed rule, as modified by the supplemental rule. The final rule: (1) updates the list of nutrients that are required or permitted to be declared; (2) provides updated Daily Reference Values and Reference Daily Intakes; (3) amends requirements for foods represented or purported to be specifically for children under the age of 4 years, pregnant and lactating women and establishes nutrient reference values specifically for these population subgroups; and (4) revises the format and appearance of the Nutrition and Supplement Facts labels. The final rule is intended to assist consumers in maintaining healthy dietary practices by providing updated information on nutrition and supplement facts label and improving how the nutrition information is presented to consumers. This final rule has been issued in conjunction with FDA’s Final Rule on Serving Sizes of Foods That Can Reasonably Be Consumed at One Eating Occasion; Dual-Column Labeling; Updating, Modifying, and Establishing Certain 1 Final Rule: 81 Fed. Reg. 33741 (May 27, 2016), available at https://www.gpo.gov/fdsys/pkg/FR2016-05-27/pdf/2016-11867.pdf. 2 Proposed Rule: 79 Fed. Reg. 11880 (Mar. 3, 2014), available at http://www.gpo.gov/fdsys/pkg/FR-2014-03-03/pdf/2014-04387.pdf; Supplemental Rule: 80 Fed. Reg. 44303 (July 27, 2015), available at https://www.gpo.gov/fdsys/pkg/FR-2015-07-27/pdf/2015-17928.pdf. Washington, D.C. Th isd oc um en tw asd el ivered elec t ron ic al l y. Brussels San Francisco www.khlaw.com Shanghai KELLER AND HECKMAN LLP June 2, 2016 Page 2 Reference Amounts Customarily Consumed,3 which (1) changes Reference Amounts Customarily Consumed (RACCs) for certain foods; (2) creates new reference amount categories and reference amounts; (3) amends the definition of a single-serving container; and (4) requires dual column nutrition labeling for certain food containers. Although the final rule is effective on July 26, 2016, companies generally have until July 26, 2018 to comply, except that manufacturers with less than $10 million in annual food sales have until July 26, 2019. I. S u m maryof FinalRu le As noted above, the final rule addressed (1) the list of nutrients that are required or permitted to be declared; (2) Daily Reference Values and Reference Daily Intakes; (3) labeling requirements for foods represented or purported to be specifically for children under the age of 4 years and pregnant and lactating women and nutrient reference values specifically for these population subgroups; and (4) the format and appearance of the Nutrition and Supplement Facts labels. A summary of each of these changes is provided below. A. N u trients Requ ired orP ermitted to be D eclared 1. A d d ed S u gar Consistent with the supplemental proposed rule, FDA will require a declaration of the amount of added sugars and percentage daily value if a product contains 1 gram or more of added sugars in a serving, or if claims are made about sweeteners, sugars, or sugar alcohol content. a. Definition of Added Sugar The final rule revises the proposed definition of added sugars in response to issues raised in the comments. The final rule defines “added sugars” to mean “sugars [that] are either added during the processing of foods, or are packaged as such.” The term includes: sugars (free, mono- and disaccharides); sugars from syrups and honey; and 3 See Final Rule on Serving Sizes of Foods That Can Reasonably Be Consumed at One Eating Occasion; Dual-Column Labeling; and Updating, Modifying, and Establishing Certain Reference Amounts Customarily Consumed, 81 Fed. Reg. 34000 (May 27, 2016), available at https://www.federalregister.gov/articles/2016/05/27/2016-11865/food-labeling-serving-sizes-of-foodsthat-can-reasonably-be-consumed-at-one-eating-occasion. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 3 sugars from concentrated fruit or vegetable juices that are in excess of what would be expected from the same volume of 100% fruit or vegetable juice of the same type. The following are explicitly excluded from the definition of added sugars: fruit or vegetable juice concentrated from 100% juices sold to consumers; fruit or vegetable juice concentrates used towards the total juice percentage label declaration under 21 CFR 101.30 or for Brix standardization under 21 CFR 102.33(g)(2); fruit juice concentrates which are used to formulate the fruit component of jellies, jams, or preserves in accordance with the standard of identities set forth in 21 CFR 150.140 and 150.160; and the fruit component of fruit spreads. This definition differs from FDA’s proposal in that the final rule provides more detail on what would and would not be considered added sugar, and removes portions of the definition that would have inadvertently captured ingredients that FDA does not consider to be added sugars, such as dairy ingredients. b. Daily Value for Added Sugar Consistent with the supplemental proposed rule, FDA is establishing a daily recommended value for added sugars of 50 grams for children and adults 4 years of age and older. This figure is based on the Agency’s finding that limiting consumption of added sugars to 10% of daily calories would assist consumers in choosing and maintaining a healthful dietary pattern.4 In response to comments arguing that FDA does not have a scientific basis to establish a DRV for added sugars, the Agency stated that the underlying evidence used to support the S cientific Reportof the 2 0 1 5D ietary Gu id elines A d visory C ommittee (2015 DGAC Report) provides a basis for FDA to establish a DRV for added sugars. The 2015 DGAC Report recommended that Americans limit their consumption of added sugars to a maximum of 10% of total calories based on modeling of dietary patterns, current added sugars consumption data, and a published meta-analysis on sugars intake and body weight. c. 4 Requirements for Added Sugar Declaration The DRV of 50 grams was determined by first multiplying the 2,000 reference calorie intake by 10 percent (2,000 × 0.1 = 200 calories) and then by dividing the resulting 200 calories by 4 calories per gram for carbohydrates (200 ÷ 4 = 50 grams). Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 4 To address concerns regarding consumer understanding of an “Added Sugars” declaration, FDA is requiring that the term “Total Sugars” be used instead of “Sugars”, and that the declaration of added sugars, indented under “Total Sugars”, be prefaced by the word “Includes” (i.e., “Includes __ g Added Sugars”). This wording is intended to provide a clearer distinction between total and added sugars and to prevent consumers from confusing the “Added Sugars” and “Sugars” declarations. If a serving contains 1 gram or more of added sugars, the added sugars content must be expressed to the nearest gram. As noted above, a statement of added sugars content is not required for products that contain less than 1 gram of added sugars in a serving if no claims are made about sweeteners, sugars, or sugar alcohol content. If the added sugars content is not declared, the phrase “Not a significant source of added sugars” must be placed at the bottom of the table of nutrient values. As an alternative, if a serving contains less than 1 gram, the statement “Contains less than 1 gram” or “less than 1 gram” may be used, and if the serving contains less than 0.5 gram, the content may be expressed as zero. d. Responses to Added Sugar Comments FDA received numerous comments on the controversial proposal to require declaration of added sugars content and to establish a daily value for added sugars. Principal objections, and the Agency’s responses, include the following: FDA rejected arguments that the Agency does not have authority to require declaration of added sugars, principally on the basis of its determination that “there is adequate evidence to demonstrate that consumption of added sugars is a public health concern.” The Agency disagreed with the argument that an added sugars declaration would be false and misleading because it would convey to the reasonable consumer that added sugars are chemically different than naturally-occurring sugars; the Agency stated that the rationale for requiring an added sugars declaration was not based on a physiological or chemical distinction between added and naturally-occurring sugars, but rather its finding that consumption of too much added sugars can hinder consumers’ ability to meet nutrient needs within calorie limits. FDA disagreed that it failed to demonstrate a public health significance exists for added sugars labeling through well-established scientific evidence, arguing that evidence shows that heathy dietary patterns associated with a decreased risk of chronic disease are lower in sugar-sweetened foods and beverages, consumption of too much added sugars can impact the nutrient density of the diet, and consumption of sugar-sweetened foods and beverages is associated with increased adiposity in children. The Agency rejected the contention that there is insufficient scientific evidence to support a daily recommended value (DRV) for added sugars and that the Institute of Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 5 Medicine (IOM) is the appropriate body to establish a Dietary Reference Intake (DRI) upon which a DRV could be based. Although the Agency acknowledged that a DRV derived primarily from food pattern modeling is different from a DRI determined by the IOM, the Agency maintained that food pattern modeling is a valid basis for deriving a DV for nutrient for which there is not a direct relationship between consumption and disease risk. FDA also rejected comments arguing that certain nutrient-dense foods containing added sugars (e.g., cranberries) should be exempted from the added sugars declaration requirement, stating that if such an exempt were granted, consumers may assume incorrectly that exempted products contain no added sugars. The Agency did acknowledge that education and outreach will be needed to educate consumers that the amount of added sugars in a serving of a product should be considered along with other information on the label when constructing a healthy dietary pattern. 2. D ietaryFiber a. Definition of Dietary Fiber The final rule defines dietary fiber as: non-digestible soluble and insoluble carbohydrates (with 3 or more monomeric units) and lignin that are intrinsic and intact in plants; and isolated or synthetic non-digestible carbohydrates (with 3 or more monomeric units) determined by FDA to have physiological effects that are beneficial to human health. FDA explains that “intrinsic and intact” includes “non-digestible carbohydrates that are created during normal food processing (e.g., cooking, rolling, or milling)”, such as non-digestible (resistant) starch in flaked corn cereal. However, resistant starch that has been extracted and isolated from the flaked corn cereal is not intrinsic (part of the food matrix) and intact; these fibers would be considered “isolated” non-digestible carbohydrates. “Synthetic non-digestible carbohydrates” refers to fiber that is not isolated from plant sources but that is chemically synthesized. This definition of dietary fiber is equivalent to the IOM’s definition of “total fiber”. b. List of Approved “Isolated or Synthetic” Dietary Fibers In the final rule, FDA identifies the following as isolated or synthetic non-digestible carbohydrates (with 3 or more monomeric units) determined by FDA to have physiological effects that are beneficial to human health: [beta]-glucan soluble fiber (as described in 21 CFR 101.81(c)(2)(ii)(A)); psyllium husk (as described in 21 CFR 101.81(c)(2)(ii)(A)(6)); Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 6 cellulose; guar gum; pectin; locust bean gum; and hydroxypropylmethylcellulose (HPMC). In the preamble, FDA also states that they intend to publish a separate notice seeking comments on the available scientific data on other non-digestible carbohydrates to determine if they should be added to the list. In this notice, FDA will identify and summarize publically available clinical trial data for the following non-digestible carbohydrates: inulin, bamboo fiber, soy fiber, pea fiber, wheat fiber, cotton seed fiber, sugar cane fiber, sugar beet fiber, and oat fiber. c. Procedure to Amend List of Approved “Isolated or Synthetic” Dietary Fibers Any interested person may seek to amend the listing of added fibers through the existing citizen petition process in 21 CFR 10.30. In the preamble, the Agency indicates it intends to issue a guidance document identifying the information FDA recommends be provided to demonstrate that an isolated or synthetic non-digestible carbohydrate (with 3 or more monomeric units) has physiological effects that are beneficial to human health. This guidance document will also identify the approach FDA intends to use to evaluate the studies, including the approach for evaluating the strength of the scientific evidence. The preamble states that the Agency does not consider animal or in vitro data to be sufficient. FDA states that “beneficial physiological effects” include (but are not limited to) lowering total/LDL levels, lowering post-prandial glucose levels, reducing gut transit time and improving laxation (fecal output), reduced blood pressure, and increased satiety associated with reduced energy intake and with possible associated outcomes on body weight to be physiological endpoints. The Agency indicated that it considers colonic fermentation and short chain fatty acid production and modulation of the colonic microflora to be processes associated witha physiological endpoint, rather than physiological endpoints themselves. FDA indicated that, although it considers an isolated or synthetic fiber that is the subject of an authorized health claim to meet the definition of dietary fiber, it is not able to make the same determination for such a fiber that is the subject of a health claim notification submitted under section 403(r)(3)(C) of the FD&C Act (typically referred to as a Food and Drug Administration Modernization Act or “FDAMA” health claim). While the agency has 540 days to publish a final rule to authorize a health claim, it has only 120 days to review FDAMA health claims. Thus, the Agency’s position is that it may not have adequate time during a FDAMA health claim review period to address whether the scientific evidence for a fiber that is the subject of a FDAMA health claim notification is sufficient to amend the list of dietary fibers in the dietary fiber definition for nutrient declaration. Accordingly, the Agency intends to consider this issue on a case-by-case basis. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 7 d. Compliance Dietary fiber content may be determined by subtracting the amount of non-digestible carbohydrates added during processing that do not meet the definition of dietary fiber (in § 101.9(c)(6)(i)) from the value obtained using AOAC 2009.01, AOAC 2011.25 or an equivalent AOAC method of analysis as given in the “Official Methods of Analysis of the AOAC International” 19th Edition. To verify the quantity of dietary fiber when both dietary fiber that meets the definition and other non-digestible carbohydrates are present, FDA is requiring that manufacturers establish and maintain written records to verify the correct amount of dietary fiber that is present in the product pursuant to the definition. 3. C alories from Fat Consistent with the proposed rule, FDA will no longer require and will not permit the declaration of “Calories from fat” on the label. FDA indicated that it reviewed current scientific evidence and consensus reports to evaluate whether information on calories from fat is necessary to assist consumers in maintaining healthy dietary practices. The Agency determined that, because current dietary recommendations emphasize that the intake of total calories and the type of fat consumed are more important than information on calories from fat in maintaining healthy dietary practices, the extra emphasis of “Calories from fat” in addition to the Total Fat declaration is not necessary. 4. V itamins and M inerals FDA has finalized changes to its regulations regarding the vitamins and minerals “of public health significance,” based on the agency’s analysis of nutrient inadequacy. Under the final rule, manufacturers will need to declare the absolute amount (e.g., mg) and % DV of vitamin D, calcium, iron, and potassium. Declaration of vitamins A and C will become voluntary. 5. Record keeping& A ccess Requ irements Consistent with the proposed rule, manufacturers must establish and maintain written records to support the declarations of certain nutrients under specified circumstances as follows: when a food contains dietary fiber (whether soluble, insoluble, or a combination of both) and added non-digestible carbohydrate(s) that does not meet the definition of dietary fiber, records to verify the amount of added non-digestible carbohydrate that does not meet the definition of dietary fiber; when vitamin E is present in a food as a mixture of allrac-α-tocopherol acetate and RRR-α-tocopherol, records to verify the amount of allrac-α-tocopherol acetate added to the food and RRR-α-tocopherol in the finished food; Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 8 when a mixture of folate and folic acid is present in a food, records to verify the amount of folic acid added to the food and folate in the finished food; and when added sugars as well as naturally occurring sugars are present in a food, records to verify the declared amount of added sugars in the food. Finally, manufacturers must make and keep records to verify the declared amount of added sugars in specific foods, alone or in combination with naturally occurring sugars, where the added sugars are subject to non-enzymatic browning and/or fermentation. However, for manufacturers of such foods who are unable to reasonably approximate the amount of added sugars in a serving of food to which the records requirements apply, the final rule allows manufacturers to submit a petition (under 21 CFR 10.30) to request an alternative means of compliance. 6. O therP rovisions In addition to the major provisions noted above, FDA also addressed a number of other topics. Despite comments to the contrary, the final rule: continues to require the declaration of trans fat; retains the terms “soluble” and “insoluble” dietary fiber and keeps these declarations voluntary; and does not adopt use of household measure or ounces to express the amount of total fat, carbohydrate, sugars, added sugars, protein, and sodium in a product. FDA indicated that grams are more accurate than household measures, such as teaspoons, which are volumetric and are more precise than ounces or pounds, because, if declarations were in terms of ounces or pounds, fractions would have to be declared. The Agency also finalized the following changes: The Agency will no longer permit the previously voluntary “other carbohydrate” declaration; FDA will now permit the declaration of a product’s fluoride level; the fluoride level may be declared as 0 if the product that contains less than 0.1 mg, to the nearest 0.1 mg if the product contains no more than 0.8 mg, and to the nearest 0.2 mg if the product contains more than 0.8 mg; and The following caloric conversion are adopted: o C arbohyd rate: 4.0 kcal/g of total carbohydrate less the amount of nondigestible carbohydrates Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 9 o S olu ble non-d igestible carbohyd rates: 2.0 kcal/g o Insolu ble non-d igestible carbohyd rates: not included in calorie calculation o S u garalcohols:Isomalt—2.0 kcal/g, lactitol—2.0 kcal/g, xylitol—2.4 kcal/g, maltitol—2.1 kcal/g, sorbitol—2.6 kcal/g, hydrogenated starch hydrolysates— 3.0 kcal/g, mannitol—1.6 kcal/g, and erythritol—0 kcal/g. The final rule requires records to be kept for at least 2 years after introduction or delivery for introduction of the food into interstate commerce. These record requirements are designed to ensure that the nutrient declarations are accurate, truthful, and not misleading, based on information known only to the manufacturer. B . Revisions to D ailyReference V alu es and Reference D ailyIntakes FDA finalized its proposal to revise the DVs for certain nutrients, including fat, dietary fiber, sodium, calcium, and vitamin D. Specifically, FDA is: increasing the DRV for total fat from 30% of calories to 35% of calories, which results in a DRV of 78 grams; decreasing the DV for total carbohydrate from 60% of calories to 55% of calories, which results in a DRV of 275 grams (so that the percentage of calories contributed by total fat, total carbohydrate, and protein continues to add up to 100% on the label without reducing the DRV for protein to fall below the RDA for protein) increasing the DV for dietary fiber from 25 g to 28 g; decreasing the DRV for sodium from 2,400 mg to 2,300 mg; and as discussed in Section I.A.1.b of this memorandum, establishing a DRV for added sugars of 50 g. The rule also finalizes a number of proposed changes to the RDIs for vitamins and minerals, summarized below. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 10 V itamins: M inerals: N u trient Biotin Choline Folate Niacin Pantothenic acid Riboflavin Thiamin Vitamin A Vitamin B 6 Vitamin B 12 Vitamin C Vitamin D Vitamin E Vitamin K Calcium Chloride Chromium Copper Iodine Iron Magnesium Manganese Molybdenum Phosphorus Potassium9 Selenium Zinc P reviou s RD Is 300 micrograms 550 milligrams5 400 micrograms 20 milligrams 10 milligrams 1.7 milligrams 1.5 milligrams 5,000 International Units 2.0 milligrams 6 micrograms 60 milligrams 400 International Units 30 International Units 80 micrograms 1,000 milligrams 3,400 milligrams 120 micrograms 2.0 milligrams 150 micrograms 18 milligrams 400 milligrams 2.0 milligrams 75 micrograms 1,000 milligrams 3,500 milligrams 70 micrograms 15 milligrams Revised RD Is 30 micrograms. 550 milligrams. 400 micrograms DFE.6 16 milligrams NE.7 5 milligrams. 1.3 milligrams. 1.2 milligrams. 900 micrograms RAE.8 1.7 milligrams. 2.4 micrograms. 90 milligrams. 20 micrograms. 15 milligrams. 120 micrograms. 1,300 milligrams. 2,300 milligrams. 35 micrograms. 0.9 milligrams. 150 micrograms. 18 milligrams. 420 milligrams. 2.3 milligrams. 45 micrograms. 1,250 milligrams. 4,700 milligrams. 55 micrograms. 11 milligrams. 5 A notification was submitted in 2001 for the use of certain nutrient content claims for choline, identifying the daily value for choline as 550 mg. This value is based on the AI set by the IOM of the NAS in 1998. Retinol activity equivalents (described in further detail below); 1 RAE = 1 mcg retinol, 12 mcg βcarotene, or 24 mcg α- carotene, or 24 mcg β-cryptoxanthin. 6 7 Niacin equivalents, 1 mg niacin = 60 mg of tryptophan. 8 Dietary folate equivalents; 1 DFE = 1 mcg food folate = 0.6 mcg of folic acid from fortified food or as a supplement consumed with food. 9 This mineral previously had a DRV and the final rule establishes an RDI. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 11 FDA acknowledges that some foods that are currently able to bear claims may no longer be able to bear such claims due to these changes. FDA intends to consider in future rulemaking whether changes to criteria for claims would assist consumers in maintaining a healthy diet and whether such criteria should change. C . L abelingRequ irements forFood s forC hild ren u nd erthe A ge of 4 Y ears and P regnantand L actatingW om en N u trients,V itamins and M inerals Requ ired to be D eclared and P ermitted to be D eclared :Consistent with the proposed rule and the supplemental proposed rule, the final rule: requires the declaration of saturated fat, trans fat, and cholesterol on food for infants 7 through 12 months and children 1 through 3 years; requires the declaration of percent DV for protein on food for infants 7 through 12 months and children 1 through 3 years; permits the declaration of calories from saturated fat, polyunsaturated fat, and monounsaturated fat on foods for infants 7 through 12 months and children 1 through 3 years. requires the declaration of added sugars on the labels of foods for infants 7 through 12 months, young children 1 through 3 years, and pregnant and lactating women and requires declaration of percent DV for added sugars on the labels of foods for children 1 through 3 years and pregnant and lactating women; permits the voluntary declaration of fluoride on foods for infants 7 through 12 months, for children 1 through 3 years, and for pregnant and lactating women; and requires declaration of calcium, iron, vitamin D, and potassium on foods for infants 7 through 12 months, for children 1 through 3 years, and for pregnant and lactating women. Vitamin A, vitamin C and other essential vitamins and minerals that do not have public health significance for these subpopulations may be declared on a voluntary basis, unless they are added to foods as a nutrient supplement or if the labeling makes a claim about them, in which case declaration would be required. D ailyRecom m end ed V alu es and Recom m end ed D ailyIntakes: The final rule establishes a number of DRVs and RDIs for infants 7 through 12 months, for children 1 through 3 years, and for pregnant and lactating women and requires foods for these populations include declarations of percent DV for those nutrients. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 12 A summary of the DRVs for infants 7 through 12 months, children 1 through 3 years, and pregnant and lactating women is presented in the table below.10 N u trient Unitof M easu re Calories Total Fat Saturated Fat Cholesterol Carbohydrates Sodium Added Sugars Dietary Fiber Protein Biotin Calcium Chloride Choline Chromium Copper Folate Iodine Iron Magnesium Manganese Molybdenum Niacin Pantothenic acid Phosphorous Potassium Riboflavin Selenium Thiamin Vitamin A Vitamin B 12 Vitamin B 6 Grams (g) Grams (g) Milligrams (mg) Grams (g) Milligrams (mg) Grams (g) Grams (g) Grams (g) Micrograms (mcg) Milligrams (mg) Milligrams (mg) Milligrams (mg) Micrograms (mcg) Milligrams (mg) Micrograms DFE (mcg) Micrograms (mcg) Milligrams (mg) Milligrams (mg) Milligrams (mg) Micrograms (mcg) Milligrams NE11(mg) Milligrams (mg) Milligrams (mg) Milligrams (mg) Milligrams (mg) Micrograms (mcg) Milligrams (mg) Micrograms RAE (mcg) Micrograms (mcg) Milligrams (mg) Infants to 12 months N/A 30 N/A N/A 95 N/A N/A N/A 11 6 260* 570 150 5.5 0.2 80 130 11* 75 0.6 3 4 1.8 275 700* 0.4 20 0.3 500 0.5 0.3 C hild ren 1 -3 years 1,000 39 10 300 150 1500 25 14 13 8 700* 1500 200 11 0.3 150 90 7* 80 1.2 17 6 2 460 3000* 0.5 20 0.5 300 0.9 0.5 P regnantW omen & L actatingW omen 2,000 65 20 300 300 2300 50 28 71 35 1,300* 2300 550 45 1.3 600 290 27* 400 2.6 50 18 7 1,250 5100* 1.6 70 1.4 1,300 2.8 2.0 10 FDA considered but did not establish DRVs for saturated fat, trans fat, cholesterol, sodium, dietary fiber, sugars, polyunsaturated fat, monounsaturated fat, soluble fiber, insoluble fiber, added sugars, sugar alcohols and fluoride for infants 7 through 12 months. FDA considered but did not establish DRVs for trans fat, polyunsatured fat, monounsaturated fat, sugars, added sugars, insoluble fiber, soluble fiber, sugar alcohols and fluoride for children 1 through 3 years of age and for pregnant and lactating women. 11 NE = Niacin equivalents, 1 milligram niacin = 60 milligrams of tryptophan. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 13 Vitamin C Vitamin D Vitamin E Vitamin K Zinc D. Milligrams (mg) Micrograms (mcg) Milligrams (mg) Micrograms (mcg) Milligrams (mg) 50 10* 5 2.5 3 15 15* 6 30 3 120 15* 19 90 13 N u trition L abeling The final rule incorporates most, but not all, changes proposed in the proposed rule and supplemental proposed rule. O rd erof Information: Consistent with the proposed rule, the final rule reverses the order of the servings per container and serving size declarations; inserts the declaration for “Added Sugars” indented below the declaration for “Sugars”; inserts the declaration for Vitamin D above Calcium; and inserts the declaration for Potassium below Iron ((§§ 101.9(c)(6)(iii) and (c)(8)(ii)). Also, if only one sugar alcohol is used the specific name of the sugar alcohol can be used in lieu of “sugar alcohols.” P lacementof Information: Consistent with the proposed rule, quantitative amounts in the “Serving size” declaration must be right-justified to emphasize information about serving sizes. C apitalization and W ord ing: Changes to capitalization and wording are as follows (§§ 101.9(c)(6); (d)(3) – (6); (j)(13)(ii)(B)): Form erD eclaration Serving Size Servings per Container Revised D eclaration Serving size __ servings per container (with the blank filled in with the appropriate number) The final rule does not incorporate FDA’s proposal to rearrange the % DV information, which the proposed rule would have required be placed in column to the left of the names of nutrients and their qualitative amounts (§ 101.9(d)(12)); the proposal to use “Amount Per ___” instead “Amount Per Serving”; nor the proposal to use “% DV” in place of “% Daily Value*” as a column heading. V itamins and M inerals (§§ 101.9(c)(8)(iii); (d)(7)(i)): The final rule implements FDA‘s proposal to require a declaration of the absolute amounts for all mandatory vitamins and minerals, as well as folic acid when added as a supplement or claims are made about the vitamin, in addition to the requirement for percent DV declaration, but makes declaration of the absolute amount optional for voluntary vitamins and minerals. Type S izes (§§ 101.9(d)(1)(iii); (d)(3)(i); (d)(3)( ii); (d)(4); (d)(5)) & H ighlighting(§§ 101.9(d)(1)(iii); (d)(1)(iv); (d)(3)(i); (d)(4)): The final rule implements the following minimum type size and highlighting requirements for the Nutrition Facts label: Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 14 D eclaration “Nutrition Facts” heading __ servings per container Serving Size Amount per serving “Calories” heading Numeric amount of Calories % Daily Value column heading Names of all nutrients that are not indented (i.e., “Calories,” “Total Fat,” “Cholesterol,” “Sodium,” “Total Carbs” and “Protein”) Names of all nutrients that are indented and vitamins and minerals (except sodium) Percentage amounts of DRVs for all nutrients (but not the percentage symbol) All other information Footnote Caloric conversion information (when provided) M inim u m S ize Larger than all other type except numeric amount of calories 10 pt 10 pt 6 pt 16 pt 22 pt 6 pt 8 pt H ighlighting Bold or Extra Bold 8 pt Not highlighted 8 pt Bold or Extra Bold 8 pt 6 pt 6 pt Not highlighted Not highlighted Not highlighted Not highlighted Bold or Extra Bold Bold or Extra Bold Bold or Extra Bold Bold or Extra Bold Bold or Extra Bold Bold or Extra Bold Ru les (§§ 101.9(d)(1)(v); (d)(12); (d)(11)(iii); (j)(5)9i); (13)(ii)(A)(1); (j)(13)(ii)(A)(2)) – The final rule adds a horizontal hairline rule (0.25 point) to separate “Nutrition Facts” from the servings per container statement and removes the horizontal hairline rule above the Calories declaration. The final rule also uses a 3 point rule in place of the hairline currently used to separate the declaration of vitamins and minerals from the footnote. L ead ing(§ 101.9(d)(ii)(C)) – The final rule does not include any changes to minimum leading (i.e., space between two lines of text); thus, all information within the nutrition label must utilize at least one point leading, except that at least four points leading is required between declarations for nutrients, vitamins, and minerals. Footnote (§ 101.9(d)(9)(i)): The preexisting regulations required a footnote statement that reads: “*Percent Daily Values are based on a 2,000 calorie diet. Your Daily Values may be higher or lower depending on your calorie needs.” Below this footnote, a table that lists DRVs for total fat, saturated fat, cholesterol, sodium, total carbohydrate, and dietary fiber based on 2,000 and 2,500 calorie diets must be provided. In the final rule, FDA eliminates the requirement for the footnote table and instead requires a footnote stating that, “* The % Daily Value tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.” For food for children 1 through 3 years of age, “1,000 calories” should replace “2,000 calories” in the footnote. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 15 The footnote will not be required on products that can use the terms “calorie free,” “free of calories,” “without calories,” “trivial source of calories,” “negligible source of calories,” or “dietary insignificant source of calories”, as these terms are defined in § 101.60(b). FDA has provided the example below illustrating the new requirements: A lternate Formats (101.9(e)(5); (e)(6)(i); (e)(6)(ii); (d)(13)(ii): Simplified format For consistency, changes to the standard format nutrition label also apply to the simplified format, except that a full footnote is not required. Where % DV is not spelled out in the heading, the following abbreviated footnote must be used: “*% DV = % Daily Value”. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 16 Currently, the declaration of nutrition information may be presented in the simplified format when a food product contains insignificant amounts of eight or more of the following: Calories, total fat, saturated fat, trans fat, cholesterol, sodium, total carbohydrate, dietary fiber, sugars, protein, vitamin A, vitamin C, calcium, and iron (§ 101.9(f)). The final rule revises this list by including added sugars and replacing vitamin A and vitamin C with vitamin D and potassium. Tabular Display As is currently the case, under the final rule, if there is not sufficient continuous vertical space (i.e., approximately 3 inches) to accommodate the required components of the nutrition label up to and including the mandatory declaration of potassium, the nutrition label may be presented in a tabular display as illustrated above (§ 101.9(d)(11)(iii)). For consistency, FDA is requiring that all other changes to the standard format nutrition label (e.g., type size, highlighting) also apply to the tabular display, except that the Calories declaration may be no smaller than 10 point type size and the numeric calories information may be no smaller than 14 point type size. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 17 Certain additional changes are permitted when the tabular display is used on small packages, as described below. Tabular Display for Small Packages Small packages are defined as those that have a total surface area available to bear labeling of 40 or less square inches. As illustrated above, under revised § 101.9 (d)(1)(iii), in addition to the modified type size requirements permitted for tabular displays generally, for the tabular display for small packages, the “__servings per container” and serving size information may be no smaller than 9 point type size. Consistent with the current regulations, the final rule permits use of abbreviations listed in § 101.9(j)(13)(ii)(B) when the tabular display for small packages is used. Additionally, FDA will not require the label to include the footnote or the declaration of the absolute amount of vitamins and minerals on small packages; for these packages, vitamins and minerals (other than sodium) need only be declared as percent DVs. Linear display In recognition that the proposed “linear” format would have occupied significantly more space than the previous string format, and would not fit on many of the small packages for which it was intended, FDA elected not to finalize the proposed changes but rather to retain the text wrapping feature of the preexisting linear format, with updates to make it consistent with the other format changes. As is currently the case, under the final rule, if the size of the package is such that it will not accommodate a tabular display, the nutrition label may be presented in a linear display as illustrated above (§ 101.9(j)(13)(ii)(A)). The modified type size requirements for tabular display for small packages may be used for the linear format. As with the tabular display for small packages, the final regulations permit use of the abbreviations listed in § 101.9(j)(13)(ii)(B) when the linear display is used and, Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 18 because of space limitations, do not require the inclusion of the absolute amount of vitamins and minerals on packages nor the footnote. Dual Column Labels As illustrated in the examples that follow, the final rule adds a thin vertical line to dual column labels (i.e., those displaying nutrition information per container and per unit, in addition to per serving) to separate each of the dual columns and aggregate display columns from each other. A ggregate D isplay Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 19 P erservingand percontainer P erservingand peru nit Tabu laraggregate format II. D ietaryS u pplements FDA is finalizing several amendments to the regulations for dietary supplement nutrition labeling that appear in § 101.36 so that the content and format of the Supplement Facts label corresponds with that of the Nutrition Facts label. The changes include the following: Requ ired D eclarations (§ 101.36(b)(2)(i)) – Declaration of vitamin A, vitamin C, or Calories from fat is no longer required, while declaration of vitamin D, potassium, and added sugars are required when present in amounts that cannot be declared as zero. Sugars must be declared as “Total sugars”. Th isd oc um en tw asd el ivered elec t ron ic al l y. KELLER AND HECKMAN LLP June 2, 2016 Page 20 C holine and Flu orid e (§ 101.36(b)(2)(i)(B)) – When declared, choline shall follow pantothenic acid and calcium and iron shall be declared after choline. When declared, fluoride shall follow potassium. Folic acid (§ 101.36(b)(2)(i)(B)) – The Supplement Facts label must declare folate in mcg Dietary Folate Equivalents (DFE), a percent DV based on mcg DFE, and that the mcg of folic acid be stated in parenthesis when folic acid is added as a nutrient supplement to a dietary supplement V itamin A (§ 101.36(b)(2)(i)(B)(3)) – When β-carotene is stated in parentheses following the percent statement for vitamin A, it should be declared using “mcg” (representing mcg Retinol Activity Equivalents (RAE)). Units of M easu re (§ 101.36(b)(2)(ii)(B)) – The units of measure for vitamin D, vitamin E, and folate used in the Nutrition Facts label must also be used in the Supplement Facts label. D ietaryS u pplements forS pecific S u bpopu lations – With respect to dietary supplements that are represented or purported to be specifically for infants 7 through 12 months, children 1 through 3 years, and pregnant and lactating women, FDA is: Amending § 101.36(b)(2)(iii) to remove the statement that such dietary supplements may not state the percent DV for total fat, saturated fat, cholesterol, total carbohydrate, dietary fiber, vitamin K, selenium, manganese, chromium, molybdenum, chloride, sodium, or potassium. Requiring that when a product is represented or purported to be specifically for children 1 through 3 years and contains a percent DV declaration for total fat, total carbohydrate, dietary fiber, or protein, the footnote required under § 101.36(b)(2)(iii)(D) state “Percent Daily Values are based on a 1,000 calorie diet.” Amending § 101.36(b)(2)(iii)(F) such that the requirement for an asterisk noting that a DV has not been established would be applicable to foods for subpopulations only when a DRV has not been established for a nutrient. Footnote –The final rule requires that, if the percent DV is declared for total fat, total carbohydrate, dietary fiber, protein, or added sugars, the label include a footnote stating “Percent Daily Values are based on a 2,000 calorie diet” (or, if the supplement is for use by children 1 through 3 years of age, “a 1,000 calorie diet”). * * * Please do not hesitate to contact us with any questions or concerns. 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