NEMS-V Manuscript

Voss, C, Klein, S, Glanz, K, Clawson, M.  Nutrition Environment Measures Survey–Vending: Development, Dissemination, and Reliability. Health Promotion Practice2012 13: 425


The online version of this article can be found at:

NEMS-V Literature Review

Literature Review prior to development of NEMS-V

NEMS-V Social Marketing

Click the links below to read about the research strategies used to develop targeted messages for NEMS-V.

        Executive Summary

        Phase One, May 2011

        Phase Two, July 2011

       Phase Three, December 2011

Click on the Promotional Ideas link at the lefthand side of this page to access MIX IT UP message signage.

NEMS-V Success Stories

Two counties in Iowa have continued the work begun as a part of the Iowa Department of Public Health Community Transformation Grant

    Scott County
      Bettendorf - NEMS-V was successfully implemented in over 20 beverage and/or snack vending machines throughout Bettendorf Parks, Family Museum, and Public Works
      USPS - Prior to the NEMS-V implementation the snack vending machine only offered 13% NEMS-V green and yellow healthy options. NEMS-V was successfully implemented in July 2015, with 46% NEMS-V green and yellow healthy options and a healthy price structure for the USPS staff in the snack vending machine.
    Woodbury County
      Nine worksites - The percent of healthy options in the 110 vending machines increased nearly 21%, 66% of the businesses received a site award, and two businesses developed a policy.

One of the strategies in the Wellmark NEMS-V grant was to provide firsthand experience in using NEMS tools. Two‐day regional NEMS trainings were held in April 2010. Participants were eligible to apply for $500 mini‐grants. The purpose of the mini‐grants was to encourage immediate use of NEMS tools, including NEMS-V. Additional mini-grants were provided in 2011. In 2012 and 2013, mini-grants were offered to local public health agencies who had not received funds from Iowa Department of Public Health for health promotion strategies. Another set of mini-grants was offered in 2013 to use newly developed worksite marketing materials for blue-collar and white-collar worksites and to strive towards vending policy development. 

NEMS-V Wellmark Final Report (2008 - 2010)

NEMS Mini-grant Descriptions (2008 - 2012)

Dallas County Mini-grant Description

       Dallas County Vending Resolution

Siouxland Mini-grant Description


Two sets of mini grants were offered in 2013:

1) 2013 Local public health agencies: NEMS-V grant recipients were to conduct an assessment(s) using Nutrition Environment Measures Survey - Vending (NEMS-V) tools to generate a report card for location(s) being assessed and form a committee or coalition to discuss opportunities resulting from this assessment or present the findings to a currently existing organization wellness committee or community coalition. mini grant application

          Clarke                         Louisa                    Wayne                                                       Clinton                        Muscatine              Winnebago

Davis                          Pocahantas            Winneshiek

Decatur                      Tama                     

2) Project coordinators attending The Healthy Iowa Worksites Conference held on March 27, 2012 at the Brown Deer Golf Club in Coralville, Iowa: NEMS-V grant recipients were to conduct an assessment(s) using Nutrition Environment Measures Survey - Vending (NEMS-V) tools to generate a report card for location(s) being assessed; make arrangements with the vendor to do product tastings; develop a plan to market healthy vending machine options; provide incentives to employees who purchase healthy options and/or determine pricing adjustments; submit minutes/results from meeting with worksite wellness committee/CEO identifying goals and action plans for improving and sustaining healthy food and beverage options; and report successes/challenges and progress towards policy development.   mini grant application



Blackhawk County Courthouse

Blackhawk County Pinecrest Building

Fairfield Parks and Rec

Glenwood Resource Center

Grinnell Regional Medical Center

Heartland Communications

Henry County Medical Center

Hunter's Specialties

Polk County Health Department   

Ringgold County Hospital

Sioux City Foundry

Steller Industries

Van Buren County Hospital

Veyance Technologies, Inc.

NEMS-V State of Iowa Capitol Complex Project

Currently, a Memorandum of Understanding between Iowa Department of Public Health (IDPH) and Iowa Department for the Blind Business Enterprise Program (BEP) is in place to support healthy vending on the State of Iowa Capitol complex. 

This agreement requires both the IDPH and the Department of the Blind to assist the BEP vendors in providing at least 25% of all packaged food choices and 50% of available beverage choices (other than 100% juice and unsweetened milk) that meet the updated NEMS-V criteria.   Both departments provide assistance to BEP vendors to ensure compliance of these criteria. To assist vendors, the IDPH provides signage and helps them identify and mark healthy options with color-coded product markers and/or signage.


In 2013, an initiative to convert to healthy vending options and implement a healthy salad bar initiative took place. Wellness champions in each of the thirteen buildings on the State of Iowa Capitol Complex assisted vendors and provided incentives to employees who purchased randomly identified healthy snack items.  The salad bar initiative used the same color-coding system to help consumers build a healthy salad. At that time, the state complex project involved four vendors with the goal of providing a minimum of 30% health choices in all food and beverage machines. 


NEMS-V Spinoffs

Afterschool snack initiative - a project of the Iowa Afterschool Alliance

Pella Aquatic Center Concession Stand Project - healthier concessions using NEMS-V criteria


Healthy Salad Bar initiative - as mentioned above in NEMS-V State of Iowa Capitol Complex Project

Procurement Resources

Sample NEMS-V Procurement

Other Success Stories

Click the links below to read other Vending Machine Success Stories.

Meredith Corporation—Des Moines, Iowa

Midwest Dairy Association - Quad-Cities, Iowa-Illinois Schools

School Snack and Beverage Vending - California

YMCA - YWCA Vending

Manufacturing Plant - Maine


Why Government Vending Programs Support Blind Operators?

The Vending Facility program authorized by the Randolph-Sheppard Act provides persons who are blind with remunerative employment and self-support through the operation of vending facilities on federal and other property. The program, enacted into law in 1936, was intended to enhance employment opportunities for trained, licensed blind persons to operate facilities. The law was subsequently amended in 1954 and again in 1974 to ultimately ensure individuals who are blind a priority in the operation of vending facilities, which included cafeterias, snack bars, and automatic vending machines, that are on federal property. The program priority has broadened in most states through state laws to include state, county, municipal, and private locations as well.

  • Under the RSA program, “State Licensing Agencies” or (SLA) recruit, train, license and place individuals who are blind as operators of vending facilities located on federal and other properties. The SLA differs by state.  It may be run out of the Department of Labor, the Department of Corrections, or some other state agency.
  • The National Council of State Agencies for the Blind website provides a directory of all state licensing agencies  Many of the listings include websites to states’ blind services programs.
  • For more information, visit


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