The 1990 Farm Bill contains the most significant changes in food aid policy since the mid 1960s. Yet, the changes have more to do with process than with program content. Food aid will continue to be influenced by its multiple constituencies pursuing their multiple objectives. And, while the old congressional-agency-interest group coalition for PL-480 programs has eroded, it is still influential. Even so, there are opportunities to make the U.S. international food aid program more responsive to emergency, chronic malnutrition, hunger and even development objectives. The mix of commodities should be broadened; inputs, like fertilizers, should be included; and all food aid should be provided as grants even if more innovative changes cannot be implemented.