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Health and Wellness for all Arizonans
Worksite Breastfeeding Promotion
Katy FlahertyCDC Breastfeeding Coordinator
Bureau of Nutrition and Physical Activity
Health and Wellness for all Arizonans
3 Components to Workplace Accommodation
Insurance
WorkplaceECE
Child CareWorkplace
Accommodation
Breast Pumps
Counseling /Support
Health and Wellness for all Arizonans
Early Child Education (ECE): Child Care • Sample Policies for
Breastfeeding
• Trainings for staff
• Providing the Breastfeeding Hotline :
1-800-833-4642
• Resources are given to child care centers
• Technical Assistance
Health and Wellness for all Arizonans
Affordable Care Act
• From Healthcare.gov website:“Health insurance plans must provide
breastfeeding support, counseling, and equipment for the duration of breastfeeding. These services may be provided before and after you have your baby.”
Health and Wellness for all Arizonans
Insurance Limitation
• Grandfathered Plans– Changes in Benefits– Cost
• Medicaid – AHCCCS
Health and Wellness for all Arizonans
Next steps for Insurance
• IBCLC Survey• Establish an
infrastructure for IBCLC’s
• Streamline billing• Improve pump policies
and procedures
Health and Wellness for all Arizonans
Breastfeeding and the Affordable Care Act (ACA)
• The Patient Protection and Affordable Care Act (“Affordable Care Act”) requires employers to provide reasonable break time for an employee to express breast milk for her nursing child for one year after the child’s birth each time such employee has need to express the milk. Employers are also required to provide a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk
Health and Wellness for all Arizonans
Workplace Accommodation
1. Reasonable break time2. Up to child’s 1-year birthday3. A private place other than a bathroom
Health and Wellness for all Arizonans
What ADHS is doing for workplace lactation programs…
• Business Case for Breastfeeding toolkit for AZ Businesses
• Website to support employers, employees, etc
Health and Wellness for all Arizonans
Contents of our Toolkit
• Used the National resources as the model and worked with Healthy Arizona Worksites Manager to share consistent messaging
Health and Wellness for all Arizonans
Projected items for the toolkit
• 1 core booklet with an overview of setting up a lactation program
• 3 mini-pamphlets directed to Managers/HR, The Employee, and The Co-Worker
• Breastfeeding friendly sign• Privacy door hanger
Health and Wellness for all Arizonans
Projected Rollout of Toolkits
• Will be ready to roll-out February/March
• Will promote with Healthy AZ Worksites
• Businesses can order from our website
Health and Wellness for all Arizonans
Business Case for Breastfeeding
• The payoff for employers is significant:– Retention of experienced employees– Reduction in sick leave taken by employees for
children’s sicknesses– Lower health care and insurance costs
Health and Wellness for all Arizonans
How to help moms gain support?
• Help moms overcome barriers• Helping moms talk to their employer is
important
Health and Wellness for all Arizonans
How WIC can help: Prenatal Visits
• Encourage WIC Clients to talk to supervisor during pregnancy
• Discuss the importance of establishing their milk supply
• Importance of Baby Behavior Education
• Pump education via WIC/ Insurance Company
Health and Wellness for all Arizonans
Prenatal Education Continued
• Encourage moms to start back to work slowly
• Speak to supervisor:1) Find a private
place at work2) It is not
appropriate to pump inside a bathroom
Health and Wellness for all Arizonans
More Tips for Successful Pumping at Work
• Discuss a sample pumping schedule based on individual needs
• Encourage WIC clients to have open conversations with co-workers
• Encourage WIC clients to find other moms who pumped at work
Health and Wellness for all Arizonans
Breastfeeding Website!
• New and improved ADHS Breastfeeding Website is almost here!
• Targeting Moms, WIC staff, Hospitals, Physicians, Home Visitors, Employers, and Insurance Companies
• Separate page for “Upcoming Events”, Bios of ADHS BF Team, and Materials and Resources