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Health and Wellness for all Arizonans Worksite Breastfeeding Promotion Katy Flaherty CDC Breastfeeding Coordinator Bureau of Nutrition and Physical Activity

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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

ECE/Child Care

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

Insurance Companies

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

Part 2 of ACA: Workplace Accommodation

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

Health and Wellness for all Arizonans

Let’s take a look• www.bf.is.awesome.org

Health and Wellness for all Arizonans

Questions?