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

2. Health and Wellness for all Arizonans 3 Components to Workplace Accommodation Insurance Workplace ECE Child Care Workplace Accommodation Breast Pumps Counseling /Support

3. Health and Wellness for all Arizonans ECE/Child Care

4. 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

5. 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.”

6. Health and Wellness for all Arizonans Insurance Limitation Grandfathered Plans – Changes in Benefits – Cost Medicaid – AHCCCS

7. Health and Wellness for all Arizonans Insurance Companies

8. 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

9. Health and Wellness for all Arizonans Part 2 of ACA: Workplace Accommodation

10. 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

11. Health and Wellness for all Arizonans Workplace Accommodation 1.Reasonable break time 2.Up to child’s 1-year birthday 3.A private place other than a bathroom

12. 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

13. 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

14. 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

15. 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

16. 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

17. Health and Wellness for all Arizonans How to help moms gain support? Help moms overcome barriers Helping moms talk to their employer is important

18. 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

19. 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 work 2) It is not appropriate to pump inside a bathroom

20. 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

21. 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

22. Health and Wellness for all Arizonans Let’s take a look www.bf.is.awesome.org

23. Health and Wellness for all Arizonans Questions?