BILL ANALYSIS                                                                                                                                                                                                    






                                                       Bill No:  SB  
          257
          
                 SENATE COMMITTEE ON GOVERNMENTAL ORGANIZATION
                       Senator Roderick D. Wright, Chair
                           2009-2010 Regular Session
                                 Staff Analysis



          SB 257  Author:  Pavley
          As Introduced:  February 24, 2009
          Hearing Date:  April 14, 2009
          Consultant:  Chris Lindstrom


                                     SUBJECT  

                   Lactation accommodation, state employees.

                                   DESCRIPTION
           
          SB 257 requires all state agencies and departments to use  
          existing channels of communication to notify each female  
          employee nearing maternity leave of:  (1) the laws related  
          to lactation accommodation, and, (2) publications or  
          Internet Web sites addressing the issue of employees  
          breastfeeding at work.  Specifically, this bill:

          1)Makes a number of findings and declarations regarding the  
            benefits of breastfeeding to infants, mothers, and  
            employers.

          2)Requires every state agency and department, through its  
            usual channels of communications with state employees, to  
            notify each female employee nearing maternity leave of  
            the following information:

             a)   The provisions of Sections 1030 - 1033 of the Labor  
               Code relating to the requirements of employers to  
               provide lactation accommodations and the penalties for  
               violating those provisions of the law.

             b)   The Employee's Guide to Breastfeeding and Working  
               published by the Health Resources and Services  
               Administration of the U.S. Department of Health and  




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               Human Services, or a similarly comprehensive  
               publication addressing the issue of employees  
               breastfeeding at work that is prepared by the federal  
               government, the State Department of Public Health, or  
               a medical, other health, or breastfeeding support  
               organization.

          3)Provides that the referral of the employee to an Internet  
            Web site that contains specified information shall  
            satisfy the requirement to provide expectant employees  
            with information addressing breastfeeding at work.


                                   EXISTING LAW

           Existing law requires all employers to provide a reasonable  
          amount of break time to accommodate an employee desiring to  
          express breast milk for the employee's child.  The break  
          time shall, if possible, run concurrently with any break  
          time already provided to the employee.  Break time for an  
          employee that does not run concurrently with the rest time  
          authorized for the employee by the applicable wage order of  
          the Industrial Welfare Commission shall be unpaid.

          Existing law requires employers to make reasonable efforts  
          to provide the employee with the use of a room or other  
          location, other than a toilet stall, in close proximity to  
          the employee's work area, for the employee to express milk  
          in private.  The room or location may include the place  
          where the employee normally works if it otherwise meets the  
          requirements of this section.

          Existing law provides that an employer is not required to  
          provide break time under this chapter if to do so would  
          seriously disrupt the operations of the employer.

          Existing law provides that:  (a) an employer who violates  
          any provision of this chapter shall be subject to a civil  
          penalty in the amount of one hundred dollars ($100) for  
          each violation, (b) if, upon inspection or investigation,  
          the Labor Commissioner determines that a violation of this  
          chapter has occurred, the Labor Commissioner may issue a  
          citation.  The procedures for issuing, contesting, and  
          enforcing judgments for citations or civil penalties issued  
          by the Labor Commissioner for violations of this chapter  
          shall be the same as those set forth in Section 1197.1.,  




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          and, (c) notwithstanding any other provision of this code,  
          violations of this chapter shall not be misdemeanors under  
          this code.

          Existing law requires the Department of Public Health to  
          promote breastfeeding in its public service campaign and to  
          develop a training course and recommendations for  
          hospitals.  Hospitals are also directed to provide a  
          lactation consultant or lactation materials to new mothers.

                                    BACKGROUND
           
          Purpose of the bill.  According to the author's office,  
          "state law currently requires all public and private  
          employers to provide a reasonable place and break time for  
          an employee to express breast milk but many employees are  
          unaware of the law.  When the workplace accommodation law  
          was passed in 2001, the Department of Personnel  
          Administration sent out a notification to all state  
          departments and agencies about the law, but it was left to  
          each human resources division within each individual state  
          department to interpret the law in its own way as well as  
          inform employees of the law in its own way.  This has  
          resulted in a patchwork of accommodations and lack of  
          notification to employees about their lactation rights. 

          "By requiring state departments and agencies to notify  
          their female employees of lactation accommodation laws, the  
          state can take a leadership role in informing mothers about  
          their lactation accommodation options in the workplace.  SB  
          257 requires notification of current lactation  
          accommodation law within each state department and agency's  
          existing channels of communication, meaning it will impose  
          no new costs to the state. The bill enforces existing law  
          in a non-punitive and educational manner."

          Arguments in support.  The proponents of SB 257 point out  
          that the detailed intent language of the bill explains the  
          enormous benefits of breastfeeding and that it is vital to  
          increase breastfeeding rates for the benefits realized by  
          the children, mothers, and employers.  One of the biggest  
          barriers to longer breastfeeding duration is mothers  
          returning to work and the lack of knowledge and support  
          they receive from employers.  

          The proponents also argue that breastfeeding is an  




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          important and realistic need for many working mothers in  
          California and the lack of lactation support services in  
          the workplace can have broad fiscal and public health  
          ramifications for employers and employees alike.  They  
          point out that women with children are the fastest growing  
          segment of the workforce.  Nationwide, nearly 55 percent of  
          women with children under the age of 3 are employed.  Of  
          working women in California with newborns, almost half  
          (49%) return to the workforce before their newborn is the  
          age of one.  In the U.S. more than 70 percent of all new  
          mothers today choose to breastfeed.  In California the  
          desire to breastfeed is higher, with 86.6 percent of  
          mothers initiating breastfeeding from birth to give their  
          babies important nutrition and health benefits.

          The proponents also contend that workplace lactation  
          services provide an important return on investment for  
          state employers and employees.  Breastfeeding employees  
          miss work less often.  According to the American Journal of  
          Health Promotion, one day absences to care for sick  
          children occur more than twice as often for mothers of  
          formula feeding infants than mothers of breastfed infants.

          Breastfeeding lowers health care costs.  The USDA estimates  
          that at least $3.6 billion in medical expenses annually  
          would be saved if the number of children breast-fed for six  
          months were to increase by 50 percent.  The insurance  
          company CIGNA conducted a 2 year study of nearly 350  
          employees using lactation support and found the program  
          resulted in an annual savings of $240,000 in health  
          expenses, 62% fewer prescriptions and $60,000 savings in  
          reduced absenteeism rates. 

          According to the U.S. Department of Health and Human  
          Resources, companies of all types have found that lactation  
          programs can have a positive impact on their bottom line.   
          A few of these dividends include lower turnover, additional  
          health care savings, higher productivity and loyalty, and  
          positive public relations.

          Finally, studies have shown employees are more likely to  
          return to work when their workplace provides a supportive  
          environment for continued breastfeeding.  


                            PRIOR/RELATED LEGISLATION




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           SB 22 (Migden), Chapter 460, Statutes of 2008  .  Requires  
          the State Department of Public Health, no later than July  
          1, 2008, to begin expanding the breastfeeding peer  
          counseling program at local agency Women, Infants and  
          Children (WIC) sites; provides that DPH is to recommend  
          training to improve breastfeeding rates among mothers and  
          infants for general acute care hospitals and special  
          hospitals that provide maternity care.  

           SB 875 (Escutia), Chapter 879, Statutes of 2003  .  Requires  
          the Department of Health Services to create a brochure to  
          educate pregnant women and new parents about maintaining a  
          healthy lifestyle by eating more vegetables and staying  
          active.

           AB 1025 (Frommer), Chapter 821, Statutes of 2001  .  Requires  
          employers to provide reasonable break time and to make  
          reasonable efforts to provide the use of an appropriate  
          room for an employee to express breast milk for the  
          employee's infant child.


           SUPPORT:   As of April 10, 2009:

          American Academy of Pediatrics
          American College of Obstetricians and Gynecologists
          American Federation of State, County, and Municipal  
          Employees, AFL-CIO
          American Red Cross WIC Program
          Babies First Breastfeeding Task Force
          Birth Education Services
          Breastfeeding Task Force of Greater Los Angeles
          Breastfeeding Task Force of Solano County
          California Department of Transportation
          California Food Policy Advocates
          California Women, Infants & Children Association (sponsor)
          Clinica Sierra Vista
          Kings County Breastfeeding Coalition
          Merced County Breastfeeding Coalition
          Riverside County Loving Support
          San Diego County Breastfeeding Coalition
          San Francisco Breastfeeding Promotion Coalition
          Santa Cruz County Breastfeeding Coalition
          Scripps Hospital, Encinitas Lactation Staff
          South Los Angeles Health Projects




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          Watts Healthcare, Women, Infant and Child Program
          Numerous individuals

           OPPOSE:   None on file as of April 10, 2009

           FISCAL COMMITTEE:   Senate Appropriations Committee



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