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 SB 257 (Pavley) continued Page 2 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., SB 257 (Pavley) continued Page 3 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 SB 257 (Pavley) continued Page 4 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 SB 257 (Pavley) continued Page 5 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 SB 257 (Pavley) continued Page 6 Watts Healthcare, Women, Infant and Child Program Numerous individuals OPPOSE: None on file as of April 10, 2009 FISCAL COMMITTEE: Senate Appropriations Committee **********