BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2386
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          Date of Hearing:  April 17, 2012

                         ASSEMBLY COMMITTEE ON THE JUDICIARY
                                  Mike Feuer, Chair
                 AB 2386 (Allen) - As Introduced:  February 24, 2012
           
                               As Proposed to be Amended
           
          SUBJECT :  DISCRIMINATION: BREASTFEEDING

           KEY ISSUE  :  SHOULD THE EXISTING PROHIBITION AGAINST SEX 
          DISCRIMINATION BE CLARIFIED TO EXPRESSLY INCLUDE BREASTFEEDING 
          DISCRIMINATION AS AN IMPERMISSIBLE FORM OF SEX DISCRIMINATION?

           FISCAL EFFECT  :  As currently in print this measure is keyed 
          fiscal.

                                      SYNOPSIS

          This bill amends the definition of sex discrimination in the 
          Fair Employment and Housing Act (FEHA) to expressly include 
          breastfeeding and medical conditions related to breastfeeding in 
          order to prevent breastfeeding discrimination against new 
          mothers who seek to balance their responsibilities as parents 
          with their duties at work.  Although this has been the 
          consistent understanding of the FEHA, supporters of this bill 
          believe it would be helpful to make the point more explicit in 
          order to prevent any contrary interpretation.  This concern 
          arises because some federal courts have construed federal 
          statutory protections against sex and pregnancy discrimination 
          in a manner that leaves mothers without meaningful protection 
          against breastfeeding discrimination.  Supporters note that the 
          bill is also consistent with the law in seven states that have 
          enacted unequivocal statutory protections against breastfeeding 
          discrimination.  There is no reported opposition.
           
          SUMMARY  :  Explicitly proscribes breastfeeding discrimination as 
          a form of sex-based discrimination.  Specifically,  this bill  
          amends the definition of "sex" under the Fair Employment and 
          Housing Act to specifically include breastfeeding and medical 
          conditions related to breastfeeding. 

           EXISTING LAW  : 

          1)Provides pursuant to the FEHA that it is an unlawful 








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            employment practice for an employer, because of the sex of any 
            person, to refuse to hire or employ the person or to refuse to 
            select the person for a training program leading to 
            employment, or to bar or discharge the person from employment 
            or from a training program leading to employment, or to 
            discriminate against the person in compensation or in terms 
            conditions, or privileges of employment.  (Government Code 
            Section 12940(a).)

          2)Defines "sex," under FEHA's antidiscrimination provisions, to 
            include pregnancy, childbirth, or medical conditions related 
            to pregnancy or childbirth.  (Government Code Section 
            12926(q).)     

          3)Requires that every employer provide both a reasonable amount 
            of break time and a room or other location for the employee to 
            express milk in private for the employee's infant child, 
            unless to do so would seriously disrupt the operations of the 
            employer.  An employer who fails to comply with these 
            requirements is subject to a civil penalty in the amount of 
            $100 per violation.  (Labor Code Sections 1030 to 1033.) 

           COMMENTS  :  In an effort to secure continued protect against 
          breastfeeding discrimination in the workplace, this bill, in 
          accord with decisional law of the Fair Employment and Housing 
          Commission (FEHC) amends FEHA's statutory definition of "sex" to 
          expressly include "breastfeeding" and "medical conditions 
          related to breastfeeding."
           
           Codifies Existing Statutory Interpretation Consistently With The 
          Plain Language of the FEHA.   
          Existing law defines "sex" under FEHA's antidiscrimination 
          provisions to include "pregnancy, childbirth, or medical 
          conditions related to pregnancy or childbirth."  (Government 
          Code Section 12926(q).)  Breastfeeding would appear to 
          unquestionably be associated with women, pregnancy and 
          childbirth.  This bill would simply make the obvious more 
          explicit.  

          It is also consistent with the interpretation of the FEHA by the 
          Fair Employment and Housing Commission, the agency charged with 
          adjudicating disputes under the Act.  In Department of Fair 
          Employment and Housing v. Acosta Tacos (2009) the FEHC concluded 
          that "breastfeeding is an activity intrinsic to the female sex" 
          and that breastfeeding discrimination thus constitutes a form of 








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          sex discrimination under Sections 12940(a) and 12945(a) of the 
          Government Code.  Although this conclusion strikes many as a 
          matter of common sense, it is significant because federal law 
          has been interpreted otherwise.  This bill is also consistent 
          with the FEHC's proposed regulations concerning medical 
          conditions related to pregnancy.  Under the proposed 
          regulations, lactation would qualify as a medical condition 
          related to pregnancy and is thus protected under FEHA.   

          The Health and Economic Benefits of Breastfeeding.   Supporters 
          of this bill report that women with infants and toddlers are a 
          rapidly growing segment of the labor force today.  Statistical 
          surveys of families show that over 50% of mothers with children 
          less than one year of age are in the labor force.  While the 
          American Academy of Pediatrics recommends that mothers 
          breastfeed exclusively for the first six months and continue 
          breastfeeding for the first year of the child's life, most 
          mothers must return back to work only six weeks after giving 
          birth, making continued breastfeeding very difficult.  In fact, 
          most new mothers cite their jobs as the primary factory in their 
          decision to stop breastfeeding.   
           
          Supporters argue that scientific evidence supports the 
          importance of breastfeeding for infants and their mothers.  
          Babies who have been breastfed have decreased incidences and 
          severity of infectious diseases such as bacterial meningitis, 
          diarrhea, respiratory tract infection, and urinary tract 
          infection.  (American Acad. of Pediatrics, Policy Statement, 
           Breastfeeding and the Use of Human Milk  , 115 Pediatrics 496, 496 
          (2007).)  Older children and adults who were breastfed also face 
          less risk of developing type 1 and type 2 diabetes, lymphoma, 
          leukemia, Hodgkin disease, obesity, high cholesterol, and 
          asthma.  (  Id.  at 496-97.)   Breastfeeding may also have 
          neurodevelopment benefits, with studies showing slightly 
          enhanced performance on tests of cognitive development by 
          children who were breastfed.  Mothers who breastfeed also 
          experience positive health benefits, such as decreased 
          post-partum bleeding, decreased risk of breast and ovarian 
          cancer, as well as a possible decreased risk of postmenopausal 
          osteoporosis and hip fractures.  (Id. at 497.)  

          These health and social benefits translate into significant cost 
          savings for employers and society as a whole.  Employers can 
          reduce health care costs, lost productivity, and absenteeism by 
          supporting and accommodating the needs of breastfeeding 








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          employees.  Mothers of formula-fed infants require one-day 
          absences to care for sick children more than twice as often as 
          mothers of breastfed infants.  Economically, reduced illness 
          resulting from breastfeeding could decrease annual health care 
          costs in the U.S. by $3.6 billion.  (Jon Weimer, U.S. Dept. 
          Agriculture, The Economic Benefits of Breastfeeding: A Review 
          and Analysis, at 10 (2001).)

           Mandatory Breastfeeding Accommodations at the State and Federal 
          Level Lack Anti-Discrimination Provisions.   Under California's 
          lactation accommodation laws, every employer must provide 
          reasonable accommodations for women who are breastfeeding, as 
          long as the activity does not seriously disrupt the employer's 
          operations.  (Labor Code Sections 1030-1033.)  The provisions 
          also includes a duty to provide the breastfeeding employee with 
          a private room other than a toilet stall that is in close 
          proximity to the employee's work area. (Labor Code Section 
          1031.)  

          Federal law provides similar protections.  President Obama's 
          2010 healthcare reform bill, the Patient Protection and 
          Affordable Care Act (the Act), mandates employers to make 
          reasonable accommodations for women who are breastfeeding.  The 
          Act amended the Fair Labor Standards Act of 1938 (FLSA) to 
          require the following: (1) employers provide a "reasonable break 
          time" for an employee to express breast milk at work; (2) such 
          break time is provided each time the employee "has need to 
          express the milk"; (3) break time is provided for up to one year 
          after the birth of the child; and (4) the employer provide a 
          private place, other than a restroom, where the employee may 
          express milk.  (29 U.S.C.A. Section 207(r)(1).)  The FLSA 
          requirements do not preempt state laws that provide greater 
          protection.  The U.S. Department of Labor has issued a fact 
          sheet to provide employers additional guidance to comply with 
          the mandatory accommodations.  However, under existing federal 
          law, employees exercising their rights under the FLSA have no 
          recourse if they face adverse employment actions in other 
          aspects of their jobs, such as restricted opportunities for 
          promotion, less flexible scheduling, or reduced wages, as the 
          Act does not protect against breastfeeding discrimination.  
          Furthermore, since the Act amends Section 7 of FLSA, many new 
          mothers who do not qualify for FLSA protections rely on state 
          laws for accommodation and recourse.  (See Nicole Kennedy 
          Orozco,  Pumping at Work: Protection from Lactation 
          Discrimination in the Workplace  , 71 Ohio St. L.J. 1281, 1295-96 








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          (2010).)

           Other States' Breastfeeding Discrimination Laws.   Prior to the 
          Patient Protection and Affordable Care Act, 24 states, the 
          District of Columbia, and Puerto Rico, had some form of 
          workplace related breastfeeding laws.  (National Conference of 
          State Legislatures, Breastfeeding Laws (May 2011)).  For 
          example, supporters report that under Colorado's Workplace 
          Accommodation for Nursing Mothers Act employers are prohibited 
          from discriminating against mothers who exercise their rights to 
          express milk in the workplace.  Connecticut has an even more 
          extensive provision under its general employment regulations 
          prohibiting "refusal to hire or employ or to bar or discharge 
          from employment, or withhold pay, demote, or penalize" an 
          employee who expresses milk in the workplace.  Similarly, Hawaii 
          prevents employers from breastfeeding discrimination in their 
          practices related to hiring, employing, withholding pay, 
          demoting or penalizing employees.  Maine has added breastfeeding 
          discrimination protections in its wage and hour statutes, 26 
          M.R.S.A. § 604 (2009), while New York added statutes expressing 
          the Rights of Nursing Mothers, including discrimination 
          provisions, to its labor code.  (McKinney's Labor Law § 206-c 
          (2007).)  Montana has made it unlawful for public employers "to 
          refuse to hire or employ or to bar or to discharge from 
          employment an employee who expresses milk in the workplace, or 
          to discriminate against an employee who expresses milk in the 
          workplace in compensation or in terms, conditions, or privileges 
          of employment unless based upon a bona fide occupational 
          qualification."  (Mont. Code Ann. § 39-2-215 (2010).)  The 
          District of Columbia took the approach of amending the Human 
          Rights Act of 1977 definition of discrimination on the basis of 
          sex to include breastfeeding.  

           Author's Technical Amendments.   To aid in clarity, the author 
          proposes the following helpful amendments:

          (q)(  1  )"Sex" includes, but is not limited to:
           (i)  pregnancy or medical condition related to pregnancy;
           (ii)  childbirth or medical condition related to childbirth;
           (iii)  breastfeeding or medical condition related to 
          breastfeeding.  
          (2)"Sex" also includes, but is not limited to, a person's 
          gender. "Gender" means sex, and includes a person's gender 
          identity and gender expression. "Gender expression" means a 
          person's gender-related appearance and behavior whether or not 








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          stereotypically associated with the person's assigned sex at 
          birth.

          To clarify the Legislature's intent and understanding that 
          existing law protects against discrimination on the basis of 
          breastfeeding as a form of discrimination on the basis of sex, 
          consistently with the interpretation of the FEHC, which this 
          bill will simply restate more explicitly, add the following 
          uncodified statement:  "The amendments enacted by this measure 
          are intended to be declaratory of existing law."

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Congress of Obstetricians and Gynecologists
          California Breastfeeding Coalition
          California Communities United Institute
          California Employment Lawyers Association
          California Nurses Association/National Nurses Organizing 
          Committee
          California Medical Association
          California WIC Association

           Opposition 
           
          None on file 

           
          Analysis Prepared by  :  Kevin G. Baker and Joshua Fox/ JUD./ 
          (916) 319-2334