SB 402, as amended, De León. Breastfeeding.
Existing law provides for the licensure and regulation of health facilities, including hospitals, by the State Department of Public Health. Existing law, commencing January 1, 2014, requires all general acute care hospitals and special hospitals that have a perinatal unit, as defined, to have
begin delete aend delete infant-feeding policy.
This bill would require all general acute care hospitals and special hospitals that have a perinatal unit to adopt the “Ten Steps to Successful
begin delete Breastfeeding”end delete
as adopted by begin delete Baby Friendlyend delete USA, per the Baby-Friendly Hospital Initiative, or an begin delete equivalentend delete process begin delete recognized by the departmentend delete.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares all of the
3(a) A growing body of evidence indicates that early
4infant-feeding practices can affect later growth and development,
5particularly with regard to obesity.
6(b) The United States Surgeon General, and all the major health
7organizations, including the American Academy of Pediatrics and
8the World Health Organization (WHO), recommend exclusive
9breastfeeding for most babies, unless specifically contraindicated,
10for the first six months and continued breastfeeding with the
11addition of appropriate foods up to at least one year of age.
12(c) The United States Healthy People 2020 goals for
13breastfeeding set new targets for decreased formula
14supplementation within the first two days of life and increased
15number of births in facilities that provide recommended lactation
17(d) The federal Centers for Disease Control and Prevention
18monitor hospital practices at the state and national level with the
19Maternity Practices in Infant Nutrition and Care (mPINC) survey.
20Whereas mPINC benchmarks suggest that 10 percent or fewer of
21breastfeeding infants should receive supplemental formula, fewer
22than 10 percent of California hospitals reach that goal.
23(e) The Baby-Friendly Hospital Initiative (BFHI) is a global
24program sponsored by the WHO and the United Nations Children’s
25Fund (UNICEF) to encourage and recognize hospitals that offer
26an optimal level of care for infant feeding. Baby-Friendly USA is
27the national authority for the BFHI in the United States. To date,
2857 hospitals in California have received Baby-Friendly USA
30(f) In April 2010, the Joint Commission, the accreditation
31organization for hospitals, began including exclusive breastfeeding
32rates as part of its perinatal care core evaluation indicators for
Section 123367 is added to the Health and Safety Code,
(a) For the purposes of this section, the following
37definitions shall apply:
P3 1(1) “Perinatal unit” means a maternity and newborn service of
2the hospital for the provision of care during pregnancy, labor,
3delivery, and postpartum and neonatal periods with appropriate
4staff, space, equipment, and supplies.
5(2) “Baby-Friendly Hospital Initiative” means the program
6sponsored by the World Health Organization (WHO) and the
7United Nations Children’s Fund (UNICEF) that recognizes
8hospitals that offer an optimal level of care for infant feeding.
9(b) All general acute care hospitals and special hospitals, as
10defined in subdivisions (a) and (f) of Section 1250, that have a
11perinatal unit shall, by January 1,
begin delete 2020end delete, adopt the “Ten Steps
begin delete Breastfeeding”end delete as adopted by begin delete Baby USA, per the Baby-Friendly Hospital
14Initiative, or an
begin delete equivalentend delete
process begin delete recognized by the .
15State Department of Public Healthend delete