Revised Code of Washington
Chapter 43.70 - Department of Health.
43.70.640 - Workplace breastfeeding policies—Infant-friendly designation.

RCW 43.70.640
Workplace breastfeeding policies—Infant-friendly designation.

(1) An employer may use the designation "infant-friendly" on its promotional materials if the employer has an approved workplace breastfeeding policy addressing at least the following:
(a) Flexible work scheduling, including scheduling breaks and permitting work patterns that provide time for expression of breast milk;
(b) A convenient, sanitary, safe, and private location, other than a restroom, allowing privacy for breastfeeding or expressing breast milk;
(c) A convenient clean and safe water source with facilities for washing hands and rinsing breast-pumping equipment located in the private location specified in (b) of this subsection; and
(d) A convenient hygienic refrigerator in the workplace for the mother's breast milk.
(2) Employers seeking approval of a workplace breastfeeding policy must submit the policy to the department of health. The department of health shall review and approve those policies that meet the requirements of this section. The department may directly develop and implement the criteria for "infant-friendly" employers, or contract with a vendor for this purpose.
(3) For the purposes of this section, "employer" includes those employers defined in RCW 49.12.005 and also includes the state, state institutions, state agencies, political subdivisions of the state, and municipal corporations or quasi-municipal corporations.

[ 2001 c 88 § 3.]
NOTES:

Acknowledgment—Declaration—Findings—2001 c 88: "(1) The legislature acknowledges the surgeon general's summons to all sectors of society and government to help redress the low breastfeeding rates and duration in the United States, including the social and workplace factors that can make it difficult for women to breastfeed. The legislature also acknowledges the surgeon general's report on the health and economic importance of breastfeeding which concludes that:
(a) Breastfeeding is one of the most important contributors to infant health;
(b) Breastfeeding provides a range of benefits for the infant's growth, immunity, and development; and
(c) Breastfeeding improves maternal health and contributes economic benefits to the family, health care system, and workplace.
(2) The legislature declares that the achievement of optimal infant and child health, growth, and development requires protection and support for the practice of breastfeeding. The legislature finds that:
(a) The American academy of pediatrics recommends exclusive breastfeeding for the first six months of a child's life and breastfeeding with the addition of solid foods to continue for at least twelve months, and that arrangements be made to provide expressed breast milk if the mother and child must separate during the first year. Children should be breastfed or fed expressed breast milk when they show signs of need, rather than according to a set schedule or the location;
(b) Breast milk contains all the nutrients a child needs for optimal health, growth, and development, many of which can only be found in breast milk;
(c) Research in developed countries provides strong evidence that breastfeeding decreases the incidence and/or severity of diarrhea, lower respiratory tract infection, otitis media, bacteremia, bacterial meningitis, urinary tract infection, and necrotizing enterocolitis. In addition, a number of studies show a possible protective effect of breastfeeding against SIDS, Type 1 diabetes mellitus, Crohn's disease, lymphoma, ulcerative colitis, and allergic diseases;
(d) Studies also indicate health benefits in mothers who breastfeed. Breastfeeding is one of the few ways that mothers may be able to lower their risk of developing breast and ovarian cancer, with benefits proportional to the duration that they are able to breastfeed. In addition, the maternal hormonal changes stimulated by breastfeeding also help the uterus recover faster and minimize the amount of blood mothers lose after birth. Breastfeeding inhibits ovulation and menstrual bleeding, thereby decreasing the risk of anemia and a precipitous subsequent pregnancy. Breastfeeding women also have an earlier return to prepregnancy weight;
(e) Approximately two-thirds of women who are employed when they become pregnant return to the workforce by the time their children are six months old;
(f) Employers benefit when their employees breastfeed. Breastfed infants are sick less often; therefore, maternal absenteeism from work is lower in companies with established lactation programs. In addition, employee medical costs are lower and employee productivity is higher;
(g) According to a survey of mothers in Washington, most want to breastfeed but discontinue sooner than they hope, citing lack of societal and workplace support as key factors limiting their ability to breastfeed;
(h) Many mothers fear that they are not making enough breast milk and therefore decrease or discontinue breastfeeding. Frequency of breastfeeding or expressing breast milk is the main regulator of milk supply, such that forcing mothers to go prolonged periods without breastfeeding or expressing breast milk can undermine their ability to maintain breastfeeding; and
(i) Maternal stress can physiologically inhibit a mother's ability to produce and let down milk. Mothers report modifiable sources of stress related to breastfeeding, including lack of protection from harassment and difficulty finding time and an appropriate location to express milk while away from their babies.
(3) The legislature encourages state and local governmental agencies, and private and public sector businesses to consider the benefits of providing convenient, sanitary, safe, and private rooms for mothers to express breast milk." [ 2001 c 88 § 1.]

Structure Revised Code of Washington

Revised Code of Washington

Title 43 - State Government—Executive

Chapter 43.70 - Department of Health.

43.70.005 - Intent.

43.70.010 - Definitions.

43.70.020 - Department created.

43.70.030 - Secretary of health.

43.70.040 - Secretary's powers—Rule-making authority—Report to the legislature.

43.70.041 - Five-year formal review process of existing rules.

43.70.045 - Warren Featherstone Reid Award for Excellence in Health Care.

43.70.047 - Warren Featherstone Reid Award for Excellence in Health Care.

43.70.050 - Collection, use, and accessibility of health-related data.

43.70.052 - Hospital financial and patient discharge data—Financial reports—Data retrieval—American Indian health data—Reporting—Patient discharge data—Confidentiality and protection.

43.70.053 - Hospital consolidated annual income—Reporting.

43.70.054 - Health care data standards—Submittal of standards to legislature.

43.70.056 - Health care-associated infections—Data collection and reporting—Advisory committee—Rules.

43.70.057 - Hospital emergency room patient care information—Data collection, maintenance, analysis, and dissemination—Rules.

43.70.060 - Duties of department—Promotion of health care cost-effectiveness.

43.70.064 - Health care quality—Findings and intent—Requirements for conducting study under RCW 43.70.066.

43.70.066 - Study—Uniform quality assurance and improvement program—Reports to legislature—Limitation on rule making.

43.70.068 - Quality assurance—Interagency cooperation.

43.70.070 - Duties of department—Analysis of health services.

43.70.075 - Identity of whistleblower protected—Remedy for retaliatory action—Definitions—Rules.

43.70.080 - Transfer of powers and duties from the department of social and health services.

43.70.081 - Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services.

43.70.090 - Authority to administer oaths and issue subpoenas—Provisions governing subpoenas.

43.70.095 - Civil fines.

43.70.097 - Enforcement in accordance with RCW 43.05.100 and 43.05.110.

43.70.100 - Reports of violations by secretary—Duty to institute proceedings—Notice to alleged violator.

43.70.110 - License fees—Costs—Other charges—Waiver.

43.70.112 - Online access to health care resources—Annual accounting of use of funds and use of online resources—University of Washington.

43.70.115 - Licenses—Denial, suspension, revocation, modification.

43.70.117 - Health care professionals licensed in another state or United States territory or the District of Columbia—In-state practice on a limited basis—Requirements—Limitations.

43.70.120 - Federal programs—Rules—Statutes to be construed to meet federal law.

43.70.125 - Health care facility certification—Unfunded federal mandates—Applicant fees.

43.70.130 - Powers and duties of secretary—General.

43.70.140 - Annual conference of health officers.

43.70.150 - Registration of vital statistics.

43.70.170 - Threat to public health—Investigation, examination or sampling of articles or conditions constituting—Access—Subpoena power.

43.70.180 - Threat to public health—Order prohibiting sale or disposition of food or other items pending investigation.

43.70.185 - Inspection of property where marine species located—Prohibitions on harvest or landing—Penalties.

43.70.190 - Violations—Injunctions and legal proceedings authorized.

43.70.195 - Public water systems—Receivership actions brought by secretary—Plan for disposition.

43.70.200 - Enforcement of health laws and state or local rules and regulations upon request of local health officer.

43.70.210 - Right of person to rely on prayer to alleviate ailments not abridged.

43.70.220 - Transfer of powers and duties from the department of licensing.

43.70.230 - Office of health consumer assistance created—Duties.

43.70.240 - Written operating agreements.

43.70.250 - License fees for professions, occupations, and businesses.

43.70.260 - Appointment of temporary additional members of boards and committees for administration and grading of examinations.

43.70.270 - License moratorium for persons in the service—Rules.

43.70.280 - Procedure for issuance, renewal, or reissuance of credentials—Extension or modification of licensing, certification, or registration period authorized.

43.70.290 - Funeral directors and embalmers subject to chapter 18.130 RCW.

43.70.300 - Secretary or secretary's designee ex officio member of health professional licensure and disciplinary boards.

43.70.310 - Cooperation with department of ecology.

43.70.320 - Health professions account—Fees credited—Requirements for biennial budget request—Unappropriated funds.

43.70.323 - Hospital infection control grant account.

43.70.327 - Public health supplemental account—Annual statement.

43.70.334 - Temporary worker housing—Definition.

43.70.335 - Temporary worker housing operating license—Fee—Display—Suspension or revocation—Fines—Refunds—Rules—Application of department of labor and industries standards.

43.70.337 - Temporary worker housing building permit—Plans and specifications—Fees—Rules.

43.70.340 - Temporary worker housing inspection fund—Fees on temporary worker housing operating licenses and building permits—Licenses generally.

43.70.400 - Head injury prevention—Legislative finding.

43.70.410 - Head injury prevention—Program, generally.

43.70.420 - Head injury prevention—Information preparation.

43.70.430 - Head injury prevention—Guidelines on training and education—Training of emergency medical personnel.

43.70.435 - Diagnosed concussions of students—Report.

43.70.440 - Head injury prevention act—Short title—1990 c 270.

43.70.442 - Suicide assessment, treatment, and management training—Requirement for certain professionals—Exemptions—Model list of programs—Rules—Health profession training standards provided to the professional educator standards board.

43.70.443 - Study of evidence-based suicide assessment, treatment, and management training—Report—Updates.

43.70.444 - Washington plan for suicide prevention—Steering committee—Report.

43.70.446 - Suicide-safer homes project—Suicide-safer homes project account.

43.70.447 - Suicide assessment, treatment, and management—Curriculum for dental students and dentists.

43.70.452 - Agricultural industry workforce behavioral health improvement and suicide prevention—Pilot program.

43.70.460 - Retired primary and specialty care provider liability malpractice insurance—Program authorized.

43.70.470 - Retired health care provider liability malpractice insurance—Conditions.

43.70.480 - Emergency medical personnel—Futile treatment and natural death directives—Guidelines.

43.70.490 - Emergency medical service personnel training program—Assistance to persons with disabilities—Requirements—Law enforcement officer training—Definitions.

43.70.495 - Telemedicine training for health care professionals.

43.70.500 - Health care services practice indicators and risk management protocols.

43.70.510 - Health care services coordinated quality improvement program—Rules.

43.70.512 - Public health system—Foundational public health services—Intent.

43.70.515 - Foundational public health services—Funding.

43.70.525 - Immunization assessment and enhancement proposals by local jurisdictions.

43.70.526 - Childhood immunizations—Resources for expecting parents.

43.70.533 - Chronic conditions—Training and technical assistance for primary care providers.

43.70.540 - Data collection—Legislative finding and intent.

43.70.545 - Data collection and reporting rules.

43.70.550 - Public health services improvement plan—Contents.

43.70.555 - Assessment standards.

43.70.560 - Media violence—Reporting reduction efforts.

43.70.570 - Intent—1995 c 43.

43.70.575 - Definitions.

43.70.590 - American Indian health care delivery plan.

43.70.595 - Health equity zones.

43.70.600 - Survey regarding exposure to radio frequencies—Results.

43.70.605 - Personal wireless services—Random testing on power density analysis—Rules.

43.70.610 - Domestic violence education program—Established—Findings.

43.70.613 - Health care professionals—Health equity continuing education.

43.70.615 - Multicultural health awareness and education program—Integration into health professions basic education preparation curriculum.

43.70.617 - Prenatal nutrition best practices—Educational resources for pregnant women.

43.70.619 - Pregnancy complications—Informational resources.

43.70.620 - List of contacts—Health care professions.

43.70.630 - Cost-reimbursement agreements.

43.70.640 - Workplace breastfeeding policies—Infant-friendly designation.

43.70.645 - Donor human milk—Milk bank safety standards.

43.70.650 - School sealant endorsement program—Rules—Fee—Report to the legislature.

43.70.660 - Product safety education.

43.70.665 - Early detection breast and cervical cancer screening program—Medical advisory committee.

43.70.670 - Human immunodeficiency virus insurance program.

43.70.675 - Public health advisory board.

43.70.680 - Volunteers for emergency or disaster assistance.

43.70.690 - State asthma plan.

43.70.700 - Locally grown foods—Women, infant, and children farmers market nutrition program—Fruit and vegetable benefit—Rules.

43.70.705 - Fall prevention program.

43.70.710 - Annual review of medication practices of five jails that use nonpractitioner jail personnel—Noncompliance.

43.70.715 - COVID-19 public health response account.

43.70.720 - Universal vaccine purchase account.

43.70.725 - Health extension program—Dissemination of evidence-based tools and resources—Rules.

43.70.738 - Down syndrome resources—Development.

43.70.740 - Adjudicative proceedings.

43.70.750 - Community assistance referral and education program—Review of certification and training—Recommendations to the legislature.

43.70.765 - Opioid drugs—Warning—Patient education materials.

43.70.770 - State opioid response plan.

43.70.780 - Fruit and vegetable incentives program.

43.70.790 - Health care facility inspection and investigation availability.

43.70.800 - Oversight, consolidation, and standardization—Review.

43.70.810 - Provision of medical information—Dissemination of requirements and authority.

43.70.815 - Environmental health disparities map.

43.70.820 - Environmental justice obligations of the department of health.

43.70.825 - School-based health center program office.

43.70.830 - Lead contamination in drinking water in school buildings—Sampling and testing—Data-sharing agreement.

43.70.835 - Lead contamination in drinking water in school buildings—State-tribal compact schools.

43.70.840 - Lead contamination in drinking water in school buildings—Technical guidance.

43.70.845 - Lead contamination in drinking water in school buildings—Department of health as lead agency—Waiver.

43.70.850 - Suicide-safer homes task force.

43.70.900 - References to the secretary or department of social and health services—1989 1st ex.s. c 9.

43.70.901 - References to the director or department of licensing—1989 1st ex.s. c 9.

43.70.902 - References to the hospital commission—1989 1st ex.s. c 9.

43.70.910 - Effective date—1989 1st ex.s. c 9.

43.70.920 - Severability—1989 1st ex.s. c 9.