Senate
File
2317
-
Introduced
SENATE
FILE
2317
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
SF
2230)
A
BILL
FOR
An
Act
relating
to
the
development
of
an
actionable
strategic
1
plan
to
promote
and
support
breastfeeding
in
the
state.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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2317
Section
1.
DEPARTMENT
OF
PUBLIC
HEALTH
——
BREASTFEEDING
1
QUALITY
IMPROVEMENT
STRATEGIC
PLAN.
2
1.
The
department
of
public
health
shall
convene
a
group
3
of
stakeholders
from
various
sectors
to
develop
an
actionable
4
breastfeeding
quality
improvement
strategic
plan
to
determine
5
the
framework
necessary
to
maximize
breastfeeding
support
6
and
improve
the
breastfeeding
rate
among
all
mothers
in
the
7
state.
The
strategic
plan
shall
include
goals
and
strategies
8
to
promote
breastfeeding
at
the
state,
community,
facility,
and
9
individual
levels
by
identifying
potential
system
interventions
10
and
establishing
a
consistent
approach
relative
to
maternity
11
care
and
hospital
practices;
workplace,
peer,
mother
and
12
family,
and
health
care
professional
supports
and
education;
13
and
media
and
social
marketing
messaging.
The
strategic
plan
14
shall
include
steps
to
build
collaborative
partnerships
and
15
local
coalitions
among
health
care
providers
and
health
care
16
facilities
to
follow
updated
evidence-based
best
practices,
17
policies,
and
procedures
in
supporting
breastfeeding
as
the
18
preferred
long-term
infant
feeding
method.
19
2.
In
developing
the
strategic
plan,
the
stakeholder
20
group
shall
review
the
state’s
existing
policies,
practices,
21
and
initiatives
to
maximize
resources
and
to
refocus
and
22
coordinate
efforts
at
the
state,
local,
and
organizational
23
levels.
The
stakeholder
group
shall
analyze
existing
data
24
and
make
recommendations
for
strengthening
the
state’s
data
25
collection
and
evaluation
capabilities
to
support
the
strategic
26
plan,
bridge
gaps
in
disparities,
build
and
sustain
capacity,
27
promote
professional
and
consumer
education
efforts,
and
28
support
continuous
program
improvement.
The
stakeholder
group
29
shall
also
analyze
other
state
and
national
laws,
strategic
30
plans,
initiatives,
and
programs
to
determine
those
which
may
31
be
replicated
or
modified
to
meet
the
goals
and
strategies
32
identified
by
the
stakeholder
group
including
but
not
limited
33
to
all
of
the
following:
34
a.
The
baby-friendly
hospital
initiative
launched
by
the
35
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2317
world
health
organization
and
the
united
nations
children’s
1
fund
to
provide
evidence-based
maternity
care
that
supports
2
optimal
infant
feeding
outcomes
and
the
mother-baby
bond
3
utilizing
the
ten
steps
to
successful
breastfeeding
to
improve
4
breastfeeding
awareness,
education,
and
support
within
health
5
care
settings.
6
b.
The
American
academy
of
pediatrics
guidelines
which
7
promote
exclusive
breastfeeding
for
the
first
six
months
8
followed
by
breastfeeding
in
combination
with
the
introduction
9
of
complementary
foods
for
one
year
or
longer
as
mutually
10
desired
by
the
mother
and
infant.
11
c.
The
2011
surgeon
general’s
call
to
action
to
support
12
breastfeeding
specifying
twenty
action
steps
for
mothers
and
13
their
families,
communities,
the
health
care
sector,
employers,
14
research
and
surveillance,
and
the
public
health
infrastructure
15
to
undertake
in
removing
obstacles
to
and
in
supporting
16
breastfeeding.
17
d.
The
business
case
for
breastfeeding
initiative
and
18
toolkit
developed
by
the
United
States
department
of
health
19
and
human
services
maternal
and
child
health
bureau
and
the
20
national
business
group
on
health
to
implement
policies
that
21
promote
breastfeeding.
22
e.
The
mothers’
milk
bank
of
Iowa
and
other
milk-sharing
23
platform
initiatives.
24
f.
The
United
States
department
of
agriculture’s
special
25
supplementary
nutrition
program
for
women,
infants,
and
26
children
(WIC)
program
and
the
Medicaid
program,
to
act
as
a
27
foundation
in
promoting
breastfeeding
awareness
and
to
provide
28
skilled
support
not
only
for
WIC
and
Medicaid
participants
29
but
for
the
general
public
to
help
women
initiate
and
sustain
30
appropriate
feeding
practices,
prevent
difficulties,
and
31
overcome
barriers.
32
3.
The
department
of
public
health
shall
submit
the
33
strategic
plan,
which
shall
include
goals,
specific
strategies,
34
action
steps,
policy
changes,
and
key
partnerships
necessary
35
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2317
to
execute
the
strategic
plan,
to
the
governor
and
the
general
1
assembly
by
July
1,
2021.
2
EXPLANATION
3
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
4
the
explanation’s
substance
by
the
members
of
the
general
assembly.
5
This
bill
requires
the
department
of
public
health
(DPH)
6
to
convene
stakeholders
from
various
sectors
to
develop
an
7
actionable
breastfeeding
quality
improvement
strategic
plan
to
8
determine
the
framework
necessary
to
maximize
breastfeeding
9
support
and
improve
the
breastfeeding
rate
among
all
mothers
10
in
the
state.
The
bill
specifies
that
the
strategic
plan
11
shall
include
goals
and
strategies
by
identifying
potential
12
system
interventions
and
establishing
a
consistent
approach
13
relative
to
maternity
care
and
hospital
practices;
workplace,
14
peer,
mother
and
family,
and
health
care
professional
15
supports
and
education;
and
media
and
social
marketing
16
messaging.
The
strategic
plan
shall
include
steps
to
build
17
collaborative
partnerships
and
local
coalitions
to
follow
18
updated
evidence-based
best
practices,
policies,
and
procedures
19
in
supporting
breastfeeding
as
the
preferred
long-term
infant
20
feeding
method.
The
stakeholder
group
shall
review
the
state’s
21
existing
policies,
practices,
and
initiatives;
analyze
existing
22
data
and
make
recommendations
for
strengthening
the
state’s
23
data
collection
and
evaluation
capabilities;
and
analyze
other
24
state
and
national
laws,
strategic
plans,
initiatives,
and
25
programs
to
determine
those
which
may
be
replicated
or
modified
26
to
meet
the
goals
and
strategies
identified
by
the
stakeholder
27
group,
including
those
specified
in
the
bill.
28
DPH
shall
submit
the
strategic
plan
to
the
governor
and
the
29
general
assembly
by
July
1,
2021.
30
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