Weekly Wednesday Wire: May 10, 2017

USBC Updates

Correction to 5/4 WWW item: FY17 Appropriations Update

Last week's issue reported that the final FY17 appropriations omnibus bill zeroed out the CDC's Racial and Ethnic Approaches to Community Health (REACH) program. The agreement actually includes $51M for the program, of which $35M is provided to begin a new five-year cooperative agreement for community programs, and $16M is provided for Good Health and Wellness in Indian Country, as described in House Report 114-699. The CDC is urged to fund only the most effective approaches and implement evidence- and practice-based strategies in racial and ethnic communities with all future grant announcements. Our apologies for the error.

American Health Care Act Analysis

On May 4, the American Health Care Act (H.R. 1628), a bill aimed at repealing and replacing the Affordable Care Act (ACA), passed the House. The USBC is specifically monitoring action on health reform for the three ACA provisions that directly impact breastfeeding families:
1. Breastfeeding Support as a Preventive Service (implementation includes both services & supplies)
2. Workplace Breastfeeding Support (requires employers to provide both break time and a private space)
3. Funding for CDC Breastfeeding Programs via the Prevention & Public Health Fund (PPHF)

As passed by the House, the AHCA does not impact # 1 or # 2, as these provisions are not subject to repeal under the process of budget reconciliation being used. By eliminating the Medicaid expansion, however, as well as other sections that encourage individual and employer coverage, the bill is estimated to result in a loss of general health coverage for millions. Therefore, even if the Preventive Services remains in place for most plans, the newly uninsured would not have access to them. With # 3, the bill would cut the Prevention and Public Health Fund by $100 million in FY18, and then eliminate it entirely starting in FY19.

Action now moves to the Senate, where a more methodical approach is expected. Major concerns have already been raised among Senate Republicans, chiefly among those from swing states who are opposed to the cap on the Medicaid expansion. Senate Majority Leader Mitch McConnell (R-KY) has convened a working group representing different perspectives, including members of the leadership team, moderates who are worried about the Medicaid rollback, conservatives, and two key committee chairman—Senate Finance Committee Chairman Orrin Hatch (R-UT) and Senate Health, Education, Labor, and Pensions Committee Chairman Lamar Alexander (R-TN)—to work out a compromise.

Learn more and find action alerts and other updates on our webpage: www.usbreastfeeding.org/health-reform 

Coalition Spotlight: DC Breastfeeding Coalition

The United States Breastfeeding Committee has released its May Coalition Spotlight entitled, "DC Breastfeeding Coalition: Leveraging Partnerships to Eliminate Health Inequities and Build Community Resiliency." The third installment of the USBC Coalition Spotlight shines a light on the DC Breastfeeding Coalition which was established in 2004. Learn how their culture of collaboration and an intrinsic connection to the community has helped them target breastfeeding disparities. This article also features four key resources on community engagement! Help us celebrate your coalition's efforts, so stakeholders across the country understand how improved breastfeeding protection, promotion, and support are making a difference in the lives of women and families.  Don't miss your chance to be featured in the monthly Coalition Spotlight! Submit your stories here!

New Member Spotlight: ZERO TO THREE

ZERO TO THREE works to ensure that babies and toddlers benefit from the family and community connections critical to their well-being and development. Healthy connections help build babies' brains. Their mission is to ensure that all babies and toddlers have a strong start in life. ZERO TO THREE envisions a society that has the knowledge and will to support all infants and toddlers in reaching their full potential. The organization believes that how their work is done is as important as what is done. Since 1977, ZERO TO THREE has advanced the proven power of nurturing relationships by transforming the science of early childhood into helpful resources, practical tools, and responsive policies for millions of parents, professionals, and policymakers.


Federal News

Nutrition Related Bills Introduced, from Congress

Representatives Tim Ryan (D-OH) and Pat Tiberi (R-OH) have introduced the Expanding Nutrition's Role in Curriculums and Healthcare Act (ENRICH Act), a bipartisan bill to establish a grant program to integrate nutrition and physical activity education into medical school curricula. The bill aims to improve communication and provider preparedness in the prevention, management, and, as possible, reversal of obesity, cardiovascular disease, diabetes, and cancer. In addition, Representative Raul Grijalva (D-AZ) has introduced the Education and Training for Health Act of 2017 (EAT for Health Act). The bill would require the Secretary of Health and Human Services to issue to Federal agencies guidelines for developing procedures and requirements relating to certain primary care Federal health professionals completing continuing medical education on nutrition and to require Federal agencies to submit annual reports relating to such guidelines. The bill instructs that the continuing education must, at minimum, cover the role of nutrition in the prevention, management, and reversal of obesity, cardiovascular disease, diabetes, or cancer.

PRGLAC Task Force Website Launch, from NICHD/NIH

The Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institute of Health has released a website for the Task Force on Research Specific to Pregnant Women and Lactating Women (PRGLAC). The 21st Century Cures Act established PRGLAC to advise the Secretary of Health and Human Services regarding gaps in knowledge and research on safe and effective therapies for pregnant women and lactating women. PRGLAC is tasked with identifying these gaps and will report its findings back to the Secretary. Federal members include the Directors of NIH, NICHD, the Centers for Disease Control and Prevention, the Office on Women's Health, and the National Vaccine Program Office, as well as the Commissioner of Food and Drugs. Non-federal members include representatives from relevant medical societies, non-profit organizations, and industry.


Member News

Updated Clinical Protocol, from ABM

The Academy of Breastfeeding Medicine has released an updated Clinical Protocol #21: Guidelines for Breastfeeding and Substance Use or Substance Use Disorder, Revised 2015. A central goal of ABM is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care.

Children's Healthy Weight CoIIN Application Coming Soon, from ASPHN

The Association of State Public Health Nutritionists will release the application for the Children's Healthy Weight Collaborative Improvement and Innovation Network (CoIIN) in early June 2017. The Children's Healthy Weight CoIIN will support state Title V programs' efforts to promote nutrition, physical activity, and breastfeeding. Seven states will be accepted to participate from July 2017 through August 2019. The CoIIN will have three work streams. The first year, states will apply to work on either the Breastfeeding or the Physical Activity Work Stream. In the second year, all states will continue with their initial work and will also work on an Innovative Nutrition Integration project. The Innovative Nutrition Integration Work Stream will be developed during the first year with input from the participating states. ASPHN continues to manage the Pediatric Obesity Mini CoIIN. The Mini CoIIN is a separate project and is focused on obesity prevention strategies in the early care and education setting.  States can be in both CoIINs. Contact Sandy Perkins for more information.


Partner News

Mother's Day Tweetstorm, from NPWF

In honor of Mother's Day, the National Partnership is anchoring a #MomsDontNeed tweet storm on Thursday, May 11, from 3-4 p.m. ET. The goal of the storm is to bring together a range of voices to call attention to recent actions and policies that threaten mothers and families while highlighting the kind of supports they and all people truly need to protect and advance their economic security, health and safety, and more. Download a toolkit with content from the co-sponsors.

Premature Birth Issue Brief, from NIHCM Foundation

The National Institute for Health Care Management Foundation, in partnership with Anthem Foundation and March of Dimes, have released an issue brief which examines the prevalence and consequences of pre-term births and highlights evidence-based programs to improve birth outcomes. Since 2010, the Anthem Foundation has provided more than $4.3 million in grant funding to the March of Dimes to scale up and implement programs that encourage and facilitate first trimester prenatal care and help at-risk mothers commit to behaviors that reduce the numbers of low-birthweight babies. 

State Telehealth Laws and Reimbursement Program Policies, from PHI

The Public Health Institute's Center for Connected Health Policy has released its fifth edition of its "State Telehealth Laws and Reimbursement Program Policies" which provides policymakers, health advocates, and other interested health care professionals with the most current summary guide of telehealth-related policies, laws, and regulations for all 50 states and DC.

Medical Professional Support for Breastfeeding Employees, from Center for WorkLife Law/ACLU

Center for WorkLife Law at the UC Hastings College of the Law and American Civil Liberties Union have launched a new factsheet entitled, "Pumping at Work: How Medical Professionals Can Support Breastfeeding Patients." The factsheet is included in the Pregnant@Work webpage, Helping People Seek Breastfeeding Accommodations, featuring a variety of resources for health care providers, including a sample workplace accommodation note. Pregnant@work also provides information for employers, attorneys, and pregnant/parenting women, including a free legal hotline available by email or phone (415) 703-8276.

WHO Code Frequently Asked Questions, from WHO

The World Health Organization has released, "The International Code of Marketing of Breast-Milk Substitutes - 2017 Update: Frequently asked questions." The purpose of this booklet is to provide easy-to-read detailed information on specific questions related to the Code, including what products are covered by the code, infant formula labeling, and information about implementation and monitoriting. It is intended for policy-makers, health workers and others concerned with the Code, as well as the general public.

Mini-Summits to Be Hosted in Six Cities, from United State of Women

The United State of Women has launched the Galvanize Program to build on the momentum of the Summit hosted last year by the White House Council on Women and Girls. Galvanize will host mini-United State of Women Summits in six cities over the next year, bringing people together to discuss the challenges that women face and empower participants to become the next generation of local and national leaders.


News from the Field

Racial and Ethnic Disparities in Breastfeeding Literature Review, from Breastfeeding Medicine

The journal Breastfeeding Medicine has released an article entitled, "Racial and Ethnic Disparities in Breastfeeding." The article aims to review the literature on racial and ethnic disparities in breastfeeding rates and practices, address barriers to breastfeeding among minority women, conduct a systematic review of breastfeeding interventions, and provides obstetrician-gynecologists with recommendations on how they can help increase rates among minority women. Major efforts are still needed to improve breastfeeding initiation and duration rates among minority women in the United States. Obstetrician-gynecologists have a unique opportunity to promote and support breastfeeding through their clinical practices and public policy, and their efforts can have a meaningful impact on the future health of the mother and child. 

Access to Child Care Services Map, from Community Commons

Community Commons has released a report entitled, "Mapping America's Access to Child Care Services." The report provides several maps that present data on the current state of child care in the nation including availability, quality, and cost.  

Business Support for Paid Leave Website Updated, from Better Workplaces, Better Businesses

Better Workplaces, Better Businesses has updated its website featuring testimonials from both paid leave and paid sick days business supporters from across the country. While local, state and national proposals and laws may vary, businesses listed on this site share the perspective that these public policies are good for their employees, their business, and the economy. The site also features various resources about the value of these policies for employers.


Collective Impact Connection

New Resource on Leading Working Groups, from Collective Impact Forum

The Collective Impact Forum has released a new toolkit entitled, "How to Lead Collective Impact Working Groups." The resource provides detailed tools, templates, and tips on topics like increasing membership, community engagement, and planning and running effective meetings. 


News & Views

The Washington Post: "Women share their stories of pumping at work. It's not pretty."

The Hill: "Working mothers need a new recipe for success"

Boston Business Journal: "Breastfeeding help on your smartphone? American Well offers it."

Independent Women's Forum: "Why Breastfeeding Reinforces 'Gender Stereotypes,' According to Social Justice Warriors"

BBC News: "Are there downsides to 'breast is best'?"

KUOW (Seattle Public Radio): "Breastfeeding is 'life or death for communities of color'"

The Huffington Post: "It's No Time to Relax: Food, Physical Activity Policies Critical to Keep Up Progress on Childhood Obesity"

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