Colorado WIC Program Policies and Procedures Section 2: Nutrition Services Revised: 03/01/2026 Page 1 of 3 Breastfeeding: Breast Pump Ordering and Maintenance Policy: Local agencies shall appropriately manage breast pumps provided to clients, including the ordering of pumps through the state purchasing program and maintaining breast pump inventories. Regulations: CFR 246.11 c, e, CFR 246.14 c (10), USDA FNS WIC Breastfeeding Policy and Guidance (July 2016), Colorado WIC Policy Procedure/Additional Guidance: Breast pumps and breastfeeding aids that directly support the initiation and continuation of breastfeeding are an allowable WIC program cost. Ordering ● Local agencies are responsible for maintaining an inventory of pumps and pump accessories, and for tracking items and quantities that need to be reordered. ● Breast pumps (multi-user, single-user, manual), collection kits and breastfeeding aids (e.g., breast shields/flanges, pump supplies) can only be ordered on a quarterly basis through a centralized process at the State WIC Program. o Local agency representatives complete the online Pump Order Form on or before the due date outlined in the reminder email sent to local agency pump representatives. o Each order requires the local agency WIC Director approval. o Pumps and pump accessories ordered are shipped directly to the local agency. o Local agency WIC funds cannot be used to purchase breast pumps or pump supplies, as purchasing such supplies outside of state ordering/contracts is not permitted. ● Other allowable breastfeeding aids may be purchased with funds available in the local agency budget (see the Breastfeeding: Assistance, Aids and Contraindications policy for allowable aids). ● Breast pumps and breastfeeding aids purchased with WIC funds should be provided at no cost to the client. ● Upon receipt, breast pumps and other items must be inspected for damage, ensuring the correct type and quantity ordered are received. ● After the type and quantity of ordered pumps and supplies are verified, local agency staff must send a confirmation of receipt to the State WIC Office fiscal officer. Tracking and Inventory ● Local agencies must maintain a serialized inventory of all hospital-grade multi-user loaned breast pumps in the Compass computer system. ● Upon receipt, each new pump must be added to the clinic’s inventory. Hospital-grade multi-user electric pumps must be added to the Serialized Inventory section in Compass under Operations. Enter the serial number provided by the pump manufacturer on the pump. ● All breast pumps must be kept in a locked cabinet or locked room at the clinic, and off the floor when not loaned. Electric breast pumps are costly, and careful attention must be given to maintaining, securing, and inventorying of all equipment. ● Hospital-grade multi-user electric loaned breast pumps must have an asset tag affixed to the pump for tracking purposes. The asset tag includes a unique identifying number and the State WIC telephone number. Asset tags are ordered through the State WIC Office fiscal office. ● Hospital-grade multi-user electric-loaded breast pumps must have a contact label securely affixed to each pump case stating who to contact if the pump is found. The WIC agency’s name, address, and telephone number should be included on the label (e.g., consider using mailing labels sealed with packing tape). ● Hospital-grade multi-user electric loaned breast pumps must have a Pump Cleaning Insert (available to order on the WIC materials order form) securely affixed to each pump case (via packing tape). ● Use the Breastfeeding Equipment Due report in Compass to track loaned pumps. Pumps are visible on the report if the due date/next contact date is the current month or past due. ● Once a pump is returned, record the date and reason(s) for return (e.g., problem resolved) on the Breastfeeding Equipment panel and Client Care Plan.

Colorado WIC Program Policies and Procedures Section 2: Nutrition Services Revised: 03/01/2026 Page 2 of 3 ● If a pump is kept longer than the expected return date, staff should follow up with the client, review the pump need, and, if applicable, update the return date in Compass on the Breastfeeding Equipment panel and document follow-up in the Client Care Plan. Maintenance ● Loaned hospital-grade multi-user breast pumps and cases must be cleaned when returned to the clinic after being loaned to a client. Clean pumps as described by the manufacturer: o Ensure the pump is unplugged while cleaning. o Wear gloves. o Freshly mix the standard 1:10 bleach cleaning solution: 1 part bleach and 9 parts water. This solution is not stable and must be mixed fresh each day and discarded after use. o Apply the cleaning solution with a soft cloth to the pump and case. Leave the solution on for 30-60 seconds and rinse thoroughly with clean water using a soft cloth. ● If a pump is returned and contamination and/or insect infestation is suspected, do not re-issue the pump to another client and follow the instructions below under the Repair section. ● Loaned hospital-grade multi-user breast pumps must be checked for performance upon return and before reissuing to another client. Check pump functions properly and vacuum suction is adequate. ● All pumps must be stored in a secure, locked location and off the ground, away from electronic equipment, such as TVs, DVD players. Motors in electronic equipment can attract insects and could result in pump infestation. ● Educate on and ensure, upon issuance of all breast pumps, that each client understands proper cleaning and storage of breast pumps and supplies. Repair Multi-User Electric Breast Pumps ● If a hospital-grade multi-user electric breast pump needs repair or cleaning, contact the State WIC Office to verify warranty status. o Note: Warranty begins from the date of purchase and typically is a three year warranty. ● It is the responsibility of the local agency to track the repair and return of “warranty” pumps. ● Pumps Under Warranty – as deemed by the State WIC Office: o Contact the pump manufacturer's customer service by phone or email to request a warranty repair return authorization number and instructions. o Ship the pump, as instructed by the manufacturer to the factory for cleaning and repair. o Ship all pumps for repair without the cases. If a pump is believed to be contaminated or infested with insects, follow the manufacturer’s specific shipping instructions (manufacturers have specific instructions for shipping pumps contaminated or infested) and ship in the case. If a case is not returned by the manufacturer, the local agency may order a replacement case. ● Pumps Not Under Warranty: o Contact the State WIC Office fiscal unit to request prior approval for repair. A Purchase Request will need to be approved at the State level prior to contacting the pump manufacturer. o Upon approval from the State WIC Office, contact the pump manufacturer's customer service by phone or email to request a repair return authorization number. A request can be made at this time to provide an estimate of costs prior to work being completed. o Notify the State WIC Office fiscal unit upon receipt of the repaired pump. ● Pumps determined to be too damaged to repair or in need of disposal will be disposed of or recycled by the local agency. Check the pump manufacturer for recycling information and programs. Single-User Electric Breast Pumps ● It is the responsibility of the client to register the pump with the pump manufacturer and work with the pump manufacturer for warranty-related issues/pump malfunctions. It is not the WIC staff's responsibility to assist clients with the warranty process. WIC staff are not allowed to share client information with pump manufacturers, including the date of issuance, as it is a violation of data sharing/client privacy. o Note: Single-user breast pumps typically have the date of issuance to the client. Missing Pumps and Recovery* ● Hospital-grade multi-user electric breast pumps are costly and should be carefully maintained, tracked and secured. Such pumps should only be loaned to clients who have demonstrated they are reliable and who can be located, if necessary.

Colorado WIC Program Policies and Procedures Section 2: Nutrition Services Revised: 03/01/2026 Page 3 of 3 ● WIC benefits cannot be denied to a client for failing to return a breast pump. If a loaned pump is not returned or cannot be located, staff should: o Attempt to reach the client and relatives/friends (contacts/referrals) listed on the Breastfeeding Equipment panel in Compass and/or Breast Pump/Aid Release Form. o Document all attempted contacts in Compass under Comments/Alerts of the client’s file. o Contact the State WIC Office with the pump serial number to obtain the depreciated value of the pump. ✔ If the missing pump is determined to have no monetary value (pump depreciated over 6 years), it is up to the agency/clinic to determine if pursuit of the pump should be continued. ✔ If the missing pump has a depreciated value near purchase price, it is cost effective for an agency/clinic to continue to pursue the missing pump. ● If contacts with the client are unsuccessful, send a certified letter to the client and attempt to call the client’s contacts listed in Compas and/or on the Breast Pump/Aid Release Form. Notify them if the pump is not returned promptly local authorities may be contacted. ● Depending on the pump’s depreciated value, the agency/clinic can determine whether to request assistance from local law enforcement. However, not all local law enforcement will act on requests for assistance. ● If the pump’s depreciated value is still at or near purchase price and cannot be recovered, contact the State WIC Office for further instructions. ● If the pump is not returned, the client may not be eligible for a breast pump (loaned or single-user) in the future. *Note: Breast pumps are a WIC benefit and it is a participant violation if a client is found to sell or offer to sell WIC breast pumps - see Participant Violation policy for full details.