Thursday, July 18, 2013

National breastfeeding groups release model policy for insurance coverage

In the rapidly-changing landscape of insurance requirements rolling out under the Affordable Care Act (ACA), few have been more confusing than the requirement to cover "breastfeeding support, supplies, and counseling." The lack of guidelines or recommendations as to who may provide and be paid for lactation care, and what kinds of equipment should be covered for breastfeeding families, has created chaos for providers and patients alike.

To bridge these gaps and support insurers in the implementation of breastfeeding coverage, the United States Breastfeeding Committee (USBC) and the National Breastfeeding Center (NBfC) came together to develop recommendations. The resulting joint publication, Model Policy: Payer Coverage of Breastfeeding Support and Counseling Services, Pumps and Supplies, identifies best practices for payers that appropriately meet the requirements of the ACA and ensure adequate delivery of support for breastfeeding. The Model Policy was drafted in a collaborative effort with medical, legal, regulatory, lactation, public health, and insurance experts.

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