Understanding Health Care Coverage

The Affordable Care Act (ACA) requires most insurance plans to cover the cost of a breast pump and breastfeeding counseling and requires many employers to provide break time for breastfeeding women (which may be unpaid) and a private space that is not a bathroom for nursing or pumping.

Breastfeeding Coding

Access a list of ICD-10 codes for common breastfeeding conditions. 

Breastfeeding Support and Supplies

This fact sheet from the U.S. Department of Health and Human Services (HHS) answers frequently asked questions about breast pumps and insurance.

Developed by the U.S. Department of Labor, FAQs about Affordable Care Act Implementation and Mental Health Parity Implementation explains coverage for lactation support and breastfeeding equipment.

The National Women's Law Center's Breastfeeding Toolkit clearly explains Medicaid and insurance coverage of breastfeeding support, supplies, and counseling and offers tools to women who encounter problems with this coverage.

The National Women's Law Center's free Cover Her Hotline assists women who are having trouble getting coverage for breastfeeding or other women's health needs as required by law.

State of Breastfeeding Coverage: Health Plan Violations of the Affordable Care Act report from the National Women’s Law Center goes in-depth into coverage of the ACA’s breastfeeding benefits and found that women face widespread barriers to getting coverage of breastfeeding support and supplies. It includes women’s stories gathered through NWLC’s Cover Her hotline.

HealthCare.gov lists benefits and services covered by insurance:

Family Leave and Break Time

Break Time for Nursing Mothers, developed by the U.S. Department of Labor, answers frequently asked questions about breaks at work for breastfeeding women.

Guide to the Family and Medical Leave Act (FMLA) is a booklet from the National Partnership for Women & Families that answers frequently asked questions about family leave protections and requirements.

State-Specific Laws

The National Conference of State Legislators lists state-specific breastfeeding laws as well as information on federal requirements.

The United States Department of Labor delineates the laws by state regarding employment protections for pregnant or nursing workers, protections against pregnancy discrimination, provisions for pregnancy accommodation, and workplace breastfeeding rights. 

Contact:

Amanda Guiliano
Program Administrator, Committees and Task Forces
aguiliano@acog.org

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998