The Affordable Care Act, Breastfeeding, and Breast Pump Health Insurance Coverage

Published in: JAMA Pediatrics, Volume 172, No. 11, pages 997–1108 (November 2018). doi: 10.1001/jamapediatrics.2018.2003

Posted on RAND.org on November 17, 2020

by Kandice A. Kapinos, Lindsey Bullinger, Tami Gurley-Calvez

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The Patient Protection and Affordable Care Act (ACA) required private health insurers to cover breast pumps for new mothers without cost sharing through the preventive service mandate (§2713) starting in late 2012. With 49% of all births in the United States covered by private health insurance, this mandate has the potential to affect approximately 1.9 million women and their infants each year. Evidence suggests that this policy change resulted in more mothers attempting breastfeeding, as well as breastfeeding for a longer period.

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