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

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

Read More

Access further information on this document at JAMA Pediatrics

This article was published outside of RAND. The full text of the article can be found at the link above.

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.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.