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November 2018

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

Author Affiliations
  • 1RAND Corporation, Arlington, Virginia
  • 2Georgia Institute of Technology, School of Public Policy, Atlanta
  • 3Department of Health Policy and Management, University of Kansas Medical Center, Kansas City
JAMA Pediatr. 2018;172(11):1002-1004. doi:10.1001/jamapediatrics.2018.2003

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.1 Evidence suggests that this policy change resulted in more mothers attempting breastfeeding,2 as well as breastfeeding for a longer period.3

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