A 4677: Requires insurance coverage for lactation support services by a certified lactation consultant who evaluate and manage lactation and infant feeding problems and provide preventative clinical consulting to prevent or minimize the occurrence of potential problems.

  
  STATE OF NEW YORK ________________________________________________________________________ 4677 2025-2026 Regular Sessions  IN ASSEMBLY February 4, 2025 ___________ Introduced by M. of A. JACKSON -- read once and referred to the Commit- tee on Insurance AN ACT to amend the insurance law, in relation to requiring insurance coverage for lactation consultant services The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subsection (i) of section 3216 of the insurance law is 2 amended by adding a new paragraph 40 to read as follows: 3 (40) Every policy that provides coverage for hospital, surgical or 4 medical care shall provide outpatient coverage for lactation consultant 5 services. Coverage provided under this paragraph may be subject to 6 annual deductibles and co-insurance as deemed appropriate by the super- 7 intendent and that are consistent with those imposed on other benefits 8 within a given policy. For the purposes of this paragraph, "lactation 9 consultant" shall mean an individual who holds the international board 10 certified lactation consultant (IBCLC) credential who is in good stand- 11 ing with the international board of lactation consultant examiners who 12 evaluates and manages lactation and infant feeding problems and provides 13 preventive clinical consulting to prevent or minimize the occurrence of 14 potential problems. 15 § 2. Subsection (k) of section 3221 of the insurance law is amended by 16 adding a new paragraph 24 to read as follows: 17 (24) Every group or blanket policy delivered or issued for delivery in 18 this state that provides coverage for hospital, surgical or medical care 19 shall provide such coverage for lactation consultant services. For the 20 purposes of this paragraph, "lactation consultant" shall mean an indi- 21 vidual who holds the international board certified lactation consultant 22 (IBCLC) credential who is in good standing with the international board 23 of lactation consultant examiners who evaluates and manages lactation 24 and infant feeding problems and provides preventive clinical consulting 25 to prevent or minimize the occurrence of potential problems. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03999-02-5 
 A. 4677 2 1 § 3. Section 4303 of the insurance law is amended by adding a new 2 subsection (ww) to read as follows: 3 (ww) A medical expense indemnity corporation, a hospital service 4 corporation or a health service corporation that provides coverage for 5 hospital, surgical or medical care shall provide such coverage for 6 lactation consultant services. For the purposes of this subsection, 7 "lactation consultant" shall mean an individual who holds the interna- 8 tional board certified lactation consultant (IBCLC) credential who is in 9 good standing with the international board of lactation consultant exam- 10 iners who evaluates and manages lactation and infant feeding problems 11 and provides preventive clinical consulting to prevent or minimize the 12 occurrence of potential problems. 13 § 4. This act shall take effect on the first of January next succeed- 14 ing the date on which it shall have become a law and shall apply to all 15 insurance policies, contracts and plans issued, renewed, modified, 16 altered or amended on or after such effective date.