June 17, 2026
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10:37Now PlayingStarting September 1, 2026, UnitedHealthcare — the largest health insurer in the country — will stop separately reimbursing lactation consultants for the baby's portion of a home visit, paying only for the mother.
The company calls it eliminating "duplicate payments." Lactation consultants like New Jersey's Danielle Tropea say it cuts their reimbursement roughly in half — from about $250 to around $125 — for the same visit, the same baby, the same work.
The Affordable Care Act mandates breastfeeding support at no cost to families, so this is a billing-code workaround on a benefit the law guarantees. Here's how the trick works, and who actually pays for it.
SOURCES
STAT News "UnitedHealthcare's lactation billing feud, and fake strokes"
WHYY "N.J. breastfeeding service providers face pay cuts with UnitedHealthcare insurance's lactation billing change"
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