This bill aims to amend the Code of West Virginia by introducing a new section, 33-57-2, which mandates health benefit plans to provide coverage for breastfeeding and lactation consultant services. The bill defines key terms such as "breastfeeding and lactation consultant," "health benefit plan," and "healthcare insurer," and specifies that coverage for these services will be available in outpatient settings starting January 1, 2026. Importantly, the coverage will not be subject to annual deductibles, copayments, or coinsurance limits, ensuring that it remains accessible to enrollees.

Additionally, the bill stipulates that certified lactation counselors must be supervised by a contracted and in-network healthcare provider to qualify for reimbursement. It also outlines that the West Virginia Medicaid Program will reimburse for these services if individuals meet specific requirements. To facilitate this coverage, the Bureau for Medical Services is authorized to file a state plan amendment by January 1, 2027. Overall, the bill seeks to enhance support for breastfeeding and lactation services, thereby promoting better maternal and infant health outcomes.

Statutes affected:
Introduced Version: 33-57-2