LCO 4759 1 of 8 General Assembly Raised Bill No. 1373 January Session, 2025 LCO No. 4759 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT REQUIRING THE LICENSURE OF LACTATION CONSULTANTS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective July 1, 2026) As used in this section and 1 sections 2 to 4, inclusive, of this act: 2 (1) "Lactation consultant" means a person who holds and maintains 3 certification in good standing as an international board certified 4 lactation consultant with the International Board of Lactation 5 Consultant Examiners and is licensed pursuant to section 3 of this act; 6 and 7 (2) "Lactation consulting" means clinical application of scientific 8 principles and a multidisciplinary body of evidence for evaluation, 9 problem identification, treatment, education and consultation to 10 families regarding the course of lactation and feeding, including, but not 11 limited to, the following services: 12 (A) Taking maternal, child and feeding histories; 13 Raised Bill No. 1373 LCO 4759 2 of 8 (B) Performing clinical assessments related to breastfeeding and 14 human lactation through the systematic collection of subjective and 15 objective information; 16 (C) Analyzing relevant information and data; 17 (D) Developing an unbiased lactation management and child feeding 18 plan with demonstration and instruction to parents; 19 (E) Providing lactation and feeding education, including, but not 20 limited to, recommendations for and training in the use of assistive 21 devices for lactation and breastfeeding; 22 (F) Communicating to a primary health care practitioner and 23 referring to other health care practitioners, as necessary; 24 (G) Conducting appropriate follow-up appointments and evaluating 25 outcomes; and 26 (H) Documenting patient encounters in a patient record. 27 Sec. 2. (NEW) (Effective July 1, 2026) (a) No person may practice 28 lactation consulting, for compensation, unless licensed pursuant to 29 section 3 of this act. 30 (b) No person shall (1) hold himself or herself out to the public as 31 being licensed as a lactation consultant, (2) use, in connection with such 32 person's name or business, the title "licensed lactation consultant" or 33 "lactation consultant" or the designation "IBCLC" or "L.C.", or (3) make 34 use of any title, words, letters, abbreviations or insignia that may 35 reasonably be confused with licensure as a lactation consultant, unless 36 such person is licensed pursuant to section 3 of this act. 37 (c) The provisions of this section shall not apply to a person who (1) 38 is licensed or certified by the Department of Public Health pursuant to 39 title 20 of the general statutes or by the Department of Consumer 40 Protection pursuant to chapter 400j of the general statutes and providing 41 lactation consulting while acting within the scope of practice of the 42 Raised Bill No. 1373 LCO 4759 3 of 8 person's license or certification, provided the person does not refer to 43 himself or herself by the term "lactation consultant", (2) is a student 44 enrolled in a lactation consulting educational program or an accredited 45 education program the completion of which is required for licensure or 46 certification by the Department of Public Health pursuant to title 20 of 47 the general statutes or by the Department of Consumer Protection 48 pursuant to chapter 400j of the general statutes, lactation consulting is a 49 part of the student's course of study and the student is performing such 50 consulting under appropriate program supervision, provided the 51 student does not refer to himself or herself by the term "lactation 52 consultant", (3) provides lactation education and support through the 53 federal Special Supplemental Food Program for Women, Infants and 54 Children, administered pursuant to section 19a-59c of the general 55 statutes, or any other federally funded nutrition assistance program 56 administered in the state, to participants in such program while acting 57 within the person's job description and training, provided the person 58 does not refer to himself or herself by the term "lactation consultant", (4) 59 is certified as a community health worker, as defined in section 20-195ttt 60 of the general statutes, and providing lactation support to a HUSKY 61 Health program member, provided the community health worker does 62 not refer to himself or herself by the term "lactation consultant", (5) 63 provides education, social support, peer support, peer counseling or 64 nonclinical services relating to lactation and feeding, provided the 65 person does not refer to himself or herself by the term "lactation 66 consultant", (6) is a doula or midwife and providing services within the 67 doula's or midwife's scope of practice and for which the doula or 68 midwife is trained, provided the doula or midwife does not refer to 69 himself or herself by the term "lactation consultant", or (7) is a public 70 health professional and engaging in outreach, engagement, education, 71 coaching, informal counseling, social support, advocacy, care 72 coordination or research related to social determinants of health or a 73 basic screening or assessment of any risk associated with social 74 determinants of health, provided the professional does not refer to 75 himself or herself by the term "lactation consultant". 76 Raised Bill No. 1373 LCO 4759 4 of 8 Sec. 3. (NEW) (Effective July 1, 2026) (a) The Commissioner of Public 77 Health shall grant a license as a lactation consultant to any applicant 78 who furnishes evidence satisfactory to the commissioner that such 79 applicant has earned a certification as an international board certified 80 lactation consultant from the International Board of Lactation 81 Consultant Examiners, or any successor of said board. The 82 commissioner shall develop and provide application forms. The 83 application fee shall be two hundred dollars. 84 (b) Any license issued under this section shall expire in accordance 85 with the provisions of section 19a-88 of the general statutes, as amended 86 by this act, and may be renewed every two years, for a fee of one 87 hundred dollars. Each licensed lactation consultant applying for license 88 renewal shall furnish evidence satisfactory to the commissioner of 89 having a current certification as an international board certified lactation 90 consultant with the International Board of Lactation Consultant 91 Examiners, or any successor of said board, and having obtained 92 continuing education units for such certification as required by said 93 board. 94 Sec. 4. (NEW) (Effective July 1, 2026) The Commissioner of Public 95 Health may deny an application of an individual or take any 96 disciplinary action set forth in section 19a-17 of the general statutes 97 against a lactation consultant for any of the following reasons: (1) 98 Failure to conform to the accepted standards of the profession; (2) 99 conviction of a felony, provided any action taken is based upon (A) the 100 nature of the conviction and its relationship to the license holder's ability 101 to safely or competently practice as a lactation consultant, (B) 102 information pertaining to the degree of rehabilitation of the license 103 holder, and (C) the time elapsed since the conviction or release; (3) fraud 104 or deceit in obtaining or seeking reinstatement of a license to practice 105 lactation consulting; (4) fraud or deceit in the practice of lactation 106 consulting; (5) negligent, incompetent or wrongful conduct in 107 professional activities; (6) physical, mental or emotional illness or 108 disorder resulting in an inability to conform to the accepted standards 109 of the profession; (7) alcohol or substance abuse; (8) wilful falsification 110 Raised Bill No. 1373 LCO 4759 5 of 8 of entries in any hospital, patient or other record pertaining to lactation 111 consulting; or (9) failure to maintain certification in good standing as an 112 international board certified lactation consultant with the International 113 Board of Lactation Consultant Examiners. The commissioner may order 114 a license holder to submit to a reasonable physical or mental 115 examination if his or her physical or mental capacity to practice safely is 116 the subject of an investigation. The commissioner may petition the 117 superior court for the judicial district of Hartford to enforce such order 118 or any action taken pursuant to section 19a-17 of the general statutes. 119 The commissioner shall give notice and an opportunity to be heard on 120 any contemplated action under section 19a-17 of the general statutes. 121 Sec. 5. Subsection (c) of section 19a-14 of the general statutes is 122 repealed and the following is substituted in lieu thereof (Effective July 1, 123 2026): 124 (c) No board shall exist for the following professions that are licensed 125 or otherwise regulated by the Department of Public Health: 126 (1) Speech and language pathologist and audiologist; 127 (2) Hearing instrument specialist; 128 (3) Nursing home administrator; 129 (4) Environmental health specialist; 130 (5) Subsurface sewage system installer or cleaner; 131 (6) Marital and family therapist and marriage and family therapist 132 associate; 133 (7) Nurse-midwife; 134 (8) Licensed clinical social worker; 135 (9) Respiratory care practitioner; 136 (10) Asbestos contractor, asbestos consultant and asbestos training 137 Raised Bill No. 1373 LCO 4759 6 of 8 provider; 138 (11) Massage therapist; 139 (12) Registered nurse's aide; 140 (13) Radiographer; 141 (14) Dental hygienist; 142 (15) Dietitian-Nutritionist; 143 (16) Asbestos abatement worker; 144 (17) Asbestos abatement site supervisor; 145 (18) Licensed or certified alcohol and drug counselor; 146 (19) Professional counselor and professional counselor associate; 147 (20) Acupuncturist; 148 (21) Occupational therapist and occupational therapist assistant; 149 (22) Lead abatement contractor, lead consultant contractor, lead 150 consultant, lead abatement supervisor, lead abatement worker, lead 151 training provider, lead inspector, lead inspector risk assessor and lead 152 planner-project designer; 153 (23) Emergency medical technician, advanced emergency medical 154 technician, emergency medical responder and emergency medical 155 services instructor; 156 (24) Paramedic; 157 (25) Athletic trainer; 158 (26) Perfusionist; 159 (27) Master social worker subject to the provisions of section 20-195v; 160 Raised Bill No. 1373 LCO 4759 7 of 8 (28) Radiologist assistant, subject to the provisions of section 20-74tt; 161 (29) Homeopathic physician; 162 (30) Certified water treatment plant operator, certified distribution 163 system operator, certified small water system operator, certified 164 backflow prevention device tester and certified cross connection survey 165 inspector, including certified limited operators, certified conditional 166 operators and certified operators in training; 167 (31) Tattoo technician; 168 (32) Genetic counselor; 169 (33) Behavior analyst; 170 (34) Art therapist; 171 (35) Esthetician; 172 (36) Eyelash technician; [and] 173 (37) Nail technician; and 174 (38) Lactation consultant. 175 The department shall assume all powers and duties normally vested 176 with a board in administering regulatory jurisdiction over such 177 professions. The uniform provisions of sections 1 to 4, inclusive, of this 178 act, this chapter and chapters 368v, 369 to 381a, inclusive, 383 to 388, 179 inclusive, 393a, 395, 398, 399, 400a and 400c, including, but not limited 180 to, standards for entry and renewal; grounds for professional discipline; 181 receiving and processing complaints; and disciplinary sanctions, shall 182 apply, except as otherwise provided by law, to the professions listed in 183 this subsection. 184 Sec. 6. Subdivision (2) of subsection (e) of section 19a-88 of the general 185 statutes is repealed and the following is substituted in lieu thereof 186 (Effective July 1, 2026): 187 Raised Bill No. 1373 LCO 4759 8 of 8 (2) Each person holding a license or certificate issued under section 188 19a-514, sections 1 to 4, inclusive, of this act and chapters 384a, 384c, 189 384d, 386, 387, 388 and 398 shall apply for renewal of such license or 190 certificate once every two years, during the month of such person's 191 birth, giving such person's name in full, such person's residence and 192 business address and such other information as the department 193 requests. 194 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2026 New section Sec. 2 July 1, 2026 New section Sec. 3 July 1, 2026 New section Sec. 4 July 1, 2026 New section Sec. 5 July 1, 2026 19a-14(c) Sec. 6 July 1, 2026 19a-88(e)(2) PH Joint Favorable