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HOUSE DOCKET, NO. 2471 FILED ON: 1/16/2025
HOUSE . . . . . . . . . . . . . . . No. 1317
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Amy Mah Sangiolo
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act improving access to breast pumps.
_______________
PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Amy Mah Sangiolo11th Middlesex1/16/2025Natalie M. Blais1st Franklin2/4/2025Patrick Joseph Kearney4th Plymouth1/28/2025 1 of 9
HOUSE DOCKET, NO. 2471 FILED ON: 1/16/2025
HOUSE . . . . . . . . . . . . . . . No. 1317
By Representative Sangiolo of Newton, a petition (accompanied by bill, House, No. 1317) of
Amy Mah Sangiolo, Natalie M. Blais and Patrick Joseph Kearney relative to the access of breast
pumps. Financial Services.
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
_______________
An Act improving access to breast pumps.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 SECTION 1. Chapter 32A of the General Laws, as appearing in the 2022 Official
2Edition, is hereby amended by adding the following section:-
3 Section 34. (a) As used in this section, “multi-user breast pump” shall mean a breast
4pump that is: (i) capable of initiating and supporting milk supply; (ii) able to be used by multiple
5users safely and hygienically; (iii) durable enough to be used by a mother who is expressing 8
6times per day or more; (iv) is made for heavy usage with a long motor life; (v) operating using a
7closed system; (vi) is capable of suction power from 0 to 300 mmHg; (vii) has a multiphase
8system or the ability to customize vacuum and cycling for each user; and (viii) is run on
9electricity, not batteries alone.
10 (b) The commission shall provide to an active or retired employee of the commonwealth
11who is insured under the group insurance commission coverage for the cost of the rental and
12usage of a multi-user breast pump by the mother of a newborn infant who is receiving care at an 2 of 9
13intensive care or special care nursery, or has cardiac, neurological, or oral anomalies that prevent
14direct feeding at the breast, until such time as the infant is discharged, or until the mother is no
15longer pumping breastmilk. The multi-user breast pump shall be made available to the user
16within 24 hours of maternal hospital discharge.
17 (c) The commission shall provide to an active or retired employee of the commonwealth
18who is insured under the group insurance commission, and eligible for a covered multi-user
19breast pump under this section, coverage for: (i) periodic replacement parts for the multi-user
20breast pump including, but not limited to, connectors, valves, tubing, backflow protectors, and
21flanges; (ii) breast milk storage bags; and (iii) microwave bags for sterilizing the multi-user
22breast pump parts.
23 (d) The commission shall provide to an active or retired employee of the commonwealth
24who is insured under the group insurance commission, and eligible for a covered multi-user
25breast pump under this section, coverage for: (i) an initial assessment, instruction and fitting by
26an International Board Certified Lactation Consultant (IBCLC); and (ii) ongoing assessment,
27support and refitting as needed by an IBCLC.
28 SECTION 2. Chapter 118E of the General Laws is hereby amended by inserting after
29section 10Q the following section:-
30 Section 10R. (a) As used in this section, “multi-user breast pump” shall mean a breast
31pump that is: (i) capable of initiating and supporting milk supply; (ii) able to be used by multiple
32users safely and hygienically; (iii) durable enough to be used by a mother who is expressing 8
33times per day or more; (iv) is made for heavy usage with a long motor life; (v) operating using a
34closed system; (vi) is capable of suction power from 0 to 300 mmHg; (vii) has a multiphase 3 of 9
35system or the ability to customize vacuum and cycling for each user; and (viii) is run on
36electricity, not batteries alone.
37 (b) The division and its contracted health insurers, health plans, health maintenance
38organizations, behavioral health management firms and third-party administrators under contract
39to a Medicaid managed care organization or primary care clinician plan shall provide coverage
40for the cost of the rental and usage of a multi-user breast pump by the mother of a newborn
41infant who is receiving care at an intensive care or special care nursery, or has cardiac,
42neurological, or oral anomalies that prevent direct feeding at the breast, until such time as the
43infant is discharged, or until the mother is no longer pumping breastmilk. The multi-user breast
44pump shall be made available to the user within 24 hours of maternal hospital discharge.
45 (c) The division and its contracted health insurers, health plans, health maintenance
46organizations, behavioral health management firms and third-party administrators under contract
47to a Medicaid managed care organization or primary care clinician plan shall provide an
48individual, who is eligible for a covered multi-user breast pump under this section, coverage for:
49(i) periodic replacement parts for the multi-user breast pump including, but not limited to,
50connectors, valves, tubing, backflow protectors, and flanges; (ii) breast milk storage bags; and
51(iii) microwave bags for sterilizing the multi-user breast pump parts.
52 (d) The division and its contracted health insurers, health plans, health maintenance
53organizations, behavioral health management firms and third-party administrators under contract
54to a Medicaid managed care organization or primary care clinician plan shall provide an
55individual, who is eligible for a covered multi-user breast pump under this section, coverage for:
56(i) an initial assessment, instruction and fitting by an International Board Certified Lactation 4 of 9
57Consultant (IBCLC); and (ii) ongoing assessment, support and refitting as needed and prescribed
58by provider, by an IBCLC.
59 SECTION 3. Chapter 175 of the General Laws is hereby amended by inserting after
60section 47UU the following section:-
61 Section 47VV. (a) As used in this section, “multi-user breast pump” shall mean a breast
62pump that is: (i) capable of initiating and supporting milk supply; (ii) able to be used by multiple
63users safely and hygienically; (iii) durable enough to be used by a mother who is expressing 8
64times per day or more; (iv) is made for heavy usage with a long motor life; (v) operating using a
65closed system; (vi) is capable of suction power from 0 to 300 mmHg; (vii) has a multiphase
66system or the ability to customize vacuum and cycling for each user; and (viii) is run on
67electricity, not batteries alone.
68 (b) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or
69renewed within the commonwealth, which is considered creditable coverage under section 1 of
70chapter 111M, shall provide coverage for the cost of the rental and usage of a multi-user breast
71pump by the mother of a newborn infant who is receiving care at an intensive care or special care
72nursery, or has cardiac, neurological, or oral anomalies that prevent direct feeding at the breast,
73until such time as the infant is discharged, or until the mother is no longer pumping breast milk.
74The multi-user breast pump should be made available to the user within 24 hours of maternal
75hospital discharge.
76 (c) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or
77renewed within the commonwealth, which is considered creditable coverage under section 1 of
78chapter 111M, shall provide an individual, who is eligible for a covered multi-user breast pump 5 of 9
79under this section, coverage for: (i) periodic replacement parts for the multi-user breast pump
80including, but not limited to, connectors, valves, tubing, backflow protectors, and flanges; (ii)
81breast milk storage bags; and (iii) microwave bags for sterilizing the multi-user breast pump
82parts.
83 (d) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or
84renewed within the commonwealth, which is considered creditable coverage under section 1 of
85chapter 111M, shall provide an individual, who is eligible for a covered multi-user breast pump
86under this section, coverage for: (i) an initial assessment, instruction and fitting by an
87International Board Certified Lactation Consultant (IBCLC); and (ii) ongoing assessment,
88support and refitting as needed and prescribed by provider, by an IBCLC.
89 SECTION 4. Chapter 176A of the General Laws is hereby amended by inserting after
90section 8VV the following section:-
91 Section 8WW. (a) As used in this section, “multi-user breast pump” shall mean a breast
92pump that is: (i) capable of initiating and supporting milk supply; (ii) able to be used by multiple
93users safely and hygienically; (iii) durable enough to be used by a mother who is expressing 8
94times per day or more; (iv) is made for heavy usage with a long motor life; (v) operating using a
95closed system; (vi) is capable of suction power from 0 to 300 mmHg; (vii) has a multiphase
96system or the ability to customize vacuum and cycling for each user; and (viii) is run on
97electricity, not batteries alone.
98 (b) Any contract between a subscriber and the corporation under an individual or group
99hospital service plan that is delivered, issued or renewed within the commonwealth shall provide
100coverage for the cost of the rental and usage of a multi-user breast pump by the mother of a 6 of 9
101newborn infant who is receiving care at an intensive care or special care nursery, or has cardiac,
102neurological, or oral anomalies that prevent direct feeding at the breast, until such time as the
103infant is discharged, or until the mother is no longer pumping breast milk. The multi-user breast
104pump shall be made available to the user within 24 hours of maternal hospital discharge.
105 (c) Any contract between a subscriber and the corporation under an individual or group
106hospital service plan that is delivered, issued or renewed within the commonwealth shall provide
107an individual, who is eligible for a covered multi-user breast pump under this section, coverage
108for: (i) periodic replacement parts for the multi-user breast pump including, but not limited to,
109connectors, valves, tubing, backflow protectors, and flanges; (ii) breast milk storage bags; and
110(iii) microwave bags for sterilizing the multi-user breast pump parts.
111 (d) Any contract between a subscriber and the corporation under an individual or group
112hospital service plan that is delivered, issued or renewed within the commonwealth shall provide
113an individual, who is eligible for a covered multi-user breast pump under this section, coverage
114for: (i) an initial assessment, instruction and fitting by an International Board Certified Lactation
115Consultant (IBCLC); and (ii) ongoing assessment, support and refitting as needed and prescribed
116by provider, by an IBCLC.
117 SECTION 5. Chapter 176B of the General laws is hereby amended by inserting after
118section 4VV the following section:-
119 Section 4WW. (a) As used in this section, “multi-user breast pump” shall mean a breast
120pump that is: (i) capable of initiating and supporting milk supply; (ii) able to be used by multiple
121users safely and hygienically; (iii) durable enough to be used by a mother who is expressing 8
122times per day or more; (iv) is made for heavy usage with a long motor life; (v) operating using a 7 of 9
123closed system; (vi) is capable of suction power from 0 to 300 mmHg; (vii) has a multiphase
124system or the ability to customize vacuum and cycling for each user; and (viii) is run on
125electricity, not batteries alone.
126 (b) Any subscription certificate under an individual or group medical service agreement
127delivered, issued or renewed within the commonwealth shall provide coverage for the cost of the
128rental and usage of a multi-user breast pump by the mother of a newborn infant who is receiving
129care at an intensive care or special care nursery, or has cardiac, neurological, or oral anomalies
130that prevent direct feeding at the breast, until such time as the infant is discharged, or until the
131mother is no longer pumping breastmilk. The multi-user breast pump should be made available
132to the user within 24 hours of maternal hospital discharge.
133 (c) Any subscription certificate under an individual or group medical service agreement
134delivered, issued or renewed within the commonwealth shall provide an individual, who is
135eligible for a covered multi-user breast pump under this section, coverage for: (i) periodic
136replacement parts for the multi-user breast pump including, but not limited to, connectors,
137valves, tubing, backflow protectors, and flanges; (ii) breast milk storage bags; and (iii)
138microwave bags for sterilizing the multi-user breast pump parts.
139 (d) Any subscription certificate under an individual or group medical service agreement
140delivered, issued or renewed within the commonwealth shall provide an individual, who is
141eligible for a covered multi-user breast pump under this section, coverage for: (i) an initial
142assessment, instruction and fitting by an International Board Certified Lactation Consultant
143(IBCLC); and (ii) ongoing assessment, support and refitting as needed and prescribed by
144provider, by an IBCLC. 8 of 9
145 SECTION 6. Chapter 176G of the General Laws is hereby amended by inserting after
146section 4NN the following section:-
147 Section 4OO. (a) As used in this section, “multi-user breast pump” shall mean a breast
148pump that is: (i) capable of initiating and supporting milk supply; (ii) able to be used by multiple
149users safely and hygienically; (iii) durable enough to be used by a mother who is expressing 8
150times per day or more; (iv) is made for heavy usage with a long motor life; (v) operating using a
151closed system; (vi) is capable of suction power from 0 to 300 mmHg; (vii) has a multiphase
152system or the ability to customize vacuum and cycling for each user; and (viii) is run on
153electricity, not batteries alone.
154 (b) An individual or group health maintenance contract that is issued or renewed shall
155provide coverage for the cost of the rental and usage of a multi-user breast pump by the mother
156of a newborn infant who is receiving care at an intensive care or special care nursery, or has
157cardiac, neurological, or oral anomalies that prevent direct feeding at the breast, until such time
158as the infant is discharged, or until the mother is no longer pumping breastmilk. The multi-user
159breast pump should be made available to the user within 24 hours of maternal hospital discharge.
160 (c) An individual or group health maintenance contract that is issued or renewed shall
161provide an individual, who is eligible for a covered multi-user breast pump under this section,
162coverage for: (i) periodic replacement parts for the multi-user breast pump including, but not
163limited to, connectors, valves, tubing, backflow protectors, and flanges; (ii) breast milk storage
164bags; and (iii) microwave bags for sterilizing the multi-user breast pump parts.
165 (d) An individual or group health maintenance contract that is issued or renewed shall
166provide an individual, who is eligible for a covered multi-user breast pump under this section, 9 of 9
167coverage for: (i) an initial assessment, instruction and fitting by an International Board Certified
168Lactation Consultant (IBCLC); and (ii) ongoing assessment, support and refitting as needed and
169prescribed by provider, by an IBCLC.