On April 30, 2025, the Texas Senate Committee on Health and Human Services convened to discuss House Bill 136, a significant legislative proposal aimed at enhancing access to lactation support services for mothers in Texas. This bill seeks to provide Medicaid reimbursements for certified lactation consultants, ensuring that mothers who choose to breastfeed receive the necessary support to succeed.

Breastfeeding rates in Texas reveal a concerning trend: while 89 percent of mothers initiate breastfeeding at birth, this figure plummets to just 24 percent by the six-month mark. Factors contributing to this decline include challenges with lactation and infant nutrition. The proposed legislation aims to address these issues by establishing lactation consultants as Medicaid providers, thereby making professional support more accessible to mothers in need.

During the meeting, several experts testified in favor of the bill, highlighting the critical role lactation consultants play in promoting breastfeeding. Ayla Landry, a certified lactation consultant, emphasized that breastfeeding is a learned skill that requires proper education and support. She noted that many mothers face difficulties during the early stages of breastfeeding, which can lead to reliance on formula if not addressed promptly. Landry argued that the bill would fill existing gaps in support and improve health outcomes for both mothers and infants.

Tara Poland, a maternal nutrition program coordinator, echoed these sentiments, stating that breastfeeding significantly reduces the risk of various childhood illnesses and postpartum complications for mothers. She pointed out that current lactation education often falls short, as many healthcare providers lack the time and training to adequately support breastfeeding mothers. By recognizing lactation consultants as Medicaid providers, the bill aims to ensure that mothers receive the individualized care they need.

Heidi Kiel, representing the Texas Academy of Nutrition and Dietetics, also voiced strong support for the bill. She highlighted the long-term health benefits of breastfeeding, which include improved nutrition and reduced healthcare costs. Kiel stressed that lactation consultants are essential in helping families navigate breastfeeding challenges, particularly in high-risk situations.

The committee's discussions underscored the importance of providing comprehensive lactation support to improve breastfeeding rates and maternal health outcomes in Texas. As the bill moves forward, it is expected to require a state amendment plan to implement the Medicaid reimbursement structure effectively.

In conclusion, House Bill 136 represents a proactive step toward enhancing maternal and infant health in Texas. By facilitating access to lactation consultants, the legislation aims to empower mothers with the resources they need to successfully breastfeed, ultimately benefiting families and the healthcare system as a whole. The committee's support for this bill signals a commitment to addressing the challenges faced by breastfeeding mothers and improving health outcomes across the state.