House Bill 136, presented to the Senate Committee on Health & Human Services, would require the Health and Human Services Commission to establish a Medicaid provider type for certified lactation consultants and allow reimbursement for their services under Medicaid.

Sponsor’s presentation: Senator Alvarado (house author Rep. Lacey) laid out the bill and said it is intended to increase access to skilled lactation support for women on Medicaid, noting breastfeeding rates fall from 89% initiation to about 24% at six months in Texas. The bill would require HHSC to create the provider type and seek any federal authority needed; witnesses noted a state plan amendment may be required.

Witness testimony: Ayla Landry, an internationally board certified lactation consultant, and Tara Poland, a registered dietitian and lactation consultant, testified in support. They described the training and clinical qualifications for IBCLCs and said early, individualized counseling improves breastfeeding success and maternal mental health. “Lactation is a fundamental aspect of a woman's physiology,” Landry said. Supporters also noted that lactation consultants are highly trained and shortages in geographic coverage make Medicaid reimbursement important for access.

Policy and implementation notes: Witnesses said HHSC would likely request a Medicaid state plan amendment to cover lactation consultants; the bill explicitly contemplates that. Testimony emphasized partnering with WIC, community health centers and hospitals to expand continuity of care.

Outcome: The committee heard testimony and left House Bill 136 pending so HHSC and stakeholders can resolve the details of provider enrollment and potential federal approvals.