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If you have UnitedHealthcare and a new baby (or one on the way), this affects you.

If you don't have UnitedHealthcare but you care about lactation care for others, this affects you as well. 

On September 1, 2026, UnitedHealthcare is planning to change how it pays for lactation support. The help you get from a lactation consultant when feeding may not go the way you hoped. The change would make that help harder to get, and in some cases make it impossible.

We are pushing back against this in the hopes that UHC will change its mind. If you want to help us, keep reading for an explanation and letter templates ready to customize and send to your employer and your elected officials.

This isn’t final, and and your lactation consultants need your help in this fight.

If you’re an IBCLC, you can learn more about other ways to get involved here.

What’s actually changing

Right now, lactation support is covered as preventive care, which under the Affordable Care Act is supposed to be available to you without extra cost.

Starting September 1, UnitedHealthcare says it will:

• Stop paying when a lactation visit is billed for the baby. It will only pay when the visit is billed for the mother.
• Pay for just one session per day.

Here’s why this matters

As you may have experienced for yourself, a lactation visit is care for two people at once: you and your baby. We weigh your baby, watch your baby feed, and check your baby for the things that affect feeding: latch, oral function, weight gain, swallowing, body tension, and so much more. In fact, we often can’t tell you anything about how breastfeeding is going withOUT seeing your baby! Refusing to pay for the baby’s part of the visit means you get half the care, and your lactation consultant gets half the pay.

It will hit families the hardest when only the baby is covered by UnitedHealthcare (for example, if a parent is on an out-of-network plan). If this is you, then UHC refusing to pay for your baby’s visit would mean no covered lactation help at all.

Why this is worth fighting 

Skilled lactation support in the first weeks after birth prevents real, serious, expensive problems: babies who aren’t gaining weight, dehydration, jaundice, painful infections for you, and emergency room visits and hospital stays for both of you. It’s low-cost care that prevents high-cost crises. Cutting it doesn’t save money. It just moves the cost onto families and the rest of the system, and it takes away help when you’re at your most exhausted and most vulnerable.

You are entitled to this care. It’s worth reminding UHC of that before this proposed change takes effect.

What you can do (it takes about 15 minutes)

There are ready-to-send letter templates so you don’t have to start from a blank page. Each has fill-in blanks and a few spots marked “in your own words.” Please use those spots. Your story, what lactation help meant for you and your baby, is the single most powerful thing in the letter. A real story from a real parent does more than anything else.

Pick whichever works for you. Doing more than one is even better.

💼 Tell your employer (this is your strongest lever)

If you get UnitedHealthcare through your job, your employer isn’t a bystander, they often are the decision-maker. Many work plans are “self-funded,” which means your employer pays the claims and just hires UnitedHealthcare to run things. In those plans, your employer can push back on UnitedHealthcare directly, and HR will listen to employees. This template includes a formal version and a short email/Slack version.

⬇ Download the employer letter (Word)

🏛️ File a complaint with your state’s insurance regulator

Your state has a Department of Insurance whose job is to make sure insurers follow the law, including the ACA’s promise to cover preventive care. You don’t have to be an expert to file, and you don’t have to be a provider. If you or your baby is covered by UnitedHealthcare, they want to hear from you. (Use the parent version inside the file.)

⬇ Download the insurance-regulator letter (Word)

🗳️ Write your elected officials

Elected officials pay close attention to stories from the people they represent. They can open inquiries and apply pressure on the agencies that oversee insurance. (Use the parent version inside the file.)

⬇ Download the elected-officials letter (Word)

Where to send each one

Employer letter → your HR or benefits team (and your manager, if that’s how things move at your job). The letter asks HR to find out whether your plan is self-funded, you don’t need to know that in advance.

Insurance regulator → find your state’s office at naic.org, or search “[your state] file an insurance complaint.” Most have an online form you can paste your letter into. Have your UnitedHealthcare member ID handy.

Elected officials → find yours at usa.gov/elected-officials. Your state representatives and governor are best for state-level pressure; your U.S. Representative and Senators are best for the federal angle. Sending to several is fine.

Two essential ingredients to make your letters work

Add your story. I’ll say it again because it matters most: fill in the “in your own words” parts. Two or three honest sentences about your experience will do more than the rest of the letter combined.

Share this page. The more parents who see this, the more letters get sent, and the harder UnitedHealthcare is to ignore. Forward it to your parent friends, your moms’ groups, your prenatal class chat, anyone with UnitedHealthcare.

The change takes effect September 1, so the sooner you act, the better. This is winnable. Companies walk back bad decisions when enough people speak up through enough channels. You have a voice here. Please use it.

With gratitude for every parent who takes two minutes to push back,

Sarah Bendure, RN, IBCLC 

Owner 

Ally Lactation 

PS: If you are a lactation consultant in private practice, you are 100% welcome to copy and paste anything on this web page to use on your own platform, no attribution required. It is recommended that you customize it yourself but you don’t have to reinvent the wheel.

This page is an advocacy tool, not legal advice. The policy details come from UnitedHealthcare’s publicly posted June 2026 Commercial Reimbursement Policy Update Bulletin. If you’re an IBCLC looking for the provider version of this toolkit, it’s here.

Here's the research article from Babies in Common.

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