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H 4345

An Act improving access to breast pumps

194th Legislature (2025-2026) Introduced by Natalie Blais and 3 co-sponsors

Massachusetts bill expanding breast pump access through insurance and coverage requirements to reduce costs for nursing mothers.

Committee recommended bill ought to pass and referred to the committee on House Ways and Means
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Bill Summary · H 4345

Legislative bill overview

H 4345 aims to improve access to breast pumps in Massachusetts, likely through insurance coverage requirements, subsidies, or removal of cost barriers for nursing mothers. The bill has progressed through the Financial Services committee and been referred to Health Care Financing for further consideration. This appears to be a revised version of an earlier proposal (H1317).

Why is this important

Breast pumps are essential equipment for working mothers and those unable to nurse directly, but can cost $100-$600 out-of-pocket, creating financial barriers to infant nutrition and maternal health. Improving access addresses equity issues, supports maternal workforce participation, and may reduce healthcare costs long-term. This intersects with broader policy debates about postpartum support and workplace accommodations.

Potential points of contention

  • Insurance mandate scope: Whether all private insurers must cover pumps, what portion they must cover, and whether this increases premium costs for all policyholders
  • Public program costs: Whether Medicaid/MassHealth coverage expansion will require state budget allocation or federal matching funds
  • Definition of coverage: Whether the requirement covers all pump types equally or prioritizes certain models, and frequency of replacement
  • Workplace implementation: How employers must accommodate pumping breaks and storage, and whether small businesses face compliance burdens

Compiled from official sources — confirm details with the bill’s official record.

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