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Action 11. Ensure access to services provided by International Board Certified Lactation Consultants*

Table of Contents

denotes a USBC member organization listing

Implementation Strategies

    • Include support for lactation as an essential medical service for pregnant women, breastfeeding mothers, and children
    • Provide reimbursement for IBCLCs independent of their having other professional certification or licensure
    • Work to increase the number of racial and ethnic minority IBCLCs to better mirror the U.S. population

    *In 2013, The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies updated language around these strategies to better reflect the variety of types of lactation support providers, as well as the changing landscape of health care in the wake of passage of the Affordable Care Act. In addition to the review of the SGCTA at 5 years being conducted with National Breastfeeding Month 2016, the USBC is supporting a collaborative of national organizations representative of all lactation support provider types to explore and work together on implementation strategies that address these changes in the landscape.

      USBC Resources

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      National Activities

        American Breastfeeding Institute

      American Breastfeeding Institute

      Phone: 508-888-9366

      Email: Lindaj@bflrc.com

      Website: http://

      Action Activities: The American Breastfeeding Institute collaborates with other organizations to increase access to professional lactation care, especially in minority, marginalized, or at-risk populations.


      Supporting Link:


        American College of Obstetricians and Gynecologists

      American College of Obstetricians and Gynecologists

      Phone: 202-638-5577

      Email: clinical@acog.org

      Website: http://www.acog.org

      Action Activities: The American College of Obstetricians and Gynecologists (ACOG) endorses paid parental leave as essential. Paid parental leave includes maintenance of full benefits and 100% of pay for at least six weeks.


      Supporting Link: https://www.acog.org/-/media/Statements-of-Policy/Public/92ParentalLeaveJuly2016.pdf?dmc=1&ts=2


        American Public Health Association

      American Public Health Association

      Phone: 202-777-2742

      Email: info@apha.org

      Website: http://www.apha.org

      Action Activities: The American Public Health Association sent a letter of support to HHS Secretary Sebelius to support the Institute of Medicine recommendations to require insurers to support lactation counseling.


      Supporting Link: http://apha.org/~/media/files/pdf/advocacy/letters/aphasebeliusiomrecommendations.ashx


        Baby Café USA

      Baby Café USA

      Phone: 781-507-1980

      Email: lucia@babycafeusa.org

      Website: http://www.babycafeusa.org

      Action Activities: All Baby cafes are required to provide free IBCLC care to any mother attending a Baby Cafe.


      Supporting Link: http://Babycafeusa.org http://www.bcusa.dreamhosters.com/files/STAFFING%20GUIDELINES%202017.pdf


        Black Mothers' Breastfeeding Association

      Black Mothers' Breastfeeding Association

      Phone: 800-313-6141

      Email: info@bmbfa.org

      Website: http://www.bmbfa.org

      Action Activities: Select Board members and mommy ambassadors are CLC. We offered the women access to speak to one of the lactation consultants that we have on staff. We also made sure that even after support group sessions, they had the opportunity to get 1:1 assistance.


      Supporting Link: http://www.bmbfa.org


        Carolina Global Breastfeeding Institute

      Carolina Global Breastfeeding Institute

      Phone: 919-966-3774

      Email: cgbi@unc.edu

      Website: http://cgbi.sph.unc.edu

      Action Activities: CGBI hosts the first accredited Pathway 2 Lactation Consultant training program, and is working with HBCUs who wish to establish their own Pathway 2 program.
      (2nd link did not fit below: https://sph.unc.edu/cgbi/rise-lactation-training-model-reclaiming-improving-and-sustaining-equity-2/ )


      Supporting Link: https://sph.unc.edu/cgbi/lactation-consultant-training/


        Every Mother, Inc.

      Every Mother, Inc.

      Phone: 662-931-6368

      Email: info@everymother.org

      Website: http://www.everymother.org

      Action Activities: Served as chair of the International Lactation Consultant Association's inaugural Lactation Equity Summit. Mrs. Carothers is recent past chair of the Monetary Investment for Lactation Consultant Certification (MILCC) which provides scholarships for IBCLC exam candidates, with an emphasis on those serving vulnerable communities and disadvantaged populations.


      Supporting Link: https://www.milcc.org/


        Healthy Children Project, Inc.

      Healthy Children Project, Inc.

      Action Activities: The Healthy Children Project, Inc. provides training for more than 4,000 health workers annually through face-to-face courses, conferences, and online learning opportunities. Some of our courses prepare successful participants for lactation certifications and provide college credit recommendations.


      Supporting Link: https://centerforbreastfeeding.org/education/college-credit/


        Human Milk Banking Association of North America

      Human Milk Banking Association of North America

      Phone: 817-810-9984

      Email: sybil@hmbana.org

      Website: http://www.hmbana.org

      Action Activities: HMBANA regularly publishes two guidelines for donor milk and milk banking, these are: "Best Practices for Expressing, Storing, and Handling Human Milk in Hospitals, Homes" and "Child Care Settings and Guidelines for the Establishment and Operation of a Donor Human Milk Bank". HMBANA also convenes a biennial international conference on donor milk and a biennial membership symposium on milk banking.


      Supporting Link: https://www.hmbana.org/news/events


        International Board of Lactation Consultant Examiners

      International Board of Lactation Consultant Examiners

      Phone: 703-560-7330

      Email: iblce@iblce.org

      Website: http://www.iblce.org

      Action Activities: The International Board of Lactation Consultant Examiners (IBLCE) believes giving mothers the support they need to breastfeed their babies is central to the role and function of IBCLCs. The IBLCE exam is offered in countries throughout the world in seventeen different languages. In addition, together with the International Lactation Consultant Association, the IBLCE administers the IBCLC Care Award to recognize hospitals and birthing facilities that hire IBCLCs and have a dedicated lactation program that provides service 5 to 7 days a week.


      Supporting Link: http://iblce.org/about-iblce/iblce-exam-facts-figures/


        International Childbirth Education Association

      International Childbirth Education Association

      Phone: 919-863-9487

      Email: info@icea.org

      Website: http://www.icea.org

      Action Activities: The International Childbirth Education Association provides both certification and other educational opportunities for breastfeeding support. IAT's are required to attend breastfeeding continuing education on a yearly basis. ICEA is beginning an educational offering "Early Lactation Care Workshop" for all childbirth educators


      Supporting Link: http://icea.org


        La Leche League USA

      La Leche League USA

      Phone: 877-452-5324

      Email: Council@lllusa.org

      Website: https://www.lllusa.org/

      Action Activities: Serving as an accredited LLL Leader is one of the ways those who are not already health care professionals can acquire supervised clinical lactation hours to qualify for the IBLCE exam. By enabling more candidates to acquire the needed hours, LLL USA helps to increase access to professional lactation care.


      Supporting Link: https://iblce.org/step-1-prepare-for-ibclc-certification/lactation-specific-clinical-experience/


        Mom2Mom Global

      Mom2Mom Global

      Phone: 910-401-3566

      Email: info@mom2momglobal.org

      Website: http://www.mom2momglobal.org

      Action Activities: The needs of military families dictate that we utilize pragmatic solutions to ensure and expand access to trained lactation professionals with accurate, evidence-based information. Currently, the requirements to sit the IBCLE exam are prohibitive to many military servicemembers and dependents, but there are a number of other professional credentials accredited by LEAARC that are obtainable for military families. We are pleased that IBLCE has awarded us approval to be a Recognized Mother Support Counsellor Organization, which will mitigate some of these barriers to military spouses who seek to attain the IBCLC credential We strive to increase access to trained, accredited lactation professionals by hosting CLC trainings in our chapter communities, and assisting military servicemembers and spouses in utilizing military programs to fund tuition costs.


      Supporting Link: http://www.mom2momglobal.org


        National Association of Pediatric Nurse Practitioners

      National Association of Pediatric Nurse Practitioners

      Phone: 917-746-8300

      Email: pnp.representative@napnap.org

      Website: http://www.napnap.org

      Action Activities: The National Association of Pediatric Nurse Practitioners Breastfeeding Special Interest Group provides reimbursement to two members who take the IBLCE examination each year through the Breastfeeding Education SIG IBLCE Exam Award.


      Supporting Link: https://www.napnap.org/special-interest-group-sig-awards#BFE%20SIG%20Awards


        United States Lactation Consultant Association

      United States Lactation Consultant Association

      Phone: (202) 738-1125

      Email: info@uslca.org

      Website: http://www.uslca.org

      Action Activities: A top priority for the IBCLC profession in the United States is to obtain licensure in order to protect the public. The United States Lactation Consultant Assocation is communicating with State Medicaid Directors to work on IBCLC reimbursement for lactation services.


      Supporting Link: http://uslca.org/wp-content/uploads/2013/02/Licensure_FAQs_for_IBCLCs.pdf


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      State/Community Activities

        Asian Breastfeeding Task Force

      Asian Breastfeeding Task Force

      Action Activities: Will be providing scholarships to people who speak Asian languages to increase the workforce of lactation individuals who are bilingual.


      Supporting Link:


        Breastfeeding Coalition of Delaware

      Breastfeeding Coalition of Delaware

      Action Activities: All resources in Delaware are compiled on our website for easy of finding peer or professional breastfeeding support.
      The BCD conducted a survey of lactation support in Delaware and found disparities of professional support of those among various racial and ethnic backgrounds as well as disparities in language. In response the BCD began a scholarship program to offer lactation training in hopes to diversify the field and break down barriers to becoming a lactation peer or professional.


      Supporting Link:


        BreastfeedLA

      BreastfeedLA

      Phone: 3232108505

      Email: apalmer@breastfeedla.org

      Website: http://BreastfeedLA.org

      Action Activities: We offer a resource directory with IBCLC's included.


      Supporting Link: http://breastfeedla.org/resource-directory/


        Connecticut Breastfeeding Coalition

      Connecticut Breastfeeding Coalition

      Action Activities: See action 8 and 1


      Supporting Link: http://a


        District of Columbia Breastfeeding Coalition

      District of Columbia Breastfeeding Coalition

      Phone: 202-470-2732

      Email: info@dcbfc.org

      Website: http://www.dcbfc.org

      Action Activities: The Medicaid Coverage to Promote Breastfeeding Policy (2014) created a rule to allow IBCLCs to become Medicaid providers.


      Supporting Link:


        Florida Breastfeeding Coalition

      Florida Breastfeeding Coalition

      Action Activities: Promote the Florida Lactation Consultant Association efforts to obtain licensure of IBCLCs in the state of Florida to improve access of care to breastfeeding mothers and babies.


      Supporting Link: https://www.change.org/p/florida-s-legislators-support-licensure-of-ibclcs-in-florida


        Georgia Breastfeeding Coalition

      Georgia Breastfeeding Coalition

      Action Activities: ZipMilk GA is our Georgia State Breastfeeding Directory. Use it to find breastfeeding help all over the state, including IBCLCs. Healthcare Professionals can use it to connect with other breastfeeding supporters and resources nearby and offer moms an easy way see all the various types of breastfeeding support around you, including how to find and contact an IBCLC.


      Supporting Link: http://www.zipmilk.org


        Kansas Breastfeeding Coalition

      Kansas Breastfeeding Coalition

      Action Activities: The KBC maintains a "Local Resource Directory" to help families and providers find local breastfeeding support. The directory allows families to search by zip code and zoom in or out depending on how far they are willing to travel.


      Supporting Link: http://ksbreastfeeding.org/local-resources/


        Maryland Breastfeeding Coalition

      Maryland Breastfeeding Coalition

      Phone: none

      Email: president@mdbfc.org

      Website: http://www.mdbfc.org

      Action Activities: The Maryland Breastfeeding Coalition has a database of IBCLCs and support groups throughout the state. This is still a work in progress and we update it regularly, adding new resources as they are found. This database also helps us find gaps in care so that we can work to address this issue.


      Supporting Link:


        Minnesota Breastfeeding Coalition

      Minnesota Breastfeeding Coalition

      Action Activities: The Minnesota Breastfeeding Coalition leads a legislative effort to license clinical breastfeeding care in Minnesota.


      Supporting Link: http://mnbreastfeedingcoalition.org/licensure/


      Missouri Breastfeeding Coalition

      Missouri Breastfeeding Coalition

      Action Activities: MO DHSS recently won a five year grant to increase the number of IBCLCs throughout the state. The coalition will be working with DHSS to create awareness of these educational opportunities.


      Supporting Link: http://coming as the dates and locations are determined


        New York Statewide Breastfeeding Coalition

      New York Statewide Breastfeeding Coalition

      Phone: 845-325-3382

      Email: nysbcinc@gmail.com

      Website: http://www.nysbreastfeeding.org

      Action Activities: We are once again offering a few scholarships for persons from the non-dominant culture to sit for the April 2020 IBCLC exam.


      Supporting Link: https://www.nysbreastfeeding.org/community-events/


      Prairie Band Potawatomi Nation Breastfeeding Coalition

      Prairie Band Potawatomi Nation Breastfeeding Coalition

      Phone: 7853050334

      Email: PBPNBreastfeedingCoa@pbpnation.org

      Website: http://

      Action Activities: •our coalition will offer assistance in getting professional lacation care to our mothers


      Supporting Link:


        Precious Jewels Moms Ministries

      Precious Jewels Moms Ministries

      Action Activities: Offer a weekly community based breastfeeding drop in clinic service operated by an International Board Certified Lactation Consultant.

      IBCLC lead community based breastfeeding support group.


      Supporting Link:


      TriCounties Breastfeeding Alliance

      TriCounties Breastfeeding Alliance

      Phone: 530-822-5951

      Email: tlavy@co.sutter.ca.us

      Website: http://

      Action Activities: Developed a resource guide for community health providers for lactation support.


      Supporting Link:


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