Catalyzing Change: Expanding Equity in Lactation Care to Improve Maternal and Child Health
March 9, 2026
Overview
As part of this project, the Network provided technical assistance and legal analysis, reviewed proposed changes to regulations, and produced an issue brief, Creating an Equitable Landscape for Lactation Consultant Licensure in Rhode Island. This brief became a key advocacy tool for the legislation and has since informed similar policy discussions in other states, including Utah.
In 2024, Rhode Island enacted landmark legislation expanding licensure eligibility for lactation support professionals to include Certified and Advanced Lactation Counselors (CLCs and ALCs). This reform removed barriers that excluded qualified, often community-based providers from the workforce and reimbursement systems.
This policy advancement was the result of a collaborative effort that included the Network for Public Health Law; Our Journ3i, a Black-led perinatal wellness organization; and the Rhode Island Department of Health. As part of the project, we provided technical assistance and legal analysis, reviewed proposed changes to regulations, and produced an issue brief, Creating an Equitable Landscape for Lactation Consultant Licensure in Rhode Island. This briefbecame a key advocacy tool for the legislation and has since informed similar policy discussions in other states, including Utah.
The passage of legislation in Rhode Island to include CLCs and ALCs, significantly broadening the pool of qualified providers. As a result of this legislative change, more professionals are now able to deliver lactation support across a variety of community settings; there is enhanced access to culturally responsive care for families who have historically faced barriers to receiving adequate breastfeeding support; and Rhode Island’s action established a policy precedent that other states can look to as they consider revising their own licensure laws to better meet the needs of diverse populations.