APA WF # 25-26 Lactation Consultant Revisions

The proposed policy changes are being promulgated as Permanent Rules.

The proposed policy changes amend the licensing requirements for lactation consultants. Current OHCA policy requires that lactation consultants be both an International Board Certified Lactation Consultant (IBCLC) and a registered nurse or registered dietician. The proposed revisions remove the requirement that lactation consultants be a registered nurse or registered dietician as a condition of coverage. Providers will only be required to be an IBCLC to contract with OHCA and be reimbursed for lactation consultant services. The proposed changes will also allow lactation consultant services to be provided via telehealth when appropriate. Such services will be subject to existing telehealth limitations. Lactation consultant services must be recommended by a physician or other licensed provider, such as a physician assistant, advanced practice registered nurse, certified nurse midwife, or licensed midwife. There is no change to reimbursement rates for lactation consultants.

Please view the draft regulatory text here and submit feedback via the comment box.

Pursuant to 75 O.S. §303(D), a rule impact statement will be posted here beginning December 30, 2025. Individuals may also request a copy using the comment box, and the statement will be provided on December 30, 2025.

Proposed Policy Timeline

Circulation Date: 12/15/2025

Medical Advisory Committee: 1/8/2026

Comment Due Date: 1/15/2026

Public Hearing: 1/15/2026

Board Meeting: 1/21/2026

After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.