I know that in California at least many times it is reimbursement related as our state Medi-cal will only reimburse lactation services that were provided by and RN, RD (or above) under a physician as an OP and in house I understand that this is the case as well (except you do not work under 1 physician per se)...I think it is sad, especially in CA where I know great LC's (with any initials) that are not either of those and they cannot see these patients which means they all go to WIC or a private practice that provides someone that meets the standards....hmm and WIC is overworked why?? Kind of ironic since most of my mothers insurance plans will not even pay for a pump unless the baby is still in the hospital and even then it can be a fight...Medi-cal will pay but only to the right persons. Emily Lindsey, BSPsy, CLE Private Practice Merced, CA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]