Dear Germaine: I imagine that if you are working for a home health agency, there must be someone there who negotiates contracts with payors (eg. insurance companies, HMO's, etc.) These contracts will spell out what Home Health will do and how much the payor will reimburse. Find out this person on your staff FIRST -- that will give you the ground work from where to go. It will also let you know if there are other health care providers involved in the payment process (eg. physicians who must make the referrals for breastfeeding-specific home health services) and how supportive these people will be of your ideas. Discuss with your supervisors/managers the issue and your ideas to see if they will help you develop something to propose adding to your agency's contract. Some health insurance companies are starting to reimburse for LC services (CIGNA, Aetna?), so this may be something the U.S. industry as a whole will start to build in to their benefits and services. Good Luck and let us know what you discover! Doraine Bailey ILCA World Breastfeeding Week Coordinator WBW 1998: "Breastfeeding: The Best Investment" ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com