|The cat wants to know how it's done.|
I live in Washington state and have insurance through LifeWise, bought on the healthcare exchange since I'm self-employed. If you're employed with health benefits or covered under a family member's employer-sponsored plan, you're likely already on one of the newer plans. If you're freelance, you probably know whether you're uninsured or on an older, grandfathered plan (which are not required to meet all the new benefits, including this one), or whether you've purchased one of the new subsidized (depending on income) healthcare plans through the government marketplace for your state. Among the new rules of healthcare reform are a requirement that new plans cover maternity and newborn care (no pre-existing condition exclusions) and that they cover lactation consultation and either the purchase of a retail breast pump or the rental of a hospital-grade breast pump. (If you have Medicaid or WIC or a state-sponsored low-income insurance plan, the Affordable Care Act might not apply to you, but you can still get a breast pump through WIC or possibly your state's Medicaid program.)
Here are a couple quotes from an online pamphlet from the government summarizing the benefits of healthcare reform for breastfeeding parents:
Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding. These services may be provided before and after you have your baby.
Your health insurance plan must cover the cost of a breast pump – and may offer to cover either a rental or a new one for you to keep.
Your plan may provide guidance on whether the covered pump is manual or electric, how long the coverage of a rented pump lasts, and when they’ll provide the pump (before or after you have the baby).
[Healthcare.gov: "Breastfeeding benefits"]