{"abstract":"The Assistant Secretary of Defense for Health Affairs issues this notice announcing the creation of a demonstration to cover the services of three new classes of extra-medical TRICARE-authorized providers: certified labor doulas (CLDs), certified lactation consultants, and certified lactation counselors. The demonstration also adds childbirth support services, provided by CLDs, as a benefit under TRICARE and expands the existing breastfeeding counseling benefit to include group breastfeeding counseling sessions. The demonstration will commence January 1, 2022, and will be conducted for a period of 5 years covering eligible beneficiaries in the 50 United States and District of Columbia. Eligible beneficiaries in overseas locations will be covered under the demonstration beginning January 1, 2025, until termination of the demonstration project.","action":"Notice of demonstration project.","agencies":[{"raw_name":"DEPARTMENT OF DEFENSE","name":"Defense Department","id":103,"url":"https://www.federalregister.gov/agencies/defense-department","json_url":"https://www.federalregister.gov/api/v1/agencies/103","parent_id":null,"slug":"defense-department"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2021/10/29/2021-23583.html","cfr_references":[],"citation":"86 FR 60006","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":null,"disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"2021-23583","effective_on":null,"end_page":60011,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2021/10/29/2021-23583.xml","html_url":"https://www.federalregister.gov/documents/2021/10/29/2021-23583/establishing-a-tricare-childbirth-and-breastfeeding-support-demonstration","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2021-23583?publication_date=2021-10-29","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2021-10-29/2021-23583/mods.xml","not_received_for_publication":null,"page_length":6,"page_views":{"count":9738,"last_updated":"2026-04-04 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-10-29/pdf/2021-23583.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-23583.pdf?1635425137","publication_date":"2021-10-29","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2021/10/29/2021-23583.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":60006,"subtype":null,"title":"Establishing a TRICARE Childbirth and Breastfeeding Support Demonstration","toc_doc":"Establishing a TRICARE Childbirth and Breastfeeding Support Demonstration","toc_subject":null,"topics":[],"type":"Notice","volume":86}