HC Reform Update from Mark Sanna: Nursing mothers will not be allowed to use their tax-sheltered health care accounts to pay for breast pumps and other supplies. That is because the IRS has ruled that breast-feeding does not have enough health benefits to quality as a form of medical care. With all the changes the health care overhaul will bring in the coming years, it nonetheless will leave those regulations intact when new rules for flexible spending accounts go into effect in January. Those allow millions of Americans to set aside part of their pretax earnings to pay for unreimbursed medical expenses.