America might finally make childbirth free
As politicians grapple with declining birth rates, the financial burden of giving birth in America — where privately insured families face out-of-pocket costs of nearly $3,000 on average — has captured widespread attention. Last month, when news broke that the Trump administration was considering $5,000 baby bonuses for new parents, comedian Taylor Tomlinson captured the national frustration: “That’s like spritzing a volcano with a water gun.” A recent viral TikTok showing one mother’s $44,000 hospital bill shocked viewers worldwide, underscoring the uniquely brutal pressures facing American families.
Now, a rare bipartisan solution could directly address at least the problem of expensive childbirth. The Supporting Healthy Moms and Babies Act, introduced in the Senate last week, would require private insurance companies to fully cover all childbirth-related expenses — from prenatal care and ultrasounds to delivery, postpartum care, and mental health treatment — without any co-pays or deductibles. (Medicaid, which insures roughly 41 percent of American births, already covers these costs.)
The bill was introduced by Republican Sens. Cindy Hyde-Smith (MS) and Josh Hawley (MO), and Democratic Sens. Tim Kaine (VA) and Kirsten Gillibrand (NY). A companion bipartisan version is expected in the House soon, with Democratic Rep. Jared Golden (ME) among the forthcoming cosponsors.
Perhaps most striking are the bill’s endorsees: organizations that typically find themselves on opposite sides of reproductive health debates. Supporters include the American College of Obstetricians and Gynecologists, the American Medical Association, and the Association of Maternal and Child Health Programs, alongside prominent anti-abortion groups including Americans United for Life, Susan B. Anthony Pro-Life America, Students for Life, and Live Action.
While the White House has not yet weighed in, Vice President JD Vance championed the idea during his Senate tenure. He publicly called the free childbirth proposal “interesting” in January 2023, and his office had been preparing bipartisan legislation on the issue last year before being tapped to join the Trump campaign. Notably, Vance’s former Senate staffer Robert Orr, who led the childbirth bill initiative, now works for Hawley.
Some abortion rights advocacy groups, too, have expressed approval. Kimberly Inez McGuire, executive director at Unite for Reproductive & Gender Equity, told me her organization “proudly supports” the bill. Dorianne Mason, the director of health equity at the National Women’s Law Center, said they are “encouraged” to see the bipartisan effort. A spokesperson for Planned Parenthood Action Fund said the group is still reviewing the bill........
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