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FinanceFirst Research

America's Falling Birth Rate: U.S. Fertility & Family Affordability Report 2026

A source-linked U.S. diagnosis of fertility, delayed parenthood, childlessness, family costs, policy evidence and the long-run fiscal clock

Data through U.S. fertility through provisional 2025; final TFR, birth order and first-birth age through 2024; childlessness 2024; BLS childcare CPI through July 2026; state childcare prices through 2022; 2026 CBO, SSA and CMS projectionsLatest official release: September 2, 2026Version 2.0

By 42 min read42 sources

Executive summary

What this report finds

The U.S. total fertility rate fell to a record-low 1.5995 births per woman in 2024, while the mean age at first birth reached 27.6. This report separates period fertility from completed family size, documents childlessness and birth order, tests financial-pressure claims against preference and timing evidence, adds a transparent 50-state affordability dataset, and examines what family policy, immigration and productivity can and cannot change.

Start here

The 90-Second Briefing

America is having fewer births, and parenthood is happening later. Final CDC data put the 2024 total fertility rate at 1.5995 births per woman, the lowest on record, and the general fertility rate at 53.8 births per 1,000 women ages 15-44. The mean age at first birth reached 27.6. Provisional 2025 data show 3,606,400 births and a general fertility rate of 53.1. [4] [5]

  • No single cause has been established. Costs, preferences, partnership, timing, health, work and wider uncertainty overlap.
  • Delay is not the same as permanent childlessness. Period rates fall when births move later, even if some occur later.
  • Affordability is real but uneven. Historical state child care prices, current income and rent cannot honestly become one causal score.
  • Policy outcomes differ. Cash can improve household liquidity and reduce poverty; care and leave can support work; fertility effects are more conditional.
  • More births do not repair 2030s trust-fund gaps. Newborns take a generation to enter payroll-tax-paying work.

At a glance

Key findings

  • 1.5995

    Final U.S. TFR in 2024

    Record-low period measure; not completed family size

  • 53.1

    Provisional 2025 general fertility rate

    Births per 1,000 women ages 15-44

  • 27.6

    Mean age at first birth in 2024

    A timing measure, not proof of a birth forgone

  • 51.4%

    2023 births to women age 30 or older

    Up from 30.2% in 1990

  • 14.9%

    Women ages 45-50 childless in 2024

    Census estimate; 16.7% in 2014

  • 48 of 50

    States with observed DOL infant-care prices

    Latest nonmissing through 2022; two remain missing

  • 20.7%

    National childcare CPI rise

    2022 annual index to July 2026; context, not a state quote

  • 2034

    Combined Social Security depletion in all tested TFR cases

    Fertility affects the long run more than the near term

  • 2033 Q2

    Projected Medicare HI depletion

    89% of costs payable in the depletion year

  • No single cause

    Best-supported national conclusion

    Preferences, timing, partnership, health and costs overlap

Definitions readers asked us to clarify

Questions readers asked

Is this annual fertility or completed family size?

Annual GFR and TFR are period measures. Completed cohort fertility is a different endpoint.

Is this observed, surveyed, studied, projected or modeled?

Each major claim is classified and its source context retained.

Does a policy improve poverty, work or fertility?

These are separate outcomes and should be evaluated separately.

Is the state price current?

Observed DOL values are historical through 2022; national CPI context remains separately labeled.

Ungated research data

Download the 50-state family affordability and fertility dataset

All 50 states with labeled source years, observed and missing child care prices, separately labeled national CPI context, income, rent, births, GFR change and PFML status. No composite rank.

Download CSV
Table of contents
  1. The 90-Second Briefing
  2. How to Read the Evidence
  3. America's Fertility Trend, 1990 to 2025
  4. Delayed Parenthood Is a Central Part of the Story
  5. Childlessness Rises at Younger Ages, but Delay Changes the Meaning
  6. Birth Order Shows Which Family-Formation Margin Is Moving
  7. Preferences and Affordability Overlap
  8. What the Newest Research Adds
  9. The Family-Cost Problem Is Real, but It Is Not One Number
  10. The 50-State Family Affordability Dashboard
  11. A Better Way to Handle Old Child Care Prices
  12. What Households Can Do With This Evidence
  13. Judge Family Policy by the Outcome It Targets
  14. Interactive U.S. Family Policy Cost Calculator
  15. What Would Illustrative U.S. Benefits Cost?
  16. What Cash, Leave, Care and Housing Evidence Can Support
  17. International Evidence Is a Stress Test, Not a U.S. Forecast
  18. Singapore's 2026 Package: Useful Design, Unknown Fertility Effect
  19. Low Fertility Matters on a Long Fiscal and Workforce Clock
  20. Social Security: Fertility Changes the Long Run, Not the 2030s
  21. Immigration, Participation and Productivity Work on Different Clocks
  22. Medicare Is an Aging and Health-Cost Story
  23. What We Still Do Not Know
  24. Journalist and Researcher Resources
  25. Methodology, Reproducibility and Citation Rules
  26. Sources

How to Read the Evidence

This report uses six claim classes: observed statistic, survey response, study result, official projection, FinanceFirst calculation and FinanceFirst scenario. They are not interchangeable.

Measures that answer different questions
MeasureWhat it tells usWhat it does not tell us
General fertility rateBirths in a year per 1,000 women ages 15-44Completed family size
Total fertility rateBirths a hypothetical woman would have if current age-specific rates persistedA forecast for one person or cohort
Childlessness by ageShare without a live birth at the survey datePermanent childlessness at younger ages
Expected birthsWhat respondents expect at that timeBirths that will certainly occur
Completed cohort fertilityLifetime births after most childbearing yearsCurrent annual conditions

America's Fertility Trend, 1990 to 2025

The U.S. general fertility rate fell from 70.9 in 1990 to 53.8 in 2024. CDC reported a final 2024 TFR of 1.5995, down 23% from 2008. The 2025 GFR of 53.1 is provisional. [4] [5] [35]

Line chart of the U.S. general fertility rate declining from 70.9 in 1990 to 53.8 in 2024, with a provisional 2025 value of 53.1
Final CDC series through 2024; 2025 is provisional. These are period measures, not completed cohort fertility.

The decline was not a straight line. Rates rose into 2007, fell sharply around the Great Recession, and mostly continued lower afterward. A peer-reviewed review finds that the recession explains the initial drop better than the sustained decline. [33]

Delayed Parenthood Is a Central Part of the Story

The mean age at first birth rose from 25.4 in 2010 to a record 27.6 in 2024. First-birth rates fell for women ages 15-29 in 2024 and rose for ages 30-44. [5]

Line chart showing the U.S. mean age at first birth increasing from 25.4 in 2010 to 27.6 in 2024
Timing changed by more than two years in fourteen years. A later first birth can be postponed, later recovered or ultimately forgone.

CDC''s longer analysis found the share of births to women age 30 or older rose from 30.2% in 1990 to 51.4% in 2023. Births fell 73% among teenagers and 44% among ages 20-24, while increasing 90% among ages 35-39 and 193% among ages 40 and older. [35]

Childlessness Rises at Younger Ages, but Delay Changes the Meaning

In 2024, Census estimated that 40.2% of women ages 30-34, 23.1% of ages 35-39 and 18.8% of ages 40-44 were childless. At ages 45-50, the share was 14.9%, down from 16.7% in 2014. [36] [42]

Census also warns that a 2012 processing change affects long-run comparisons. The report publishes the age-specific values and the warning together.

Birth Order Shows Which Family-Formation Margin Is Moving

Of 3,628,934 final U.S. births in 2024, 1,427,020 were first births and 1,137,499 were second births. Third births totaled 586,733, with progressively fewer at higher orders. [5]

Horizontal bars showing final 2024 U.S. births by first through eighth or higher birth order
Birth-order evidence matters because a policy can affect first births, later births or spacing differently.

Preferences and Affordability Overlap

Pew surveyed a specific group in 2024: adults ages 18-49 without children who said they were unlikely to have children. Among that subgroup, 57% cited not wanting children as a major reason, 44% focusing on other things, 38% the state of the world and 36% inability to afford raising a child. Respondents could select more than one reason. The subgroup contained 770 people and had a margin of sampling error of plus or minus 5.3 percentage points. [28] [29]

Bars showing overlapping reasons reported by a defined Pew subgroup unlikely to have children
Multiple answers were allowed. The percentages do not allocate causes of the national decline.

What the Newest Research Adds

Kearney, Levine and Pardue''s 2022 peer-reviewed review found that no single post-2007 economic, policy or social factor explains the continued broad decline. Kearney and Levine''s 2026 literature review places cohort fertility and childlessness in a wider model of norms, work, parenting, gender roles, consumption and leisure. [33] [37]

An Atlanta Fed 2026 working paper models cohort patterns in parity, stated desire and impaired fecundity. It finds that younger cohorts are less likely to have had a child at observed ages, while a dramatic desire decline appears only for the youngest Gen Z group. The paper is not peer reviewed, the youngest cohorts are incomplete, and its discussion is suggestive rather than causal. [38]

Download the study registry with bounded findings and causal limits.

The Family-Cost Problem Is Real, but It Is Not One Number

Housing, child care, health care, leave, transportation and forgone earnings arrive at different times and affect households differently. Median rent plus median child care is not the budget of a median household, because the medians come from different populations and years.

Historical U.S. housing research found opposite channels: higher prices were associated with fewer births among renters or nonowners and a positive wealth channel among homeowners. That finding argues against one national housing-to-fertility coefficient. [25]

Related FinanceFirst work covers housing affordability and mortgage lock-in, the cost-of-living benchmark and the cost of raising a child.

The 50-State Family Affordability Dashboard

The dashboard contains final 2023 and 2024 state GFRs, 2024 births, 2024 ACS income and rent, the latest nonmissing DOL center-based infant price through 2022, and enacted state paid-family-and-medical-leave status. It deliberately has no composite score. [6] [7] [9] [10] [32]

Bars showing selected endpoints for annualized historical infant care as a share of 2024 median household income
Forty-eight states have observed DOL prices. Indiana and New Mexico remain missing rather than imputed.
Diverging bars showing selected state GFR changes from 2023 to 2024
One-year state movements are descriptive and unadjusted for population composition.

50-state evidence table

Compare affordability inputs, not a composite rank

All 50 states are included. Child care has 48 observed values and two explicit blanks. Sorting changes the question, not the underlying data.

Find your state

Alabama citation-ready snapshot

Alabama's latest available DOL center-based infant price is $7,073 a year (2022). A national BLS index translation to July 2026 is $8,538, but that is not a current state quote. The 2024 ACS median household income is $66,659 and median gross rent is $1,077 a month. The final CDC general fertility rate changed from 57.9 in 2023 to 57.2 in 2024 (-0.7 rate points). DOL does not list an enacted state PFML law.

Suggested citation: FinanceFirst analysis of DOL National Database of Childcare Prices, U.S. Census Bureau 2024 ACS and CDC/NCHS final 2023-2024 state fertility data. The benchmark combines separate state medians and is not an actual household budget.

State child care prices, household income, rent, births, general fertility rate and paid family and medical leave law status
StateDOL yearInfant care / yearJuly 2026 CPI contextCare / incomeRent + care benchmarkMedian incomeMedian rent / month2024 birthsGFRGFR changePFML lawPrice coverage
Alabama AL2022$7,073$8,53810.6%30%$66,659$1,07757,93457.2-0.7No state law listed100%
Alaska AK2022$18,819$22,71919.7%37.8%$95,665$1,4448,94360.8-1.6No state law listed53.5%
Arizona AZ2022$14,040$16,95017.2%41.9%$81,486$1,67278,71153.2-1No state law listed100%
Arkansas AR2021$7,670$9,62612.3%31.3%$62,106$98235,39558.8-0.4No state law listed98.1%
California CA2022$19,719$23,80619.7%44.9%$100,149$2,104402,07549.8-0.6Enacted100%
Colorado CO2022$19,625$23,69220.2%42.7%$97,113$1,82264,26851.6+1.4Enacted100%
Connecticut CT2022$18,200$21,97218.9%38.3%$96,049$1,55034,59948.9-1.3Enacted100%
Delaware DE2022$14,575$17,59516.7%37.6%$87,534$1,53010,55053.7-0.7Enacted100%
Florida FL2022$11,700$14,12515.1%43%$77,735$1,812224,38952.2-1.7No state law listed98.9%
Georgia GA2022$10,660$12,86913.3%35.9%$79,991$1,506126,43754.7-0.2No state law listed100%
Hawaii HI2022$19,020$22,96218.9%42%$100,745$1,94214,91756.6-0.3No state law listed95.2%
Idaho ID2022$8,653$10,44710.7%31.1%$81,166$1,38423,27658.6+1No state law listed100%
Illinois IL2022$14,473$17,47317.4%36.5%$83,211$1,322125,73149.7-0.7No state law listed93.6%
Indiana INMissingNot availableNot availableNot availableNot available$71,959$1,10480,25759.1+0.2No state law listedNot available
Iowa IA2022$8,631$10,42011.4%27%$75,501$98136,43658.8-0.2No state law listed100%
Kansas KS2022$8,181$9,87710.8%28%$75,514$1,07933,98458.3-1.2No state law listed100%
Kentucky KY2022$7,868$9,49812.2%30.8%$64,526$99852,91360.3-0.1No state law listed100%
Louisiana LA2022$7,973$9,62613.1%34%$60,986$1,06453,30558.2-2.2No state law listed100%
Maine ME2022$11,960$14,43915.6%34.6%$76,442$1,21011,60146.3-0.7Enacted100%
Maryland MD2022$17,024$20,55316.5%36.6%$102,905$1,72165,79753.3-0.8Enacted100%
Massachusetts MA2022$24,001$28,97522.9%44%$104,828$1,84868,18446.8-0.6Enacted100%
Michigan MI2022$9,006$10,87312.4%31.8%$72,389$1,16899,52551.5-0.7No state law listed100%
Minnesota MN2022$20,280$24,48323.3%41.1%$87,117$1,29162,11055.2-0.5Enacted100%
Mississippi MS2022$6,171$7,45010.4%30.5%$59,127$99033,47357.3-1.9No state law listed100%
Missouri MO2020$11,177$14,29015.6%33.5%$71,589$1,06767,99855.9+0.1No state law listed52.1%
Montana MT2022$11,482$13,86215.2%34%$75,340$1,17711,33153.3+1.1No state law listed100%
Nebraska NE2022$12,675$15,30216.6%33.9%$76,376$1,10224,78562.9+0.4No state law listed100%
Nevada NV2022$14,333$17,30317.7%42.9%$81,134$1,70932,38150.1-0.7No state law listed100%
New Hampshire NH2022$15,603$18,83615.6%34.4%$99,782$1,55811,77045.9-0.9No state law listed100%
New Jersey NJ2022$16,314$19,69515.6%36.4%$104,294$1,800101,37255.7-1.7Enacted100%
New Mexico NMMissingNot availableNot availableNot availableNot available$67,816$1,11721,32851.9+0.4No state law listedNot available
New York NY2022$15,600$18,83318.2%41%$85,820$1,634205,48952.1-0.6Enacted100%
North Carolina NC2022$10,531$12,71414.2%35.9%$73,958$1,338122,85655.8-0.2No state law listed100%
North Dakota ND2022$11,118$13,42214.3%29.4%$77,871$9809,63460.4-1.6No state law listed100%
Ohio OH2022$15,340$18,51921.2%39.4%$72,212$1,090126,79555.6-0.8No state law listed100%
Oklahoma OK2022$11,204$13,52616.9%35.9%$66,148$1,04447,96258.4-0.7No state law listed100%
Oregon OR2022$17,131$20,68120.1%42.6%$85,220$1,59738,96346.1+0.2Enacted100%
Pennsylvania PA2020$11,331$14,48714.6%34%$77,545$1,252127,29951.2-0.7No state law listed100%
Rhode Island RI2022$15,059$18,18018%38.4%$83,504$1,41810,00945-0.2Enacted100%
South Carolina SC2022$10,344$12,48814.3%35.4%$72,350$1,27258,76855.5-0.3No state law listed100%
South Dakota SD2022$7,800$9,41710.1%25.7%$76,881$99911,45166.7+1.1No state law listed100%
Tennessee TN2022$11,007$13,28815.3%36.7%$71,997$1,28483,83358.5-0.4No state law listed100%
Texas TX2022$9,620$11,61412.1%34.3%$79,721$1,475390,82859.3-1.3No state law listed100%
Utah UT2022$11,766$14,20512.2%31.9%$96,658$1,59346,66459.9+0.3No state law listed100%
Vermont VT2021$16,282$20,43419.7%38.8%$82,730$1,3195,02341.7-0.4No state law listed100%
Virginia VA2022$12,829$15,48813.9%35.4%$92,090$1,64694,05453.7+0.1No state law listed100%
Washington WA2022$18,580$22,43118.7%40.7%$99,389$1,82483,11851.3-0.1Enacted100%
West Virginia WV2022$8,709$10,51514.3%31.8%$60,798$88317,02254.3+1.2No state law listed100%
Wisconsin WI2022$15,236$18,39419.7%37.3%$77,488$1,14259,68652.8-0.8No state law listed100%
Wyoming WY2022$8,381$10,11811.1%27%$75,532$9986,08954.8+0.3No state law listed98.7%
Showing 50 of 50 states. Observed DOL prices remain historical; the July 2026 value is only a national BLS index translation and not a current state quote. The illustrative benchmark combines separate medians and is not the budget of a typical household. GFR change compares final 2023 and 2024 CDC rates. PFML means law enacted, not universal eligibility.

A Better Way to Handle Old Child Care Prices

DOL state prices end in 2022 and some state observations are older. FinanceFirst preserves those observed values and adds a separately labeled national CPI context translation through July 2026 using BLS series CUUR0000SEEB03. From the 2022 annual index to July 2026, the national day-care and preschool index rose about 20.7%. [7] [39]

Paired bars comparing selected observed DOL state infant-care prices with a national CPI context translation to July 2026
The CPI translation is not a current state quote, imputation or provider-level estimate.

What Households Can Do With This Evidence

  1. Build a first-year cash-flow plan that separates one-time purchases from monthly care, housing and insurance.
  2. Price actual local care slots and waitlists. A state median is context, not a quote.
  3. Check employer leave, FMLA eligibility, state PFML, insurance deductibles and tax-credit eligibility separately.
  4. Stress-test reduced hours or an unpaid-leave period, even when the preferred plan is a quick return to work.
  5. Keep emergency savings and retirement contributions visible. A new child changes both liquidity and the long horizon.

Useful tools include the budget calculator, emergency-fund calculator and retirement-savings calculator.

Judge Family Policy by the Outcome It Targets

Policy endpoints should remain separate
ObjectiveWhat to measureCommon mistake
Household liquidityCash received and timingCalling a restricted account immediate cash
Child povertyAfter-tax resources and hardshipTreating poverty evidence as fertility evidence
Parental employmentLeave, hours, return to work and care supplyIgnoring provider capacity
Birth timingConceptions and period births by age or orderClaiming completed-fertility change too soon
Completed fertilityLifetime births for completed cohortsUsing one-year TFR as the endpoint

Interactive U.S. Family Policy Cost Calculator

The calculator separates first-year cash cost, mature annual cash cost, one-cohort nominal commitment and present value. Defaults are illustrative and not an enacted program, forecast or legislative score.

Server-rendered default
Annual births3,606,400Nominal per child$42,000
Birth payment$10,000First-year gross$43.277B
Annual credit$2,000 for 16 yearsCohort commitment$151.469B
Discount rate3%Cohort present value$126.665B

Interactive scenario tool

Build a U.S. family-support package

Keep the gross-universal baseline visible, then optionally test eligibility, take-up, administration and indexation. This is transparent scenario arithmetic, not a budget score or fertility forecast.

Editable assumptions

Universal gross baseline

Nominal per child
$42,000
First year
$43.3B
Mature annual
$151.5B
One cohort commitment
$151.5B
PV per child
$35,122
PV of one cohort
$126.7B
Share of budget
2.05%
Births assumed
3,606,400

Optional participation scenario

Participating births
3,606,400
Indexed nominal per eligible child
$42,000
First-year cash cost
$43.3B
Mature annual cash cost
$151.5B
One-cohort nominal commitment
$151.5B
One-cohort present value
$126.7B
Timing: first-year cost includes one year of recurring benefits for the new cohort. Mature annual cost assumes equally sized cohorts and every promised payment active. Participation inputs affect the optional scenario only. Indexation compounds recurring benefits; present value discounts end-of-year payments.

What Would Illustrative U.S. Benefits Cost?

Using 3,606,400 provisional 2025 births, a universal one-time payment would cost $9.016 billion at $2,500 per birth, $18.032 billion at $5,000, $36.064 billion at $10,000 and $72.128 billion at $20,000. These are gross multiplications, not net budget estimates. [4]

Bars showing gross national costs for one-time benefits of 2500, 5000, 10000 and 20000 dollars per provisional 2025 birth
FinanceFirst scenario arithmetic. Eligibility, take-up, administration, offsets and behavior are excluded.
Bars comparing first-year and mature annual costs for three illustrative family-policy packages
Cost depends on the payment clock and on whether recurring age cohorts are active.

What Cash, Leave, Care and Housing Evidence Can Support

Quasi-experimental studies find selected fertility-timing or birth-order responses to cash in Quebec and Spain, and a second-birth response to leave duration in Austria. A U.S. family-cap study found no measurable aggregate reduction. California leave and Quebec child care studies provide useful labor-market evidence without proving completed-fertility effects. [20] [21] [22] [23] [24] [26]

Download the endpoint-specific evidence scorecard.

International Evidence Is a Stress Test, Not a U.S. Forecast

OECD evidence shows that cash, leave, early-childhood care and housing policies operate as systems. Cash-alone fertility effects are often modest or temporary, while care and leave can reduce work-family conflict. Countries with extensive support can remain far below replacement fertility. [30]

Quebec, Spain, Austria, Poland, South Korea and Hungary provide different lessons because benefit design, labor markets, housing, norms and baseline institutions differ. Simple before-and-after national TFR comparisons are not treated as causal.

Singapore's 2026 Package: Useful Design, Unknown Fertility Effect

Singapore''s resident TFR fell from 0.97 in 2024 to 0.87 in 2025. It recorded 30,004 live births in 2025, including 27,529 resident births. The new family package was announced in August 2026, so no demographic effect is yet observable. [3] [41]

The package is worth up to S$62,000 from birth through age 17: S$10,000 Baby Gift, S$32,000 in annual Child Credits, a S$5,000 CDA grant, up to S$5,000 in matching deposits and a S$10,000 education-account top-up. Existing and approximate support brings the official broader description to almost S$70,000. It is not cash at birth. [1] [2]

Bars showing Singapore support scheduled at birth, annually from ages one through sixteen, and at age seventeen
The timing, restrictions and conditional co-match matter as much as the headline total.

Low Fertility Matters on a Long Fiscal and Workforce Clock

CBO projects the population grows from 349 million in 2026 to 364 million in 2056, then reaches zero growth. It projects deaths exceed births beginning in 2030, after which net immigration accounts for all population growth. The number of people ages 25-64 per person age 65 or older falls from 2.7 to 2.2. [12]

CBO projects the TFR at 1.58 in 2026 and 1.53 from 2036 onward. Those are assumptions in a projection, not targets or certainties. Population, total GDP and GDP per person are different outcomes. Productivity, participation, wages, capital and distribution also matter.

Timeline of CBO and Trustees demographic and trust-fund milestones from 2025 to 2056
New births affect the workforce after a long lag; trust-fund dates also depend on wages, health costs and policy.

Social Security: Fertility Changes the Long Run, Not the 2030s

The 2026 Trustees test ultimate TFR assumptions of 1.40, 1.75 and 2.10. The 75-year actuarial balance improves from -5.23% to -4.42% to -3.67% of taxable payroll, yet the combined reserve-depletion year remains 2034 in all three cases. Each 0.1 increase in ultimate TFR improves the long-range balance by about 0.22% of taxable payroll. [31]

Bars showing official Social Security actuarial balances under three ultimate fertility assumptions
Official Trustees values, not FinanceFirst forecasts or dollar estimates.

Immigration, Participation and Productivity Work on Different Clocks

The Trustees'' average annual net-immigration assumptions of 750,000, 1,176,000 and 1,621,000 produce 75-year balances of -4.86%, -4.42% and -4.00% of taxable payroll, while combined depletion remains 2034. Immigration can add workers sooner than newborns, depending on age, employment and earnings. [31]

Bars showing official Social Security actuarial balances under three immigration assumptions
Fertility, immigration, labor-force participation and productivity are complements, not guaranteed substitutes.

Medicare Is an Aging and Health-Cost Story

The 2026 Medicare Trustees project Hospital Insurance reserve depletion in the second quarter of 2033, with 89% of scheduled HI costs payable in the depletion year and 93% in 2100. The HI actuarial balance is -0.56% of taxable payroll. Part B and Part D are financed differently through annually reset premiums and general revenues. [40]

Fertility is only one demographic input. Health-cost growth, wages, provider payments, labor participation, immigration and future policy choices all affect the result. CBO projects combined Social Security and Medicare outlays rise from 8.7% of GDP in 2027 to 10.1% in 2036. [34]

What We Still Do Not Know

  • How much of the national decline reflects births delayed versus permanently forgone.
  • How preferences, partnership, health, direct cost and opportunity cost interact for the same person.
  • Which policy package would change completed U.S. fertility, by how much and for whom.
  • How quickly child care or housing supply would respond to a national subsidy.
  • What Singapore''s 2026 package will do; it is too new for outcome evaluation.
  • Whether a single state''s one-year GFR change reflects behavior, composition, migration or reporting variation.

Uncertainty is not a reason to ignore household hardship. It is a reason to match each claim to the outcome actually measured.

Journalist and Researcher Resources

Every downloadable asset uses the canonical report name and version 2.0. The package includes machine-readable national trends, state data, policy scenarios, study limits, fiscal sensitivities, charts, a workbook, checksums and methodology.

Suggested citation: Asim Ahmad. “America''s Falling Birth Rate: U.S. Fertility & Family Affordability Report 2026.” FinanceFirst Research, version 2.0, September 2, 2026.

Questions and correction notices: info@financefirst.co. See the corrections policy.

Methodology, Reproducibility and Citation Rules

National fertility series come from CDC; childlessness from Census; childcare prices from DOL; inflation context from BLS; income and rent from ACS; policy evidence from primary government, peer-reviewed studies and identified working papers; projections from CBO, SSA and CMS.

The state dashboard does not impute missing observed prices or create a composite rank. National CPI translations are separately labeled context. Policy costs are gross arithmetic. Spot exchange rates are not purchasing-power parity. Projections remain attributed. Working papers remain labeled. No external endorsement or approval is claimed.

Download the full methodology and data dictionary or review the claim-to-source audit.

Technical methods and validation

Version 2.0: U.S.-first editorial structure, CDC national fertility and birth-order series, Census childlessness, delayed-parenthood analysis, BLS child care CPI context, study registry, 50-state dashboard, policy-cost models, and exact CBO, SSA and CMS projection values.

Claim classes remain separate. Period fertility does not equal completed fertility. Historical state prices remain observed historical values; CPI translations are context only. No composite score, fertility forecast, legislative score or claim of external approval is made.

Sources and data references

Sources are listed for transparency. Data periods may differ, so each chart and claim should be read with its cited date and methodology.

  1. Singapore Prime Minister's Office - National Day Rally 2026

    Official August 23, 2026 speech summary covering direct support, child care, housing and policy context.

    Accessed September 1, 2026

  2. Singapore Strategy Group - Marriage and Parenthood Measures at National Day Rally 2026

    Official component amounts, ages, start dates, transition rules and the distinction between up to S$62,000 in new measures and almost S$70,000 in total support.

    Accessed September 1, 2026

  3. Singapore Department of Statistics - Births and Fertility Table Builder

    Official table for Singapore live births and resident total fertility rate.

    Accessed September 2, 2026

  4. CDC NCHS - Provisional Births: 2025

    Provisional 2025 U.S. births and general fertility rate, including coverage and revision status.

    Accessed September 1, 2026

  5. CDC NCHS - Births: Final Data for 2024

    Final 2024 births, GFR, TFR, first-birth age and live-birth order.

    Accessed September 2, 2026

  6. CDC NCHS - State Fertility Rate, 2024

    Final 2024 state births and general fertility rates from NVSS via CDC WONDER.

    Accessed September 1, 2026

  7. U.S. Department of Labor - National Database of Childcare Prices

    Official county and state child care price estimates for 2008-2022.

    Accessed September 1, 2026

  8. U.S. Department of Labor - NDCP Technical Report

    Definitions, source construction, modeling details and limitations for the childcare-price data.

    Accessed September 1, 2026

  9. U.S. Census Bureau - 2024 ACS One-Year Summary File

    State median household income and median gross rent from tables B19013 and B25064.

    Accessed September 1, 2026

  10. U.S. Department of Labor Women's Bureau - Paid Leave

    Current federal inventory of state paid family and medical leave laws.

    Accessed September 1, 2026

  11. Federal Reserve Board via FRED - DEXSIUS

    H.10 Singapore dollars per U.S. dollar spot exchange rate; 1.2744 on August 28, 2026.

    Accessed September 1, 2026

  12. Congressional Budget Office - The Demographic Outlook: 2026 to 2056

    Population growth, births and deaths, net immigration and age-support projections.

    Accessed September 1, 2026

  13. Social Security Administration - 2026 Trustees Report Projection Table

    Covered workers per OASDI beneficiary and long-range intermediate projections.

    Accessed September 1, 2026

  14. Social Security and Medicare Boards of Trustees - 2026 Summary

    OASI, OASDI and Medicare HI reserve depletion projections and payable shares.

    Accessed September 1, 2026

  15. Congressional Budget Office - 2026 Budget and Economic Data

    FY2026 federal outlay projection used only as a scale denominator.

    Accessed September 1, 2026

  16. U.S. Census Bureau - Impact of the 2021 Expanded Child Tax Credit on Child Poverty

    Census estimate of the temporary expansion's Supplemental Poverty Measure effect.

    Accessed September 1, 2026

  17. Internal Revenue Service - Internal Revenue Bulletin 2025-45

    Official 2026 Child Tax Credit maximum and refundable amount; eligibility rules apply.

    Accessed September 1, 2026

  18. CDC NCHS - Birth Expectations in the United States, 2022-2023

    NSFG expected future births by age and prior births. Expectations are not completed fertility.

    Accessed September 1, 2026

  19. Gallup - Americans' Ideal Family Size Remains Above Two Children

    Transparent 2025 survey of ideal family size. An attitude question is not a fertility outcome.

    Accessed September 1, 2026

  20. Milligan - Subsidizing the Stork

    Quebec cash incentive study, later published in the Review of Economics and Statistics.

    Accessed September 1, 2026

  21. Gonzalez - Universal Child Benefit, Conceptions, Abortions and Maternal Labor Supply

    Peer-reviewed Spain policy study with fertility and early labor-supply outcomes.

    Accessed September 1, 2026

  22. Lalive and Zweimuller - Parental Leave, Fertility and Return to Work

    Peer-reviewed Austrian policy-discontinuity evidence on second births, spacing and return to work.

    Accessed September 1, 2026

  23. Kearney - Incremental Welfare Benefits and Fertility Behavior

    U.S. state family-cap study reporting no measurable aggregate fertility reduction.

    Accessed September 1, 2026

  24. Baker, Gruber and Milligan - Long-Run Impacts of a Universal Child Care Program

    2026 working paper on Quebec maternal employment, earnings and fiscal flows; not a direct fertility estimate.

    Accessed September 1, 2026

  25. Dettling and Kearney - House Prices and Birth Rates

    Historical U.S. evidence with different homeowner and nonowner channels.

    Accessed September 1, 2026

  26. Bailey et al. - Long-Run Effects of California's Paid Family Leave Act

    Quasi-experimental evidence on leave use and maternal labor-market outcomes; not completed fertility.

    Accessed September 1, 2026

  27. Congressional Budget Office - The Long-Term Budget Outlook: 2026 to 2056

    Long-term fiscal context and uncertainty across demographic, economic and policy inputs.

    Accessed September 1, 2026

  28. Pew Research Center - The Experiences of U.S. Adults Who Don't Have Children

    Reasons reported by a defined subgroup unlikely to have children; multiple responses allowed.

    Accessed September 2, 2026

  29. Pew Research Center - Adults Without Children Methodology

    Field dates, subgroup n=770 and plus or minus 5.3 percentage-point margin of error.

    Accessed September 2, 2026

  30. OECD - Society at a Glance 2024

    Cross-country fertility and family-policy synthesis.

    Accessed September 2, 2026

  31. Social Security Administration - 2026 Long-Range Sensitivity Analysis

    Official fertility and net-immigration actuarial sensitivities.

    Accessed September 2, 2026

  32. CDC NCHS - Births: Final Data for 2023

    Comparable final 2023 state GFRs.

    Accessed September 2, 2026

  33. Kearney, Levine and Pardue - The Puzzle of Falling U.S. Birth Rates since the Great Recession

    Peer-reviewed review of candidate explanations.

    Accessed September 2, 2026

  34. Congressional Budget Office - The Budget and Economic Outlook: 2026 to 2036

    Current fiscal, population and aging context.

    Accessed September 2, 2026

  35. CDC NCHS - Effects of Age-specific Fertility Trends on Overall Fertility Trends, 1990-2023

    Long-run GFR, TFR and maternal-age shifts.

    Accessed September 2, 2026

  36. U.S. Census Bureau - Fertility of Women in the United States: 2024

    Age-specific childlessness and fertility tables.

    Accessed September 2, 2026

  37. Kearney and Levine - Why Is Fertility So Low in High-Income Countries?

    Peer-reviewed 2026 literature synthesis.

    Accessed September 2, 2026

  38. Federal Reserve Bank of Atlanta - What's Behind Declining Birth Rates in the U.S.?

    2026 working paper on cohort parity, desire and impaired fecundity; not peer reviewed.

    Accessed September 2, 2026

  39. U.S. Bureau of Labor Statistics - CPI-U Day Care and Preschool

    National price-index context through July 2026.

    Accessed September 2, 2026

  40. Centers for Medicare & Medicaid Services - 2026 Medicare Trustees Report

    HI depletion, payable shares and SMI financing context.

    Accessed September 2, 2026

  41. Singapore Department of Statistics - Births and Fertility Rates Data API

    Official API for the latest resident TFR and birth counts.

    Accessed September 2, 2026

  42. U.S. Census Bureau - While Share of Younger Women Without Children Increased

    Age-specific childlessness and delay versus later completed childbearing.

    Accessed September 2, 2026

Frequently asked questions about this report

What is the latest U.S. fertility rate?

CDC reported a final 2024 total fertility rate of 1.5995 births per woman and a final general fertility rate of 53.8 births per 1,000 women ages 15-44. The provisional 2025 general fertility rate was 53.1. These are period measures, not completed family size.

Why is the U.S. birth rate falling?

No single cause has been established. Preferences, delayed family formation, partnership, direct and opportunity costs, service availability, health and uncertainty overlap.

Is delayed parenthood the same as permanent childlessness?

No. A later first birth can lower current period fertility even if it occurs later. Childlessness at younger ages is not permanent childlessness.

Do child care costs explain falling fertility?

Child care is a major household cost, but state prices, income and fertility do not establish causation. National CPI context cannot produce current state quotes.

Do cash benefits increase fertility?

Some studies find timing or birth-order responses in specific settings. The evidence does not support one universal U.S. effect. Cash can still improve liquidity or reduce poverty.

Can higher fertility fix Social Security soon?

No. In the 2026 Trustees sensitivity, all tested fertility assumptions retain a 2034 combined depletion year. Higher fertility matters more over the long run.

What does Singapore teach the United States?

Its design shows why timing, restrictions, service capacity and housing matter. Its 2026 fertility effect is unknown, and its resident TFR is not perfectly comparable with the U.S. national measure.

Can I use the state CPI-context value as a 2026 quote?

No. It is an index translation using national BLS inflation, not a current observed state market price or provider quote.

How to cite this report

Asim Ahmad. “America's Falling Birth Rate: U.S. Fertility & Family Affordability Report 2026.” FinanceFirst Research, version 2.0, September 1, 2026. https://financefirst.co/reports/us-fertility-family-affordability-2026

About the author

Asim Ahmad

Founder and Editor

Asim Ahmad is the founder and editor of FinanceFirst, where he leads editorial standards, consumer-finance research, and data-driven financial education.

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