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Texas ranks among worst states to have a baby, new report says

The best places to have a baby are in the Midwest and the Northeast, not the South, according to the report.

Texas might be a family friendly state, but it certainly isn't baby friendly, according to a new WalletHub study.

Texas earned a dismal rank as No. 45 in WalletHub's 2026 report "Best and Worst States to Have a Baby," which compared all 50 states and the District of Columbia based on 31 "baby friendliness" metrics, such as affordability, health care accessibility, infant care costs, and others.

The top five best states to have a baby, in order, are: Massachusetts, Minnesota, North Dakota, Rhode Island, and New Hampshire.

Texas ranked 7th worst overall in the U.S. because of how expensive it is to have a child in the state, and because of its low prevalence of healthcare professionals for mothers and children relative to other states.

Across the four main categories in the report, Texas landed 47th nationally for its medical costs, 42nd in healthcare quality, and its baby- and family-friendliness both ranked 34th best in the country.

WalletHub says the average cost for a conventional delivery in the U.S. comes out to more than $15,700, and families with health insurance have an average out-of-pocket cost of about $2,600. The report doesn't break down state-by-state charges, but it ranked Texas 35th and 36th respectively in the national comparisons of states with the lowest costs for hospital cesarean and conventional deliveries.

The cost of childcare is another factor bringing down the state's overall performance, as WalletHub says Texas has the 23rd "best" annual cost of early childcare on average.

Here's how the report broke down the rest of Texas' ranking:

No. 27 – Parental leave policy score
No. 27 – Infant mortality rate
No. 28 – Rate of low-birth weight
No. 44 – Midwives and OB-GYNs per capita
No. 36 – Pediatricians and family medicine physicians per capita
No. 33 – Childcare centers per capita

According to WalletHub analyst Chip Lupo, expecting families should consider living in the states that "minimize costs while providing top-notch care for both newborns and their mothers."

"[The best states] also continue to be good environments for parents even long after the birth, with high-quality pediatric care, affordable and accessible child care, and a strong economic environment that makes providing for a child easier,” Lupo said.

Mississippi (No. 51), Alabama (No. 50), Florida (No. 49), New Mexico (No. 48), Nevada (No. 47), and South Carolina (No. 46) all join Texas at the bottom of the list as the worst states to have a baby.

wallethub texas reports families

RIP, Kay

Kay Granger, trailblazing Texas Congressional leader, dies at 83

House Republican Leadership Speaks To The Media After Conference Meeting

Photo by Samuel Corum/Getty Images

Kay Granger, first Republican woman from Texas to serve in the House, has died at age 83.

DALLAS (AP) — Kay Granger, the first Republican woman from Texas to be elected to the U.S. House of Representatives and who served for nearly three decades, died Sunday at the age of 83, her son J.D. Granger said.

House Speaker Mike Johnson said in a post on X that throughout her career, Granger "broke barriers for women in public service.” He added that she “was a dear friend who will be greatly missed.”

Granger, who began her career as a high school teacher and a businesswoman, accomplished many firsts as a politician. She was the first woman elected mayor of Fort Worth, Texas, and the first Republican woman to chair one of the most powerful committees in Congress, the House Appropriations Committee.

First elected to the House in 1996, she served for nearly three decades but did not seek reelection in 2024 and experienced worsening “health challenges” in her final months in Congress, according to a statement her office released in December 2024. Granger, who didn’t cast a vote in Washington after July 2024, didn’t specify or elaborate on those health challenges but said in the statement that frequent travel to Washington had become “both difficult and unpredictable" since early September of that year.

Granger graduated from Texas Wesleyan University in 1965 and considered a career in fashion design but followed her mother into teaching. She worked in the Birdville school district for nine years, teaching English literature and journalism, according to a profile compiled for the publication “Women in Congress, 1917-2006.”

A divorce would lead to a career change. To earn more money, Granger worked from home selling insurance. Her mother, Alliene Mullendore, who moved in with Granger after a stroke, helped keep an eye on the kids. Granger eventually built a successful insurance business that she managed for more than two decades.

“I was a high school teacher with three children, a 2-year-old and 6-month-old twins, and my husband left," Granger told The Hill in a 2008 profile. “It's the reason I talk so much to working mothers ... you just fight your way through the day.”

Granger got her political start serving on Fort Worth's zoning commission and then won office to the city council. She went on to win election as the city's first female mayor, serving from 1991 to 1995.

Fort Worth Stock Show Grand Entry Gala Mayor Betsy Price, Ed Bass, Congresswoman Kay Granger Former Mayor Betsy Price, Ed Bass, and Congresswoman Kay Granger at an event in Fort Worth. Photo by Krista Bohr

Granger’s “Code: Blue” programs included citizen patrol initiatives that halved the rampant crime rate and partnerships with the private sector that drew major businesses to the city. Her resuscitation of Fort Worth’s flagging economic fortunes drew national attention.

In 1996, she was recruited by both parties to run for the House under their banner, and she won as a Republican.

Upon entering Congress, she was named to an advisory board that consulted then-House Speaker Newt Gingrich. She also received seats on three committees: Budget, House Oversight, and Transportation and Infrastructure. She resigned those assignments as part of accepting a seat on the Appropriations Committee.

On the committee, she focused on defense spending, including championing the production of the F-35 Joint Strike Fighter in Fort Worth.

When Republicans took charge of the House in 2023, Granger became the committee's chair, where she sought to enact steeper non-defense spending cuts than the top-line numbers House Speaker Kevin McCarthy and President Joe Biden agreed to as part of avoiding an economically disastrous government default.

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