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China Sets 2026 Goal to Eliminate Out-of-Pocket Childbirth Costs Nationwide

Officials present the insurance expansion as a fertility measure to reduce childbirth costs during a protracted population decline.

Overview

  • The National Healthcare Security Administration outlined the goal at a Beijing healthcare security conference, in a work report delivered by director Zhang Ke.
  • Coverage would extend to prenatal checkups, delivery and specified labour analgesia items, with officials using language such as “strive to achieve” no out-of-pocket payments.
  • Authorities say the expansion will run through the national healthcare insurance programme, with nationwide implementation targeted for 2026 and further details still to be set.
  • China’s population began contracting in 2022 and kept shrinking through 2024, with demographers warning of a smaller workforce and heavier eldercare burdens.
  • Several provinces, including Jilin, Jiangsu and Shandong, have piloted near-free childbirth policies, alongside earlier national steps like longer maternity leave, tax and housing incentives, childcare subsidies and plans for free preschool.