Our Platform / Life, Choice & Family Support
Reproductive choice and practical support for life
Life, Choice & Family Support
Support life through real choices and real support.
A pro-life cultural position that rejects a total abortion ban, protects legal reproductive choice and bodily autonomy, and proposes affordable birth care and a state-supported infant-care alternative.
Discussion draft for review
These are proposed policy directions and working legislative ideas. Unspecified details and unconfirmed earlier drafting options remain identified for review.
On this page
01 / Policy detail
The position: pro-life support with legal freedom of choice
CSP’s proposed position is culturally pro-life while protecting legal reproductive choice and bodily autonomy. It rejects a total abortion ban. The purpose of public policy is to make continuing a pregnancy and caring for a child more realistically possible, while preserving the individual’s legal choice.
That distinction is central to the proposal. Encouraging the protection of life through care and support is a statement about what the policy should make possible. It is not a substitute for the separate commitment to legal reproductive choice.
The practical framework has two major parts: income-based relief from the costs of prenatal care, delivery, and immediate postnatal care; and an option for a mother who gives birth but does not wish to assume ongoing custody to transfer that responsibility to a specialized state-supported care system.
02 / Policy detail
Income-based birth-cost relief
| Group | Proposed cost | Core protection |
|---|---|---|
| Low income or uninsured | $0 for covered prenatal, delivery, and immediate postnatal care | No billing, payment demands, or collections for the waived balance. |
| Working or middle class | One nominal delivery fee scaled to verified household income | The remaining covered balance is erased; fee and coverage details need definition. |
Low-income or uninsured patients: $0 covered care
The stated proposal would waive the cost of prenatal care, delivery, and immediate postnatal care to $0 for low-income or uninsured patients. Hospitals would not be allowed to demand payment for those covered costs, issue a bill for them, or send the covered balance to collections.
The purpose is to make the relief effective at the point of care and afterward. A bill that later becomes uncollectible would not meet the stated standard if the patient still receives payment demands or collection notices.
- $0 for covered prenatal care, delivery, and immediate postnatal care.
- No hospital payment demands or billing for the covered balance.
- No collection referral for the waived amount.
Working and middle-class households: one nominal delivery fee
The proposal describes a nominal flat delivery fee scaled to verified household income for working and middle-class households, with the remaining covered balance erased.
No final income cutoffs, fee schedule, maximum payment, verification process, or complete service definition have been approved. The hypothetical model below now calculates examples from published HHS data. Its rate, waiver multiple, rounding, cap, and final coverage decisions remain unapproved.
- A single nominal delivery fee linked to verified household income.
- Erasure of the remaining covered balance.
- An understandable payment and correction process to be developed.
HYPOTHETICAL MODEL USING PUBLISHED DATA — NOT FINAL POLICY
This model replaces the earlier handpicked income bands and fees. Dollar examples below are calculated from published data using an explicit formula. The rate, waiver multiple, rounding, and cap are still hypothetical policy choices—not figures prescribed by those sources or final CSP policy.
Sources and inputs
The baseline is the 2026 HHS poverty-guideline notice (January 15, 2026; official Federal Register PDF). Select the year, region, and household size before calculating.
| 2026 region | Guideline for N household members | Four-person guideline |
|---|---|---|
| 48 contiguous states + D.C. | $15,960 + $5,680 × (N − 1) | $33,000 |
| Alaska | $19,950 + $7,100 × (N − 1) | $41,250 |
| Hawaii | $18,360 + $6,530 × (N − 1) | $37,950 |
The HRSA sliding-fee framework illustrates the use of income and family size in fee discounts. HRSA does not supply this model’s fee formula. In particular, this proposal’s $0 treatment through 200% of the guideline is a separate design choice, not HRSA’s required schedule.
| Model element | Value used | Origin / status |
|---|---|---|
| Annual poverty guideline P | Published 2026 HHS household-size and region values | Sourced public data. |
| Protected-income floor | 2 × P (200% of the guideline) | Illustrative CSP design choice; not mandated by HHS. |
| Fee rate above that floor | 1% of income above 2P | Illustrative design choice; not an empirically proven affordable rate. |
| Rounding | Nearest $25; ties round up | Illustrative administrative choice. |
| Maximum fee | $1,000 per delivery | Illustrative cap; not a published government delivery fee. |
| Uninsured patients | $0 in this model | The earlier CSP proposal’s waiver direction. |
The calculation
For an insured household: fee = min($1,000, round_to_$25(0.01 × max(0, I − 2P))). Here I is verified annual gross household income and P is the applicable published annual guideline. Because $1,000 is a multiple of $25, capping before or after the rounding step gives the same result.
The rule produces a one-time flat dollar fee in $25 steps, based on household income—not a percentage of the hospital bill, a per-visit charge, or a per-infant charge. The remaining covered delivery balance would be erased under this hypothetical model.
Inputs: verified annual gross household income I; household size N; region; insurance status.1. Validate income, household size, and insurance status.2. If uninsured, return $0 under the proposed waiver.3. Select the published 2026 HHS guideline P for N and region. If no territory benchmark is adopted, return REVIEW NEEDED.4. Protected income = 2 × P.5. Raw fee = 0.01 × max(0, I − protected income).6. Capped fee = min($1,000, raw fee).7. Delivery fee = $25 × floor(capped fee / $25 + 0.5).Use decimal/cents arithmetic; round only at step 7.This produces one flat dollar fee for the delivery.
Calculated examples: a four-person household
These examples use the published 2026 contiguous-states-and-D.C. guideline: P = $33,000, so the model’s protected-income floor is 2P = $66,000. The income examples are exact multiples of P; they are derived scenarios rather than observed household income records.
| Income example | Income above 2P | Raw 1% fee | Rounded / capped fee |
|---|---|---|---|
| Uninsured, any income | — | $0 | $0 |
| 1.5 × P = $49,500 | $0 | $0 | $0 |
| 2 × P = $66,000 | $0 | $0 | $0 |
| 2.5 × P = $82,500 | $16,500 | $165 | $175 |
| 3 × P = $99,000 | $33,000 | $330 | $325 |
| 4 × P = $132,000 | $66,000 | $660 | $650 |
| 5 × P = $165,000 | $99,000 | $990 | $1,000 |
| 6 × P = $198,000 | $132,000 | $1,320 | $1,000 |
Worked example using a published Census income figure
The Census Bureau’s Income in the United States: 2025, published September 15, 2026, reports overall median household money income of $87,460. For a worked example only, apply that income to an assumed four-person household in the contiguous states. It is not presented as the median specifically for four-person households.
- Published income input: I = $87,460.
- Published four-person HHS guideline: P = $33,000.
- Illustrative protected income: 2P = $66,000.
- Income above the floor: $87,460 − $66,000 = $21,460.
- Raw fee: 1% × $21,460 = $214.60.
- Nearest-$25 rounding produces a one-time $225 fee; the $1,000 cap does not change it.
Coverage, territories, and limits
The illustration retains $0 covered prenatal, delivery, and immediate postnatal care for uninsured patients; the low-income threshold for this model is the hypothetical 200%-of-guideline floor. Final definitions of income, household membership, verification, covered care, and hardship adjustments remain open.
The HHS notice does not publish separate guidelines for Puerto Rico or other outlying jurisdictions and leaves program application there to the administering office. A final CSP program must establish appropriate territorial benchmarks. The illustration does not silently apply a mainland figure or assign an insured fee where that benchmark is unresolved.
The data establish inputs; they do not establish that a proposed fee is affordable or that the program is funded. Affordability testing, provider-payment costs, geographic adjustments, territorial coverage, and a financing plan still require review. Sources and calculations checked October 28, 2026.
03 / Policy detail
A state-supported infant-care and custody alternative
The proposal would create an option for a mother to surrender custody immediately at birth to a specialized government care network. Under that option, the state would assume the infant’s total financial and operational care responsibility.
The intended system is more than a temporary handoff. The earlier proposal describes a vetted, regulated, adequately funded network responsible for the child’s development and a path toward permanent placement.
This option is presented alongside legal reproductive choice. It applies to the circumstances of birth and ongoing custody; it does not replace the proposal’s protection of the pregnant person’s choice about whether to continue the pregnancy.
The detailed legal process remains to be drafted. Consent, the rights of other legal parents or guardians, custody review, records, placement standards, and the oversight of providers must be resolved before this could become an operational program.
- An immediate-at-birth custody-transfer option, subject to a defined legal process.
- State assumption of the infant’s financial and operational care responsibility.
- Vetted and regulated care providers with adequate funding.
- Responsibility for development and a permanent-placement pathway.
04 / Policy detail
How the parts work together
Birth-cost relief addresses the immediate financial burden of continuing a pregnancy and giving birth. The infant-care option addresses the separate question of who assumes responsibility after birth. Legal reproductive choice addresses the person’s authority over the pregnancy itself.
These are connected choices with different legal and practical consequences. A person should be able to understand the available support, what each option involves, and which decisions remain theirs.
The policy’s success would need to be assessed through access to care, the billing experience of eligible patients, the quality and stability of infant care, and whether people retain the legal freedom described in the core position.
05 / Policy detail
Funding and delivery still require a complete plan
The proposal needs a financing model for waived care, hospital payment, infant services, oversight, and permanent-placement work. The earlier discussion does not establish a cost estimate or an approved funding allocation.
An earlier draft floated hospital group purchasing organization competition reforms and malpractice-insurance premium caps as possible cost measures. Those mechanisms were not separately confirmed as adopted proposals in the available record. They remain ideas for review rather than established financing for this program.
A completed plan should identify who administers the benefits, how providers are paid, what records are required, how billing disputes are corrected, and how the care network is audited. Savings should be estimated before they are used to promise coverage.
06 / Policy detail
Decisions still needed before bill drafting
These open decisions are not filled with assumed restrictions or numerical thresholds. The position already supplied is the starting point: support life, reject a total abortion ban, preserve legal reproductive choice and bodily autonomy, and develop practical birth and infant-care support.
- Income thresholds, the meaning of uninsured eligibility, and the verification process.
- The nominal fee schedule and the exact range of covered services for each group.
- Hospital reimbursement, provider participation, and protection against incorrect billing.
- The legal consent and custody process, including the rights of other parents or guardians.
- Care-provider vetting, placement standards, record handling, and independent oversight.
- Funding, staffing, capacity, review procedures, and a realistic implementation timetable.
- Any further abortion timing rules or other reproductive-policy details; the earlier proposal did not specify them.
Common questions
Questions about this proposal
Does being pro-life mean supporting a total abortion ban here?
No. The stated position rejects a total abortion ban and protects legal reproductive choice and bodily autonomy. Its pro-life element is expressed through cultural support and practical help for continuing a pregnancy and supporting life after birth.
Would the birth-cost waiver remove someone’s reproductive rights?
No. The waiver describes relief from covered medical charges. It is not a waiver of the person’s legal choice or bodily autonomy.
Does the infant-care option replace the choice about pregnancy?
No. It addresses custody and care after birth. It is an additional proposed option, alongside the separate commitment to legal reproductive choice.
Are a gestational limit, parental-consent rule, or fee amount already decided?
No final gestational rule, parental-consent rule, or fee amount has been approved. The delivery fees shown above are calculated examples using published HHS data and hypothetical policy settings, not final policy. This discussion draft records the supplied position and identifies the decisions still required.
Is this support already available through a CSP program?
This page describes a legislative proposal. It does not establish an operating benefit, a hospital billing entitlement, or an available custody-transfer service.
Read the connected pages
Principles and proposals together.
A connected policy proposal
Access to life-saving care.
The broader life-saving-care proposal extends the practical support-for-life approach to essential medicines and procedures for U.S. citizens. It uses an illustrative annual patient limit and a separate funding plan.