Home birthing refers to giving birth at home with the assistance of a trained birth attendant, such as a midwife or doctor. It can be significantly more affordable than hospital births, with uncomplicated vaginal births costing about 60% less at home. Additionally, home births offer a more intimate setting for immediate bonding and breastfeeding. However, homebirths are not covered by most insurance, and the women who have them often have disposable income, and can absorb the costs. This bill seeks to create equity for women who want to have a home birth but cannot afford to pay out of pocket.

“A woman’s right to choose should extend to all aspects of her life, including how she wants to birth. Home birthing costs thousands of dollars in out-of-pocket expenses, deterring many women who would prefer this option but may not have the means. This crucial legislation ensures that women can choose their birth plans if they are healthy enough for home birthing, without the burden of extra costs. I would have chosen to birth at home if my insurance covered it. This is about choice and equity,” said Senator Timberlake (D-Essex).

Senator Timberlake has long championed women’s rights and birthing equity. Since joining the Legislature in 2018, Timberlake has given birth three times, further deepening her commitment to these issues.

Studies have shown that home birthing can be a safe option for low-risk pregnancies, with outcomes comparable to hospital births when attended by qualified professionals. Notably, Black women have reported positive experiences and outcomes with home birthing, often finding it a more empowering and supportive environment. In the United States, Black women have higher rates of death during childbirth than other racial groups. According to the CDC, Black mothers are three times more likely to die from a pregnancy-related cause than White mothers, and Black infants have the highest mortality rate of any racial group. The pandemic has led to an increase in home birthing.

“The journey to motherhood looks different for every person, and for some, home childbirth may offer a more comfortable and empowering experience,” said Senator McKnight (D-Hudson). “Given the existing disparities in birthing outcomes for Black and Brown women, providing safe and supported options like home births can be a critical step toward improving maternal health for all and ensuring both mothers and babies thrive.”

The bill, S-1097, would take effect immediately and apply to all health benefit plans currently in effect in New Jersey or those that will be delivered, issued, executed, or renewed in the state.

The bill advanced out of committee in a 13-0 vote.