Based on 2022–2023 federal datasets · PRAMS · KFF · HRSA · NCHS · PSI

How well does your state protect mothers' mental health?

Every U.S. state graded A through F across six dimensions of perinatal mental health care. Filter by race, income, or insurance to see who the system actually serves — and who it's failing.

Race / ethnicity

Household income

Insurance

Grade distribution

A · 4

B · 14

C · 6

D · 22

F · 5

Grades by state

Tap any state to open its report card.

Year

National avgC

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GradeA Strong systemB Above averageC MixedD Below averageF Failing

All 51 jurisdictions

Sort any column. Click a row to view detail.

Sorted by Overall · high → low

#	State	Grade	Overall	PPD screening	Medicaid MH coverage	Provider availability	Racial equity gap	Claim approval	Legislative protections
1	MAMassachusetts	A	84▲ 3	86	88	82	74	84	90
2	VTVermont	A	83▲ 3	88	86	70	78	86	92
3	NYNew York	A	80▲ 3	82	84	78	68	80	86
4	CTConnecticut	A	80▲ 3	84	82	76	72	82	84
5	DCDistrict of Columbia	B	79▲ 3	80	84	80	64	80	82
6	NJNew Jersey	B	78▲ 3	80	81	74	70	80	82
7	WAWashington	B	78▲ 3	80	84	74	66	80	86
8	RIRhode Island	B	77▲ 3	82	79	72	70	78	80
9	CACalifornia	B	77▲ 3	80	86	70	60	78	88
10	OROregon	B	77▲ 3	82	82	72	64	80	84
11	MNMinnesota	B	77▲ 3	82	80	76	62	80	78
12	MDMaryland	B	75▲ 3	78	78	74	62	78	80
13	HIHawaii	B	74▲ 3	78	80	64	66	76	78
14	MEMaine	B	73▲ 3	78	76	60	72	76	74
15	NHNew Hampshire	B	72▲ 3	78	74	64	68	78	70
16	ILIllinois	B	72▲ 3	76	76	72	58	76	76
17	COColorado	B	72▲ 3	76	74	72	60	76	72
18	DEDelaware	B	72▲ 3	74	76	66	68	76	72
19	VAVirginia	C	67▲ 3	70	70	68	56	72	66
20	WIWisconsin	C	67▲ 3	72	70	66	56	72	64
21	MIMichigan	C	66▲ 3	70	70	64	54	70	66
22	PAPennsylvania	C	66▲ 3	70	68	64	56	70	64
23	OHOhio	C	62▲ 3	66	66	60	50	66	60
24	IAIowa	C	62▲ 3	68	64	56	58	68	56
25	NENebraska	D	59▲ 3	66	62	52	56	66	50
26	NMNew Mexico	D	59▲ 3	60	70	44	50	64	62
27	UTUtah	D	58▲ 3	64	60	58	50	66	50
28	NDNorth Dakota	D	58▲ 3	66	60	48	60	66	48
29	AZArizona	D	57▲ 3	62	64	50	44	64	56
30	NCNorth Carolina	D	57▲ 3	62	60	60	44	62	54
31	KSKansas	D	56▲ 3	62	58	50	52	64	46
32	SDSouth Dakota	D	54▲ 3	60	56	44	56	62	42
33	MTMontana	D	54▲ 3	60	58	42	54	62	48
34	AKAlaska	D	54▲ 3	58	64	38	48	62	50
35	MOMissouri	D	53▲ 3	58	56	52	46	60	44
36	INIndiana	D	53▲ 3	58	56	54	44	60	44
37	KYKentucky	D	53▲ 3	56	60	50	40	60	48
38	NVNevada	D	52▲ 3	56	58	48	44	60	46
39	WVWest Virginia	D	50▲ 3	52	60	38	44	58	44
40	IDIdaho	D	49▲ 3	54	50	40	52	58	36
41	WYWyoming	D	48▲ 3	54	50	36	50	58	38
42	FLFlorida	D	48▲ 3	54	46	52	38	56	40
43	GAGeorgia	D	48▲ 3	52	48	52	36	56	44
44	TNTennessee	D	48▲ 3	52	50	50	36	56	42
45	SCSouth Carolina	D	46▲ 3	50	48	48	34	54	40
46	TXTexas	D	45▲ 3	50	44	46	36	54	38
47	LALouisiana	F	43▲ 3	46	50	42	28	50	36
48	ARArkansas	F	43▲ 3	48	48	40	30	52	34
49	ALAlabama	F	42▲ 3	46	44	44	30	50	34
50	OKOklahoma	F	42▲ 3	48	44	40	32	52	32
51	MSMississippi	F	38▲ 3	42	44	36	26	48	30

Phoenix Health

Regardless of your state's grade, Phoenix Health accepts most insurance plans nationwide.

PMH-C certified therapists. In-network with Aetna, BCBS, Cigna, United, and more. Most clients pay only their copay.

Check if we take your insurance Talk to a PMH-C therapist this week →

Grades by state

All 51 jurisdictions

Methodology & sources

Regardless of your state's grade, Phoenix Health accepts most insurance plans nationwide.