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

How well does your state protect mothers' mental health?

Name: State Perinatal Mental Health Report Card
Creator: Phoenix 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

Loading map…

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.