The 2026 study, released Aug. 3, compared all 50 states and the District of Columbia using 31 measures tied to cost, health care and overall family conditions. “The best states for having a baby minimize costs while providing top-notch care for both newborns and their mothers,” said Chip Lupo, a WalletHub analyst. It ranked 16th for health care and 28th for baby-friendliness, reflecting more limited access to providers and services than in more densely populated states. Minnesota ranked second overall, supported by strong health care access and family resources. South Dakota came in 22nd, while Montana ranked 28th and Wyoming 36th, each with lower scores tied in part to access to care.