Volunteers and children greet each other to celebrate the upcoming World Hello Day, which falls on Nov. 21 annually, at a kindergarten in Binhai New Area, north China's Tianjin Municipality, Nov. 20, 2025. (Photo by Du Penghui/Xinhua)

China has unveiled a plan to make childbirth essentially free under the national medical insurance system by 2026, as authorities seek to ease family financial burdens to foster a birth-friendly society, the Xinhua News Agency reported on Monday.

The plan, announced at a recent national healthcare security conference, aims to ensure that the basic costs of childbirth are fully covered by insurance programs nationwide, leaving families with no out-of-pocket expenses for standard delivery services within policy limits.

Seven provincial-level regions, including East China's Shandong Province, one of China's most populous provinces, already offer full coverage of in-hospital childbirth medical expenses within policy scopes.

Zhao Chunmei, vice president of a women and children's hospital in Jinan, Shandong, said that at her hospital, women covered by employee maternity insurance typically pay less than 1,000 yuan (about $141.53) out of pocket for a standard hospital delivery, according to the report.

"The costs have dropped sharply from previous levels, significantly easing the financial burden on families," Zhao said.

The national free-childbirth policy applies only to standard medical services. Expenses incurred at premium-priced hospitals, or for drugs and materials not included in the basic insurance catalog, will not be reimbursed.

The National Healthcare Security Administration said it is also planning to expand maternity insurance coverage to include flexible workers, migrant workers and people in new forms of employment, among other measures aimed at encouraging childbirth.

Officials said coverage for prenatal checkups will also be expanded, depending on the sustainability of the national medical insurance fund.

In recent years, a series of measures have been afoot as the government increasingly focuses on population aging and declining fertility, a challenge faced by many nations.

Global Times-Xinhua