Weinstein, JohnMolina, RoseDiMeo, Amanda Florian2025-11-102025-11-102024https://hdl.handle.net/2144/517682024The United States continues to experience one of the highest maternal mortality rates of all high-income nations with stark and significant racial and ethnic inequities in outcomes. Concurrently, the U.S. is also experiencing divisive changes in immigration policy. The U.S. has a large immigrant population with almost one quarter of those undocumented, without legal documentation regarding their residency status. At the intersection of these two major health crises, little is known about pregnant people who are undocumented. Health care coverage and access to pregnancy care for people who are undocumented is variable from state-to-state, existing as a patchwork of both federal and state-led mechanisms. This thesis aims to explore the labyrinth of healthcare coverage that exists for the population of pregnant people who are undocumented, providing context into both federal and state-level policy mechanisms. Coverage includes state- based Child Health Insurance Program (CHIP) programming to cover prenatal care under the “unborn child” program and optional postpartum care. Some states have expanded Medicaid to include this population. There also exist other innovative programs, including subsidies for private insurance. This thesis proposes a study that assesses national coverage through a data collection tool that allows a snapshot of current national policy that may be utilized over time. A clear comprehension of coverage is necessary for policymakers and researchers alike as it provides a baseline of which future policy can be improved to include this population. It is critical that undocumented immigrants are included in maternal health programming that aims to reduce disparities and improve outcomes.en-USHealth sciencesImmigrationMaternal healthPregnancyThesis/Dissertation2025-11-100000-0001-7827-2258