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How Much Are Birth Mother Expenses When Adopting?

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Adoption Agency

When most people think▨ about the adoption process, the expenses for the birth mother (parent) are rarely considered. These expenses include pregnancy-related medical and living💟 expenses. In some cases, expenses can extend beyond birth to postpartum recovery.

Almost all states in the U.S. have laws governing the fees and expenses that adoptive parents are expected to pay when arranging a private placement or independent domestic adoption. There are also provisions that limit birth parent expenses. These limits are usually vague (“reasonable and customary”), which leaves it to the court to decide what is reasonable in each family’s case.

Each family is different, but if you’re considering adoption, you should estimate birth parent expenses according to the guidelines below and budget accordingly.

Key Takeaways

  • A birth parent’s expenses may include the cost of medical care, travel and transportation, pregnancy clothes, housing, counseling, and legal fees.
  • Pregnancy and childbirth are among the 10 essential services that the Affordable Care Act requires private insurance to cover. 
  • In most states, adoptive parents do not get repaid for expenses incurred if the adoption falls through. 
  • The birth parent may be legally liable if they accept money from adoptive parents outside of state regulations that govern reasonable adoption expenses.

What Are Birth Parent Expenses?

A birth parent’s expenses can include doctor visits, 澳洲幸运5官方开奖结果体彩网:the cost of giving birth, housing, utility and grocery bills, counseling, travel costs, and legal fees. A birth parent’s expenses vary widely based on their living situation, the pregnancy, and 澳洲幸运5官方开奖结果体彩网:whether they are insured.

If the birth parent enters into an agreement with pro꧅spective adoptive parents (whether in a private adoption or෴ through an agency) before giving birth, the agreement usually outlines what expenses are to be paid by the adoptive parents. If, however, the birth parent has already given birth and then decides to place the child for adoption, they may not be entitled to reimbursement for the cost of pregnancy and childbirth unless expressly agreed upon.

When you're working with an agency, birth parent expenses are usually included in agency fees and the agency pays them directly to the birth parent. These payments are reviewed by a court during the adoption approval process to ensure compliance with state laws that stipulate what birth parents can be reimbursed for and how much.

While only seven states explicitly prohibit the payment of certain expenses, the majority limits reimbursement to only those expenses expressly permitted by law or deemed reasonable by a court. Ineligible expenses often include education, vehicles, vacations, and permanent housing, which qualify as compensation rather than reimbursement. It is illegal in every state to pay a birth parent to adopt their child.

Some states even go so far as to stipulate how long before or after birth adoptive parents can pay certain expenses. In Iowa, adoptive parents cannot pay the birth parent’s living expenses more than 30 days after she gives birth. New York limits the payment of living expenses to a 90-day window—60 days prior to birth and 30 days after.

Eligible expenses vary widely from state to state. “In New Jersey, birth parent expenses are heavily regulated; this is not the case in other states,” 🐟explains Christina Letizia, executive director of A Loving Choice Adoption Associates. “I have seen out-of-state adoptions cost in excess of $60,000. New Jersey residents are not permitted to utilize the services of paid facilitators or consul൲tants.”

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The number of states, along with the District of Columbia, that prohibit the payment of any fee for connecting an adoptive family with a pregnant woman or obtaining consent to adoption.

What Birth Parent Expenses May Include

Pregnancy-Related Medical Expenses

Medical expenses include labor and delivery expenses, prenatal and postnatal doctor visits, prenatal vitamins, specialist services for preexisting conditions, ultrasounds, and additional care during the recovery period. When using an agency, these expenses may be included in the agency fees. If not, the adoptive parents may have to pay them directly, according to the reasonable needs of the birth parent.

If the birth parent is insured, insurance should cover a lot of the medical costs, in which case adoptive parents would be responsible only for co-pays and 澳洲幸运5官方开奖结果体彩网:co-insurance for doctor visits and prescriptions.

Travel and Transportation

Travel to and from doctor appointments, court appearances, or to the hospital to give birth may be reimbursed by the adoptive parents. Adoptive parents may be asked to pay for taxi or bus fares, gas, or even plane tickets if it is an out-of-state adoption. Although most courts won’t approve the purchase of a vehicle, adoptive parents can pay for a reasonable car service when used for appointments and necessities. If the birth parent has dependent children or needs a companion to accompany her, their transportation costs may be charged to the adoptive parents as well.

Pregnancy Clothes

Some birth parents may not ask to be reimbursed for pregnancy wear, but they are allowed to ask for it and courts may approve a reasonable amount, which varies from case to case.

Counseling

Adoption can take a physical, emotion𒁃al, and mental toll on a birth parent. Therefore, access to counseling during pregnancy a๊nd after adoption placement is standard, but the amount that adoptive parents can pay for counseling is different in each state.

Agencies may include these services in their fee, or adoptive parents may set aside money to pay for these services if necessary. A Loving Choice Adoption Associates’ fee schedule, provided to Investopedia directly, states tha♛t coun🧔seling for any party to adoption is billed at $150 per hour.

Housing

If a birth parent cannot pay rent or does not have adequate housing during the pregnancy or adoption process, then adoptive parents may be asked to help. Housing expenses can include utilities (such as electricity, water, and gas), groceries, and phone and internet bills. An adoption agency can help adoptive parents ascertain what costs are reasonable to expect.

Legal Fees

Adoptive parents are responsible for birth parents’ legal fees on top of their own, including home study and guardian ad litem fees. According to the Child Welfare Information Gateway, court documentation fees range from $500 to $2,000. And adoptive parents working with an agency, whose fees often include some legal expenses, can expect to spend up to $4,500 on attorneys. Families adopting independently will pay even more in legal fees, ranging from $7,000 to $15,000 according to the Gladney Center for Adoption’s estimate.

Does Health Insurance Cover Birth Parent Expenses?

Under the Affordable Care Act, health insurance plans must cover pregnancy and childbirth costs, including prenatal and postnatal care. If the birth parent is insured, most adoptive parents will cover only the cost of premiums, deductibles, co-pays, and co-insurance. However, the 澳洲幸运5官方开奖结果体彩网:cost of healthcare in the U.S. being what it is, can add up. According to the Peterson-Kaiser Family Foundation Health System Tracker, insured women who give birth pay almost $3,000 more out of pocket on healthcare than their peers who don’t give birth.

If the birth parent does not have insurance, they may be able to enroll in Medicaid as long as they meet state 澳洲幸运5官方开奖结果体彩网:eligibility requirements. If the birth parent is ineligible, the adoptive parents may need to pay for them to enroll in a private plan. Because pregnancy is not a 澳洲幸运5官方开奖结果体彩网:qualifying life event that makes one eligible for a special enrollment period, adoptive parents may need to buy 澳洲幸运5官方开奖结果体彩网:short-term insurance to cover the birth parent until that individual can enroll in a marketplace 🅺plan during open enrollment.

Can Adoptive Parents Be Reimbursed If the Adoption Falls Through?

The answer depends on the state where the adoption is taking place. Only Idaho and Puerto Rico require that a birth parent return payments made to them by adoptive parents if they decide not to go through with the adoption. Under that circumstance, in Montana, North Carolina, and Vermont, the adoptive parent can stop additional payments unless there is a prior written agreement to make payments regardless of the adoption outcome.

If a birth parent takes payments from multiple adoptive families, lies about being pregnant, or accepts payments with no intention of completing the adoption, adoptive parents may be entitled to reimbursement for their expenses.🌠 Adoptive parents should talk to their lawyer or adoption agency about what expenses they may be able to recover if the ad🎉option falls through.

Do Birth Mothers Get Paid to Give Up Their Child?

No. It is illegal in the United States to pay a birth mother to "give up" a child for adoption. However, it is legal to support a birth parent during pregnancy and sometimes shortly afterward. An adoptive couple or family may provide funds for a prospective birth parent's needs, such as rent, utilities, transportation, food, cell phone, and more. What is allowed is determined by the adoption laws in each state.

The Bottom Line

澳洲幸运5官方开奖结果体彩网:Adoption is a costly process for everyone involved. Some birth parents do not require financial support for health expenses, but many do. Legal fees, travel expenses, and even lost wages are all expenses that can be passed along to adoptive parents if state laws allow it and courts deem it reasonable. Many agencies and adoption facilitators work to ensure that the birth parent does not incur any e🦩xpenses in the process, but each state has specific limits on i🦩ndividual costs that can be claimed by a birth parent and the timing of when these fees should be paid.

Article Sources
Investopedia requires writers to use primary sources to support their work. These include white papers, government data, original reporting, and interviews with industry experts. We also reference original research from other reputable publishers where appropriate. You can learn more about the standards we follow in producing accurate, unbiased content in our editorial policy.
  1. Child Welfare Information Gateway. “,” Page 1.

  2. Child Welfare Information Gateway. “,” Page 2.

  3. HealthCare.gov. “.”

  4. Child Welfare Information Gateway. “,” Page 3.

  5. Texas Adoption Center. “.”

  6. North Carolina Department of Health and Human Services, Policie♛s📖 and Manuals. “,” Page 60.

  7. Child Welfare Information Gateway. “,” Page 4.

  8. Adoption.org. “”

  9. Pete🅰rson-Kaiser Family Foundation Health System Tracker. “.”

  10. American Bar Association. "."

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