Process efficiency improvements and automation are essential to addressing this, but will states embrace real solutions?

When the economy takes a downward turn, couples often temporarily put off having children.1 But in the years following the Great Recession, births never rebounded. Instead, fertility has largely continued to follow a downward trajectory across the country, falling to a record low in 2020.2 State budgets have started to feel the effects of this long-term decline. The future course of fertility represents a key source of fiscal uncertainty for states as smaller working-age populations may eventually threaten tax bases.

Source: The Long-Term Decline in Fertility—and What It Means for State Budgets | The Pew Charitable Trusts

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