Though Rare, Birth Tourism to the United States Sparks Outsized Concern
2026/05/05 2 Comments
Appears to be a smaller percentage than in Canada based upon my and StatsCan analysis (about 0.5 to 0.7 percent of total births).
…Birth tourism is not a new phenomenon, yet the push and pull factors are poorly understood. Studies show that the promise of U.S. citizenship and related opportunities for the child, such as access to higher education, are among the motivating factors behind birth tourism. However, other factors, including access to advanced U.S. medical care as well as home-country policies, also play a significant role. For example, many Chinese mothers traveled to give birth in the United States while China’s one-child policy was in effect from 1980 to 2015 (children born outside of China were not covered by the policy).
Birth tourism presents a paradox for policymakers. The act of giving birth on U.S. soil by temporary visa holders is not illegal. However, applying for and securing a visa solely for the purpose of garnering U.S. citizenship for a child is both an act of fraud and grounds for inadmissibility. In addition to issues of visa fraud, birth tourism crosscuts with other concerns, including the prospect that businesses facilitating this travel misrepresent their profits and thereby commit tax evasion, and that these mothers will fail to pay the medical costs incurred during pregnancy and delivery.
There are no official estimates of the number of babies born as a product of birth tourism. However, the U.S. Centers for Disease Control and Prevention (CDC) offers the closest approximation, using data on annual births. In 2024, the CDC reported almost 9,600 babies were born in the United States and U.S. territories to foreign mothers who listed their official address as outside the United States or its territories. While this may be interpreted as a proxy for babies born due to birth tourism, the number includes women who did not necessarily intend to have a baby in the United States, which is necessary under the current definition of birth tourism. Moreover, it excludes births to women who traveled to the United States with the intent to have a baby but who used a U.S. address to avoid scrutiny (this is a part of some business models promoting birth tourism). Even still, these babies were a miniscule fraction of all 3.7 million births in 2024, and the rate has remained steady over time (see Figure 1).
Figure 1. Number of Babies Born in the United States to Foreign Residents and Share of All U.S. Births, 2016-24
Note: Figure shows the number of annual U.S. births to mothers listing their official address as outside the United States or its territories. This includes people who did not come to the United States specifically to have their baby, but not babies born to unauthorized immigrants or to temporary visitors using a U.S. address.
Sources: Data for 2016 are from U.S. Centers for Disease Control and Prevention (CDC), User Guide to the 2016 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2017 are from CDC, User Guide to the 2017 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2018 are from CDC, User Guide to the 2018 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2019 are from CDC, User Guide to the 2019 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2020 are from CDC, User Guide to the 2020 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2021 are from CDC, User Guide to the 2021 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2022 are from CDC, User Guide to the 2022 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2023 are from CDC, User Guide to the 2023 Natality Public Use File (Atlanta: CDC, N.d.), available online; data from 2024 are from CDC, User Guide to the 2024 Natality Public Use File (Atlanta: CDC, N.d.), available online.Even the most expansive estimate that draw on analysis of government data finds birth tourism represents a tiny fraction of all U.S. births. The Center for Immigration Studies, a think tank that advocates for low immigration, suggests the number of babies born as result of birth tourism ranges between 22,000 and 26,000 annually, though this estimate is contested….
Source: Though Rare, Birth Tourism to the United States Sparks Outsized Concern
About Andrew
Multicultural Meanderings 
Interesting. Per Policy Options, the comparable figure in Canada is now about 1.5%, or 5 times as large as the US.
https://policyoptions.irpp.org/2025/12/birthright-citizenship/
At what point does this become a problem, quantitatively? If 20% of births were to non-residents, would that be an issue?
I wrote that analysis. The 1.5% refers to the total number of non-resident self-pay births, which includes some international students and some temporary workers etc. I estimated about half would be on visitor visas (the narrow immigration category that would capture women temporarily visiting Canada to give birth). StatsCan estimates slightly higher, about 70 percent.
I think the issue is more about the integrity and perceived fairness than the overall numbers. Richmond Hospital, prior to the pandemic, exceeded 20 percent, largely Chinese, with a cottage industry of “birth hostels.”