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Universal Maternal & Early Childhood Support Fund

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This program would be a bold, citywide investment in our children and families, and not only could greatly assist current families in St. Louis, but would also attract new families to our city. Modeled on the successful Rx Kids initiative in Flint, Michigan, this program would provide direct, unconditional cash support to all pregnant residents and parents of infants in St. Louis. For more information on the Flint, MI program, please read here.

Every pregnant person in St. Louis would be eligible for the program, regardless of income or eligibility (thus reducing stigma and encouraging growth in the program). Sign-ups would be streamlined and easy to follow. At it's core, the benefits of the program would be:

  • A one time, $1,500 cash payment to expectant mothers
  • Monthly cash payments of $500 during the child's first year of life

A study from the University of Michigan found that Flint's program "lowered rates of maternal postpartum depression, stabilized families’ housing and improved infant outcomes – saving millions of dollars in NICU spending" (The Guardian). A similar program in St. Louis could dramatically strengthen economic stability for some of our most vulnerable residents, and by giving children and families a strong, healthy start, we can help ensure long-term community well-being.

The program would be funded through a mix of city resources, philanthropic partnerships, and federal/state maternal health grants, following the Flint model. This collaborative funding approach ensures sustainability while leveraging outside support for a high-impact local solution. Even with the political climate that we are currently in, there is bipartisan support for providing young children with more assistance. If we start working towards this at the local level, we can then start conversations with nonprofits, philanthropists, the MO government, and the federal government to help obtain the necessary grants.

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ABSOLUTELY NOT! Again, I already pay enough in taxes and license fees. I am retired and I do not have that much income. Those of you who want to start such funding, donate YOUR money and start an organization and pay for it yourselves. Let me out of it. I barely get by now.
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Profile of Joel Wilper
Posted by:Joel Wilper
8 months ago
@Ruth Ann Edwards and I will contend, it very much may be that city government is not the best vehicle for a program like this. That said, I think it’s better to at least consider the issue and what we can do about it. You’ll note that I did not specify exactly what funding source the city could use to contribute to this program, and I don’t really believe I’m best positioned to do that—let the policy wonks at city hall sort out appropriations, if this proposal ever gets that popular. Thanks for your engagement.
    How will we be able to avoid abuse of this system like the "welfare" fiasco of babies being born for the paychecks?
    • 1 like
    Profile of Joel Wilper
    Posted by:Joel Wilper
    9 months ago
    Hi, @Michelle Heitmann ! The idea that people, especially poorer families, would have children mainly for the purpose of obtaining monetary aid has been around for decades, but most studies don't indicate that there is much truth to it. Certainly, it may be true that there would be some who would be enticed to have children simply for the benefits such as the ones I'm proposing, but data from other welfare programs suggests that this would not be a significant number of people. There is the risk with any large-scale aid or welfare operation that some people may take advantage of the system, and it's more than likely that some would. I'd argue that the need for aid and potential impact for good outweighs the possibility of a few people taking advantage of a situation. In this particular case, Flint, MI began offering this type of cash program in 2024, and it has since expanded across the state of Michigan. If you didn't feel that previous studies on other forms of welfare are comparable enough to this type of program, at least in terms of understanding people's motivations for having children, given the reach of Michigan's RX Kids program, I wouldn't be surprised if we start getting data soon from that specific program. If you're curious about that program, their website is www.rxkids.org. Thanks for engaging!
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    Posted by

    Profile of Joel WilperJoel Wilper on September 18, 2025

    Current status

    proposed

    Tags

    Health & Human Development