United States
The United States has a birth rate of 13 per 1,000, which is 5 births below the world average. Its population growth rate is positive at 0.7%, higher than that of many developed nations. In fiscal year 2016, over one million immigrants (most of whom entered through family reunification) were granted legal residence. Mexico has been the leading source of new residents since the 1965 Immigration Act. China, India, and the Philippines have been in the top four sending countries every year since the 1990s. , approximately 11.4 million residents are illegal immigrants. , 47% of all immigrants are Hispanic, 26% are Asian, 18% are white and 8% are black. The percentage of immigrants who are Asian is increasing while the percentage who are Hispanic is decreasing. The estimated number of illegal immigrants dropped to 10.7 million in 2017, down from a peak of 12.2 million in 2007. In 2017, 33,000 refugees were resettled in the United States. This was fewer than were resettled in the rest of the world for the first time in decades.
A 2017 Gallup poll concluded that 4.5% of adult Americans identified as LGBT with 5.1% of women identifying as LGBT, compared with 3.9% of men. The highest percentage came from the District of Columbia (10%), while the lowest state was North Dakota at 1.7%.
Texas
Texas has the seventh highest birth rate in the United States, with nearly 400,000 babies born each year. Over half of all Texas births are paid by Medicaid, totaling over $2.2 billion per year in birth and delivery-related services for mothers and infants. Studies have found that infant mortality is usually caused by birth defects, pre-term birth, low birth weight, Sudden Infant Death Syndrome, and pregnancy complications. The average amount spent in the first year of life for a preterm birth with major complications (excluding extreme prematurity) is $19,059, and $4,019 for a preterm birth without major complications compared to $410 for an uncomplicated, term birth.