Home / Health / Rural California Hospitals Innovate to Bring Back Maternity Care
Rural California Hospitals Innovate to Bring Back Maternity Care
13 Nov
Summary
- Plumas District Hospital closed maternity ward in 2022 but now plans to open birth center and standby maternity unit
- New state laws allow rural hospitals to offer more flexible maternity services
- Families in remote areas often face long drives to reach hospitals with delivery services

As of November 2025, rural hospitals in California are taking steps to restore maternity care services that have been disappearing across the state. Plumas District Hospital, which closed its maternity ward in 2022 due to declining birth rates and high operating costs, is now planning to open a new birth center and standby maternity unit next year.
This change is made possible by two recent state laws that give rural hospitals more flexibility in how they offer birth services. One law creates a 10-year pilot program allowing hospitals to operate "standby" maternity units that only operate when needed, rather than providing 24/7 service. Another law relaxes licensing requirements for birth centers run by midwives.



