Ohio is part of a downward trend in birth rates that has occurred in nearly every state in the country, and the financial impacts of fewer new humans could start impacting the state’s fiscal health as early as next year. The Buckeye State trended at the lower end of fertility rates in 2023, with 56.4 births per 1,000 women, despite being in an area with the “greatest regional median general fertility rate” in the country, according to new research by the Pew Research Center.