diff --git a/changelog.d/remove-is-pregnant-adds.fixed.md b/changelog.d/remove-is-pregnant-adds.fixed.md
new file mode 100644
index 00000000000..2ff892404d5
--- /dev/null
+++ b/changelog.d/remove-is-pregnant-adds.fixed.md
@@ -0,0 +1 @@
+Removed adds from is_pregnant, making it a pure input variable.
diff --git a/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/income/tax_unit_medicaid_income_level.yaml b/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/income/tax_unit_medicaid_income_level.yaml
index 7c603549934..65e9c50f808 100644
--- a/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/income/tax_unit_medicaid_income_level.yaml
+++ b/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/income/tax_unit_medicaid_income_level.yaml
@@ -41,6 +41,7 @@
   input:
     people:
       head:
+        is_pregnant: true
         current_pregnancies: 1
       spouse:
         current_pregnancies: 0
@@ -60,6 +61,7 @@
   input:
     people:
       head:
+        is_pregnant: true
         current_pregnancies: 2
       spouse:
         current_pregnancies: 0
@@ -73,3 +75,26 @@
         state_group_str: CONTIGUOUS_US
   output:
     tax_unit_medicaid_income_level: 1
+
+- name: Multiple people with income and a pregnant person expecting triplets
+  period: 2024
+  input:
+    people:
+      head:
+        is_pregnant: true
+        current_pregnancies: 3
+      spouse:
+        current_pregnancies: 0
+    tax_units:
+      tax_unit:
+        medicaid_magi: 36_580
+        tax_unit_size: 2
+        members: [head, spouse]
+    households:
+      household:
+        state_group_str: CONTIGUOUS_US
+  output:
+    # Effective size: 2 + 3 = 5
+    # 2024 FPL for 5: 36,580
+    # 36,580 / 36,580 = 1.0
+    tax_unit_medicaid_income_level: 1
diff --git a/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/il_mpe_eligible.yaml b/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/il_mpe_eligible.yaml
index 47727dfc442..fc03d7790de 100644
--- a/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/il_mpe_eligible.yaml
+++ b/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/il_mpe_eligible.yaml
@@ -2,38 +2,34 @@
   period: 2024-01
   input:
     state_code: IL
-    current_pregnancies: 1
+    is_pregnant: true
     medicaid_income_level: 1.5
   output:
-    is_pregnant: true
     il_mpe_eligible: true
 
 - name: Case 2, pregnant with income at 200% FPL.
   period: 2024-01
   input:
     state_code: IL
-    current_pregnancies: 1
+    is_pregnant: true
     medicaid_income_level: 2
   output:
-    is_pregnant: true
     il_mpe_eligible: true
 
 - name: Case 3, pregnant with income above 200% FPL.
   period: 2024-01
   input:
     state_code: IL
-    current_pregnancies: 1
+    is_pregnant: true
     medicaid_income_level: 2.5
   output:
-    is_pregnant: true
     il_mpe_eligible: false
 
 - name: Case 4, not pregnant with low income.
   period: 2024-01
   input:
     state_code: IL
-    current_pregnancies: 0
+    is_pregnant: false
     medicaid_income_level: 1
   output:
-    is_pregnant: false
     il_mpe_eligible: false
diff --git a/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/integration.yaml b/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/integration.yaml
index 99a44f40e9b..047d608aeaf 100644
--- a/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/integration.yaml
+++ b/policyengine_us/tests/policy/baseline/gov/states/il/hfs/mpe/integration.yaml
@@ -4,6 +4,7 @@
     people:
       person1:
         age: 28
+        is_pregnant: true
         current_pregnancies: 1
         employment_income: 15_000
       person2:
@@ -36,6 +37,7 @@
     people:
       person1:
         age: 28
+        is_pregnant: true
         current_pregnancies: 2
         employment_income: 35_000
     tax_units:
@@ -63,6 +65,7 @@
     people:
       person1:
         age: 28
+        is_pregnant: true
         current_pregnancies: 1
         employment_income: 80_000
     tax_units:
@@ -90,6 +93,7 @@
     people:
       person1:
         age: 28
+        is_pregnant: true
         current_pregnancies: 1
         employment_income: 31_000
     tax_units:
diff --git a/policyengine_us/variables/household/demographic/person/current_pregnancies.py b/policyengine_us/variables/household/demographic/person/current_pregnancies.py
index 9af6fa64ce8..a89e9f8722e 100644
--- a/policyengine_us/variables/household/demographic/person/current_pregnancies.py
+++ b/policyengine_us/variables/household/demographic/person/current_pregnancies.py
@@ -6,3 +6,4 @@ class current_pregnancies(Variable):
     entity = Person
     definition_period = YEAR
     label = "The number of children a pregnant person is expecting"
+    adds = ["is_pregnant"]
diff --git a/policyengine_us/variables/household/demographic/person/is_pregnant.py b/policyengine_us/variables/household/demographic/person/is_pregnant.py
index cb58b94b742..7d9142f84c6 100644
--- a/policyengine_us/variables/household/demographic/person/is_pregnant.py
+++ b/policyengine_us/variables/household/demographic/person/is_pregnant.py
@@ -6,4 +6,3 @@ class is_pregnant(Variable):
     entity = Person
     label = "Is pregnant"
     definition_period = YEAR
-    adds = ["current_pregnancies"]