What is the setting in the novel, Graceful Burdens?

Roxane Gay's, Graceful Burdens, is set in the fictional world of the Federated States. A speculative version of the United States, in this narrative world, the government controls its citizens via their genetic profiles. At the age of 16, each woman must undergo a screening which will determine her genetic eligibility for procreation. If she passes the screening, she receives a license, is matched to a licensed man, and forced into marriage and motherhood. If she fails the screening, she is pushed to the outskirts of society, and barred from marrying or having children.