The Blue Ridge Health District, Birth Sisters of Charlottesville, a doula collective supporting Black, Indigenous, and People of Color (BIPOC) mothers, and the Virginia State Title V Director is one of seven teams selected nationally for a two-year initiative through CityMatCH Alignment for Action Learning Collaborative (AAC), which began in March 2021. This cooperative project team is charged with developing local action plans to address racial disparity in maternal health and birth outcomes.