The Healthy Beginnings with Title V: Advancing Anti-Racism in Preterm Birth Prevention program will convene six teams comprised of state maternal and child health (MCH) agencies and community-based organizations, Tribal governments and Tribal organizations in an 18-month Learning and Practice cohort. The cohort will identify and address racism in policy, data and funding structures at the state level that sustain inequities in perinatal health, including preterm birth, in Black, Latine/x, Indigenous, Asian, Pacific Islander, and other communities of color.