We seek to ensure that all pregnant individuals enrolled in Oregon Health Plan have convenient access to a well-matched doula who will support them through birth and immediate postpartum. In our integrated, diverse model, we direct these services to those most at risk. In Yamhill County, we've identified those individuals to be in families who: speak Spanish as a first language, live in our rural areas, experience addiction, experience homelessness, are in their teens, or have experienced past trauma. Research shows us that at risk, low-income women, especially those of color, are at the highest risk of poor birth outcomes in the United States. Doula care is among the most promising approaches to combating disparities in maternal health, showing improved health outcomes for both mothers and their infants.