In collaboration with the Black Alliance for Just Immigration and African Family Health Organization, community-based organizations that engage and educate African American and Black immigrant communities, this project will conduct exploratory sequential mixed-methods research to identify barriers and facilitators to positive birth outcomes for Black mothers. Research will focus on attention to health care access using focus groups and interviews and the project will conduct causal inference analyses using extant data (i.e., Vital Statistics) to examine the effect of the 2009 Children’s Health Insurance Program Reauthorization Act on the birthing outcomes of Black immigrants.