The NCIOM Perinatal System of Care Task Force was convened, in partnership with the North Carolina Division of Public Health and NC DHHS, to respond to Session Law 2018-93 and Goal 3E of North Carolina’s Perinatal Health Strategic Plan. This task force met a total of 11 times throughout 2018-2019 and developed actionable and evidence-based recommendations outlining a process for implementing a regionalized and risk-appropriate perinatal system of care in the state. Additionally, the task force crafted recommendations that aim to use a regionalized and risk-appropriate perinatal system of care approach as a tool for decreasing the number of infant and maternal mortality and morbidity occurrences in the state, and the subsequent disparities that lie within them.