The New York City Department of Health and Mental Hygiene (DOHMH) is expanding home visiting in NYC and streamlining how providers, organizations, and community residents can access quality home-visiting services. The goal is to improve maternal and child health and well-being by matching families' assessed risks to evidence-based (EB) or evidence-generating (EG) home visiting (HV) models that are most appropriate for them based on their needs, and to connect them to other resources as needed. Racial, ethnic, and socioeconomic inequities create disparate outcomes in certain neighborhoods as compared with the rest of the city, and providing services beginning in the prenatal through postpartum period is vital to improving these outcomes. In addition, recent attention to inequities in maternal morbidity and mortality, especially in New York City, points to the need for more respectful maternity care and greater agency for people during childbirth, both of which the program's staff will facilitate, in partnership with NYC doula organizations. DOHMH's New Family Home Visits (NFHV) is an innovative initiative that will strengthen how we will serve families from pregnancy through the postpartum period. Through the NYC Coordinated Intake and Referral System (NYC CI&R), we are streaming the manner in which clinical and community-based providers can connect their families to home visiting services. A subset of families will also be offered labor and delivery support by a certified doula. NFHV incorporates a strong mental-health and chronic-disease focus, including screening for diabetes, hypertension, maternal depression, and anxiety, along with referrals to needed services. The citywide program will continue to serve families residing in DHS shelters as well as families residing in the Taskforce on Racial Inclusion and Equity (TRIE) neighborhoods and residents of NYCHA. These are neighborhoods and communities burdened by adverse maternal and child health outcomes will be prioritized; however, all first-time expectant parents are eligible.