This study investigates access to maternal healthcare in Virginia, focusing on several methods to evaluate geographical barriers. Since 2012, Virginia has experienced a 25% reduction in birthing hospitals, which has led to increased travel distances for many residents, correlating with higher rates of severe maternal morbidity and preterm births. Medicaid expansion has improved healthcare coverage for eligible individuals during pregnancy and postpartum, though disparities remain, particularly in urban areas where access to care is complicated by provider availability. Data reveal that while urban areas have more healthcare professionals, this does not necessarily translate to better access to prenatal care. Efforts by the Virginia Neonatal Perinatal Collaborative (VNPC) through the CDC LOCATeSM program aim to assess and enhance hospital capacity and care coordination. Understanding and addressing barriers to maternal healthcare can provide guidance for fostering better health outcomes for the future.