This report outlines the significant strides made in addressing perinatal mental health conditions (PMHC) in Virginia. PMHC rates have seen a rise since 2019 with disparities demonstrated among different racial and payor groups. Through the SMILE project, VNPC has implemented the AIM patient safety bundle for Perinatal Mental Health Conditions. Key achievements thus far include a high referral rate for treatment and extensive provider education, emphasizing the importance of early identification, and intervention to improve maternal health outcomes. The report also details plans to expand and sustain these efforts, ensuring long-term success in mitigating the impact of PMHC.