In the United States, racial disparities in birth outcomes continue to persist with income inequality being one of the key contributors. Structural interventions that reduce the racial-wealth gap are urgently needed and have the promise to narrow longstanding inequities. In a community-academic partnership, Expecting Justice is proposing to pilot the first pregnancy income supplement program in the US which we are calling the Abundant Birth Project (ABP). ABP will provide unconditional cash supplements to Black and Pacific Islander mothers as a strategy to reduce preterm birth and improve economic outcomes for our communities. ABP presents an opportunity to transform San Francisco into a city where all children have a healthy start at life.