In 2010, a group of national US health care leaders issued a "2020 Vision for a High-Quality, High-Value Maternity Care System" and key strategies in a "Blueprint for Action." 1-2 Among the strategies recommended were expanding midwifery, birth centers, and physiologic care practices and removing regulatory, liability, and payment barriers to these models of care. Over the ensuing decade, many additional resources were developed to foster implementation of the 2020 Vision, including a follow-up 2018 Blueprint for Action focusing on achieving high-value maternity care through physiologic childbearing and universal incorporation of midwives into the US health care system. 3 We call all midwives and maternity care colleagues to action by using this Blueprint to scale up the midwifery profession and practice for the improvement of US maternity care. Despite over a decade of consensus and a growing movement to scale up midwifery in the United States, midwives remain underused and marginalized, even as national outcomes remain poor, racial and other disparities persist, and the cost of care has continued to increase. The United States has made little progress toward the ultimate vision of the 2020 Blueprint for Action, where "all women and babies are served by a maternity care system that delivers safe, effective, timely, efficient, equitable, woman-and family-centered maternity care [and the] United State ranks at the top among industrialized nations in key maternal and infant health indicators and has achieved global recognition for its transformative leadership." 1(p. S16) The World Health Organization (WHO) has designated 2020 the Year of the Nurse and the Midwife in a campaign to avert maternal and perinatal deaths and improve population health through advocacy and investment in the nursing and midwifery workforces. 4 This campaign calls for bold and persistent actions if all people and communities are to reap the evidence-based benefits of midwifery care. The WHO planned the campaign well before coronavirus disease 19 (COVID-19) transformed the work of nurses and midwives