This chapter explores the concepts of innovation and disruptive innovation as they relate to freestanding birth centers as the normative, Level 1 model of care for childbearing families in the United States. It explains how contemporary birth centers use the nine standards of the American Association of Birth Centers (AABC) as the basis for disruptive innovation. The ongoing, persistent promulgation of racial and ethnic disparities coupled with unreliable quality of the health care system takes the urgency of the call for innovation to a critical level. Lack of equity in maternity care and the resulting disparity has reached epic proportions. Institutionalized racism and the privilege of the medical system is a known driver of racial disparity and inequity. Birth centers offer enhanced care services, family-centered care, and a system well designed to refer to a higher level of care when appropriate.