Mathematica reported that untreated perinatal anxiety and mood disorders have both direct (e.g., medical costs) and indirect costs (e.g., lost work time) to Vermont, that reach $48 million. From the prenatal period to five years postpartum, untreated anxiety and mood disorders are linked to higher risks of health complications for parents (such as preterm birth and preeclampsia) and children (such as child behavioral or developmental disorders) and work-related challenges (such as productivity loss and absenteeism). The authors recommend support for mental health screenings and improved treatment and prevention services.