Congenital syphilis cases in the US have increased by nearly 800% in the past decade.1 This surge in congenital syphilis is disproportionately occurring in Native American, Native Hawaiian, Pacific Islander, and Black children and those with adverse social determinants of health.2 Delayed diagnosis and treatment of congenital syphilis can lead to stillbirth, preterm birth, multiorgan infection, and severe neurological and/or skeletal disabilities. Congenital syphilis infection can be prevented with penicillin treatment early during pregnancy. However, in 2022 in the US, more than half of people who tested positive for syphilis during pregnancy did not receive timely treatment.1