Introduction -

Over the past several years, the American Medical Association (AMA) and Manatt Health have partnered on recommendations that inform policymakers of best practices to eliminate barriers to care for opioid use disorder (OUD) through a national policy road map in December 2020; a comprehensive state toolkit in January 2022 expanding on the roadmap recommendations; and a compilation of profiles in December 2022 featuring leading physicians, policymakers and advocates who have implemented many of the recommendations. In light of the sharp increase in pregnancy and postpartum deaths linked to OUD,1 the AMA and Manatt have developed a set of recommendations for state policymakers to improve access to care for pregnant and postpartum people with OUD with several strategies focused on improving care for justice-involved pregnant and postpartum individuals.