This is an update from the NCAI Policy Research Center on Neonatal Opioid Withdrawal Syndrome (NOWS) in American Indians and Alaska Natives. Presentation: CAPT Ted L. Hall, PharmD, BCPP, Rph, Ho-Chunk Nation Director of Pharmacy/Chief Pharmacist, IHS Heroin, Opioids, and Pain Efforts (HOPE) Committee - Perinatal Substance Use Workgroup Co-Chair