Policy perceptions of US state public health and child and family services regarding maternal opioid use and neonatal exposure

•All states surveyed reported recent changes or plans to address the problem of opioid misuse in their state.•Many respondents felt their state continues to lack adequate services for opioid addiction treatment.•Some states are exploring unique methods for addressing this in a safe and timely fashion.•Findings demonstrate an increased commitment throughout the United States to enhance access to clinically appropriate treatment of substance use disorder particularly during pregnancy.