Increases in maternal opioid use have led to an almost doubling in the number of babies born with neonatal abstinence syndrome (NAS) in the U.S. in the past 10 years. This statistic led the Centers for Disease Control and Prevention and American Academy of Pediatrics to call for stepped-up efforts to reduce opioid use during pregnancy, such as ensuring access to contraception to prevent unintended pregnancies among women who use opioids. More than 75% of women with Opioid Use Disorder (OUD) report having had an unintended pregnancy, but they are less likely to use effective contraception compared to women who do not use drugs. Results from a multi-year trial found that a two-part intervention featuring co-located contraceptive services in opioid treatment programs and financial incentives could offer an effective solution.