This report outlines Nevada’s harm reduction strategies for addressing substance use and related health outcomes among women of childbearing age. It details collaborations between state agencies, including the Substance Abuse Prevention and Treatment Agency (SAPTA) and Maternal, Child, and Adolescent Health (MCAH), to expand access to medication-assisted treatment (MAT), screening programs, and reproductive health services for pregnant and parenting women. The report also highlights barriers to implementation, including stigma, funding limitations, and misconceptions about substance use, while emphasizing the importance of stakeholder engagement and policy integration in improving health outcomes.