Perinatal Substance Exposure: Opioid & Substance Use & CARA Federal Law Implementation

Perinatal Substance Exposure: Opioid & Substance Use & CARA Federal Law Implementation

Nebraska is implementing Public Law 114-198, the Comprehensive Addiction and Recovery Act (CARA) of 2016, which addresses the needs of substance-exposed infants. This act requires appropriate referrals to child protective services (CPS) and other appropriate services, development of a plan of safe care addressing the needs of both infants and their families or caretakers, and data collection and monitoring.

This webinar will describe responsibilities of hospitals and clinical providers pertaining to Nebraska’s procedure to comply with the federal law. It will also address substance use disorder (SUD) and best practices in caring for these families.

Target Audience

This internet enduring material is intended for Nebraska providers caring for mothers and newborns who may be affected by Substance Use Disorders as well as hospital administrators who will be implementing components of the law within the hospital setting.

Learning Objectives

At the conclusion of this activity, the participant should be better able to:

  1. Describe the implementation of the Comprehensive Addiction and Recovery Act (CARA) in Nebraska
  2. Describe the presentation and management of Substance Use Disorder (SUD) in pregnancy
  3. Explain how the post-delivery continuum of care is vital in the recovery from SUD


Ann Anderson-Berry, MD, PhD, FAAP

Professor and Chief, Division of Neonatology, Department of Pediatrics, UNMC
Co-Medical Director, Nebraska Perinatal Quality Improvement Collaborative (NPQIC)
Medical Director, Newborn Intensive Care Unit (NICU) and Newborn Nursery, Nebraska Medicine

Marley Doyle, MD

Assistant Professor; Director, Adult Outpatient Division; Associate Director, Women's Reproductive Program; Director, Behavioral Health Education Center of Nebraska (BHECN), Department of Psychiatry, UNMC

Kenneth Zoucha, MD

Assistant Professor; Director, Addiction Medicine, Department of Psychiatry, UNMC

Method of Participation

This activity will take approximately 60 minutes to complete.

System Requirements

Term of Approval

Release Date: November 13, 2020
Expiration Date: November 13, 2021

Continuing Education Credit

The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Nebraska Medical Center, Center for Continuing Education designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


UNMC CCE presents this information for educational purposes only. The content is provided solely by faculty who have been selected because of recognized expertise in their field. Participants have the professional responsibility to ensure that products are prescribed and used appropriately on the basis of their own clinical judgment and accepted standards of care. University of Nebraska Medical Center, Center for Continuing Education (UNMC CCE) assumes no liability for the information herein.


It is the policy of the UNMC CCE to ensure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities. All faculty, activity planners, and staff involved in the development of this activity have disclosed any significant financial interest or other relationship with manufacturer(s) of any commercial product(s)/device(s) and/or provider(s) of commercial services included in this educational activity. The intent of this disclosure is not to prevent a faculty or staff member with a relevant financial or other relationship from participating in the activity, but rather to provide participants with information on which they can base their own judgments. UNMC CCE has identified and resolved any and all faculty conflicts of interest prior to the release of this activity.

Faculty and Staff Disclosures

All activity faculty and planning committee members have no relevant financial relationships to disclose.


Contact Jackie Farley via email or call 402-559-2891.