2. 30-40% of pregnant women receive opioid
prescriptions for pain, mostly short acting

3. Incidence of NAS in the US are increasing at a staggering rate
US Nationwide rate
TN State rate

4. Existing cost models do not account for the true cost of NAS
Birth to discharge $67,000
First Year $159,000 to $238,000
Long Term Care $1,500,000 +
Average NAS birth cost is $66,700 compared to a normal birth at $3,700
Length of stay average is days compared to normal birth at 2 days
CURRENT COST MODELS ONLY ACCOUNT FOR THIS
NAS Babies require feeding assistance and growth monitoring
Discharge to home with social services
Nutritional care and medication
Care for increased rates of: ADHD, developmental delay, vision problems, cognitive deficiency, otitis media, spina bifida, motor development issues, cleft palate and heart defects

5. $40,500,000,000 lifetime care cost for babies born in 1 year
The BIG number
When we look at a more accurate estimate of the cost to care for each of these babies and multiply it by the rate of incidence, we get an idea of the true costs
27,000 NAS babies per year
$1,500,000 lifetime care cost
$40,500,000,000 lifetime care cost for babies born in 1 year
This means NAS births over the last 5 years will cost : $202,500,000,000

6. Less than 3% of the tobacco settlement went to addressing the problem
$246 billion in tobacco settlement fund
States have budgeted less than 2% for tobacco prevention and health programs
Mandates to spend money on programs were passed but not enforced
New York issued bonds against settlement to divert money into general fund

7. This cannot happen again
We need a comprehensive plan that addresses long term care and developmental delay accommodations
Using current best practice methods to follow children and provide for multi specialty care ​
Feeding assistance and growth monitoring​
Developmental and behavioral specialists
At birth weaning and developmental rehabilitation needs
Discharge to home with social services
Behavioral counseling and cognitive rehabilitation therapy 
Medical monitoring to include medication / treatment for : ADD, Depression, anger and social issues known to be associated with NAS
Medical treatment to include surgical correction for congenital defects

8. Opioid Justice Now has THE plan
We are developing a comprehensive developmental and behavioral care model specific for NAS babies with renowned Stanford University Professor of Pediatrics, Dr. Kanwaljeet “Sunny” Anand who is a world leader in the clinical care of these infants
His research focus over the past 30+ years has contributed fundamental knowledge about pediatric pain/stress, long-term effects of pain in early life, management of pain, mechanisms for opioid tolerance and withdrawal
Finances will be distributed by HGI who has been a trusted administrator of billions in public grant and self insured funds and program development. This keeps the money out of the hands of an interested party to insure that the funds end up benefiting the damaged parties

9. Adolescent to adulthood
Prenatal Care
Birth Event
Postnatal
Adolescent to adulthood
Outreach and Education
Nutritional Care
Medication assisted therapy
Public service Announcements
Early Intervention
Emphasis on prenatal education and nutrition and weaning addicted mothers from opioids early in the pregnancy
birthing centers for keeping baby with mother and preventing the mother from being incarcerated with neonatal nursing in house and counselling
Medical treatment to include surgical correction and medication for congenital defects
Identify and respond to needs of exposed child.
Respond to needs of mother and other family members.
Provide an appropriate education, screening, and support as exposed children approach adolescence and adulthood to prevent adoption of high-risk behaviors such as: substance abuse, attention deficit medication, tutorial services, behavioral counseling ,occupational therapy, physical therapy, speech therapy , swallowing therapy, auditory therapy, life skills therapy, vocational education, cardiology and digestive and neurology monitoring and medical / surgical interventions if necessary.
Universally screen pregnant women for substance abuse and make referrals to treatment when appropriate.
Provide enhanced prenatal services, including referrals to services in which coordination can occur with all relevant entities (hospitals, DCF, substance-abuse treatment providers, etc.) prior to birth.
Academic and clinical research towards identifying genetic markers for those with high risk based on pre-disposition
Provide developmental services.
Ensure an environment safe from abuse and neglect.
Respond to immediate needs of other family members, including treatment of the parent-child relationship