As of 2020, much of Idaho is considered a healthcare “Maternity Care Desert.” Idaho also has banned abortion, opted not to expand postpartum Medicaid coverage, and disbanded the state committee that investigated root causes of maternal deaths making it the only US state without a maternal mortality review.    Pregnant women who are using substances or have a history of substance use may have their rights violated during pregnancy or delivery. Examples of this may include being told you can’t have pain relief during labor, being told to stop Medication Assisted Therapy (buprenorphine or methadone) during pregnancy or lactation, being drug tested without consent, or having your confidential medical information shared.  Even if you continue to use alcohol or drugs during pregnancy, you have the right to –  Receive medications for the treatment of substance use disorder  Be administered medications for pain relief during labor  Maintain confidentiality of your medical records, including any history of substance use or treatment  Receive information about the risk, benefits, and alternatives of various procedures or treatments during prenatal care, labor and delivery, including drug tests.  Be treated with respect and dignity.  Remain silent when spoken to by a police officer if you fear what you say will be used against you.  Prevent law enforcement from accessing your medical records without your consent unless they have a warrant or court order.