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Women with SUD vs. without had higher prevalence of receiving any preconception services (9.6% versus 5.7%, p0.001). Compared to women without SUD, women with SUD had increased odds of receiving preconception services adjusting for medical comorbidities (OR=1.39; 95% CI=1.22-1.58) that was no longer significant when psychiatric comorbidities were added (OR=1.11; 95% CI=0.97-1.27). There are numerous missed opportunities to provide preconception services to women with and without SUD. While delivering preconception services, healthcar