This document contains the text of a one of a series of Congressional hearings called to examine substance abuse among pregnant and parenting women and to explore prevention and treatment strategies. This hearing focuses on federal and state policies designed to address the urgency of perinatal substance abuse. Witnesses provide testimony on state legislative legal remedies and explain what the federal government can do to help. Opening statements are provided by George Miller, Chairman of the Select Committee on Children, Youth, and Families, and by Representative Bliley (prepared statement). Witnesses providing testimony include: (1) Susan Galbraith, director, Coalition on Alcohol and Drug Dependent Women and Their Children; (2) David Gates, staff attorney, National Health Law Program, Inc.; (3) Neal Halfon, director, Center for the Vulnerable Child, Children's Hospital in Oakland and assistant clinical professor of pediatrics and health policy, Department of Pediatrics and Institute for Health Policy Studies, University of California at San Francisco; (4) Jo Ann Kauffman, president, National Association for Native American Children of Alcoholics; (5) Kary Moss, staff attorney, Women's Rights Project, American Civil Liberties Union; (6) Albert Pruitt, chairman, Department of Pediatrics, Medical College of Georgia and chairman, Committee on Substance Abuse, American Academy of Pediatrics; (7) James Ryan, Dupage County State's Attorney, Wheaton, Illinois; (8) Brenda Smith, staff attorney, Director of Women in Prison Project, National Women's Law Center; (9) Pete Wilson, member, U.S. Senate, State of California; and (10) Robert Woodson, Sr., president, National Center for Neighborhood Enterprise. Relevant supplemental materials, prepared statements, and letters are included throughout the text. (NB)