This report highlights the disconnect between the urgent need to provide medications for opioid use disorder (MOUD) to individuals with OUD in jail and the limited accessibility to MOUD for those who need it. The findings underscore a need to address challenges faced by jails in implementing the use of MOUD within their facilities, including a lack of funding and resources, stigma associated with OUD and MOUD, and challenges in ensuring continuity of care for individuals re-entering the community.