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2025 Prenatal-to-3 Legislative Roundup

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As the year winds down, we recap the 2025 action on state policies to support children and families.

Each year, our policy team tracks hundreds of bills that affect infants, toddlers, and their families. During the 2025 session, lawmakers across the country introduced, and many enacted, legislation aligned with six key components of the prenatal-to-3 system of care, as outlined in the 2025 Prenatal-to-3 State Policy Roadmap.  

As states prepare for the year ahead, our team will continue tracking legislative movement and providing timely analysis to support partners working to improve outcomes for young children and their families.  

Explore examples from across the country!

Read the 2025 trends brief

Stay on top of 2026 trends

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© December 2025, Prenatal-to-3 Policy Impact Center, All Rights Reserved. The Prenatal-to-3 Policy Impact Center at Peabody College of Education and Human Development, Vanderbilt University aims to accelerate states’ implementation of evidence-based policies that help all children thrive from the start.

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Effective Early Childhood Governance: Lessons Learned from Governance Change

Governance change does not happen overnight, and states rarely accomplish it alone. Drawing on case studies of five states that consolidated their early childhood systems, a new brief from the Prenatal-to-3 Policy Impact Center identifies seven lessons learned, from sustained advocacy to strong, collaborative leadership, that can help state leaders pursue governance change reflecting their own early childhood goals.
Governance change does not happen overnight, and states rarely accomplish it alone. Drawing on case studies of five states that consolidated their early childhood systems, a new brief from the Prenatal-to-3 Policy Impact Center identifies seven lessons learned, from sustained advocacy to strong, collaborative leadership, that can help state leaders pursue governance change reflecting their own early childhood goals.
Little girl smiling

Early Childhood Governance Typologies: Patterns in State Governance Across the Nation

State choices in early childhood governance shape whether families can easily find, access, and use the services their children need. A new brief from the Prenatal-to-3 Policy Impact Center maps how all 50 states and the District of Columbia organize these systems, identifying three governance typologies (whole child, school readiness, and parents' workforce participation) to help leaders align governance structure with their early childhood goals.
State choices in early childhood governance shape whether families can easily find, access, and use the services their children need. A new brief from the Prenatal-to-3 Policy Impact Center maps how all 50 states and the District of Columbia organize these systems, identifying three governance typologies (whole child, school readiness, and parents' workforce participation) to help leaders align governance structure with their early childhood goals.
Mother holding baby close to her chest after delivery

New Research on Medicaid Work Requirements Highlights the Importance of State Policy Choices

As states implement new federal work requirements under OBBBA, several policy choices can help minimize unnecessary coverage loss.
As states implement new federal work requirements under OBBBA, several policy choices can help minimize unnecessary coverage loss.

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