How States Receive Credit for Policy Adoption on the 2020 Prenatal-to-3 Policy Roadmap


The 2020 Prenatal-to-3 State Policy Roadmap identifies five effective state-level policies that improve the health and wellbeing of infants and toddlers, and their parents. The goal is for all states to adopt and fully implement each of the effective policies as part of a robust and equitable prenatal-to-3 system of care, and the Roadmap will track states’ progress toward this aim.

Different from many other policy reports, our Roadmap only gives states full credit for a policy if those eligible can currently receive the benefit AND the benefit level is sufficient to impact prenatal-to-3 outcomes.1 We ranked states’ progress toward policy adoption and implementation on the scale below. This State Policy Spotlight provides information on states that have adopted a Roadmap policy, but do not receive full credit as of the launch of the State Policy Roadmap on September 15, 2020.

State progress toward policy adoption and implementation:

  1. We determined the level of benefit necessary to impact prenatal-to-3 outcomes based on comprehensive reviews of rigorous causal studies. See the Prenatal-to-3 Policy Clearinghouse for more information.


Cynthia Osborne discusses the work of the Prenatal-to-3 Policy Impact Center, which focuses on building the evidence base for effective state policies to improve outcomes for infants, toddlers, and their families. Read the full article
Vanderbilt University’s Prenatal-to-3 Policy Impact Center (PN-3) just issued its annual State Policy Roadmap, exploring ways that the states (and D.C.) can improve conditions so infants and toddlers can thrive. The Roadmap focuses on 12 solutions shown
Paid family leave is one of 12 evidence-based policies in our 2023 Prenatal-to-3 State Policy Roadmap, which details states’ progress toward adopting and implementing policies that effectively improve child and family wellbeing . As of