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.


State leaders can significantly increase the number of children eligible for child care subsidies across the country by expanding income eligibility thresholds. The level of income at which a family becomes initially eligible for child
Barriers to health care, high-quality health insurance, and parental leave work together to leave families and children vulnerable during the perinatal period. These barriers can shape life-long outcomes, particularly for children from historically marginalized groups.
The issue of inadequate child care in Middle Tennessee not only affects working families but also poses a critical barrier to economic growth and workforce diversity. A lack of available and affordable child care prevents