Complete Roadmap

Prenatal-to-3 State Policy Roadmap

2020 Prenatal-to-3 State Policy Roadmap

Through comprehensive reviews of the most rigorous evidence available, the Prenatal-to-3 Policy Impact Center identified 11 effective solutions, including 5 effective policies and 6 effective strategies, that foster the nurturing environments infants and toddlers need and many of which, reduce longstanding disparities in outcomes among racial and ethnic groups and socioeconomic statuses.

As the evidence base grows and more information becomes available, the list of effective policies and strategies will expand, and additional information on the return on investment of each effective solution will be provided. Currently, states should strive to fully implement the 11 prenatal-to-3 (PN-3) solutions with the strongest evidence of effectiveness to date.

The Roadmap explains in detail the 8 PN-3 policy goals, 5 effective policies, 6 effective strategies, and outcome measures to measure the wellbeing of children and their families. Each of the 50 states and DC can also see how they stand and how to move forward on the Roadmap policies and strategies in their own state Roadmap and the state data interactive.

Links to download the 2020 Prenatal-to-3 State Policy Roadmap, the Executive Summary, your state’s Roadmap, and shareable excerpts can be found below and from the download menu options on this page.

The Policy Impact Center conducts evidence reviews and works with states to ensure data accuracy on an on-going basis. Roadmap release updates can be found here.





8 Prenatal-to-3 Policy Goals

  1. Access to Needed Services (PDF)
  2. Parents’ Ability to Work (PDF)
  3. Sufficient Household Resources (PDF)
  4. Healthy and Equitable Births (PDF)
  5. Parental Health and Emotional Wellbeing (PDF)
  6. Nurturing and Responsive Child-Parent Relationships (PDF)
  7. Nurturing and Responsive Child Care in Safe Settings (PDF)
  8. Optimal Child Health and Development (PDF)

5 Effective State Policies

  1. Expanded Income Eligibility for Health Insurance (PDF)
  2. Reduced Administrative Burden for SNAP (PDF)
  3. Paid Family Leave (PDF)
  4. State Minimum Wage (PDF)
  5. State Earned Income Tax Credit (PDF)

6 Effective State Strategies

  1. Comprehensive Screening and Referral Programs (PDF)
  2. Child Care Subsidies (PDF)
  3. Group Prenatal Care (PDF)
  4. Evidence-Based Home Visiting Programs (PDF)
  5. Early Head Start (PDF)
  6. Early Intervention Services (PDF)


For an ongoing inventory of rigorous evidence reviews, including more detailed analysis of each Roadmap policy and strategy, go to the Prenatal-to-3 Policy Clearinghouse.



Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 State Policy Roadmap 2020: Building a Strong and Equitable Prenatal-to-3 System of Care. Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin.