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2023 Prenatal-to-3 Policy State Policy Roadmap

Rigorous scientific evidence informs our annual policy guide, which gives states actionable solutions to improve outcomes for all young children.

Prenatal-to-3 Policy Clearinghouse

How do you know if a state policy truly improves outcomes for infants, toddlers, and their families? We reviewed thousands of research studies for you.

Research & Evaluation

We conduct original research—including program evaluation, policy analyses, benefit-cost analyses, and mixed methods studies—to build the evidence.

Policy Lever Checklists

These worksheets walk you through the key levers for policy and program design and implementation—with a focus on building an equitable system of care.

Policy Impact Calculator

In your state, how do policy choices affect the financial resources a family can use to provide for their children? And how do other states compare?

Blog

Our blog features state legislative updates, explainers on complex prenatal-to-3 policy topics, and coverage of important events and emerging research.

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2024 Prenatal-to-3 Legislative Highlights

With most legislatures adjourned for the year, we recap the 2024 action on state policies to support children and families. So far this year, lawmakers throughout the country debated—and many passed—legislation that aligns with four key components of the prenatal-to-3 system of care.

Refundable Tax Credits: Uptake Patterns in Texas Reveal Opportunities for States to Support Families

States and community organizations can increase awareness of credits. Increasingly, the state and federal government use tax credits, such as the child tax credit and the earned income tax credit, to support families with low

Receiving Concrete Support Linked to Home Visiting Program Engagement

Evaluating Texas’s in-kind and monetary assistance during COVID-19 To promote nurturing and responsive parent-child relationships and healthy home environments, states can offer home visiting programs to expectant and new parents with young children. During the

June Update: Prenatal-to-3 State Legislative Trends

Though most legislative sessions have adjourned, lawmakers and advocates across the country continue to advance efforts to support children and families. A lot can happen at the tail end of a legislative session, as Colorado

The Impact of Expanded Income Eligibility for Child Care Subsidies: Analysis of Proposed State Legislation in 2024

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

State Policies to Promote Equity in Healthy Perinatal Outcomes: A Summary of the Evidence 

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.

Davidson County Child Care Landscape Study

To understand variation in supply of and demand for child care across Davidson County and the surrounding areas, Raising Readers Nashville has partnered with Dr. Cynthia Osborne and the Prenatal-to-3 Policy Impact Center at Vanderbilt

Inadequate child care is costing Tennessee employers millions. Here are the business and nonprofit community’s proposed solutions.

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

May Update: Prenatal-to-3 State Legislative Trends

Bipartisan momentum has advanced tax credit proposals across the country, a historic debate over Medicaid expansion continues in Mississippi, and several states made progress in the past month to provide doula services through Medicaid. By

The State Policy Implications of the New Federal Child Care Rule 

In late February, the federal government released a final rule that makes regulatory changes to the Child Care and Development Fund. The rule requires action from many states to ensure child care is affordable and
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Peabody College of Education & Human Development

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