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State Services

The Prenatal-to-3 Policy Impact Center provides a variety of services to state lawmakers, agency officials, and advocates. We are experts on the latest research and the implementation of effective state polices, and we work closely with state leaders to help them achieve their goals for child and parent wellbeing.

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Virginia’s investment yields substantial returns to children, families, and the state–including reduced poverty and child maltreatment, a lifetime of improved educational achievement, and hundreds of millions of dollars in state economic returns.

How We Support States

We conduct original research and rigorous evaluations of state policies and programs. Through mixed methods, we examine not only whether a policy is effective, but also for whom and under what conditions. We calculate the return on investments. Our findings help states strengthen supports for children and families.

Submit an information request today! We answer specific research questions tied to state and national prenatal-to-3 legislative activity and trends, rigorous research, and policy impacts. We craft responses within an equity framework and target our responses to a state’s needs.

Data-driven decisions help states support infants, toddlers, and their families. In our work for states, we use administrative data and collect our own data via surveys, perform data analysis and benefit-cost analyses, and advise in the creation of data dashboards.

We provide virtual and in-person presentations on a variety of topics related to legislative trends and rigorous research. We receive frequent requests for prenatal-to-3 policy overviews, as well as presentations on specific issue areas and individual states’ policy goals.

We help state leaders prioritize their policy agendas by providing evidence of what works to meet a state’s policy goals for children and families.

Our nonpartisan experts in public policy and the science of early childhood can provide testimony on the effectiveness of policies in pending legislation. We can speak to the rigorous evidence on such policies, translating complex findings into clear and simple messages.

The Latest

Baby held close to their mother's chest

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.
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.
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.
Kids sitting in a classroom

New Vanderbilt Study Finds Nashville Child Care System Faces Interconnected Challenges in Supply, Workforce, and Affordability

As families across the country navigate the pressures of finding and affording child care, new research from Vanderbilt University’s Prenatal-to-3 Policy Impact Center examines what that landscape looks like in greater Nashville, Tennessee Nashville, Tennessee
Set of kid toys on a white shelf

Brief 5: Estimating the True Cost of High-Quality Home-Based Care – Insights from True-Cost Modeling

Home-based child care plays a small but vital role in greater Davidson County, Tennessee, offering families flexibility, affordability, and culturally aligned care, particularly for infants and toddlers. This brief uses a cost estimation model to examine the true cost of providing high-quality home-based child care in the region, where providers often serve simultaneously as educator, owner, and director.
Little boy playing with toy train.

Brief 4: What High-Quality Center-Based Child Care Really Costs, and Why No One is Paying It – Insights from True-Cost Modeling

The market price of child care reflects what families can afford to pay, not what it actually costs programs to provide high-quality care with a well-compensated workforce. This brief uses a cost estimation model to examine the true cost of providing center-based child care for children under age 5 across greater Davidson County, Tennessee.