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The Build Back Better Act: Increasing Affordability, Access, and Quality of Child Care for Infants and Toddlers

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The federal Build Back Better Act proposes a historic investment in the care of infants and toddlers that increases access and affordability by raising income eligibility levels in many states, capping family copayments, and setting provider reimbursement rates based on the cost (not price) of providing care. Research on the impact of the receipt of child care subsidies and state spending on subsidies show a positive impact on families’ access to needed services, the ability of parents to work, and families’ ability to have sufficient household resources.

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PN-3 Research to Policy Summit Website Featured Image

2026 Prenatal-to-3 Research to Policy Summit​

Join us September 29 to explore how the prenatal-to-3 policy landscape changed from 2016 to 2026.
Join us September 29 to explore how the prenatal-to-3 policy landscape changed from 2016 to 2026.
Three individuals participate in a panel discussion at the State Policy Academy, with a backdrop featuring "prenatal-to-3 policy" and a child's image.

State Leaders Convene in Nashville for Prenatal-to-3 Policy Impact Center’s State Policy Academy on Early Childhood Governance

Three-day academy brought together state teams and national experts to examine how governance structures can improve outcomes for young children and families. Nashville, Tennessee – The Prenatal-to-3 Policy Impact Center at Vanderbilt University’s Peabody College
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.
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.