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Prenatal to Three (PN-3) Collaborative

Join the over 115 partners across the state to implement our prenatal-to-three agenda and make Texas the best place to be born! Policy leaders are increasingly recognizing that the early years—particularly the period from the prenatal stage to the age of 3—are some of the most important for children, setting the foundation for their future success. To assure Texas infants, toddlers, and their families get off to the strongest start, TexProtects, Texans Care for Children, and Children at Risk have partnered to lead a collaborative effort to implement a cross-sector prenatal-to-three strategic agenda that aligns with and enhances efforts across the state.

With funding from the Pritzker Children’s Initiative, more than 190 stakeholders, representing 115 organizations and six state agencies/offices, came together as PN-3 Collaborative partners to develop the Texas Plan. This statewide, cross-sector strategic agenda aims to increase services to more than 400,000 low-income infants, toddlers, and families by 2026.

Download the one-pager PDF here.


  • All Texas children are born healthy and have equitable access to health and early learning supports in their homes and their communities.

  • Early childhood systems are aligned, coordinated, and well-funded to ensure young children and their families are healthy and thriving.


The PN-3 Collaborative has developed a policy agenda and will implement an action plan for Texas that will ensure over 300,000 more young Texas children, ages birth-3, and their families, benefit from effective and well- funded programs that promote healthy beginnings, supported families, and quality early care and learning experiences by 2026.

The Texas Plan

The policy agenda is focused on the three areas described below and is intended to build on and align with existing efforts and initiatives.

Healthy Beginnings

Goal: Increase the quality of and access to prenatal and postpartum health services for low-income mothers and health services for low-income infants and toddlers by:

  • Ensuring 12-month postpartum Medicaid coverage to support healthy mothers and babies during the first critical year of a baby's life.

  • Connecting infants and toddlers to health care through continuous, 12-month coverage in Children’s Medicaid.

  • Strengthening outreach and enrollment efforts to increase the number of infants and toddlers enrolled in Children's Medicaid and Children’s Health Insurance Program (CHIP).

  • Increasing the number of mothers delivering infants in hospitals equipped with Alliance for Innovation on Maternal Health (AIM) maternal health and safety bundles that provide training and equipment to hospitals to address maternal health complications. Support Department of State Health Services to invest in TexasAIM and any other maternal health initiatives that combat maternal mortality and morbidity.

  • Increasing the number of new mothers receiving behavioral health services in the postpartum year through the Healthy Texas Women Plus program. Support HHSC’s request for continued investments in Texas’ women preventative care, including Healthy Women Texas and family planning programs.

  • Increasing the number of mothers, infants, and toddlers served through team-based models for prenatal care and pediatric health, such as CenteringPregnancy and CenteringParenting.

Supported Families

Goal: Increase the number of low-income infants, toddlers, and families who are screened and successfully connected to necessary services by:

  • Developing regionally-based centralized intake and referral systems and enhancing statewide intake and referral systems to connect families to an array of early childhood resources & supports.

  • Increasing parent and provider understanding of healthy child development and support services available for families with young children.

  • Increasing detection & intervention efforts and connecting medical providers to grid of resources for families.

  • Increasing the capacity of home-based support services and other resources for families, including home visiting, Early Childhood Intervention, and community-based programs.

Quality Early Childhood Education & Care

Goal: Increase access to high-quality child care programs serving low-income infants and toddlers by:

  • Increasing access to high-quality child care for low-income children with working parents by enhancing Texas Rising Star (TRS), the state’s quality rating and improvement system, and promoting strategies including shared services, school readiness partnerships, Early Head Start, and engaging home-based child-care providers.

  • Strengthening the Early Childhood Education (ECE) workforce through additional professional development, scholarships, apprenticeships, professional networks, and other strategies.

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Our Mission

Our mission is to protect Texas children from the trauma of abuse and neglect and empower families to thrive through education, research, and advocacy. Our vision is that all children are safe, nurtured, and resilient. Learn more about the work we do. You can help protect Texas children from abuse & neglect. Find out how you can help.

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