This report captures the meaningful progress we acheived in the FY 2026–2027 state budget process—over 18 months of impact—while also preparing for what comes next. Within these pages, you’ll see the progress we’ve made, the partnerships we’ve built, and the gaps that remain.

A tool for understanding the strengths and challenges facing the systems serving children and families.

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A 10-year look at the impact of policy changes and opportunities for the future.

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Access to quality health care, beginning before birth and continuing throughout childhood, is vital to ensure that children have the best possible start in life. Medicaid plays a crucial role in ensuring necessary medical care.

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Groundwork Ohio visited 13 diverse Ohio communities to understand the unique challenges faced by young children and their families. Learn about our findings—a roadmap for giving all Ohio children an opportunity to thrive. 

As we confront Ohio’s persistent infant mortality crisis, we reflect on our progress and send a call to action. Rooted in the voices of Ohio's families, caregivers, and communities, and specifically in Montgomery County, this report captures lived experiences and systemic barriers that shape maternal and infant health outcomes.