The document describes some of the initiatives that 14 RTT-ELC States undertook in the first or second year of their grants, as reported in their Annual Performance Reports (APRs). It is not intended to be a comprehensive look at all the activities and progress States have made to date. Yet even in this short period of time and in this brief report, it is clear that the RTT-ELC grantees are making progress toward improving the quality of early learning and development programs in their States and providing access to these high-quality programs for more children with high needs. These efforts are moving States toward the RTT-ELC goal of providing more children from birth through age 5 with a strong foundation that is needed to succeed in school and beyond. The infusion of funding, coordinated technical assistance from RTT-ELC, and firm timelines are giving States the needed impetus to develop a systems-based approach to improving the education and development of their youngest citizens. (author abstract)