In the five years since Congress' noteworthy changes, how has the implementation of Partnerships informed state goals and policies to improve access to high-quality infant and toddler care for low-income families? Additionally, how have policies and practices been influenced on the ground at the state level -- above and beyond the specific changes stipulated by the legislative revisions? To find out, the Ounce of Prevention Fund (the Ounce), an organization focused on providing access to high-quality early childhood education and care to children and families, conducted interviews with a variety of state leaders. Interviewees included those who administer a Partnerships grant (Alabama, D.C. and Georgia), and some who supported implementation of Partnerships in their states but did not have a Partnerships grant (Louisiana, Maryland, Oklahoma and Washington). (author abstract)