This four-year project is a partnership between Child Trends and the Maryland State Department of Education (MSDE) Division of Early Childhood, which is the Lead Agency administering Maryland’s Child Care and Development Fund (CCDF) program and the state quality rating and improvement system (QRIS), Maryland EXCELS. The goal of the proposed project is to understand how Maryland’s CCDF policies, regulations, and recent initiatives enacted since the CCDBG Act of 2014 have affected low-income families’ equitable access to high-quality care in Maryland by examining longitudinal outcomes for Maryland’s child care market, providers, families, and children.