State & Indigenous Landscape
States, territories, the District of Columbia, and Indigenous organizations implement home visiting models that match the needs of their communities using varied funding streams, including the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. Maternal and child health indicators provide insight into states’ varied contexts, which drive their decisions and priorities.
For example, 68 percent of children aged 0-17 had adequate health insurance coverage to meet health needs for the past 12 months, while the state average ranges from 56 percent in Wyoming to 81 percent in Hawaii.
The number of potential beneficiaries in each state relates to its population size, ranging from 27,700 potential beneficiaries in Vermont to 2,044,400 in California. However, size does not necessarily relate to the percentage of beneficiaries who meet 1 or more priority criteria (have an infant, insufficient income, single parent, parent or expectant parent under 21, or parent with less than a high school diploma). The percentage of high-priority families meeting any 1 of 5 priority criteria ranges from 38 percent in Utah to 58 percent in New Mexico.
How Does the Percentage of Families Served Vary by State?
In terms of families served, the percentage of potential beneficiaries served ranged from 0.1 percent in Vermont to 4.6 percent in Michigan and 4.5 percent in Kansas. The percentage of high-priority families served ranged from 0.2 percent in Vermont to 9.7 percent in Kansas, and 9.2 percent in Michigan. (Source: The percentage of potential beneficiaries served in Vermont may be an undercount due to the availability of data.)Go to footnote #>1
Select a state in the interactive map below to see a brief data snapshot or click the orange button to view the information in a table or download the data file.
Home Visiting by State (2022)
|High-Priority Families (%)|
|All Families Served (%)|
|High-Priority Families Served (%)|
|Home Visits Provided|
|State||Potential Beneficiaries||High-Priority Families (%)||All Families Served (%)||High-Priority Families Served (%)||Home Visits Provided||Children Served||Families Served||Local Agencies||Models Implemented|
Sources: Service numbers and participant demographics come from evidence-based model data for 2022 as detailed in each profile. Information on potential beneficiaries is derived from the [2017–2021 American Community Survey](https://usa.ipums.org/usa/index.shtml), and includes pregnant women and families with children not yet in kindergarten.
Note: NA = not available.
*Percentages of high-priority families served are estimates of potential beneficiaries who meet any one of five priority criteria—(1) having an infant, (2) income below the federal poverty threshold, (3) pregnant women and mothers under 21, (4) single/never married mothers or pregnant women, or (5) parents without a high school diploma—and who received home visiting services in 2022.
States serve as many potential beneficiaries as possible. There are multiple reasons why they cannot reach all families who could benefit. States have limited funding and often must piece together federal, state, and private dollars to serve families. Geographic challenges can also prevent states from reaching more families. For example, in rural areas, home visitors may travel hours to see one family, which limits the number of families that can be served overall.
Where Can I Learn More About States, Territories, and Indigenous-Led Organizations?
State profiles provide state-level information, including families served and potential beneficiaries, from evidence-based models. The Indigenous-led organizations profile presents aggregate information about home visiting services provided by Indigenous-led organizations as shared by nine evidence-based models. Learn more.