REPORTS

An Updated Look at Pre-K in Large American Cities

CityHealth in partnership with the National Institute for Early Education Research (NIEER) | March 2026

Excerpt: "Decades of research show that high-quality early learning programs can positively impact children’s learning, development, and health. Therefore, we strongly believe that access to a high-quality early learning program is one of the best investments a city can make. With funding from the de Beaumont Foundation and Kaiser Permanente, CityHealth provides cities with evidence-based policy solutions and practical tools to improve the health and well-being of their residents. CityHealth provides a framework for advancing policies using a medal rating system to assess their progress and encourage improvement in public health outcomes."

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Children at preschool


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