The American Academy of Pediatrics and federal health agencies have called for the routine use of objective screening instruments to identify developmental problems during well-child visits. Since 2000, the Fund has successfully worked with eight states through its Assuring Better Child Health and Development (ABCD) initiative to promote broader use of standardized screening. The time is right to build on the ABCD experience and push for national adoption of developmental screening as a standard of pediatric care. As part of that push, this project will engage up to 20 states in a 15-month ABCD Screening Academy. Its goal will be to encourage states to adopt policies that promote developmental screening, spread screening to pediatric practices, and measure and report progress to statewide leadership committees, which will provide guidance on sustainability and policy development.