Early Support for Infants and Toddlers

Published November 16, 2025

Early Support for Infants and Toddlers (ESIT) promotes equitable outcomes for families with children, aged birth to three, who have developmental delays or disabilities. Eligible infants and toddlers, and their families, are entitled to individualized, quality developmental services in accordance with the federal Individuals with Disabilities Education Act (IDEA), Part C. Services include Family Resources Coordination, education and speech or motor therapies, and take place at home, childcare, and community settings.

Best Starts for Kids funding supported growth in the number of children served by ESIT by 44 percent, from 3,909 in 2015 to 5,643 children in 2019. We anticipate a four percent annual increase in the number of children served with Best Starts for Kids funding from 2022 to 2027, an increase leading to approximately 1450 additional children accessing ESIT services than are currently served by the last year of the levy.

This strategy invests in:

Investing Early (prenatal-5)

so that babies are born healthy and establish a strong foundation for lifelong health and well-being

Estimated annual reach:

7,093 kids annually served by 2027

Funding Estimate (2022-2027):

$28,529,000

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What to expect when you take the Best Starts Health Survey

Beginning this month, thousands of randomly chosen families with children in elementary school or younger will receive a postcard and letter asking them to take the Best Starts for Kids Health Survey. This survey is conducted every two or three...