In the summer of 2018, Ascend gathered more than two dozen state and national policy experts and other leaders in the fields of health and early learning at its Aspen Meadows Campus in Aspen, Colorado, to discuss the growing opportunity to leverage the 2Gen approach at the state level and determine how best to take promising new innovations to scale. This report offers a snapshot of specific things federal, state, and local leaders can keep doing, start doing, or stop doing to remove barriers and accelerate success. (February 2019)