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PACEs Connection Resource Center

State Legislation

State Legislation Related to ACEs

PACEs Connection tracks and reports on state legislation, drawing largely upon the National Conference of State Legislatures’ (NCSL) database of bills that address ACEs, childhood trauma, child adversity, and toxic stress.

You can look up enacted/approved bills and resolutions that specifically address ACEs by state on this PACEs Connection site: State ACEs and TI Laws and Resolutions. Summary stories are posted on PACEs Connection twice a year. Here is the most recent PACEs Connection story:


Selected State-Related Resources

State ACEs and TI Laws and Resolutions

State/Territorial Policy Considerations for Preventing Adverse Childhood Experiences by Association of State and Territorial Health Officials (ASTHO) (2022). In consultation with Jonathan Purtle, DrPH at New York University's School of Global Public Health, ASTHO staff identified a range of evidence-supported policies considered by state legislatures from 2019 – 2021 that could prevent ACEs. This document synthesizes these research and policy proposals and is intended for public health practitioners and policymakers who are considering adopting similar policies in their jurisdictions.



  • Case Study of California’s ACEs Aware initiative by National Governors Association (NGA) (October 2021). The NGA Center, in partnership with the Duke-Margolis Center for Health Policy (Duke-Margolis), the National Academy for State Health Policy (NASHP), and a former leader in Tennessee’s strategic implementation of Building Strong Brains Tennessee (BSBTN), convened a five-state learning collaborative on preventing and mitigating ACEs and promoting resilience in children and families. This case study highlights California’s ACEs Aware initiative and its key elements as a model for other states.