This report describes planning and early implementation of home visiting programs in 15 states. The programs and report were funded by the Children’s Bureau at the Administration for Children and Families in the U.S. Department of Health and Human Services. The report describes the grantees, the home visiting program models they selected, and their progress and challenges. It should be of special interest to states and home visiting providers participating in the new Maternal, Infant, and Early Childhood Home Visiting grant programs authorized by the Affordable Care Act and now being implemented in states.