States have increasingly sought to house pre-K and child care in the same agency--often including the Head Start collaboration office and other early childhood services. This article discusses three major approaches: (1) Creating a new agency focused on early childhood; (2) Consolidating functions in a human services agency; and (3) Consolidating functions into an education agency. Additionally, it discusses multiple actions state board members can take to elevate early childhood and strengthen policy continuity from birth through high school.