By the time a child graduates from high school, they will have spent an estimated 15,600 hours at school. Because a significant amount of children's daily water intake comes from school water fountains, ensuring their access to safe drinking water at school is essential for their overall health. And one key health challenge that schools across the country may face is the presence of lead in drinking water. This National Association of State Boards of Education (NASBE) analysis details how statewide efforts to test for lead in school drinking water vary across the country. To better understand the landscape of lead in water testing and mitigation across the country, NASBE conducted a literature scan, online public data review, interviews, and surveys from April 2021 through August 2021. This report provides recommendations that state boards can implement to advocate for effective, equitable lead in water testing and mitigation.