A Federal Policy Agenda for Children

Every child deserves
the same sky
above them.

Children cannot vote. They have no lobby. And despite everything American parents say they want for their children, a coherent federal policy agenda for kids has never been built. Same Sky is building it.

Whether you are raising children in rural Appalachia, San Francisco, or Philadelphia — the data show that parents want the same things for their kids. That consensus is the foundation of everything we do.

Rural Appalachia
Food insecurity, mental health access, and healthcare coverage rank among the top concerns for parents regardless of political affiliation — and the gaps between rural and urban communities are stark.
Our national survey is designed to measure these disparities explicitly, with an intentional oversample of Appalachian communities.
The American South
In Tennessee and Georgia, nine in ten parents support free school meals for all children. Our six years of state polling established the foundation for Same Sky’s agenda.
Support held consistently across race, income, and region throughout our polling history.
Across the Country
A nationally representative survey of registered voters found majorities supporting every pillar of the Same Sky agenda — in communities from Philadelphia to San Francisco to rural Tennessee.
Published in JAMA Health Forum, 2024. Patrick et al.
"Same Sky builds consensus among parents and children to advance a federal policy agenda that expands opportunity for every child to thrive."

The divide in American politics is real. But it does not extend to our children.


Years of polling — in Tennessee, in Georgia, and nationally — has shown the same thing: parents across every background, geography, and political leaning want the same things for their kids. They want them fed, healthy, safe, and supported. They want their government to act.


Same Sky is the federal policy agenda that reflects that consensus. We are a national initiative housed at the Emory Center for Child Health Policy, and we believe that consensus this broad deserves a policy agenda to match it.

A five-pillar agenda built on what families tell us

From rural Appalachia to urban Philadelphia, from red states to blue, these five areas emerge consistently when we ask parents what their children need most. These are not partisan positions. They are parental ones.

Child Welfare & Family Stability

Hundreds of thousands of children are involved in the child welfare system — often failed by circumstance before the systems meant to protect them. Same Sky advances family preservation, evidence-based treatment for substance use in pregnancy, and stronger support for children when families cannot provide it.

Firearm Safety & Child Access Prevention

Firearms are the leading cause of death among children and adolescents in the United States. Nationally, nearly 8 in 10 voters support candidates backing child safe storage laws — a majority that holds regardless of political leanings. Same Sky advances evidence-based child protection measures.

Food Security

No parent should wonder whether their child will go to bed hungry. Nine in ten Tennessee parents and nine in ten Georgia parents support free school meals for all children. Same Sky advances and protects federal nutrition investments that reach families still left out.

Healthcare Access

Every child deserves access to quality healthcare — a value held deeply across every geography and political leaning we have measured. Same Sky advances federal policies ensuring every child, regardless of zip code or family income, can see a doctor when they need one.

Mental Health

The mental health crisis facing America's children has touched nearly every family, in every community, across every income level. Same Sky advances both treatment and prevention: expanding access to care, supporting school-based mental health services, and addressing the pressures shaping children's lives.

Where we started.
What we've learned.

Same Sky is built on years of original polling — surveys of parents and children conducted annually from 2019 through 2024 in Tennessee, launched in Georgia in 2025, and now extended nationally. This is not borrowed evidence. It is ours, built from the ground up at the Emory Center for Child Health Policy. It is our history, and it tells a consistent story: parents across this country agree on what their children need.

2019–2024 — The Foundation
Tennessee: where it began

Our annual poll of Tennessee parents, launched in 2019 and conducted every fall through 2024, established the core finding that drives Same Sky: parents across income, race, education, and political leaning share a remarkably consistent set of priorities for their children. Year after year, the same themes emerged — food, mental health, safety, access to care.

Food insecurity among Tennessee families climbed to over 40% by 2023. Anxiety diagnoses in children rose from 11% in 2019 to 17% by 2023. Child mental health ranked among the top concerns for parents statewide — and the concerns looked remarkably similar whether parents were in Memphis, Nashville, or rural East Tennessee.

90%
of Tennessee parents support free school meals
40%
of Tennessee families report food insecurity
37%
of Tennessee parents cite child mental health as a top concern
Annual Poll · 2019–2024
Patrick et al., Tennessee Child Health Poll, annual. Data available at childpolicy.org.
2020 — A National Crisis
COVID-19: rapid national polling, real consequences

When COVID-19 emerged in early 2020, we immediately fielded a nationally representative survey to document what families were experiencing in real time. The findings reached the highest levels of the federal government — our research was cited in the U.S. Surgeon General's 2021 Advisory on Protecting Youth Mental Health.

The pandemic accelerated what our Tennessee polling had already shown: mental health, food security, and healthcare access were not partisan issues. They were family issues, felt in every corner of the country.

Pediatrics · 2020
Patrick et al., Pediatrics, 2020. Cited in U.S. Surgeon General's Advisory on Protecting Youth Mental Health, 2021.
2024 — National Scale
A nation of voters who agree

A nationally representative survey of registered voters published in JAMA Health Forum in 2024 confirmed what our years of state-level polling had shown: majorities of Americans — across party, geography, income, and race — support a robust federal policy agenda for children.

79%
support child firearm safe storage laws
66%
support federalized Medicaid for children
66%
support free school meals nationally
JAMA Health Forum · 2024
Patrick et al., JAMA Health Forum, 2024.
2025–Present — Georgia
The model moves south

After moving to the Emory Center for Child Health Policy, we launched annual polling in Georgia — and found the same story. Parents in Atlanta and Valdosta, in rural counties and suburban school districts, want the same things for their children.

91%
of Georgia parents support free school meals
36%
of Georgia families report food insecurity — double the national average
Georgia Child Health Poll · Annual
Patrick et al., State of Child Health and Well-Being in Georgia, Emory Center for Child Health Policy, 2025.
A note on our data: All polling and research cited on this site was conducted by our team — first at Vanderbilt, now at the Emory Center for Child Health Policy at Rollins School of Public Health, Emory University. This is our evidence base: annual polling in Tennessee from 2019 through 2024, launched in Georgia in 2025, and now a national Same Sky survey in development.

How we measure progress

Same Sky is not just a policy agenda. It is an accountability system. We track whether children's lives are actually improving — through three complementary data streams that together tell a complete story.

Annual Survey & Scorecard

Every year we survey parents and children on the issues that matter most. Results feed directly into our public scorecard at samesky.org — tracking whether federal policy is moving in the direction families demand. When it isn't, we say so publicly.

Federal Policy Tracking

We monitor key federal legislation and administrative actions across all five issue areas. Every policy change — or failure to act — is documented and scored against the agenda families have told us they want. Across administrations and election cycles.

Clinical Indicators

We use electronic health record data to track key clinical indicators — mental health diagnoses, preventive care utilization, medication access, and birth outcomes — connecting policy change to real-world impact on children's health.

Indicators are selected based on reliable clinical capture. Measures not reliably documented in health records, such as food insecurity, are tracked through our annual survey.

Measuring What National Averages Hide

A national average can hide the children who are being left furthest behind. Our survey is designed to see beneath the surface. We intentionally oversample Appalachian communities, ensuring their priorities are not lost in national averages. And we collect reliable estimates across the full range of demographics — income, education, race and ethnicity, geography, and political affiliation. If the national agenda is missing certain children, we will say so.

Rural vs. Urban Income Education Race & Ethnicity Appalachia Geography

The Founding Document

Same Sky begins with a clear statement of what we believe, who we are, how we work, and what we are building toward.

Same Sky
Founding Statement

Emory Center for Child Health Policy
March 2026

"We build a federal policy agenda. We name what we are pushing for. We report what has moved. And we hold ourselves, and policymakers, accountable to the families we serve."

Contact Us

We want to hear from you.

Whether you are a parent, a policymaker, a researcher, a faith leader, or an organization working to advance children's wellbeing — regardless of your political leanings — there is a place for you in Same Sky.

Partner With Us

Organizations, coalitions, and funders interested in advancing a federal policy agenda for children are encouraged to reach out.

Media Inquiries

For press inquiries, interview requests, or data questions, contact us at

Research & Data

Researchers and policymakers interested in our evidence base or methodology are welcome to reach out.