This resource was prepared for an Early Learning Challenge (ELC) State in response to a request for information about initiatives to improve the quality of child care and early education provided by family, friends, and neighbors in the 20 RTT-ELC States. This information will be helpful to other States as they consider how to continue to increase the quality of early learning for all children. To address this request, ELC TA reviewed "2016 Annual Performance Report" (APR) data from the Phase 2 and Phase 3 ELC States and the "2016 Final Performance Report" (FPR) data from the Phase 1 ELC States. These reports were submitted to the Departments of Education and Health and Human Services for review in the spring of 2017. Additional examples of initiatives to support Family, Friend, and Neighbor child care providers in both ELC and non-ELC States were found in 2015 report, "Supporting License-Exempt Family Child Care," by the National Center on Early Childhood Quality Assurance. The first section of this document describes efforts in nine ELC States (Colorado, Illinois, Michigan, Minnesota, New Mexico, North Carolina, Oregon, Pennsylvania, and Washington) to support Family, Friend, and Neighbor providers. The second section describes selected efforts in additional States. Initiatives to support Family, Friends, and Neighbors providers includes assistance with transitioning from license-exempt care to licensed care, help with participating in their State's Quality Rating and Improvement System (QRIS), professional development, opportunities for learning in peer cohorts, technical assistance, peer mentoring, access to online resources, partnerships with libraries, financial incentives, and a creation of a task force to understand the issues.