This policy brief discusses the use of home visiting programs in Delaware to support pregnant women and families with young children. It begins by reporting the cost effectiveness of home visiting programs and reviewing the history of home visiting programs in Delaware. The impact of the Maternal, Infant, and Early Childhood Home Visiting Program, a provision of the Affordable Care Act, is highlighted as an opportunity for collaboration and partnership at the federal, State, and community levels to improve health and development outcomes for at-risk children through evidence-based home visiting programs. Following sections describes home visiting practices and factors that influence the quality and effectiveness of a home visiting program, and key goals that Delaware aims to achieve through home visiting programs. The home visiting services provided by Early Head Start, the Parents as Teachers program, the Nurse-Family Partnerships, and the Healthy Families America program are described and policy recommendations for continuing to build a comprehensive early childhood system in Delaware are made. 8 references.