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This report reflects the real-time impacts of the COVID-19 pandemic on state human services agencies in ACF’s Region 1 (New England) and Region 4 (Southeast) areas and capture state perspectives on lessons learned to guide future federal policymaking and state implementation. The project was completed by the American Public Human Services Association (APHSA) in partnership with the U.S. Department of Health and Human Services, Administration for Children and Families (ACF), Office of Regional Operations.