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This paper examines state-level family cost share policies and their association with Early Intervention (EI) enrollment rates for children with developmental delays or disabilities. Data from all 50 states and the District of Columbia were collected in November 2020. Results indicate variations in family cost share policies, with some states utilizing family fees and private insurance. States with higher enrollment rates tend to employ both cost-sharing strategies. The findings underscore the importance of considering the financial burden on families while ensuring equitable access to EI services. Future research should explore the impact of cost share policies on child and family outcomes. Policy implications for fostering inclusive and supportive early intervention practices are discussed.