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Third Grade Reading Guarantees, which mandate that children demonstrate reading proficiency on a standardized exam in order to be promoted to fourth grade, are present in sixteen states. Drawing on structure-agency frameworks, we examined how administrators and teachers have responded to their state’s reading guarantee. Data from 129 semi-structured interviews revealed several intended consequences, including an increased use of assessment data and focus on reading instruction. Several unintended consequences, including high amounts of stress, technology challenges, and shifts in other policies and financial strategies were also documented. Furthermore, these reactions varied across districts, with more-resourced suburban districts generally being less impacted by the policy, but also being better equipped to prevent mandated retention than less-resourced urban and rural districts.