This document discusses and compares high-stakes testing programs under No Child Left Behind (NCLB) and at the state level. By 2002, high-stakes testing programs had spread to all 50 states and DC. Similarly, NCLB was enacted in 2002 and many states used existing testing programs to meet NCLB requirements. Both NCLB and state programs require annual student assessments and issuing public report cards on school performance. The document outlines the history of high-stakes testing, including the development of academic standards, performance standards, and aligning tests to standards. It also discusses criticism of high-stakes testing but notes there is no clear evidence of widespread public backlash against testing.