The document summarizes discussions from a breakout session at a program meeting about state implementation grants for improving services for children and youth with autism spectrum disorder and other developmental disabilities. Key topics discussed included: 1) States shared successes and challenges with their programs, including training medical providers, screening efforts, and improving collaboration. 2) Challenges with diagnosis and assessment were discussed, including issues with certain practitioners not being recognized. 3) Opportunities for improved cross-state collaboration were identified, including sharing lessons learned from initiatives like Learn the Signs Act Early.