In total, 38 out of 50 states collected ACEs data starting from 2011 to 2017 (Washington D.C. did not collect data). Of these, three states declined to share data for various reasons (e.g., stopped giving data due to lack of resources, data is privately funded and not given publicly, committee declined to have data included in the study, etc.), with one additional state being unresponsive, resulting in a final state count of 34 and a final sample size of 211,376.