Almost half of all pregnancies in the United States are unintended and the women and children involved in these pregnancies are disproportionately likely to experience a range of negative outcomes. For insights into cost-effective policy strategies to reduce unintended pregnancy, my guest is Adam Thomas, a professor at Georgetown University and the former Research Director for the Brookings Institution’s Center on Children and Families. His recent article in the Journal of Policy Analysis and Management — as well as a Brookings policy brief— focus on three evidenced-based strategies to prevent unintended pregnancy and the results from fiscal impact simulations of those strategies. His findings have implications for both federal and state policymakers.