The New York Childhood Lead Poisoning Primary Prevention Program (CLPPPP) represents a paradigm shift from a child and health‐based response to a housing‐based prevention initiative. New York State's (NYS) establishment of the CLPPPP Initiative in 2007 authorized health departments to gain access to high-risk homes for the purposes of education and inspection; previously, health departments were only able to gain entry to a home if a child already diagnosed with an elevated blood lead level was known to reside there. This significant policy shift opened the door for health departments to assume a more proactive and effective approach. The CLPPP Programfunds grantees to seek to achieve five goals: 1. Identify housing at greatest risk of lead-based paint hazards. 2. Develop partnerships and community engagement to promote primary prevention. 3. Promote interventions to create lead-safe housing units. 4. Build lead-safe work practices (LSWP) workforce capacity. 5. Identify community resources for lead hazard control.