This document summarizes research on the effects of preschool education. It finds that while preschool can provide lasting cognitive and social benefits, the average preschool program in the US produces only modest gains and narrows the achievement gap by about 5% rather than the 30-50% possible with high-quality programs. Variability in preschool models, staff qualifications, funding, and educational aims contributes to disappointing impacts. Features of teacher-child interactions are more important for child outcomes than other quality measures like teacher degrees. Improving instructional quality through effective professional development could significantly boost child learning but current systems do not reliably produce high-quality teaching. US public policy does not ensure all children can attend highly effective preschool programs.