In response to concerted advocacy by Save the Children and many child advocacy groups, President George W. Bush and Congress created the National Commission on Children and Disasters to assess the gaps in federal planning that put children at risk, and to formulate recommendations that could guide a national movement to close those gaps and help states better protect our children. The commission's comprehensive assessment found that "children were more often an afterthought than a priority" across 11 functional areas of U.S. disaster planning. In 2010, the commission issued its final report, with 81 recommendations and sub-recommendations aimed at ensuring children's unique needs are accounted for in U.S. disaster preparedness, response and recovery. Now, 10 years after Hurricane Katrina, Save the Children has commissioned research to determine progress made on these recommendations. While the federal government has made progress in addressing the commission's recommendations, our research indicates that nearly four in five of the recommendations have not been fully met.