This report is the culmination of a two-year study of Maryland's version of the federal Temporary Assistance for Needy Families (TANF) program administered by the Maryland Department of Human Services (DHS). This study, initiated by a 2022 state bill, provides a roadmap for enhancing the program's effectiveness in supporting Maryland families. Researchers employed a mixed methods design that included administrative data, surveys, interviews, focus groups, and document reviews. This strategy allowed researchers to answer questions about program design, trauma-informed and anti-racist properties of assessment tools, equity in policy implementation and processes, use of evidence-based practices, and disaggregated outcomes. The final report includes 14 actionable recommendations for DHS, focusing on areas such as improving staffing, enhancing program equity, and weaving trauma-informed care into the program's design.