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GAO-21-245R 1 (2021-02-18)

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                     1Oo_       U.S.   GOVERNMENT ACCOUNTABILITY OFFICE
                     G A O      A Century of   Non-Partisan  Fact-Based Work
441 G St. N.W.
Washington, DC  20548



February 18, 2021


The Honorable  Patty Murray
Chair
The Honorable  Richard Burr
Ranking Member
Committee  on Health, Education, Labor and Pensions
United States Senate

The Honorable  Bobby Scott
Chairman
The Honorable Virginia Foxx
Republican Leader
Committee  on Education and Labor
House  of Representatives

Child Care: Subsidy  Eligibility and Receipt, and Wait Lists

This letter formally transmits the attached briefing in response to GAO's mandate included in the
Child Care and Development  Block Grant Act (CCDBG) of 2014 (see enclosure 1). The CCDBG
Act of 2014 included a provision for GAO to review every 2 years the extent of participation in
the Child Care and Development Fund (CCDF)  program across states.1 This program is one of
the primary sources of federal funding for assisting low-income families with child care while
they are working, looking for jobs, or participating in education and training activities. On
November  18, 2020, we provided the briefing to staff of your committees to satisfy the mandate.
Our briefing described 1) what is known about the number of children eligible for federal child
care subsidies and the extent to which they receive them, including by state; 2) what is known
about the age and family income of children eligible for federal child care subsidies compared to
children who receive them; and 3) what is known about how states manage their waiting lists.

To answer these questions, we summarized the most recent U.S. Department of Health and
Human  Services' (HHS) analysis of overall CCDF program eligibility and subsidy receipt data;
calculated state level eligibility and receipt by using 1) state-level data on federal and state
CCDF  eligibility from the HHS analysis and 2) state-level data on CCDF receipt from the Office
of Child Care; summarized information from a previous GAO report about state child care
administrators' approaches and challenges to managing subsidy wait lists; and discussed what,
if any, impact the Coronavirus Disease 2019 (COVID-19) pandemic was having on eligibility and
receipt with some members of the National Association of State Child Care Administrators
(NASCCA).

The slides in our enclosure have been updated since we briefed your staff in November 2020.
Specifically, the attached slides contain updated child care eligibility and receipt data for fiscal

1 Pub. L. No. 113-186, § 12, 128 Stat. 1971, 2001.


GAO-21-245R  Child Care


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