1、CRS INSIGHT Prepared for Members and Committees of Congress INSIGHTINSIGHTi i Child Care in the “Build Back Better Act” Updated November 18, 2021 On November 3, 2021, the House Rules Committee released a modified version of the “Build Back Better Act” (H.R. 5376) in Rules Committee Print 117-18. Thi
2、s version would establish a “Birth Through Five Child Care and Early Learning Entitlement” (23001). On November 17, the Congressional Budget Office estimated the Birth Through Five program would cost roughly $273 billion over the 10-year budget window (not accounting for revenue interactions). Appro
3、priations Section 23001 would appropriate mandatory funding to the Department of Health and Human Services (HHS) for child care programs in states, Indian tribes, tribal organizations, and territories. Funding for activities in FY2022-FY2024 would be capped. State appropriations for these years woul
4、d be designated for particular activities (Table 1), including direct services (e.g., subsidies, payment rates), quality (e.g., supply-building, facilities), and administration. Beginning in FY2025, appropriations for states, tribes, and territories would be set at “such sums as may be necessary” to
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