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HHS Rescinds Biden-Era Child Care Rule as $10 Billion Freeze Hits Five States

HHS shifts to attendance-based reimbursement with a nationwide "defend the spend" requirement before releasing subsidies.

Overview

  • OMB confirmed a roughly $10 billion hold on child care and related family-support funds for California, Colorado, Illinois, Minnesota and New York, with added documentation demands.
  • HHS formally moved to restore attendance-based billing, end upfront payments and reemphasize parent-directed vouchers, with a 30-day public comment period before the changes take effect.
  • CCDF payments to Minnesota remain frozen as state officials expand on-site compliance visits with the Bureau of Criminal Apprehension and investigate about 55 providers.
  • HHS says states must submit administrative data and provide justification such as receipts or photographic evidence to show funds support legitimate providers before money is released.
  • Several states that already reimburse based on attendance, including North Carolina and Ohio, report limited immediate impact, while advocates warn payment delays could strain providers and reduce access for low-income families.