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Amid fraud claims, HHS reveals adjustments to youngster care funding : NPR
Politics

Amid fraud claims, HHS reveals adjustments to youngster care funding : NPR

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Last updated: January 6, 2026 2:42 am
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Published: January 6, 2026
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Contents
This follows a funding freeze introduced over the vacationsA deal with youngster care suppliers in Minnesota

Kids sleep throughout nap time at Minnesota Youngster Care in Minneapolis on Dec. 30.

Renee Jones Schneider/The Minnesota Star Tribune through Getty Photos


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Renee Jones Schneider/The Minnesota Star Tribune through Getty Photos

The U.S. Division of Well being and Human Providers introduced Monday that it will rescind a collection of Biden-era guidelines governing one of many largest federal funding sources for youngster care. The transfer comes lower than every week after HHS confirmed it was freezing all federal funding by way of that very same program.

The Youngster Care and Improvement Fund (CCDF) sends cash to states, tribes and territories to assist make youngster care extra reasonably priced for low-income households.

The Biden administration’s guidelines inspired states to base funds to youngster care suppliers on enrollment quite than verified attendance, pay suppliers prematurely of companies and favor assured slots with suppliers over vouchers.

A child receives a standard immunization at a doctor's office in Florida. The photo shows the child's arm and a hypodermic needle being injected into the very top of the arm.

Now, HHS says it plans to revive attendance-based billing, it should not require that suppliers be paid prematurely and it’ll reprioritize vouchers.

“When controls aren’t in place, dangerous actors can invoice for youngsters who aren’t there,” stated Alex Adams, assistant secretary for household assist at HHS’s Administration for Kids and Households. “Households and taxpayers deserve proof that companies are being delivered to kids.”

However youngster care advocates advised NPR that states have already got many controls in place to forestall fraud.

“What we all know to be true is that there are longstanding program integrity necessities which were in place and are frequently up to date, yearly up to date,” stated Susan Gale Perry, CEO of Youngster Care Conscious of America, which helps households entry reasonably priced youngster care throughout the nation.

Roughly 1.4 million kids and 857,700 households monthly acquired youngster care help by way of CCDF in 2019, in response to the most recent knowledge posted on the HHS web site.

Melissa Boteach, chief coverage officer at Zero to Three, a nonprofit that advocates for infants, toddlers and households, stated the proposed coverage adjustments introduce “chaos and confusion” by rolling again provisions that aimed to make the kid care business extra steady and reasonably priced.

This follows a funding freeze introduced over the vacations

Monday’s announcement comes days after HHS stated it was freezing the federal funding supplied by way of CCDF.

HHS spokesperson Andrew Nixon advised NPR on Wednesday that the company was freezing CCDF funds efficient instantly, and stated the company would unfreeze funding after particular person states supplied sure “administrative knowledge.”

“It is nonetheless unclear to many states who should administer these applications what precisely this implies.” Boteach stated. “And that lack of readability has actual penalties for households and for early educators.”

She additionally stated there has “not been readability supplied on whether or not or not funding is forthcoming, on what must be carried out for it to show again on and what states are alleged to do within the meantime.”

HHS has not but responded to NPR’s request for readability on how Monday’s announcement pertains to the funding freeze.

“What we do know is that youngster care suppliers function on [a] very skinny … margin of revenue,” stated Perry of Youngster Care Conscious of America.

She stated going “even a month” with out funding may end in youngster care facilities closing – which might influence each kids who profit from CCDF funding and people who don’t.

A deal with youngster care suppliers in Minnesota

The latest deal with federal youngster care funding is available in response to allegations of fraud by Minnesota day care suppliers.

YouTuber Nick Shirley films protestors demonstrating against U.S. Immigration and Customs Enforcement (ICE) arrests in New York City in October.

As NPR has reported, the day after Christmas, Nick Shirley, a right-wing social media influencer, posted a video during which he claimed to indicate Somali-American-run day care facilities dishonest the federal authorities out of tens of millions of {dollars}. The video would not provide clear proof, but it surely went viral.

On Dec. 30, HHS Deputy Secretary Jim O’Neill posted on X about “the intense allegations that the state of Minnesota has funneled tens of millions of taxpayer {dollars} to fraudulent daycares throughout Minnesota over the previous decade.” He introduced actions “in opposition to the blatant fraud that seems to be rampant in Minnesota and throughout the nation,” together with requiring “a justification and a receipt or picture proof earlier than we ship cash to a state.”

In Monday’s HHS announcement, O’Neill stated, “The reforms we’re enacting will make fraud more durable to perpetrate.”

In line with HHS, the rule adjustments are topic to a 30-day public remark interval.

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