Comparisons of State Child Care Assistance Programs: How Does Illinois Measure Up?
All states utilize federal funds available through the Child Care
and Development and the Temporary Assistance for Needy Families block
grants to help fund their child care programs. Slightly more than half
of the funding for the Illinois consolidated child care assistance
program (CCAP) is federal funds.
Illinois spends over $700 million annually in child care assistance so
that low-income parents can work, go to school, or participate in other
work-related activities. To qualify for assistance, a family’s income
must fall below 50 percent of the state median income ($30,396 SMI for
a family of three). Families pay a portion of the cost of child care,
with the amount being determined by a sliding fee scale. Child care
providers are reimbursed according to a rate schedule. Parents choose
their provider—a child care center, licensed home, or family, friend or
neighbor exempt from child care licensing rules—and the reimbursement
level varies with the type of care. Since Illinois’s CCAP began in
1997, all income-eligible families participating in an allowable
activity have been served, with no waiting list for services and no
time limit on how long services are available.
The National Women’s Law Center (NWLC) recently released its annual
comparison of state CCAPs. (See Karen Schulman & Helen Blank, State Child Care Assistance Policies 2006: Gaps
Remain, with New Challenges Ahead, NATIONAL WOMEN’S LAW CENTER
ISSUE BRIEF, Sept. 2006.) NWLC’s state-by-state comparison is the only
annual study of its kind and enables states to take stock of how they
are doing, compared to one another. NWLC’s report covers the three main
aspects of state CCAPs (access, affordability, and quality) by using
four points of comparison (income eligibility levels, waiting lists,
parent copayments, and provider reimbursement rates). How does Illinois
compare with the other states?
Access
NWLC uses two points of comparison to measure access to a state’s CCAP.
The first is the state’s income guideline—the income level at which
families lose eligibility for the CCAP. Illinois law requires that
income eligibility for the CCAP be at least 50 percent of state median
income. It is currently at approximately 51 percent of state median
income since the state median income fell slightly this year and the
child care guidelines remained the same.
Nationally the average or median income limit is about 55 percent SMI.
So Illinois is about 5 percent below the national average.
NWLC’s other measure of access is whether a state has a waiting list
for child care or has frozen intake (i.e., the state turns away new
cases and does not keep a waiting list). Only 18 states had waiting
lists or frozen intake in 2006, and there is a slight trend away from
having waiting lists. The other 32 states had no waiting lists for
services. Illinois has never had a waiting list for child care since
the consolidated program began in 1997.
Affordability
NWLC measures affordability by comparing family copayments for a family
of three with one child in care at the income of 100 percent and 150
percent of the federal poverty level. In Illinois these families have
monthly copayments of $65 and $160. Illinois’s copayments are right in
the middle compared to other states.
Quality
NWLC measures quality by comparing provider reimbursement rates.
Federal guidelines recommend that CCAP provider reimbursement rates be
set at the 75th percentile of the market according to the results of a
state market rate survey. This means that states should pay enough to
access three out of every four slots in the market. This is necessary,
according to the federal government, to ensure that the low-income
children who qualify for the CCAP have access to the same quality of
care as higher-income children.
Illinois has long had some of the lowest child care reimbursement rates
in the country. Until recently the rates had not changed since 2000. In
April 2006 rate increases went into effect for all providers. Rates for
licensed and license-exempt home providers increased as the result of a
collective bargaining agreement between the State of Illinois and the
Service Employees International Union Local 880 (SEIU). Illinois
separately agreed to raise rates for child care centers. Under the
terms of the SEIU contract, home providers’ rates will increase three
more times between now and July 1, 2008.
Even with the substantial rate increases that went into effect on April
1, 2006, Illinois’s provider reimbursement rates remain among the worst
in the country. NWLC measures the percentage difference between the
reimbursement rates for preschoolers and infants in centers and the
75th percentile. Using Illinois’s preincrease rates, NWLC found that
Illinois’s preschool rate for centers ($527 per month) was 33 percent
below the 75th percentile ($788) and Illinois’s infant rate for centers
was 25percent below the 75th percentile. Even with its new
reimbursement rates, Illinois’s center rate is still 30 percent below
the 75th percentile for preschoolers and 20 percent below the 75th
percentile for infants—one of the worst ratios in the nation.
Conclusion
NWLC’s state-by-state comparison confirms that the weakest point of
Illinois’s CCAP is its low provider reimbursement rates. Illinois is
addressing this through the April 1, 2006, rate increase, the
additional forthcoming rate increases for home providers, and future
comparable increases for centers. Illinois’s income eligibility
guidelines are somewhat lower than the average state’s and its
copayments, at least for families at 100 percent and 150 percent of the
federal poverty level, are pretty average. Illinois is among the
majority of states that do not impose waiting lists or frozen intake on
their CCAPs.
For more information, please contact Dan
Lesser.
