Among Missouri parents surveyed, 30% reported they have limited their working hours or stopped altogether because of unreliable child care.

The Missouri Chamber of Commerce said child care issues pose a $1.35 billion hit to the state economy every year.

Robin Phillips, CEO of Child Care Aware of Missouri, said in addition to higher operating costs for food, rent, and utilities, it is difficult for child care providers to pay their staff livable wages, despite getting some federal help.

"There are great and significant investments happening, and we still have a lot of work to do," Phillips explained. "Because two years, three years of federal relief money doesn't fix 40-plus years of fragmentation."

Childcare Aware found the median wage for child care educators in Missouri has increased to $17.50 an hour this year, up from just over $10 in 2017.

Missouri ranks 28th overall for child well-being, according to the most recent Kids Count data. The report showed "child care deserts" have almost doubled since before the pandemic. Inaccessible -- and often unaffordable -- child care pushes parents to the financial breaking point.

Tracy Greever-Rice, Kids Count program director for the Missouri Family and Community Trust, said many areas need good short-term and long-term solutions.

"Attentiveness to these issues will make a big difference," Greever-Rice contended. "And prevention is not just good for individuals, but also more efficient and less expensive of a way to do public policy."

On average, Missourians pay $8,900 a year for center-based care for a toddler, which equates to around 22% of a single mother's income, and 7% for a married couple.

Buy-in on Montana's first state-funded early literacy program has been lower than expected in its first year of operation and a school administrator group plans to offer training to help increase the numbers.

State lawmakers in this year's session added math literacy to a 2023 reading literacy program for K-3 students, which is voluntary for both students and schools.

Rob Watson, executive director of the group School Administrators of Montana, said the most successful early literacy programs are aligned with their associated upper grade levels.

"Everything down to how the curriculum aligns, how the assessments align, how you identify which kids need extra help," Watson outlined. "The strategies have to be aligned in grades pre-K all the way through 3."

Watson applied for a grant to help train elementary school principals about alignment, which he thinks could increase use of the programs. Participation varies widely by region, which he noted is likely related to the availability of accredited teachers. According to his research, nearly 70% of districts in north central Montana have launched the program, compared to only 5% in northeast Montana.

Watson pointed out fewer than half of Montana's school-age kids are reading at or above their grade level, according to Zero to Five Montana.

"That's a big predictor for a lot of different things later on in life with regard to progression in middle school and high school, dropout rates, graduation rates," Watson outlined. "All that stuff is connected to students' ability to read."

He estimated fewer than 2,000 4-year-olds participated last year, of about 11,000 kids that age.


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CORRECTION: The name of the spokesperson from the Center for Law and Social Policy is Suzanne Wikle. She had been incorrectly identified as Suzanne Michael. (2:57 p.m. MDT, May 6, 2025)

Potential Medicaid cuts could have a negative impact on early childhood education professionals in Arkansas.

A report from the Georgetown University Center for Children and Families shows 31% of the state's child-care workers are covered by Medicaid.

Nicole Carey, education policy director with Arkansas Advocates for Children and Families, said having health-care coverage impacts the overall well-being of the educator.

"Which then plays into their relationship with the kids they're serving, and their longevity in the profession," said Carey. "And it has this ripple effect if they lose their health coverage, then maybe they aren't getting the services they need, and then they can't be as present at work."

Arkansas has expanded Medicaid coverage. It's one of 13 states nationwide that covers more than one-third of the child-care workforce through Medicaid.

Congress is considering cuts to Medicaid and other federal programs, which some say will eliminate federal waste.

The report shows many child-care centers are operated by small businesses owners who cannot afford to offer their employees health coverage.

Carey said Medicaid is needed to provide coverage to these essential workers.

"It will be your hourly workers, which could be the people in the classroom," said Carey, "it could be nutrition, it could be front desk."

Suzanne Wikle, associate director for state health policy and advocacy with the Center for Law and Social Policy, said most proposals for streamlining Medicaid includes shifting costs to the states, which means many Americans could lose health coverage.

"State budgets cannot just absorb that," said Wikle. "So, states will have to raise additional revenue through other ways, or cut, or do both, most likely, and because most states have to balance their budgets, these decisions will come quickly, and they will be very, very difficult."



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Child care is expensive and in high demand but groups in Montana are taking creative approaches to help.

Child care services in Montana currently meet about half the state's need, and full-time child care can cost more than college tuition, according to Montana Advocates for Children. Experts said solutions are unique to communities.

Jennifer Pfau, executive director of the Central Montana Childcare Alliance, helped launch the group in 2022, which offers startup grants and support for businesses, schools, churches and others to start child care centers. She said the pandemic made visible the "workforce behind the workforce."

"It's shifting the focus to helping people realize that child care is essential community infrastructure," Pfau explained. "And then working together to help address the needs in your community."

The group has helped open 15 new child care centers and expand capacity by nearly 200 slots with American Rescue Plan Act funding, which Pfau noted has since run out. She called finding more "challenging."

As school enrollment decreases, some empty classrooms are being remodeled for child care. That worked for Pfau and for the group Missoula Child Care Advantage, which also created a business membership, offering in-network child care for employees of local businesses and schools.

Sally Henkel, Missoula Child Care Advantage coordinator for the United Way of Missoula County, said fees go toward a "shared services model" to stabilize the child care sector by reducing administrative costs.

"Once that can be alleviated, the hope is that providers can really reinvest that time and energy into mentoring staff, maybe paying them a little bit better," Henkel outlined. "And also offer higher quality child care and have a little bit less burnout as well."

At the Montana Capitol, House Bill 360, scheduled for a hearing in the Human Services Committee this week, would establish a child care workforce recruitment and retention support payment program.


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