Contents

• Background and Introduction
• Why Does DOD Provide ChildcareChild care Services?
• Demand for Military Childcare
Child care
• Eligible Population
• ChildcareChild care Program Structure, Services, and Funding
• CDC Eligibility and Access
• Funding
• Quality Assurance and Oversight
• Legislative and Policy Background
• Military Family Act of 1985
• Military Child Care Act of 1989
• 1999: Authorization of ChildcareChild care Fee Assistance Program
• 2005: Tenth Quadrennial Review of Military Compensation (QRMC)
• 2011: Congressional and Executive Oversight Initiatives
• 2015: Military Compensation and Retirement Modernization Commission
• Recent Initiatives: CDC Hours of Operation and Hiring Authorities
Congressional Action
• Issues for Congress
• Should DOD Provide ChildcareChild care Support?
• What are the Pros and Cons of Different Types of ChildcareChild care Support?
• Other CDP Oversight Issues
• CDC Capacity

Summary

The Department of Defense (DOD) operates the largest employer-sponsored childcarechild care program in the United States, serving approximately 200,000 children of uniformed servicemembers and DOD civilians, and employing over 23,000 childcarechild care workers, at an annual cost of over $800 million1 billion. DOD's child development program (CDP) includes a combination of accredited, installation-based, government-run, full-time pre-school and school-aged care in its Child Development Centers (CDCs), and subsidized care in Family Care Centers (FCCs) or through private providers under. DOD also subsidizes care in private child care centers outside of military installations through the Fee Assistance program.

ChildcareChild care services are part of a broader set of quality of life benefits that make up the total compensation package for military personnel and certain DOD civilians. The Department has argued that these childcarechild care benefits help support theirits recruiting, retention, and readiness goals and that there is generally a high level of satisfaction among servicemembers who use DOD childcarechild care services. Moreover, militaryMilitary family advocacy groups have largely supported existing childcarechild care benefits and have also called for expanding awareness of, access to, operating hours for, and improving or enhancingimprovements or enhancements of other aspects of military childcare services.

While there has been broad support for DOD's CDP since its inception, the questions of what benefits should be provided to military servicemembers and their families, how these benefits should be structured, and what resources should be directed to these benefits are issues for Congress when considering the annual defense budget authorization and appropriation.

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Background and Introduction

For most of the history of the U.S. military, young, single males were favored for recruitment and induction tochild care services.

Military service members, surviving spouses, and DOD civilians are generally eligible for CDC services. DOD contractors, military retirees, and other federal agency personnel are eligible on a space-available basis. The services maintain a priority list with active duty single parents, dual military couples, and wounded servicemembers typically eligible in the highest priority category. Child care fees are subsidized and based on total family income with a progressive fee structure. Average fees for military CDCs tend to be lower than the average fees for civilian day care providers.

CDCs are funded by a combination of appropriated and non-appropriated funds (APF and NAF), Non-appropriated funds are generated from fees paid by military child care patrons and from other revenue-generating programs on military installations. Appropriated funds are directed to different accounts. Funds for the construction of care facilities come from military construction (MILCON) funds, while other program funds come from Operation and Maintenance (O&M) and Morale, Welfare, and Recreation (MWR) accounts.

Issues of sustained concern for Congress are quality and accessibility of military child care and availability of adequately trained child care employees. While there has been broad support for DOD's CDP since its inception, the questions of what benefits should be provided to military servicemembers and their families, how these benefits should be structured, and what resources should be directed to these benefits are issues for Congress when considering the annual defense budget authorization and appropriation.

Introduction

Child care quality, accessibility, and cost are frequent concerns for military families. This report traces the development of DOD-sponsored child care services and discusses these issues in greater depth in order to support Members of Congress in their oversight role. The next section gives an overview of DOD's justification for the CDP and demand for services. Next is a discussion of current CDP components, policies, and funding. This is followed by the legislative history of DOD-sponsored child care in the military including a discussion of recent initiatives. The final section puts forth some issues and options for Congress related to oversight and funding of military child care programs. Other military family or youth recreation and enrichment programs are beyond the scope of this report.

Why Does DOD Provide Child care Services? For most of the history of the U.S. military, young, single males were favored for recruitment and induction into the military by various laws and policy.¹ Following the end of the draft and the beginning of the all-volunteer force (AVF) in 1973, DOD was required to compete for manpower with civilian employers. As DOD continually expanded its recruiting efforts, the proportion of women in the active component of the military grew from about 2.5% in 1973 to 16% in 2018.² In addition2019.² Today there are almost twice as many dual-military married couples and single parents serving on active duty than in 1985 (see Figure 1).Thus, In addition, there are approximately one million military dependent children of active duty members.³ Thus, DOD has expanded family-oriented benefits and programs have become an increasingly importantas a component of DOD'sits total servicemember compensation package. DOD's child development program (CDP) is one of these family-oriented initiatives and is part of a broader set of community and family support programs.³4

Figure 1. Change in Dual-Military Couples and Single Parents Active Duty, 1985 and 2016 2018

SourceS: 1985 data is a DOD estimate reported by the General Accounting Office (now the : Government Accounting Office,Accountability Office) in Observations on the Military Child Care Program: Statement of Linda G. Morra before the Subcommittee on Military Personnel and Compensation, Committee on Armed Services, House of Representatives, T-HRD-88-28, August 2, 1988. Department of Defense, 20162018 Demographics: Profile of the Military Community, 2016, p. 118, http2018. https://download.militaryonesource.mil/12038/MOS/Reports/2016-Demographics-Report.pdf.

This report traces the development of DOD-sponsored childcare services and discusses these issues in greater depth in order to support Members of Congress in their oversight role. The next section gives an overview of DOD's justification for the CDP program and demand for services. Next is a discussion of current CDP components, policies, and funding. This is followed by the legislative history of DOD-sponsored childcare in the military. The final section discusses issues and options for Congress related to oversight and funding of military childcare programs. Other family or youth recreation and enrichment programs are beyond the scope of this report.

Why Does DOD Provide Childcare Services?

DOD considers childcare services a quality-of-2018-demographics-report.pdf.

Notes: Dual military married couples are those where both members serve on active duty in one of the services. Not all dual military couples have children.

DOD considers child care services a quality of life benefit and DOD officials have indicated that the primary reason for providing childcarechild care services is to enhance force readiness.⁴5 DOD's stated policy is to ensure that childcarechild care services

[s]upport the mission readiness, retention, and morale of the total force during peacetime, overseas contingency operations, periods of force structure change, relocation of military units, base realignment and closure, and other emergency situations.⁵

DOD credits the availability of quality childcare on or near installations with reducing lost duty time (e.g., absenteeism and tardiness) and parental distractions that could harm servicemembers' productivity. For example, in 1987, the Army reported survey data showing that 20% of enlisted and 22% of officers had lost job and duty time due to lack of adequate childcare.⁶

Some within DOD and military family advocacy groups have tied childcare benefits to improved recruitment, morale, and retention of military personnel. A 2017 survey of active duty servicemembers found that 16% of members listed childcare as one of the top five stressors related to military life and 33% listed other worries about the impact of military life (e.g., time away) on their children. With an all-volunteer force (AVF), DOD must compete6

Some in DOD and in military family advocacy groups have tied child care benefits to improved recruitment, morale, and retention of military personnel. Surveys of military servicemembers and veterans have consistently found that affordable and reliable child care is a top quality-of-life concern. In particular, a larger percentage of female servicemembers and veterans have cited child care issues as a major stressor associated with their time in service, relative to their male counterparts.⁷ In addition, surveys of military spouses have found that challenges in finding adequate child care are a disincentive to seek employment.⁸

DOD competes for talent with civilian employers who have begun to offer more family-friendly policies and benefits over the past few decades. This means that the compensation and benefits packages offered to servicemembers may need to be as good as or better than available civilian compensation packages to recruit and retain talent.

Research on the links between employer-sponsored childcarechild care and employee performance, morale, job satisfaction, and recruitment and retention have had mixed results. In general, some studies suggest positive links between these benefits, employee satisfaction, and organizational commitment.⁷9 In particular, childcarechild care benefits are seen asfound to be more important to those employees lackingwho lack support from immediate or extended family. In addition, aA 2011 study of family-friendly benefits at federal agencies found positive relationships between childcarechild care subsidy programs, agencyagency performance, and reduced employee turnover.⁸ Nevertheless10 DOD credits the availability of quality child care on or near installations with reducing lost duty time (e.g., absenteeism and tardiness) and fewer parental distractions that could reduce servicemembers' productivity. For example, in 1987, the Army reported survey data showing that 20% of enlisted and 22% of officers had lost job and duty time due to lack of adequate child care.¹¹ However, other research has found little empirical evidence that employeeemployer-sponsored childcarechild care in the private or public sector has significant positive effects on individualindividual performance, productivity, or job satisfaction.⁹ 12 Research on military families has shown that the readiness impact of childcare concernsinsufficient child care varies by family type, with single parents and dual military couples reporting more missed duty time after the birth of a new child or when moving to a new installation.¹⁰13 There is also some evidence that childcarechild care challenges may impact retention decisions. Military families have reported that it is "likely or very likely" that child care issues would lead them to leave the military and those with pre-school -age children have reported that they are more likely to leave the military than their counterparts with school-age children.¹¹

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On the other hand, some human resource professionals have also warned that family-friendly benefits may lead to perceived inequities and couldwarned that perceived inequities in the provision of child care benefits may have negative effects on the morale of childless employees workers or parents who are unable to use the benefit (e.g., those who are wait-listed for childcarechild care spots and/or lower on the priority list).¹²15 Nevertheless, while researchers have found some evidence of negative employee attitudes towards specific family-friendly benefits, they have not found a relationship with overall attitudes andthat these attitudes translated into negative perceptions or behaviors towards the organization.¹³16

Demand for Military Childcare

Child care

Military families may have different childcarechild care needs than their civilian counterparts. Servicemembers typically make a number of permanent change-of-station (PCS) moves throughout a career, making it difficult to maintain consistent full-time childcarechild care arrangements or draw uponon support from extended family members and friends. In addition, servicemembers may be required to work extended hours or shift work during times when normal day care providers are not in operation—a problem that may be exacerbated withfor single-parent servicemembers or in families where both parents are in the servicedual-military spouses. Even in cases of married couples where the spouse is a civilian, long deployments (typically six months or more) can create childcarechild care challenges for both working and non-workingnonworking spouses of military servicemembers who essentially become single parents for the duration of the deployment.¹⁷

DOD tracks Demand Accommodation Rate as a metric for whether it is meeting the childcarechild care needs of military families. For FY2015, DODDOD has previously reported that it was accommodating 78% of demand for CDC services.¹⁸.¹⁴ Wait list data is one way to measure this demand, which is affected by demographic, geographic, and structural factors. The services manage wait lists for CDCs are managed locally by priority and arelocally and slots are allocated based on the date that the request for care was filed, priority criteria, and other mission-related factors at the installation commander's discretion (see Table 2).A-1).¹⁹ The Military Compensation and Retirement Modernization Commission (MCRMC) found that in 2014 there were 10,979 total children on waiting lists for childcarechild care, with a disproportionate number of children (73%) ages 3age three and under on waiting lists.¹⁵

Although waiting lists20 In 2019, the Navy reported 9,000 families on waiting lists, mainly concentrated in fleet areas (e.g., Norfolk, VA and San Diego, CA).²¹ The Army reported approximately 5,000 children on its wait lists – primarily infants and toddlers. Reported wait lists for the Air Force and Marine Corps were 3,200 and 800 children, respectively.²² Although waiting list numbers are one indicator of demand, they may not accurately represent the total number of additional childcare slotschild care slots that are needed. Families that want military childcarechild care services may decide that the waiting list is too long and may seek childcarechild care through other sources. Waiting list numbers might also overestimatelead to overestimates of demand, if families remain on waiting lists after a PCS move or after military childcare is no longer neededthey no longer need military child care. Demand can also fluctuate based on parental preferences for care, the availability of other community-based childcarechild care options, unit deployment schedules, and changes to mission requirements.

Eligible Population

In 2017, the total share2019, 63% of married-couple families in the U.S. with children under 18 wherehad both parents were employed outside the home was 61.1%.¹⁶.²³ Military servicemembers are, on average, younger than the civilian population, and have fewer children. Although civilian spouses of active duty military members are, on average, more educated than other working -age civilians, they are more likely to be unemployed or underemployed and have lower earnings than their civilian counterparts.¹⁷ Approximately 4124 In 2018, 37% of military servicemembers across the total force haveactive duty force had dependent children; approximately 2% are in dual-servicemilitary marriages, 64% are single parents, and 3231% are in marriages with a civilian spouse (see Figure 2). The total military child population (active and reserve components) under the age of 13 is approximately 1.2 million, with 34% aged 3 and under (see Figure 3).¹⁸

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Figure 2. Active Duty Military Family Status 2016 2018

Source: Department of Defense, 2016 2018 Demographics: Profile of the Military Community, 20162018, p. 118, http131, https://download.militaryonesource.mil/12038/MOS/Reports/2016-Demographics-Report.pdf.

A 2017 survey of military spouses found that among the survey group, approximately 47% of active duty spouses were employed either full time or part time, and 51% of those who are not employed would like to be. Of those not employed, 53% reported childcare challenges were one of the top three reasons for not working.¹⁹ The survey also found that 67% of military family respondents were not always able to find childcare that fit their current situation.²⁰

2018-demographics-report.pdf.

Figure 3. Number of Children in Military Families by Age (0-12) March 2018 Active Duty Families Under 12 Years Old October 2019

Source: Defense Manpower Data Center; Active Duty Family Number of Children Report.

ChildcareChild care Program Structure, Services, and Funding

DOD offers childcarechild care development programs on and off military installations for children from birth through 12 years, including care on full-day, part-day, short-term, and intermittent bases.²¹26 The Military and Community Family Policy Office in DOD's Office of the Under Secretary for Personnel and Readiness oversees child and youth programs.²²27 DOD's policy states that childcarechild care "is not an entitlement." Servicemembers are not guaranteed childcarechild care support from DOD and they are required to have adequate care plans in place for their dependents.²³28 The following are among the childcarechild care services available as part of DOD's child development programs.

• Child Development Centers (CDCs). DOD-operated, facility-based care primarily for children from six weeks to five years,
.
• Family Child Care (FCC).²⁴29 Certified home-based childcarechild care services (maximum six children per home at any time) for children from four4 weeks through 12 years.²⁵30
• School-age Care (SAC). Facility-based or home-based care for children ages 6-12, or those attending kindergarten, who require supervision before and after school, or during duty hours, school holidays, or school closures.
• Supplemental Child Care. ChildcareChild care programs and services that augment and support CDC and FCC programs to increase the availability of childcarechild care for military and DOD civilian employees. These may include, but are not limited to, resource and referral services, fee assistance/subsidy programs, contract-provided services, short-term/respite care, hourly childcarechild care at alternative locations, and interagency initiatives.²⁶

In FY2017 the services operated more than 62831For FY2019 the services reported 629 CDCs of varying sizes and had970 certified FCC homes serving approximately 200,000 military-connected children ages 0-12.³² CDC Eligibility and Access Military service members, surviving spouses, and DOD civilians are generally eligible for CDC services. DOD contractors, military retirees, and other federal agency personnel are eligible on a space-available basis. Over 80% of the CDC slots for the Navy, Air Force, and Marine Corps are filled by children of servicemembers (see Figure 4). The Army has a higher percentage of slots filled by civilians.³³

Figure 4. Child Care Slot Allocation by Sponsor Affiliation

2019

Source: Briefings presented to the Defense Advisory Committee on Women in the Services (DACOWITS), June 2019, https://dacowits.defense.gov/Portals/48/Documents/General%20Documents/RFI%20Docs/June2019/USN%20RFI%205.pdf?ver=2019-06-09-200036-740.

Note: Other includes other federal (non-DOD) civilian employees and direct care staff.

Eligibility certified nearly 2,600 FCC homes (See Table 1). The Navy reports a significantly larger number of certified FCC homes than the other services. This is largely due to a push by the Navy in the earlier years of the program towards the FCCs, which proved to be a lower-cost childcare option than the CDCs.²⁷ The following sections will focus mainly on facility-based care at the CDCs.

CDC Eligibility and Access

Military service members, surviving spouses, and DOD civilians are generally eligible for CDC services; while DOD contractors, military retirees, and other federal agency are eligible on a space-available basis. However, eligibility for CDC benefits does not guarantee access to care. DOD determines the priority categories for care. Currently, priority depends on the employment status of the child's sponsor and the sponsor's spouse or same-sex domestic partner on the date of the application for services.²⁸34 Military rank, paygrade, occupational specialty, General Schedule (GS) rating, or financial need are not official criteria for determining priority. See Table 2A-1 for a list of DOD's priority categories and eligibility. Funding Among DOD's quality of life programs, the CDP is one of the largest appropriated-fund programs. Congress appropriates funds for DOD's Child Development Program through for a list of DOD's priority categories and eligibility.

Funding

Among DOD's quality of life programs, the CDP is the second largest appropriated-fund program, with the military commissary program having the highest annual expenditures.²⁹ Appropriations for DOD's Child Development Program are made from different accounts. Funds for the construction of care facilities come from military construction (MILCON) funds, while other operational funds come from Operation and Maintenance (O&M) and Morale, Welfare, and Recreation (MWR) accounts. Across the services and DOD, approximately $843 million in FY2017Services, approximately $1.2 billion in FY2020 appropriated O&M funds went towards direct support of military child care programs (see Figure 5). appropriated O&M funds went to CDPs (see Figure 4), $17 million of which were designated as Overseas Contingency Operations (OCO) funds for "Emergency Child Care Support". DOD reports that OCO funds are used, in part, to provide emergency and respite childcare services for servicemembers (Active, Guard and Reserve) to enable families to manage lengthy separations and, in some cases, extensions to deployments.³⁰

MILCON funding for the construction or modification of CDC facilities varies from year to year depending on need. FCCs that are operated in military family housing are essentially subsidized by appropriated funds to the extent that funding goes towards construction and maintenance of such housing. However, the number of FCCs typically varies from year to year and therefore CRS cannot determine the percentage of military housing funds that support childcarechild care services.

Figure 45. DOD Child Development Program Appropriations FY2015-FY2017, Total Direct Support FY2019-FY2021 in millions of current dollars

Source: DOD Comptroller, FY2021 Budget Request, Service-Level Operation and Maintenance Justification Books. Notes: Totals include CDCs, FCCs, Supplemental Program/Resource & Referral/Other (PVV), and School Age Care for active and reserve component (Navy includes Navy Reserve and Army includes Army National Guard; other services did not report reserve component child care funding separately. DOD amounts include Overseas Contingency Operations (OCO) funds in the amount of $20 million for FY2019 and FY2020. For FY2020, Congress authorized an additional $110 million in O&M spending for child care programs across the services over the FY2020 budget request Budget Documentation, FY2015 – FY2017 and information provided to CRS by military services. Notes: Costs include Operations and Maintenance funds for Child Development Centers, School Age Care, Child Development Homes/FCCs and Youth Program. This chart does not include MILCON funding. DOD funding includes OCO.

Appropriated Funds and Non-Appropriated Funds

CDCs are funded by a combination of appropriated and non-appropriated funds (APF and NAF).³¹35 Statute also allows appropriated funds to be used to subsidize FCCs at costs comparable to those at the CDCs, with the parentalservice fees paid directly to the FCC provider.³²36 By statute the amount of APF used to operate CDC cannot be less than the estimated amount of childcarechild care fee receipts.³³37 According to data provided by the services, NAF typically account for between 30% and 45% of total funding for Child Development Programs.³⁸ Appropriated funds are used to pay for operation and maintenance of childcarechild care centers while NAF are used to pay mainly for staff salaries.

Non-appropriated funds for the CDCs come from the parent fees discussed below and are sometimes subsidized by other fee-generating MWR activities (e.g., military exchange store revenues). TheAn installation commander typically has the discretion to direct additional MWR-generated revenues towards childcarechild care services or other installation activities and services. Using these funds could help augment the quality of childcarechild care services or provide additional resources to the centers' resources. However, over-reliance on MWR subsidies to support childcarechild care operations could be problematic, since those revenue streams are less reliable and are more subject to economic downturns. Also, use of too much MWR revenue for family-related benefits may raise concern about inequity for servicemembers who do not require childcare services and might prefer subsidies for other MWR activities (e.g., clubs, some childless servicemembers may raise equity concerns about MWR revenue spending on family-related benefits rather than on other MWR activities that serve a broader population (e.g., clubs, movie theaters, golf courses).golf courses).³⁴ Finally, due to the decentralized nature of MWR funds collection and distribution, there is less accountability forvisibility of how funds are spent and whether spending is effective in achieving program goals.³⁹ Military child care programs generate approximately $400 million in non-appropriated funds annually through parent-usage fees.⁴⁰ Statute requires the Secretary of Defense to establish CDC fees; these are adjusted annually to reflect cost of living increases.⁴¹ Statute also authorizes the Secretary of Defense to use appropriated funds to subsidize family home day care providers at rates comparable to those at the CDCs.⁴² DOD's guidance specifies that "child care is not an entitlement" and that each family is required to pay their share of the cost of child care. The amount that each family pays is determined by a sliding scale based on total family income.⁴³ In the lowest income category, at 2019-2020 rates (including market adjustments), a family might pay as little as $51 per week per child and in the highest category would pay a maximum of $210 per week per child (See Table 1). The services have some discretion to offer fee reductions (e.g., for families with multiple children, injured or deployed servicemembers, or those experiencing financial hardship).⁴⁴ Table 1. Military Full-Time Child care Fees by Income Category

School Year 2019-2020

Category

Total Family Income

Weekly how funds are spent and whether spending is effective in achieving program goals.

Military childcare programs generate approximately $400 million in non-appropriated funds annually through parent-usage fees.³⁵ Statute requires the Secretary of Defense to establish CDC fees and these are adjusted annually to reflect cost of living increases.³⁶ Statute also authorizes the Secretary of Defense to use appropriated funds to subsidize family home day care providers at rates comparable to those at the CDCs.³⁷ DOD's guidance specifies that "childcare is not an entitlement" and that each family is required to pay their share of the cost of childcare. The amount that each family pays is on a sliding scale based on total family income.³⁸ In the lowest income category, at 2017-2018 rates (including market adjustments), a family might pay as little as $222 per month per child and in the highest category would pay a maximum of $944 per month per child (See Table 4). The services have some discretion to offer fee reductions, for example, for families with multiple children, injured or deployed servicemembers, or those experiencing financial hardship.³⁹

The U.S. Department of Health and Human Services has established a benchmark for affordable childcarechild care at 7% of family income for low-income families.⁴⁰45 To put the military childcarechild care fees in context, the average basic pay and allowances for an E-5 is $57,661 annually, using the 2017 enlisted pay scale.⁴¹regular military compensation (including pay, allowances and tax advantage) for an E-5 with one dependent child is $68,093 annually, using the calendar 2019 enlisted pay scale.⁴⁶ This pay rate would place the E-5 (with no spousal or other source of income) in income category IVV. Therefore, an E-5 would be paying approximately 9.74% of his or her income for childcarechild care fees for one child under the standard fee structure. A mid-levelsimilarly situated officer, O-43, would have average pay and allowances of $118,080106,825 annually and would be eligible for income category VIII.VII.⁴⁷ This servicemember (with no spousal or other source of income) would be paying approximately 6.8% of his or her income in childcarechild care fees for one child.⁴²

Military childcarechild care fees are generally lower than fees for civilian center-based care (see Table 5). The U.S. Census Bureau has reported that out-of-pocket childcarechild care costs have risen over the past three decades, nearly doubling between 1985 and 2011.⁴³48 The cost of civilian childcarechild care varies widely depending on the age of the child, quality of care, and the geographic location. A 20172019 study of childcarechild care costs across the nation found that the average annual care cost for center-based childcarechild care for one infant in a high-cost state like California is $23,07716,452, and $12,3939,100 for a lower-cost state like South Carolina.⁴⁴ DOD centers do not have variable fees for infants. Typically, civilian centers offer a flat fee for care, rather than a sliding income scale. However, low-income families may be eligible for supplemental state or federal childcare assistance.⁴⁵

Quality Assurance and Oversight

Childcare49 In comparison, annual military CDC care in 2019 ranged from about $3,000 to $8,400 per child.⁵⁰ In addition, while civilian centers typically charge higher fees for infant care, DOD centers do not have variable fees for infants. DOD care is also unique due to the progressive nature of the subsidy, with lower income families paying less in fees. Civilian centers generally offer a flat fee for care, rather than a sliding scale based on income. However, low-income families may be eligible for supplemental state or federal child care assistance.⁵¹ Quality Assurance and Oversight Child care decisions can be complex and military parents or guardians often have to make care choices under time constraints while transferring to a new duty station. They may have limited information about provider options and quality of care at the new locale. DOD's regulations for military childcarechild care centers generally have stricter operational, safety, and performance standards than many civilian centers and these standards have been ranked highest among all states in national assessments.⁴⁶52 DOD uses accreditation and certification rates as its primary metric for monitoring childcarechild care program quality (see Table 6)..⁵³ Because attaining accreditation and maintaining quality standards can be expensive, high-quality civilian childcarechild care centers may be out of reach for some military servicemembers, particularly for junior enlisted members; in. In the absence of DOD-subsidized options, these military families maymight otherwise rely on an informal or unregulated system of childcare.

systems of child care.

Accreditation

Accreditation is one mechanism used to achieve quality assurance for childcarechild care. National childcarechild care accreditation organizations evaluate providers on standards related to, for example, curriculum, teaching, health, staff competencies, leadership and management, physical environment, and relationships between teachers, children, parents, and communities.⁴⁷54 Costs for initial accreditation and maintenance of accreditation typically vary by the number of children and accreditation is often awarded for a five-year term.⁴⁸55 The accreditation can serve two key purposes. First, the process of becoming accredited and accreditation renewal requires an organization to self-assess and can be a mechanism for improved operations and staff development. Second, accreditation can serve as a signaling mechanism to parents who typically do not have the information to individually assess the level of childcarechild care center quality. Critics of accreditation have argued that the requirements impose unnecessary time and resource burdens on childcarechild care staff. However, others have noted that accreditation can improve staff's morale and pride in their work.⁴⁹

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Congress first required accreditation of CDCs as a demonstration program in 1991. By 1994, a report on the impact of accreditation found that it improved quality of care for care in both low-quality and high-quality centers at minimal incremental cost.⁵⁰57 The National Defense Authorization Act for Fiscal Year 1996 required all eligible military centers meet standards necessary for accreditation.⁵¹58 By 1998, all of the military departments had implemented universal accreditation for their CDCs.⁵²59 As of 2015, DOD reported that 97% of its CDCs were nationally accredited, just shy of its goal of 98% accreditation. In comparison, the civilian rate of accreditationcenter accreditation nation-wide is estimated to be between 8about 9% and 10%.⁵³varies by state.⁶⁰ DOD FCCs are not required by law to be accredited; however, DOD policy encourages providers to seek national accreditation.⁵⁴

To be eligible for the Fee Assistance program, private child care programs are not required by law to be accredited; however, they are required to be licensed to provide those services under applicable state and local law and are subject to DOD and service-level regulations.⁶¹

Certification

CDC and SAC facilities are required to meet certain minimum operational standards to receive a DOD Certificate to Operate.⁵⁵62 These include DOD's Unified Facilities Criteria (UFC) as well as Occupational Safety and Health Administration (OSHA) standards.⁵⁶63 By law, CDCs are subject to unannounced inspections a minimum of four times per year.⁵⁷64 One of these inspections must be carried out by an installation representative and one must be carried out by a representative of the major command under which the facility operates. The law also states that,

(1) Except as provided in paragraph (2), any violation of a safety, health, or child welfare law or regulation (discovered at an inspection or otherwise) at a military child development center shall be remedied immediately.

(2) In the case of a violation that is not life threatening, the commander of the major command under which the installation concerned operates may waive the requirement that the violation be remedied immediately for a period of up to 90 days beginning on the date of the discovery of the violation. If the violation is not remedied as of the end of that 90-day period, the military child development center shall be closed until the violation is remedied. The Secretary of the military department concerned may waive the preceding sentence and authorize the center to remain open in a case in which the violation cannot reasonably be remedied within that 90-day period or in which major facility reconstruction is required.⁵⁸

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FCC homes must meet the same standards as CDCs and are subject to inspections by FCC staff, as well as requirements to meet Fire, Safety, USDA Food Program, and Public Health Program requirements. DOD reported that it met its 100% certification rate goal for FY2015.⁵⁹

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Staff Qualifications and Background Checks

ChildcareChild care employees are required by statute to meet certain training requirements that include at least the following.

• Early childhood development.
• Activities and disciplinary techniques appropriate to children of different ages.
• Child abuse prevention and detection.
• Cardiopulmonary resuscitation and other emergency medical procedures.⁶⁰

67At least one employee at each CDC is required to be a specialist in training and curriculum development. Finally, to To ensure the ability to recruit "a qualified and stable civilian workforce," the law requires that CDC employees arebe paid at rates of pay that are competitive or substantially equivalent to rates of pay for other employees at the respective installation.⁶⁸ Besides competitive salaries, CDC employees are eligible to receive other federal employee benefits (e.g., medical, dental, and retirement benefits), as well as access to some of the amenities on military installations (e.g., fitness centers and recreation activities). FCC providers receive training, resources, and support through the CDC program but operate as independent contractors.

providers.⁶⁹

DOD regulations require that background checks be conducted on all individuals who regularly interact with children and youth.⁶¹70 This includes CDC employees and FCC operators. In FCC homes all residents over the age of 12 are subject to background checks. Following a highly publicized incident at a CDC in Fort Myer, VA in 2012 where two daycare workers were charged with assault, DOD took action to review and strengthen background check procedures.⁶²71 DOD's new policy, effective in 2015, requires DOD components to ensure that background checks have been completed and to address delays in results in a manner that does not presume a favorable background check.⁶³

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Parent Boards

Another statutory element of oversight is the requirement that each CDC establish a board of parents of the children attending the center.⁶⁴73 The board is charged with meeting periodically with the staff and coordinating parent participation programs.

Legislative and Policy Background

The federal government first took a significant role in childcarechild care during the Great Depression when it set up day care centers to provide jobs for women through the Works Progress Administration.⁶⁵74 In 1941, in response to the need for women to work outside the home while themany young men were away at war, the government passed the Lanham Act of 1940.⁶⁶75 The act provided grant funding nation-wide to communities based on demonstrated need, for care for children ages 0-12. FundsThese federal funds were used for the construction of childcarechild care facilities, teacher training and pay, and meal services.⁶⁷76 Over 550,000 children nation-wide are estimated to have received care from Lanham Act programs.⁶⁸77 By 1946, the funds were withdrawn with the government's expectation that most women would return to childcarechild care duties within the home following the end of the war.

In the U.S. military, demand for childcarechild care was low throughout much of the early 20^th century. This was due to the demographic composition of the force and prevailing social norms. In the 1950s approximately 70% of servicemembers in the Army were single males, who generally did not have children or child care duties.⁷⁸.⁶⁹ Today over 50% of the total active duty force is married and females account for approximately 16% of the force. In the 1950s and 1960s, non-workingnonworking spouses mainly provided care for children of military servicemembers at home. During this era, if childcarechild care was needed outside the home, relatives, private groups, parents' cooperatives, or wives' clubs provided it. Some of these wives' clubs also sponsored part-day preschools that provided education and development programs for toddlers aged 3-5 years old.⁷⁰79 This childcarechild care system was loosely structured and had few regulations.

Between 1970 and 1980 a number of developments increased demand for military childcarechild care services. With the advent of the all-volunteer force in 1973, new recruits increasingly included women and career-oriented personnel with dependents. Between 1973 and 1978 the proportion of women in the military climbed from 2.5% to over 6% and the number of dual military marriages increased. In 1975, DOD directed the services to discontinue involuntary discharges for pregnant or custodial mothers, in favor of a voluntary separation policy.⁷¹80 Meanwhile, between 1970 and 1980 the proportion of women participating in the U.S. labor force jumped from 4043% to 50%⁷²51%⁸¹, and civilian employer-sponsored childcarechild care initiatives began to gain popularity.⁷³82 An increase in civilian spouses of military members working outside the home meant both an increased demand for childcarechild care services and fewer participants in the informal caregiver support networks that had been providing these services.

Around the same time the quality of childcarechild care services on DOD installations came under scrutiny. In 1976, a nation-wide survey of military centers operating as non-appropriated fund programs, found that there was a wide variance in the services and standards of military facilities relative to civilian facilities.⁷⁴83 The study also noted a lack of specialized training for teachers and aides. It wasn't until 1978 thatIn 1978, DOD issued a directive formalizing government responsibility for installation childcarechild care centers as part of the military's morale, welfare, and recreation (MWR) program.⁷⁵84 This directive held the individual services responsible for developing their own policies and standards and allowed installations to establish their own operating procedures.

Congress first appropriated funds for the construction of new childcarechild care facilities in the Department of Defense Appropriation Act for Fiscal Year 1982.⁷⁶ During85 At that yeartime the military services reported serving approximately 53,000 children in 576 facilities. In 1982, GAO reported that the majority of these existing childcarechild care facilities needed enhancements to meet fire, safety, and sanitation standards and to accommodate demand for services.⁷⁷ (See Table 7 for the total number of facilities and children served in 1982.)86 Some of the deficiencies noted in the centers were lack of emergency evacuation access, lead-based paint peeling from the walls, and leaking roofs. The GAO also noted that user fees and other existing revenue streams might not be sufficient for the military services to conduct necessary upgrades. Finally, the report recommended that DOD establish department-wide minimum standards for total group size, caregiver-to-child- ratios, educational activities, staff training, and food services. ratios, educational activities, staff training, and food services.

Military Family Act of 1985

In 1985 Congress passed the Military Family Act establishing an Office of Family Policy within the Office of the Secretary of Defense.⁷⁸87 The office was designed to coordinate all DOD programs and activities relating to military families. The specified duties of the office were to

• coordinate programs and activities of the military departments to the extent that they relate to military families; and
• make recommendations to the Secretaries of the military departments with respect to programs and policies regarding military families.⁷⁹

88The act also established the authority of the Secretary of Defense to survey military family members on the effectiveness of existing federal military family support programs. In 1988, the Office of Family policyPolicy was instrumental in formulating the Defense Department's Instruction for Family Policy. The Instruction laid the groundwork for implementing the current military childcarechild care programs.

Military Child Care Act of 1989

In the late 1980s, military childcarechild care services came under intense scrutiny after allegations of child abuse at a number of military installations emerged. Widespread publicity of allegations, particularly those involving Army CDCs at the United States Military Academy in West Point New York, and the Presidio Army Base in San Francisco, California, led DOD to establish a special investigative team in 1987.⁸⁰89 Many felt that the military was not doing enough to address the allegations, and a congressional inquiry was launched in 1988 with a series of hearings and testimony by military officials, childcarechild care specialists, legal experts, and military parents.

In the hearings, issues were raised about the staff-to-child ratios, the lack of employee background investigations, and inadequate procedures for deterring, preventing, identifying and responding to child abuse.⁹⁰ Some of the other issues that were raised were the exemption of on-base childcarechild care centers from federal and state licensing standards and other jurisdictional issues, lack of quality programming within the centers, and low wages for childcarechild care employees. Some suggested that the reliance on non-appropriated funds limited the centers' ability to attract and retain quality personnel and to make necessary repairs and upgrades to facilities and equipment. Other concerns were the lack of capacity to meet demand and unsuitable civilian alternatives at certain military installations.⁸¹

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In 1989, Congress passed the Military Child Care Act (MCCA) as part of the National Defense Authorization Act for 1990 and 1991.⁸²92 The goals of the MCCA were to improve the quality, safety, availability, and affordability of military childcarechild care. To achieve these goals the law called for standardizing requirements for health and safety inspections and training requirements. It also included provisions for increasing salaries of caregivers, parental participation, and DOD oversight, in particular, unannounced inspections.⁹³.⁸³ To improve affordability, Congress authorized the use of appropriated funds to subsidize family home day care providers and required a subsidized CDC fee structure that was based on family income.

To improve employee quality, the law required that at least one employee at each CDC be credentialed as a specialist in training and curriculum development and that all employees undergo mandatory training on four topics within six months of employment on four topics: (1) early childhood development, (2) activities and disciplinary techniques appropriate to children of different ages, (3) child abuse prevention and detection, and (4) cardiopulmonary resuscitation and other emergency medical procedures. Another quality initiative in the MCCA was a provision requiring accreditation of at least 50 military childcarechild care development centers (CDCs) by June 1, 1991, as a demonstration program. These 50 centers were intended to then serve as "model" centers for other CDCs and FCCs.⁸⁴94

In response to concerns about child abuse, the act required the establishment of a national hotline to report suspected child abuse or safety violations. It also directed DOD to establish regulations compelling installation commanders to coordinate with local child protective authorities in cases of child abuse allegations. Finally, theThe act also required DOD to establish a child abuse task force to respond to abuse allegations and to assist parents and installation commanders in dealing with allegations. Section 658 of the National Defense Authorization Act for Fiscal Year 1996 amended and codified the Military Family Act and MCCA under Chapter 88 of titleTitle 10, United States Code, "Military Family Programs and Military Child Care."⁸⁵

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1999: Authorization of ChildcareChild care Fee Assistance Program

As part of the FY2000 NDAA, Congress, for the first time, authorized DOD to subsidize civilian childcarechild care programs outside of military installations.⁸⁶96 To receive subsidies, these programs are required to comply with DOD regulations, standards and policies. Provider eligibility determinations are based on factors such as frequency of inspections, employee qualifications, and center accreditation.⁸⁷97 The Senate Committee report to accompany the bill noted,

The committee believes that the recommended financial assistance is necessary to supplement and expand essential quality of life services for children of military personnel and eligible federal employees at an affordable cost.⁸⁸

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The statute authorizes DOD to use Operation and Maintenance (O&M) funds for financial assistance under this program.⁸⁹99 The program provides a subsidy in the amount of the difference between what an eligible servicemember would pay for installation-based care (in CDCs) and the community-based care provider's rate up to a certain cap. Fee assistance subsidy services are administered by ChildcareChild care Aware of America, a national nonprofit organization.⁹⁰ In 2016, this organization reported that it provided childcare subsidies to more than 15,000 military families, while processing more than $52.4 million in payments.⁹¹

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In the FY2020 NDAA, Congress asked DOD for an assessment of the fee assistance program, in particular to ascertain whether the maximum allowable subsidy provides adequate support to families at high-cost duty stations.¹⁰¹ 2005: Tenth Quadrennial Review of Military Compensation (QRMC)

Section 1008(b) of Title 37, United States Code requires the President to conduct a review of the military compensation system every four years. The 10^th QMRC, which was released in September 2008 had a specific mandate to address military quality of life programs.⁹²102 The authors of the report raised concerns that DOD was not managing the childcarechild care program as an element of a comprehensive compensation package. They noted that services were only available to a fraction of the force, wait list policies did not give priority based on highest need, and centers had limited hours. The authors questionquestioned whether the investment in childcarechild care (estimated to be $530 million at the time) had any impact on DOD's force management goals, noting that servicemembers "significantly underestimate the program's value," and it was unclear whether the program had a "significant or cost-effective impact on … recruitment, retention, or readiness."⁹³103 Given these concerns the QRMC made three recommendations intended to improve equity, efficiency, and access to the childcarechild care benefit.

(1) The Services should prioritize allocation of child care slots based on force management needs, with priority to families of deployed soldiers in wartime and to servicemembers in critical/high demand occupations in peacetime.

(2) DOD should implement a pilot voucher program to help servicemembers pay for child care costs.

(3) DOD should increase its investment in family child care.

¹⁰⁴

In particular, the authors argued that a cash voucher system would offer a more tangible benefit for military families.¹⁰⁵ DOD policies currently specify priority levels; however, DOD has not adopted the recommendation that priority be given to deployed soldiers or critical/high demand occupation.

2011: Congressional and Executive Oversight Initiatives

Congress included a provision in the FY2011 NDAA requiring DOD to submit biennial reports to the Armed Services Committees with information on CDCs and financial assistance for childcarechild care (see box below for required elements).⁹⁴

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In January 2011, then-President Barack Obama launched an initiative to support military families.⁹⁶108 Two of the four strategic priorities under this initiative are related to childcarechild care and child development:

• Ensure excellence in military children's education and their development.
• Increase childcarechild care availability and quality for the Armed Forces.

The final report to the President found that the military needed 37,000 more childcare slots to meet demand.⁹⁷ To help meet the needs identified in this report, the administrationObama Administration established the Military Family Federal Interagency Collaboration between DOD and the Department of Health and Human Services. This effort focused on

increasing the availability and quality of child care in 20 states for military families, especially those not living near military bases or lacking easy access to other military supports. The Collaboration has identified and is working toward the strategic goals of improving: (1) access to quality child care by increasing the level of quality; (2) the awareness of quality indicators and their importance for creating and maintaining safe and health environments for children; (3) the communication between various partners and agencies to ensure limited resources are used effectively.⁹⁸

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2015: Military Compensation and Retirement Modernization Commission

The National Defense Authorization Act (NDAA) for FY2013 established a Military Compensation and Retirement Modernization Commission (MCRMC) to provide the President and Congress with specific recommendations to modernize pay and benefits for the armed services.⁹⁹ In 2015, the Military Compensation and Retirement Commission (MCRMC)110 In 2015, the MCRMC submitted its final report. Pertinent recommendations of the report include the following:

• Establish standardized reporting of childcarechild care wait times.
• Exempt childcarechild care personnel from future departmental hiring freezes and furloughs.
• Support current DOD efforts to streamline CDP position descriptions and background checks.
• Reestablish authority to use operating funds for minor construction projects when building, expanding, or modifying CDP facilities.

One of the Commission's recommendations was to improve access to childcarechild care on military installations by ensuring DOD has the information and budgeting tools to provide childcarechild care within 90 days of need. Section 564 of the Senate version of the FY2016 NDAA would have required a biennial survey of military families to include, "adequacy and availability of childcarechild care for dependents of members of the Armed Forces." The House bill did not include a similar provision, and this requirement was not adopted.

MILCON Funding and CDP Facilities

The National Defense Authorization Act for Fiscal Year 2006 (P.L. 109-163 §2810) authorized use of O&M funds for minor military construction for the purpose of constructing CDCs. The services used this authority to add over 9,000 childcarechild care spaces through additions and renovations to existing facilities.¹⁰⁰111 The original authority was set to expire in 2007, but was extended thruthrough 2009, in the FY2008 NDAA (P.L. 110-181 §2809), when it lapsed. The MCRMC recommended reauthorization of this provision and allowingwhich allows the Secretary concerned to spend up to $7.5 million from appropriations available for O&M on a minor military construction project that creates, expands, or modifies a CDC. The MCRMC also proposed an amendment to 10 U.S.C. §2805 that would raise the statutory threshold for a minor military construction project to $15 million for CDC-related construction projects.¹⁰¹112 These provisions have not been adopted.

Recent Initiatives: Congressional Action CDC Hours of Operation and Hiring Authorities

On January 28, 2016, then-Secretary of Defense Ashton Carter announced enhancements to the military childcarechild care program as part of a broader "Force of the Future" military personnel reform initiative.¹⁰²113 DOD's proposed changes would extend the hours of military childcarechild care centers from 12 hours to a minimum of 14 hours per day to ensure that hours of operation are consistent with servicemember work hours at various installations.¹⁰³114 For example, for a normal workday of 7:00 a.m. to 5:00 p.m., the center would be open from 5:00 a.m. to 7:00 p.m. Military servicemembers would be eligible to receive 12 hours of subsidized care and for any time over 12 hours the member would have to pay the full cost of care out of pocket. According to a DOD spokesman, the additional childcare hours were expected to cost DOD $230 million over a five-year period.¹⁰⁴

Congressional concerns about reductions in military childcare services arose early in 2017 in response to an executive branch hiring freeze executed by the Trump administration. While certain childcareA provision of the FY2018 NDAA requires the Secretaries of the military departments to consider the "demands and circumstances" of the active and reserve component patrons of CDCs when setting and maintaining CDC hours of operation. The matters to be taken into account are the following:

• 1. Mission requirements of units whose members use the child care development center;
• 2. The unpredictability of work schedules, and fluctuations in day-to-day work hours, of such members;
• 3. The potential for frequent and prolonged absences of such members for training, operations, and deployments;
• 4. The location of the child care development center on the military installation concerned, including the location in connection with duty locations of members and applicable military family housing; and
• 5. Such other matters as the Secretary of the military department concerned considers appropriate for purposes of this section.¹¹⁵

Child care Staff Hiring Authorities

Congressional concerns about reductions in military child care services related to adequate staffing arose early in 2017 in response to an executive branch hiring freeze decreed by the Trump Administration. While certain child care positions received exemptions, implementation of the hiring freeze highlighted some preexisting recruitment and hiring issues for CDC positions. In particular, military officials noted substantial lag times for vetting new employees due to background check requirements.¹⁰⁵116 In the FY2018 NDAA, Congress took action to modify hiring authorities for those providing military child care services.¹¹⁷

In the FY2018 NDAA (P.L. 115-91), Congress took action to enhance military childcare programs by modifying hiring authorities for military childcare employees. Section 558 of the bill required Secretary-level consideration of the "demands and circumstances" of the active and reserve component patrons of CDCs when setting and maintaining CDC hours of operation. This legislation also authorized the Secretaries of military departments to provide childcarechild care coordinators at installations with "significant numbers" of military personnel and dependents. Section 559 of the bill providesThe direct hire authority allows the Secretary of Defense with direct hire authority to recruit and appoint qualified childcarechild care services providers to positions within DOD CDCsCDC positions if the Secretary determines that (1) there is a critical hiring need, and (2) there is a shortage of providers.¹⁰⁶ Section 576 of118 The FY2018 bill also requiresrequired a review of the General Schedule pay grades for DOD childcarechild care services provider positions to ensure that, in the words of the Senate committee report, "the department is offering a fair and competitive wage" for those positions.

The FY2020 NDAA further expanded this authority to include those working in an administrative capacity as family child care school age child care coordinators and personnel working in installation housing offices.¹¹⁹

Issues for Congress

Potential issues for Congress regarding military childcarechild care services include the following:

• Should DOD provide childcarechild care support?
• What are the pros and cons of different types of childcarechild care support?
• Are there other oversight concerns for DOD's CDP?

These issues are discussed in more detail in the following sections.

Should DOD Provide ChildcareChild care Support?

Debates about the provision of publicly- funded childcarechild care programs often arise from philosophical differences regarding the role of government. Those who oppose government support of childcarechild care programs typically express social, fiscal, or equity concerns. Some contend that childcarechild care should be a parental responsibility rather than a social good to be provided by the government.¹⁰⁷120 Some believe that it is best for a mother to stay home with her children and that when the government provides economic incentives for work outside the home it expresses a societal preference for out-of-home care.¹⁰⁸121 Some carry this argument further and contend that subsidized childcarechild care endorses and incentivizes single-parenthood or unstable family arrangements, which they contend may have negative economic and social consequences.¹⁰⁹122 Research from a Canadian effort to introduce universal subsidized childcarechild care in one province found some evidence suggesting that in the short run, children and families experienced some undesirable outcomes, including negative behaviors among children (e.g., hyperactivity, aggressiveness) and reduction in parental relationship quality.¹¹⁰123

On the other hand, those who advocate for publicly- funded childcarechild care programs often argue that childcarechild care provides societal benefits and should be a community resource in the same manner as schools, libraries, and parks.¹¹¹124 In 2017, the birthrate in the U.S. was the lowest in 30 years.¹¹²125 Falling birthrates can have some societal consequences, such as diminished economic growth and increased strain on entitlement programs such as Social Security. Some studies have shown that accessible and affordable childcare helps tochild care helps improve fertility rates as well as labor-force outcomes for women, who are often the default caregivers, allowing them to pursue a career and earnings outside of the home.¹¹³126

For children, center-based childcarechild care is associated with both positive and negative social and behavioral outcomes relative to those who receive home-based or parental care.¹¹⁴127 Effects are generally small, and depend on factors such as the length of time per day spent in care and the child's temperament and home environment.¹¹⁵128 On the other hand, high-quality center-based care is generally correlated with slighter better cognitive, social, academic, and language skills. BenefitsThese benefits are more pronounced for children from low-income households, and gains are sustained through adulthood.¹¹⁶129

Pointing to these potential positive outcomes for children and parents, some contend that it is in the government's best interest to regulate and/or subsidize childcarechild care services to ensure broad access to high-quality care as a societal good. In the military, this means that junior enlisted members, who generally have lower earnings, may have access to higher quality care than they would be able to otherwise afford. This could have first -order effects of better financial security for junior enlisted and single-parent military families through greater opportunities for spousal employment and lower childcarechild care fees. Some advocacy groups and researchers have gone further and argue that the federal government has a national security interest in the provision of high-quality childcarechild care for members, since it can improve the quality of the eventual recruiting pool for the military.¹¹⁷130 Some studies have found that youth with a military family member are more likely to serve, and approximately one-third of new military recruits have a parent who has served.¹¹⁸131 This suggests that early investments in children of military families may provide indirect long-term benefits to the military services.

Other arguments against government sponsorship of childcareSome opponents of government-sponsored child care suggest that use of taxpayer dollars to subsidize single-parent families or those with two working parents is inherently inequitable or discriminatory against those without children or those families with one parent who stays at home to care for children.¹¹⁹132 Others suggest that the federal government should play a smaller role in the provision of social welfare programs such as subsidized childcarechild care, and that these programs are better funded by state and local governments, or through private/nonprofit groups where there may be more accountability for the allocation of funds.¹³³ In terms of DOD-funded childcarechild care programs, military leaders and other experts have raised concerns about rising personnel costs and the resulting pressure on defense budgets, particularly during times of fiscal austerity or growth in the size of the force. Some argue that with limited resources, the Department should put a priority on war-fighting capabilities rather than expanding personnel benefits.134 Some have raised concerns that in a resource-constrained environment, the increased spending on personnel benefits could crowd-out spending on other war-fighting capabilities.¹³⁵

Those who advocate specifically for DOD-sponsored childcarechild care services point to expansion of family-friendly benefits among private sector employers and suggest that these benefits help to make DOD a more attractive employer. DOD's ability to offer competitive benefits becomes increasingly important in order to attract and retain talent during periods of force growth and times when the economy is strong and there is low civilian unemployment.¹²⁰

What are the Pros and Cons of Different Types of ChildcareChild care Support?

While some may debate whether DOD should provide childcarechild care services at all, another consideration for Congress is whether certain childcarechild care activities should be funded or incentivized over others. Currently DOD's CDP includes a mix of direct provision of on-installation care, training, support and oversight of privatized care (FCCs), government employees in government-owned facilities (CDCs), subsidies to military families for off-installation privatized care (e.g., fee assistance programs), and provision of localized information about private childcare providers and resources with government employees in government-owned facilities (i.e., CDCs), and subsidized and regulated private care (e.g., FCCs and fee assistance programs). Factors to take into account when considering the pros and cons of different childcarechild care support programs include cost, accountability, and parental preferences.

Family Care Centers (FCCs)

The Navy has historically had a large number of certified FCCs relative to the other services (see Table 1). Proponents of FCCs note that they are lower cost to the services. A 2002 RAND study found that the average annual cost per infant (age 6 weeks -12 months) in a CDC was more than twice as much as the average annual cost per infant in an FCC.¹²¹136 In general, while DOD subsidizes FCC fees, theyFCCs have lower overhead costs. Care is provided in private residences, and operational costs are typically the responsibility of the FCC provider.¹²²137 One FCC home coordinator may be assigned to multiple homes or work on a part-time basis, whereas CDC administrative staff members are likely to be full-time employees.¹²³138

Another purported benefit of the FCCs is that they provide an opportunity for military spouses to own and operate a business while caring for their own children. In 2015, the Navy reported that 94% of FCC providers were military spouses.¹²⁴139 This may let FCCs provide employment opportunities to military spouses while also freeing space at a CDC for other children (e.g., children of dual-military couples or single parents). In-home centers may have more flexibility for drop-in/respite services, care for sick children, and care outside "normal" working hours. An Air Force survey of FCC providers found that just over half were willing to offer extended duty and weekend care, while 24% were willing to offer overnight care.¹²⁵140 In addition, FCC care is available for infants from four weeks old while CDC care eligibility starts at six weeks.¹²⁶141 The number of children in FCCs is capped at six children at any one time. Some parents may prefer a smaller, in-home setting to the day care center environment. Other parents may prefer FCCs because they can allow parents to exercise more discretion over the care setting and the caregivers that are most suitable to their child's needs.

Nevertheless, there are some limitations to in-home care. In many cases, in-home care is operated by military spouses who may be subject to frequent or short-notice permanent change of station (PCS) orders. In addition, if the FCC operator falls ill or takes leave time, there may not be available back-up caregiving options. These factors could affect continuity of care for FCC patrons. The potential for frequent moves may also deter some military spouses from establishing an FCC if the time and resources needed to start up and certify home-based care in a new location are overly burdensome. The services have estimated that the amount of time it takes to certify a new FCC (including background checks, home inspections, and training and orientation) is anywhere from two to nine months.¹²⁷142 In addition, while FCC homes are certified and inspected, there is the potential for less oversight of safety and quality of care than in government-operated facilities.

Center-Based Care (CDCs)

While CDCs may be more expensive for DOD to operate, they may be more preferable to servicemembers in terms of stability, convenience, continuity of care, and oversight. Like FCCs, CDCs also provide employment, training, and development opportunities for military spouses.¹²⁸ CDCs are sometimes housed in purpose-built facilities, have a larger staff component, and can handle more children than FCCs. In addition, CDCs are typically located on the military installation where the servicemember is assigned, providing convenience (FCCs may be located on or off the installation). On the other hand, some research has found that children in center-based care are ill more often than children in home-based care, which could lead to more time off from work for military parents.¹²⁹

143

From the DOD perspective, the cost of building, operating, and maintaining CDC facilities may be significant. DOD has noted that there is "a continued need for repairing and replacing aging facilities in addition to building new facilities."¹³⁰144 At the same time, 2016 data showshows that 70% of married servicemembers live off the military installation.¹³¹145 While some members may favor care on the installation because it is closer to their workplace, it may be more convenient or preferable for the member and his or her spouse to have care located near the family's residence—in the civilian community. A 2006 study found that the propensity to use CDC care decreases the farther a family lives from the installation.¹³²

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Fee Assistance

There are some potential benefits to the fee assistance program in comparison to the DOD-run care facilities. First, within DOD's certification requirements for the fee assistance programs, parents may have a broader range of choice over the model of care and developmental curriculum (e.g., Montessori, parochial, home-based, etc.). Second, by participating in community-based childcarechild care, military families may have more opportunities to build social networks and connections with non-militarynonmilitary families in their neighborhoods. A recent survey of military families found that approximately half of the families "feel like they don't belong in their local civilian community," and would like more opportunities to build local networks.¹³³147 In addition, survey respondents indicated school and childcarechild care as one of the top opportunities to increase local connections. Some evidence suggests that fee assistance programs may also be a better fit for families that do not live on military installations.

A 2006 study found thatreported, "Across the board, families living off base are more likely to choose formal civilian child-care options over the DoD CDC, and propensity to use civilian child care increases as the distance from an installation grows."¹³⁴148 Fee assistance programs may be particularly beneficial for reservists, who often live farther from military installations and do not have access to CDCs or FCCs. FinallyAlso, subsidizing private childcarechild care programs could have broader spill-overspillover effects. DOD's high standards and criteria for private provider eligibility could serve to improve the quality of childcarechild care services within the community for both military and civilian families.

A potential limitation of the fee assistance programs for non-DOD affiliated providers is that these private providers may be less likely to offer services that cover extended or unusual duty hours (e.g., nights, weekends, or shift work). Some in the Congress have expressed concern about the privatization of quality of life services such as childcarechild care and its potential impact on quality of care.¹³⁵149 In addition, GAO found that some families using fee assistance off-installation care still had higher costs than those offered by on-installation care.¹³⁶150 Some military families have also expressed frustration that under the current fee assistance program their preferred private childcarechild care providers do not meet the DOD standards and thus are ineligible for fee assistance subsidies.

Cash Stipends

DOD's fee assistance program makes payments directly to childcarechild care providers. Another option would be to supply fixed stipends to military parents to subsidize childcarechild care. Currently, military personnel receive basic allowances for housing (BAH) as cash payments and those with dependents receive more BAH than those without. This type of system would have similar benefits to the current fee assistance program, but could offer parents even more choice and flexibility in selecting childcarechild care providers. Supporters of such a system argue that cash benefits are generally more efficient than in-kind benefits, since members can more easily assess the value of the benefit.¹³⁷151 Past focus groups with military families have revealed that among parents who used the CDC's, many were unaware that they were receiving a subsidy from DOD and some even believed DOD was profiting from the CDCs.¹³⁸

152

Nevertheless, an unrelated survey of military personnel found that a substantial majority "would rather maintain access to existing quality of life benefits than exchange those benefits for cash vouchers."¹³⁹153 In addition, depending on how the benefit system was designed, oversight, accountability, and management may be more challenging. Questions that would need to be addressed with such a program include the following:

• .Would military sponsors be required to show proof of care (e.g., receipts) to receive cash benefits?
• Would cash benefits be provided on a per-child basis? Would it vary by the child's age?
• Would families with non-workingnonworking spouses be eligible to receive a stipend?
• Would childcarechild care stipends be a flat rate (similar to basic allowance for subsistence) or vary by geographic location and prevailing market rates (similar to BAH)?

A cash stipend system that would allow parents to choose any childcarechild care provider, regardless of certifications, could result in the purchase of lower-quality childcarechild care than what could be provided through the current DOD system.

Other Federal, State, and Local ChildcareChild care Support

In terms of non-DOD financial support for childcarechild care, there are a number of state and federal programs that offer financial assistance in the form of grants, subsidies, and/or tax credits.¹⁴⁰ Localized information on these services For example, servicemembers with eligible out-of-pocket child care expenses can claim the federal child and dependent care tax credit to help offset some of their child care costs. Taxpayers receive this credit annually when they file their income tax return, which can be many months after child care expenses are incurred and, hence, may provide little benefit to those who cannot afford upfront child care costs.¹⁵⁴ In addition to the tax credit, under current law employers can choose to provide their employees with up to $5,000 in tax-free child care assistance, often delivered in the form of a flexible spending account (FSA). This benefit is not included in employee wages, so it is not subject to income or payroll taxes. Some military advocates have called for DOD to implement FSAs for military servicemembers to allow them to use pre-tax dollars to pay for child care services.¹⁵⁵ The FY2010 NDAA expressed a sense of Congress that the Secretaries concerned should establish procedures to implement FSAs for uniformed servicemembers.¹⁵⁶ Information on other federal and state services and benefits may be provided by installation referral and resource centers to military members as part of welcome packets following a permanent change of station (PCS). Some private childcarechild care centers also offer their own forms of assistance such as discounts for military-connected children, multiple children, negotiable rates, scholarships, and sliding-scale fees based on income.

Other CDP Oversight Issues

Beyond the mix of childcarechild care services that Congress chooses to fund through annual appropriations, there are also oversight issues related to access, equity, and quality. In general, military families have high satisfaction with DOD-sponsored programs, and experts. Some have pointed to the military childcarechild care system as a model that other private employers or other government agencies may look to emulate.¹⁴¹ Military families express157 Others point to military families expressing frustration over such matters such as lack of awareness of the range of non-CDC support available, CDC wait- list management issues, a desire for longer or more flexible CDC hours and other supplemental care options, and the need for more spots for infants.

Lack of Awareness

There are multiple avenues through which DOD and the military services conduct outreach to members about childcare services, including handouts and posters on installations, newcomer or pre-deployment briefings, or other referral offices and websites (e.g., MilitaryOneSource.mil). Nevertheless, aAwareness of Benefits A 2012 GAO study found that some membersservicemembers, particularly those in the Guard and Reserves, have noted that they are not aware of all of the services available to them, and in particular, subsidized services that are available in local communities.¹⁴²158 Others were unaware of eligibility requirements, or of the need to apply early for waiting lists upon learning that they were expecting a child or were being transferred to a new installation.¹⁴³

159 There are multiple avenues through which DOD and the military services conduct outreach to members about child care services, including handouts and posters on installations, newcomer or pre-deployment briefings, or other referral offices and websites (e.g., MilitaryOneSource.mil).

Some of the actions that the services have taken to address these issues are assigning dedicated resource and referral staff, providing targeted information for expectant parents, and developing sponsorship programs for those transferring to a new installation. In 2015, DOD launched MilitaryChildCareMilitaryChild care.com as an online portal with helpdesk support for members to find information about childcarechild care services, to submit requests for care, and to be placed on waiting lists for military CDCs. The implementation of this initiative was rolled out in phases, and was completedcompleted in phases ending in June 2017. For members looking for off-installation care under the fee assistance or respite programs, Child Care Aware of America, operates an online portal that assists military families in finding accredited care centers, determining eligibility, and applying for subsidies.¹⁴⁴ The full implementation of these online resources is fairly recent, and potential160 Potential measures for evaluating effectiveness include member satisfaction with the online portal and processes and statistics on usage and site views-view statistics.

CDC Wait List Management

DOD's MilitaryChildCaremilitarychildcare.com initiative was intended, in part, to address memberservicemember grievances about wait list management by integrating individual installation wait list processes into one DOD-wide system and providing more visibility into members' standing on such lists. Concerns still remain about the length of waiting lists, particularly on large bases or in high-demand areas, and how wait list priority is determined.¹⁴⁵161 DOD's target for the amount of time that a family spends on a wait list is 90 days.¹⁴⁶162 However, in 2014 the Services have estimated average wait list times to be three to nine months.¹⁴⁷163 Some family advocacy groups have argued for higher wait list priority for certain active servicemembers over DOD civilian employees. They have noted that frequent PCS moves for military families—sometimes on short notice or with last minute extensions or delays—preclude military families from obtaining favorable spots on waiting lists, whereas civilian personnel move less frequently and generally have more notice prior to moves.¹⁴⁸164 Others have argued for income-based placement on wait- lists, which would prioritize CDC placement for families who could least afford quality, off-installation care. Current law requires DOD to set fees based on family income, but does not establish priority categories for military childcare wait-lists.¹⁴⁹

child care wait lists.¹⁶⁵ In the FY2020 NDAA, Congress requires DOD to take remedial actions to "reduce the waiting lists for child care at military installations to ensure that members of the Armed Forces have meaningful access to child care during tours of duty."¹⁶⁶ A report on actions taken to address wait list issues is due to the Congress on June 1, 2020. In February 2020, Secretary of Defense Mark Esper announced a new policy for wait list management that prioritizes access for military families over DOD civilians (see Appendix).¹⁶⁷ Families are required to apply for care through the militarychildcare.com (MCC) website, which will continue to be the primary wait list management platform.

CDC Capacity

The amount of time a military family spends on a wait list is a function of both geographic demand and CDC capacity. This capacity, in turn, depends on the size of the facility and the number of CDC employees. Options to expand capacity on high-demand installations would be to build new CDC facilities and to expand or refit existing space. Potential barriers to this include lack of available or appropriate physical space on certain installations and lack of the military construction funding that would be required. In addition, construction projects often have long lead times (to account for appropriating funds, the contracting process, and the design and build) and may not be able to accommodate short-term surges in demand. If physical space is available, one other limitation is the availability and ease of recruiting and hiring childcarechild care workers to maintain required caregiver-to-child ratios. In the past, issues such as federal hiring freezes and pace of background checks has slowed the pace of hiring for CDCs. Some of these staffing issues were addressed in the FY2018 NDAA as discussed in a previous section (see "Recent Initiatives: CDC Hours of Operation and Hiring Authorities").

Footnotes

These programs fall under the umbrella of "quality of life" programs and also include, for example, counseling services, transition assistance, and legal assistance.

9. 12. 20. 23. Defense Advisory Committee on Women in the Services, DACOWITS Panel on Military Services' Child care Resources and Initiatives: Briefing Slides, June 2019, https://dacowits.defense.gov/Reports-Meetings/2019-Documents/June2019CommitteeMeeting/. 34. 40. CRS calculations based on data in Table 1 of Child Care, 2017 Report, 2017, http://usa.child careaware.org/wp-content/uploads/2017/12/2017_CCA_High_Cost_Report_FINAL.pdf.

54. DOD, "Child Development Programs," DODI 6060.02, August 5, 2014, p. 29.

DOD, Background Checks on Individuals in DOD Child Care Services Programs, DODI 1402.05,," Incorporating Change 1, Effective July 14, 2016.

GAO, Child Care Employer Assistance for Private Sector and Federal Employees, B-220258, February 1986, p. 15, http://www.gao.gov/assets/210/208156.pdf., p. 15.

91. 106.

P.L. 115-91 §559.

120. 136. 155. P.L. 111-84 §663.

P.L. 116-92 §2809.

1.	Some of these policies have included barriers to enlistment for men and women who are married or have children, and mandatory discharges for women who married or became pregnant while in service.
2.	Defense Manpower Data Center, Active Duty Master Personnel File, Table of Active Duty Females by Rank/Grade and Service, January 2018August 2019, available at https://www.dmdc.osd.mil/appj/dwp/dwp_reports.jsp.
3.	Dependent children are ages 0-22. Department of Defense, 2018 Demographics: Profile of the Military Community, 2017, p. 142, https://download.militaryonesource.mil/12038/MOS/Reports/2018-demographics-report.pdf.	4.
45.	U.S. Congress, House Committee on Armed Services, Subcommittee on Military Personnel and Compensation, Child Care Programs, 100th Cong., 2nd sess., 1988, H.A.S.C. No. 100-120, p. 18.
56.	Department of DefenseDOD, "Child Development Programs," DODI 6060.02, August 5, 2014, p. 2.
67.	U.S. Congress, House Committee on Armed Services, Subcommittee on Military Personnel and Compensation, Child Care Programs, 100th Cong., 2nd sess., 1988, H.A.S.C. No. 100-120, p. 30.
7Hisako Sonethavilay, et al., Military Family Lifestyle Survey: Comprehensive Report, Blue Star Families, 2018, p. 13, https://bluestarfam.org/wp-content/uploads/2019/03/2018MFLS-ComprehensiveReport-DIGITAL-FINAL.pdf.
8.	Among a 2017 survey group, approximately 47% of active duty spouses were employed either full time or part time, and 51% of those who are not employed would like to be. Of those not employed, 53% reported child care challenges were one of the top three reasons for not working. In general, male spouses surveyed had higher full-time employment, higher salaries, and less underemployment than female spouses. Blue Star Families, 2017 Annual Military Family Lifestyle Survey, 2017. https://bluestarfam.org/wp-content/uploads/2017/11/MFLS-ComprehensiveReport17-FINAL.pdf
Ellen Kosek, "The Effects of On-site Child Care on Employee Attitude and Performance," Personnel Psychology, vol. 45, no. 3 (1992), pp. 485-509. Steven L. Grover and Karen J. Crocker, "Who Appreciates Family-Responsive Human Resource Policies: The Impact of Family Friendly Policies on the Organizational Attachment of Parents and Non-Parents," Personnel Psychology, vol. 48, no. 2 (1995).).
810.	Soo-Young Lee and Jeong Hwa Hong, "Does Family-Friendly Policy Matter? Testing Its Impact on Turnover and Performance," Public Administration Review, vol. 71, no. 6 (2011), pp. 870-879.
911.	U.S. Congress, House Committee on Armed Services, Subcommittee on Military Personnel and Compensation, Child Care Programs, 100th Cong., 2nd sess., 1988, H.A.S.C. No. 100-120, p. 30.	Thomas I. Miller, "The Effects of Employer-Sponsored Child Care on Employee Absenteeism, Turnover, Productivity, Recruitment or Job Satisfaction: What is Claimed and What is Known," Personnel Psychology, vol. 37 (1984).
1013.	Joy S. Moini, Gail L. Zellman, and Susan M. Gates, Providing Child Care to Military Families, RAND Corporation, The Role of the Demand Formula in Defining Need and Informing Policy, Santa Monica, CA, 2006, p. 70.
1114.	Ibid., p. xviii.
1215.	Maryann Hammers, "A Family Friendly Backlash," Workforce, July 31, 2003.
1316.	Teresa J. Rothhausen et al., "Family-Friendly Backlash—Fact or Fiction? The Case of Organizations' On-Site Child Care Centers.," Personnel Psychology, vol. 51 (1998), pp. 685-706.
1417.	Department of Defense, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016.
15While individuals may provide unpaid labor in or out of the home, DOD defines a working spouse as a spouse who is hired for a wage, salary, fee, or payment to perform work for an employer; or a spouse who works for oneself as a freelancer or the owner of a business rather than for an employer. In all cases, work may be performed in or out of the home. For the purpose of this instruction, a spouse who is working 30 hours per week or 100 hours per month, or a spouse working less than 30 hours per week or 100 hours per month and enrolled in a postsecondary educational institution will be considered a full-time working spouse.
18.	DOD, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016.
19.	According to the services, children who have already cleared the wait list and are in care are not displaced due to a higher priority servicemember being added to the list. Navy briefing to DACOWITS, June 2019 https://dacowits.defense.gov/Portals/48/Documents/General%20Documents/RFI%20Docs/June2019/USN%20RFI%205.pdf?ver=2019-06-09-200036-740.
The National Defense Authorization Act (NDAA) for FY2013 (P.L. 112-239, Subtitle H) established the MCRMC to "make recommendations to modernize such systems in order to—(1) ensure the long-term viability of the All-Volunteer Force by sustaining the required human resources of that force during all levels of conflict and economic conditions; (2) enable the quality of life for members of the Armed Forces and the other uniformed services and their families in a manner that fosters successful recruitment, retention, and careers for members of the Armed Forces and the other uniformed services; and (3) modernize and achieve fiscal sustainability for the compensation and retirement systems for the Armed Forces and the other uniformed services for the 21st century." Military Compensation and Retirement Modernization Commission, Final Report, January 29, 2015, https://www.ngaus.org/sites/default/files/MCRMC%202015_0.pdf.
16.
21.	Briefings presented to the Defense Advisory Committee on Women in the Services (DACOWITS), June 2019, https://dacowits.defense.gov/Portals/48/Documents/General%20Documents/RFI%20Docs/June2019/USN%20RFI%205.pdf?ver=2019-06-09-200036-740.
22.	Quarterly Meeting minutes from June 11, 2019, DACOWITS, https://dacowits.defense.gov/Portals/48/Documents/Reports/2019/Minutes/DACOWITS%20June%202019%20QBM%20Minutes.pdf
Bureau of Labor Statistics, Employment Characteristics of Families Summary, USDL-17-0444, April 20, 201718, 2019, https://www.bls.gov/news.release/famee.nr0.htm.
1724.	The Council of Economic Advisors, Executive Office of the President, Military Spouses in the Labor Market, May 2018, pp. 1-4, https://www.whitehouse.gov/wp-content/uploads/2018/05/Military-Spouses-in-the-Labor-Market.pdf.
1825.	DMDC, Active Duty Family Number of Children Report and Selected Reserve Family Number of Children Report, March 2018October 2019. 26.
19.	In general, male spouses surveyed had higher full-time employment, higher salaries, and less underemployment than female spouses. Blue Star Families, 2017 Annual Military Family Lifestyle Survey, 2017. https://bluestarfam.org/wp-content/uploads/2017/11/MFLS-ComprehensiveReport17-FINAL.pdf
20.	Blue Star Families, 2017 Annual Military Family Lifestyle Survey, 2017, p. 11. https://bluestarfam.org/wp-content/uploads/2017/11/MFLS-ComprehensiveReport17-FINAL.pdf
21.	According to DODI 6060.02, CDP space used for part-day or hourly programs shall not exceed 20% of the CDP program capacity during duty hours.
2227.	SeeOffice of the Under Secretary for Personnel and Readiness website, http://prhome.defense.gov/M-RA/Inside-M-RA/MCFP/.
2328.	DOD's Procedures for Military Personnel Assignments states, "Military couples and single parents are expected to fulfill their military obligations on the same basis as other Servicemembers. […] To ensure single parents and military couples are available for worldwide duty, they must have current and viable family care plans to provide parent-like care for their dependents when the requirements of military service result in leaving their family behind."
2429.	FCCs are also referred to as family home day care, family home care, child development homes, and family day care.
2530.	Certification may be made by the Secretary of the Military Department or Director of the Defense Agency or DOD Field Activity.
2631.	Some of these programs include Operation Military Child Care which provides short-term care, primarily during deployments, and Military Child Care in Your Neighborhood.
27.	As stated by Rear Admiral James B. Hinkle, Assistant Commander, Personnel Command, U.S.Navy, "What we are finding is that the cost of doing it in child care centers is very expensive, but if we can do it in the home in a family child care setting, we can reduce this cost considerably." U.S. Congress, House Committee on Armed Services, Hearing on National Defense Authorization Act for Fiscal Year 2000 (H.R. 1401) and Oversight of Previously Authorized Programs, 106th Cong., 1st sess., March 10, 1999, HASC 106-8.
2832. Data as reported in FY2021 service-level budget documents at https://comptroller.defense.gov/. Army, Operation and Maintenance (O&M), Vol. I, pp. 208-210; Air Force, O&M, Vol. I, pp. 165-166; Navy, O&M, pdf p. 342; Navy Reserve, O&M, p. 106; Marine Corps, Operation and Maintenance, pdf p. 87.	33.	DOD child care regulations (DODI 6060.02, August 5, 2014.) define same-sex domestic partners as family members for eligible DOD civilian employees and eligible contractors only. In the case of unmarried, divorced, or legally separated parents with joint custody, children are eligible for child care only when they reside with an eligible sponsor for at least 25% of the time in the month that the child is receiving care through a DOD service.
29.	The Tenth Quadrennial Review of Military Compensation, Volume II, Deferred and Noncash Compensation, July 2008, p. 88, http://militarypay.defense.gov/Portals/3/Documents/Reports/10th_QRMC_2008_Vol_II.pdf.
30.	Department of Defense, Budget Amendment to the Fiscal Year 2018 President's Budget Request for BASE + Emergency + Overseas Contingency Operations (OCO), November 2017. http://comptroller.defense.gov/Portals/45/Documents/defbudget/FY2018/budget_justification/pdfs/01_Operation_and_Maintenance/O_M_VOL_1_PART_2/Volume_I_Part_2.pdf
3135.	CDCs are considered a MWR Category B program which means they are funded with a mix of appropriated and non-appropriated funds. A Category A MWR program is 100% supported by APF. Category C programs are those that are expected to be self-sustaining with NAF. Category B programs, "should receive substantial amounts of APF support but differ from those in Category A in part because of their ability to generate NAF revenues. That ability is limited, however, and in no case could they be sustained without substantial APF support." See Department of Defense, Military Morale, Welfare, and Recreation (MWR) Programs, DODI 1015.10, (2009), 5 (2001).
3236.	10 U.S.C. §1796.
3337.	10 U.S.C. §1791. Child care fee receipts are those that are derived from fees paid for child care services by patrons of military CDCs.
34.	U.S. Government Accountability Office, Morale, Welfare, and Recreation: Declining Funds Require DOD to Take Action, NSAID-94-120, February 1994, https://www.gao.gov/assets/220/219276.pdf.https://www.gao.gov/assets/220/219276.pdf.
3538.	Information provided to CRS by the Military Services for FY2015 – FY2017. APF totals include Child Development Centers, School Age Care, Child Development Homes/FCCs and Youth Programs.
39.	U.S. Government Accountability Office (GAO), Military Personnel: DOD Needs to Improve Funding Process for Morale, Welfare, and Recreation Programs, GAO-18-424, August 8, 2019, https://www.gao.gov/products/GAO-18-424.
Data provided by the military services.
3641.	10 U.S.C. §1793.
3742.	10 U.S.C. §1796.
3843.	Total family income includes all earned income including wages, salaries, tips, special duty pay (flight pay, active duty demo pay, sea pay), and active duty save pay, assignment incentive pay, long term disability benefits, voluntary salary deferrals, retirement or other pension income, including SSI paid to the spouse, and VA benefits paid to the surviving spouse before deductions for taxes, quarters allowances, and subsistence allowances, and other allowances (i.e., basic allowance for housing) appropriate for the rank and status of military or DOD civilian personnel, whether received in cash or in kind.
3944.	U.S. Government Accountability OfficeGAO, Military Child Care: DOD Is Taking Actions to Address Awareness and Availability Barriers, GAO-12-21, February 2012, https://www.gao.gov/assets/590/588188.pdf.https://www.gao.gov/assets/590/588188.pdf, p. 10.
4045.	Department of Health and Human Services, "Child Care and Development Fund (CCDF) Program," 45 Federal Register -67440-67515, September 30, 2016.
4146.	E-5s are called Sergeants in the Army and Marine Corps; in the Navy they are Petty Officers Second Class, and in the Air Force they are Staff Sergeants. Compensation is based on eight years of service. DOD, Selected Military Compensation Tables, January 1, 2019, p. A40. https://militarypay.defense.gov/Portals/3/Documents/Reports/GreenBook%202019.pdf?ver=2019-01-16-132128-617. 47
42.	Ibid., p. A70. An O-3 is a Captain in the Army, Marines Corps, and Air Force, or a Lieutenant in the Navy. Compensation is based on eight years of serviceAn O-4 is a Lieutenant Commander in the Navy or a Major in the Army, Air Force, and Marine Corps. For more on basic pay and allowances see CRS In Focus IF10532, Defense Primer: Regular Military Compensation, by [author name scrubbed]Lawrence Kapp.
4348.	Lynda L. Laughlin, Census Bureau Statistics Allow for Deeper Dive Into Rising Costs of Child Care, United States Census Bureau, December 21, 2015, https://www.census.gov/newsroom/blogs/research-matters/2015/12/census-bureau-statistics-allow-for-deeper-dive-into-rising-costs-of-child-care.html.
4449.	Child care Aware of America, ParentsUS and Thethe High CostPrice of Child Care 2019.	50.
4551.	For more information about federal child care aid see, CRS Report RL30785, The Child Care and Development Block Grant: Background and Funding, by [author name scrubbed]Karen E. Lynch.
4652.	Child Care Aware of America, Scores and Ranking for Program and Oversight Benchmarks Combined, at https://usa.child careaware.org/wp-content/uploads/2015/10/wecandobetter_20rankings2020041013.pdf .
4753.	DOD, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016.	See NAEYC Early Learning Program Standards at https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/accreditation/early-learning/OverviewStandards_0.pdf.
4855.	Most DOD centers are accredited by the National Association for the Education of Young Children (NAEYC). Listed set-up fees as of January 2018March 2020 for NAEYC accreditation ranged from about $1,600 - $2,700800 with annual maintenance fees of about $550 to $885. See https://www.naeyc.org/accreditation/early-learning/fees.
4956.	Gail L. Zellman, Anne Johansen, and Jeannette Van Winkle, Examining the Effects of Accreditation on Military Child Development Center Operations and Outcomes, RAND Corporation, Santa Monica, CA, 1994, https://www.rand.org/pubs/monograph_reports/MR524.html.
5057.	Ibid.
5158.	P.L. 104-106 §1797. The law did not require all centers to be accredited, only that they meet the "standards of operations necessary for accreditation by an appropriate national early childhood program accrediting body."
5259.	Gail Zellman et al., Understanding the Findings From an Evaluation of the Parent Institute for Quality Education Parent Involvement ProgramExamining the Implementation and Outcomes of the Military Child Care Act of 1989, RAND Corporation, Santa Monica, CA, 1998, p. xxi, https://www.rand.org/pubs/monograph_reports/MR870.htmlcontent/dam/rand/pubs/monograph_reports/2009/MR665.pdf.
5360.	DACOWITS, March 2015. Department of DefenseJohn Surr, Who's Accredited? What and How the States are Doing on Best Practices in Child Care, Child care Information Exchange, Redmond, WA, March 2004, https://www.childcareexchange.com/library/5015614.pdf.DOD, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016. At the time of publication, the FY2016 report is the most current report available.
54.	Accrediting bodies include the National Association for the Education of Young Children (NAEYC) and National Early Childhood Program Accreditation (NECPA). and due to the reporting cycle, DOD's report provides program data from the previous fiscal year (FY2015).
5561.	Department of Defense10 U.S.C. §1798.	62.
5663.	DOD's UFC program specifies technical criteria and standards pertaining to planning, design, construction, and operation and maintenance of real property facilities. The UFC program is administered by the United States Army Corps of Engineers (HQUSACE), Naval Facilities Engineering Command (NAVFAC), and the Air Force Civil Engineer Center (AFCEC). See DOD Directive 4270.5 (Military Construction).
5764.	10 U.S.C §1794.
5865.	10 U.S.C §1794 (f).
5966.	Department of DefenseDOD, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016. At the time of publication, the FY2016 report is the most current report available and due to the reporting cycle, DOD's report provides program data from the previous fiscal year (FY2015).
6067.	10 U.S.C. §1792.
61.	Department of Defense, DODI 1402.05, "68.	10 U.S.C. §1792(c).
69.	DOD, Child Development Programs (CDPs), DODI 6060.02, April 5, 2014, p. 19.
70.
6271.	The Army-led investigation found that 31 of the 130 Fort Myer CDC employees had criminal records on charges ranging from assault to sexual offenses. Amy Bushatz and Richard Sisk, "31 at Base Daycare Center Had Criminal Records," Military.com, December 2012, https://www.military.com/daily-news/2012/12/20/31-at-base-daycare-center-had-criminal-records.html.
6372.	Department of Defense, DODI 1402.05, "DOD, Background Checks on Individuals in DOD Child Care Services Programs, DODI 1402.05,," Incorporating Change 1, Effective July 14, 2016, p. 12. Karen Jowers, "DOD Tightens Child Care Background Checks," Military Times, November 20, 2014, https://www.militarytimes.com/2014/11/20/dod-tightens-child-care-background-checks/.
6473.	10 U.S.C. §1795.
6574.	Elizabeth Palley and Corey S. Shdaimah, In Our Hands: The Struggle for U.S Child Care Policy (New York, NY: New York University Press, 2014), p. 44.
6675.	P.L. 79-489.
6776.	Chris M. Herbst, "Universal Child Care, Maternal Employment, and Children's Long-Run Outcomes: Evidence from the U.S. Lanham Act of 1940 ," IZA, no. 7846 (December 2013).
6877.	Day care centers were administered in every state except New Mexico. Rhiana Cohen, "Who Took Care of Rosie the Riveter's Kids?," The Atlantic, November 18, 2015.
6978.	U.S. Congress, Senate Committee on Armed Services, Part 8 Manpower and Personnel, Hearing on S. 1085 Authorizing Appropriations for Fiscal Years 1990 and 1991, 101st Cong., 1st sess., May 11, 1989, p. 49.
7079.	U.S. Congress, House Committee on Armed Services, Subcommittee on Military Personnel and Compensation, Statement of the Deputy Assistant Secretary of Defense for Military Manpower and Personnel Policy, Hearing before the Military Personnel and Compensation Subcommittee Concerning Department of Defense Child Care Programs, 100th Cong., June 16, 1988.
7180.	Betty J. Morden, The Women's's Army Corps: 1945-1978 (Washington, DC: GPO, 2000), pp. 303-308.
7281.	Census Bureau data on labor force participation rates for women 16 years of age and older.
73.	U.S. Government Accountability OfficeCurrent Population Survey, U.S. Department of Labor, U.S. Bureau of Labor Statistics, Employment status of the civilian noninstitutional population 16 years and over by sex, 1970–2009 annual averages, https://www.bls.gov/cps/wlf-databook-2010.pdf.	82.
7483.	Barbara Wheatland, "Community Services, the Military Family, and Child Development," in Children of Military Families, A Part and Yet Apart, ed. Edna J. Hunter and D. Stephen Nice (Washington, D.C.: Government Printing Office, 1978), p. 53.
7584.	Department of Defense Directive 1330.2, March 7, 1978.
7685.	P.L. 97-114.
7786.	U.S. Government Accountability OfficeGAO, Military Child Care Programs: Progress Made, More Needed, GAO/FPCD-82-30, June 1, 1982, p. i.
7887.	P.L. 99-145.
7988.	P.L. 99-145§802.
8089.	Linda Goldston, "Army of the Night," San Jose Mercury, July 24, 1988.
8190.	U.S. Congress, House Committee on Armed Services, Subcommittee on Military Personnel and Compensation, Child Care Programs, 100th Cong., 2nd sess., June 16, August 2, and August 9, 1988, H. Hrg 100-120 (Washington: GPO, 1989).	Concerns that were noted with regardsregard to civilian services included, overseas installations that lacked English-speaking child care options, the high-cost of child care in domestic urban settings, the unavailability of high-quality services in rural settings, and little or no availability of infant care across most locations.
8292.	P.L. 101-189, Title XV, 103 Stat. 1361, November 29, 1989.
8393.	The legislation specified that these unannounced inspections should occur no less than four times per year.
8494.	Although the MCCA focused mainly on changes for the CDCs, DOD applied similar quality control measures to the FCCs. Gail L. Zellman and Anne S. Johansen, Examining the Implementation and Outcomes of the Military Child Care Act of 1989, RAND Corporation, Santa Monica, CA, 1998, p. xxii, https://www.rand.org/pubs/monograph_reports/MR665.html.
8595.	P.L. 104-106 §568.
8696.	P.L. 106-65 §584. This legislation was followed by the Treasury and General Government Appropriations Act of 2000 (P.L. 106-58) which provided the authority for other executive agencies to use appropriated funds to subsidize child care for federal civilian employees.
8797.	For more on accreditation, see http://usahttps://www.child careaware.org/fee-assistancerespite/military-families/army/#howfeeassist. feeassistancerespiteproviders/feeassistance/#programs
8898.	U.S. Congress, Senate Committee on Armed Services, National Defense Authorization Act for Fiscal Year 2000, committee print, 106th Cong., 1st sess., May 17, 1999 (Washington: GPO, 1999).
8999.	10 U.S.C. §1798(c).
90100.	The General Services Administration (GSA) operated the Army's fee assistance program until transition in 2016.
91101.	Child care Aware of America, 2016 Annual Report. http://annualreport.usa.child careaware.org/financials/P.L. 116-92 §580. This report is due to Congress no later than June 1, 2020, with a follow-on report by the GAO due on December 1, 2020.
92102.	Department of DefenseDOD, The Tenth Quadrennial Review of Military Compensation, Washington, D.C., September 2008, http://militarypay.defense.gov/Portals/3/Documents/Reports/10th_QRMC_2008_Executive_Summary.pdf. The 11th QRMC did not specifically address childcarechild care programs.
93103.	Ibid., p. 40.
94104.	Ibid., p. 41.
105.	Ibid.
At the time of publication, only one such report was available by request to DOD. This report was dated July 2011.
95107.	P.L. 111-383 §587.
96108.	The White House Office of the Press Secretary, "Presidential Initiative Supports Military Families," press release, January 24, 2011, https://www.whitehouse.gov/the-press-office/2011/01/24/presidential-initiative-supports-military-families.
97.	http://futureofchildren.org/publications/docs/Chapter%204.pdf, p. 82.
98109.	Department of Health and Human Services and the Department of Education, Joint Interdepartmental Review of All Early Learning Programs for Children Less Than 6 Years of Age, 2017, https://www2.ed.gov/about/inits/ed/earlylearning/files/gao-report-joint-interdeprtmental-review-2017.pdf.
99110.	In a memorandum for the Secretary of Defense, dated January 9, 2015, then -President Barack Obama, stated, "I have determined the MCRMC also satisfies the requirements of section 1008(b) of title 37 and that a separate Twelfth Quadrennial Review of Military Compensation is not required." See https://militarypay.defense.gov/Portals/3/Documents/Reports/Presidential%20Memo%20-%2012th%20QRMC.pdf?ver=2018-06-19-223010-557.
100111.	Senate Armed Services Subcommittee Hearing Military Personnel Posture in Defense Authorization , DACOWITS March 2015
101112.	The existing threshold for minor military construction is $3 million for regular projects and $4 million for projects intended to correct a deficiency that is "life-threatening, health-threatening, or safety-threatening." For more on military construction see CRS Report R44710, Military Construction: Authorities, Process, and Frequently Asked Questions, by G. James Herrera.
102113.	These initiatives were aimed at "improving the retention of our military servicemembers through enhance family support." Memorandum from Ashton Carter, Secretary of Defense, Forging Two Links to the Force of the Future, November 1, 2016, https://www.defense.gov/Portals/1/Documents/pubs/Forging-Two-New-Links-Force-of-the-Future-1-Nov-16.pdf. .
103114.	Department of DefenseDOD, Fact Sheet: Building the Second Link to the Force of the Future; Strengthening Comprehensive Family Benefits, https://www.defense.gov/Portals/1/Documents/pubs/Fact_Sheet_Tranche_2_FOTF_FINAL.pdf. .
104115.	Karen Jowers,"Military Leaders Promise to Extend Child Care Hours, Shorten Wait Lists at Child Development Centers," Military Times, February 1, 2016P.L. 115-91 §558.
105116.	U.S. Congress, House Committee on Armed Services, Subcommittee on Readiness, House Armed Services Subcommittee on Readiness Holds Hearing on the Current State of U.S. Army Readiness, Hearing Transcript, 115th Cong., 1st sess., March 8, 2017, http://www.cq.com/doc/congressionaltranscripts-5057103?0#speakers. .	117.
106118.	The bill directed the Secretary to prescribe the regulations required and commence implementation of such direct hire authority no later than May 1, 2018.
107 DOD prescribed these regulations as per USD (P&R) memorandum, "Temporary Direct-Hire Authority for Child care Services Providers for Department Child Development Centers," April 27, 2018, https://www.dcpas.osd.mil/Content/documents/EC/TempDirect-Hire_%20AuthorityDoD_Child careServicesProviders.pdf.
119.	P.L. 116-92 §§580 & 3035.
Andrea L. Campbell, "Has Child Care Policy Finally Come of Age?," The American Prospect, May 22, 2015. http://prospect.org/article/has-child-care-policy-finally-come-age
108121.	A 2013 Pew survey found that about one-third of Americans believe that it is best for young children if their mothers do not work at all outside the home, 42% say that part-time work for mothers is ideal, and 16% say that a full-time working mother is ideal. Pew Research Center, Modern Parenthood: Roles of Moms and Dads Converge as They Balance Work and Family, March 13, 2013, p. 2, httphttps://www.pewsocialtrends.org/fileswp-content/uploads/sites/3/2013/03/FINAL_modern_parenthood_03-2013.pdf. In Our Hands, p. 54 ; Elizabeth Palley and Corey S. Shdaimah, In Our Hands: The Struggle for U.S Child Care Policy (New York, NY: New York University Press, 2014), p. 54.
109122.	"Demise of the DACOWITS," Center for Military Readiness, April 15, 2002, at https://www.cmrlink.org/issues/full/demise-of-the-dacowits. Joy Pullman, "Children Don't Need 'Day Care For All,' They Need Their Mothers," The Federalist, February 28, 2019, https://thefederalist.com/2019/02/28/children-dont-need-day-care-need-mothers/.
110123.	Michael Baker et al., "Universal Child care, Maternal Labor Supply and Family Well-Being: Working Paper," National Bureau of Economic Research, December 2005.
111124.	In Our HandsElizabeth Palley and Corey S. Shdaimah, In Our Hands: The Struggle for U.S Child Care Policy (New York, NY: New York University Press, 2014), p. 76.
112125.	Brady Hamilton et al., Births: Provisional Data for 2017, Centers for Disease Control and Prevention, Vital Statistics Rapid Release, May 2018, https://www.cdc.gov/nchs/data/vsrr/report004.pdf.
113126.	Women who take time off from work to care for children find it difficult to return to their career, earn less than women who do not have children, and, as a result, often experience lifelong financial penalties. Peter Hann and Katharina Wrolich, "Can child care policy encourage employment and fertility? Evidence from a structural model," Max Planck Institute for Demographic Research, October 2009. Ronald R. Rindfuss et al., "Child-Care Availability and Fertility in Norway," Population and Development Review, vol. 36, no. 4 (2010), pp. 725-748.
114127.	Positive outcomes include higher scores on cognitive testing, and better social skills and language development. Negative behavioral outcomes include decreased levels of cooperation, and increased aggressiveness or impulsiveness.
115128.	M. Pluss, and J. Belsky, "Differential Susceptibility to Rearing Experience: The Case of Child careCare," Journal of Child Psychology and Psychiatry, vol. 50, no. 4 (April 2009), pp. 396-404. Susanna Loeb, et al., "How Much Isis too Much? The Influence of Preschool Centers on Children's Social and Cognitive Development," Economics of Education Review, vol. 26, no. 1 (February 2007), pp. 52-66.
116129.	High quality typically characterized by a high ratio of adults per child, quality interactions with children, and more highly educated/qualified caregivers. https://www.acf.hhs.gov/sites/default/files/opre/early_ed_qual.pdf
117130.	Karen Billings et al., Child Care and National Security, Mission: Readiness, How Greater Access to High-quality Child Care can Help Improve Military Readiness, 2017.
118131.	Philip Carter, et al., AVF 4.0: The Future of the All-Volunteer Force, Center for New American Security, CNAS Working Paper, March 28, 2018, https://www.cnas.org/publications/reports/avf-4-0-the-future-of-the-all-volunteer-force.
119132.	In Our HandsElizabeth Palley and Corey S. Shdaimah, In Our Hands: The Struggle for U.S Child Care Policy (New York, NY: New York University Press, 2014), p. 54. Andrea L. Campbell, "Has Child Care Policy Finally Come of Age?" The American Prospect, May 22, 2015. http://prospect.org/article/has-child-care-policy-finally-come-age
120133.	See the earlier discussion in this report on "Why Does DOD Provide Childcare Services?"
121for example, Rachel Greszler and Lindsey Burke, Why Uncle Sam Would Make a Bad Nanny, Heritage Foundation, March 1, 2019, https://www.heritage.org/education/commentary/why-uncle-sam-would-make-bad-nanny.
134.	Kimberly Amadeo, "US Military Budget, Its Components, Challenges, and Growth; Why Military Spending Is More Than You Think It Is," The Balance, March 3, 2020, https://www.thebalance.com/u-s-military-budget-components-challenges-growth-3306320.
135.	Veronique de Rugy, "Personnel Costs May Overwhelm Department of Defense Budget," Mercatus Center, George Mason University, February 4, 2014, https://www.mercatus.org/publications/government-spending/personnel-costs-may-overwhelm-department-defense-budget.
The average annual cost for an infant at a CDC was $12,133 and $5,014 for FCCs. Gail L. Zellman and Susan M. Gates, Examining the Cost of Military Child Care, RAND Corporation, Santa Monica, CA, 2002, pp. 38 & 46, https://www.rand.org/pubs/monograph_reports/MR1415.html#toc.
122137.	Some FCCs are operated in military housing on the installation. There may be some indirect costs to DOD if FCC operations lead to greater wear and tear on these assets.
123138.	Gail L. Zellman and Susan M. Gates, Examining the Cost of Military Child Care, RAND Corporation, Santa Monica, CA, 2002, pp. 38 & 46.
124139.	Navy documents submitted to the Defense Advisory Committee on Women in the Services (DACOWITS), September 9, 2015, available at http://dacowits.defense.gov/Portals/48/Documents/Reports/2015/Documents/DACOWITS%20September%20Meeting%20Files.pdf.
125140.	Air Force documents submitted to the Defense Advisory Committee on Women in the Services (DACOWITS), September 9, 2015, available at http://dacowits.defense.gov/Portals/48/Documents/Reports/2015/Documents/DACOWITS%20September%20Meeting%20Files.pdf.
126141.	Military servicemembers designated as the primary caregiver are authorized by law (10 U.S.C. §701(i)(1)(A)).to take up to 12 weeks of leave (including up to 6 weeks of convalescent leave) in connection with the birth of a child.
127142.	Briefings presented to the Defense Advisory Committee on Women in the Services (DACOWITS), September 9, 2015, available at http://dacowits.defense.gov/Portals/48/Documents/Reports/2015/Documents/DACOWITS%20September%20Meeting%20Files.pdf. The services noted that background check adjudication is the main factor in certification delays.
128.	Lt. Gen. Gwendolyn Bingham (USA), Asst. Chief of Staff for Installation Management, "And a large portion of our CDC workers are spouses. They've moved due to PCS relocations, and so that's further exacerbating our—our numbers and statistics right now." http://www.cq.com/doc/congressionaltranscripts-5057103?0
129.	Johansen, Anne S.143. Anne S. Johansen, Child Care: Preferences, Choice, and Consequences, RAND Corporation, Santa Monica, CA, 1992.
130144.	Department of DefenseDOD, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016.
131145.	Department of DefenseDOD, Annual Report to the Congressional Defense Committees on the Department of Defense Policy and Plans for Military Family Readiness: Fiscal Year 2016.
132146.	Joy S. Moini, Gail L. Zellman, and Susan M. Gates, Providing Child Care to Military Families, RAND Corporation, The Role of the Demand Formula in Defining Need and Informing Policy, Santa Monica, CA, 2006.
133147.	Blue Star Families Military Family Lifestyle Survey, Comprehensive Report, 2017.
134148.	Joy S. Moini, Gail L. Zellman, and Susan M. Gates, Providing Child Care to Military Families, RAND Corporation, The Role of the Demand Formula in Defining Need and Informing Policy, Santa Monica, CA, 2006, p. 43.
135149.	"We are solidly behind the morale, welfare and recreation system. We have been told, and we believe, that these programs are essential to elements affecting military readiness in the military community. I am talking about all of the programs here, exchanges, commissaries, youth centers, child care centers, and libraries. It is an integrated, interrelated package that begins to unravel if you remove too many of the basic parts. Now, under admittedly great budget pressures, some services appear to be backsliding and are leaning toward wholesale privatization in military communities, -at least that is some of the information we are receiving. Suffice it to say, we want to pursue this issue fully, and we are deeply concerned about it." Opening Statement of John M. McHugh, Chairman, Special Oversight Panel on Morale, Welfare, and Recreation, U.S. Congress, House Committee on Armed Services, Hearing on the National Defense Authorization Act for Fiscal Year 2000, 106th Cong., 1st sess., March 10, 1999, H. Hrg 106-8. http://commdocs.house.gov/committees/security/has069120.000/has069120_0f.htm
136150.	In 2010, the GAO found that, on average, Navy and Air Force personnel were paying higher off-installation fees and the Army and Marine Corps were paying lower off-installation fees. U.S. Government Accountability Office, M ilitaryMilitary Child Care: DOD is Taking Actions to Address Awareness and Availability Barriers, GAO-12-21, February 2012, https://www.gao.gov/assets/590/588188.pdf.
137151.	The Tenth Quadrennial Review of Military Compensation, Volume II, Deferred and Noncash Compensation, July 2008, p. 89, http://militarypay.defense.gov/Portals/3/Documents/Reports/10th_QRMC_2008_Vol_II.pdf.
138152.	Joy S. Moini, Gail L. Zellman, and Susan M. Gates, Providing Child Care to Military Families, RAND Corporation, The Role of the Demand Formula in Defining Need and Informing Policy, Santa Monica, CA, 2006, p. 71.
139153.	The Tenth Quadrennial Review of Military Compensation, Volume II, Deferred and Noncash Compensation, July 2008, p. 89, http://militarypay.defense.gov/Portals/3/Documents/Reports/10th_QRMC_2008_Vol_II.pdf., p. 88.
140154.	The credit is also a nonrefundable credit meaning taxpayers with little or no income tax liability, including many low income taxpayers, receive little, if any, credit. Other limitations are described in CRS Report R44993, Child and Dependent Care Tax Benefits: How They Work and Who Receives Them, by Margot L. Crandall-Hollick.	See for example, CRS Report R44993, Child and Dependent Care Tax Benefits: How They Work and Who Receives Them, by [author name scrubbed]Margot L. Crandall-Hollick, and CRS In Focus IF10511, Child Care Entitlement to States, by [author name scrubbed]Karen E. Lynch.	156.
141157.	Sarah Butrymowicz and Jackie Mader, "How the Military Created the Best Child Care System in the Nation," The Hechinger Report, March 20, 2016.
142158.	U.S. Government Accountability OfficeGAO, Military Child Care, DOD is Taking Actions to Address Awareness and AvaialbilityAvailability Barriers, GAO-12-21, February 2012, p. 19, https://www.gao.gov/assets/590/588188.pdf.
143159.	Ibid. p. 21.
144160.	See http://usahttps://www.child careaware.org/fee-assistancerespite/military-families/.
145161.	For example, "Wait list varies on the age of the child and spaces available. So the average wait list right now is seven months up at Portsmouth. The high was 10; it's down to seven." Senate Armed Services Subcommittee on Readiness and Management Support Holds Hearing on the State of Public Shipyards, Apr. 05, 2016.
146162.	Military Compensation and Retirement Modernization Commission, Final Report, January 29, 2015, p. 157,. http://usmclife.com/wp-content/uploads/2015/01/MCRMC-FinalReport-29JAN15-LO.pdf https://www.ngaus.org/sites/default/files/MCRMC%202015_0.pdf.
147163.	Ibid.
148164.	Testimony: Statement of Ms. Joyce W. Raezer Executive Director National Military Family Association Committee on Senate Armed Services Subcommittee on Personnel March 8, 2016 .
149165.	10 U.S.C. §1798.
166.	P.L. 116-92 §580. This provision also requires a report to Congress no later than June 1, 2020, with a follow-on report by the GAO due on December 1, 2020.
167.	Secretary of Defense, "Policy Change Concerning Priorities for Department of Defense Child Care Programs," Memorandum from Stephanie Barna, Principal Deputy Assistant Secretary of Defense (Readiness and Force Management), Policy Clarification for Priority 1 Access to Department of Defense Child Development Programs, February 21, 2020.
168.	10 U.S.C. §1798.