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Board hears that childcare subsidy system is complex and provider participation is uneven

Buncombe County Health and Human Services Board · March 28, 2026
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Summary

A Community Opportunity Committee report said Buncombe County has no subsidy waiting list but lacks a clear measure of unmet childcare need; about 70% of licensed providers participate in subsidy programs and some providers are leaving because subsidy and private-pay rates are insufficient.

During committee reports, a board member who reported for the Community Opportunity Committee said a recent presentation on childcare subsidies highlighted a complex federal-to-state-to-county funding and administration chain that leaves demand unclear.

"The bottom line is we really don't know what the overall need for child care from birth to preschool is in Buncombe County," the committee reporter said, adding that the only clear indicator available is that there is not currently a waiting list for subsidies. The reporter cautioned that a lack of waiting list does not necessarily reflect unmet need because families may have stopped searching or use private care that may be suboptimal.

Another board member noted that only about 70% of licensed childcare providers in Buncombe County participate in subsidy programs and that some providers are leaving the market because subsidy reimbursement and private-pay income are insufficient to cover costs. Those departures reduce available licensed spaces and complicate access even when a county-level waiting list appears short or absent.

Board members said childcare access intersects with workforce development and recommended keeping child care issues on the board's agenda for ongoing discussion. No formal action or vote on childcare policy was taken at the meeting.