abstract: 'To examine whether state child care subsidy policies can combine goals of increasing maternal employment and increasing access to quality child care for children in low-income families, we studied one state''s comprehensive policy, through a cross-sectional survey of 665 randomly selected families using centers, Head Starts, family child care homes, public school preschools or informal care, including a sample of families on the waitlist for child care subsidies. We found that, in Massachusetts, families receiving child care subsidies report greater access to child care, more affordable child care, and higher quality child care, than do similar families not receiving subsidies. Lower-income families not receiving subsidies can sometimes access affordable, quality child care through Head Start programs and public preschools, but, when they have to pay for care, they pay a significantly greater proportion of their income than do families receiving subsidies. We also found that families on the subsidy waitlist are at a particular disadvantage. Waitlist families have the greatest difficulty paying for care, the least access, and the poorest quality child care. While the child care subsidy policies benefited those families receiving subsidies, families outside the system still struggled to find and afford child care. (C) 2013 Elsevier Inc. All rights reserved.' affiliation: 'Marshall, NL (Corresponding Author), Wellesley Coll, Wellesley Ctr Women, Wellesley, MA 02481 USA. Marshall, Nancy L.; Robeson, Wendy Wagner; Tracy, Allison J.; Frye, Alice; Roberts, Joanne, Wellesley Coll, Wellesley Ctr Women, Wellesley, MA 02481 USA.' author: Marshall, Nancy L. and Robeson, Wendy Wagner and Tracy, Allison J. and Frye, Alice and Roberts, Joanne author-email: nmarshall@wellesley.edu author_list: - family: Marshall given: Nancy L. - family: Robeson given: Wendy Wagner - family: Tracy given: Allison J. - family: Frye given: Alice - family: Roberts given: Joanne da: '2023-09-28' doi: 10.1016/j.ecresq.2013.07.008 eissn: 1873-7706 files: [] issn: 0885-2006 journal: EARLY CHILDHOOD RESEARCH QUARTERLY keywords: Child care; Child care subsidies; Work support keywords-plus: LOW-INCOME; OF-CARE; POLICY; WORK; FAMILY; EDUCATION; WELFARE; MOTHERS language: English month: DEC number: '4' number-of-cited-references: '61' orcid-numbers: Marshall, Nancy L/0000-0002-4799-2030 pages: 808-819 papis_id: 9382769ffa8a91717ab956d7fcdd454f ref: Marshall2013subsidizedchild researcherid-numbers: 'Marshall, Nancy L/C-3428-2012 ' times-cited: '16' title: Subsidized child care, maternal employment and access to quality, affordable child care type: article unique-id: WOS:000326485500015 usage-count-last-180-days: '2' usage-count-since-2013: '59' volume: '28' web-of-science-categories: Education \& Educational Research; Psychology, Developmental year: '2013'