Guam’s public health director is raising concerns over potential federal funding cuts and delays that could significantly impact child care services and other critical programs on the island.
In an April 8 letter, Department of Public Health and Social Services Director Theresa C. Arriola said Guam is already experiencing delays in federal funding, including second- and third-quarter allotments for the Child Care and Development Fund.
Those delays have affected payments to providers for January through March, as well as reimbursements for about 300 families, disrupting program operations and service delivery.
Arriola also pointed to recent remarks from President Donald Trump, reported in national media, suggesting the U.S. may not be able to sustain funding for programs such as Medicaid, Medicare and child care due to competing priorities like defense spending.
“These statements raise serious concerns for Guam as we rely heavily on federal support to meet the needs of our community,” Arriola said.
She warned that potential reductions — or even elimination — of federal child care funding would have “immediate and severe” consequences for working families, providers and the broader economy.
“Programs like Medicaid, Medicare and child care are not optional — they are essential services that support public health, economic participation and community stability,” she said.
Arriola said the department is preparing for possible funding changes while continuing to advocate for resources at both the federal and local levels, including working with the 38th Guam Legislature to explore local solutions.
Officials said they are in ongoing communication with federal partners and will provide updates as more information becomes available.