This report examines the extent and nature of states' participation in the At-Risk Child Care Program (ARCCP) and describes their problems and successes with it. The ARCCP was enacted in 1990 to provide child care services for children of low-income families who do not receive Aid to Families with Dependent Children and who need child care in order to maintain or accept employment. State officials, local agency representatives, and child care providers in 13 states were surveyed to determine the effectiveness of the ARCCP. It was found that, despite slow starts, most states surveyed expect to make full use of these available at-risk child care funds, that they report targeting families most at risk of going on welfare, and that states are coordinating the ARCCP with other subsidized child care programs. States do report problems with inconsistent federal regulations and funding guidelines. (MDM)