This report examines a basic child care challenge confronting the state of Texas: the shortage of affordable, accessible, quality early care and education for Texas families with children, particularly those with limited incomes. The report notes that these three factors--affordability, accessibility, and good quality--are integral to a successful child care program, and that Texas families with low and moderate incomes continue to face unmet child care needs. Following a brief introduction, section one of the report addresses the demand for child care in Texas including issues of affordability, accessibility, and quality. The second section addresses the supply side of child care in Texas. In terms of accessibility, the kinds of child care available are described and include: (1) Head Start; (2) Pre-kindergartens; (3) Kindergartens; (4) Licensed Child Care Centers (LCC); (5) Group Day Homes (GDH); (6) Registered Family Homes (RFH); and (7) School-Age Child Care (SACC). In terms of affordability, this section describes Child Care Management Services (CCMS). Quality of available child care is also addressed. The final sections of the report offer summary conclusions on the state of Texas child care in such areas as: (1) lack of coordination between early childhood education services; (2) inadequate supply; (3) various levels of quality; and (4) little consideration to appropriateness of services. Contains 100 references. (Author/SD)