The results of our research during October of 2022 confirm that there is a lasting impact on employers and their employees due to lost economic activity. Our report quantifies the direct economic impact due to childcare issues and builds on the previous efforts to better understand the size of the childcare problem. In 2019, the USCCF conducted studies in four states—Idaho, Iowa, Mississippi, and Pennsylvania—and has since followed up with reports in 2021 for Texas, Arkansas, Alaska, Missouri, and Arizona. In each state, childcare issues resulted in hundreds of millions to billions of dollars in lost economic activity. As policymakers and business leaders consider ways to position Utah for success, supporting childcare solutions will unlock significant economic potential for the state. (author abstract)