The Rural Child Care Access Act is designed to improve child care infrastructure in small and rural areas of the United States. Its main goal is to provide financial support for the construction, upgrading, and modification of child care facilities that serve communities with fewer than 50,000 residents. This initiative aims to enhance the quality of child care services and support the workforce involved in child care. The key provisions of the Act include the establishment of a grant program managed by the Secretary of Health and Human Services.