The bill establishes the Developmental Disability Service Delivery Committee in South Dakota, tasked with examining Medicaid waiver programs administered by the Department of Human Services. The committee's responsibilities include streamlining provider review and accreditation processes, assessing roles and responsibilities within the system, gathering feedback from stakeholders, and considering legislative proposals to enhance service delivery for individuals with intellectual and developmental disabilities.

The committee will consist of nine members, including legislative leaders and appointees from both the House and Senate, with terms expiring on January 1 of odd-numbered years. The Executive Board of the Legislative Research Council will provide administrative support, and the committee is required to meet at least once a year. Additionally, the committee must submit an annual report by December 31, detailing its activities and any recommendations for improving Medicaid waiver services.