The bill establishes the Developmental Disability Services Oversight Committee in South Dakota, which will be responsible for examining and monitoring Medicaid waiver programs that provide home and community-based services to individuals with intellectual and developmental disabilities. The committee will consist of nine members, including chairs from relevant legislative committees and appointed representatives from both the House and Senate. Members will serve terms that expire on January 1 of each odd-numbered year, with provisions for reappointment and filling vacancies.

Additionally, the Executive Board of the Legislative Research Council will provide administrative support to the committee. The committee is required to meet at least once a year and will report annually by November 1 to the Executive Board, detailing its activities and any recommendations for improving the Medicaid waiver programs operated by the Department of Human Services.