The bill establishes the Developmental Disability Service Delivery Committee in South Dakota, tasked with examining Medicaid waiver programs that provide home and community-based services for individuals with intellectual and developmental disabilities. The committee's responsibilities include streamlining provider review and accreditation processes, assessing the alignment of current practices with system realities, gathering feedback from stakeholders, and considering legislative proposals to enhance service delivery. 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.

Additionally, the bill mandates that the committee meet at least once a year and submit an annual report to the Executive Board of the Legislative Research Council by December 31, detailing its activities and any recommendations for improving Medicaid waiver services. The committee will be supported administratively by the Executive Board, and the legislation is set to expire on January 1, 2030.