The North Dakota Senate Human Services Committee convened on April 18, 2025, to discuss critical issues surrounding the care of children in crisis. A significant focus of the meeting was the need for appropriate housing solutions for these vulnerable youth, emphasizing that they should not be placed in hotels or temporary accommodations.

Committee members expressed concerns about the current gaps in services for children requiring immediate support. One member highlighted the importance of ensuring that human service zones do not have to resort to inadequate housing options for children in crisis. The discussion underscored the necessity for stability and long-term care solutions that can effectively address the needs of these young individuals.

A poignant example shared during the meeting involved a young adult on the autism spectrum who had faced significant challenges. His family sought assistance from the Life Skills Transition Center (LSTC) after struggling to manage his needs. The center provided a supportive environment where he received necessary treatment and medication adjustments, ultimately allowing him to return to independent living.

Concerns were raised regarding the licensing status of programs like LSTC, which operates without the same standards as licensed treatment facilities. This situation has led to questions about how services for these children are reimbursed. Sarah Acre, the executive director of the Division of Medical Services, clarified that while LSTC is a licensed intermediate care facility, the emergent placements of children there have met the criteria for such care. She noted that Medicaid funds are utilized for reimbursement, and alternative federal funding options are explored when necessary.

The meeting concluded with a commitment to continue addressing the needs of children in crisis and to seek out effective solutions that ensure their safety and well-being. The discussions highlighted the ongoing efforts to fill service gaps and provide stable environments for young people facing challenges.