The House Health and Social Services Committee heard testimony Tuesday on legislation that would expand early intervention services for children with developmental delays.

House Bill 376 would lower the developmental delay threshold for infant learning programs from 50% to 25%. This change would allow more children to access services during their early years. The bill also would position Alaska to receive federal Medicaid reimbursement for services currently funded with state dollars.

"Research shows that early intervention can yield up to a 400% return on investment," stated Brittany Taylor, director of the Infant Learning Program in Soldotna. "Nearly half the children with delays between 25% and 50% who receive early intervention do not go on to require special education services in the K-12 system."

Heidi Haas, executive director of the Alaska Center for Children and Adults, testified that expanded access would decrease the number of children requiring long-term special education services. "The savings to the state in future years after initial investment is a demonstration of how investments pay off," Haas noted.

Committee materials indicated the state could save up to $229,000 for each child who does not need special education due to early intervention services. The program would be budget neutral at four years and overall cost neutral at 6.5 years.

Representative Mena observed that approximately 90% of brain development occurs within the first three years of life, making early intervention particularly effective. Tony Newman from the Department of Health said the bill would allow federal Medicaid reimbursement for services "otherwise funded with state dollars."

Under the proposed legislation, Alaska would be able to bill Medicaid for early intervention services that currently receive only state funding. This change would require the state to meet federal Medicaid requirements for service delivery and documentation.

The committee did not vote on the bill Tuesday. The chair set an amendment deadline for Monday, April 13 at noon. The bill would need to advance through additional committee hearings and floor votes in both chambers before reaching the governor's desk.