The document discusses challenges facing New Hampshire's developmental services system due to severe funding shortages projected to last for some time. It provides context on the state budget and outlines reductions already made to the Department of Health and Human Services (DHHS) and Bureau of Developmental Services (BDS) budgets. The document also presents BDS's budget requests for fiscal years 2010 and 2011 to address enrollment increases and service needs while historical financial data shows NH's developmental disability waiver costs compare favorably to other New England states.

1. New Hampshire Developmental Services System Present and Future Challenges

4. Fiscal Conditions And Challenges

10. Historical Financial Perspective On The Current System

14. NH’s DD Waiver per person cost compares favorably with the other New England States’ average costs.

15. BDS Rate Increase History

16. Future Challenges

22. Reasons For Increases In The Wait List Numbers?

34. Aging Caregivers More Students Aging Out Aging Individuals Financial Challenges