Kelly Keele of Transitions DDA told lawmakers, "There's an extreme shortage of psychiatrists in Idaho, and yet this bill would require all psycho-social rehabilitation services to be authorized by one. This will effectively mean no more PSR for most Idahoans." He said, "And now we are not only eliminating developmental therapy for adults, including those who are not eligible for other treatment services, but we've decided that on your 45th birthday ... you're done. Just go on the aged and disabled waiver and let somebody else take care of you. How many of us were done at age 45? ... Were we ready to sit down and wait to die?" He told the committees, "You have a unique opportunity to stand for those who cannot stand for themselves." Keele said developmental therapy services for the developmentally disabled in Idaho already have been cut by 26 percent in the past two years.
 
When Rep. Sue Chew, D-Boise, asked how the age 45 "retirement" age for developmental therapy services was arrived at, committee Chairwoman Janice McGeachin, R-Idaho Falls, said it's been used by another state and approved there by federal authorities.