Advocates tell West Virginia committee staffing shortfalls and foster-rate stagnation hurt children; community-based care proposed Providers and an attorney told the Judiciary Committee that staffing shortages, stagnant foster-care reimbursements and lost treatment beds are driving placements out of state and into hotels; witnesses proposed stabilizing rates and piloting community-based care with outcome-based contracts.

West Virginia's child-welfare system is in crisis, with children sleeping in hotels and hundreds placed out of state due to staffing shortages and stagnant foster-care rates.

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