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Queensland's Health Minister, Tim Nicholls, has voiced significant reservations regarding the federal government's "Thriving Kids" initiative. This program aims to transition children under nine with mild developmental delays and autism out of the National Disability Insurance Scheme (NDIS). Queensland remains the sole state that has not yet agreed to the federal plan, which is slated for full implementation by 2028. The state is prioritizing the assurance of adequate support systems before committing, expressing concern that the federal government may be shifting costs to the states. Nicholls emphasized the need to ensure no children requiring assistance and their families are overlooked in the transition.

The "Thriving Kids" program's potential impact on early intervention services for vulnerable children and the financial implications for state governments make its implementation a significant concern.