Commissioner Smith has spent 30 years serving families, children, the aging population, and people experiencing homelessness. She’s led human services departments across the country, most recently serving nearly five years as the Chief Executive Officer at the Nebraska Department of Health and Human Services where she led five divisions: Behavioral Health, Children and Family Services, Developmental Disabilities, Medicaid & Long-Term Care, and Public Health.

During her tenure in Nebraska, Smith convened a statewide behavioral health task force; focused on opportunities to improve behavioral health services for adults and children, as well as initiated the exploration of Medicaid utilization as a payer for behavioral health services; and redesigned the Youth Rehabilitation and Treatment Center system to include intensive clinical and therapeutic services in the juvenile justice system. While in Virginia Beach, she collaborated with the Sheriff’s Office to provide enhanced behavioral health services in the jail system and provided strategic oversight in the development of the “First Responders” initiative to provide behavioral health services in the community with the Virginia Beach Police Department as part of their service calls.

The 2023 recipient of the Lifetime Achievement Award from APHSA, Commissioner Smith holds a Bachelor of Science in Psychology from Eastern Michigan University and a Master’s degree in Social Work from the University of Illinois Chicago. She’s also completed the Kennedy School of Government, Child Welfare Executive Leadership Program at Harvard.