AB 108 — Provides for the periodic review of Medicaid reimbursement rates. (BDR 38-209)

A.B.Assembly Bill No.

108108–Assemblyman AOscarson SSEMBLYCHAPTER.......... BILL NO .

108–ASSEMBLYMAN OSCARSON PREFILED FEBRUARY 7, 2017 ____________ Referred to Committee on Health and Human Services SUMMARY—Provides for the periodic review of Medicaid reimbursement rates.

(BDR 38-209) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Yes.

~ EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

(1) the Department of Health and Human Services to administerfor Medicaid;Medicaid.

and(NRS (2)422.063, the422.270) DirectorThis ofbill requires the DepartmentDivision toof adoptHealth the State Plan Care Financing and Policy of the Department to review the adequacy of Medicaid reimbursement rates every 4 years.

If the Division finds that the rate of reimbursement for a service or item does not accurately reflect the actual cost of providing the service or item, this bill requires the Division to calculate the rate of reimbursement that accurately reflects the actual cost of providing the service or item and recommend that rate to the Director for possible inclusion in the StateStatece or Plan for Medicaid.

EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

Review the rate of reimbursement for each service or item provided under the State Plan for Medicaid to determine whether - *AB108* – 2 – the rate of reimbursement accurately reflects the actual cost of providing the service or item;

- 79th Session (2017) – 2 – (1) The Administrator of the Aging and Disability Services Division;

(3)Services;) The Administrator of the Division of Child and Family Services;(4) The Administrator of the Division of Health Care Financing and Policy;

(4) The Administrator of the Division of Health Care Financing and Policy;

(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in thiscopy State.of the plan to the Governor and the Legislature at thend deliver a beginning of each regular session.

The Director shall revise the plan biennially and deliver a copy of the plan to the Governor and the Legislature at the beginning of each regular session.

- *AB108* – 3 – (1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;

and - 79th Session (2017) – 3 – (6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programs administered by the Department.

(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed uponupo(f) himHas orsuch herother pursuantpowers toand thisduties section.as are provided by law.

(f) Has such other powers and duties as are provided by law.

Notwithstanding any other provision of law, the Director, or the Director’s designee, is responsible for appointing and removing subordinate officers and employees of the Department, other than whothe isState appointedPublic pursuantDefender toof NRSthe 180.010.fOffice of State Public Defender Sec.who is appointed pursuant to NRS 180.010.

Sec.

H~~~~~ 17 - *AB108*79th Session (2017)