SB 484 — Authorizes reimbursement under Medicaid for the services of a chiropractor. (BDR 38-1133)

EXEMPT (Reprinted with amendments adopted on April 22, 2019) FIRST REPRINT S.B.

484–SENATOR SSPEARMAN PEARMAN M ARCH 25, 2019 ____________ Referred to Committee on Health and Human Services SUMMARY—RevisesSUMMARY—Authorizes provisionsreimbursement relatingunder toMedicaid statefor healththe careservices programs.of a chiropractor.

authorizing the establishment of a program to negotiate discounts and rebates for hearing devices and related costs for children who are deaf and hard of hearing;

(NRS 422.270) Section 1 of this bill requires the Director of reimbursementthe underDepartment Medicaidto include in the State Plan for Medicaid a provision authorizing bill makes a conforming change.r the services of a chiropractor.

Section 3 of this billTHE makesPEOPLE aOF conformingTHE change.STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

Existing law establishes a program to provide assistive technology and interpreters for persons who are deaf or hard of hearing.

(NRS 427A.797) Section 2 of this bill authorizes the Director of the Department of Health and Human Services to establish a program to negotiate discounts and rebates for hearing devices and public and private insurers, residents of this State and other entities that providef health coverage or otherwise purchase hearing devices for such children.

- *SB484* – 2 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

Chapter(Deleted 427A of NRS is hereby amended by addingamendment.) theretoSec. a new section to read as follows:

1.

The Director may establish a program to negotiate discounts and rebates for hearing devices and related costs, including, without limitation, ear molds, batteries and FM systems, for children in this State who are deaf or hard of hearing on behalf of entities described in subsection 2 who participate in the program.

2.

The following persons and entities may participate in a program established pursuant to subsection 1:

(a) The Public Employees’ Benefits Program;

(b) A governing body of a county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency that provides health coverage to employees through a self-insurance reserve fund pursuant to NRS 287.010;

(c) An insurer licensed pursuant to title 57 of NRS;

(d) An employer or employee organization based in this State that provides health coverage to employees through a self- insurance reserve fund;

(e) A governmental agency or nonprofit organization that purchases hearing devices for children in this State who are deaf or hard of hearing;

hearing devices;

and this State who does not have coverage for (g) Any other person or entity that provides health coverage or otherwise purchases hearing devices for children in this State who are deaf and hard of hearing.

A person or entity described in subsection 2 may participate in any program established pursuant to subsection 1 by submitting an application to the Department in the form prescribed by the Department.

Sec.

3.

- *SB484* – 3 – (1) The Administrator of the Aging and Disability Services Division;

- *SB484_R1* – 2 – (2) The Administrator of the Division of Welfare and Supportive Services;

(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide socialsociall 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.

and (6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the - *SB484**SB484_R1* – 43 – 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 upon him or her pursuant to this section.

H - *SB484**SB484_R1*