SB 500 — Revises provisions governing financial support for assisted living facilities. (BDR 40-1202)

EXEMPTSenate (ReprintedBill withNo. amendments adopted on May 27, 2019) FIRST REPRINT S.B.

500500–Committee SENATEon BILLFinance NOCHAPTER.......... .

500–COMMITTEE ON FINANCE (O N BEHALF OF THE OFFICE OF FINANCE IN THE OFFICE OF THE G OVERNOR ) APRIL 8, 2019 ____________ Referred to Committee on Finance SUMMARY—Revises provisions governing financial support for assisted living facilities.

(BDR 40-1202) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Executive Budget.

~ EXPLANATION – Matter in bolded italics is new;

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

LegExistingLegislative lawCounsel’s createsDigest: the Fund for a Healthy Nevada, which receives a portion of the proceeds received by the State from any settlement with or judgment against a manufacturer of tobacco products.

of the proceeds received by the State from any settlement with or judgment against a manufacturer of tobacco products.

This bill additionally requires the Director of the Department to reallocate to the Aging and Disability Services Division of the Department any money remaining afterafterhe moneyAging forawarding certaingrants independentto livingeligible programsapplicants. of the Division.

This bill requires the Division to use that -money *SB500_R1*for –certain 2independent –living THEprograms PEOPLEof OFthe THEDivision. STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

EXPLANATION – Matter in bolded italics is new;

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

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

(b) Establish a process to evaluate the health and health needs of the residents of this State and a system to rank the health problems of the residents of this State, including, without limitation, the - 80th Session (2019) – 2 – specific health problems that are endemic to urban and rural communities, and report the results of the evaluation to the Legislative Committee on Health Care on an annual basis.

From the money allocated pursuant to this paragraph, the Department may subsidize any portion of the cost of providing prescription drugs, pharmaceutical services and, to the extent money is available, other benefits, including, without limitation, dental and vision benefits and hearing aids or other devices that enhance the ability to hear, to senior citizens pursuant to NRS 439.635 to 439.690, inclusive.

(d) Subject to legislative authorization, allocate, by contract or grant, money for expenditure by the Aging and Disability Services Division of the Department in the form of grants for existing or new - *SB500_R1* – 3 – programs that assist senior citizens and other specified persons with independent living, including, without limitation, programs that provide:

(1) Respite care or relief of informal caretakers, including, without limitation, informal caretakers of any person withwithincluding, Alzheimer’s disease or other related dementia regardless of the age of the person;

- 80th Session (2019) – 3 – (e) Allocate $200,000 of all revenues deposited in the Fund for a Healthy Nevada each year for direct expenditure by the Director to [:

and (2) Fund assisted living facilities that satisfy the criteria for servicescertification thatset areforth provided]in provideNRS services319.147 pursuantand toassisted theupportiveliving supportive provisions of the home and community-based services waiver which []are Theamended Director shall develop policies and procedures for [distributing the money allocated] awarding grants pursuant to thisNRS paragraph.422.3962.

[] The Director shall develop policies and procedures for [distributing the money allocated] awarding grants pursuant to this paragraph.

- *SB500_R1* – 4 – (1) To the district board of health in each county whose populationthe isrespective 100,000county;or or more for expenditure for such programs in the(2) respectiveFor county;such programs in counties whose population is less than 100,000;

(2) For such programs in counties whose population is less than 100,000;

- 80th Session (2019) – 4 – (h) Subject to legislative authorization, allocate, by contract or grant, money for expenditure for programs that improve the health and well-being of persons with disabilities.

(2) Programs that provide positive behavioral supports to person(3)persons(3) Programs that assist persons with disabilities to live safely and independently in their communities outside of an ins(i)institutional Subjectsetting. to legislative authorization, allocate money for direct expenditure by the Department to subsidize any portion of the cost of providing prescription drugs, pharmaceutical services and, to the extent money is available, other benefits, including, without limitation, dental and vision benefits and hearing aids or other devices that enhance the ability to hear, to persons with disabilities pursuant to NRS 439.705 to 439.795, inclusive.

(i) Subject to legislative authorization, allocate money for direct expenditure by the Department to subsidize any portion of the cost of providing prescription drugs, pharmaceutical services and, to the extent money is available, other benefits, including, without limitation, dental and vision benefits and hearing aids or other devices that enhance the ability to hear, to persons with disabilities pursuant to NRS 439.705 to 439.795, inclusive.

(l) Develop policies and procedures for the administration and distributionagencies,ionpoliticalactsubdivisionsd ofoofer contracts,ethisdiState,to grants and other expenditures to state agencies, political subdivisions of this State, nonprofit - *SB500_R1* – 5 – organizations, universities, state colleges and community colleges.

A condition of any such contract or grant must be that not more than 8 percent of the contract or grant may be used for administrative expenses or other indirect costs.

- 80th Session (2019) – 5 – (4) Conduct annual evaluations of programs to which allocations have been awarded;

(n) Transmit a report of all findings, recommendations and expenditures to the Governor, each regular session of the Legislature, the Legislative Committee on Health Care and any otheroth(o) committeesAfter orconsidering commissions the Directorrecommendations deemssubmitted appropriate.to thee.

(o)Director Afterpursuant consideringto thesubsection recommendations6, submitteddevelop toa theplan each biennium to determine the percentage of available money in the Fund for auma to Healthy Nevada to be allocated from the Fund for the purposes bedescribed submittedin asparagraphs part(c), of(d), the(f), proposed(g), budget(h) submittedand to(i). the Chiefmust of the Budget Division of the Office of Finance pursuant to NRS 353.210.

The plan must be submitted as part of the proposed budget submitted to the Chief of the Budget Division of the Office of Finance pursuant to NRS 353.210.

To make the allocations required by paragraph (d) of subsection 1, the Aging and Disability Services Division of the DepartmentDep(a) shall:Prioritize and quantify the needs of senior citizens and other specified persons for these programs;

(a)(b) PrioritizeDevelop, andsolicit quantify the needs of senior citizens and otheraccept specifiedgrant personsapplications for theseallocations; programs;

- *SB500_R1* – 6 – (b) Develop, solicit and accept grant applications for allocations;

and (f) Submit annual reports concerning the allocations made by the Aging and Disability Services Division pursuant to paragraph (d) of subsection 1 to the Governor, the Interim Finance Committee, - 80th Session (2019) – 6 – the Legislative Committee on Health Care and any other committees or commissions the Director deems appropriate.

The Aging and Disability Services Division of the Department shall not expend or transfer any money allocated to the Aging and Disability Services Division pursuant to this section to subsidize any portion of the cost of providing prescription drugs, pharmaceutical services and other benefits, including, without limitation, dental and vision benefits and hearing aids or other devices that enhance the ability to hear, to senior citizens pursuant to NRS 439.635 to 439.690, inclusive, or to subsidize any portion of the cost of providing prescription drugs, pharmaceutical services and other benefits, including, withoutugs,without limitation, dental and vision benefits and hearing aids or other devices that enhance the ability to hear, to persons with disabilities pursuant to NRS 439.705 to 439.795, inclusive.inclusive.ersons with disabilities 5.