AB 116 — Provides for an actuarial study to determine the cost of revising certain Medicaid reimbursement rates. (BDR S-702)

EXEMPT (Reprinted with amendments adopted on April 15, 2019) FIRST REPRINT A.B.

authorizing the Division to apply for and accept certain money;

and (2) if the Division determines that the rate of reimbursement for a service or item does not of reimbursement that accurately reflectsreflect the actual cost of providing the service orteor item, determine the rate item and recommend to the Director of the Department inclusion of that rate in the or State Plan for Medicaid.

(NRS 422.2704) Existing law additionally requires the Department, with respect to the State Plan for Medicaid and the Children’s Health Insurance Program, to report to the Legislature and post on an Internet website each rate of reimbursement for physicians which is provided on a fee-for-service basis care and serviceswhich is lower than the rate provided byon physicians.the current Medicare fee schedule for Division to conduct an actuarial study to determine the amount that it would cost annually for the State to establish reimbursement rates under the State Plan for Medicaid that are equal to 90 percent of the reimbursement rates paid under - *AB116_R1* – 2 – Medicare.

(NRSThe 422.2712)Division Thisis billrequired requires thefor Division to conductprepare ana actuarialreport studyof to determine the amountresults thatof itthe wouldstudy costbill annuallyauthorizes for the StateDivision to establishapply reimbursementfor ratesgrants underand theaccept Stategifts, Plangrants, fordonations Medicaidand thatany areother equalsource toof 90money percentto ofconduct the reimbursementstudy rates paid under - *AB116* – 2 – and submitprepare the report recommendationsof forthe legislationresults toof the Legislature.thestudy. study THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

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

AsThe usedDivision inof thisHealth section,Care “Medicare”Financing meansand thePolicy programmay source of healthmoney insuranceto forcarry agedout personsthe andprovisions personsof withthis disabilitiessection. U.S.C.

§§other 13954. et seq.o Title XVIII of the Social Security Act, 42 Sec.

As used in this section, “Medicare” means the program of health insurance for aged persons and persons with disabilities established pursuant to Title XVIII of the Social Security Act, 42 U.S.C.

§§ 1395 et seq.

Sec.

H - *AB116**AB116_R1*