AB 189 — Expands Medicaid coverage for certain pregnant women. (BDR 38-130)

EXEMPTAssembly (ReprintedBill withNo. amendments adopted on April 12, 2021) FIRST REPRINT A.B.

189189–Assemblywomen ASSEMBLYGorelow, BTitus, ILLBilbray- NO.Axelrod, Carlton, Monroe-Moreno;

189–AAnderson, SSEMBLYWOMENBrown-May, GCohen, ORELOWConsidine, ,Duran, TITUS,González, BILBRAY-AKrasner, XELRODMartinez, ,Marzola, CARLTONBrittney ,Miller, MONROENguyen, -MPeters, ORENOSummers- ;Armstrong, Thomas and Torres Joint Sponsors:

ANDERSONSenators ,Cannizzaro, BROWNDondero -MAYLoop, ,D. COHEN, C ONSIDINE, DURAN , GONZÁLEZ , KRASNER , MARTINEZ , MARZOLA , BRITTNEY M ILLE, N GUYEN , PETERS, S UMMERS -ARMSTRONG , THOMAS AND TORRES M ARCH 4, 2021 ____________ JOINTSPONSORS :

ENATORSHarris, CANNIZZAROLange ,and ONDEROScheible LOOPCHAPTER.......... , D.

HARRIS, ANGE AND SCHEIBLE ____________ Referred to Committee on Health and Human Services SUMMARY—Expands Medicaid coverage for postpartum care and other services for pregnant women.

(BDR 38-130) 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.

requiring the Director of the Department of Health and Human Services to expand coverage under the State Plan for Medicaid for postpartumcertain care and other services for pregnant women;

making appropriations to and authorizing expenditures of money by the Division of Health Care Financing and Policy and the Division of Welfare and Supportive Services of the Department;

Existing law requires the Department of Health and Human Services to develop and administer a State Plan for Medicaid which includes a list of specific medical services required to be provided to Medicaid recipients.

42 U.S.C.Medicaid to seek a waiver of certain provisions of federal law for the purpose of including certain services in the State Plan for Medicaid.

§ 1396a) Existing law requires the Department to amend the State Plan for Medicaid to seek a waiver of certain provisions of federal law for the purpose of including certain services in the State Plan for Medicaid.

(1) providing 200that percentpregnant ofwomen thewho federallyare designateddetermined levelby signifyingcertain poverty;entities to qualify for Medicaid are presumptively eligible for Medicaid for a prescribed period of time, without proof of eligibility;

and (2) providingprohibiting the imposition of a requirement that a pregnant womenwoman who areresides determinedin bythis certainState entitiesand towho qualifyis otherwise eligible for Medicaid aremust presumptivelyreside eligiblein forthe MedicaidUnited States for a prescribed period of time,time withoutbefore submittingenrolling an application for enrollment in MedicaidMedicaid. which includes additional - *AB189_R1* – 2 – proof of eligibility;

and (3) prohibiting the imposition of a requirement that a pregnant woman who is otherwise eligible for Medicaid must reside in the United requires the Department to apply for a waiver of certain federal requirements solso that the Department may expand coverage under Medicaid for a pregnant woman and her child from 60 days to 12 months following childbirth.

Sections 2.3, 2.6 and 2.9 of this bill Health Care Financing and Policy and the Division of Welfare and Supportiveof Services of the Department of Health and Human Services for projected medical service costs and certain other costs associated with implementing this bill.

- 81st Session (2021) – 2 – EXPLANATION – Matter in bolded italics is new;

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

The Director shall, to the extent authorized by federal law, include in the State Plan for Medicaid authorization for:for a pregnant woman who is determined by a qualified provider to be presumptively eligible for Medicaid to enroll in Medicaid until the last day of the month immediately following the month of enrollment without submitting an application for enrollment in Medicaid which includes additional proof of eligibility.

(a) A pregnant woman whose household income is at or below 200 percent of the federally designated level signifying poverty to enroll in Medicaid.

(b) A pregnant woman who is determined by a qualified provider to be presumptively eligible for Medicaid to enroll in Medicaid until the last day of the month immediately following the month of enrollment without submitting an application for enrollment in Medicaid which includes additional proof of eligibility.

Unless otherwise required by federal law, the Director shall not include in the State Plan for Medicaid a requirement that a pregnant woman who is otherwise eligible for Medicaid must reside in the United States for aaise prescribed period of time before enrolling in Medicaid.

The Department shall apply to the Secretary of the United States Department of Health and Human Services for a waiver granted pursuant to 42 U.S.C.

§ 1315 to authorize the Department to provide coverage under Medicaid to a pregnant woman and her child until 12 months after the date on which the child is born.

The Department shall fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements for the Federal Government for obtaining a waiver pursuant to this subsection.

4.

- *AB189_R1* – 3 – (a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:

(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 1 of this act, 422.580, 432.010 to 432.133, inclusive,inclusive,and 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of - 81st Session (2021) – 3 – law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and Behavioral Health or the professional line activities of the other divisions.

(c)developmentaladminidisabilitieste Shall administer any state program for persons with developmental disabilities established pursuantperpursuanth to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.

- *AB189_R1* – 4 – (5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services;

and (6) Contain any other information necessary for the Government concerning demographic trends, formulas for theederalthehe Federal distribution of federal money and any need for the modification of programs administered by the Department.

2.3.

1.

There is hereby appropriated from the State General Fund to the Division of Health Care Financing and Policy - 81st Session (2021) – 4 – $683,731 for projected medical service costs.s the sum of 2.