AB 348 — Revises provisions relating to the Patient Protection Commission. (BDR 40-497)

EXEMPTAssembly (ReprintedBill withNo. amendments adopted on April 19, 2021) FIRST REPRINT A.B.

348348–Assemblywoman ACarlton SSEMBLYCHAPTER.......... B ILLN O.

348–ASSEMBLYWOMAN C ARLTON M ARCH 22, 2021 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to the Patient Protection Commission.

(BDR 40-497) FISCAL NOTE:

Effect on Local Government:

May have Fiscal Impact.

Effect on the State:

Yes.

~ EXPLANATION – Matter in bolded italics is new;

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

(NRS 439.908, 439.914) Existing law requires the Commission to systematically review issues related to the health care needs of residents of this State and the quality, accessibility and affordability of health care.

(NRS 439.916) Section 2 of this bill transfers the Commission from the Office of the Governor to the Office of the Director of the Department of Health and Human Services and revises thefficethe of membership of the Commission.

Section 2.5 of this bill requires the Commission to adopt bylaws that govern the operation of the Commission.

(1) establish a plan to increase access by patients to their medical records and provide for the certaininteroperability recommendationsof tomedical therecords Directorbetween andproviders the Legislature concerning the use and availability of data relating to health care.care;

Onand March(2) 9,make 2021,certain therecommendations Milbankto Memorialthe FundDirector announcedand thatthe thisLegislature Stateconcerning hasthe beenuse selectedand toavailability participateof indata therelating Peterson-Milbankto Programhealth forcare. Sustainable Health Care Costs.

TheOn Program:March 9, 2021, the Milbank Memorial Fund announced that this State has been selected to participate in the Peterson-Milbank Program for Sustainable states in developing targets for the reduction of per-capita spending on healthcare;

(1)and provides(2) technicalhelps assistance to participating states inanalyze developingand targetscollaboratively foraddress the reductionunderlying drivers of per-capitagrowth spendingin onthe healthcare;cost of health care.

driversSection 24 of growththis inbill designates the costPatient Protection Commission as the sole state agency responsible for administering and coordinating matters relating to the participation of healththis care.State in the Program.

SectionEXPLANATION 24 of this bill designates theg - *AB348_R1* – 2Matter –in Patientbolded Protectionitalics Commissionis asnew; the sole state agency responsible for administering and coordinating matters relating to the participation of this State in the Program.

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

- 81st Session (2021) – 2 – (a) The following [11] 12 voting members appointed by the Governor:

(2) [Two representatives of providers] One member who is a provider of health care [.] who operates a for-profit business to provide health care.

(8) One member who has expertise and experience in advocating for persons who are not covered by a policy of health insurance.

- *AB348_R1* – 3 – (10) One member who is an employee or a consultant of the Department with expertise in health information technology and patient access to medical records.

- 81st Session (2021) – 3 – 2.

(b) Appoint two of the voting members of the Commission described in paragraph (a) of subsection 1 from a list of persons nominated by the Speaker of the Assembly;

The members of the Commission shall comply with the requirementsgenerally.ts of NRS 281A.420 applicable to public officers generally.Sec.

Sec.

- *AB348_R1* – 4 – (a) Establish subcommittees and working groups consisting of members of the Commission or other persons to assist the Commission in the performance of its duties.

- 81st Session (2021) – 4 – 3.

Sec.439.918 N1.

3.

NRS 439.918 is hereby amended to read as follows:

439.918 1.

(1) The analysis and use of data to improve access to and the quality of health care in this State, including, without limitation, using data to establish priorities for addressing health care needs;n(2) Ensuring that data concerning health care in this State is publicly available and transparent.

and (2) Ensuring that data concerning health care in this State is publicly available and transparent.

The report must include, without limitation, a description of any issues identified as negatively impacting the - *AB348_R1* – 5 – quality, accessibility or affordability of health care in this State and any recommendations for legislation, regulations or other changes to policy or budgets to address those issues.

- 81st Session (2021) – 5 – (2) In all other cases, to the Legislative Committee on Health Care.

Upon receiving a report pursuant to subsection 2, the Governor shall post the report on an Internet website maintained by the4.oveThe Commission may prepare and publish additional reports on specific topics at the Governor.direction of the Chair.

4.Secs.