AB 277 — Establishes provisions governing rural emergency hospitals. (BDR 40-637)

8.of subparagraph (1) of paragraph (b) of subsection 7 to a facility which is licensed as a residential facility for groups on or before July 1, 2005, and which is authorized to have 10 or fewer beds and was originally constructed as a single-family dwelling if the Division finds that:

The Division may grant an exception from the requirement of subparagraph (1) of paragraph (b) of subsection 7 to a facility which is licensed as a residential facility for groups on or before July 1, 2005, and which is authorized to have 10 or fewer beds and - *AB277_R1* – 6 – was originally constructed as a single-family dwelling if the Division finds that:

- 82nd Session (2023) – 6 – (1) Cause substantial detriment to the health or welfare of any resident of the facility;

or (3)requirement.herwise Otherwise impair substantially the purpose of that requirement.9.

9.

(a) Facilities that only provide a housing and living env(b) Facilities that provide or arrange for the provision of supportive services for residents of the facility to assist the residents with reintegration into the community, in addition to providing a housing and living environment;

(b) Facilities that provide or arrange for the provision of supportive services for residents of the facility to assist the residents with reintegration into the community, in addition to providing a housing and living environment;

- *AB277_R1* – 7 – 11.

(a) Except as otherwise provided in paragraph (b), require a natural person responsible for the operation of a provider of community-based- living82nd arrangementSession services(2023) and– each7 employee– of a provider of community-based living arrangement services who of supervises or provides support to recipients of community-based living arrangement services to complete training concerning the provision of community-based living arrangement services to persons with mental illness and continuing education concerning the particular population served by the provider;

and (d) Require an applicant for a license to provide community- based living arrangement services to post a surety bond in an amount equal to the operating expenses of the applicant for 2 months, place that amount in escrow or take another action prescribed by the Division to ensure that, if the applicant becomes insolvent, recipients of community-based living arrangement services from the applicant may continue to receive community- based living arrangement services for 2 months at the expense of the applicant.

(a) Align with the standards established by the American Association of Birth Centers, or its successor organization, the accrediting body of the Commission for the Accreditation of Birth Centers, or its successor organization, or another nationally recognized organization for accrediting freestanding birthing centers;cen(b) Allow the provision of supervised training to providers of health care, as appropriate, at a freestanding birthing center.

and (b) Allow the provision of supervised training to providers of health care, as appropriate, at a freestanding birthing center.

- *AB277_R1* – 8 – Sec.

2.- 82nd Session (2023) – 8 – stabilization center must submit an application in the forma crisis prescribed by the Division which must include, without limitation, proof that the applicant meets the requirements of subsection 3.

A hospital that wishes to obtain an endorsement as a crisis stabilization center must submit an application in the form prescribed by the Division which must include, without limitation, proof that the applicant meets the requirements of subsection 3.

(2) In accordance with best practices for the delivery of crisis stabilization services;

andandth best practices for the delivery of crisis (3) In a manner that promotes concepts that are integral to recovery for persons with behavioral health issues, including, without limitation, hope, personal empowerment, respect, social connections, self-responsibility and self-determination;

(3)(4) TheWhether abilitythe ofpatient is admitted voluntarily to the patienthospital pursuant to pay;NRS 433A.140 or admitted to the hospital under an emergency admission pursuant to NRS 433A.162;

or (4) Whether the patient is admitted voluntarily to the hospital pursuant to NRS 433A.140 or admitted to the hospital under an emergency admission pursuant to NRS 433A.162;

- *AB277_R1* – 9 – (g) Has the equipment and personnel necessary to conduct a medical examination of a patient pursuant to NRS 433A.165;

and - 82nd Session (2023) – 9 – (h) Considers whether each patient would be better served by another facility and transfer a patient to another facility when appropriate.

Crisis stabilization services that may be provided pursuant to paragraphpar(a) (b)Case ofmanagement subsectionservices, 3including, maywithout include,limitation, withoutsuch limitation:services to assist patients to obtain housing, food, primary health care and other basic needs;

(a) Case management services, including, without limitation, such services to assist patients to obtain housing, food, primary health care and other basic needs;

and (d) Coordination of aftercare for patients, including, without limitation, at least one follow-up contact with a patient not later than 72 hours after the patient is discharged.

As used in this section, “crisis stabilization services” means beh(a) De-escalate or stabilize a behavioral crisis, including, without limitation, a behavioral health servicescrisis designedexperienced to:by a person with a co-occurring substance use disorder;

(a) De-escalate or stabilize a behavioral crisis, including, without limitation, a behavioral health crisis experienced by a person with a co-occurring substance use disorder;

- *AB277_R1*82nd Session (2023) – 10 – (2) The Administrator of the Division of Welfare and Supportive Services;

(4) The Administrator of the Division of Health Care Financing and Policy;

andandtor of the Division of Health Care (5) The Administrator of the Division of Public and Behavioral Health.

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.

The plan must:must:ure at the (1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;

(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;

and (6) Contain any other information necessary for the Department to communicate effectively with the Federal - 82nd Session (2023) – 11 – Government concerning demographic trends, formulas for the - *AB277_R1* – 11 – distribution of federal money and any need for the modification of programs administered by the Department.

Notwithstanding any other provision of law, the Director, or the Director’s designee, is responsible for appointing and removing subordinate officers and employees of the Department.Department.g and removing Sec.

Sec.

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