SB 286 — Revises provisions relating to health care. (BDR 40-84)

S.B.Senate Bill No.

286286–Senators SENATEDondero BLoop, ILLSpearman, NODonate, .Hansen, Stone;

286–SENATORSBuck, DONDEROCannizzaro, LOOPDaly, ,Flores, SPEARMANGoicoechea, ,Hammond, DD. ONATE , H ANSEN , STONE;

BHarris, UCKKrasner, ,Lange, CANNIZZARONeal, ,Nguyen, DOhrenschall, ALY,Pazina, FScheible, LORES,Seevers GOICOECHEAGansert ,and HAMMONDTitus ,Joint D.Sponsors:

HARRIS,Assemblymen KRASNERJauregui, ,Monroe-Moreno, LPeters ANGEand ,Yeager NCHAPTER.......... EAL, NGUYEN , OHRENSCHALL , PAZINA, S CHEIBLE, SEEVERS GANSERT AND T ITUS M ARCH 15, 2023 ____________ OINT SPONSORS :

SSEMBLYMEN JAUREGUI , M ONROE -M ORENO , ETERS AND YEAGER ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to health care.

(BDR 40-84) 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.

LegislativeLegExisting Counsel’slaw Digest:requires, within the limits of available money, the Division of Public and Behavioral Health of the Department of Health and Human services to establish:

Existing(1) lawthe requires,State withinProgram for Wellness and the limitsPrevention of availableChronic money,Disease theto Divisionincrease ofpublic Publicknowledge and Behavioralraise Healthpublic ofawareness therelating Departmentto ofwellness Health and Humanchronic servicesdiseases; to establish:

(1)and (2) the Advisory Council on the State Program for Wellness and the Prevention of Chronic Disease to advise and make recommendations to the required, within the limits of available money and with the advice ands recommendations of the Advisory Council, to carry out certain duties related to the Program, including maintaining a website to provide information and resources on nutrition, physical fitness, health, wellness and the prevention of chronic diseases;diseases.

and(NRS (2)439.521) theSection Advisory1 Councilof onthis thebill Staterequires Programthe forDivision Wellnessto andalso theprovide Preventionon ofsuch Chronica Diseaseinformation relating to adviseresources andthat makeare recommendationsavailable to theresidents Divisionof concerningthis theState Program.who have multiple sclerosis.

(NRSExisting 439.517,law 439.518)sets Theforth Divisionvarious isdays, required,weeks withinor themonths limits of availableobservance moneyin and with the advice and recommendations of the Advisory Council, to carry out certain duties related to the Program, including maintaining a website to provide information and resources on (NRS 439.521) Section 1 of this billState. requires the Division to also provide on such a.

-(NRS *SB286*236.018-236.095) –Section 2 –of websitethis informationbill relatingrequires tothe multipleGovernor sclerosis,to including,annually withoutproclaim limitation,the informationthird relatingweek toof resourcesMarch thatas are“Multiple availableSclerosis toAwareness residentsinformation ofand thiseducational Stateprograms whoand havExistingmaterials lawregarding setsthe forthsigns, varioussymptoms,ual days,diagnosis weeksand ortreatment months of observancemultiple insclerosis. this State.

(NRS- 236.018-236.095)82nd SectionSession 2(2023) of– this2 bill– requiresEXPLANATION the– GovernorMatter to annually proclaim the third week of March as “Multiple Sclerosis Awareness Week” in thisbolded Stateitalics tois bringnew; to the attention of the residents of this State factual information and educational programs and materials regarding the signs, symptoms, diagnosis and treatment of multiple sclerosis.

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

As used in this paragraph, “burden report” means a calculation of the impact of a particular health problem or chronic disease on this State, as measured by financial cost, mortality, morbidity or other indicators specified by the Division.Div(b) Prepare an annual report on obesity pursuant to paragraph (a) which must:

(b) Prepare an annual report on obesity pursuant to paragraph (a) which must:

(c) Identify, review and encourage, in coordination with the Department of Education, the Nevada System of Higher Education and other appropriate state agencies, existing evidence-based - *SB286* – 3 – programs related to nutrition, physical fitness and tobacco prevention and cessation, including, without limitation, programs of state and local governments, educational institutions, businesses and the general public.

(d)- Develop,82nd promoteSession and(2023) coordinate– recommendations3 for– model and evidence-based programs that contribute to reductions in the incidence of chronic disease in this State.

(f) Identify and review methods for reducing health care costs associated with tobacco use and exposure to tobacco smoke, chronic other diseases, including,as withoutdetermined limitation,by obesitythe Division.ty and diabetes, and other(g) diseases,Maintain asa determinedwebsite byto provide information and resources on nutrition, physical fitness, health, wellness and the Division.prevention of chronic diseases, including, without limitation, obesity and diabetes.

(g) Maintain a website to provide information and resources on nutrition, physical fitness, health, wellness and the prevention of chronic diseases, including, without limitation, obesity and diabetes.

(5) Providers of health care;

andandcare; (7) Other persons who provide services relating to tobacco use and exposure, physical fitness and wellness and the prevention of chronic diseases, including, without limitation, obesity and diabetes, and other diseases.

(7) Other persons who provide services relating to tobacco use and exposure, physical fitness and wellness and the prevention of chronic diseases, including, without limitation, obesity and diabetes, and other diseases.

- *SB286* – 4 – (j) Translate surveillance, evaluation and research information into press releases, briefs, community education and advocacy materials- and82nd otherSession publications(2023) that– highlight4 chronic– diseases and the key risk factors of those diseases.diseases.ighlight chronic diseases and (k) Identify, assist and encourage the growth of, through funding, training, resources and other support, the community’s capacity to assist persons who have a chronic disease.

(k) Identify, assist and encourage the growth of, through funding, training, resources and other support, the community’s capacity to assist persons who have a chronic disease.

(m) Promote positive policy, system and environmental changes within communities and the health care system based on, without limitation, the Chronic Care Model developed by the MacColl Center for Health Care Innovation and the Patient-Centered Medical Home Recognition Program of the National Committee for Quality Assurance.Ass(n) Review and revise the Program as needed.

(n) Review and revise the Program as needed.

(2) A body mass index that is greater than two standard deviations above the World Health Organization’s growth standard for children who are at least 5 but less than 19 years of age, or greater than three standard deviations above the standard for childrenchildr(3) whoA arebody lessfat percentage greater than 525 yearspercent offor age;men or percent for women;

(3) A body fat percentage greater than 25 percent for men or 32 percent for women;

The Governor shall annually proclaim the third week in March to be “Multiple Sclerosis Awareness Week.” - *SB286*82nd Session (2023) – 5 – 2.

The proclamation must call upon news media, educators, health care providers and appropriate governmental officers to bring to the attention of the residents of this State factual information and educational programs and materials regardinglregarding the signs, symptoms, diagnosis and treatment of multiple sclerosis.

H~~~~~ 23 - *SB286*82nd Session (2023)