AB 283 — Makes changes relating to doula services. (BDR 38-844)

EXEMPTAssembly (ReprintedBill withNo. amendments adopted on April 21, 2023) FIRST REPRINT A.B.

283283–Assemblymen ASummers-Armstrong, SSEMBLYMarzola, BPeters; ILL NO.

283–ABilbray-Axelrod, SSEMBLYMENCarter, SUMMERSGonzález, -ARMSTRONGBrittney ,Miller, MC.H. ARZOLA , P ETERS;

BILBRAYMiller, -AXELRODNguyen ,and CWatts ARTERCHAPTER.......... , GONZÁLEZ , B RITTNEY M ILLER, C.H.

M ILLER, N GUYEN AND W ATTS M ARCH 14, 2023 ____________ Referred to Committee on Health and Human Services SUMMARY—Makes changes relating to doula services.

(BDR 38-844) 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.

making an appropriation and authorizing certain expenditures;

LegislativeLegExisting Counsel’slaw Digest:requires the Department of Health and Human Services to administer the Medicaid program.

(NRS 422.270) Existing law requires the Department of Health and Human Services to Director of the Department, to the extent authorized by federal law, to include under Medicaid coverage for certain doula services.

(NRS 422.27717) Section 1 of this bill authorizes the Department to establish an incentive payment for enrolled doulas who provide doula services to recipients of Medicaid in rural areas of this State.

Section 1 also makes changes to reflect that federal law requires servicesservicess provided under a federal waiver to be included in a waiver document that is Departmentseparate tofrom submit to the United States Secretary of Health and Human Services on or before October 1, 2023, a request to amend the State Plan for MedicaidMedicaid. to increase the rate of reimbursement which is provided on a fee-for-service basis pursuant to the State Plan for certain services provided by a doula to an amount that is intended to cover the cost of the services.

-Section *AB283_R1*1.5 –of 2this –bill THErequires PEOPLEthe OFDepartment THEto STATEsubmit OFto NEVADA,the REPRESENTEDUnited INStates SENATESecretary ANDof ASSEMBLY,Health DOand ENACTHuman ASServices FOLLOWS:on or before October 1, 2023, a request to amend the State Plan for Medicaid to pursuant to the State Plan for certain services provided by a doula to an amount that is intended to cover the cost of the services.

Section 1.3 of this bill makes an appropriation to the Division of Health Care Financing and Policy of the Department and authorizes certain related expenditures for increases in reimbursement rates and actuarial expenses associated with carrying out the provisions of this bill.

EXPLANATION – Matter in bolded italics is new;

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

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

§ 1315 - 82nd Session (2023) – 2 – or apply for an amendment of the State Plan for Medicaid that authorizes the Department to receive federal funding to [include in the State Plan for Medicaid] provide coverage of doula services provided by an enrolled doula.

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

The Department may establish a program to provide incentive payments for enrolled doulas who provide doula services to recipients of Medicaid in rural areas of this State.aState. services 6.

6.

(b) “Enrolled doula” means a doula who is enrolled with the Division pursuant to this section to receive reimbursement through Medicaid for doula services.

1.3.

1.

There is hereby appropriated from the State General Fund to the Division of Health Care Financing and Policy of the Department of Health and Human Services for increases in reimbursement rates under the Medicaid program for services provided by doulas and actuarial expenses associated with implementing the provisions of this act the following sums:

For the Fiscal Year 2023-2024..................................$165,891 For the Fiscal Year 2024-2025..................................$205,515 2.

Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise - 82nd Session (2023) – 3 – transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 20, 2024, and September 19, 2025, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 20, 2024, and September 19, 2025, respectively.

3.

Expenditure of $300,726 not appropriated from the State General Fund or the State Highway Fund is hereby authorized during Fiscal Year 2023-2024 by the Division of Health Care Financing and Policy of the Department of Health and Human Ser4.ceExpenditure of $378,409 not appropriated from the State General Fund or the State Highway Fund is hereby authorized during Fiscal Year 2024-2025 by the Division of Health Care Financing and Policy of the Department of Health and Human Services for the same purposes as set forth in subsection 1.

Sec.

On or before October 1, 2023, the Department of Health and Human Services shall submit to the United States Secretary of Health and Human Services a request to amend the State Plan for Medicaid to increase the rate of reimbursement which - *AB283_R1* – 3 – is provided on a fee-for-service basis pursuant to the State Plan for services provided by a doula to an amount that is intended to cover the cost of the services.

The request submitted pursuant to subsection 1 must be acceptedsupported byusing themethods Secretary.rfor determining reimbursement rates Sec.accepted by the Secretary.

Sec.

This1. act becomes effective upon passage and approval.

HThis -section *AB283_R1*and sections 1 and 1.5 of this act become effective upon passage and approval.