Nevada 2023 Regular Session Status: To Executive 4 D cosponsors

SB 400 — Revises provisions relating to homelessness. (BDR 38-1027)

Last action — Vetoed by the Governor. (Return to 83rd Session)

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2023 Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

Vetoed by Governor Joe Lombardo (Republican) on June 16, 2023.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

410 added · 456 removed

410 line(s) added, 456 removed.

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EXEMPT (Reprinted with amendments adopted on April 24, 2023) FIRST REPRINT S.B.
Senate Bill No.
400 SENATE BILL NO .
400–Senators Neal, Flores and Donate Joint Sponsor:
400–SENATORS N EAL, FLORES AND DONATE M ARCH 27, 2023 ____________ JOINTS PONSOR :
Assemblyman D’Silva CHAPTER..........
ASSEMBLYMAN D’SILVA ____________ Referred to Committee on Revenue and Economic Development SUMMARY—Revises provisions relating to homelessness.
(BDR 38-1027) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
No.
CONTAINS UNFUNDED MANDATE (§ 3.3) (NOTR EQUESTED AFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
requiring Continuums of Care to establish a fiscal working group;
requiring the Department to establish the Fiscal Advisory Committee for a Flexible Continuum of Care Plan;
requiring the transmission of a portion of the proceeds of the license fee for certain gaming licensees to the Continuums of Care in this State;
making appropriations;
Legislative Counsel’s Digest:
LegiExisting law requires the Department of Health and Human Services, to the extent that money is available, to:
Existing law requires the Department of Health and Human Services, to the extent that money is available, to:
and (2) conduct a statewide procurement process to select health Sections 2 and 3 of this bill require each contract entered into by the Department with a health maintenance organization to provide such services to include a requirement for the health maintenance organization to reinvest a percentage of the annual profits of the health maintenance organization in programs and initiatives to address homelessness and to provide sustainable medication and prescription - *SB400_R1* – 2 – services, alcohol or drug intervention or rehabilitation services and emergency and supportive housing in the local communities in which the health maintenance organization operates.
and (2) conduct a statewide procurement process to select health maintenance organizations to provide the health care services.
(NRS 422.273) Sections 2 and 3 of this bill require each contract entered into by the Department with a health maintenance organization to provide such services to include a requirement for the health maintenance organization to reinvest a percentage of the address homelessness and to provide sustainable medication and prescriptionatives to services, alcohol or drug intervention or rehabilitation services and emergency and supportive housing in the local communities in which the health maintenance organization operates.
(NRS 422.185, 422.205) Section 1 of this bill revises the duties of the reinvestment advisory committee such that the recommendations and reports of the advisory committee are required to concern the reinvestment of funds by managed care organizations to address homelessness and to provide sustainable medication and prescription services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing, in conformance with the amendatory provisions of sections 2 andExisting federal law establishes a Continuum of Care Program to provide funding for efforts by nonprofit providers, states, and local governments to quickly rehouse homeless individuals and families.
(NRS 422.185, 422.205) Section 1 of this bill revises the duties of the reinvestment advisory committee such that the recommendations and reports of the advisory committee are required to concern the reinvestment of funds by managed care organizations to address homelessness and to provide sustainable medication and prescription services, alcohol or drug intervention or rehabilitation services, and emergency and and 3.tive housing, in conformance with the amendatory provisions of sections 2 Existing federal law establishes a Continuum of Care Program to provide funding for efforts by nonprofit providers, states, and local governments to quickly rehouse homeless individuals and families.
578.5) Existing law of this State establishes a monthly licensee fee for certain gaming licensees which 3.7 of this bill require a portion of the proceeds of the gaming licensee fee which is imposed on gross revenue which exceeds $134,000 per calendar month to be transmitted to the Continuums of Care in this State, in proportion to the population served by each Continuum of Care, to direct the use of such money.
578.5) Section 3.3 of this bill:
Section 3.3:
(1) requires the Department to establish the Fiscal Advisory Committee grants of money to the Advisory Committee to fund certain services;
(1) establishes requirements for the membership of such a fiscal working group;
and (3)e - 82nd Session (2023) – 2 – requires the Advisory Committee to prepare an annual report.
(2) sets forth the purposes for which the fiscal working group is required to direct the use of the money from the proceeds of the gaming license fee;
Section 3.3 requires amount of money which is not less than $1,000,000 but not more than $2,000,000n to the Department each fiscal year for allocation to the Advisory Committee to fund programs to address homelessness in the service area of the Continuum of Care in which the city is located.
and (3) requires the fiscal working group to prepare an annual report.
Section 3.3 requires the Department to assist the Advisory ComSections 7.1-7.9 of this bill make appropriations to the Department for centers.
Section 3.3 requires a city whose a Continuum of Care, which includes a city whose population is 500,000 or more toof transmit $2,000,000 to the Continuum of Care each fiscal year to be used for programs to address homelessness.
allocation to the Advisory Committee to carry out the provisions of section 3.3.
Section 3.3 authorizes a Continuum of Care to enter into service agreements with federally-qualified health centers.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
(b) Report to the Division and Medicaid managed care organizations concerning initiatives of local governments in the county to address homelessness [,] and to provide sustainable - *SB400_R1* – 3 – medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing .
(b) Report to the Division and Medicaid managed care organizations concerning initiatives of local governments in the county to address homelessness [,] and to provide sustainable intervention or rehabilitation services, and emergency and supportive housing .
(1) The uses of funds reinvested by Medicaid managed care organizations in the communities served by those Medicaid managed care organizations, including, without limitation, efforts to address homelessness [, disparities in health care and social determinants of health;] and to provide sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing;
- 82nd Session (2023) – 3 – organizations in the communities served by those Medicaidd care managed care organizations, including, without limitation, efforts to address homelessness [, disparities in health care and social determinants of health;] and to provide sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing;
and (II) In even-numbered years, the next regular session of the Legislature.
and the Legislature.n even-numbered years, the next regular session of (2) The Director of the Department.
(2) The Director of the Department.
- *SB400_R1* – 4 – Sec.
Sec.
(b) Negotiated in good faith with the University Medical Center of Southern Nevada to provide inpatient and ambulatory services to recipients of Medicaid;
(b) Negotiated in good faith with the University Medical Center of Southern Nevada to provide inpatient and ambulatory services to rec(c) Negotiated in good faith with the University of Nevada School of Medicine to provide health care services to recipients of Medicaid.
and (c) Negotiated in good faith with the University of Nevada School of Medicine to provide health care services to recipients of Medicaid.
2.
- 82nd Session (2023) – 4 – Medicaid managed care program, the Department shall cooperate with the University of Nevada School of Medicine by assisting in the provision of an adequate and diverse group of patients upon which the school may base its educational programs.
During the development and implementation of any Medicaid managed care program, the Department shall cooperate with the University of Nevada School of Medicine by assisting in the provision of an adequate and diverse group of patients upon which the school may base its educational programs.
The provisions of this section apply to any managed care organization, including a health maintenance organization, that provides health care services to recipients of Medicaid under the State Plan for Medicaid or the Children’s Health Insurance Program pursuant to a contract with the Division.
The provisions of this section apply to any managed care organization, including a health maintenance organization, that provides health care services to recipients of Medicaid under the pursuant to a contract with the Division.
Such a managed care organization or health maintenance organization is not required to establish a system for conducting external reviews of adverse determinations in accordance with chapter 695B, 695C or 695G of NRS.
Such a managed careogram organization or health maintenance organization is not required to establish a system for conducting external reviews of adverse determinations in accordance with chapter 695B, 695C or 695G of NRS.
Each contract entered into by the Department with a health maintenance organization to provide health care services to - *SB400_R1* – 5 – recipients of Medicaid in all geographic areas of this State shall include a requirement for the health maintenance organization to reinvest a percentage of the annual profits of the health maintenance organization in programs and initiatives to address homelessness and to provide sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing in the local communities in which the health maintenance organization operates.
Each contract entered into by the Department with a health maintenance organization to provide health care services to recipients of Medicaid in all geographic areas of this State shall include a requirement for the health maintenance organization to reinvest a percentage of the annual profits of the health maintenance organization in programs and initiatives to address homelessness and to provide sustainable medication and prescription drug services, alcohol or drug intervention or the local communities in which the health maintenance housing in organization operates.
(c) “Managed care organization” has the meaning ascribed to it in NRS 695G.050.
- 82nd Session (2023) – 5 – (c) “Managed care organization” has the meaning ascribed to it in NRS 695G.050.
To the extent that money is available, the Department shall:
To the extent that money is available, the Dep(a) Establish a Medicaid managed care program to provide health care services to recipients of Medicaid in all geographic areas of this State.
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(a) Establish a Medicaid managed care program to provide health care services to recipients of Medicaid in all geographic areas of this State.
Nothing in this section shall be construed as exempting a federally-qualified health center, the University Medical Center of Southern Nevada or the University of Nevada School of Medicine - *SB400_R1* – 6 – from the requirements for contracting with the health maintenance organization.
federally-qualified health center, the University Medical Center of Southern Nevada or the University of Nevada School of Medicine from the requirements for contracting with the health maintenance organization.
5.
- 82nd Session (2023) – 6 – care program pursuant to this section, a health maintenanceged organization is exempt from the provisions of NRS 695C.123.
For the purpose of contracting with a Medicaid managed care program pursuant to this section, a health maintenance organization is exempt from the provisions of NRS 695C.123.
The provisions of this section apply to any managed care organization, including a health maintenance organization, that provides health care services to recipients of Medicaid under the State Plan for Medicaid or the Children’s Health Insurance Program pursuant to a contract with the Division.
The provisions of this section apply to any managed care organization, including a health maintenance organization, that provides health care services to recipients of Medicaid under the State Plan for Medicaid or the Children’s Health Insurance Program organization or health maintenance organization is not required to establish a system for conducting external reviews of adverse determinations in accordance with chapter 695B, 695C or 695G of NRS.
Such a managed care organization or health maintenance organization is not required to establish a system for conducting external reviews of adverse determinations in accordance with chapter 695B, 695C or 695G of NRS.
Each contract entered into by the Department with a health maintenance organization to provide the services described in paragraph (a) of subsection 1 shall include a requirement for the health maintenance organization to reinvest a percentage of the annual profits of the health maintenance organization in programs and initiatives to address homelessness and to provide sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and - *SB400_R1* – 7 – supportive housing in the local communities in which the health maintenance organization operates.
Each contract entered into by the Department with a health maintenance organization to provide the services described in paragraph (a) of subsection 1 shall include a requirement for the health maintenance organization to reinvest a percentage of the annual profits of the health maintenance organization in programs and initiatives to address homelessness and to provide sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing in the local communities in which the health mai9.enaAs used in this section, unless the context otherwise requires:
9.
As used in this section, unless the context otherwise requires:
(d) “Managed care organization” has the meaning ascribed to it in NRS 695G.050.
- 82nd Session (2023) – 7 – in NRS 695G.050.care organization” has the meaning ascribed to it (e) “Rural health clinic” has the meaning ascribed to it in 42 C.F.R.
(e) “Rural health clinic” has the meaning ascribed to it in 42 C.F.R.
Each Continuum of Care in this State shall establish a fiscal working group to consist of not more than seven members appointed by the governing board of the Continuum of Care and which must include:
The Department shall establish the Fiscal Advisory Committee for a Flexible Continuum of Care Plan which consists of the following members appointed by the Director of the Department:
(a) A representative from each incorporated city in the service area of the Continuum of Care or, if there are more than three incorporated cities within the service area of the Continuum of Care, a representative from each of the three largest incorporated cities in the service area of the Continuum of Care;
(a) A representative from the largest incorporated city in the service area of each Continuum of Care in this State, who must also reside in the service area of the Continuum of Care in which the city he or she represents is located;
(b) A person who represents a county within the service area of the Continuum of Care;
(b) A person who represents a county in this State;
(c) A person who represents law enforcement in the service area of the Continuum of Care;
(c) A person who represents law enforcement;
(d) A person selected from a list of nominees provided by the Nevada Resort Association who resides in the service area of the Continuum of Care;
(d) A person selected from a list of nominees provided by the Nev(e) A representative of a nonprofit organization that provides services to persons who are homeless.
and (e) A representative of a nonprofit organization that provides services to persons who are homeless in the service area of the Continuum of Care.
The fiscal working group established pursuant to this section shall direct the use of any money allocated to the Continuum of Care pursuant to NRS 463.320.
To the extent practicable, each member appointed pursuant to paragraphs (a), (b), (c) and (e) of subsection 1 must be selected from a list of nominees provided by a Continuum of Care in this State.
The money transmitted to the Continuum of Care pursuant to NRS 463.320 must be used exclusively to fund:
Except as otherwise provided in this subsection and subsection 1, each Continuum of Care in this State shall submit a list of nominees to fill any vacancy on the Advisory Committee.
(a) Services for persons released from prison or a county, city or town jail or detention facility including, without limitation, sustainable medication and prescription drug services, alcohol or - *SB400_R1* – 8 – drug intervention or rehabilitation services, and emergency and supportive housing.
Each member appointed pursuant to paragraph (a) of subsection 1 must be selected from a list of nominees provided by the Continuum of Care whose service area includes the city which the member represents.
(b) Services for persons leaving emergency shelters, including, without limitation, sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing.
(c) Services for persons leaving acute care settings, mental health care facilities, drug and alcohol rehabilitation facilities, or transitional housing.
(d) Emergency and supportive housing services, including, without limitation, the acquisition and rehabilitation of properties suitable for conversion to supportive housing.
A fiscal working group created by a Continuum of Care which has a service area that includes a city whose population is 500,000 or more shall:
Each member of the Advisory Committee serves a term of 2 years.
(a) From the money allocated to the Continuum of Care pursuant to NRS 463.320:
Members may be reappointed for additional terms of 2 years in the same manner as the original appointments.
(1) In Fiscal Year 2023-2024, direct not less than $9,000,000 to such a city to be used for programs to address homelessness in the city;
Any vacancy filled in the same manner as the original appointment.must be 4.
and (2) In each fiscal year after Fiscal Year 2023-2024, direct not less than $2,500,000 to such a city to be used for programs to address homelessness in the city.
The members of the Advisory Committee serve without compensation but are entitled to receive the per diem allowance and travel expenses provided for state officers and employees generally.
4.
A city in the service area of a Continuum of Care described in subsection 3 whose population is 150,000 or more but less than 500,000 shall transmit to the Continuum of Care not less than $2,000,000 each fiscal year from money available for that purpose to be used for programs to address homelessness in the service area of the Continuum of Care.
A Continuum of Care may enter into an agreement with a federally-qualified health center to provide services described in paragraphs (a), (b) and (c) of subsection 2.
A majority of the members of the Advisory Committee constitutes a quorum for the transaction of business, and a majority of a quorum present at any meeting is sufficient for any official action taken by the Advisory Committee.
6.
- 82nd Session (2023) – 8 – employee of this State or a political subdivision of this State must be relieved from his or her duties without loss of regular compensation to prepare for and attend meetings of the Advisory Committee and perform any work necessary to carry out the duties of the Advisory Committee in the most timely manner practicable.
On or before September 30 of each year, each fiscal working group shall submit to the governing board of the Continuum of Care and the Interim Finance Committee a report detailing the use of the money allocated to the Continuum of Care pursuant to NRS 463.320 and the status of any programs or services funded using such money.
A state agency or political subdivision of this State shall not require an officer or employee who is a member of the Advisory Committee to:
(a) Make up the time he or she is absent from work to carry out his or her duties as a member of the Advisory Committee;
or (b) Take annual leave or compensatory time for the absence.
Any money allocated to a Continuum of Care pursuant to NRS 463.320 and any funding allocated by a fiscal working group to any person must not supplant, replace, offset or otherwise reduce funding for programs to address homelessness.
At its first meeting and annually thereafter, the Advisory Committee shall elect a Chair from among its members.
To the extent that funding is available for that purpose, and upon application by the Advisory Committee in such form as the Department may require, the Department may make grants to the(a) Services for persons released from prison or a county, city or town jail or detention facility including, without limitation, sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing.
(b) Services for persons leaving emergency shelters, including, without limitation, sustainable medication and prescription drug services, alcohol or drug intervention or rehabilitation services, and emergency and supportive housing.
(c) Services for persons leaving acute care settings, mental health care facilities, drug and alcohol rehabilitation facilities, or transitional housing.
(d) Emergency and supportive housing services, including, without limitation, the acquisition and rehabilitation of properties suitable for conversion to supportive housing.
150,000 or more but less than 500,000 shall transmit to theion is Department an amount of money which is not less than $1,000,000 but not more than $2,000,000 from money available for that purpose for allocation to the Advisory Committee to fund programs to address homelessness in the service area of the Continuum of Care in which the city is located.
10.
The Department shall assist the Advisory Committee to enter into an agreement with a federally-qualified health center to - 82nd Session (2023) – 9 – subsection 8.ces described in paragraphs (a), (b) and (c) of 11.
On or before September 30 of each year, the Advisory Committee shall submit to the governing board of the Continuum of Care, the Department and the Interim Finance Committee a report detailing the use of any grant of money received from the Department pursuant to subsection 8 and the status of any programs or services funded using such money.
12.
Any grant of money made to the Advisory Committee and any funding allocated by the Advisory Committee to any person must not supplant, replace, offset or otherwise reduce funding for programs to address homelessness.
13.
- *SB400_R1* – 9 – Sec.
Secs.
3.7.
3.7 and 4-7.
NRS 463.320 is hereby amended to read as follows:
463.320 1.
All gaming license fees imposed by the provisions of NRS 463.370, 463.373 to 463.383, inclusive, and 463.3855 must be collected and disposed of as provided in this section.
2.
All state gaming license fees and penalties must be collected by the Commission and paid over immediately to the State Treasurer to be disposed of as follows:
(a) Except as otherwise provided in paragraphs (c) , [and] (d) [,] and (e), all state gaming license fees and penalties other than the license fees imposed by the provisions of NRS 463.380 must be deposited for credit to the State General Fund.
(b) All state gaming license fees imposed by the provisions of NRS 463.380 must, after deduction of costs of administration and collection, be divided equally among the various counties and transmitted to the respective county treasurers.
Such fees, except as otherwise provided in this section, must be deposited by the county treasurer in the county general fund and be expended for county purposes.
If the board of county commissioners desires to apportion and allocate all or a portion of such fees to one or more cities or towns within the county, the board of county commissioners shall, annually, before the preparation of the city or town budget or budgets as required by chapter 354 of NRS, adopt a resolution so apportioning and allocating a percentage of such fees anticipated to be received during the coming fiscal year to such city or cities or town or towns for the next fiscal year commencing July 1.
After the adoption of the resolution, the percentage so apportioned and allocated must be converted to a dollar figure and included in the city or town budget or budgets as an estimated receipt for the next fiscal year.
Quarterly, upon receipt of the money from the State, the county treasurer shall deposit an amount of money equal to the percentage so apportioned and allocated to the credit of the city or town fund to be used for city or town purposes, and the balance remaining must be deposited in the county general fund and must be expended for county purposes.
(c) One twenty-fifth of the license fee imposed by the provisions of NRS 463.370 on gross revenue which exceeds $134,000 per calendar month that is paid pursuant to subsection 2 of NRS 464.045 by persons licensed to conduct off-track pari-mutuel wagering must, after the deduction of costs of administration and collection, be allocated pro rata among the counties in this State whose population is less than 100,000 in which on-track pari-mutuel wagering is conducted.
The allocation must be based upon the amounts paid from each such county pursuant to subsection 2 of NRS 466.125 and transmitted to the respective county treasurers.
Money received by a county treasurer pursuant to this paragraph - *SB400_R1* – 10 – must be deposited in the county general fund and expended to augment any stakes, purses or rewards which are offered with respect to horse races conducted in that county by a state fair association, agricultural society or county fair and recreation board.
(d) Ten percent of the amount of the license fee imposed by the provisions of NRS 463.370 that is paid pursuant to subsection 2 of NRS 464.045 by persons licensed to conduct off-track pari-mutuel wagering which exceeds $5,036,938 per calendar year must, after the deduction of costs of administration and collection, be allocated pro rata among the counties in this State whose population is less than 100,000 in which on-track pari-mutuel wagering is conducted.
The allocation must be based upon the amounts paid from each such county pursuant to subsection 2 of NRS 466.125 and must be transmitted to the respective county treasurers as provided in this paragraph.
On March 1 of each year, the Board shall calculate the amount of money to be allocated to the respective county treasurers and notify the State Treasurer of the appropriate amount of each allocation.
The State Treasurer shall transfer the money to the respective county treasurers.
Money received by a county treasurer pursuant to this paragraph must be deposited in the county general fund and expended to augment any stakes, purses or rewards which are offered with respect to horse races conducted in that county by a state fair association, agricultural society or county fair and recreation board.
(e) Fifteen hundredths of the license fee imposed by the provisions of NRS 463.370 on gross revenue which exceeds $134,000 per calendar month must, after the deduction of costs of administration and collection, be transmitted to the Continuums of Care in this State in proportion to the population of the service area of each Continuum of Care.
Sec.
4.
5.
7.1.
(Deleted by amendment.) Sec.
There is hereby appropriated from the State General Fund to the Department of Health and Human Services the sum of $171.00For allocation to Fiscal Advisory Committee for a Flexible Continuum of Care Plan established pursuant to section 3.3 of this act to fund the services described in subsection 8 of section 3.3 of this act;
6.
or 2.
(Deleted by amendment.) Sec.
To satisfy matching requirements for federal grants to fund the services described in subsection 8 of section 3.3 of this act.
7.
Sec.
(Deleted by amendment.) Sec.
7.3.
There is hereby appropriated from the State General Fund to the Department of Health and Human Services the sum of $1,000,000 for allocation to the Fiscal Advisory Committee for a Flexible Continuum of Care Plan established pursuant to section 3.3 of this act to match an equal amount of money provided by local governments in the service area of the Northern Nevada Continuum of Care to fund the services described in subsection 8 of section 3.3 of this act in the service area of the Northern Nevada Continuum of Care.
Fund to the Department of Health and Human Services the sum ofal $1,000,000 for allocation to the Fiscal Advisory Committee for a Flexible Continuum of Care Plan established pursuant to section 3.3 of this act to match an equal amount of money provided by local governments in the service area of the Rural Nevada Continuum of Care to fund the services described in subsection 8 of section 3.3 of this act in the service area of the Rural Nevada Continuum of Care.
Sec.
7.7.
Any remaining balance of the appropriations made by sections 7.1, 7.3 and 7.5 of this act must not be committed for - 82nd Session (2023) – 10 – appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 19, 2025, 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 19, 2025.
Sec.
7.9.
1.
There is hereby appropriated from the State General Fund to the Department of Health and Human Services for allocation to the Fiscal Advisory Committee for a Flexible Continuum of Care Plan established pursuant to section 3.3 of this act to address homelessness in the city of Las Vegas the following sums:
For the Fiscal Year 2023-2024...............................$9,000,000 For the Fiscal Year 2024-2025...............................$1,000,000 2.
Any balance of the sums appropriated by subsection 1 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 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.
Sec.
The amendatory provisions of sections 1, 2 and 3 of this act do not apply during the current term of any agreement entered into between the Department of Health and Human Services and a health maintenance organization pursuant to NRS 422.273 before January 1, 2024, but do apply to any extension or renewal of such an agreement and to any agreement entered into between the Department of Health and Human Services and a health maintenance organization pursuant to NRS 422.273 on or after January 1, 2024.
The amendatory provisions of sections 1, 2 and 3 of this act do not apply during the current term of any agreement entered into between the Department of Health and Human Services and a health maintenance organization pursuant to NRS 422.273 before January 1, 2024, but do apply to any extension or renewal of Department of Health and Human Services and a healthbetween the maintenance organization pursuant to NRS 422.273 on or after January 1, 2024.
(Deleted by amendment.) - *SB400_R1* – 11 – Sec.
(Deleted by amendment.) Sec.
Sections 3.3 and 3.7 of this bill become effective on July 1, 2023.
Sections 3.3, 3.7 and 7.1 to 7.9, inclusive, of this act become effective on July 1, 2023.
3.
- 82nd Session (2023) – 11 – January 1, 2024.
Sections 1, 2 and 8 of this act become effective on January 1, 2024.
1, 2 and 8 of this act become effective on 4.
4.
Sections 4 to 7, inclusive, and 9 of this act becomes effective on July 1, 2027.
Sections 4 to 7, inclusive, and 9 of this act become effective on July 1, 2027.
H - *SB400_R1*
~~~~~ 23 - 82nd Session (2023)
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Amendments

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Action History

  1. Vetoed by the Governor. (Return to 83rd Session)

  2. Enrolled and delivered to Governor.

  3. Read third time. Amended. (Amend. No. 959.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 8.) To printer. From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. In Assembly. Referred to Committee on Ways and Means. To committee. From committee: Amend, and do pass as amended. Declared an emergency measure under the Constitution. Read third time. Amended. (Amend. No. 998.) Dispensed with reprinting. Read third time. Passed, as amended. Title approved. (Yeas: 28, Nays: 14.) To printer. From printer. To reengrossment. Reengrossed. Third reprint. To Senate. In Senate. Assembly Amendment No. 998 concurred in. To enrollment.

  4. From committee: Amend, and do pass as amended. Placed on General File. Taken from General File. Placed on General File for next legislative day.

  5. From printer. To engrossment. Engrossed. First reprint. To committee.

  6. From committee: Amend, and do pass as amended. Placed on Second Reading File. Notice of eligibility for exemption. Read second time. Amended. (Amend. No. 471.) Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

  7. From printer. To committee.

  8. Read first time. Referred to Committee on Revenue and Economic Development. To printer.

Sponsors

Sponsorship breakdown

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4 sponsors · 0 co-sponsors · 63 not signed on

Sponsors (4)

Co-sponsors (0)

None.

Not signed on (63)

63 members have not signed on to this bill.

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Frequently asked questions

Who sponsors SB 400?
SB 400 is sponsored by Neal, Dina (Democratic), Flores, Edgar (Democratic), Doñate, Fabian (Democratic), and D'Silva, Reuben (Democratic).
What is the current status of SB 400?
This bill died with 2023 Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 400?
Track SB 400 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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