SB 42 — Revises provisions relating to the funding of medical assistance to indigent persons. (BDR 38-398)

(ReprintedSenate withBill amendmentsNo. adopted on April 17, 2023) FIRST REPRINT S.B.

4242–Committee SENATEon BILLHealth NOand .Human Services CHAPTER..........

42–COMMITTEE ON H EALTH AND H UMAN SERVICES (ON BEHALF OF CLARK C OUNTY ) PREFILED N OVEMBER 16, 2022 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to the funding of medical assistance to indigent persons.

(BDR 38-398) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

No.

~ EXPLANATION – Matter in bolded italics is new;

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

createExisting alaw fundrequires in the countyboard treasuryof forcounty medicalcommissioners assistanceof toeach indigentcounty persons;to:

(1) create a fund in the county treasury for medical assistance to indigent persons;

(NRS 428.275, 428.285) Existing law requires counties to use the money in the fund to provide certain medical assistance to indigent persons or, in a county whose population is 100,000 or more (currently Clark and Washoe Counties), to provide supplemental payments under an upper limit payment program established in the additionallyState authorizesPlan the board of county commissioners in a county whosel population is 100,000 or more to allocate money from the fund, if authorized under any other supplemental payment program administered by the Centers for Medicare and Medicaid Servicesto ofcertain thecounty Unitedhospitals. States Department of Health and Human Services to:

(NRS 428.295) This bill additionally authorizes the board of county commissioners in a county whose population is 100,000 or more to allocate money from the fund, if authorized under and Medicaid Services of the United States Department of Health and Humandicare Services to:

or (2) make suchsupplemental hospitalpayments careto throughany increasedpublic federalhospital financialin participation.ovisionthe ofcounty -for *SB42_R1*the –provision 2of –such THEhospital PEOPLEcare OFthrough THEincreased STATEfederal OFfinancial NEVADA,participation. REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

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:

(a) In] in accordance with the regulations adopted pursuant to NRS 422.390 [;] and - 82nd Session (2023) – 2 – [(b)] for any or all of the following purposes:

(1) Provide an enhanced rate of reimbursement to any public hospital located in the county for the hospital care provided to recipientsreci(2) Make supplemental payments to any public hospital located in the county for the provision of Medicaid;such hospital care through increased federal financial participation.

or (2) Make supplemental payments to any public hospital through increased federal financial participation.spital care 4.

In a county whose population is 700,000 or more, the board of county commissioners may by resolution allocate money from the fund in any fiscal year, in an amount not to exceed the equivalent of the amount collected from 2 cents on each $100 of assessed valuation of all taxable property in the county, to make grants to any -public *SB42_R1* – 3 – hospital onlylocated to:ocated in the county.

Such a grant may be used by a (a)hospital Constructonly orto: acquire capital assets, including, without limitation, land, improvements to land and major items of equipment;

(a) Construct or acquire capital assets, including, without limitation, land, improvements to land and major items of equipment;

H~~~~~ 23 - *SB42_R1*82nd Session (2023)