SB 45 — Establishes the amount for the personal needs allowance provided to certain recipients of Medicaid. (BDR 38-295)

EXEMPTSenate (ReprintedBill withNo. amendments adopted on May 27, 2023) FIRST REPRINT S.B.

4545–Committee Son ENATEHealth Band ILLNHuman O.Services CHAPTER..........

45–COMMITTEE ON H EALTH AND HUMAN SERVICES (O N BEHALF OF THE NEVADA S ILVER HAIRED LEGISLATIVE F ORUM ) PREFILED N OVEMBER 16, 2022 ____________ Referred to Committee on Health and Human Services SUMMARY—Establishes the amount for the personal needs allowance provided to certain recipients of Medicaid.

(BDR 38-295) 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.

Existing federal and state law requires the Department of Health and Human Services to develop and administer a State Plan for Medicaid which includes a list of specific medical and medically related services that are required to be provided to Medicaid recipients.

NRS 422.063, 422.270) Existing provided federal law requires that the State Plan for Medicaid provide for an institutionalized person to retain a personal needs allowance of at least $30 per month for clothingclothingized and other personal needs.

§ 1396a(q)) Sections 1 and 3 of this bill require that beginning on January 1, 2024, the monthly personal needs allowance for a resident of a facility for skilled nursing be not less than the similar monthly personal needs allowance provided to certain recipients of Medicaid who reside in indicateresidential thatfacilities the provisions of section 1 will be administered in the same manner asto the provisions of existing law governing the State Plan for Medicaid.groups.

Section 2.52 of this bill makes ana appropriationconforming change to the Divisionprovisions of Healthexisting Carelaw Financinggoverning and Policy of the DepartmentState andPlan authorizes certain expenditures for theMedicaid. costs of - *SB45_R1* – 2 – increasing the monthly personal needs allowance for recipients of Medicaid who reside in facilities for skilled nursing pursuant to section 1.

Section 2.5 of this bill makes an appropriation to the Division of Health Care Financing and Policy of the Department and authorizes certain expenditures for the costs of increasing the monthly personal needs allowance for recipients of Medicaid who reside in facilities for skilled nursing pursuant to section 1.

EXPLANATION – Matter in bolded italics is new;

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

- 82nd Session (2023) – 2 – (b) “Institutionalized person” has the meaning ascribed to the term “institutionalized individual or couple” in 42 U.S.C.

(c) “Residential facility for groups” has the meaning ascribed to itSec. in NRS 449.017.

Sec.2.RS NRS 232.320 is hereby amended to read as follows:

2.

NRS 232.320 is hereby amended to read as follows:

(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 1 of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of - *SB45_R1* – 3 – law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and Behavioral Health or the professional line activities of the other divisions.

- 82nd Session (2023) – 3 – (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;

(3)services3) Provide for communication and the coordination of those services among nonprofit organizations, agenciesagenciesination ofofofhoslocal local government, the State and the Federal Government;

Sec.General Fund to the Division of Health Care Financing and Policy of the Department of Health and Human Services for the costs of increasing the monthly personal needs allowance provided to institutionalized persons who are recipients of Medicaid and reside in a facility for skilled nursing the following sums:

2.5.

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 the costs of increasing the monthly personal needs allowance provided to - *SB45_R1* – 4 – institutionalized persons who are recipients of Medicaid and reside in a facility for skilled nursing the following sums:

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 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 - 82nd Session (2023) – 4 – 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.State General Fund or State Highway Fund is hereby authorized bythe the Division of Health Care Financing and Policy of the Department of Health and Human Services for the same purpose as set forth in subsection 1:

Expenditure of the following sums not appropriated from the State General Fund or State Highway Fund is hereby authorized by the Division of Health Care Financing and Policy of the Department of Health and Human Services for the same purpose as set forth in subsection 1:

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