AB 556 — Revises provisions relating to Medicaid. (BDR 38-1117)

EXEMPTAssembly A.B.Bill No.

556556–Committee Aon SSEMBLYWays Band ILLNMeans O.CHAPTER..........

556–COMMITTEE ON W AYS AND M EANS (O NB EHALF OF THE OFFICE OF FINANCE IN THE OFFICE OF THE G OVERNOR ) M AY 14, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to Medicaid.

(BDR 38-1117) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Contains Appropriation included in Executive Budget.

~ EXPLANATION – Matter in bolded italics is new;

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

LegislativeLegiExisting Counsel’sfederal Digest:regulations require the State to establish a Medicaid Advisory Committee and a Beneficiary Advisory Council to advise the Director of the Department of Health and Human Services concerning policy developments related to and the effective administration of Medicaid.

Existing federal regulations require the State to establish a Medicaid Advisory Committee and a Beneficiary Advisory Council to advise the Director of the Department of Health and Human Services concerning policy developments related prescribe requirements governing the membership of the Committee and Council, including a requirement that a certain percentage of the voting members of the Medicaid Advisory Committee concurrently serve on the Beneficiary Advisory Council.

§ 431.12) ToBeneficiary complyAdvisory withCouncil thesewithin federalthe requirements,Division section 5 of thisHealth billCare createsFinancing and the BeneficiaryPolicy Advisoryof Councilthe withinDepartment theto Divisionadvise ofthe HealthMedicaid CareAdvisory FinancingCommittee andon the experience of persons who are recipients of Medicaid.

Section 6 of this bill - *AB556* – 2 – prescribes the membership of the Council, which includes:

Division of Health Care Financing and Policy of the Department to advise thethee Division on the provision of services relating to health and medical care to recipients of welfare and participate in the development of policy and the administration of programs of the Division.

and (3) provides that members serve without compensation, except for the per diem allowance and travel expenses provided for staSectionsstatSections 8-10 of this bill change the name of the Medical Care Advisory Committee to the Medicaid Advisory Committee.

and (2) Medicaidauthorize tomembers receiveof certaineither compensationthe whileCouncil engagedor inCommittee thewho businessare ofrecipients theof Council or Committee.

Section 10 increases the frequency with which theof the - 83rd Session (2025) – 2 – Medicaid Advisory Committee meets from once to quarterly each calendar year.

Sections 12 and 13 of this bill require the Director of the Department of Health and Human Services to appoint the members of the Council and Committee, respectively, to staggered terms.

Sections 3 and 4 of this bill define the terms “Beneficiary Advisory Council” and “Medicaid Advisory Committee,” respectively.

EXPLANATION – Matter in bolded italics is new;

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

- *AB556* – 3 – 2.

- 83rd Session (2025) – 3 – 2.

The Beneficiary Advisory Council must consist of a number of members that is at least sufficient to compose the membership of the Medicaid Advisory Committee described in subparagraph (10) of paragraph (a) of subsection 1 of NRS 422.153.Council in addition to the members described in subsection 1 must be a person described in paragraph (b) of subsection 1.

Each member appointed to the Beneficiary Advisory Council in addition to the members described in subsection 1 must be a person described in paragraph (b) of subsection 1.

In addition to the per diem allowance and travel expenses provided pursuant to subsection 5, each member of the Beneficiary Advisory Council who is a recipient of Medicaid is entitled to receive compensation while engaged in the business of the Beneficiary Advisory Council in the form of transportation vouchers, reimbursement for child care expenses or other -member *AB556*in –the 4Beneficiary –Advisory reimbursementCouncil.e as necessary to facilitate the participation of the memberSec. in the Beneficiary Advisory Council.

Sec.

- 83rd Session (2025) – 4 – Sec.

The function of the [Medical Care] Medicaid Advisory CommitteeCom(a) isAdvise to:the Division regarding the provision of and the ability to access services for the health and medical care of welfare recipients.

(a) Advise the Division regarding the provision of and the ability to access services for the health and medical care of welfare recipients.

[(d)] (4) A member of a profession in the field of health care who is familiar with the needs of persons of low income, the resources required for their care and the availability of those resources.res[(e)] (5) An administrator of a hospital or a clinic for health care.

[(e)][(f)] (5)(6) An administrator of a hospitalfacility for intermediate care or a clinicfacility for healthskilled care.nursing.

- *AB556* – 5 – [(f)] (6) An administrator of a facility for intermediate care or a facility for skilled nursing.

(11)- The83rd personSession who(2025) is– primarily5 responsible– for directing the medical components of the Medicaid program, who serves asasing an ex officio member.

3.and 5, members of the [Medical Care] Medicaid Advisoryctions 4 Committee serve without compensation .

[Members] Except as otherwise provided in subsections 4 and 5, members of the [Medical Care] Medicaid Advisory Committee serve without compensation .

- *AB556* – 6 – Sec.

422.155Care] 1.Medicaid Advisory Committee from among its members.Medical 2.

The Director shall appoint a Chair of the [Medical Care] Medicaid Advisory Committee from among its members.