Struck = removed from the bill ·
added = the amendment's new text.
SenateSession Bill(83rd) A SB348 R1 597 Amendment No.
348–Senators597 Pazina;Assembly Amendment to Senate Bill No.
and348 BuckFirst CHAPTER..........Reprint (BDR 40-123) Proposed by:
Assembly Committee on Health and Human Services Amends:
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes Adoption of this amendment will:
(2) MAINTAIN the unfunded mandate not requested by the affected local government to S.B.
348 R1 (§§ 3, 68.7).
ASSEMBLY ACTION Initial and Date| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
DAN/EWR - Date:
5/18/2025 S.B.
No.
348—Makes revisions relating to laboratory testing.
(BDR 40-123) Page 1 of 9 *A_SB348_R1_597* Assembly Amendment No.
597 to Senate Bill No.
348 First Reprint Page 3 S ENATE BILLN O.
348–SENATORS PAZINA;AND B UCK M ARCH 13,2025 _______________ Referred to Committee on Health and Human Services SUMMARY—Makes revisions relating to laboratory testing.
(BDR 40-123) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Contains Appropriation not included in Executive Budget.
CONTAINS UNFUNDED MANDATE (§§ [3)] 3, 68.7) (NOTR EQUESTED BYAFFECTEDL OCALG OVERNMENT ) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
establishing a fee [to be charged by] the State Public Health Laboratory is authorized to charge for certain examinations and tests [;] for the discovery of certain diseases in infants;
removing a requirement that the State Public Health Laboratory hold a public hearing under certain circumstances;
(NRS 439.240) Existing law requires the State Board of Healthinfants toof adoptpreventable regulationsor governing inheritable disorders.
(NRS 442.008) Section 3 of this bill [requires] authorizes the State Public Health Laboratory,Laboratory , on or after January 1, 2026, to charge a fee of not more than $150 or the rate of reimbursement paid by Medicaid, whichever is less, for the required examinations and tests for the discovery in infants ofsof preventable or inheritable disorders.
Section 1 of this bill makes a conforming change to clarify that the State Public Health Laboratory [is not authorized to establish a fee for the services for which a] establishes the fee [is fixed by] for such examinations and tests pursuant to section 3.
Section 368.7 alsoof removesthis abill requirementauthorizes that the State Public Health LaboratoryLaboratory, holdon aor publicafter hearingJuly 1, 2025 and before increasingJanuary that1, fee.2026, to Assembly Amendment No.
Section597 68.7 of this bill authorizes the State Public Health Laboratory, on or after July 1, 2025, and before January 1, 2026, to chargeSenate aBill feeNo. of not more than preventable or inheritable disorders.d tests for the discovery in infants of Existing law requires the Department of Health and Human Services to administer the Medicaid program.
(NRS348 422.270)First SectionReprint 3.7Page of4 this bill requires the Director of the Department to provide reimbursement under Medicaid for the required examinations and tests for the discovery in infants of preventable or inheritable disordersdisorders.ons separatelyand fromtests the reimbursement provided for otherthe laborExisting conforminglaw changerequires to indicate that the provisionsDepartment of sectionHealth 3.7and willHuman beServices administeredto inadminister the sameMedicaid mannerprogram. as the provisions of existing law governing Medicaid.
(NRS 422.270) Section 68.33.7 of this bill requires the Director toof submit to the UnitedDepartment Statesto Secretaryprovide ofreimbursement Healthunder andMedicaid Humanfor Services, to the extentrequired thatexaminations money is available and astests soonfor asthe practicable,discovery ain requestinfants to include under Medicaid a rate of -preventable 83rdor Sessioninheritable (2025)disorders –separately 2from – and 68.3 authorize the Director to increase that rate of reimbursement toprovided notfor moreother thanlabor $150and ondelivery orservices afterand Januarynewborn 1,care. 2026.
EXPLANATIONSection –3.4 Matterof this bill makes a conforming change to indicate that the provisions of section 3.7 will be administered in boldedthe italicssame ismanner new;as the provisions of existing law United States Secretary of Health and Human Services, to the extent that money isthe available and as soon as practicable, a request to include under Medicaid a rate of reimbursement of not more than $122 for such examinations and tests.
matterSections between3.7 bracketsand [omitted68.3 material]authorize isthe materialDirector to beincrease omitted.that rate of reimbursement to not more than $150 on or after January 1, 2026.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:DFOLLOWS: IN Section 1.
Section 1.
(a) To make available, at such charges as may be established [,] or are prescribed pursuantby to NRS 442.008, to health officials, the Director of the State Department of Agriculture and licensed physicians of the State, proper laboratory facilities for the prompt diagnosis of communicable diseases.
- 83rd Session (2025) – 3 – Sec.
2.
(Deleted by amendment.) Sec.
(DNRSNRS 442.008 is hereby amended to read as follows:
The State Board of Health shall adopt regulations governing examinations and tests required for the discovery in infants of preventable or inheritableAssembly disorders,Amendment includingNo. tests for the presence of sickle cell disease and its variants and sickle cell trait.
597 to Senate Bill No.
348 First Reprint Page 5 inheritable disorders, including tests for the presence of sickle cell disease and its variants and sickle cell trait.
or (b) Insufficient resources to address the results of the exa3.natAny examination orand testtest. required by the regulations adopted pursuant to subsection 1 which must be performed by a laboratory must be sent to the State Public Health Laboratory.
[If3. the State Public Health Laboratory increases the amount charged for performing such an examination or test pursuant to NRS 439.240, the Division shall hold a public hearing during which the State Public Health Laboratory shall provide to the Division a written and verbal fiscal analysis of the reasons for the increased charges.] The State Public Health Laboratory may charge a fee of not more than $150 or the rate of reimbursement paid by Medicaid pursuant to section 3.7 of this act, whichever is less, for all such examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to this section.
4.Any examination or test required by the regulations adopted pursuant to subsection 1 which must be performed by a laboratory must be sent to the State Public Health Laboratory.
ExceptThe asState otherwisePublic providedHealth inLaboratory subsectionmay 7,charge a fee of not more than $150 or the regulationsrate adoptedof reimbursement paid by Medicaid pursuant to subsectionsection 13.7 concerningof teststhis act, whichever is less, for theall mustsuch requireexaminations theand screeningtests required for sicklethe celldiscovery diseasein andinfants itsof variantspreventable andor sickleinheritable celldisorders traitpursuant of:to this section.
If the State Public Health Laboratory increases the amount charged for performing such an examination or test , [pursuant to NRS 439.240,] the Division shall hold a public hearing during which the State Public Health Laboratory shall provide to the Division a written and verbal fiscal analysis of the reasons for the increased charges.
[The State Public Health Laboratory shall charge a fee of $150 for all such examinations and tests required for the discovery in infants of preventable or inheritable disorders pursuant to this section.] 4.
Except as otherwise provided in subsection 7, the regulations adopted pursuant to subsection 1 concerning tests for the presence of sickle cell disease and its variants and sickle cell trait must require the screening for sickle cell disease and its variants and sickle cell trait of:
- 83rd Session (2025) – 4 – 5.
(a) Make or cause to be made an examination of the infant, including standard tests that do not require laboratory services, to the extent required by regulations of the State Board of Health as is necessary for the discovery of conditions indicating such preventable or inheritable disorders.
7.Assembly Amendment No.
An597 infant is exempt from examination and testing if either parent files a written objection with the person or institution res8.nsiAs used in this section, “sickle cell disease and its variants” has the meaning ascribed to itSenate inBill NRSNo. 439.4927.
348 First Reprint Page 6 7.
An infant is exempt from examination and testing if either parent files a written objection with the person or institution responsible for making the examination or tests.
8.
As used in this section, “sickle cell disease and its variants” has the meaning ascribed to it in NRS 439.4927.
and - 83rd Session (2025) – 5 – (5) The Administrator of the Division of Public and Behavioral Health.
(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 3.7 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 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.
services)(3) Provide for communication and the coordination of those services among nonprofit organizations, agenciesinationagencies ofofholocalof local government, the State and the Federal Government;
(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding - 83rd Session (2025) – 6 – detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
(f)Assembly HasAmendment suchNo. other powers and duties as are provided by law.
the597 Director’sto designee,Senate isBill responsibleNo. for appointing and removingr subordinate officers and employees of the Department.
348 First Reprint Page 7 (f) Has such other powers and duties as are provided by law.
2.
Notwithstanding any other provision of law, the Director, or the Director’s designee, is responsible for appointing and removing subordinate officers and employees of the Department.
(b) 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 purSecs.pursuant to paragraph (a).
4-68.Sec.
4.
5.
(Deleted by amendment.) Sec.
6.
(Deleted by amendment.) Sec.
7.
(Deleted by amendment.) Sec.
8.
(Deleted by amendment.) Sec.
9.
(Deleted by amendment.) Sec.
10.
(Deleted by amendment.) Sec.
11.
(Deleted by amendment.) Sec.
12.
(Deleted by amendment.) Sec.
13.
(Deleted by amendment.) Sec.
14.
(Deleted by amendment.) Sec.
15.
(Deleted by amendment.) Sec.
16.
(Deleted by amendment.) Sec.
17.
(Deleted by amendment.) Sec.
18.
(Deleted by amendment.) Sec.
19.
(Deleted by amendment.) Sec.
20.
(Deleted by amendment.) Sec.
21.
(Deleted by amendment.) Sec.
22.
(Deleted by amendment.) Sec.
23.
(Deleted by amendment.) Sec.
24.
(Deleted by amendment.) Sec.
25.
(Deleted by amendment.) Sec.
26.
(Deleted by amendment.) Sec.
27.
(Deleted by amendment.) Sec.
28.
(Deleted by amendment.) Sec.
29.
(Deleted by amendment.) Sec.
30.
(Deleted by amendment.) Sec.
31.
(Deleted by amendment.) Sec.
32.
(Deleted by amendment.) Sec.
33.
(Deleted by amendment.) Sec.
34.
(Deleted by amendment.) Sec.
35.
(Deleted by amendment.) Assembly Amendment No.
597 to Senate Bill No.
348 First Reprint Page 8 Sec.
36.
(Deleted by amendment.) Sec.
37.
(Deleted by amendment.) Sec.
38.
(Deleted by amendment.) Sec.
39.
(Deleted by amendment.) Sec.
40.
(Deleted by amendment.) Sec.
41.
(Deleted by amendment.) Sec.
42.
(Deleted by amendment.) Sec.
43.
(Deleted by amendment.) Sec.
44.
(Deleted by amendment.) Sec.
45.
(Deleted by amendment.) Sec.
46.
(Deleted by amendment.) Sec.
47.
(Deleted by amendment.) Sec.
48.
(Deleted by amendment.) Sec.
49.
(Deleted by amendment.) Sec.
50.
(Deleted by amendment.) Sec.
51.
(Deleted by amendment.) Sec.
52.
(Deleted by amendment.) Sec.
53.
(Deleted by amendment.) Sec.
54.
(Deleted by amendment.) Sec.
55.
(Deleted by amendment.) Sec.
56.
(Deleted by amendment.) Sec.
57.
(Deleted by amendment.) Sec.
58.
(Deleted by amendment.) Sec.
59.
(Deleted by amendment.) Sec.
60.
(Deleted by amendment.) Sec.
61.
(Deleted by amendment.) Sec.
62.
(Deleted by amendment.) Sec.
63.
(Deleted by amendment.) Sec.
64.
(Deleted by amendment.) Sec.
65.
(Deleted by amendment.) Sec.
66.
(Deleted by amendment.) Sec.
67.
(Deleted by amendment.) Sec.
68.
(Deleted by amendment.) Sec.
- 83rd Session (2025) – 7 – Sec.
Notwithstanding the amendatory provisions of section 3 of this act, the State Public Health Laboratory may not, before January 1, 2026, charge a fee in excess of $122 for all examinations and tests required for the discovery in infants of preSec.preventable or inheritable disorders pursuant to NRS 442.008.
Sec.
Sec.Assembly Amendment No.
597 to Senate Bill No.
348 First Reprint Page 9 Sec.
This section [becomes] and section 68.3 of this act become effective upon passage and approval.
Sections 1, 3, 3.4, 3.7, 64, 65, 66,66 , 68.7 and 69 of this act become effective on July 1, 2025.
~~~~~ 25 - 83rd Session (2025)