SB 353 — Revises provisions relating to Medicaid. (BDR S-1010)

EXEMPTSenate (ReprintedBill withNo. amendments adopted on April 17, 2025) FIRST REPRINT S.B.

353353–Senators SENATEDondero BLoop, ILLNFlores, O.Nguyen;

353–SENATORSDoñate, DOhrenschall ONDEROand LPazina OOP,CHAPTER.......... FLORES , NGUYEN ;

DOÑATE , OHRENSCHALL AND P AZINA M ARCH 13, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to Medicaid.

(BDR S-1010) 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.

requiring certain transfers of money and authorizing expenditures for such purposes;

(NRS 422.270) ThisSection 1 of this bill requires the Divisionspecific of category of provider for the purposes of billing and reimbursement underundera Medicaid for certain clinics that provide education and training to students of certain mental health professions;

and (2) all-inclusive per diem rates of reimbursement under Medicaid for services provided by a trainee during a visit to such a clinic, including certain circumstances where services are provided by the clinicof atcertain amoney locationand otherauthorizes thanthe expenditure of certain money to carry out the clinic.transfer requirements of section 1.

THEEXPLANATION SENATE– ANDMatter ASSEMBLY,in DObolded ENACTitalics ASis FOLLOWS:Dnew; IN Section 1.

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:

Section 1.

(a) Amend the Medicaid Services Manual to create a specific billing category for clinics operated by an accredited university within this State or pursuant to a faculty practice plan to which such - *SB353_R1* – 2 – a university is a party under the direction of a physician licensed pursuant to chapter 630 or 633 of NRS that:

(b) Establish an all-inclusive per diem rate of reimbursement under Medicaid for services provided by a trainee, other than a trainee- seeking83rd aSession license(2025) to– practice2 medicine– as a psychiatrist or a license to practice as an advanced practice registered nurse who or a provides psychiatric services, at a clinic described in paragraph (a);

(c) Outside a clinic described in paragraph (a) of subsection 1 to recipients of Medicaid who do not reside in a permanent dwelling or do not(d) haveBy a fixedclinic mailingdescribed address;in paragraph (a) of subsection 1 through telehealth, as defined in NRS 629.515.

or (d) By a clinic described in paragraph (a) of subsection 1 through telehealth, as defined in NRS 629.515.

(a) “Faculty practice plan” means an agreement with an institution of higher education which provides for the continued - *SB353_R1* – 3 – practice of and the performance of research and education by a faculty member of the institution of higher education.

(1) Licensed, certified or registered pursuant to chapter 641, 641A, 641B, 641C or 641D of NRS;

orgisteredor pursuant- to83rd chapterSession 641,(2025) – 3 – (2) Licensed as a physician, physician assistant or advanced practice registered nurse who practices in psychiatry, addiction medicine or another specialty relating to behavioral health.

(c) “Trainee” means a person seeking licensure, certification or registration as a mental or behavioral health professional who is engaging in supervised practice required to obtain such licensure, certification or registration.

1.5.

1.

The Division of Health Care Financing and Policy of the Department of Health and Human Services shall transfer the following sums from the Account to Improve Health Care Quality and Access created by NRS 422.37945 to the Nevada Medicaid budget account to carry out the provisions of section 1 of this act:

For the Fiscal Year 2025-2026..................................$116,672 For the Fiscal Year 2026-2027..................................$138,481 2.

Expenditure of the following sums not appropriated from the State General Fund or the 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 purposes as set forth in subsection 1:

For the Fiscal Year 2026-2027..................................$206,127 Sec.

H~~~~~ 25 - *SB353_R1*83rd Session (2025)