SB 312 — Enacts provisions relating to the health of American Indians. (BDR 38-347)

EXEMPTSenate (ReprintedBill withNo. amendments adopted on April 21, 2025) FIRST REPRINT S.B.

312312–Committee SENATEon BILLHealth NOand .Human Services CHAPTER..........

312–COMMITTEE ON H EALTH AND HUMAN SERVICES (O N BEHALF OF THE JOINT INTERIM STANDING C OMMITTEE ON H EALTH AND H UMAN SERVICES ) M ARCH 10, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Enacts provisions relating to the health of American Indians.

(BDR 38-347) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Contains Appropriation not included in Executive Budget.

~ EXPLANATION – Matter in bolded italics is new;

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

making an appropriation to the Department of Native American Affairs for the personnel and operating costs of the Council;

Section 7 authorizes the theExecutive DepartmentDirector to provideappoint anya additionalCoordinator personnel,of facilities, equipment andquires - *SB312_R1* – 2 – supplies to the Council.

Section 87 ofalso thisrequires bill prescribes the dutiesDepartment of the Council, which include adopting and periodically updating a plan to increaseprovide accessany toadditional healthpersonnel, carefacilities, andequipment address and eliminatesupplies barriers to healththe careCouncil. for American Indians in this State.

Section 1.58 of this bill authorizesprescribes the Councilduties toof request the draftingCouncil, ofcare notand moreaddress thanand 2eliminate legislativebarriers measures which relate to mattershealth withincare the scope of the apply to requests for theAmerican draftingIndians ofin legislationthish thatState. are submitted by nonlegislative requesters.

Section 91.5 of this bill createsauthorizes the AccountCouncil for Tribal Health to fundrequest the activitiesdrafting of thenot Council,more andthan section2 10legislative ofmeasures thiswhich billrelate appropriatesto moneymatters towithin the Account.scope of the Council.

Section 111.8 of this bill requiressubjects thethose Directorrequests ofto thecertain Departmentprovisions ofthat Healthapply and Human Services to collaboraterequests withfor the Councildrafting toof developlegislation athat proposalare tosubmitted establish a program to reinvest certain federal funds received by thisnonlegislative Staterequesters. under the Medicaid program.

administerSection Medicaid.9 of this bill creates the Account for Tribal Health to fund the activities of the Council.

Section 11 of this bill requires the Director of the Department of Health and Human Services to collaborate with the Council to develop a proposal to establish a program to reinvest certain federal funds received by tExisting law requires the Department of Health and Human Services to administer Medicaid.

Section 1 requires the Department to apply for any waiver of federal law or apply for any amendment to the State Plan for Medicaid to authorize an Indian tribe to make such Indiandeterminations. tribe that determines presumptive eligibility the resources, training andh technical assistance necessary for the Indian tribe to accurately and effectively determine if a person is presumptively eligible to receive benefits under Medicaid.

Section 21 ofadditionally thisrequires billthe makesDepartment ato conformingprovide change to indicateeach thattechnical theassistance provisionsnecessary offor sectionthe 1Indian willtribe beto administeredaccurately inand theeffectively samedetermine mannerif asa theperson provisionsis ofpresumptively existingeligible lawto governingreceive benefits under Medicaid.

THESection PEOPLE2 OFof THEthis STATEbill OFmakes NEVADA,a REPRESENTEDconforming INchange SENATEto ANDindicate ASSEMBLY,that DOthe ENACTprovisions ASof FOLLOWS:- 83rd Session (2025) – 2 – governing Medicaid.dministered in the same manner as the provisions of existing law EXPLANATION – Matter in bolded italics is new;

Sectionmatter 1.between brackets [omitted material] is material to be omitted.

THE SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:D IN Section 1.

and (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 pursuant to paragraph (a).

The Department shall provide to each Indian tribe that determines presumptive eligibility pursuant to subsection 1 the resources, training and technical assistance necessary for the - *SB312_R1* – 3 – Indian tribe to accurately and effectively determine whether a person is presumptively eligible for benefits under Medicaid, inc(a) Developing and providing training to the representatives of the Indian tribe who are involved in determinations of presumptive eligibility, including, without limitation, by:through the distribution of training materials and conducting virtual and in- person training;

(a) Developing and providing training to the representatives of the Indian tribe who are involved in determinations of presumptive eligibility, including, without limitation, through the distribution of training materials and conducting virtual and in- person training;

- 83rd Session (2025) – 3 – 4.

Chapter 218D of NRS is hereby amended by adding theretothe1.to aThe newTribal Health Authority Council created by section 5 of this act may request the drafting of not more than 2 legislative measures which relate to readmatters aswithin follows:the scope of the Council.

1.

The Tribal Health Authority Council created by section 5 of this act may request the drafting of not more than 2 legislative measures which relate to matters within the scope of the Council.

or (b) Is submitted by an authorized nonlegislative requester pursuant to NRS 218D.175 to 218D.220, inclusive, and section 1.5 - *SB312_R1* – 4 – of this act but is not in a subject related to the function of the requester.

- 83rd Session (2025) – 4 – (1) The Administrator of the Aging and Disability Services Division;

(3)Services;) The Administrator of the Division of Child and Family Services;(4) The Administrator of the Division of Health Care Financing and Policy;

(4) The Administrator of the Division of Health Care Financing and Policy;

(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in this State.

- *SB312_R1* – 5 – (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;

and - 83rd Session (2025) – 5 – (6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programspro(e) administeredMay, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the Department.programs of those organizations and agencies, excluding 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.

(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 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.

(b) The(1) followingOne nonvotingrepresentative members:of the office of the Indian Health Service having jurisdiction over this State.

(1) One representative of the office of the Indian Health Service having jurisdiction over this State.