SB 300 — Makes revisions relating to Medicaid. (BDR 38-110)

NRS 422.001 is hereby amended to read as follows:

422.001 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 422.003 to 422.054, inclusive, and section 1.1 of this act have the meanings ascribed to them in those sections.

Sec.

1.4.

(a) Through evidence-based, behavioral health integration models, including, without limitation, collaborative care managementman(b) servicesIn [.]a ;federally-qualified health center by:

or(1) (b)A Inpsychiatrist, apsychologist, federally-qualifiedadvanced healthpractice centerregistered by:nurse, licensed marriage and family therapist, licensed - 83rd Session (2025) – 3 – clinical social worker, clinical professional counselor, licensed alcohol and drug counselor or licensed clinical alcohol and drug counselor;

(1)or (2) A psychiatrist,master’s psychologist,level advancedintern practicepracticing registeredunder nurse,the licenseddirect marriagewho andpractices familythe therapist,same licensedprofession clinicalas socialthe worker,master’s clinicallevel professionalintern. counselor, licensed alcohol and drug counselor or licensed clinical alcohol and drug counselor;

or (2) A master’s level intern practicing under the direct supervision of a provider of health care listed in subparagraph 1 who2. practices the same profession as the master’s level intern.

2.

(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the pursuantFederal toGovernment paragraphfor (a).ainingobtaining a waiver or amendment 3.pursuant to paragraph (a).

3.

-(d)(1) *SB300_R1*A –physician 3licensed –pursuant (d)to “Master’schapter level630 intern”or means:633 of NRS who is completing a residency or fellowship in psychiatry;

(1) A physician licensed pursuant to chapter 630 or 633 of NRS who is completing a residency or fellowship in psychiatry;

(6) A social worker who holds a master’s or doctoral degree in social work, is licensed to engage in social work and isdegreeis completing the training necessary for licensure as a clinical social worker;

- 83rd Session (2025) – 4 – (7) A certified clinical alcohol and drug counselor intern;

or (8) A certified alcohol and drug counselor who holds a master’s degree or a doctoral degree in a field of social science approved by the Board of Examiners for Alcohol, Drug and Gambling Counselors and is completing the supervised counseling required for licensure as an alcohol and drug counselor.

1.5.

NRS 422.272428 is hereby amended to read as follows:

422.272428 1.

The Director shall, to the extent that federal financial participation is available, include under Medicaid coverage for limited services for persons described in subsection 2 who are incarcerated, for not more than 90 days before the scheduled release of such persons.

Such services must include, without limitation:

(a) Case management;

(b) Consultations with providers of physical and behavioral health care;

(c) Laboratory and radiology services;

(d) Prescription drugs, including, without limitation, medication-assisted treatment;

and (e) The services of a community health worker.

A person is eligible for the coverage described in subsection if the person would otherwise be eligible for Medicaid if he or she were not incarcerated and:

(a) Is under 18 years of age;

(b) Has been diagnosed with:

(1) A mental illness;

(3) A chronic disease or other significant disease;

(4) An intellectual disability;

(5) A developmental disability;

(6) A traumatic brain injury;

or (7) Human immunodeficiency virus;

or (c) Is pregnant or not more than 12 weeks postpartum.

3.

The Department shall apply to the Secretary of Health and Human Services for a waiver granted pursuant to 42 U.S.C.

§ 1315 that authorizes the Department to receive federal funding to provide the coverage required by this section.

The Department shall 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 pursuant to this section.

4.

If the Secretary of Health and Human Services grants the waiver applied for pursuant to subsection 3, the Department of - 83rd Session (2025) – 5 – Corrections shall coordinate with the Department of Health and Human Services on an ongoing basis to ensure persons described in subsection 2 who are incarcerated are screened and identified for eligibility to receive the coverage described in subsection 1.

(a) “Chronic disease” means a health condition or disease which presents for a period of 3 months or more or is persistent, indefinite or incurable.

(b) “Community health worker” has the meaning ascribed to it in NRS 449.0027.

(c) “Developmental disability” has the meaning ascribed to it in NRS 433.069.

(d) “Intellectual disability” has the meaning ascribed to it in NRS 433.099.

(e) [“Medication-assisted treatment” means treatment for an opioid use disorder using medication approved by the United States Food and Drug Administration for that purpose.

(f)] “Mental illness” means any mental dysfunction leading to the impaired ability of a person to maintain himself or herself and to function effectively in his or her life situation without external support.

[(g)] (f) “Traumatic brain injury” means a sudden shock or damage to the brain or its coverings which is not of a degenerative nature and produces an altered state of consciousness or temporarily or permanently impairs the mental, cognitive, behavioral or physical functioning of the brain.

The term does not include:

(1) A cerebral vascular accident;

(3) A congenital defect.

Sec.

1.6.

NRS 232.320 is hereby amended to read as follows:

232.320 1.

The Director:

(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:

(1) The Administrator of the Aging and Disability Services Division;

(2) The Administrator of the Division of Welfare and Supportive Services;

(3) The Administrator of the Division of Child and Family Services;

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

and - 83rd Session (2025) – 6 – (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, 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and sections 1.1 and 1.2 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.

(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.

§§ 15001 et seq.

(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.

The Director shall revise the plan biennially and deliver a copy of the plan to the Governor and the Legislature at the beginning of each regular session.

The plan must:

(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;

(2) Set forth priorities for the provision of those services;

services) among nonprofit organizations, agenciesination ofofholocal government, the State and the Federal Government;

(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;

(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services;

and (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 programs administered by the Department.

(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) – 7 – 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) Has such other powers and duties as are provided by law.

the Director’s designee, is responsible for appointing and removingr subordinate officers and employees of the Department.

Sec.

1.7.

ThisThe sectionDivision becomesof effectiveHealth uponCare passageFinancing and approval.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 1.2 of this act:

For the Fiscal Year 2025-2026..................................$121,684 For the Fiscal Year 2026-2027..................................$382,542 2.

SectionExpenditure 1of the following sums not appropriated from the State General Fund or the State Highway Fund is hereby authorized by the Division of thisHealth actCare becomesFinancing effective:and Policy of the Department of Health and Human Services for the same purposes as set forth in subsection 1:

For the Fiscal Year 2025-2026..................................$545,735 For the Fiscal Year 2026-2027...............................$1,686,686 Sec.

1.8.

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 to carry out the provisions of section 1.4 of this act the following sums:

For the Fiscal Year 2025-2026....................................$77,943 2.

FExpenditure of the following sums not appropriated from the...$104,981 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 2025-2026..................................$179,425 For the Fiscal Year 2026-2027..................................$240,812 3.

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 18, 2026, and September 17, 2027, respectively, by - 83rd Session (2025) – 8 – 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 18, 2026, and September 17, 2027, respectively.

approval..

1.

This section becomes effective upon passage and 2.

Sections 1.7 and 1.8 of this act become effective on July 1, 2025.

3.

Section 1.4 of this act becomes effective:

H4. - *SB300_R1*

Sections 1 to 1.3, inclusive, 1.5 and 1.6 of this act become effective on March 1, 2026.

~~~~~ 25 - 83rd Session (2025)