SB 54 — Requires Medicaid to provide coverage of certain services for persons experiencing homelessness. (BDR 38-412)

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

5454–Committee SENATEon BILLHealth NOand .Human Services CHAPTER..........

54–COMMITTEE ON H EALTH AND H UMAN SERVICES (ON BEHALF OF THE C ITY OFL ASV EGAS ) PREFILED N OVEMBER 20, 2024 ____________ Referred to Committee on Health and Human Services SUMMARY—Requires Medicaid to provide coverage of certain services for persons experiencing homelessness.

(BDR 38-412) 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.

Existing law requires the Department of Health and Human Services to sectionadminister 1Medicaid. of this bill requires the Director of the Department to include coverage, under Medicaid for medical respite care provided to persons experiencing homelessness, by a facility that meets certain requirements.

(NRS 422.270) If federal financial participation is available, to include coverage under Medicaid for medical respite care provided to persons1, 2027, experiencing homelessness by a facility that meets certain requirements.

Section 1 defines “medical respite care” to refer to certain medical care Financing and support Policy of the Department to coordinate with the Division of PublicPublice and BehavioralndBehavioral Health of the Department to develop a model for providing medical respite care to persons experiencing homelessness.

-EXPLANATION *SB54_R1* – 2Matter –in THEbolded PEOPLEitalics OFis THEnew; STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

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:

- 83rd Session (2025) – 2 – (g) Care before or after a medical procedure or operation, including, without limitation, wound care;

(i)medical,valupsychological,ent Evaluation,vocational,te assessmentcultural,ionsocial and immediate interventions for medical, psychological, vocational, cultural, social or environmental factors;

(b) Be staffed 24 hours each day, 7 days each week by respiteproviders of health care andwho haveare receivedqualified trainingto concerning:deprovide medical (1)respite Trauma-informedcare care;and have received training concerning:

(1) Trauma-informed care;

-(IV) *SB54_R1*Comforting –a 3person –experiencing (IV)a Comfortingmental health or substan(V) Helping a person experiencingwith a mental illness or substance use disorder avoid a mental health or substance use crisis;

(V) Helping a person with a mental illness or substance use disorder avoid a mental health or substance use crisis;

The Division shall coordinate with the Division of Public and Behavioral Health of the Department to develop a model for providing medical respite care to persons experiencing - 83rd Session (2025) – 3 – homelessness.

The model must accord with the standards prescribed by the National Institute for Medical Respite Care, or its successor organization, for programs providing medical respite care, to the extent that those standards do not conflict with federal or state5.ateAs law.used in this section:

5.

As used in this section:

(4) The Administrator of the Division of Health Care FinancingFinanc(5) The Administrator of the Division of Public and Policy;Behavioral Health.

and - *SB54_R1* – 4 – (5) The Administrator of the Division of Public and Behavioral Health.

(c) Shall administer any state program for persons with developmental disabilities established pursuant to the - 83rd Session (2025) – 4 – Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.

(2)(3) SetProvide forthfor prioritiescommunication forand the provisioncoordination of thosethoses; services;

(3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of 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 detailed information relating to their budgets and payrolls, which the - *SB54_R1* – 5 – Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.

(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tas(b)tasks Onthat Julyare 1,necessary 2026,to forcarry allout otherthe purposes.sionsprovisions of this act;

and H(b) -On *SB54_R1*July 1, 2027, for all other purposes.

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