SB 185 — Revises provisions relating to Medicaid reimbursement for care of disabled or chronically ill children. (BDR 38-760)

EXEMPTSenate (ReprintedBill withNo. amendments adopted on April 14, 2025) FIRST REPRINT S.B.

185185–Senators SENATETaylor; BILL NO .

185–SENATORS TAYLOR ;AND KRASNER PREFILED FEBRUARY 3, 2025 ____________ Referred to Committee on Health and HumanKrasner ServicesCHAPTER.......... SUMMARY—Revises provisions relating to Medicaid coverage for care of disabled or chronically ill children.

(BDR 38-760) 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 reimbursement under Medicaid to coverfamily members who provide personal care services provided to certain recipients of Medicaid;

making an appropriation;

Existing law requires Medicaid to cover certain home and community-based services for persons with physical disabilities, including personal care services in the home.

(NRS 422.272407, 422.396) Section 1 of this bill requires Medicaidthe toDepartment coverof personalHealth careand servicesHuman providedServices to reimburse a recipientmember of Medicaidthe who:family of as the recipient:

and (2) hasis beeneligible diagnosedunder with a disability or chronic illness that renders the recipient unable to perform activities of daily living without services provided by a member of the family of the recipient of Medicaid iftog thereceive familycoverage member meets the requirements for providers of personal care servicesservices; generally to receive reimbursement through Medicaid.

Sectionand 2(3) ofhas thisbeen billdiagnosed makeswith a conformingdisability changeor tochronic requireillness thethat Directorrenders of the Departmentrecipient ofunable Health and Human Services to administerperform theactivities provisions of sectiondaily 1living inwithout theassistance. same manner as other provisions relating to Medicaid.

Section 2 of this bill makes a conforming change to require the Director of the provisions relating to Medicaid.

Section 2.5 of this bill makes an appropriation to and authorizes expenditures by the Division of Health Care Financing and Policy of the Department for certain costs associated with the Department reimbursing a member of the family of a recipient of Medicaid for providing personal care services to the recipient pursuant to section 1.

EXPLANATION – Matter in bolded italics is new;

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

The DirectorDepartment shall includereimburse undera Medicaidmember coverageof forthe personalfamily careof services provided to a recipient of Medicaid - *SB185_R1* – 2 – described in subsection 2,2 including,for withoutproviding limitation, where such personal care services that are providedcovered by a member of the family of the recipient of Medicaid ifto the familyrecipient. member meets the requirements prescribed by the Department for providers of personal care services generally.

CoverageReimbursement is available under this section for personal care services provided to a recipient of Medicaid who:

and (b) HasIs beeneligible diagnosedunder withMedicaid a disability or chronic illness that renders the recipient unable to performreceive activitiescoverage offor dailypersonal livingcare withoutservices; assistance.

3.and (c) Has been diagnosed with a disability or chronic illness that renders the recipient unable to perform activities of daily living without assistance.

The- Department83rd shall:Session (2025) – 2 – 3.

(a)The ApplyDepartment shall apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to providereimburse thea coveragemember describedrecipient inpersonal subsectioncare 1;services that are covered by Medicaid.

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).

(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 1 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 - *SB185_R1* – 3 – 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.

The Director shall revise the plan biennially and deliver a - 83rd Session (2025) – 3 – copy of the plan to the Governor and the Legislature at the beginning of each regular session.

(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplicationduplica(2) ofSet thoseforth servicespriorities byfor federal,the stateprovision andof localthose agencies;services;

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

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.Department.g and removing Sec.

2.5.

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 of this act the following sums:

For the Fiscal Year 2025-2026..................................$135,086 For the Fiscal Year 2026-2027..................................$414,251 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 2025-2026..................................$306,334 For the Fiscal Year 2026-2027..................................$616,026 - 83rd Session (2025) – 4 – 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 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 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.

Section 2.5 of this act becomes effective on July 1, 2025.