Amendment vs bill Amendment 352 vs Reprint 1

Struck = removed from the bill · added = the amendment's new text.

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EXEMPT (Reprinted with amendments adopted on April 18, 2025) FIRST REPRINT S.B.
Session (83rd) A SB234 352 Amendment No.
234 SENATE BILL NO .
352 Senate Amendment to Senate Bill No.
234–SENATORS D OÑATE , FLORES , OHRENSCHALL ;AND T AYLOR FEBRUARY 25, 2025 ____________ JOINT SPONSORS :
234 (BDR 38-40) Proposed by:
ASSEMBLYMEMBERS M OORE , ROTH , ORRES - F OSSETT, GONZÁLEZ ;
Senate Committee on Health and Human Services Amends:
ANDERSON , D’ILVA AND N GUYEN ____________ Referred to Committee on Health and Human Services SUMMARY—Makes revisions relating to Medicaid.
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes ASSEMBLY ACTION Initial and Dat| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
CCP/EWR - Date:
4/17/2025 S.B.
No.
234—Makes revisions relating to Medicaid.
(BDR 38-40) Page 1 of 7 *A_SB234_352* Senate Amendment No.
352 to Senate Bill No.
234 Page 3 SENATE BILL NO.
234–SENATORS D OÑATE , FLORES , HRENSCHALL ;
AND TAYLOR FEBRUARY 25, 2025 _______________ JOINTS PONSORS:
ASSEMBLYMEMBERS M OORE , OTH , ORRES -FOSSETT, ONZÁLEZ ;
A NDERSON , D’ILVA AND N GUYEN _______________ Referred to Committee on Health and Human Services SUMMARY—Makes revisions relating to Medicaid.
Existing federal law requires Medicaid to provide to certain aliens, including aliens who are not lawfully present in the United States, limited coverage for health § 1396b(v)(2);
Existing federal law requires Medicaid to provide to certain aliens, including aliens who are not lawfully present in the United States, limited coverage for health care services that are necessary to treat an emergency medical condition.
(42 U.S.C.
§ 1396b(v)(2);
§ 440.255) Section 1 of this bill prescribes specificU.S.C.
§ 440.255) Section 1 of this bill prescribes specific requirements governing such coverage under Medicaid in this State [.] for persons who are less than 21 years of age.
requirements governing such coverage under Medicaid in this State for persons who are less than 21 years of age.
(2) care to treat the emergency medical condition provided in an emergency room or and (3) certain inpatient services relating to the treatment of the emergency medical condition.
setting in a hospital or an independent center for emergency medical care;
Additionally, section 1 provides limited coverage for certain care to treat renal disease and cancer in certain circumstances, if the Department of Health and Human Services grants prior approval for such care based on the medical necessity - *SB234_R1* – 2 – of the care.
and (3) certain inpatient services relating to the treatment of the emergency medical condition.
Additionally, section 1 provides limited coverage for certain care to treat renal disease and cancer in certain circumstances, if the Department of Health and Human Services grants prior approval for such care based on the medical necessity of the care.
(1) such care is medical condition;
(1) such care is necessary to prevent the condition of the person from becoming an emergency medical condition;
Section 2 of this bill makes a conforming change to require the Director of the Department to administer the provisions of section 1 in the same manner as other provisions relating to Medicaid.
Senate Amendment No.
the most common services provided by clinics and hospitals in this State to treatify pediatric cancer and rare childhood diseases;
352 to Senate Bill No.
234 Page 4 Department to administer the provisions of section 1 in the same manner as other provisions relating to Medicaid.
Section 2.5 of this bill requires the Director of the Department to:
(1) identify the most common services provided by clinics and hospitals in this State to treat pediatric cancer and rare childhood diseases;
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- *SB234_R1* – 3 – (2) Dialysis provided in a hospital or a facility for the treatment of irreversible renal disease;
(2) Dialysis provided in a hospital or a facility for the treatment of irreversible renal disease;
(3) The transplant of bone marrow, if the person:
(3) [Care,] The transplant of bone marrow, if the person:
(4) Other care that is medically necessary to treat any stage of cancer or to prevent the recurrence of cancer, whether provided on an inpatient or outpatient basis, including, without limitation, surgery, chemotherapy, radiation therapy, targeted therapy and immunotherapy;
(4) Other care that is medically necessary to treat any stage of cancer or to prevent the recurrence of cancer, whether provided on an inpatient or outpatient basis, including, without limitation, surgery, chemotherapy , [and] radiation therapy, [that is necessary to treat cancer which is not in remission;] targeted therapy and immunotherapy;
and (5) The transplant of a kidney, if the person:
and [(4)] (5) The transplant of a kidney, if the person:
and (e) Any follow-up services that are included within a payment for a service described in paragraphs (a) to (d), inclusive.
and Senate Amendment No.
352 to Senate Bill No.
234 Page 5 (e) Any follow-up services that are included within a payment for a service described in paragraphs (a) to (d), inclusive.
(m) Except as otherwise provided by subparagraphs (3) and (5) of paragraph (d) of subsection 1, organ transplants and stem cell transplants;
(m) Except as otherwise provided by [subparagraph (4)] subparagraphs (3) and (5) of paragraph (d) of subsection 1, organ transplants and stem cell transplants;
The Department may not provide coverage under Medicaid pursuant to this section for the care described in paragraph (d) of subsection 1 unless the Department determines, before the care - *SB234_R1* – 4 – being rendered, that such care is medically necessary and appropriate, based on the condition of the person to whom the care may be provided.
The Department may not provide coverage under Medicaid pursuant to this section for the care described in paragraph (d) of subsection 1 unless the Department determines, before the care being rendered, that such care is medically necessary and appropriate, based on the condition of the person to whom the care may be provided.
(e) “Facility for the treatment of irreversible renal disease” has the meaning ascribed to it in NRS 449.0046.
Senate Amendment No.
352 to Senate Bill No.
234 Page 6 (e) “Facility for the treatment of irreversible renal disease” has the meaning ascribed to it in NRS 449.0046.
- *SB234_R1* – 5 – (3) Not primarily provided for the convenience of the patient, physician or other provider of health care;
(3) Not primarily provided for the convenience of the patient, physician or other provider of health care;
- *SB234_R1* – 6 – (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;
(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;
(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
Senate Amendment No.
352 to Senate Bill No.
234 Page 7 (4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
This section and section 2.5 of this act become effective upon passage and approval.
This section [becomes] and section 2.5 of this act become effective upon passage and approval.
- *SB234_R1* – 7 – regulations and performing any other preparatory administrativey tasks that are necessary to carry out the provisions of this act;
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
H - *SB234_R1*