AB 297 — Revises provisions relating to Medicaid. (BDR 38-838)

EXEMPT (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B.

297 A SSEMBLY BBILL ILLNN O.

297–ASSEMBLYMEMBER297–A SSEMBLYMEMBERS N ADEEM FEBRUARY, 27,G 2025ONZÁLEZ ____________; Referred to Committee on Health and Human Services SUMMARY—Creates a program for the postnatal visitation of certain persons who have recently given birth.

(BDRD’S 40-838)ILVA, FISCALHUNT NOTE:, JACKSON , KARRIS, NGUYEN AND ORENTLICHER FEBRUARY 27, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to Medicaid.

(BDR 38-838) FISCAL NOTE:

requiring theMedicaid developmentto andprovide administrationcoverage of a program for thehome postnatal visitation byservices registeredfor nursespersons ofwho certainare personspregnant whoor have recently given birth;

Existing federal law makesrequires availablethe Department of Health and Human Services to statesadminister grantsthe Medicaid program, which includes coverage for certain services Department to establishinclude maternal,under infantMedicaid andcoverage earlyfor childhoodoptional home visitingvisitationires programs.the services provided to recipients of Medicaid who are pregnant or have given birth within the immediately preceding 24 months.

(42Section U.S.C.2.3 also requires the Department to notify recipients of Medicaid who are eligible to receive such services.

§Section 711)2.7 Existingof lawthis andbill Humanmakes Servicesa conforming change to require the Director of the Department to administer asection maternal2.3 andin childthe healthsame program.manner as other provisions of law governing Medicaid.

(NRS Health 442.130) Section 1 of this bill requires that program to include a program for the postnatal visitation by registered nurses of residents of this State who have recently given birth.

Section 1 requires the Department to apply for federal grants and other money to carry out the postnatal visitation program.

Section 2 of this bill authorizes the State Board of Health to adopt regulations to carry out the postnatal visitation program.

Chapter(Deleted 442 of NRS is hereby amended by addingamendment.) theretoSec. a new section to read as follows:

2.

(Deleted by amendment.) Sec.

2.3.

Chapter 422 of NRS is hereby amended by adding thereto a new section to read as follows:

TheTo Department, through the Stateextent Boardthat offinancial Healthparticipation andis available, the Division,Director shall include inunder theMedicaid maternalcoverage andfor childoptional healthhome program- established*AB297_R1* pursuant– to2 NRS– 442.130visitation aservices program for recipients of Medicaid who are pregnant or have given birth within the -immediately *AB297*preceding –24 2months –as postnatalnecessary visitationto ofsupport residentsa ofhealthy thispregnancy, Statebirth, whopostpartum haveperiod recentlyand givenfirst birth.24 months of the life of the child.

Such services may include, without limitation, educational and informational support to the family, counseling relating to family planning, preventative screenings, referrals to medical, social and community services and coordination of care.

The programAdministrator forshall theadopt postnatalregulations visitationthat ofestablish residentsrequirements offor thisproviders Stateof whoservices havedescribed recentlyin given birth established pursuant to subsection 11, mustwhich providemay forinclude, atwithout leastlimitation, twoa visitsrequirement eachthat weeksuch fora theprovider firstbe 28accredited days after the birth by a registerednationally nurserecognized toorganization afor residentthe accreditation of thishome Statevisitation whoservices hasfor givenpregnant birthwomen withoutand anynew chargemothers. to the resident who has given birth.

The Department shall applynotify foreach availablerecipient fundingof fromMedicaid thewho Federalis Government,eligible including,for withoutthe limitation,services fundingcovered available pursuant to 42subsection U.S.C.1 that such services are available.

§Such 711,a andnotice fundingmust availableclearly fromindicate anythat othersuch sourceservices toare carryoptional outand thethat provisionsno ofperson thisis section.required to receive such services.

4.

The Department shall:

(a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan that is necessary for the Department to receive federal funding to provide the coverage described in subsection 1.

(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).

2.2.7.

NRS 442.140232.320 is hereby amended to read as follows:

442.140232.320 1.

The DepartmentDirector: may:

(a) Formulate,Shall adoptappoint, andwith administer,the throughconsent of the StateGovernor, Boardadministrators of Health and the Division,divisions aof detailedthe planDepartment, forwho theare purposesrespectively specifieddesignated inas NRSfollows: 442.130.

(b)(1) Adopt,The throughAdministrator the State Board of Health, regulations necessary for the administrationAging of the plan and theDisability administrationServices ofDivision; NRS 442.130 to 442.170, inclusive [.] , and section 1 of this act.

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

In(3) developingThe andAdministrator revisingof the plan,Division theof DepartmentChild shalland consider:Family Services;

(a)(4) The amountAdministrator of money available from the FederalDivision Governmentof forHealth servicesCare relatingFinancing to maternal and childPolicy; health;

(b)and (5) The conditionsAdministrator attachedof to the acceptanceDivision of moneyPublic fromand theBehavioral FederalHealth. Government;

(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, - *AB297_R1* – 3 – inclusive, 446 to 450, inclusive, 458A and (c)656A Theof limitationsNRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 2.3 of legislativethis appropriationsact, for422.580, services432.010 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 maternalthe functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public and childBehavioral health.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.