Existing law authorizes the Division of Health Care Financing and Policy of the Department of Health and Human Services to impose an assessment on each operator of an agency to provide personal care services in the home and each operator of a medical facility that is required to obtain a license if, after polling the operators, at least 67 percent of those operators vote in favor of the assessment. (NRS 422.3794) Existing law authorizes the expenditure of the money generated from such an assessment only to: (1) provide supplemental payments or enhanced rates of reimbursement under Medicaid to operators upon whom the assessment is imposed; and (2) administer provisions of law governing such assessments. (NRS 422.37945) Section 2 of this bill authorizes the money to also be used to provide supplemental payments or enhanced rates of reimbursement to operators that are not subject to the assessment if such expenditure was identified as a potential use of the assessment in the polling of operators which received an affirmative vote from at least 67 percent of the operators on whom the assessment was to be imposed. Section 2 additionally authorizes the Division to use money generated from an assessment imposed on private hospitals or rural hospitals to provide additional supports and services under Medicaid for recipients of Medicaid with serious behavioral health conditions. Section 2 provides that not more than 15 percent of the total amount of money generated each year by such an assessment may be used for administrative costs and to fund such supports and services. Section 1.8 of this bill requires the Division to provide each operator of a hospital or rural hospital who is polled concerning the imposition of such an assessment of the amount of the assessment that will be used for those purposes. Section 1.8 also prohibits the continued imposition of such an assessment where state or federal law or regulations prohibit or alter the authorized uses of the revenue generated by the assessment. Sections 1.2 and 1.4 of this bill define the terms “hospital” and “rural hospital,” respectively. Section 1.6 of this bill makes conforming changes to indicate the proper placement of sections 1.2 and 1.4 in the Nevada Revised Statutes.

Statutes affected:
As Introduced: 422.37945
Reprint 1: 422.3791, 422.3794, 422.37945
Reprint 2: 422.3791, 422.3794, 422.37945
As Enrolled: 422.3791, 422.3794, 422.37945
BDR: 422.37945