AB297 - Revises provisions relating to Medicaid. (BDR 38-838)

EXEMPT (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B. 297 - *AB297_R1* ASSEMBLY BILL NO. 297–ASSEMBLYMEMBERS NADEEM, GONZÁLEZ; D’SILVA, HUNT, 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: 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. AN ACT relating to health care; requiring Medicaid to provide coverage for home visitation services for persons who are pregnant or have recently given birth; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing law requires the Department of Health and Human Services to 1 administer the Medicaid program, which includes coverage for certain services 2 related to postpartum care. (NRS 422.271775) Section 2.3 of this bill requires the 3 Department to include under Medicaid coverage for optional home visitation 4 services provided to recipients of Medicaid who are pregnant or have given birth 5 within the immediately preceding 24 months. Section 2.3 also requires the 6 Department to notify recipients of Medicaid who are eligible to receive such 7 services. Section 2.7 of this bill makes a conforming change to require the Director 8 of the Department to administer section 2.3 in the same manner as other provisions 9 of law governing Medicaid. 10 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. (Deleted by amendment.) 1 Sec. 2. (Deleted by amendment.) 2 Sec. 2.3. Chapter 422 of NRS is hereby amended by adding 3 thereto a new section to read as follows: 4 1. To the extent that financial participation is available, the 5 Director shall include under Medicaid coverage for optional home 6 – 2 – - *AB297_R1* visitation services for recipients of Medicaid who are pregnant or 1 have given birth within the immediately preceding 24 months as 2 necessary to support a healthy pregnancy, birth, postpartum 3 period and first 24 months of the life of the child. Such services 4 may include, without limitation, educational and informational 5 support to the family, counseling relating to family planning, 6 preventative screenings, referrals to medical, social and 7 community services and coordination of care. 8 2. The Administrator shall adopt regulations that establish 9 requirements for providers of services described in subsection 1, 10 which may include, without limitation, a requirement that such a 11 provider be accredited by a nationally recognized organization for 12 the accreditation of home visitation services for pregnant women 13 and new mothers. 14 3. The Department shall notify each recipient of Medicaid 15 who is eligible for the services covered pursuant to subsection 1 16 that such services are available. Such a notice must clearly 17 indicate that such services are optional and that no person is 18 required to receive such services. 19 4. The Department shall: 20 (a) Apply to the Secretary of Health and Human Services for 21 any waiver of federal law or apply for any amendment of the State 22 Plan that is necessary for the Department to receive federal 23 funding to provide the coverage described in subsection 1. 24 (b) Fully cooperate in good faith with the Federal Government 25 during the application process to satisfy the requirements of the 26 Federal Government for obtaining a waiver or amendment 27 pursuant to paragraph (a). 28 Sec. 2.7. NRS 232.320 is hereby amended to read as follows: 29 232.320 1. The Director: 30 (a) Shall appoint, with the consent of the Governor, 31 administrators of the divisions of the Department, who are 32 respectively designated as follows: 33 (1) The Administrator of the Aging and Disability Services 34 Division; 35 (2) The Administrator of the Division of Welfare and 36 Supportive Services; 37 (3) The Administrator of the Division of Child and Family 38 Services; 39 (4) The Administrator of the Division of Health Care 40 Financing and Policy; and 41 (5) The Administrator of the Division of Public and 42 Behavioral Health. 43 (b) Shall administer, through the divisions of the Department, 44 the provisions of chapters 63, 424, 425, 427A, 432A to 442, 45 – 3 – - *AB297_R1* inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 1 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 2 section 2.3 of this act, 422.580, 432.010 to 432.133, inclusive, 3 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 4 and 445A.010 to 445A.055, inclusive, and all other provisions of 5 law relating to the functions of the divisions of the Department, but 6 is not responsible for the clinical activities of the Division of Public 7 and Behavioral Health or the professional line activities of the other 8 divisions. 9 (c) Shall administer any state program for persons with 10 developmental disabilities established pursuant to the 11 Developmental Disabilities Assistance and Bill of Rights Act of 12 2000, 42 U.S.C. §§ 15001 et seq. 13 (d) Shall, after considering advice from agencies of local 14 governments and nonprofit organizations which provide social 15 services, adopt a master plan for the provision of human services in 16 this State. The Director shall revise the plan biennially and deliver a 17 copy of the plan to the Governor and the Legislature at the 18 beginning of each regular session. The plan must: 19 (1) Identify and assess the plans and programs of the 20 Department for the provision of human services, and any 21 duplication of those services by federal, state and local agencies; 22 (2) Set forth priorities for the provision of those services; 23 (3) Provide for communication and the coordination of those 24 services among nonprofit organizations, agencies of local 25 government, the State and the Federal Government; 26 (4) Identify the sources of funding for services provided by 27 the Department and the allocation of that funding; 28 (5) Set forth sufficient information to assist the Department 29 in providing those services and in the planning and budgeting for the 30 future provision of those services; and 31 (6) Contain any other information necessary for the 32 Department to communicate effectively with the Federal 33 Government concerning demographic trends, formulas for the 34 distribution of federal money and any need for the modification of 35 programs administered by the Department. 36 (e) May, by regulation, require nonprofit organizations and state 37 and local governmental agencies to provide information regarding 38 the programs of those organizations and agencies, excluding 39 detailed information relating to their budgets and payrolls, which the 40 Director deems necessary for the performance of the duties imposed 41 upon him or her pursuant to this section. 42 (f) Has such other powers and duties as are provided by law. 43 – 4 – - *AB297_R1* 2. Notwithstanding any other provision of law, the Director, or 1 the Director’s designee, is responsible for appointing and removing 2 subordinate officers and employees of the Department. 3 Sec. 3. 1. This section becomes effective upon passage and 4 approval. 5 2. Sections 1 to 2.7, inclusive, of this act become effective: 6 (a) Upon passage and approval for the purpose of adopting any 7 regulations and performing any other preparatory administrative 8 tasks that are necessary to carry out the provisions of this act; and 9 (b) On January 1, 2026, for all other purposes. 10 H