SB40 - Creates the Medicaid Health Care Workforce Account. (BDR 38-451)

S.B. 40 - *SB40* SENATE BILL NO. 40–COMMITTEE ON HEALTH AND HUMAN SERVICES (ON BEHALF OF THE PATIENT PROTECTION COMMISSION) PREFILED NOVEMBER 15, 2024 ____________ Referred to Committee on Health and Human Services SUMMARY—Creates the Medicaid Health Care Workforce Account. (BDR 38-451) 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 Medicaid; creating the Medicaid Health Care Workforce Account; prescribing the authorized uses of the money in the Account; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing law requires the Office of Science, Innovation and Technology in the 1 Office of the Governor to establish and administer a Graduate Medical Education 2 Grant Program as a competitive grant program to award grants to institutions in this 3 State seeking to create, expand or retain certain programs for residency training for 4 physicians and postdoctoral medical fellows. (NRS 223.637) Existing law 5 authorizes the Board of Regents of the University of Nevada to administer a 6 program to provide loans for fees, books and living expenses to students in the 7 nursing programs of the Nevada System of Higher Education. (NRS 396.890) 8 Existing law authorizes the Nevada Health Service Corps established by the 9 University of Nevada School of Medicine to administer a program to repay the 10 student education loans on behalf of certain health care practitioners who practice 11 in areas of this State in which a shortage of that type of practitioner exists. (NRS 12 396.903) Section 1 of this bill creates the Medicaid Health Care Workforce 13 Account. Section 1 requires the Administrator of the Division of Health Care 14 Financing and Policy of the Department of Health and Human Services to use the 15 money in the Account to: (1) pay the costs of administering the Account; and (2) 16 support projects and programs to expand the health care workforce of this State for 17 which certain federal financial participation is available. Section 2 of this bill 18 requires the Director of the Department to administer the provisions of section 1 in 19 the same manner as other provisions relating to Medicaid. 20 – 2 – - *SB40* THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Chapter 422 of NRS is hereby amended by adding 1 thereto a new section to read as follows: 2 1. The Medicaid Health Care Workforce Account is hereby 3 created in the State General Fund. The Administrator shall 4 administer the Account. 5 2. The money in the account must be used to: 6 (a) Pay the costs of administering the Account; and 7 (b) Support projects and programs to expand the health care 8 workforce of this State for which federal financial participation is 9 available under Title XIX of the Social Security Act, which may 10 include, without limitation: 11 (1) Programs to provide graduate medical education; 12 (2) Programs to pay the indirect costs of medical education; 13 (3) Fellowship and apprenticeship programs for providers 14 of health care; and 15 (4) Programs to assist with repayment of student education 16 loans for providers of health care. 17 3. The Administrator may apply for and accept any gift, 18 donation, bequest, grant or other source of money for the purposes 19 described in subsection 2. Any money so received must be 20 deposited in the Account. 21 4. The interest and income earned on the money in the 22 Account, after deducting any applicable charges, must be credited 23 to the Account. Any money remaining in the Account at the end of 24 the fiscal year does not revert to the State General Fund, and the 25 balance in the Account must be carried forward to the next fiscal 26 year. 27 5. Claims against the Account must be paid as other claims 28 against the State are paid. 29 6. As used in this section, “indirect costs of medical 30 education” means the higher costs for patient care paid by 31 facilities that provide graduate medical education relative to 32 facilities that do not provide graduate medical education. 33 Sec. 2. NRS 232.320 is hereby amended to read as follows: 34 232.320 1. The Director: 35 (a) Shall appoint, with the consent of the Governor, 36 administrators of the divisions of the Department, who are 37 respectively designated as follows: 38 (1) The Administrator of the Aging and Disability Services 39 Division; 40 (2) The Administrator of the Division of Welfare and 41 Supportive Services; 42 – 3 – - *SB40* (3) The Administrator of the Division of Child and Family 1 Services; 2 (4) The Administrator of the Division of Health Care 3 Financing and Policy; and 4 (5) The Administrator of the Division of Public and 5 Behavioral Health. 6 (b) Shall administer, through the divisions of the Department, 7 the provisions of chapters 63, 424, 425, 427A, 432A to 442, 8 inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 9 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 10 section 1 of this act, 422.580, 432.010 to 432.133, inclusive, 11 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 12 and 445A.010 to 445A.055, inclusive, and all other provisions of 13 law relating to the functions of the divisions of the Department, but 14 is not responsible for the clinical activities of the Division of Public 15 and Behavioral Health or the professional line activities of the other 16 divisions. 17 (c) Shall administer any state program for persons with 18 developmental disabilities established pursuant to the 19 Developmental Disabilities Assistance and Bill of Rights Act of 20 2000, 42 U.S.C. §§ 15001 et seq. 21 (d) Shall, after considering advice from agencies of local 22 governments and nonprofit organizations which provide social 23 services, adopt a master plan for the provision of human services in 24 this State. The Director shall revise the plan biennially and deliver a 25 copy of the plan to the Governor and the Legislature at the 26 beginning of each regular session. The plan must: 27 (1) Identify and assess the plans and programs of the 28 Department for the provision of human services, and any 29 duplication of those services by federal, state and local agencies; 30 (2) Set forth priorities for the provision of those services; 31 (3) Provide for communication and the coordination of those 32 services among nonprofit organizations, agencies of local 33 government, the State and the Federal Government; 34 (4) Identify the sources of funding for services provided by 35 the Department and the allocation of that funding; 36 (5) Set forth sufficient information to assist the Department 37 in providing those services and in the planning and budgeting for the 38 future provision of those services; and 39 (6) Contain any other information necessary for the 40 Department to communicate effectively with the Federal 41 Government concerning demographic trends, formulas for the 42 distribution of federal money and any need for the modification of 43 programs administered by the Department. 44 – 4 – - *SB40* (e) May, by regulation, require nonprofit organizations and state 1 and local governmental agencies to provide information regarding 2 the programs of those organizations and agencies, excluding 3 detailed information relating to their budgets and payrolls, which the 4 Director deems necessary for the performance of the duties imposed 5 upon him or her pursuant to this section. 6 (f) Has such other powers and duties as are provided by law. 7 2. Notwithstanding any other provision of law, the Director, or 8 the Director’s designee, is responsible for appointing and removing 9 subordinate officers and employees of the Department. 10 Sec. 3. This act becomes effective on July 1, 2025. 11 H