SB366 - Revises provisions relating to Medicaid. (BDR S-1040)

S.B. 366 - *SB366* SENATE BILL NO. 366–SENATORS KRASNER; ELLISON, PAZINA AND SCHEIBLE MARCH 17, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to Medicaid. (BDR S-1040) 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; requiring the Department of Health and Human Services to seek an increase to certain reimbursement rates under Medicaid; 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. (NRS 422.270) This bill requires the Department 2 to submit to the United States Secretary of Health and Human Service a request to 3 amend Medicaid to increase the rate of reimbursement for each service provided by 4 certain providers of mental health care, physical therapists, occupational therapists, 5 speech-language pathologists and practitioners of respiratory care. This bill requires 6 the Department to request to increase the rates of reimbursement under Medicaid 7 by an additional amount for services provided: (1) in a community setting; (2) in 8 person in a county whose population is less than 100,000 (currently all counties 9 other than Clark and Washoe Counties); and (3) in person in an area with a shortage 10 of the type of provider of health care who provides that service. 11 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. 1. On or before October 1, 2025, the Department 1 of Health and Human Services shall determine the areas in this State 2 that have a shortage of type 34 providers. 3 2. On or before October 1, 2025, the Department of Health and 4 Human Services shall submit to the United States Secretary of 5 – 2 – - *SB366* Health and Human Services a request to amend the Medicaid 1 program to increase the rate of reimbursement under Medicaid for: 2 (a) Each service provided by a type 14 provider or a type 34 3 provider by at least 3 percent of the rate of reimbursement for that 4 service on the effective date of this act; 5 (b) Each service described in paragraph (a) that is provided in a 6 community setting by at least an additional 3 percent of the rate of 7 reimbursement for that service on the effective date of this act; 8 (c) Each service described in paragraph (a) that is provided in 9 person in a county whose population is less than 100,000 by at least 10 an additional 3 percent of the rate of reimbursement for that service 11 on the effective date of this act; 12 (d) Each service that is provided by a type 14 provider in person 13 in a health professional shortage area for mental health by at least an 14 additional 3 percent of the rate of reimbursement for that service 15 provided on the effective date of this act; and 16 (e) Each service that is provided by a type 34 provider in person 17 in an area determined pursuant to subsection 1 to have a shortage of 18 type 34 providers by at least an additional 3 percent of the rate of 19 reimbursement for that service on the effective date of this act. 20 3. The request submitted pursuant to subsection 2 must be 21 supported using methods for determining reimbursement rates 22 accepted by the Secretary. 23 4. As used in this section: 24 (a) “Community setting” includes a home, school, preschool, 25 daycare center for children or community center. 26 (b) “Health professional shortage area for mental health” means 27 an area that has been designated by the United States Secretary of 28 Health and Human Services as a health professional shortage area 29 for mental health pursuant to 42 U.S.C. § 254e. 30 (c) “Provider of health care” has the meaning ascribed to it in 31 NRS 629.031. 32 (d) “Type 14 provider” means a provider of health care who is 33 designated as provider type 14 in the “Provider Enrollment 34 Information Booklet” for Nevada Medicaid and Nevada Check Up 35 published by the Division of Health Care Financing and Policy of 36 the Department of Health and Human Services. 37 (e) “Type 34 provider” means a provider of health care who is 38 designated as provider type 34 in the “Provider Enrollment 39 Information Booklet” for Nevada Medicaid and Nevada Check Up 40 published by the Division of Health Care Financing and Policy of 41 the Department of Health and Human Services. 42 Sec. 2. This act becomes effective upon passage and approval. 43 H