A.B. 514
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ASSEMBLY BILL NO. 514–COMMITTEE ON
HEALTH AND HUMAN SERVICES
(ON BEHALF OF THE JOINT INTERIM STANDING COMMITTEE
ON HEALTH AND HUMAN SERVICES)
MARCH 24, 2025
____________
Referred to Committee on Health and Human Services
SUMMARY—Provides for Medicaid coverage of certain mental
health services. (BDR 38-350)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: Yes.
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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to Medicaid; requiring Medicaid to provide
coverage for certain community-based living arrangement
services; and providing other matters properly relating
thereto.
Legislative Counsel’s Digest:
Existing law requires the Department of Health and Human Services to 1
administer Medicaid. (NRS 422.270) Section 1 of this bill requires the Director of 2
the Department to include under Medicaid coverage for care provided through a 3
therapeutic group home to recipients of Medicaid who have serious mental 4
illnesses. Section 1 defines the term “therapeutic group home” to mean a provider 5
of community-based living arrangement services that supports independent, 6
community-based living for persons with serious mental illnesses. Section 2 of this 7
bill makes a conforming change to require the Director to administer the provisions 8
of section 1 in the same manner as the provisions of existing law governing the 9
State Plan for Medicaid. 10
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. To the extent that federal financial participation is 3
available, the Director shall include under Medicaid coverage for 4
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care provided through a therapeutic group home to recipients of 1
Medicaid who have serious mental illnesses. 2
2. The Department shall: 3
(a) Establish a method for providing the coverage described in 4
subsection 1. 5
(b) Apply to the Secretary of Health and Human Services for 6
any waiver of federal law or apply for any amendment of the State 7
Plan for Medicaid that is necessary for the Department to receive 8
federal funding to provide the coverage described in subsection 1. 9
(c) Fully cooperate in good faith with the Federal Government 10
during the application process to satisfy the requirements of the 11
Federal Government for obtaining a waiver or amendment 12
pursuant to paragraph (b). 13
3. As used in this section: 14
(a) “Community-based living arrangement services” has the 15
meaning ascribed to it in NRS 449.0026. 16
(b) “Therapeutic group home” means a provider of 17
community-based living arrangement services that supports 18
independent, community-based living for persons with serious 19
mental illnesses. 20
Sec. 2. NRS 232.320 is hereby amended to read as follows: 21
232.320 1. The Director: 22
(a) Shall appoint, with the consent of the Governor, 23
administrators of the divisions of the Department, who are 24
respectively designated as follows: 25
(1) The Administrator of the Aging and Disability Services 26
Division; 27
(2) The Administrator of the Division of Welfare and 28
Supportive Services; 29
(3) The Administrator of the Division of Child and Family 30
Services; 31
(4) The Administrator of the Division of Health Care 32
Financing and Policy; and 33
(5) The Administrator of the Division of Public and 34
Behavioral Health. 35
(b) Shall administer, through the divisions of the Department, 36
the provisions of chapters 63, 424, 425, 427A, 432A to 442, 37
inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 38
127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 39
section 1 of this act, 422.580, 432.010 to 432.133, inclusive, 40
432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 41
and 445A.010 to 445A.055, inclusive, and all other provisions of 42
law relating to the functions of the divisions of the Department, but 43
is not responsible for the clinical activities of the Division of Public 44
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and Behavioral Health or the professional line activities of the other 1
divisions. 2
(c) Shall administer any state program for persons with 3
developmental disabilities established pursuant to the 4
Developmental Disabilities Assistance and Bill of Rights Act of 5
2000, 42 U.S.C. §§ 15001 et seq. 6
(d) Shall, after considering advice from agencies of local 7
governments and nonprofit organizations which provide social 8
services, adopt a master plan for the provision of human services in 9
this State. The Director shall revise the plan biennially and deliver a 10
copy of the plan to the Governor and the Legislature at the 11
beginning of each regular session. The plan must: 12
(1) Identify and assess the plans and programs of the 13
Department for the provision of human services, and any 14
duplication of those services by federal, state and local agencies; 15
(2) Set forth priorities for the provision of those services; 16
(3) Provide for communication and the coordination of those 17
services among nonprofit organizations, agencies of local 18
government, the State and the Federal Government; 19
(4) Identify the sources of funding for services provided by 20
the Department and the allocation of that funding; 21
(5) Set forth sufficient information to assist the Department 22
in providing those services and in the planning and budgeting for the 23
future provision of those services; and 24
(6) Contain any other information necessary for the 25
Department to communicate effectively with the Federal 26
Government concerning demographic trends, formulas for the 27
distribution of federal money and any need for the modification of 28
programs administered by the Department. 29
(e) May, by regulation, require nonprofit organizations and state 30
and local governmental agencies to provide information regarding 31
the programs of those organizations and agencies, excluding 32
detailed information relating to their budgets and payrolls, which the 33
Director deems necessary for the performance of the duties imposed 34
upon him or her pursuant to this section. 35
(f) Has such other powers and duties as are provided by law. 36
2. Notwithstanding any other provision of law, the Director, or 37
the Director’s designee, is responsible for appointing and removing 38
subordinate officers and employees of the Department. 39
Sec. 3. 1. This section becomes effective upon passage and 40
approval. 41
2. Sections 1 and 2 of this act become effective: 42
(a) Upon passage and approval for the purpose of adopting any 43
regulations and performing any other preparatory administrative 44
tasks that are necessary to carry out the provisions of this act; and 45
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(b) On July 1, 2026, for all other purposes. 1
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