S.B. 300
- *SB300*
SENATE BILL NO. 300–SENATORS DONDERO LOOP, FLORES,
CRUZ-CRAWFORD; CANNIZZARO, DALY, OHRENSCHALL,
PAZINA AND TAYLOR
MARCH 10, 2025
____________
Referred to Committee on Health and Human Services
SUMMARY—Makes revisions relating to Medicaid.
(BDR 38-110)
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 cover certain
mental health services provided at a federally-qualified
health center; and providing other matters properly
relating thereto.
Legislative Counsel’s Digest:
The policies of the Department of Health and Human Services provide that 1
Medicaid will provide coverage of services provided by a psychiatrist, 2
psychologist, advanced practice registered nurse, marriage and family therapist or 3
licensed clinical social worker at a federally-qualified health center. (Medicaid 4
Services Manual 2903(B)(1)) In 2023, federal law was amended to authorize 5
federal financial participation for Medicaid coverage of services provided by 6
mental health counselors, including alcohol and drug counselors and problem 7
gambling counselors who hold a master’s or doctoral degree and clinical 8
professional counselors, when such services are provided in a federally-qualified 9
health center. (42 U.S.C. § 1396a(10), 42 U.S.C. § 1396d(a)(2)(c), 42 U.S.C. § 10
1396d(1)(2); Consolidated Appropriations Act of 2023, Pub. L. No. 117-328, § 11
4121) This bill: (1) codifies into law existing requirements that Medicaid cover 12
services provided by a psychiatrist, psychologist, advanced practice registered 13
nurse, marriage and family therapist or licensed clinical social worker at a 14
federally-qualified health center; and (2) newly requires Medicaid to cover services 15
provided by a mental health counselor. 16
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THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 422.272366 is hereby amended to read as 1
follows: 2
422.272366 1. [The] To the extent that federal financial 3
participation is available, the Director shall include [in the State 4
Plan for] under Medicaid [a requirement that the State must pay the 5
nonfederal share of expenditures incurred] coverage for behavioral 6
health services, including, without limitation, mental health services 7
and services for the treatment of a substance use disorder, that are 8
delivered [through] : 9
(a) Through evidence-based, behavioral health integration 10
models, including, without limitation, collaborative care 11
management services [.] ; or 12
(b) In a federally-qualified health center by a psychiatrist, 13
psychologist, advanced practice registered nurse, licensed 14
marriage and family therapist, licensed clinical social worker or 15
mental health counselor. 16
2. The Department shall: 17
(a) Apply to the Secretary of Health and Human Services for 18
any waiver of federal law or apply for any amendment of the State 19
Plan for Medicaid that is necessary for the Department to receive 20
federal funding to provide the coverage described in subsection 1. 21
(b) Fully cooperate in good faith with the Federal Government 22
during the application process to satisfy the requirements of the 23
Federal Government for obtaining a waiver or amendment 24
pursuant to paragraph (a). 25
3. As used in this section: 26
(a) “Behavioral health integration model” means a model of 27
delivering behavioral health services that integrates such services 28
with primary care. The term includes, without limitation, the 29
delivery of behavioral health services using collaborative care 30
management services. 31
(b) “Collaborative care management services” means a 32
combination of services and structured care management with 33
regular assessments directed and provided by a team of providers of 34
primary care and providers of behavioral health care. 35
(c) “Federally-qualified health center” has the meaning 36
ascribed to it in 42 U.S.C. § 1396d(l)(2)(B). 37
(d) “Mental health counselor” has the meaning ascribed to it 38
in 42 U.S.C. § 1395x(lll)(4). 39
Sec. 2. 1. This section becomes effective upon passage and 40
approval. 41
2. Section 1 of this act becomes effective: 42
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- *SB300*
(a) Upon passage and approval for the purpose of adopting any 1
regulations and performing any other preparatory administrative 2
tasks that are necessary to carry out the provisions of this act; and 3
(b) On October 1, 2025, for all other purposes. 4
H