EXEMPT
(Reprinted with amendments adopted on April 21, 2025)
FIRST REPRINT S.B. 300
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SENATE BILL NO. 300–SENATORS DONDERO LOOP, FLORES,
CRUZ-CRAWFORD; CANNIZZARO, DALY, OHRENSCHALL,
PAZINA AND TAYLOR
MARCH 10, 2025
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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 who hold a 7
master’s or doctoral degree and clinical professional counselors, when such 8
services are provided in a federally-qualified health center. (42 U.S.C. § 1396a(10), 9
42 U.S.C. § 1396d(a)(2)(c), 42 U.S.C. § 1396d(1)(2); Consolidated Appropriations 10
Act of 2023, Pub. L. No. 117-328, § 4121) This bill: (1) codifies into law existing 11
requirements that Medicaid cover services provided by a psychiatrist, psychologist, 12
advanced practice registered nurse, marriage and family therapist or licensed 13
clinical social worker at a federally-qualified health center; (2) newly requires 14
Medicaid to cover services provided by a clinical professional counselor, licensed 15
alcohol and drug counselor or licensed clinical alcohol and drug counselor at a 16
federally qualified health center; and (3) newly requires Medicaid to cover services 17
provided by a master’s level intern in any of those professions practicing in a 18
federally-qualified health center under supervision. 19
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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: 13
(1) A psychiatrist, psychologist, advanced practice 14
registered nurse, licensed marriage and family therapist, licensed 15
clinical social worker, clinical professional counselor, licensed 16
alcohol and drug counselor or licensed clinical alcohol and drug 17
counselor; or 18
(2) A master’s level intern practicing under the direct 19
supervision of a provider of health care listed in subparagraph 1 20
who practices the same profession as the master’s level intern. 21
2. The Department shall: 22
(a) Apply to the Secretary of Health and Human Services for 23
any waiver of federal law or apply for any amendment of the State 24
Plan for Medicaid that is necessary for the Department to receive 25
federal funding to provide the coverage described in subsection 1. 26
(b) Fully cooperate in good faith with the Federal Government 27
during the application process to satisfy the requirements of the 28
Federal Government for obtaining a waiver or amendment 29
pursuant to paragraph (a). 30
3. As used in this section: 31
(a) “Behavioral health integration model” means a model of 32
delivering behavioral health services that integrates such services 33
with primary care. The term includes, without limitation, the 34
delivery of behavioral health services using collaborative care 35
management services. 36
(b) “Collaborative care management services” means a 37
combination of services and structured care management with 38
regular assessments directed and provided by a team of providers of 39
primary care and providers of behavioral health care. 40
(c) “Federally-qualified health center” has the meaning 41
ascribed to it in 42 U.S.C. § 1396d(l)(2)(B). 42
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(d) “Master’s level intern” means: 1
(1) A physician licensed pursuant to chapter 630 or 633 of 2
NRS who is completing a residency or fellowship in psychiatry; 3
(2) A registered nurse who holds a master’s or doctoral 4
degree in nursing and is completing the training necessary for 5
licensure as an advanced practice registered nurse; 6
(3) A psychological assistant, as defined in NRS 641.0263, 7
a psychological intern, as defined in NRS 641.0265, or a 8
psychological trainee, as defined in NRS 641.0267; 9
(4) A licensed marriage and family therapist intern; 10
(5) A licensed clinical professional counselor intern; 11
(6) A social worker who holds a master’s or doctoral degree 12
in social work, is licensed to engage in social work and is 13
completing the training necessary for licensure as a clinical social 14
worker; 15
(7) A certified clinical alcohol and drug counselor intern; 16
or 17
(8) A certified alcohol and drug counselor who holds a 18
master’s degree or a doctoral degree in a field of social science 19
approved by the Board of Examiners for Alcohol, Drug and 20
Gambling Counselors and is completing the supervised counseling 21
required for licensure as an alcohol and drug counselor. 22
Sec. 2. 1. This section becomes effective upon passage and 23
approval. 24
2. Section 1 of this act becomes effective: 25
(a) Upon passage and approval for the purpose of adopting any 26
regulations and performing any other preparatory administrative 27
tasks that are necessary to carry out the provisions of this act; and 28
(b) On October 1, 2025, for all other purposes. 29
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