S.B. 306 - *SB306* SENATE BILL NO. 306–SENATOR CRUZ-CRAWFORD MARCH 10, 2025 ____________ JOINT SPONSOR: ASSEMBLYMEMBER MOSCA ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to mental health services for children. (BDR 39-796) FISCAL NOTE: Effect on Local Government: May have Fiscal Impact. 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 mental health; revising provisions relating to the admission of a child with an emotional disturbance to certain inpatient psychiatric treatment facilities; establishing provisions related to the discharge of a child with an emotional disturbance from certain inpatient psychiatric treatment facilities; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing law authorizes the Administrator of the Division of Child and Family 1 Services of the Department of Health and Human Services to receive a child with 2 an emotional disturbance for treatment in certain treatment facilities if the child is a 3 resident of this State and: (1) the child is committed by a court order; or (2) a parent 4 or legal guardian makes application for treatment for the child. (NRS 433B.310) 5 Section 4 of this bill makes various changes to provide that any such child with an 6 emotional disturbance may be admitted to a treatment facility. 7 Section 2 of this bill requires a public or private inpatient psychiatric treatment 8 facility that is authorized to receive reimbursements from Medicaid for services 9 provided to a child with an emotional disturbance to accept a child for treatment at 10 the facility unless the facility determines that it does not have the availability or 11 resources to provide adequate treatment to the child, in which case the facility must 12 identify an alternative facility from which the child could receive treatment and 13 assist with the admission of the child at the identified facility. 14 Section 2 also requires certain public or private inpatient psychiatric treatment 15 facilities that are authorized to receive reimbursements from Medicaid to develop a 16 plan to provide services to children with emotional disturbances under certain 17 circumstances. 18 – 2 – - *SB306* Section 3 of this bill requires a public or private inpatient psychiatric treatment 19 facility that admits a child with an emotional disturbance to prepare a discharge 20 plan which must be shared with and agreed to by each parent or legal guardian of 21 the child before the release of the child from the facility. 22 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Chapter 433B of NRS is hereby amended by adding 1 thereto the provisions set forth as sections 2 and 3 of this act. 2 Sec. 2. 1. Notwithstanding any provision of NRS 433B.320 3 or 433B.330, if a public or private inpatient psychiatric treatment 4 facility is authorized to receive reimbursement through Medicaid 5 for the treatment of a child with an emotional disturbance, the 6 public or private inpatient psychiatric treatment facility shall 7 admit the child for treatment unless the facility does not have the 8 availability or resources to adequately meet the needs of the child. 9 2. If a public or private inpatient psychiatric treatment facility 10 is unable to provide treatment to a child with an emotional 11 disturbance pursuant to subsection 1, the public or private 12 inpatient psychiatric treatment facility shall identify a facility from 13 which the child could receive treatment and assist with the 14 admission of the child at the identified facility. 15 3. If a public or private inpatient psychiatric treatment facility 16 is authorized to receive reimbursement through Medicaid and does 17 not provide services to children, the facility shall develop a plan to 18 provide services to children who would otherwise qualify for 19 admission based on the reimbursable services. 20 Sec. 3. A public or private inpatient psychiatric treatment 21 facility that admits a child with an emotional disturbance for 22 treatment shall, before the release of the child from the facility, 23 prepare a discharge plan which must be shared with and agreed to 24 by each parent or legal guardian of the child. 25 Sec. 4. NRS 433B.310 is hereby amended to read as follows: 26 433B.310 [The Administrator may receive any] Except as 27 otherwise provided in section 2 of this act and subject to NRS 28 433B.320 and 433B.330, a child with an emotional disturbance may 29 be admitted for treatment [in] at a treatment facility or [any other] 30 division facility if the child is a resident of this State and if: 31 1. The child is committed by court order to the custody of the 32 Administrator or to a division facility; or 33 2. The child’s parent, parents or legal guardian makes 34 application for treatment for the child. 35 H