[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6323485,"mediaKeyId","2342393-c416d91915f6c818fdcfad876365b203","parentId",2342393,"title","Senator Taylor’s bill would let Medicaid reimburse family members for in‑home care of disabled children","audioSeconds",1990,"startMs",3413000,"endMs",5403000,"viewUrl","/Search/View?dp=1&key=2342393-c416d91915f6c818fdcfad876365b203&start=3413&end=5403","thumbnailUrl","https://assets.pipeline.soar.com/2342393-c416d91915f6c818fdcfad876365b203/thumbnail_3413000.jpg","articleUrl","/articles/6323485/Nevada/Senator-Taylors-bill-would-let-Medicaid-reimburse-family-members-for-inhome-care-of-disabled-children","mediaUrl","https://secure.pipeline.soar.com/6323485-df213a0b22063d721998bd21bd6d390e/orig.mp4?Expires=1775621682&Signature=fPhtLpjP7dhdOjcvtYzvLqF07b-aD3ZcLaAzZKiSy2WZR-cdTiIU04w~HVs9VyTKiAyF1A97BTI99JLduEs4zW3RCPCJnRY0PqN994bdowQm45AtfCLeHhVAGMZF3L8P09kn~GR8un9Alqjq7DmGYswR3C7sXBS1kwltu9RA6w3SIkNwWjjmg76lkho2OfrU843njzFzgv8udnazQ96hvxB9QcjEci1nUY9birBPhOBxs~jP8~F6i1ueRIXQ1bH~KdHxuwjgYePhDclpA7S-dI~QnWgqNz5ditpD3~S7VTaeXSjFiRb88-8PnubFwPFbiouIxK-l2i4-t0ZF0zD35g__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada Legislature","date","2025-02-18T00:00:00Z","article","Carson City — Senator Angie Taylor (R‑District 15) presented Senate Bill 185 in the Senate Health and Human Services Committee on Wednesday, a proposal to require Nevada's Department of Health and Human Services to reimburse family members who provide personal‑care services to Medicaid recipients under age 18 with severe disabilities or chronic illnesses.

Taylor said the bill was prompted by constituent stories and years of observation in local schools and suggested it would ease financial strain for families who otherwise must give up employment to provide full‑time care. \"This bill seeks to alleviate some of the financial burden by requiring Nevada's Department of Health and Human Services to reimburse family members who provide the personal care services, to Medicaid recipients under the age of 18 who have been diagnosed with a severe disability or with a disability or chronic illness,\" she said.

Kirsten Coulom, chief for Long Term Services and Supports with Nevada Medicaid, described how the program would operate under existing Medicaid rules. Coulom said family members would enroll through a personal‑care agency and would therefore be subject to the same background checks, trainings and agency oversight required for other paid caregivers. She also said the bill would use federal home‑and‑community‑based authorities (testified as a Section 1915(c) waiver or a 1915(i) state plan option) to allow family caregivers to be paid while preserving enhanced quality assurance.

Committee members pressed on specifics: whether training and background checks would apply to family caregivers (Coulom said yes), whether the bill's age cap should extend beyond 18 to 21 (Coulom noted Medicaid often covers medically necessary services through age 21 under EPSDT), and how the state would address potential fraud or misuse (Medicaid surveillance and recoupment were described as existing enforcement tools; agencies would pursue education and then recoupment if necessary).

Multiple advocacy groups testified in support. Carissa Pierce of Children's Advocacy Alliance said the bill helps families keep children at home amid a provider shortage. Annette Logan Parker of Cure for the Kids Foundation and Terrence Thornton of Special Olympics Nevada also spoke in favor, citing the emotional and financial strain on caregivers. Chelsea Bishop of Access for Kids Nevada and Rebecca Acosta, a pediatric health advocate, described personal encounters with families who would benefit.

Witnesses and staff recommended possible amendments: extending coverage to older dependents (up to age 21), allowing reimbursement for non‑parent family caregivers (grandparents, adult siblings), and clarifying eligibility and medical‑necessity thresholds so the program targets children who would otherwise require paid personal‑care services.

The sponsor said she would consider amendments and return with revised language. The committee closed the hearing on SB 185 without a vote.

Why it matters: Supporters said family caregivers already provide most in‑home care for many medically complex children; the bill would recognize that work with Medicaid reimbursement while keeping agency oversight in place to reduce fraud risk.","mediaType","Video","parentTitle","2/18/2025 - Senate Committee on Health and Human Services","oneSentenceSummary","Senate Bill 185 would require Nevada Medicaid to reimburse family members who provide personal‑care services to Medicaid‑eligible children under age 18 with severe disabilities or chronic illnesses; agency staff said family caregivers would enroll through personal‑care agencies and follow the same checks and training as paid caregivers.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":44,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6323490,"Bill would let NDEP require health districts to demonstrate capacity before taking on drinking‑water or solid‑waste programs",1784,1629000,"/Search/View?dp=1&key=2342393-c416d91915f6c818fdcfad876365b203&start=1629&end=3413","https://assets.pipeline.soar.com/2342393-c416d91915f6c818fdcfad876365b203/thumbnail_1629000.jpg","/articles/6323490/Nevada/Bill-would-let-NDEP-require-health-districts-to-demonstrate-capacity-before-taking-on-drinkingwater-or-solidwaste-programs","https://secure.pipeline.soar.com/6323490-52c90aa49b95dc69fb461165ec0f57a2/orig.mp4?Expires=1775621682&Signature=IC8EPnLON7sQeb0XE43nbeDsw~NwZCVcGdYkd8-xsEsGExlmuCS8uLJXTJR3rj11TL3C7IphbFj--jFmES1jSzSOdLG2oVd04A071JYPrHqqMLrIs9uTLaSp3P6LyE0cir81Q8ieFpziFMfphEnvhaTG2Y45xvmuBVdYZVjyRWQVAW0a-sDK5aEpFZl9aFtttkjEWKThHOI7F2tZxT4Q1MIW60T4sZo35gGlsW3P3rZKf2uESHG05JMpDN~mJapuzXCCskxCt9ql~vtYtzLfBhthDlOR6OIhs44ROerMFTOo2sLIbBVSmUPHDfx4nhiaf1qNQdmAdkY0LCGOYNPpwQ__&Key-Pair-Id=KUT5TJCACFTXG","Carson City — The Senate Committee on Health and Human Services heard Senate Bill 43, a proposal from the Nevada Division of Environmental Protection that would revise how the state delegates federally delegated safe drinking‑water and solid‑waste authorities to local health districts.

Jennifer Carr, administrator of the Division of Environmental Protection, told the committee the bill and a substantive conceptual amendment are intended to create a transparent, capacity‑based pathway for health districts to assume parts or all of the programs currently implemented by NDEP under federal delegation. \"The amendments really ensure that NDEP holds an active role in designating a health district to have state authority of the public water systems law based on a demonstration of capacity,\" Carr said.

Key provisions in the conceptual amendment would: remove a prior population threshold that limited delegation; allow a district board of health to seek designation for all or part of the programs at any time; require an interlocal cooperative agreement that clearly defines scope and duties; direct the State Environmental Commission to adopt regulations setting capacity criteria; and provide for periodic reviews of a district's performance. If a deficiency poses an imminent and substantial threat to public health or the environment, NDEP could revoke designation immediately, with the district retaining an appeal right to the State Environmental Commission. For non‑immediate deficiencies, NDEP would provide at least 60 days to correct problems before initiating revocation.

Carr described the historical context: Nevada has administered solid‑waste programs since 1971 under NRS provisions (discussed in testimony as NRS 444) and has operated drinking‑water programs under NRS 445A since the 1970s. The division also administers RCRA‑related landfill permitting under federal delegation from the U.S. Environmental Protection Agency. Carr said recent formation of new districts — including a Central Nevada Health District — prompted the agency to reexamine delegation processes to ensure NDEP remains able to meet its federal primacy obligations.

Central Nevada Health District Deputy Administrator Maria Menjivar testified in support of the conceptual amendment and said the district looks forward to working with NDEP and the Environmental Commission to develop necessary regulations. Representatives of Northern and Southern Nevada health districts testified neutral on the amendment, thanking NDEP for working collaboratively and saying the interlocal approach and stakeholder involvement addressed their concerns.

Senators asked about practical details: how often program reviews would occur, what criteria regulation would include, and whether NDEP could impose fines. Carr said regular program reviews would likely align with federal reporting practices — at least annual programmatic reviews, with variance by district — and that the division and Environmental Commission would define capacity criteria by regulation. Carr also said the division typically seeks correction and capacity building first; fines and penalties apply to regulated facilities directly, but NDEP expects to use corrective action and revocation of designation, not civil fines, as enforcement of delegation terms.

Why it matters: The amendment aims to balance NDEP's federal obligations with local control, creating a pathway for newer or growing health districts to assume program responsibilities while preserving NDEP's role in protecting public health and meeting EPA primacy requirements.

The committee closed the hearing on SB 43; members indicated they expect additional committee work as regulations are developed and the bill moves forward.","Senate Bill 43 would change how Nevada delegates federally delegated drinking‑water and solid‑waste program responsibilities to local health districts: remove a population cap, require formal NDEP designation based on capacity, create periodic reviews and allow revocation for imminent threats.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6323495,"Senate committee hears bill to restore 'emergency medical responder' title, citing rural needs",367,1306000,1673000,"/Search/View?dp=1&key=2342393-c416d91915f6c818fdcfad876365b203&start=1306&end=1673","https://assets.pipeline.soar.com/2342393-c416d91915f6c818fdcfad876365b203/thumbnail_1306000.jpg","/articles/6323495/Nevada/Senate-committee-hears-bill-to-restore-emergency-medical-responder-title-citing-rural-needs","https://secure.pipeline.soar.com/6323495-91b783d839df7bd2f8bfd49ce20461fc/orig.mp4?Expires=1775621682&Signature=bgO-eLGUiwqC6pGgUfH5oU8pMzgS6irz6r16JCmBltAx1f0qoiut5KJE8~mCHygDA1lzzVgsWPybBQUzFUwpJshYVebvomAwZSJYWCn-9oItCVjo66A2T-N1sR6AwWILN~WjcCz7TcEZLk9IPPvmvCWAr3l4IFhYJWmk5iax6In28ly2h-Sbge7oksfuuCAORPEBV3EZwX5aYfs5fDkzSeOsjuntXFz4RrqkNs1~lTpAFmRjQRc3Fnkni8dbZC-RmswH2U4V7Bmpx8lLBcNUPhpWfVpV21eCFhd9p8CIeo9R9kBsEJn0jb4nasPBT4goI2Q-39alYIIt2uF25VwZ2Q__&Key-Pair-Id=KUT5TJCACFTXG","Carson City — The Senate Committee on Health and Human Services heard Senate Bill 24 on Wednesday, a bill that would add \"emergency medical responder\" as a recognized pre‑hospital provider in Nevada statutes to align state law with national standards and support rural emergency response.

The bill was presented by Kyle Devine, deputy administrator with the Division of Public Behavioral Health, who told the committee that the provider type was previously called the first responder and was omitted when earlier legislation renamed emergency medical personnel to match national nomenclature. \"We just are very thankful that you're willing to hear this. We believe that this will be very beneficial, to our rural communities and, providing more personnel who can, respond to emergencies,\" Devine said.

The measure drew supportive testimony from Ryan Beaman, representing professional firefighters in Nevada, who said restoring the certification would help rural departments that face long response distances. \"With this change...it actually will help out our rural division,\" Beaman said, adding that Clark County and other departments rely on mutual assistance across long distances.

The Division of Public Behavioral Health clarified that the state currently recognizes the emergency medical responder role informally and that SB 24 would codify the classification for statewide consistency. Bobby Sullivan, who manages the state's EMS office, accompanied Devine for the presentation and was available to answer technical questions.

No witnesses testified in opposition or neutral during the hearing. The committee closed the hearing on SB 24 without taking a final vote.

Why it matters: Restoring the emergency medical responder designation aims to ensure Nevada's statutory language matches national standards and to make certification and scope-of-practice rules clear across urban and rural jurisdictions, a point witnesses said could improve response capacity in remote areas.

The committee did not take a vote during this hearing; supporters and agency staff said they expect the discussion to continue as the bill advances through the legislative process.","Senate Bill 24 would add \"emergency medical responder\" back into Nevada statutes to match national standards and support pre-hospital care in rural communities; presenters and firefighters endorsed the change at a Senate Health and Human Services hearing.","actionData","errors"]

Article not found

Senator Taylor’s bill would let Medicaid reimburse family members for in‑home care of disabled children

Bill would let NDEP require health districts to demonstrate capacity before taking on drinking‑water or solid‑waste programs

Senate committee hears bill to restore 'emergency medical responder' title, citing rural needs