[{"_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",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":44,"_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":73},"mediaId",6632774,"mediaKeyId","2670311-a433e124042248a92cc283974449435c","parentId",2670311,"title","Bill would add attendant care to frail‑elderly Medicaid waiver and create a caregiver-facing agency directory","audioSeconds",0,"startMs",5611000,"endMs","viewUrl","/Search/View?dp=1&key=2670311-a433e124042248a92cc283974449435c&start=5611&end=5611","thumbnailUrl","https://assets.pipeline.soar.com/2670311-a433e124042248a92cc283974449435c/thumbnail_5611000.jpg","articleUrl","/articles/6632774/Nevada/Bill-would-add-attendant-care-to-frailelderly-Medicaid-waiver-and-create-a-caregiver-facing-agency-directory","mediaUrl","https://secure.pipeline.soar.com/6632774-5ab964f7ea81947642b8b415b34c0f12/orig.mp4?Expires=1771181380&Signature=hbJX43aMKAlmVmkl4esoGeoCXBw2PPj3ug6UTLc5h~MzVdIxGCpVyPGZVBLNw8Hk0ALCRO-KQla3DpmNZiwQhuXQZn09gB47LX~67ElgGifKIoBbhc-tmWAr-iwWtTjG~LMGRZdGEXZike6skrn4JHav5~YGUUSBhZHw2m2QPcfOJyeaVSvfy9ja0wwvVNwyfreVtzG3zN~qZUSNQtfFN6f7MqLVqWOHaamrmHtK8wSE6Eb~a-MhQwlD3gVS~GNw8awdq8s~VTXQEmiIu9wnwgc1J3x9nzC87wHiDOKvvo-s2wqHDJ9xPJwlBjdwwM9zHTbGkJ23clAAkShvEDhIOw__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada Legislature","date","2025-03-18T15:53:15.507Z","article","Carson City — Assembly Bill 338, introduced March 17 through the interim committee on seniors, veterans and adults with special needs and presented by Chair Tracy Brown‑May and interns/stakeholders, would direct the Department of Health and Human Services to apply for a federal waiver to include attendant care within the state’s Frail Elderly (FE) Medicaid waiver and require an interagency online directory of licensed personal‑care agencies.

Sponsor and stakeholder testimony said the bill aims to reduce unnecessary nursing‑facility placements and make it easier for seniors and caregivers to find in‑home personal-care services. Supporters included the Personal Care Association of Nevada, AARP Nevada, the Nevada Association of Counties, and the Native Voters Alliance Nevada.

Key elements
- Medicaid waiver amendment: Section 1 directs DHHS to apply for an amendment to the FE waiver to authorize federal financial participation in attendant care services for frail elderly persons, covering activities such as bathing, dressing, toileting and eating. Stakeholders said the current FE waiver does not include attendant care, which is available instead through a separate Medicaid state plan that can require asset “spend down.”
- Interagency online directory: Sections 2 and 3 require ADSD and the Division of Public and Behavioral Health to create a searchable web tool on the ADSD site listing personal‑care agencies, the services they provide, geographic service areas, disciplinary actions and accepted insurance/payment types to simplify consumer access to licensed providers.
- Access and equity rationale: Proponents argued the change would reduce administrative barriers for older adults who now face confusing website navigation, inconsistent listings across state agencies, and uneven local availability.

Support and evidence
Connie McMullen of the Personal Care Association of Nevada explained the divide between waiver eligibility and state‑plan attendant care: ADSD waiver eligibility uses a higher asset threshold (300% of SSI) than the Medicaid state plan, which can force seniors to “spend down” assets to access attendant care. The association and county representatives said the directory would reduce confusion about provider types (personal care agencies, intermediary service organizations, employment agencies) and indicate whether providers accept Medicaid.

Local government and tribal testimony
The Nevada Association of Counties supported the measure, saying it would reduce nursing‑facility placements and county social‑safety‑net usage. Testimony from the Native Voters Alliance highlighted telemedicine and rural/tribal access concerns and urged passage to reduce travel and waiting times for diagnosis and services.

Process notes
Committee members asked for clarifying details about implementation and interagency responsibilities. Proponents said the bill requires collaboration by ADSD and the Division of Public and Behavioral Health and that the website would centralize provider information now scattered across state resources.

Ending note
No organized opposition was recorded in the hearing. Sponsors said stakeholders would continue to coordinate implementation details if the bill advances.","mediaType","Video","parentTitle","3/17/2025 Assembly Committee on Health and Human Services","oneSentenceSummary","Assembly Bill 338 would authorize the state to seek a Medicaid waiver amendment to fund attendant care for frail elderly recipients, and require the creation of an interagency web tool listing licensed personal‑care agencies, locations, services and insurance acceptance to simplify access for families.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_46":81,"_48":82,"_50":83,"_52":84,"_54":55,"_56":57,"_58":85,"_60":61,"_62":63,"_64":86,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6632779,"Nevada bill would create dementia care specialists and a Memory Network to improve diagnosis and navigation",2272,3245000,5517000,"/Search/View?dp=1&key=2670311-a433e124042248a92cc283974449435c&start=3245&end=5517","https://assets.pipeline.soar.com/2670311-a433e124042248a92cc283974449435c/thumbnail_3245000.jpg","/articles/6632779/Nevada/Nevada-bill-would-create-dementia-care-specialists-and-a-Memory-Network-to-improve-diagnosis-and-navigation","https://secure.pipeline.soar.com/6632779-74aeb64ca0a29b6f0edf1a10e96c192d/orig.mp4?Expires=1771181381&Signature=Fvn4damXerWk-~ezGBbOpi5z~noyf0Db-yOYiYCVTWs695mE9CgmGS-BmwfQWgC8nD1PZvBdvp0h8i1ARv1T1KUi5a01ZD8xk4awcBYA40yNi1aS9pQV0TecPh72ASbMxMYwArVA2AolM0FZIwU6mFTKdyix95cUefGYlkb8lsECl~qY43jq7Cq3AxYoP3qizGlBA3j0f4Zt1ZayrYvBXcwz0DhaZxIKzTykLk5a4IXTA5hV55GbKlvGK1yUVXbafG10~NBi5-GsIMGW0CPZxsZI~L~GolTmWwJ5zR~h9KUb~jozvaHr8v1UCg6q29dao5gEdquQ4OiJYYOzpWTslA__&Key-Pair-Id=KUT5TJCACFTXG","Carson City — Assembly Bill 337, presented March 17 by Assemblyman Yui Wyn (Vice Chair Nguyen presented) and the Alzheimer's Association, would create a dementia care specialist program and a Nevada Memory Network intended to improve early detection, diagnosis and ongoing care coordination for people living with dementia.

The bill would establish (1) a dementia care specialist program modeled on Wisconsin’s program to train lay specialists in social-service roles to help families and caregivers navigate care and crisis response, and (2) a Nevada Memory Network to create memory-assessment clinics — hubs — that tie primary care, specialists, and navigators together for timely diagnosis and treatment.

Why this matters: Supporters said earlier and more consistent diagnosis paired with navigation services can reduce costs, improve access to new treatments for eligible patients and ease caregiver burdens. The Alzheimer’s Association, AARP Nevada, UNR, UNLV, Lou Ruvo Center for Brain Health and other clinical and nonprofit partners testified in favor; no organized opposition testified at the hearing.

Details of the program
- Dementia care specialists: The bill would fund trained, social-service–oriented specialists located within community organizations (analogous to aging and disability resource centers) who would provide care navigation, crisis intervention, family support, and referrals. Cheyenne Pasquale described the role: “The dementia care specialists are lay people… more social service based… preferably have a master's degree, or equivalent experience, and experience working with individuals that have a diagnosis of dementia.”
- Nevada Memory Network: The network would create memory-assessment clinics/hubs that use standardized cognitive screening (for example, the Montreal Cognitive Assessment, MoCA) and link primary-care providers with neurologists and specialty centers for diagnosis and treatment. Benjamin Chalinoire of the Alzheimer’s Association said earlier diagnosis is increasingly important because “we actually have 2 treatments available for Alzheimer's” but patients must be identified and diagnosed to access appropriate therapies.
- Workforce and training: The bill funds training for primary-care providers and other clinicians to improve early recognition and referral pathways.

Testimony and evidence
Supporters included statewide advocacy organizations and clinical centers. AARP Nevada’s state advocacy director, Jessica Padron, said the program “will offer crisis intervention and proactive support,” and emphasized the bill’s role in promoting culturally competent services and workforce development. UNR and UNLV representatives and the Lou Ruvo Center described existing local programs and research capacity that could serve as clinic hubs.

Scope and access concerns
Proponents said roughly half of Nevada residents with dementia lack a formal diagnosis. Benjamin Chalinoire testified that about 55,000 Nevadans were estimated to be living with Alzheimer’s disease and other dementias in 2020 and that caregivers provide large unpaid contributions to care. Committee members asked whether the memorandum's language should allow other institutions beyond UNR and UNLV to participate; sponsors agreed to consider permissive language to expand eligibility as the program grows.

Process notes
Committee members questioned screening protocols and whether assessments would be for symptomatic individuals or universal screening; sponsors clarified the emphasis on provider training and assessments initiated for symptomatic patients or those identified during annual wellness visits.

Ending note
No opposition voices were recorded at the hearing. Sponsors said they would work with the committee on minor drafting changes and the bill moved from the hearing with stakeholder support and requests for technical amendments.","Assembly Bill 337 would establish dementia care specialists, create the Nevada Memory Network for earlier diagnosis and care coordination, and fund dementia navigation and clinic hubs; sponsors said the measure aims to expand access and reduce long-term costs, proponents emphasized caregiver support and rural reach.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_46":93,"_48":94,"_50":95,"_52":96,"_54":55,"_56":57,"_58":97,"_60":61,"_62":63,"_64":98,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6632784,"Nevada bill would raise cottage-food sales cap to $100,000 and move oversight to Department of Agriculture",3155,106000,3261000,"/Search/View?dp=1&key=2670311-a433e124042248a92cc283974449435c&start=106&end=3261","https://assets.pipeline.soar.com/2670311-a433e124042248a92cc283974449435c/thumbnail_106000.jpg","/articles/6632784/Nevada/Nevada-bill-would-raise-cottage-food-sales-cap-to-100000-and-move-oversight-to-Department-of-Agriculture","https://secure.pipeline.soar.com/6632784-6ce572b79ec0d6aa2ff36c4380ab2004/orig.mp4?Expires=1771181381&Signature=PKDXnKgUQPKLrCG7TTHkkzrNAbglcf8Jt2yny7l6lAX5gbupfYXaDxDKtoPE7vlj4OpMmTyT4CnleHs08BCoAInMK2fyXJE8WtylHQzCfX-3ka~Kd1ELEszXRcIZdv4l-SMDIg9~~STyAW0hWZTqHGzfVCRm8Bxqm1oa0mdAs9Jv8WSfnlwBudXvZ4Gz0SrHLu18ohIKbltzrSXvrYNKjRfEALGdjiK3Lsmmdf4Ba2qPsY6f5QWoBSOkGGhLYQckzYHKucqBalJQKmzg3~-2XiqO8NvuX8gqEzW5kWFT1uEYdV9i5wOdkZrYjbhVICsMOkHlFYjOlqyOwnc2BxTSog__&Key-Pair-Id=KUT5TJCACFTXG","Carson City — Assembly Bill 352, introduced March 17 by Assemblywoman Natha Anderson, would expand Nevada’s cottage-food law to allow a broader range of home-produced foods and small-batch cosmetics, raise the annual gross-sales cap to $100,000 and shift licensing and oversight from local health districts to the Nevada Department of Agriculture.

The bill’s sponsor said the changes aim to modernize rules that currently limit small, home-based entrepreneurs. “Sections 12 through 19 reorganize the oversight of cottage food operations to be under the Department of Agriculture and incorporate acidified foods to the lehi list of food items,” Assemblymember Natha Anderson said during the hearing. She described several substantive changes including allowing Internet and phone orders and increasing the permitted annual gross sales cap from $35,000 to $100,000.

Why this matters: Supporters said the update will let small producers scale without immediate costly moves into commercial kitchens and will align Nevada with other states that allow online ordering and higher revenue caps. Opponents — primarily local health departments — said the bill could produce enforcement gaps and increase public-health risk if acidified and fermented foods are produced in home kitchens without local oversight.

Key provisions and testimony
- Gross-sales cap: The bill increases the maximum annual gross sales for cottage operations from $35,000 to $100,000. “This increase is similar to some other states’ proposed changes,” Anderson said.
- Licensing and oversight: The bill would have the Nevada Department of Agriculture (NDA) license and regulate cottage-food and cottage-cosmetic operations, consolidating activity now handled by county and city health districts and, for craft foods, by NDA.
- Cosmetics: The proposal would authorize limited cottage cosmetics production in private residences, relying in part on a 2022 federal regulatory change. Kelly Kelly, an advisor on farm and value‑added food businesses, noted: “With the passage of the modernization of cosmetics regulatory act in 2022, the federal government created a small business exemption, exempting cosmetic producers who make less than a million dollars in annual sales from the requirement to be in a commercial inspected facility.”
- Acidified foods and craft-food repeal: The bill would fold acidified (pH ≤ 4.6) foods such as pickles and some salsas into the cottage-food list and repeal the separate craft-food licensure track.
- Sales channels: Section 16 explicitly adds phone and Internet sales as allowable sales channels for cottage food operations.

Supporters and local business impact
Small-business owners and trade groups urged passage. Lisa Stevens, owner of Battle Born Bread in Fallon, testified she started her sourdough bakery to stay at home for family care and now confronts the current cap: “I’m starting to come up against the ceiling of of the income requirements… it's an average of around $10 a a loaf,” Stevens said, describing why a higher cap matters for growth without moving into commercial facilities. The Nevada Farm Bureau, the Food Bank of Northern Nevada, the Retail Association of Nevada and the Nevada Department of Agriculture (which took a neutral position) expressed support or conditional neutrality focused on statewide consistency and business access.

Health and enforcement concerns
Local public-health officials and several city and county representatives opposed or asked for amendments. Amber English, environmental health supervisor with Northern Nevada Public Health, said the bill raises food-safety questions: “Expanding the production and sales of acidified foods increases health risks including botulism,” she testified, adding that home kitchens may lack controls needed for certain products and that state-level administration could reduce local real-time inspection capacity.

Southern Nevada Health District and Central Nevada Health District witnesses warned the transfer of registration and primary oversight to a state agency could leave local inspectors with enforcement responsibilities but without registration authority, creating potential oversight gaps at events and markets. Henderson city staff and the Vegas Chamber asked for clarifying language on local regulatory authority.

Process notes and next steps
Committee members asked the sponsor for additional data on current average cottage‑food revenues and the threshold rationale. Anderson said she would provide data requested by members. The sponsor and stakeholders said they will continue to work on amendments to address local-health concerns before the bill advances.

Ending note
No formal vote was taken during the March 17 hearing. The committee closed the hearing after public and agency testimony and the sponsor’s closing remarks.","Assembly Bill 352 would expand which foods and cosmetics may be produced at home, raise the annual gross-sales cap from $35,000 to $100,000 and transfer licensing from local health districts to the Nevada Department of Agriculture; public health officials warned of enforcement and food-safety risks.","actionData","errors"]

Article not found

Bill would add attendant care to frail‑elderly Medicaid waiver and create a caregiver-facing agency directory

Nevada bill would create dementia care specialists and a Memory Network to improve diagnosis and navigation

Nevada bill would raise cottage-food sales cap to $100,000 and move oversight to Department of Agriculture