[{"_1":2,"_123":-5,"_124":-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",[32,76,88,99,111],{"_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",6613367,"mediaKeyId","2871605-59c10c1bf3ff91738763403bb122823a","parentId",2871605,"title","Committee hears bill to require placements and discharge planning for children with emotional disturbance","audioSeconds",944,"startMs",6156000,"endMs",7100000,"viewUrl","/Search/View?dp=1&key=2871605-59c10c1bf3ff91738763403bb122823a&start=6156&end=7100","thumbnailUrl","https://assets.pipeline.soar.com/2871605-59c10c1bf3ff91738763403bb122823a/thumbnail_6156000.jpg","articleUrl","/articles/6613367/Nevada/Committee-hears-bill-to-require-placements-and-discharge-planning-for-children-with-emotional-disturbance","mediaUrl","https://secure.pipeline.soar.com/6613367-af2e30fe040d3bc9f4dc5f38e9a273cc/orig.mp4?Expires=1771073450&Signature=XFjB98dNw7VOEbD9OvAzc1aw1KtFCeveXfgSlkfk4gnG1L0P2aPylTmEppetD8lxbsxAZuRTz11BMUdyNyw74loMHqrHb2ORu~dcdErD5~VsMU~YEQ25c5BeZNu-3gEvRmx22dsTIlHFwdFaZHrFrres-4V5HT8YgUk-VQaQa2EYY-Mdh9HTbLZfxWTfDsxn~~mEg2Frfy48sX~lnuZKiSLeY4C3izbKuaEhIeSBz48rnumwD2AcAaI5xY8esvsEQORLsNa1ITibfa2-hopzml1j5cnBCYxcYzk1J~Y-14LiesnNegKm3Vtt1H0xQhw~thMnbEqosVq69SQkLDBOLQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada State Legislature","date","2025-04-04T01:41:02.143Z","article","Sen. Shelley Cruz Crawford and union and juvenile-justice officials presented Senate Bill 306, a measure aimed at reducing rejections and inappropriate discharge of children with emotional disturbances from inpatient psychiatric facilities.

SB 306 would add provisions to chapter 433B of Nevada law to require that a public or private inpatient psychiatric treatment facility enrolled as a Medicaid provider admit a child with an emotional disturbance for treatment unless the facility lacks the ability or resources to meet the child’s needs. The bill would also require the Division for Children’s Mental Health (or the administrator’s designee) to place a child ordered by certain juvenile courts into an inpatient facility within 30 days and would strengthen discharge-planning requirements, including court approval for discharges when a parent or guardian does not approve the discharge plan and prohibiting discharge into temporary emergency shelters without approval from the receiving agency.

Why it matters: Testimony from SEIU members who work at Childhaven and other temporary emergency shelters described repeated incidents in which children who met clinical criteria were declined by inpatient facilities or were discharged back to shelters without clinically appropriate aftercare. Staff described violent and traumatic incidents at temporary shelters caused by children released to those settings without appropriate stabilization and treatment; a Childhaven staff member related a case of an 11-year-old autistic child whose violent behavior led to staff injury and hospital transport. Clark County Juvenile Division Assistant District Attorney Bridget Duffy said children sometimes “languish” in detention or temporary shelters because residential treatment facilities will not accept them.

Support and implementation: SEIU, Clark County juvenile justice officials and child-welfare supervisors, the Nevada State AFL-CIO and other advocates testified in favor. Division staff from Desert Willow Treatment Center provided data on bed capacity, admissions and the complexity of cases (Desert Willow has 44 total beds; 32 residential with eight pediatric beds; median length of stay just under four months and high rates of re-admissions among complex cases). County and state witnesses emphasized the bill does not by itself create new beds and discussed the broader need for a service array and tailored community supports.

Concerns and clarifying amendments: Committee members raised concerns about facility capacity and the realistic ability to accept high-acuity children statewide. Witnesses acknowledged SB 306 addresses one element of a larger system—placement availability and community supports remain constrained. Amendments were filed and discussed during the hearing to refine language about exceptions when a facility lacks resources and to clarify the lines of authority among courts, counties and the division.

Ending note: Supporters urged passage to ensure children receive clinically appropriate placements and to reduce trauma to children and staff in temporary shelters. The committee did not record a final vote during the hearing; sponsors and stakeholders indicated they would continue to refine statutory language and technical amendments.","mediaType","Video","parentTitle","4/3/2025 - Senate Committee on Health and Human Services","oneSentenceSummary","Sen. Shelley Cruz Crawford and union and juvenile-justice officials presented Senate Bill 306, a measure aimed at reducing rejections and inappropriate discharge of children with emotional disturbances from inpatient psychiatric facilities.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6613383,"Senate committee hears bill to preserve federal benefits for children in foster care",1947,1330000,3277000,"/Search/View?dp=1&key=2871605-59c10c1bf3ff91738763403bb122823a&start=1330&end=3277","https://assets.pipeline.soar.com/2871605-59c10c1bf3ff91738763403bb122823a/thumbnail_1330000.jpg","/articles/6613383/Nevada/Senate-committee-hears-bill-to-preserve-federal-benefits-for-children-in-foster-care","https://secure.pipeline.soar.com/6613383-962ac1f28952749220704dcddd96c71e/orig.mp4?Expires=1771073450&Signature=N4JcTidkj1kFg6tG88lnte3PZbugYayD8CV-i2Zs4OQCWiXczuLWWHh-TfK5J1XwA~lYRCc~XEm2ZGFyTctfunmL1VycrjsJ~c8jHyxy77dUzbPIvNN-PdI4LK8fFN9akn6tzgQMYPr8pDZaHeXAuXq5E4gGzGa3xfv4J-0rPOdjEYyObith~WbKsQv11YVavfKVmsaMIhSCjqTIxph69aBJ0NQsd4XdjI-Zq46qMTBUwzRpcTYCH0Uxww5n31O955FLDD6C1GMGnSoVPFY~eqIzmNqRBAgCmDh2X6tATb~iv~L262s6sTgOT9sErf-K2BM2IJweXXxs0UHYdHpDtw__&Key-Pair-Id=KUT5TJCACFTXG","Senate Majority Leader Nicole Cannizzaro on behalf of Sen. Nicole Cannizzaro opened a hearing on Senate Bill 284 on Tuesday, proposing new requirements for child welfare agencies to identify, secure and conserve federal benefits for children in foster care.

SB 284 would require agencies that provide child welfare services to determine whether each child in custody is eligible for federal benefits, to apply to serve as a representative payee if no suitable private payee is available, and to place the benefits in accounts that preserve the child’s eligibility for public benefits (examples listed in the bill include special needs trusts, pooled special needs trusts and ABLE accounts). The bill also would require agencies serving as representative payees to meet regularly with the child and the child’s attorney, provide financial counseling for youth age 14 and older, produce semiannual accountings, and notify and assist the child with planning no earlier than 18 months and no later than 12 months before the child’s 18th birthday. Section 4 would require the Division of Child and Family Services to close existing trust-fund accounts and re-deposit balances into accounts created under the bill on or before July 1, 2025.

Why it matters: Supporters said the bill would stop funds intended for children—such as survivors’ benefits or Social Security disability—being absorbed into general foster-care accounts and instead preserve them to support the youth when they reach adulthood. Jonathan Norman of the Legal Aid Center of Southern Nevada told the committee the bill would “change the arc of their life” for youth who age out of care and cited data showing high rates of homelessness among former foster youth.

Proponents including Legal Aid, Raise the Future, the Nevada chapter of the National Alliance on Mental Illness, Children’s Advocacy Alliance and several union and advocacy groups testified in favor. Testimony cited national momentum—several states have passed similar measures and other states have pending legislation—and urged the committee to preserve children’s individualized benefits and provide financial education beginning at age 14.

Opposition and implementation concerns: Clark and Washoe counties testified they do not oppose the policy goal but warned the bill’s timing and fiscal effect create practical problems. Clark County counsel Joanna Jacob and Washoe County representative Cadence Matijevich said the bill’s July 1, 2025 effective date is a “tough lift” to change county policies, establish new accounts, train staff, and split existing pooled funds into individual accounts. Clark County estimated roughly a $4 million biennial fiscal impact; counties asked for more time to implement and promised continued negotiation with the bill sponsor.

A foster and adoptive parent who testified in opposition said the bill, as drafted, risks creating new bureaucracy and possible misuse if oversight is not stricter; he urged amendments to require restrictive savings accounts or nonprofit management models. Senator Cannizzaro and Jonathan Norman responded during closing remarks that pooled special needs trusts are federally recognized vehicles often used for economies of scale and that the bill forbids using federal benefits to reimburse agencies for the cost of care.

What the committee heard but did not decide: The hearing included requests for technical amendments, questions about how ABLE and pooled trusts interact with eligibility, and multiple offers from counties and advocates to continue working on effective implementation language. No formal vote on SB 284 was recorded in the hearing.

Ending note: Supporters characterized SB 284 as an accountability and children’s-rights measure meant to protect individual benefits for foster youth; county officials asked for more implementation time and funding detail before the Legislature adopts the measure.","Senate Majority Leader Nicole Cannizzaro on behalf of Sen. Nicole Cannizzaro opened a hearing on Senate Bill 284 on Tuesday, proposing new requirements for child welfare agencies to identify, secure and conserve federal benefits for children in foster care.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":81,"_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},6613379,"Bill would move senior-living referral oversight to DHHS and set registration rules",523,3800000,"/Search/View?dp=1&key=2871605-59c10c1bf3ff91738763403bb122823a&start=3277&end=3800","https://assets.pipeline.soar.com/2871605-59c10c1bf3ff91738763403bb122823a/thumbnail_3277000.jpg","/articles/6613379/Nevada/Bill-would-move-senior-living-referral-oversight-to-DHHS-and-set-registration-rules","https://secure.pipeline.soar.com/6613379-6367dab9d74153d65e65939e71a7ad47/orig.mp4?Expires=1771073450&Signature=gAG31EjvIvHPTRxr1UixKsNUz7T-7CgyWxlZWDr3XjJBbZ0qW20BpX7l-e~FqlqLlFUmzodKRCH5aAoYK5lvfjzZ0jT0264~RNHl~-CEVop2WznsJA-wUZNX9fw7ThvduEWr7T-dqetIKhp1g9kpkDHWEF4L-qmgo1ua~dLW3zG4GYa-JOZaGsd4-8lifuo3bF2IjkSejG7bmd~VDNMEaSHj2kODIvIkVAJp~8QOBWT6-L7OJ6MI95jy2y7F5ErpLB-wxwtNtH5LYQE~jkcStDsG2E4kpxs-LmKb0TpemkRHp4vxRhXMzOAb3P5wvmQqO7UEPq5-dJHej4DUsYeH2Q__&Key-Pair-Id=KUT5TJCACFTXG","Sen. Marilyn Dondero Loop told the Senate Health and Human Services Committee she was presenting Senate Bill 299 to revise how senior-living community referral agencies are regulated and to create a state registration system overseen by the Division of Public and Behavioral Health.

SB 299 would move oversight of senior-living referral agencies from the State Board of Health to the Department of Health and Human Services’ Division of Public and Behavioral Health (DPBH). The bill requires agencies that provide referrals to register with the division, sets renewal and registration requirements, directs DPBH to adopt regulations, and removes the board-licensing requirement for those agencies. The bill draft includes a registration fee; if enacted it would require a two-thirds legislative vote because the fee becomes statutorily required rather than left to the board’s discretion.

Why it matters: Supporters said registration would create transparent, consistent rules for referral agencies that help families find housing and care for older adults. Beverly Grossman of A Place for Mom described the company’s advising model and said the bill would create a “rational and transparent” process while preserving consumer disclosures and family choice; she said advisers are not paid based on the cost of a recommended community.

Business perspective and questions: Rocky Finseth (Carrera) and other referral agencies said SB 299 is intended to implement the Legislature’s earlier 2023 direction (SB 260) and to streamline regulation after implementation issues delayed adoption of regulations following that session. Testimony from competitors (Caring, Meridian/other firms) supported the bill as a consumer-protection and transparency measure. Committee members asked about the fee level (the bill cites a registration/renewal fee and a two-thirds requirement); LCB and legal counsel explained the fee mirrors fees in existing regulation (an issuance fee of $2,708 and a renewal fee of $13.54 were referenced) and that converting the fee into statute triggers the two-thirds vote requirement.

Local providers and senior-coalition groups including the Senior Coalition of Washoe County, Personal Care Association of Nevada and Senior Spectrum spoke in favor, saying families need help navigating senior options. No formal opposition testimony was recorded in the hearing.

Implementation window: The bill includes a transition provision: agencies that previously held a license may operate without new registration for up to 120 days after the regulations are adopted and approved, and the sponsor said she aimed to ensure family services are not disrupted during regulatory changes.

Ending note: The committee received technical questions about the fee calculation and timing for regulation adoption. Supporters characterized the bill as a cleanup and implementation bill stemming from 2023 legislation; the committee did not record a formal vote at the hearing.","Sen. Marilyn Dondero Loop told the Senate Health and Human Services Committee she was presenting Senate Bill 299 to revise how senior-living community referral agencies are regulated and to create a state registration system overseen by the Division of Public and Behavioral Health.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6613363,"Bill would let private ambulance providers self-assess to draw federal Medicaid matching funds",385,8917000,9302000,"/Search/View?dp=1&key=2871605-59c10c1bf3ff91738763403bb122823a&start=8917&end=9302","https://assets.pipeline.soar.com/2871605-59c10c1bf3ff91738763403bb122823a/thumbnail_8917000.jpg","/articles/6613363/Nevada/Bill-would-let-private-ambulance-providers-self-assess-to-draw-federal-Medicaid-matching-funds","https://secure.pipeline.soar.com/6613363-b5f755aa9ed77d4196d744c1cb74e593/orig.mp4?Expires=1771073450&Signature=EY7GVx6tgZ9as-sKBnkSSL0g~avhl3SOZeA2yvjFahi2xDQNCSzd5kczJRy-RW1RBPLubX-flbSeNWorNQI~nZ2mXcOhO1ehKUztJWtcjRIIO1z39FfvW-U9i-lILQx-RgVwlKfaS4N5tPO4kAJ4uX2PpCRsymHjuk6e3IaD7DX9FRU2Exeb4xg5yUaVRbhVb96132oKpB2fCgjrhEpsNZPQkbalhnTQYM7MngaLq9nzzhbf5G8bSsHAn4uLPhlERB09A2N1~X-sk4oANpSbPhTzF6ipG~W-rFJpCE60aaXz-pPqh6TajtB5ACcLeIboo8MW69Z3LuzV6nx0-e5g5g__&Key-Pair-Id=KUT5TJCACFTXG","Representatives of the Nevada Ambulance Association and private ambulance companies presented Senate Bill 424 to the Senate Health and Human Services Committee, proposing a provider assessment to generate state dollars that would draw additional federal Medicaid matching funds for emergency ground ambulance services.

What SB 424 would do: The bill creates an account (Improve Emergency Medical Transportation Quality and Access) funded by an assessment on private ground emergency medical transport providers. The proceeds, plus interest, would be credited to the account and used primarily (the bill draft sets a target of about 90%) for enhanced Medicaid payments to private ground ambulance providers; up to 10% could be used for DHCFP public-health functions and administrative costs. The bill limits the assessment to private ground emergency providers (the sponsor proposed a friendly amendment to exclude air ambulance services because federal law preempts such assessments). The assessment would be calculated as a percentage of net revenue subject to federal law ceilings; DHCFP would collect the data and implement payments, including through fee-for-service or managed-care mechanisms, subject to federal approval.

Why it matters: Private ambulance presenters said Medicaid reimbursement rates have not kept pace with rising labor, fuel and supply costs and that many private providers serve as safety-net responders for rural and urban communities. Nevada Ambulance Association modeling presented at the hearing estimated assessments could collect roughly $4 million in state assessments and support approximately $12 million in enhanced provider payments, depending on the assessment rate and federal match. Supporters said the approach follows practice in about 17 other states.

Questions and concerns: Senators asked about member coverage and whether all private providers were represented in association outreach; presenters said the association contacted more than a dozen entities and had 11 members participating. Committee members expressed concern about winners and losers under provider-assessment programs and asked DHCFP to provide licensing lists and modeling of impacts. DHCFP staff said they had worked with the ambulance association in the interim and could assist with implementation and data collection.

Support and testimony: Private providers (AMR, Community Ambulance, REMSA/REMSA Health, MedEx and others), the Vegas Chamber and regional health representatives testified in support, describing the program as a way to bring federal matching dollars into Nevada without additional general-fund appropriations.

Ending note: The committee discussed technical and policy trade-offs, including how assessments are defined under federal rules and potential impacts on public providers; DHCFP offered to provide more data. No final vote was recorded at the hearing.","Representatives of the Nevada Ambulance Association and private ambulance companies presented Senate Bill 424 to authorize an assessment on private ground emergency medical transport providers to fund enhanced Medicaid payments.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":116,"_47":117,"_49":118,"_51":119,"_53":120,"_55":56,"_57":58,"_59":121,"_61":62,"_63":64,"_65":122,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6613373,"Senate hears plan to fund LifeSet case-management for youth 18–22 in extended foster care",2844,4911000,7755000,"/Search/View?dp=1&key=2871605-59c10c1bf3ff91738763403bb122823a&start=4911&end=7755","https://assets.pipeline.soar.com/2871605-59c10c1bf3ff91738763403bb122823a/thumbnail_4911000.jpg","/articles/6613373/Nevada/Senate-hears-plan-to-fund-LifeSet-case-management-for-youth-1822-in-extended-foster-care","https://secure.pipeline.soar.com/6613373-e5bbfc012d6be608f9d62143a0a100b3/orig.mp4?Expires=1771073450&Signature=lzPu6ASWYan4dA5Ic12YjXY95GoBHg36mQWYK3EBtj2jB6OONdAqw2xTfRRm5QP~ATAUoFeT08X7gDdg8lHsSEVJCgEqCNBYaECtDxHObnT82f8LlDCLJs0vGVuA5RlH5Labyed1msa1CaVzpwaK41Ssl4rrwwMbyPjC182LloxR2UeLlq01681VsFcPx~24nMxIQ1iAMmh4DwDud6WaxBDwOX5pWBdZgqhOgGRdx5tu6N7Xk5rV-lmOmWyCJ3d8ZT7Fw5GQ7WaMypQwiPALeR6UWy7-fPQxfGxD7lxw7DfeHrfSvwQqt8sRjIAdNMkLzniTO7h0DW29wlHmqaO2IA__&Key-Pair-Id=KUT5TJCACFTXG","Sen. Rochelle Winn presented Senate Bill 281, as revised by a conceptual amendment, to authorize the Division of Child and Family Services to provide funding and support for the LifeSet case-management model to serve youth and young adults ages 18 to 22 who are in extended foster care.

LifeSet is an evidence-informed, individualized case-management model developed by Youth Villages that pairs trained specialists with young people exiting foster care (caseload averages 8–10 young adults per specialist, with weekly face-to-face contacts and 24/7 crisis availability). Sponsor testimony said randomized trials of the LifeSet model show reductions in homelessness and improved economic and mental-health outcomes; Clark County previously received a Youth Villages grant to launch LifeSet and Washoe began a program in 2023.

Why it matters: Extended foster-care services support youth who are not ready to be independent at age 18. Clark and Washoe County representatives and program staff testified in favor of state funding to continue and expand LifeSet. Washoe County reported that, since launching the program in November 2023, it has served 60 young adults; Clark County staff and supervisors gave multiple examples of LifeSet helping formerly at-risk youth achieve stability.

Questions and implementation details: Committee members asked whether LifeSet could be expanded to rural counties; program representatives said the model has been run in Clark and Washoe but could be explored for rural youth. Testimony indicated LifeSet was previously grant-funded (Youth Villages grants) and counties have supplemented with local child-welfare funding as grant amounts declined; the sponsor said the current budget request does not fully cover every eligible young adult and counties will continue pursuing additional grant dollars.

Supporters included county child-welfare officials, LifeSet program staff, SEIU members who work with foster youth, the Nevada Disability Action Coalition, and multiple advocacy organizations. No formal opposition testimony was recorded during the committee hearing.

Ending note: The committee discussed funding questions that will be considered in budget hearings. Sponsor and county representatives emphasized the program’s track record and urged funding to avoid service gaps for youth eligible for extended foster care.","Sen. Rochelle Winn presented an amendment to SB 281 to fund the LifeSet model for youth aged 18–22 leaving foster care; Clark and Washoe counties and program administrators supported funding; Washoe reported serving 60 young adults since November 2023; questions focused on rural access and funding sources","actionData","errors"]

Article not found

Committee hears bill to require placements and discharge planning for children with emotional disturbance

Senate committee hears bill to preserve federal benefits for children in foster care

Bill would move senior-living referral oversight to DHHS and set registration rules

Bill would let private ambulance providers self-assess to draw federal Medicaid matching funds

Senate hears plan to fund LifeSet case-management for youth 18–22 in extended foster care