[{"_1":2,"_100":-5,"_101":-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],{"_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",6612896,"mediaKeyId","2879310-46c6b96f6f25b355bd60a208418e74c3","parentId",2879310,"title","Bill would boost Medicaid reimbursements and technical support for school‑based health services","audioSeconds",469,"startMs",3570000,"endMs",4039000,"viewUrl","/Search/View?dp=1&key=2879310-46c6b96f6f25b355bd60a208418e74c3&start=3570&end=4039","thumbnailUrl","https://assets.pipeline.soar.com/2879310-46c6b96f6f25b355bd60a208418e74c3/thumbnail_3570000.jpg","articleUrl","/articles/6612896/Nevada/Bill-would-boost-Medicaid-reimbursements-and-technical-support-for-schoolbased-health-services","mediaUrl","https://secure.pipeline.soar.com/6612896-a330615294396781d4724a9b71796321/orig.mp4?Expires=1771200320&Signature=UnB75XMz1vGyMHqy7-5lvHn1FdW49NknGVRvNgUGHS1K39uSGBAOhvtd~Z6D41H87f2CVfm9mdsWwJ20wCo9cdbStydV7WQR00Mfv3VV-s-9lRn~4n4msAy9Ao5omDPiyBDMaOWpmsVmnnFjJkwLN8dt9JztYXkgmEVJ94N9irQ9Y8jEFwoe3PDshXAkpMn4tq7soV3aOpdTPk6xTUpWjycyTn4MwGDNGDpsPSQzh9XVx~8FDMS6KqdCLmqUDopvLHJIvmHZcoZ4pFnZ2z0LvkNAbtA4yQXNczuLtuvvqAnDkV58TINxbPGDFshzBOzA~pJRL9GJ-wgPCtLB7UBYyQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada Legislature","date","2025-04-04T19:57:32.647Z","article","Assembly Bill 516 was presented April 4 by Assemblywoman Cecilia Gonzales as a proposal to improve access to health care for Medicaid‑eligible students by making it easier for schools and providers to bill Medicaid and by incentivizing clinic contracts with schools.

Gonzales told the committee that roughly 36,000 children in Nevada are enrolled in Medicaid and that many get critical health services while at school. \"As of 2024, 10 of the 17 school districts were enrolled in the program, but only 9 were billing for services,\" she said, describing billing challenges caused by limited knowledge and resources at school districts.

The bill would require the DHHS director to take actions so schools can receive Medicaid reimbursement when covered services are provided on school premises. It would establish a School Health Access Resource Center within the division of Health Care Financing and Policy to assist Medicaid providers and schools with billing and participation options. The bill also directs DHHS to amend the state Medicaid plan to increase reimbursement rates by at least 5 percent for services provided on school premises and by at least 10 percent for services provided by a school‑based health center; it would also simplify reimbursement methodology for primary care and preventive services at school‑based health centers.

Support testimony included representatives from the Nevada Primary Care Association, the Nevada Association of Counties, and the Nevada Association of School Superintendents, each saying that technical assistance and simplified billing would help expand services. \"A lack of technical assistance is the barrier to development of new services,\" Amy Hein‑Sutherland of the Nevada Association of Counties said. Mary Pruzinsky of the Nevada Association of School Superintendents told the committee that simplifying billing would help districts better serve Medicaid students.

Committee members did not take a formal vote during the April 4 hearing; proponents asked DHHS and Medicaid to continue work on implementation details and technical assistance.","mediaType","Video","parentTitle","4/4/2025 - Assembly Committee on Health and Human Services","oneSentenceSummary","Assembly Bill 516 would require DHHS to support school participation in Medicaid billing, create a School Health Access Resource Center, and increase reimbursement rates for services provided on school premises or at school‑based health centers, sponsors and stakeholders said.","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},6612901,"Bill would require child‑abuse‑registry checks for staff at youth facilities after audits find screening gaps",1238,2205000,3443000,"/Search/View?dp=1&key=2879310-46c6b96f6f25b355bd60a208418e74c3&start=2205&end=3443","https://assets.pipeline.soar.com/2879310-46c6b96f6f25b355bd60a208418e74c3/thumbnail_2205000.jpg","/articles/6612901/Nevada/Bill-would-require-childabuseregistry-checks-for-staff-at-youth-facilities-after-audits-find-screening-gaps","https://secure.pipeline.soar.com/6612901-933518a6aca44ab68b545e82fc130436/orig.mp4?Expires=1771200320&Signature=oP4Q8V-127NtJz8ywnRc70oJ~-vvtAsuwLmo5Yh4WF~vZs2leaakwWha7hm2O4hxGUYV9Fu-52lCUA0Bx0NeFESdITKdGx0Uz~0HeAsbVnAeeVS~Vv8mEEbBWwTDnHUpzTt8RSRDyYs72zE~0Ybi3lphgIbyGUuDh~GKYUQYq8t3-WyGoIHAC3hMvQ8P6BWAMnZcdUHei1JhjTHz7AFmJhCNRioEcoF4-VrEQ16s-Ure1k-bZ~TTdPjhmnOPIGW6vSSFz-dreg0w3Pn1vxlQ92h~v~~bu2iQx2uleYr0KZxWcZvh-bRv6iUX2O3WdQDfXq46Y5Php1dpLNNpJgKqnQ__&Key-Pair-Id=KUT5TJCACFTXG","Assembly Bill 521, presented April 4 by Assemblymember Nathan Anderson, would require facilities licensed by the Bureau of Health Care Quality and Compliance (HCQC) to perform initial and periodic child abuse and neglect screenings by submitting employee names to the statewide central registry before hire and periodically thereafter.

Anderson said the bill responds to repeated recommendations from legislative auditor reports, noting the audits found many facilities were not checking the statewide registry. \"Having no requirement to perform these screenings actually introduced the potential for people who are known to have neglected or abused children to work in an environment with direct contact with our kids,\" Anderson said.

Anderson summarized findings his office discussed from audits of facilities inspected in 2023: of 15 facilities reviewed, nine did not perform the voluntary screening and six did. The bill would require facilities licensed by HCQC to conduct initial and periodic screenings, and it would require transitional service organizations to terminate an employee who has a confirmed report of child abuse or neglect if that employee provides services to persons with a disability or a child.

Committee members asked why not all audit recommendations were included in the bill; Anderson said some recommendations—such as posting complaint procedures and additional training—may be handled at the county level or could be considered as amendments later. He also said the five‑year residence lookback included in several screening provisions was intended to mirror other statutes but he was open to expanding it for consistency.

Supporters who testified included Jonathan Norman of the Nevada Coalition of Legal Service Providers; Reagan Comas (testifying for a partner organization); Serena Evans of the Nevada Coalition to End Domestic and Sexual Violence; Madison Proctor of the Nevada Women’s Lobby; Tim Provost of Raise the Future; and Carissa Pierce of the Children's Advocacy Alliance (remote). Testimony emphasized that children in these facilities are among the most vulnerable and that predators sometimes seek positions that provide access and trust.

No callers or witnesses testified in opposition during the hearing, and committee members did not take a formal vote on April 4.","Assembly Bill 521 would require facilities licensed by HCQC to perform initial and periodic child abuse and neglect screenings by submitting employee names to the statewide central registry; the sponsor cited repeated legislative audit recommendations and attendees from child‑welfare and advocacy groups testified in support.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6612906,"Committee reviews bill to require Medicaid coverage for rehabilitative residential mental health care",736,1464000,2200000,"/Search/View?dp=1&key=2879310-46c6b96f6f25b355bd60a208418e74c3&start=1464&end=2200","https://assets.pipeline.soar.com/2879310-46c6b96f6f25b355bd60a208418e74c3/thumbnail_1464000.jpg","/articles/6612906/Nevada/Committee-reviews-bill-to-require-Medicaid-coverage-for-rehabilitative-residential-mental-health-care","https://secure.pipeline.soar.com/6612906-b02c9b0a4454c10ca175f0dbc10367b4/orig.mp4?Expires=1771200320&Signature=GlT77J33M3Lq72bLDwd9P35MY1YsAqJV~uS2XablI2gZET1~s-kvPXRt6w7BvdbTMQO3ub96GYwbJ42LkcYtCg8ckyzUJ9QMePyiSofM1Mq3rbaYn6aplsINwj0j4gb8F7uS1gxLFacG~ndKYsu70QF1cYEf-z2UK~~8QpkCpP6jrInapv8oiXiSAGzzSyeMzPEkcHaAAKMksnzEat9BbCIlytl41rkk4FNDX9e7CGbSkxeZXbpJ5BfeyC8RhjWwRiB-9TB6YSxnsPyMMDFdzcRB22Xm0ZeLowpBkNu-Lsp1iA~4Qj6hhMxNbGIzHBJ0FaS5tIwM-MLhWC6pS5qHqw__&Key-Pair-Id=KUT5TJCACFTXG","The Assembly Health and Human Services Committee heard Assembly Bill 514 on April 4, a proposal to require Medicaid coverage for rehabilitative residential mental health care for people with serious mental illness, Assemblymember Jovan Jackson told the committee.

The bill, introduced as a joint committee measure, would require the Department of Health and Human Services and the State Board of Health to develop licensing and reimbursement pathways so Medicaid can pay for a community-based, medically monitored rehabilitative level of care in licensed residential settings. Proponents said the model is intended to reduce hospitalizations and incarceration by providing treatment in community settings rather than in inpatient or correctional facilities.

\"This bill ensures that that treatment is provided at home, and it also has the potential to reduce hospitalization and incarceration,\" Assemblymember Jovan Jackson said. Jackson told the committee the proposed amendment aligns the bill with existing Medicaid residential substance use disorder benefits so the state can seek federal approval.

Anne Jensen, innovation officer at Nevada Medicaid, said the amendment was written so the model could be submitted under Title XIX (the Medicaid rehabilitation option) and be eligible for reimbursement through the state plan. \"This request we believe would fall under the rehabilitation option of our state plan,\" Jensen said. She added that the department believes the change would require a new service model and that \"there's no one currently delivering this particular array of services\" in Nevada under Medicaid.

Under the amendment discussed at the hearing, the Division of Public and Behavioral Health within DHHS would develop a model that meets federal regulations; the State Board of Health would adopt regulations, with distinct provider requirements for adults and youth. The bill sponsor and Medicaid staff said the amendment was intended to make federal approval more feasible by mirroring an existing rehabilitative benefit for residential substance use disorder services.

Supporters who testified included Sabrina Schnur of the National Alliance on Mental Illness (NAMI) Nevada, who said community-based living environments can stabilize people with mental illness, and Carissa Pierce of the Children’s Advocacy Alliance, who testified remotely in support. No one spoke in opposition at the hearing.

The committee uploaded and reviewed an amendment during the hearing. Committee members asked Medicaid staff to follow up with data about how many facilities currently provide this model and to clarify implementation details; Medicaid staff responded that such a program would be a new service model and offered to provide follow-up data.

The committee held the hearing but did not take a formal vote during the April 4 session.","Assembly Bill 514 would direct Nevada Medicaid to cover rehabilitative residential mental health care in licensed community settings; sponsor and Medicaid officials said the measure is designed to fit federal Medicaid reimbursement rules and create a new service model.","actionData","errors"]

Article not found

Bill would boost Medicaid reimbursements and technical support for school‑based health services

Bill would require child‑abuse‑registry checks for staff at youth facilities after audits find screening gaps

Committee reviews bill to require Medicaid coverage for rehabilitative residential mental health care