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Medicaid and PEBB remove fiscal notes after sponsor amends prompt-pay insurance bill
Summary
Assembly Bill 52, a prompt-pay bill for health-care providers, had fiscal notes from Medicaid and the Public Employees' Benefits Program (PEBP). The sponsor presented amendments and both agencies confirmed those fiscal notes are now removed; Clark County also confirmed the amendment removes local fiscal impact to its self-funded plan.
CARSON CITY — Assembly Bill 52, a measure aimed at prompt payment to health-care providers, was presented to the Assembly Ways and Means Committee with testimony that two major fiscal notes had been eliminated after sponsor amendments.
Sponsor Assemblymember Sandra Howtege told the committee that Medicaid and PEBP had originally submitted fiscal notes but that conceptual amendments carve Medicaid and the Public Employees' Benefits Program out of the bill’s scope, allowing both agencies to remove their fiscal notes and report a $0 impact.
Stacy Weeks, testifying for Medicaid, confirmed "with the amendment carving out Medicaid and Medicaid managed care plans … there is no fiscal note at this time." Celestina Glover, executive officer for the Public Employees' Benefits Program, likewise told the committee that PEBB could remove its fiscal note after the amendment.
Ashley Kennedy of Clark County confirmed on the record that the county’s self-funded health plan no longer has a fiscal impact following the amendment.
The Nevada Division of Insurance had submitted an "undetermined" fiscal note tied to a new requirement in the bill directing the division to carry out outreach campaigns to inform providers and insureds about statutory provisions and to provide support for filing prompt-pay complaints. Adam Plain of the Division explained the division lacks an established infrastructure for that campaign and that costs could range from 0 to a large media campaign; he said the legislative body could appropriate resources or direct a smaller implementation.
The sponsor told the committee she would work with the Division of Insurance to clarify expectations so that the division’s fiscal exposure could be reduced to zero.
Ending: With Medicaid, PEBB and Clark County fiscal notes removed in writing, the committee heard no public callers in support or opposition; the Division of Insurance remains a neutral stakeholder pending clarity on outreach funding.
