Revises provisions relating to Medicaid. (BDR 38-838)

EXEMPT
(Reprinted with amendments adopted on April 21, 2025)
FIRST REPRINT A.B. 297

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ASSEMBLY BILL NO. 297–ASSEMBLYMEMBERS NADEEM,
GONZÁLEZ; D’SILVA, HUNT, JACKSON, KARRIS, NGUYEN
AND ORENTLICHER

FEBRUARY 27, 2025
____________

Referred to Committee on Health and Human Services

SUMMARY—Revises provisions relating to Medicaid.
(BDR 38-838)

FISCAL NOTE: Effect on Local Government: No.
Effect on the State: Yes.

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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.

AN ACT relating to health care; requiring Medicaid to provide
coverage for home visitation services for persons who are
pregnant or have recently given birth; and providing other
matters properly relating thereto.
Legislative Counsel’s Digest:
Existing law requires the Department of Health and Human Services to 1
administer the Medicaid program, which includes coverage for certain services 2
related to postpartum care. (NRS 422.271775) Section 2.3 of this bill requires the 3
Department to include under Medicaid coverage for optional home visitation 4
services provided to recipients of Medicaid who are pregnant or have given birth 5
within the immediately preceding 24 months . Section 2.3 also requires the 6
Department to notify recipients o f Medicaid who are eligible to receive such 7
services. Section 2.7 of this bill makes a conforming change to require the Director 8
of the Department to administer section 2.3 in the same manner as other provisions 9
of law governing Medicaid. 10

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

Section 1. (Deleted by amendment.) 1
Sec. 2. (Deleted by amendment.) 2
Sec. 2.3. Chapter 422 of NRS is hereby amended by adding 3
thereto a new section to read as follows: 4
1. To the extent that financial participation is available, the 5
Director shall include under Medicaid coverage for optional home 6

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visitation services for recipients of Medicaid who are pregnant or 1
have given birth within the immediately preceding 24 months as 2
necessary to support a healthy pregnancy, birth, postpartum 3
period and first 24 months of the life of the child. Such services 4
may include, without limitation , educational and informational 5
support to the family, counseling relating to family planning, 6
preventative screenings, referrals to medical, social and 7
community services and coordination of care. 8
2. The Administrator shall adopt regulations that establish 9
requirements for providers of services described in subsection 1 , 10
which may include, without limitation, a requirement that such a 11
provider be accredited by a nationally recognized organization for 12
the accreditation of home visitation servi ces for pregnant women 13
and new mothers. 14
3. The Department shall notify each recipient of Medicaid 15
who is eligible for the services covered pursuant to subsection 1 16
that such services are available . Such a notice must clearly 17
indicate that such services a re optional and that no person is 18
required to receive such services. 19
4. The Department shall: 20
(a) Apply to the Secretary of Health and Human Services for 21
any waiver of federal law or apply for any amendment of the State 22
Plan that is necessary for the D epartment to receive federal 23
funding to provide the coverage described in subsection 1. 24
(b) Fully cooperate in good faith with the Federal Government 25
during the application process to satisfy the requirements of the 26
Federal Government for obtaining a waiv er or amendment 27
pursuant to paragraph (a). 28
Sec. 2.7. NRS 232.320 is hereby amended to read as follows: 29
232.320 1. The Director: 30
(a) Shall appoint, with the consent of the Governor, 31
administrators of the divisions of the Department, who are 32
respectively designated as follows: 33
(1) The Administrator of the Aging and Disability Services 34
Division; 35
(2) The Administrator of the Division of Welfare and 36
Supportive Services; 37
(3) The Administrator of the Division of Child and Family 38
Services; 39
(4) The Administrator of the Division of Health Care 40
Financing and Policy; and 41
(5) The Administrator of the Division of Public and 42
Behavioral Health. 43
(b) Shall administer, through the divisions of the Department, 44
the provisions of chapters 63, 424, 425, 427A, 432A to 442, 45

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inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 1
127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 2
section 2.3 of this act, 422.580, 432.010 to 432.133, inclusive, 3
432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 4
and 445A.010 to 445A.055, inclusive, and all other provisions of 5
law relating to the functions of the divisions of the Department, but 6
is not responsible for the clinical activities of the Division of Public 7
and Behavioral Health or the professional line activities of the other 8
divisions. 9
(c) Shall administer any state program for persons with 10
developmental disabilities established pursuant to the 11
Developmental Disabilities Assistance and Bill of Rights Act of 12
2000, 42 U.S.C. §§ 15001 et seq. 13
(d) Shall, after considering advice from agencies of local 14
governments and nonprofit organizations which provide social 15
services, adopt a master plan for the provision of human services in 16
this State. The Director shall revise the plan biennially and deliver a 17
copy of the plan to the Governor and the Legislature at the 18
beginning of each regular session. The plan must: 19
(1) Identify and assess the plans and programs of the 20
Department for the provision of human services, and an y 21
duplication of those services by federal, state and local agencies; 22
(2) Set forth priorities for the provision of those services; 23
(3) Provide for communication and the coordination of those 24
services among nonprofit organizations, agencies of local 25
government, the State and the Federal Government; 26
(4) Identify the sources of funding for services provided by 27
the Department and the allocation of that funding; 28
(5) Set forth sufficient information to assist the Department 29
in providing those services and in the planning and budgeting for the 30
future provision of those services; and 31
(6) Contain any other information necessary for the 32
Department to communicate effectively with the Federal 33
Government concerning demographic trends, formulas for the 34
distribution of federal money and any need for the modification of 35
programs administered by the Department. 36
(e) May, by regulation, require nonprofit organizations and state 37
and local governmental agencies to provide information regarding 38
the programs of those or ganizations and agencies, excluding 39
detailed information relating to their budgets and payrolls, which the 40
Director deems necessary for the performance of the duties imposed 41
upon him or her pursuant to this section. 42
(f) Has such other powers and duties as are provided by law. 43

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2. Notwithstanding any other provision of law, the Director, or 1
the Director’s designee, is responsible for appointing and removing 2
subordinate officers and employees of the Department. 3
Sec. 3. 1. This section becomes effective upon passage and 4
approval. 5
2. Sections 1 to 2.7, inclusive, of this act become effective: 6
(a) Upon passage and approval for the purpose of adopting any 7
regulations and performing any other preparatory administrative 8
tasks that are necessary to carry out the provisions of this act; and 9
(b) On January 1, 2026, for all other purposes. 10

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