EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

1-1 Section 1. Chapter 422 of NRS is hereby amended by adding thereto the

1-2 provisions set forth as sections 2 and 3 of this act.

1-3 Sec. 2. "Children’s health insurance program" means the program

1-4 established pursuant to 42 U.S.C. §§ 1397aa to 1397jj, inclusive, to provide

1-5 health insurance to uninsured children from low-income families in this

1-6 state.

1-7 Sec. 3. The division of health care financing and policy shall:

1-8 1. Develop and make available one application to be used to determine

1-9 eligibility for the children’s health insurance program and Medicaid;

1-10 2. Ensure that each person who determines eligibility for Medicaid or

1-11 the children’s health insurance program is trained and authorized to

1-12 determine eligibility for the other program; and

1-13 3. Establish an effective marketing program for the children’s health

1-14 insurance program.

1-15 Sec. 4. NRS 422.001 is hereby amended to read as follows:

1-16 422.001 As used in this chapter, unless the context otherwise requires, the

1-18 of this act have the meanings ascribed to them in those sections.

2-1 Sec. 5. NRS 422.001 is hereby amended to read as follows:

2-2 422.001 As used in this chapter, unless the context otherwise requires, the

2-4 of this act have the meanings ascribed to them in those sections.

2-5 Sec. 6. NRS 422.050 is hereby amended to read as follows:

2-6 422.050 1. "Public assistance" includes:

2-17 2. The term does not include the children’s health insurance program.

2-18 Sec. 7. NRS 422.050 is hereby amended to read as follows:

2-19 422.050 1. "Public assistance" includes:

2-29 2. The term does not include the children’s health insurance program.

2-30 Sec. 8. NRS 422.240 is hereby amended to read as follows:

2-31 422.240 1. Money to carry out the provisions of NRS 422.001 to

2-40 state treasury is disbursed.

2-41 Sec. 9. NRS 422.270 is hereby amended to read as follows:

2-42 422.270 The department shall:

2-44 (a) State supplementary assistance;

3-1 (b) Temporary assistance for needy families;

3-2 (c) Medicaid;

3-3 (d) Food stamp assistance;

3-4 (e) Low-income home energy assistance;

3-5 (f) The program for child care and development;

3-6 (g) The program for the enforcement of child support; [and]

3-7 (h) The children’s health insurance program; and

3-8 (i) Other welfare activities and services provided for by the laws of this

3-9 state.

3-10 2. Act as the single state agency of the State of Nevada and its political

3-11 subdivisions in the administration of any federal money granted to the [state]

3-12 State of Nevada to aid in the furtherance of any of the services and activities

3-13 set forth in subsection 1.

3-14 3. Cooperate with the Federal Government in adopting state plans, in all

3-15 matters of mutual concern, including adoption of methods of administration

3-16 found by the Federal Government to be necessary for the efficient operation

3-17 of welfare programs, and in increasing the efficiency of welfare programs by

3-18 prompt and judicious use of new federal grants which will assist the

3-19 department in carrying out the provisions of this chapter.

3-20 4. Observe and study the changing nature and extent of welfare needs and

3-21 develop through tests and demonstrations effective ways of meeting those

3-22 needs and employ or contract for personnel and services supported by

3-23 legislative appropriations from the state general fund or money from federal

3-24 or other sources.

3-25 5. Enter into reciprocal agreements with other states relative to public

3-26 assistance, welfare services and institutional care, when deemed necessary or

3-27 convenient by the director.

3-28 6. Make such agreements with the Federal Government as may be

3-29 necessary to carry out the supplemental security income program.

3-30 Sec. 10. NRS 422.270 is hereby amended to read as follows:

3-31 422.270 The department, through the welfare division, shall:

3-43 state.

4-1 2. Act as the single state agency of the State of Nevada and its political

4-2 subdivisions in the administration of any federal money granted to the [state]

4-3 State of Nevada to aid in the furtherance of any of the services and activities

4-4 set forth in subsection 1.

4-5 3. Cooperate with the Federal Government in adopting state plans, in all

4-6 matters of mutual concern, including adoption of methods of administration

4-7 found by the Federal Government to be necessary for the efficient operation

4-8 of welfare programs, and in increasing the efficiency of welfare programs by

4-9 prompt and judicious use of new federal grants which will assist the welfare

4-10 division in carrying out the provisions of NRS 422.070 to 422.410, inclusive

4-11 [.] , and section 3 of this act.

4-12 4. Observe and study the changing nature and extent of welfare needs and

4-13 develop through tests and demonstrations effective ways of meeting those

4-14 needs and employ or contract for personnel and services supported by

4-15 legislative appropriations from the state general fund or money from federal

4-16 or other sources.

4-17 5. Enter into reciprocal agreements with other states relative to public

4-18 assistance, welfare services and institutional care, when deemed necessary or

4-19 convenient by the administrator.

4-20 6. Make such agreements with the Federal Government as may be

4-21 necessary to carry out the supplemental security income program.

4-22 Sec. 11. Section 3 of this act is hereby amended to read as follows:

4-23 Sec. 3. The welfare division [of health care financing and policy]

4-24 shall:

4-25 1. Develop and make available one application to be used to

4-26 determine eligibility for the children’s health insurance program and

4-27 Medicaid; and

4-28 2. Ensure that each person who determines eligibility for

4-29 Medicaid or the children’s health insurance program is trained and

4-30 authorized to determine eligibility for the other program.

4-31 Sec. 12. The application to be developed pursuant to sections 3 and 11 of

4-32 this act to determine eligibility for the children’s health insurance program

4-33 and Medicaid must be developed and in use not later than July 1, 1999.

4-34 Sec. 13. 1. This section and sections 1 to 4, inclusive, 6, 8, 9 and 12 of

4-35 this act become effective upon passage and approval.

4-36 2. Sections 4, 6, 8 and 9 of this act expire by limitation on June 30, 1999.

4-37 3. Section 11 of this act becomes effective on July 1, 1999.

4-38 4. Sections 5, 7 and 10 of this act become effective at 12:01 a.m. on
4-39 July 1, 1999.