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

1-2 a new section to read as follows:

1-3 1. The director shall establish a program of primary health care services and supplemental 1-4 health care services to be offered to each

1-5 person with a disability in this state:

1-6 (a) Who is not eligible for medical assistance pursuant to Title XIX of

1-7 the Social Security Act, 42 U.S.C. §§ 1396 et seq.;

1-8 (b) Whose medical costs as a result of his disability are not covered by

1-9 a policy of group health insurance of his employer;

1-10 (c) Who is not eligible for medical assistance pursuant to any work

1-11 incentive program in which the Federal Government participates; and

1-12 (d) Who, if not engaged in substantial gainful activity, would satisfy

1-13 all of the eligibility requirements for supplemental security income pursuant to Title XVI of the 1-14 Social Security Act, 42 U.S.C. §§ 1381 et

1-15 seq., at the time he applies to participate in the program.

2-1 2. The director shall require persons enrolled in the program established pursuant to subsection 2-2 1 to pay contributions toward

2-3 premiums, copayments or deductibles according to a schedule established on a sliding scale. The 2-4 program must be funded in part by the

2-5 contributions paid by persons enrolled in the program.

2-6 3. The legislative committee on health care shall:

2-7 (a) Monitor the development of the program established pursuant to subsection 1; and

2-8 (b) Provide advice and guidance to the director concerning the program established pursuant to 2-9 subsection 1.

2-10 Sec. 2. NRS 422.222 is hereby amended to read as follows:

2-11 422.222 1. The administrator may adopt such regulations as are

2-14 2. A regulation adopted by the administrator becomes effective upon adoption or such other date as 2-15 the administrator specifies in the regulation.

2-16 Sec. 3. NRS 232.320 is hereby amended to read as follows:

2-17 232.320 1. Except as otherwise provided in subsection 2, the

2-41 (2) Set forth priorities for the provision of those services;

3-1 (3) Provide for communication and the coordination of those services among nonprofit 3-2 organizations, agencies of local government, the state and

3-3 the Federal Government;

3-4 (4) Identify the sources of funding for services provided by the

3-5 department and the allocation of that funding;

3-6 (5) Set forth sufficient information to assist the department in

3-7 providing those services and in the planning and budgeting for the future provision of those services; 3-8 and

3-9 (6) Contain any other information necessary for the department to communicate effectively with 3-10 the Federal Government concerning

3-11 demographic trends, formulas for the distribution of federal money and any need for the modification 3-12 of programs administered by the department.

3-13 (d) May, by regulation, require nonprofit organizations and state and local governmental agencies to 3-14 provide information to him regarding the

3-15 programs of those organizations and agencies, excluding detailed information relating to their 3-16 budgets and payrolls, which he deems

3-17 necessary for his performance of the duties imposed upon him pursuant to this section.

3-18 (e) Has such other powers and duties as are provided by law.

3-19 2. The governor shall appoint the administrator of the mental hygiene

3-20 and mental retardation division.

3-21 Sec. 4. 1. On or before December 31, 1999, the department of

3-22 human resources shall report to the legislative committee on health care concerning the manner in 3-23 which the department intends to establish the

3-24 program required pursuant to section 1 of this act. The department shall submit such additional 3-25 reports as requested by the committee.

3-26 2. The legislative committee on health care shall provide advice and recommendations to the 3-27 department of human resources and submit

3-28 quarterly reports to the interim finance committee concerning the progress of the program.

3-29 3. On or before July 1, 2000, the department of human resources shall,

3-30 with the consent of the interim finance committee, establish the program

3-31 required pursuant to section 1 of this act.