1-3 under the state plan for Medicaid:

1-4 (a) A [freestanding] facility for hospice care licensed pursuant to [NRS

1-5 449.030; or] chapter 449 of NRS for the services for hospice care,

1-6 including room and board, provided by that facility to a person who is

1-7 eligible to receive Medicaid.

1-8 (b) A program for hospice care licensed pursuant to [NRS 449.030,]

1-9 chapter 449 of NRS for the services for hospice care provided by that

1-10 [facility or] program to a person who is eligible to receive Medicaid.

1-11 2. As used in this section:

1-12 (a) ["Freestanding facility] "Facility for hospice care" has the meaning

1-13 ascribed to it in [NRS 449.006.] section 3 of this act.

3-2 new section to read as follows:

3-3 "Facility for hospice care" means a facility which is operated to

3-7 the words and terms defined in NRS 449.0015 to 449.019, inclusive, and

3-11 1. A surgical center for ambulatory patients;

3-12 2. An obstetric center;

3-13 3. An independent center for emergency medical care;

3-14 4. An agency to provide nursing in the home;

3-15 5. A facility for intermediate care;

3-16 6. A facility for skilled nursing;

3-17 7. A [freestanding] facility for hospice care;

3-18 8. A hospital;

3-19 9. A psychiatric hospital;

3-20 10. A facility for the treatment of irreversible renal disease;

3-21 11. A rural clinic; and

3-25 may operate or maintain in this state any medical facility or facility for the

3-26 dependent without first obtaining a license therefor as provided in NRS

3-27 449.001 to 449.240, inclusive.

3-28 2. Unless licensed as a [freestanding] facility for hospice care, a

3-29 person, state or local government or agency thereof shall not operate a

3-30 program of hospice care without first obtaining a license for the program

3-34 provide any of the following levels of care for terminally ill patients:

3-35 (a) Medical care for a patient who is in an acute episode of illness;

3-36 (b) Skilled nursing care;

3-37 (c) Intermediate care; and

3-38 (d) Custodial care.

3-39 2. A licensed [freestanding] facility for hospice care may provide direct

3-40 supportive services to a patient’s family and persons who provide care for

3-41 the patient, including services which provide care for the patient during the

3-42 day and other services which provide a respite from the stresses and

4-3 1. "Community mental health center" means a facility providing

4-4 services for the prevention or diagnosis of mental illness, or care and

4-5 treatment of mentally ill patients, or rehabilitation of such persons, which

4-6 services are provided principally for persons residing in a particular

4-7 community in or near which the facility is situated.

4-8 2. "Construction" includes the construction of new buildings,

4-9 modernization, expansion, remodeling and alteration of existing buildings,

4-10 and initial equipment of such buildings , [(] including medical

4-11 transportation facilities [), including] , and includes architects’ fees, but

4-12 [excluding] excludes the cost of offsite improvements and, except with

4-13 respect to public health centers, the cost of the acquisition of the land.

4-14 3. "Facility for the mentally retarded" means a facility specially

4-15 designed for the diagnosis, treatment, education, training or custodial care

4-16 of the mentally retarded, including facilities for training specialists and

4-17 sheltered workshops for the mentally retarded, but only if such workshops

4-18 are part of facilities which provide or will provide comprehensive services

4-19 for the mentally retarded.

4-20 4. "Federal Act" means 42 U.S.C. §§ 291 to 291o-l, inclusive, and

4-21 300k to 300t, inclusive, and any other federal law providing for or

4-22 applicable to the provision of assistance for health facilities.

4-23 5. "Federal agency" means the federal department, agency or official

4-24 designated by law, regulation or delegation of authority to administer the

4-25 Federal Act.

4-26 6. "Health facility" includes a public health center, hospital,

4-27 [freestanding] facility for hospice care, facility for the mentally retarded,

4-28 community mental health center, and other facility to provide diagnosis,

4-29 treatment, care, rehabilitation, training or related services to persons with

4-30 physical or mental impairments, including diagnostic or diagnostic and

4-31 treatment centers, rehabilitation facilities and nursing homes, as those terms

4-32 are defined in the Federal Act, and such other facilities for which federal

4-33 aid may be authorized under the Federal Act, but, except for facilities for

4-34 the mentally retarded, does not include any facility furnishing primarily

4-35 domiciliary care.

4-36 7. "Nonprofit health facility" means any health facility owned and

4-37 operated by a corporation or association, no part of the net earnings of

4-38 which inures or may lawfully inure to the benefit of any private shareholder

4-39 or natural person.

4-40 8. "Public health center" means a publicly owned facility for the

4-41 provision of public health services, including related facilities such as

4-42 laboratories, clinics and administrative offices operated in connection with

5-9 separate from any other medical facility and is operated exclusively for the

5-10 provision of hospice care.