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AN ACT relating to health care; creating a task force on the policy of the State of Nevada
concerning access to public health services; making an appropriation; and providing
other matters properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. 1. The task force on the policy of the State of Nevada
concerning access to public health services, consisting of 15 members, is
hereby created. The membership of the task force consists of:
(a) Nine members appointed by the Governor in accordance with
subsection 2;
(b) Three members appointed by the Majority Leader of the Senate in
accordance with subsection 3; and
(c) Three members appointed by the Speaker of the Assembly in
accordance with subsection 3.
2. The Governor shall appoint to the task force:
(a) One representative of the State of Nevada who has experience in the
field of health care;
(b) One representative of the Nevada State Medical Association;
(c) One representative of the Culinary Workers Union;
(d) One representative of the insurance industry of the State of Nevada;
(e) One representative of Nevadans for Affordable Health Care;
(f) One representative of the Nevada Public Health Foundation;
(g) One representative of the Nevada Women’s Lobby;
(h) One representative of the Nevada Association of Health Plans; and
(i) One member of the public.
3. The Majority Leader of the Senate and the Speaker of the Assembly
shall each ensure that at least one of the members whom they appoint to the
task force is a member of the minority party.
4. The Governor shall select a chairman and a vice chairman from
among the membership of the task force.
5. For each day or portion of a day during which a member of the task
force who is a legislator attends a meeting of the task force or is otherwise
engaged in the business of the task force, except during a regular or special
session of the Legislature, he is entitled to receive the:
(a) Compensation provided for a majority of the members of the
Legislature during the first 60 days of the preceding session;
(b) Per diem allowance provided for state officers and employees
generally; and
(c) Travel expenses provided pursuant to NRS 218.2207.
The compensation, per diem allowances and travel expenses of the
legislative members of the task force must be paid from the legislative fund.
6. Each member of the task force who is not a legislator:
(a) Is entitled to receive a salary of $80 for each day or portion of a day
during which he attends a meeting of the task force; and
(b) Is entitled to receive the per diem allowance and travel expenses
provided for state officers and employees generally for each day or portion
of a day during which he attends a meeting of the task force or is otherwise
engaged in the business of the task force.
7. The Department of Human Resources and the Division of Insurance
of the Department of Business and Industry shall provide the necessary
staff to assist the task force in performing its duties.
Sec. 2. 1. The task force on the policy of the State of Nevada
concerning access to public health services shall appoint a technical
advisory committee that consists of persons who have experience with
public health issues to assist the task force concerning technical issues.
2. The technical advisory committee must include, without limitation,
persons who are employed by the University of Nevada School of Medicine
and the dental school to be established in this state pursuant to Assembly
Bill No. 527 of this session and who are recommended by the Board of
Regents of the University of Nevada.
Sec. 3. The task force on the policy of the State of Nevada concerning
access to public health services shall:
1. Establish the basic coverage that must be included in each policy of
health insurance and health plan that is issued in the State of Nevada. To
determine the basic coverage, the task force shall consider public policy
and actuarial evidence, including, without limitation, an analysis of the cost
of providing the coverage. The basic coverage must be established as the
minimum coverage to be offered which may be augmented based upon the
needs of insureds or employees and on economic considerations.
2. Identify, review and prioritize the basic health care services,
including, without limitation, public health assessments and screenings, to
which all residents of the State of Nevada should have access, regardless of
whether they have health insurance. The task force shall identify the costs
and benefits of providing each of these basic health care services,
including, without limitation, a consideration of at-risk persons and the
clinical consensus on the positive value of each preventative, screening and
primary health care service. The review must include, without limitation, a
review of methods to increase access to health care services for members of
minority groups and other persons who are medically underserved in this
state.
3. Identify and analyze current public and private resources within this
state that provide health care services and coverage to persons without
health insurance, including, without limitation, Medicaid, the children’s
health insurance program, county indigent health programs, care provided
by hospitals or charities, federally qualified health centers, clinics of county
health departments and community health nurses. The analysis must
include, without limitation, a compilation of data concerning:
(a) Persons in this state who do not have health insurance;
(b) The cost of providing health care services to persons in this state;
(c) Persons who receive services from the public and private resources
identified by the task force;
(d) The public health care needs of minority groups and other persons
who are medically underserved and the services available to these groups
and persons; and
(e) The demographics of persons in this state who are covered by public
or private health insurance and the demographics of persons in this state
who are not covered by public or private health insurance.
Sec. 4. 1. The task force on the policy of the State of Nevada
concerning access to public health services shall sponsor forums throughout
the State of Nevada, if money for the forums is provided by the Nevada
Public Health Foundation, to provide information to the public concerning
the work of the task force and to obtain public comment on the work of the
task force.
2. The forums must include, without limitation, participation by
providers of public health care, health care advocacy groups and health
care professionals.
Sec. 5. 1. The task force on the policy of the State of Nevada
concerning access to public health services shall hold not less than eight
meetings before the 71st session of the Nevada Legislature convenes, and
more frequently if needed.
2. In carrying out its duties, the task force may contract for consulting
services and other technical assistance.
3. The task force shall, on or before December 1, 2000, submit written
recommendations to the Governor and to the Director of the Legislative
Counsel Bureau for transmission to the 71st session of the Nevada
Legislature. Such recommendations must include, without limitation,
recommendations concerning:
(a) The structure of, contents of and services that must be included in a
basic plan of health coverage offered to residents of this state;
(b) The establishment of minimum public health services that must be
provided to each resident of this state, regardless of his ability to pay,
including, without limitation, preventative care, health screenings, primary
care services and immunizations;
(c) Potential plans and programs to improve the quality of health care
services provided to members of minority groups and other persons who
are medically underserved and to increase access to health care services for
members of minority groups and other persons who are medically
underserved;
(d) Methods to provide funding to public health clinics to enable them to
provide health care services to residents of this state; and
(e) An estimate of the costs and benefits of coordinating insurance
coverage provided by the private sector with public health care services.
Sec. 6. 1. There is hereby appropriated from the state general fund to
the Department of Human Resources the sum of $50,000 for use by the task
force on the policy of the State of Nevada concerning access to public
health services to pay for the costs associated with carrying out the
provisions of this act.
2. Any remaining balance of the appropriation made by subsection 1
must not be committed for expenditure after June 30, 2001, and reverts to
the state general fund as soon as all payments of money committed have
been made.
Sec. 7. This act becomes effective on July 1, 1999.
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