Senate Bill No. 166–Committee on Human Resources
and Facilities

 

(On Behalf of Interim Committee on Health Care)

 

February 15, 2001

____________

 

Referred to Committee on Finance

 

SUMMARY—Requires department of human resources to include continuous subcutaneous insulin infusion pumps and podiatric services in state plan for Medicaid and makes appropriation for Pediatric Diabetes and Endocrinology Center. (BDR 38‑222)

 

FISCAL NOTE:            Effect on Local Government: No.

                                    Effect on the State: Contains Appropriations not included in Executive Budget.

 

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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 the department of human resources to include continuous subcutaneous insulin infusion pumps and podiatric services in the state plan for Medicaid to the extent authorized by federal law; making an appropriation to the department to provide such services; making an appropriation to the University of Nevada School of Medicine for the program administered by the Pediatric Diabetes and Endocrinology Center; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN

SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

 

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

1-2  new section to read as follows:

1-3    To the extent authorized by federal law, the director shall include in

1-4  the state plan for Medicaid as health care services that will be provided

1-5  under the state plan:

1-6    1.  Continuous subcutaneous insulin infusion pumps and medication,

1-7  equipment, supplies, appliances and services related to the use of such

1-8  pumps for each person whose physician has indicated that a pump is

1-9  medically necessary; and

1-10    2.  Podiatric services.

1-11    Sec. 2.  NRS 422.240 is hereby amended to read as follows:

1-12    422.240  1.  Money to carry out the provisions of NRS 422.001 to

1-13  422.410, inclusive, and section 1 of this act, and 422.580, including,

2-1  without limitation, any federal money allotted to the State of Nevada

2-2  pursuant to the program to provide temporary assistance for needy families

2-3  and the program for child care and development, must be provided by

2-4  appropriation by the legislature from the state general fund.

2-5    2.  Disbursements for the purposes of NRS 422.001 to 422.410,

2-6  inclusive, and section 1 of this act, and 422.580 must be made upon claims

2-7  duly filed, audited and allowed in the same manner as other money in the

2-8  state treasury is disbursed.

2-9    Sec. 3.  NRS 232.320 is hereby amended to read as follows:

2-10    232.320  1.  Except as otherwise provided in subsection 2, the

2-11  director:

2-12    (a) Shall appoint, with the consent of the governor, administrators of the

2-13  divisions of the department, who are respectively designated as follows:

2-14      (1) The administrator of the aging services division;

2-15      (2) The administrator of the health division;

2-16      (3) The state welfare administrator;

2-17      (4) The administrator of the division of child and family services; and

2-18      (5) The administrator of the division of health care financing and

2-19  policy.

2-20    (b) Shall administer, through the divisions of the department, the

2-21  provisions of chapters 210, 423, 424, 425, 427A, 432A to 442, inclusive,

2-22  446 to 450, inclusive, of NRS, NRS 127.220 to 127.310, inclusive, 422.001

2-23  to 422.410, inclusive, and section 1 of this act, 422.580, 432.010 to

2-24  432.139, inclusive, 444.003 to 444.430, inclusive, and 445A.010 to

2-25  445A.055, inclusive, and all other provisions of law relating to the

2-26  functions of the divisions of the department, but is not responsible for the

2-27  clinical activities of the health division or the professional line activities of

2-28  the other divisions.

2-29    (c) Shall, after considering advice from agencies of local governments

2-30  and nonprofit organizations which provide social services, adopt a master

2-31  plan for the provision of human services in this state. The director shall

2-32  revise the plan biennially and deliver a copy of the plan to the governor and

2-33  the legislature at the beginning of each regular session. The plan must:

2-34      (1) Identify and assess the plans and programs of the department for

2-35  the provision of human services, and any duplication of those services by

2-36  federal, state and local agencies;

2-37      (2) Set forth priorities for the provision of those services;

2-38      (3) Provide for communication and the coordination of those services

2-39  among nonprofit organizations, agencies of local government, the state and

2-40  the Federal Government;

2-41      (4) Identify the sources of funding for services provided by the

2-42  department and the allocation of that funding;

2-43      (5) Set forth sufficient information to assist the department in

2-44  providing those services and in the planning and budgeting for the future

2-45  provision of those services; and

2-46      (6) Contain any other information necessary for the department to

2-47  communicate effectively with the Federal Government concerning

2-48  demographic trends, formulas for the distribution of federal money and any

2-49  need for the modification of programs administered by the department.

3-1    (d) May, by regulation, require nonprofit organizations and state and

3-2  local governmental agencies to provide information to him regarding the

3-3  programs of those organizations and agencies, excluding detailed

3-4  information relating to their budgets and payrolls, which he deems

3-5  necessary for his performance of the duties imposed upon him pursuant to

3-6  this section.

3-7    (e) Has such other powers and duties as are provided by law.

3-8    2.  The governor shall appoint the administrator of the division of

3-9  mental health and developmental services.

3-10    Sec. 4.  1.  There is hereby appropriated from the state general fund

3-11  to the department of human resources for including continuous

3-12  subcutaneous insulin infusion pumps and medication, equipment, supplies,

3-13  appliances and services related to the use of such pumps, and podiatric

3-14  services in the state plan for Medicaid:

3-15    For the fiscal year 2001-2002................. $317,088

3-16    For the fiscal year 2002-2003................. $317,088

3-17    2.  Any balance of the sums appropriated by subsection 1 remaining at

3-18  the end of the respective fiscal years must not be committed for

3-19  expenditure after June 30 of the respective fiscal years and reverts to the

3-20  state general fund as soon as all payments of money committed have been

3-21  made.

3-22    Sec. 5.  1.  There is hereby appropriated from the state general fund

3-23  to the University of Nevada School of Medicine for the operation of the

3-24  program administered by the Pediatric Diabetes and Endocrinology Center:

3-25    For the fiscal year 2001-2002................. $284,625

3-26    For the fiscal year 2002-2003................. $284,625

3-27    2.  The sums appropriated by subsection 1 are available for either fiscal

3-28  year. Any balance of those sums must not be committed for expenditure

3-29  after June 30, 2003, and reverts to the state general fund as soon as all

3-30  payments of money committed have been made.

3-31    3.  The money appropriated by subsection 1 must be used to:

3-32    (a) Pay for the general operational costs of the Pediatric Diabetes and

3-33  Endocrinology Center, including, without limitation, expenses related to

3-34  travel;

3-35    (b) Purchase equipment for the Pediatric Diabetes and Endocrinology

3-36  Center; and

3-37    (c) Pay the salaries of professional and support personnel on the multi-

3-38  disciplinary team of the Pediatric Diabetes and Endocrinology Center,

3-39  including, without limitation, pediatric endocrinologists, licensed clinical

3-40  social workers, exercise physiologists, psychologists, health analysts,

3-41  biostatisticians, nurse practitioners, registered nurses and registered

3-42  dietitians.

3-43    4.  The Pediatric Diabetes and Endocrinology Center shall create an

3-44  advisory board consisting of the eight members of the executive committee

3-45  of the Nevada Diabetes Council and three additional members who are

3-46  medical and allied health professionals in the field of diabetes to provide

3-47  advice to the Pediatric Diabetes and Endocrinology Center regarding the

3-48  collaboration between the various state agencies, focusing primarily on the

3-49  care and treatment of children with diabetes.

4-1    5.  The Pediatric Diabetes and Endocrinology Center shall ensure that a

4-2  data analysis is conducted to evaluate the financial situation of the program

4-3  administered by the center and the medical results of patients who receive

4-4  care under the program. The advisory board shall monitor and review the

4-5  data analysis and provide advice based on the results of the analysis.

4-6    Sec. 6.  This act becomes effective on July 1, 2001.

 

4-7  H