Nevada’s Health Authority administers health programs and county services

The Nevada Health Authority administers Medicaid, other health programs, and several health care and public health functions. The Authority includes Medicaid, health care purchasing and compliance, and consumer health divisions; its listed duties cover public health coverage, health care providers and facilities, and sanitation. The Authority may delegate Medicaid and Children’s Health Insurance Program eligibility decisions or hearings to state, local, or tribal government agencies, subject to federal requirements and reporting. These provisions take effect July 1, 2025.

The Authority must publish plan-comparison information and create a support system for people using Medicaid managed care. The plan-comparison information and support system apply to people receiving Medicaid through managed care. The Authority must apply for federal approval needed to make real-time eligibility decisions and enroll people in applicable state health subsidy programs. These provisions take effect July 1, 2025.

Each county must pay the Authority for certain sanitation and food safety services provided in that county. The assessment applies to each county for covered services, whether or not the county has a local health authority. The Authority sets the assessment amount. A county may seek an exemption by proposing to provide the services itself; the Governor must recommend approval, and the Interim Finance Committee must approve it. An approved exemption cannot take effect for at least six months. Quarterly payments are due on the first day of each calendar quarter.