state of nevada department of health and human...

Steve Sisolak

Governor

Richard Whitley

Director

State of Nevada

Department of Health and Human Services

FY 2020-21 Budget Presentation

DHHS Director’s Office

Richard Whitley

February 08, 2019

Helping People. It’s who we are and what we do.


Mission

• The DHHS Director’s Office promotes the health and well-being of Nevadans through the delivery or facilitation of essential services to:• Strengthen families,

• Protect public health, and

• Help individuals achieve their highest level of self-sufficiency.

2


DHHS Organizational Chart

3

Richard WhitleyDirector

State Public DefenderKarin Kreizenbeck

Julia PeekDeputy Director -

Programs

Stacey JohnsonDeputy Director –

Fiscal

Deborah HassettDeputy Director –Admin. Services

Aging and Disability Services

Dena Schmidt

CChihild ald annd d FFamamiliyly SSeerrvviceicess

RRososss A Arrmmssttrrongong

PPublublic ic and and BBeehavhavioralioral HHeealaltthh

JulJulieie K Kototchechevvarar

WeWelflfare are anand d SSupporupporttivivee S Seerrvviceicess

SStteevvee F Fisisheherr

HHealealtth h CCare Fiare Finanancincing ng and and PPololicyicy

CSodyuzanne Phinne Bieyr,m Aancting


Director’s Office Budgeted Funding Sources, 2018-19 and 2020-21 Biennium

4

Legislative Approved 2018-2019 Biennium

Federal, $45,148,114 ,

27%

General Fund, $7,633,289 ,

5%Other,

$114,782,842 , 68%

$167,564,245

Governor Recommends 2020-2021 Biennium

Federal, $45,591,749,

27%

General Fund, $8,117,854 ,

5% Other, $117,377,147,

68%

$171,086,750


Summary by Budget Account

5

Governor Recommends Budget (G01) Fiscal Year 2020 Fiscal Year 2021

400 Director's Office General Fund Federal Funds Other Total General Fund Federal Funds Other Total

1499 Public Defender 1,937,861 36,176 1,369,069 3,343,106 1,938,319 36,176 1,369,680 3,344,175

3150 Administration 1,460,751 - 420,328 1,881,079 1,474,494 - 428,028 1,902,522

3154 Developmental Disabilities 181,440 555,197 - 736,637 186,453 555,196 - 741,649

3195 Grants Management Unit 37,042 18,080,699 7,481,679 25,599,420 37,523 18,080,699 7,483,579 25,601,801

3199 Grief Support Trust Account - - 22,000 22,000 - 22,000 22,000

3200 Problem Gambling - - - - - - - -

3201 Children's Trust Account - - - - - - - -

3204 Consumer Health Assistance 402,596 - 1,298,578 1,701,174 461,375 - 1,335,872 1,797,247

3244 Indigent Hospital Account - - 34,289,829 34,289,829 - - 34,289,829 34,289,829

3260 UPL Holding - - 13,753,351 13,753,351 - - 13,813,325 13,813,325

3276 IDEA Part C - 4,123,803 - 4,123,803 - 4,123,803 - 4,123,803

Director's Office Total 4,019,690 22,795,875 58,634,834 85,450,399 4,098,164 22,795,874 58,742,313 85,636,351

Biennial Total 8,117,854 45,591,749 117,377,147 171,086,750

BA 3150 DHHS DO Administration

OverviewThe Department of Health and Human Services (DHHS), authorized under NRS 232.300, is responsible for coordinating all departmental programs, overseeing the department’s budgets and providing technical assistance to the various divisions within the department. In addition to the Administration budget, the Director’s Office administers the following budgets: Grants Management Unit; Children’s Trust Account; Problem Gambling; Indigent Hospital Care; Upper Payment Limit (UPL) Holding Account; Consumer Health Assistance, Developmental Disabilities, Office of the State Public Defender and IDEA Part-C.

Helping People. It’s who we are and what we do. 6

BA 3150 DHHS DO AdministrationBudget Information/Changes

• Budget is cost allocated to internal programs and through the Statewide Cost Allocation Plan (SWCAP)

• Enhancements• E226 – Eliminates an Accounting Assistant due to an

increase in operational efficiency within the fiscal unit.• SFY20 Total Cost – ($52,675) State General Fund – ($6,192)

• SFY21 Total Cost – ($54,788) State General Fund – ($6,440)

• E805 – Reclassify an Administrative Assistant to a Management Analyst to improve Director’s Office auditing/grants management.• SFY20 Total Cost – $24,171 State General Fund – $2,841

• SFY21 Total Cost – $25,475 State General Fund – $2,995


BA 3150 DHHS DO Administration

Budget Information/Changes

• Transfers• E903 – Transfers a Social Services Program Specialist

position from the Grants Management Unit to Administration to improve department-wide auditing and grants management.


BA 3195 Grants Management Unit

OverviewThe Grants Management Unit (GMU) administers, monitors and audits the following grant programs: Title XX Social Services Block Grant, Community Services Block Grant, Community-Based Child Abuse Prevention Grant, Children’s Trust Account, Problem Gambling grants, and Fund for a Healthy Nevada (tobacco settlement) grants. The budget also includes the Office of Food Security and the Nevada 2-1-1 System. The GMU is authorized pursuant to NRS 232.330 and the Grants Management Advisory Committee is established pursuant to NRS 232.383.


BA 3195 Grants Management UnitBudget Information/Changes

• Budget cost allocated based on time and effort

• Enhancements/Transfers• E807/E903 – Reclassify a Social Services Program Specialist

to a Management Analyst and transfer to Administration to improve department-wide auditing/grants management.• SFY20 Total Cost – $0 State General Fund – $0

• SFY21 Total Cost – $0 State General Fund – $0



• E909 – Transfer Problem Gambling to DPBH• This request transfers the Problem Gambling Program

from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.

• E900 – Transfer Food Security to DPBH• This request transfers the Food Security Program from

the DHHS Director’s Office Grants Management Unit to the Chronic Disease budget account at Public & Behavioral Health.



• E901– Transfer Child Abuse Prevention to DCFS• This request transfers the Child Abuse Prevention

activities from the DHHS Director’s Office Grants Management Unit to the Children, Youth and Family Administration budget account at Child & Family Services. Also, includes the transfer of the Children’s Trust Account, BA 3201.

• E902 – Transfer Differential Response to DCFS• This request transfers the Differential Response

activities to the Children, Youth and Family Administration budget account at Child & Family Services.



Healthy Nevada Funds (Tobacco)

13

Disability RX, $961,800 , 2%

Legislative Approved 2018-19 Biennium


Treasurer's Administration, $139,316 , 0%

Seniors, $4,767,000 , 10%

Senior Independent

Living, $11,487,000 ,

25%

Assisted Living, $400,000 , 1%

Cessation, $1,900,000 , 4%

Disability Services,

$7,224,000 , 16%

Wellness, $19,518,032 ,

42%

$46,397,148

Governor Recommends 2020-21 BienniumTreasurer's

Administration, $135,880 , 0% Seniors,

$2,100,000 , 4%

Senior Independent

Living, $11,487,000 , 21%

Assisted Living, $400,000 , 1%

Cessation, $1,900,000 , 4%

Disability Services, $10,191,000 , 19%

Wellness, $26,336,167 , 49%

$53,511,847


Healthy Nevada Funds (Tobacco)

14

Use Category 2018-19 Biennium 2020-21 Biennium Change

Senior Rx $ 4,240,000 $ 2,000,000 $ (2,240,000)

Disability Rx $ 816,000 $ 916,000 $ 100,000

Senior Independent Living $ 10,940,000 $ 10,940,000 $ -

Assisted Living $ 400,000 $ 400,000 $ -

Cessation $ 1,900,000 $ 1,900,000 $ -

Wellness $ -

Office of Minority Health-Minority Health Coalition $ 266,000 $ 277,528 $ 11,528

Federally Qualified Health Center Incubator Project $ 1,000,000 $ 1,400,000 $ 400,000

Suicide Prevention $ 760,000 $ 778,980 $ 18,980

Hunger $ 3,836,039 $ 4,200,000 $ 363,961

SafeVoice Program $ 773,307 $ 1,218,692 $ 445,385

Immunization $ 300,000 $ 300,000 $ -

2-1-1 Support $ 962,000 $ 1,187,020 $ 225,020

Wellness for Family Services $ - $ 2,000,000 $ 2,000,000

Differential Response $ 2,700,000 $ 2,700,000 $ -

Family Resource Centers $ 2,730,000 $ 3,400,000 $ 670,000

Consumer Health Assistance $ 310,000 $ 467,161 $ 157,161

So NV MOST Program $ 500,000 $ 800,000 $ 300,000

No NV MOST Program $ - $ 300,000 $ 300,000

Public Health Preparedness $ 173,571 $ 369,056 $ 195,485

No NV Mobile Crisis Unit $ 1,436,746 $ 1,436,746 $ -

So NV Mobile Crisis Unit $ 3,168,756 $ 3,168,756 $ -

Rural NV Mobile Crisis Unit $ - $ 1,415,662 $ 1,415,662

Disability Services $ -

Respite $ 1,280,000 $ 1,280,000 $ -

Positive Behavior Support $ 640,000 $ 640,000 $ -

Independent Living Grants $ 1,100,000 $ 1,100,000 $ -

NEW Nevada 2-1-1 $ 260,000 $ 400,000 $ 140,000

Autism $ 3,200,000 $ 5,740,000 $ 2,540,000

Family Preservation $ 400,000 $ 400,000 $ -

Personal Assistance Services $ 320,000 $ - $ (320,000)

COPE Purchase of Services $ 80,000 $ - $ (80,000)

Aging & Disability Services Administration $ 1,163,800 $ 1,323,800 $ 160,000

Director's Office Administration $ 605,176 $ 916,566 $ 311,390

Treasurer's Office Administration $ 135,753 $ 135,880 $ 127

TOTAL $ 46,397,148 $ 53,511,847 $ 7,114,699

BA 3200 Prevention of Problem Gambling

OverviewThe Revolving Account for the Prevention and Treatment of Problem Gambling was created by the 2005 Legislature (NRS 458A) to provide for programs that expand and improve the treatment and prevention of problem gambling through workforce development, research and evaluation and increasing the number of treatment facilities and providers in Nevada. Pursuant to NRS 463.320, the program is funded through a transfer of an amount equal to $2 for each slot machine subject to the quarterly slot machine license fee. The administrative expenditures for this program are funded through the DHHS Director’s Office Grant Management Unit (GMU).


BA 3200 Prevention of Problem GamblingBudget Information/Changes

• Advisory Committee on Problem Gambling reviews grant applications and makes recommendations for awards.

• 3195/E909 Transfer Problem Gambling to DPBH• This request transfers the Problem Gambling Program

from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.

• E225 Changes the funding for Problem Gambling• This request replaces the current quarterly slot tax

funding with a tax on gaming percentage fees.• SFY20 Total Cost – $3,359,815 State General Fund – $0

• SFY21 Total Cost – $3,448,524 State General Fund – $0


BA 3204 Office of Consumer Health Assistance (OCHA)

OverviewThe Office of Consumer Health (OCHA) assists Nevada consumers to understand and navigate the health care system by understanding patient rights and responsibilities under various health care plans, including industrial insurance, Medicaid and the Silver State Health Insurance Exchange. The OCHA also provides educational outreach regarding access to health care; responds to and investigates complaints regarding health care plans and policies; and assists in billing disputes between patients and hospitals. The mission of the Nevada Office of Minority Health is to improve the quality of health care services for minorities. The OCHA has offices in Las Vegas and Elko.



Office of Consumer Health Assistance

18

General Fund, $410,966 , 14%

Bureau of Hospital Patients,

$367,706 , 12%

Medicaid, $505,077 , 17%

Industrial Relations,

$323,839 , 11%

Legislative Approved 2018-19 Biennium Governor Recommends 2020-21 Biennium

Tobacco, $546,000 , 19%

Health Care Quality &

Compliance, $228,119 , 8%

Silver State Health Insurance Exchange,

$358,651 , 12%

Substance Abuse ,

$201,594 , 7%

$2,941,952

General Fund, $863,971 , 25%

Bureau of Hospital Patients,

$378,822 , 11%

Medicaid, $593,165 , 17%

Tobacco, $744,689 , 21%

Health Care Quality &

Compliance, $185,707 , 5%

Silver State Health Insurance

Exchange, $252,000 , 7%

Substance Abuse , $172,541 , 5%

Industrial Relations,

$307,526 , 9%

$3,498,421


BA 3204 Office of Consumer Health Protection


• E225 Consumer Health Protection Bureau• Request funding for a Consumer Health Protection Bureau,

within the Office of Consumer Health Assistance, to provide mediation services for disputed billing for out of network service charges incurred during emergency visits.• SFY20 Total Cost – $234,243 State General Fund – $234,243

• SFY21 Total Cost – $276,168 State General Fund – $276,168

• The Office of Minority Health was established by the 2005 Legislature pursuant to NRS 232.474.• Office of Minority Health and the Nevada Minority Health

Coalition work together on common initiatives.

BA 1499 Public Defender

OverviewThe Office of the State Public Defender (Office), authorized under NRS 180.010, represents adult and juvenile indigent, criminal defendants when a court appoints the Office as counsel. The Office currently provides services for two counties: Carson and Storey. The 15 remaining counties provide their own public defender services through a county public defender or private contract attorneys. The Office is also responsible for appeals for state prison inmates whose habeas corpus post-conviction petitions have been denied. The State Public Defender is located in Carson City.


BA 1499 Public Defender


• Budget split 76% Counties and 24% General Funds

• Enhancements• E806 – Reclassifies an AA I to a Legal Secretary 2

commensurate with the duties of the position.• SFY20 Total Cost - $11,287 State General Fund - $2,709

• SFY21 Total Cost - $11,932 State General Fund - $2,864

• E712 – Requests replacement office furniture for the Public Defender’s Office.• SFY20 Total Cost - $14,298 State General Fund - $3,432

• SFY21 Total Cost - $0 State General Fund - $0



Acronyms

22

• ADSD: Aging and Disability Services Division

• ACPG: Advisory Committee on Problem Gambling

• BA: Budget Account

• BDR: Bill Draft Request

• COPE: Community Service Options Program for the Elderly

• DCFS: Division of Child and Family Services

• DHCFP: Division of Health Care Financing and Policy (Medicaid)

• DHHS: Department of Health and Human Services

• DO: Director’s Office

• DPBH: Division of Public and Behavioral Health

• DWSS: Division of Welfare and Supportive Services

• FTE: Full-time Equivalent

• FY: Fiscal Year

• G01: Governor Recommends Budget

• GMU: Grants Management Unit

• IDEA Part C: Individuals with Disabilities Education Act, Early Intervention Services office

• MOST Program: Mobile Outreach Safety Team

• NEW NV 2-1-1: A phone number to connect with human and social services in your area

• NRS: Nevada Revised Statute

• OCHA: Office of Consumer Health Assistance

• Rx: Prescription

• SWCAP: Statewide Cost Allocation Plan

• UPL: Upper Payment Limit

Structure BookmarksSteve SisolakGovernorFigureRichard WhitleyDirectorState of Nevada Department of Health and Human ServicesFY 2020-21 Budget PresentationDHHS Director’s OfficeRichard WhitleyFebruary 08, 2019FigureHelping People. It’s who we are and what we do.Mission•The DHHS Director’s Office promotes the health and well-being of Nevadans through the delivery or facilitation of essential services to:•Strengthen families,•Protect public health, and •Help individuals achieve their highest level of self-sufficiency.DHHS Organizational ChartRichard WhitleyDirectorState Public DefenderKarin KreizenbeckJulia PeekDeputy Director -ProgramsStacey JohnsonDeputy Director –FiscalDeborah HassettDeputy Director –Admin. ServicesAging and Disability ServicesDena SchmidtCChihild ald annd d FFamamiliyly SSeerrvviceicessRRososss A ArrmmssttrrongongPPublublic ic and and BBeehavhavioralioral HHeealaltthhJulJulieie K KototchechevvararWeWelflfare are anand d SSupporupporttivivee S SeerrvviceicessSStteevvee F FisisheherrHHealealtth h CCare Fiare Finanancincing ng and and PPololicyicyCSodyuzanne Phinne Bieyr,m AanctingDirector’s Office Budgeted Funding Sources, 2018-19 and 2020-21 BienniumLegislative Approved 2018-2019 BienniumFederal, $45,148,114 , 27%General Fund, $7,633,289 , 5%Other, $114,782,842 , 68%$167,564,245Governor Recommends 2020-2021 BienniumFederal, $45,591,749, 27%General Fund, $8,117,854 , 5%Other, $117,377,147, 68%$171,086,750Summary by Budget AccountGovernor Governor Governor Governor Recommends Budget (G01)Fiscal Year 2020Fiscal Year 2021

400400Director's OfficeGeneral FundFederal FundsOtherTotalGeneral FundFederal FundsOtherTotal

14991499Public Defender1,937,861 36,176 1,369,069 3,343,106 1,938,319 36,176 1,369,680 3,344,175

31503150Administration1,460,751 -420,328 1,881,079 1,474,494 -428,028 1,902,522

31543154Developmental Disabilities181,440 555,197 -736,637 186,453 555,196 -741,649

31953195Grants Management Unit37,042 18,080,699 7,481,679 25,599,420 37,523 18,080,699 7,483,579 25,601,801

31993199Grief Support Trust Account--22,000 22,000 -22,000 22,000

32003200Problem Gambling--------

32013201Children's Trust Account--------

32043204Consumer Health Assistance402,596 -1,298,578 1,701,174 461,375 -1,335,872 1,797,247

32443244Indigent Hospital Account--34,289,829 34,289,829 --34,289,829 34,289,829

32603260UPL Holding--13,753,351 13,753,351 --13,813,325 13,813,325

32763276IDEA Part C-4,123,803 -4,123,803 -4,123,803 -4,123,803

Director's Office Director's Office Total4,019,690 22,795,875 58,634,834 85,450,399 4,098,164 22,795,874 58,742,313 85,636,351

TRBiennial Total

8,117,854 8,117,854 45,591,749 117,377,147 171,086,750

BA 3150 DHHS DO AdministrationOverviewThe Department of Health and Human Services (DHHS), authorized under NRS 232.300, is responsible for coordinating all departmental programs, overseeing the department’s budgets and providing technical assistance to the various divisions within the department. In addition to the Administration budget, the Director’s Office administers the following budgets: Grants Management Unit; Children’s Trust Account; Problem Gambling; Indigent Hospital Care; Upper Payment Limit (UPL) Holding Account; Consumer HBA 3150 DHHS DO AdministrationBudget Information/Changes•Budget is cost allocated to internal programs and through the Statewide Cost Allocation Plan (SWCAP)•Enhancements•E226 –Eliminates an Accounting Assistant due to an increase in operational efficiency within the fiscal unit.•SFY20 Total Cost –($52,675)State General Fund –($6,192)•SFY21 Total Cost –($54,788)State General Fund –($6,440)•E805 –Reclassify an Administrative Assistant to a Management Analyst to improve Director’s Office auditing/grants management.•SFY20 Total Cost –$24,1BA 3150 DHHS DO AdministrationBudget Information/Changes•Transfers•E903 –Transfers a Social Services Program Specialist position from the Grants Management Unit to Administration to improve department-wide auditing and grants management.BA 3195 Grants Management UnitOverviewThe Grants Management Unit (GMU) administers, monitors and audits the following grant programs: Title XX Social Services Block Grant, Community Services Block Grant, Community-Based Child Abuse Prevention Grant, Children’s Trust Account, Problem Gambling grants, and Fund for a Healthy Nevada (tobacco settlement) grants. The budget also includes the Office of Food Security and the Nevada 2-1-1 System. The GMU is authorized pursuant to NRS 232.330 and the Grants Management Advisory Committee is establBA 3195 Grants Management UnitBudget Information/Changes•Budget cost allocated based on time and effort•Enhancements/Transfers•E807/E903 –Reclassify a Social Services Program Specialist to a Management Analyst and transfer to Administration to improve department-wide auditing/grants management.•SFY20 Total Cost –$0State General Fund –$0•SFY21 Total Cost –$0State General Fund –$0BA 3195 Grants Management UnitBudget Information/Changes•E909 –Transfer Problem Gambling to DPBH•This request transfers the Problem Gambling Program from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.•E900 –Transfer Food Security to DPBH•This request transfers the Food Security Program from the DHHS Director’s Office Grants Management Unit to the Chronic Disease budget account at Public & Behavioral Health.BA 3195 Grants Management UnitBudget Information/Changes•E901–Transfer Child Abuse Prevention to DCFS•This request transfers the Child Abuse Prevention activities from the DHHS Director’s Office Grants Management Unit to the Children, Youth and Family Administration budget account at Child & Family Services. Also, includes the transfer of the Children’s Trust Account, BA 3201.•E902 –Transfer Differential Response to DCFS•This request transfers the Differential Response activities to the Children, Youth and Family Administration budget Healthy Nevada Funds (Tobacco)Legislative Approved 2018-19 BienniumLegislative Approved 2018-19 Biennium


Treasurer's Administration, $139,316 , 0%Seniors, $4,767,000 , 10%Senior Independent Living, $11,487,000 , 25%Assisted Living, $400,000 , 1%Cessation, $1,900,000 , 4%Disability Services, $7,224,000 , 16%Wellness, $19,518,032 , 42%$46,397,148Governor Recommends 2020-21 BienniumTreasurer's Administration, $135,880 , 0%Seniors, $2,100,000 , 4%Senior Independent Living, $11,487,000 , 21%Assisted Living, $400,000 , 1%Cessation, $1,900,000 , 4%Disability Services, $10,191,000 , 19%Wellness, $26,336,167 , 49%$53,511,847Healthy Nevada Funds (Tobacco)Use Use Use Use Category2018-19 Biennium2020-21 BienniumChange

Senior Senior Rx$ 4,240,000 $ 2,000,000 $ (2,240,000)

Disability Disability Rx$ 816,000 $ 916,000 $ 100,000

Senior Senior Independent Living$ 10,940,000 $ 10,940,000 $ -

Assisted Assisted Living$ 400,000 $ 400,000 $ -

CessationCessation$ 1,900,000 $ 1,900,000 $ -

WellnessWellness$ -

Office Office of Minority Health-Minority Health Coalition$ 266,000 $ 277,528 $ 11,528

Federally Federally Qualified Health Center Incubator Project$ 1,000,000 $ 1,400,000 $ 400,000

Suicide Suicide Prevention$ 760,000 $ 778,980 $ 18,980

HungerHunger$ 3,836,039 $ 4,200,000 $ 363,961

SafeVoice SafeVoice Program$ 773,307 $ 1,218,692 $ 445,385

ImmunizationImmunization$ 300,000 $ 300,000 $ -

2-1-1 2-1-1 Support$ 962,000 $ 1,187,020 $ 225,020

Wellness for Wellness for Family Services$ -$ 2,000,000 $ 2,000,000

Differential ResponseDifferential Response$ 2,700,000 $ 2,700,000 $ -

Family Family Resource Centers$ 2,730,000 $ 3,400,000 $ 670,000

Consumer Consumer Health Assistance$ 310,000 $ 467,161 $ 157,161

So NV MOST So NV MOST Program$ 500,000 $ 800,000 $ 300,000

No NV No NV MOST Program$ -$ 300,000 $ 300,000

Public Health Public Health Preparedness$ 173,571 $ 369,056 $ 195,485

No NV No NV Mobile Crisis Unit$ 1,436,746 $ 1,436,746 $ -

So NV Mobile So NV Mobile Crisis Unit$ 3,168,756 $ 3,168,756 $ -

Rural NV Mobile Rural NV Mobile Crisis Unit$ -$ 1,415,662 $ 1,415,662

Disability Disability Services$ -

RespiteRespite$ 1,280,000 $ 1,280,000 $ -

Positive Behavior Positive Behavior Support$ 640,000 $ 640,000 $ -

Independent Living GrantsIndependent Living Grants$ 1,100,000 $ 1,100,000 $ -

NEW Nevada 2-1-1NEW Nevada 2-1-1$ 260,000 $ 400,000 $ 140,000

AutismAutism$ 3,200,000 $ 5,740,000 $ 2,540,000

Family Family Preservation$ 400,000 $ 400,000 $ -

Personal Assistance Personal Assistance Services$ 320,000 $ -$ (320,000)

COPE Purchase COPE Purchase of Services$ 80,000 $ -$ (80,000)

Aging Aging & Disability Services Administration$ 1,163,800 $ 1,323,800 $ 160,000

Director's Director's Office Administration$ 605,176 $ 916,566 $ 311,390

Treasurer's Treasurer's Office Administration$ 135,753 $ 135,880 $ 127

TOTALTOTAL$ 46,397,148 $ 53,511,847 $ 7,114,699

BA 3200 Prevention of Problem GamblingOverviewThe Revolving Account for the Prevention and Treatment of Problem Gambling was created by the 2005 Legislature (NRS 458A) to provide for programs that expand and improve the treatment and prevention of problem gambling through workforce development, research and evaluation and increasing the number of treatment facilities and providers in Nevada. Pursuant to NRS 463.320, the program is funded through a transfer of an amount equal to $2 for each slot machine subject to the quarterly slot machine liceBA 3200 Prevention of Problem GamblingBudget Information/Changes•Advisory Committee on Problem Gambling reviews grant applications and makes recommendations for awards.•3195/E909 Transfer Problem Gambling to DPBH•This request transfers the Problem Gambling Program from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.•E225 Changes the funding for Problem Gambling•This request replaces the current quarterly slot tax funding with a tax on gaming percentaBA 3204 Office of Consumer Health Assistance (OCHA)OverviewThe Office of Consumer Health (OCHA) assists Nevada consumers to understand and navigate the health care system by understanding patient rights and responsibilities under various health care plans, including industrial insurance, Medicaid and the Silver State Health Insurance Exchange. The OCHA also provides educational outreach regarding access to health care; responds to and investigates complaints regarding health care plans and policies; and assists in billing disputes between patients and hospiOffice of Consumer Health AssistanceGeneral Fund, $410,966 , 14%Bureau of Hospital Patients, $367,706 , 12%Medicaid, $505,077 , 17%Industrial Relations, $323,839 , 11%Legislative Approved 2018-19 Biennium

Governor Recommends 2020-21 BienniumTobacco, $546,000 , 19%Health Care Quality & Compliance, $228,119 , 8%Silver State Health Insurance Exchange, $358,651 , 12%Substance Abuse , $201,594 , 7%$2,941,952General Fund, $863,971 , 25%Bureau of Hospital Patients, $378,822 , 11%Medicaid, $593,165 , 17%Tobacco, $744,689 , 21%Health Care Quality & Compliance, $185,707 , 5%Silver State Health Insurance Exchange, $252,000 , 7%Substance Abuse , $172,541 , 5%Industrial Relations, $307,526 , 9%$3,498,421BA 3204 Office of Consumer Health ProtectionBudget Information/Changes•E225 Consumer Health Protection Bureau•Request funding for a Consumer Health Protection Bureau, within the Office of Consumer Health Assistance, to provide mediation services for disputed billing for out of network service charges incurred during emergency visits.•SFY20 Total Cost –$234,243State General Fund –$234,243•SFY21 Total Cost –$276,168State General Fund –$276,168•The Office of Minority Health was established by the 2005 Legislature pursuant to NRS 232.474.•Office of MinorBA 1499 Public DefenderOverviewThe Office of the State Public Defender (Office), authorized under NRS 180.010, represents adult and juvenile indigent, criminal defendants when a court appoints the Office as counsel. The Office currently provides services for two counties: Carson and Storey. The 15 remaining counties provide their own public defender services through a county public defender or private contract attorneys. The Office is also responsible for appeals for state prison inmates whose habeas corpus post-conviction petitiBA 1499 Public DefenderBudget Information/Changes•Budget split 76% Counties and 24% General Funds•Enhancements•E806 –Reclassifies an AA I to a Legal Secretary 2 commensurate with the duties of the position.•SFY20 Total Cost -$11,287State General Fund -$2,709•SFY21 Total Cost -$11,932State General Fund -$2,864•E712 –Requests replacement office furniture for the Public Defender’s Office.•SFY20 Total Cost -$14,298State General Fund -$3,432•SFY21 Total Cost -$0State General Fund -$0Acronyms•ADSD:Aging and Disability Services Division•ACPG: Advisory Committee on Problem Gambling•BA:Budget Account•BDR:Bill Draft Request•COPE:Community Service Options Program for the Elderly•DCFS:Division of Child and Family Services•DHCFP:Division of Health Care Financing and Policy (Medicaid)•DHHS:Department of Health and Human Services•DO:Director’s Office•DPBH:Division of Public and Behavioral Health•DWSS:Division of Welfare and Supportive Services•FTE:Full-time Equivalent•FY:Fiscal Year•G01:Governor Recomme

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