NV SB424

Division of Health Care Financing and Policy must impose an assessment on private emergency medical transport providers based on a percentage of their net revenue from emergency ambulance services in Nevada, capped at 5.5% or the maximum allowed under federal law

Creates the Account to Improve Emergency Medical Transportation Quality and Access to receive assessment revenue, which funds enhanced Medicaid reimbursement rates for private ambulance providers, public health data infrastructure modernization, and community outreach (with no more than 10% for non-reimbursement purposes)

Providers failing to pay assessments within 30 days face administrative penalties, potential deductions from future Medicaid payments, and notification to health authorities who may suspend or revoke ambulance operating permits

Assessment must be suspended if federal financial participation becomes unavailable, reimbursement funding drops below June 30, 2025 levels, or Medicaid ambulance rates fall below June 30, 2022 levels, with retroactive collection once conditions resolve

Health authorities may establish evidence-based training programs (minimum 1 hour) for emergency responders on identifying and responding to human trafficking victims, developed with accredited higher education institutions