NV SB434

Creates the Statewide Health Care Access and Recruitment Grant Program, a competitive grant program administered by the Department of Health and Human Services to fund projects addressing critical shortages of health care providers, clinical services, or expertise in Nevada.

Appropriates $50,000,000 from the State General Fund and establishes ongoing funding beginning July 1, 2027, through annual transfers of 0.5% of anticipated state revenue, with transfers paused if the account exceeds $60,000,000 or the Rainy Day Fund falls below $1 billion.

Requires the Department to conduct biennial assessments of statewide health care needs, identifying critical shortages by profession, specialty, and geographic area, and to submit reports with funding recommendations to the Governor and Legislature.

Eligible grant applicants include medical facilities, federally-qualified health centers, higher education institutions with health care training programs, behavioral health entities, substance use treatment facilities, oncology organizations, governmental entities, and qualifying nonprofits, with a requirement to secure matching funds or in-kind contributions at least equal to the grant amount.

Establishes oversight mechanisms including funding agreements tied to milestone-based disbursements, annual site visits and audits, authority to suspend or terminate grants for non-compliance, and required grantee reports upon project completion and again 10 years later.