Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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Nevada Independent

7 stories

Industry·NV·24d ago

Nevada Congressional Candidates Diverge on Medicaid Work Requirements in 1st District Race

Rep. Dina Titus (D-NV) and state Sen. Carrie Buck (R-Henderson) are competing for Nevada's 1st Congressional District seat, which covers Downtown Las Vegas, the Strip, Henderson, and Boulder City. Both candidates agree on reinstating Affordable Care Act premium subsidies to prevent coverage loss and premium increases for thousands of Nevadans. The candidates differ on Medicaid work requirements, with implications for program eligibility and enrollment in Nevada's Medicaid expansion population. Both candidates also support deportation enforcement focused on violent criminals rather than all undocumented immigrants, a position relevant to emergency Medicaid utilization patterns.

State Policy·NV·34d ago

Nevada Governor Claims Credit for Children's Hospital Despite Supporting Medicaid Cuts to Its Funding

Gov. Joe Lombardo (R-NV) is running campaign ads touting his role in establishing Nevada's first standalone children's hospital, set to open in 2030. However, Lombardo supported the One Big Beautiful Bill Act, which reduces a provider tax that was originally credited with making the hospital financially viable and cuts Medicaid funding that many pediatric patients rely on. Democrats criticized the governor for not opposing the provider tax cap reduction. Hospital executives say the project is moving forward despite the federal funding changes.

Legal·IN·36d ago

Indiana AG Discusses Medicaid Fraud Enforcement in Wide-Ranging Interview

Indiana Attorney General Ford addressed Medicaid fraud enforcement as part of a broader interview covering multiple policy topics, including the state's opioid litigation efforts and data center regulation. The attorney general defended the administration's record on these issues. No specific new Medicaid fraud actions or enforcement changes were announced. The interview provides insight into the state's current enforcement priorities and approach to Medicaid program integrity.

Legal·NV·39d ago

Nevada Attorney General Declined Majority of Medicaid Fraud Referrals

Nevada Attorney General Aaron Ford's office declined more than half of Medicaid fraud referrals it received, according to reporting examining his prosecution record as he campaigns for governor. Ford defends his office's prosecution rate as high, stating many referrals lack sufficient evidence to pursue criminal charges. The article examines claims made in political advertisements criticizing Ford's handling of Medicaid fraud enforcement. This review comes as states face increasing scrutiny over program integrity and fraud prevention efforts.

State Policy·NV·52d ago

Nevada Cuts Out-of-State Behavioral Health Placements for Children by Over Half

Nevada has reduced out-of-state institutional placements for children with behavioral health needs by more than 50% over four years, following federal findings that the state was overrelying on such placements. The state achieved this through expanded community-based services and in-state treatment capacity. The changes address federal requirements under the Americans with Disabilities Act and Medicaid's integration mandate. This matters for state Medicaid agencies and managed care plans managing behavioral health benefits, as it demonstrates a viable pathway to comply with federal home and community-based services requirements while reducing high-cost institutional care.

State Policy·76d ago

States Consider Publicly Naming Large Employers With Medicaid-Enrolled Workers

State legislators are proposing measures to publicly identify major companies whose employees rely on Medicaid coverage, a response to impending federal work requirements scheduled for January implementation. The proposals aim to highlight employer wage and benefit practices that result in government-subsidized healthcare coverage for low-income workers. These legislative efforts emerge as states face federal pressure to enforce work requirements while managing program costs. The focus on employer practices represents a shift in state Medicaid policy debates toward workforce participation and private sector responsibility.

State Policy·NV·103d ago

Nevada Enacts AI Restrictions for Mental Health and Emergency Services

Nevada has enacted regulations limiting artificial intelligence use in mental and behavioral health situations and emergency planning, despite federal opposition to AI regulation. The state joins a small group of jurisdictions implementing AI guardrails in healthcare settings. The restrictions affect how providers and plans can deploy AI tools in clinical decision-making for mental health services and crisis response. Implementation details and effective dates were not specified in available reporting.

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